20051531 Ver 1_Complete File_20050810

Wayne E. and Karen H. Smith
1400 Old Trinity Circle
Raleigh, NC 27607
Division of Water Quality
401 Wetlands Unit
2321 Crabtree Blvd
Raleigh, NC 27604
E RP-E. 1, @ rLl-gl oeR P
AUG 1 0 2005
DENR - WATER QUALITY
1','tiWDSANDSTORMWATEREMA CH
August 8, 2005
Dear Folks at DWQ:
Enclosed is our PCN application requesting a permit to cross a small wetlands area with a driveway, on our residential lot near
Chocowinity, NC. With much help over the phone from John Dorney and Nicole Thomson of DWQ in Raleigh, Tom Stethens of DWQ
in Washington, and Scott Jones of the Army Corps of Engineers in Washington, I think I have filled the application out correctly.
Here is a brief summary of the proposed project:
Property
Lot 17, Bay Hills, Chocowinity. Waterfront residential lot on Pamlico River, approx 56' wide x 160' deep (0.47 acre - see survey).
A separate lot (#20) across the street serves for the septic field (see survey and permit).
Description: Gently sloping wooded lot, sandy beach on riverfront. 65' wide band of wetlands cuts across the middle, about halfway
down the length of the lot. This is in an existing neighborhood of single family homes.
Proposed Project
We eventually plan to build on this lot, and need to put in a gravel driveway (approx 12'x290') from the road to the building site
(75' setback from the river). The driveway will cross the stretch of wetlands at its narrowest point of 65', on the left side of the lot.
Supporting Information
• We purchased the property in July 2005. Prior to purchase, we asked Scott Jones of the Army Corps of Engineers to look at the
wetlands area to determine whether it would prohibit building a house on the lot. He gave his opinion that there was plenty of room
between the wetlands and the river to build a house, and that it should not be a problem getting a permit to cross the small area of
wetlands with a driveway.
• Scott Jones flagged the wetlands area, and we had the property surveyed by the East Group (see attached).
• Fall '04: 1 spoke with both Scott Jones and a recommended contractor about putting in a driveway with minimal disturbance to the
wetland area. Scott Jones recommended placing three 24" equalization pipes (DOT-recommended plastic) under the drive where it
crosses the wetlands, to allow the hydrology of the wetlands to function. He recommended crossing the wetlands at the narrowest
point (65') on the left side of the lot. The fill for building up the drive where it crosses the wetlands would be trucked in over the
completed portion of the driveway from the street.
• December '04: After many phone conversations with Scott Jones (ACE) and Tom Stethens (DWQ Washington), it was determined that
I needed to apply to DWQ in Raleigh for the permit. I then reached Nicole Thomson who directed me to John Dorney in Raleigh. He
spoke with me at length about the project and walked me through filling out the correct application. He also suggested that I send
a courtesy copy to the Army Corps of Engineers, which I am doing. Many thanks to all of these helpful people.
My goal when we purchased the property was to apply for this permit within a year. I just about made it! Please contact me (see
below) if you have any questions about the application. Hopefully all is correct and nothing is missing.
Thank you so much.
Kind regards,
Karen H. Smith
Contact Information
Wayne E. and Karen H. Smith
enclosures: $200 check for Application Fee Tel: (H) 919-851-1816
7 copies each of Application, Survey, Map, Septic Permits (0) 919-483-7879 (Karen)
W a r?Rp?
r
? -i
O `C
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
August- 17, 2005
Wayne E. and Karen H. Smith
1400 Old Trinity Circle
Raleigh, NC 27607
Subject Property: Wayne E. and Karen H. Smith Site, Block A, Lot 17
Bay Drive, Chocowinity, NC
Approval of 401 Water Quality Certification with Additional Conditions
Dear Mr. and Mrs. Smith:
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 05-1531
Beaufort County
You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact 0.02 acres of wetlands for the purpose of constructing a driveway to access an
on-site area where a residence will be constructed at the subject property, as described within your
application dated August 8, 2005, and received by the N.C. Division of Water Quality (DWQ) on August
10, 2005. After reviewing your application, we have decided that the impacts are covered by General
Water Quality Certification Number(s) 3404 (GC3404). The Certification(s) allows you to use
Nationwide Permit(s) NW 14 when issued by the US Army Corps of Engineers (USACE). In addition,
you should obtain or otherwise comply with any other required federal, state or local permits before you
go ahead with your project including (but not limited to) Erosion and Sediment Control, Non-discharge,
and other regulations. Also, this approval to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application shall expire upon expiration of the 404 or CAD1A
Permit.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. If total fills for this project (now or in the future) exceed one acre of
wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A
NCAC 2H.0506 (h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
Amount Approved (Units) Plan Location or Reference
404/CAMA Wetlands 0.02 (acres) PCN
401 OversighttExpress Review Permits Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] / Internet: http://h2o.enr.state.nc.us/nmetlands
Ny`
o Carolina
Nturallif
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
l
Wayne E. and Karen H. Smith
Page 3 of 3
August 17, 2005
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of
the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a
hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Cyndi Karoly or Ian McMillan in the Central Office in
Raleigh at 919-733-1786 or Kyle Barnes in the DWQ Washington Regional Office at 252-946-6481.
S' cerely
t
AWKlijm
Enclosures: GC 3404
Certificate of Completion
cc: USACE Washington Regulatory Field Office
DWQ Washington Regional Office
DLR Washington Regional Office
File Copy
Central Files
Alan W. limek, P.E.
Filename: 051531 KarenHSmith(Beaufort)401
Office Use Only: Form Version May 2002
l
USACE Action ID No. DWQ No.
kit any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
[ 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:_Nnf i r)l w;de-Pcf>>)?t 19
3. If this notification is solely a courtesy copy because writt n approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Re oration Program (NCWRP) is proposed for
mitigation of impacts (verify ava/hCarolina, CWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any ina's twenty coastal counties (listed onpage
4), and the project is within a Division of Coastal Management Area of
Environmental Concern (see the r further details), check here: ?
II. Applicant Information
?D
D
1. Owner/Applicant Information AUG 1 4 2005
Name: Wck: Koren N,STY) ilh n?
Mailing Address: 14 06 Ofd TRiF)itV Gr'clr- `tu ra§aro?r r?Q urv
V-aleij?b NC 2760-1 1biwo
Telephone Number: 19 -S SI - S 6 483-'7s7q Fax Number: c119-49-3-0-711
E-mail Address: karen. h . sr?ifih ctrl<• ecsn
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatorry uthority for the owner/applicant.)
Name:
Company Affiliati
Mailing Address:_
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Wck?pe ?. Ka ren H - srsith
2. T.I.P. Project Number or State Project Number (NCDOT Only): NR
3. Property Identification Number (Tax PIN): 5683-1 `1-1 yS 1
4. Location
County: 'BenlJfOrfi Nearest Town: Ch0CoW-1t11'3
Subdivision name (include phase/lot number):_ 3g/ HMS WOCISA Loft I'7
Directions to site (include road numbers, landmarks, etc.): Frym ?&-abn, W_,--tnke
}HWX 17 sa1h -fum left on Hwy 5owh t if an Old 131cUnts Cre&-Ed Lefton T3cay Hit is Dr.
L.e ft onty Bc4Dr (r1 v f_nx t) Loft 1115 0e u0xtSed lot an the riii t, )ostp s-t 7 story b rick 1 Me
W 1th 9ravea drive. -nvrc is one rra'c lot ?? #11 bcoc real q dote 6tend of rcret .
5. Site coordinates, if available (UTM or Lat/Long): • r,SCCSuryty?)
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 0.47 gar-S
7. Nearest body of water (stream/river/sound/ocean/lake): Pamlico 1`1 ye9
8. River Basin: Tar-Ramk o
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httn://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Woo&d rlverfMr lot i on exis3iDq he' rhoA of si le--fMYI,
S- e of slops sc Qcr)VV-0 fihc r1Ver W;th (t sandy Mec .-rherc is a norrow bom o wetlcuzlS
aba)t halfi betweent rcad,o,nd fkc sits tAh6t we weld ?ike iobvildoi horse
e wil I need -ta Cross the narrowest stretch of -the wet-lands cah udrivet )y .
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
12,1k
OrC(tJ to occotnodafe 1hret Z"1" 1 t cc`uilibYiuMOpts. -->
11. Explain the purpose of the proposed work: -fhf driVewq is rveded i re CO)
of
&m
and 11ic (,?erlnrylc) CIS ff --efi bnct firm river, CC11zient 1.01it11 olhy roasts "ficr1 in 1kr
_?Abr r, d, nh(i per )?ei?hE rhecyl Cc?flYrrllf.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application. i
(a)p darx to h ti Ill n hr r in illy, nenr fil Crr co fiv unlnM o rM 1 orm tht 7S rivet
Sh'wide. (minus Ai, stlbods) X80'dcep
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
etmn? A CD6rapgwed plaslicpipex). The fill -tit will be needed Vcc thedrive cro?cr 1??e ?tk?rYtr
Tfi
C:u
lu- 10. O will be bucked in, tlslnq the MPlekci dry se 00 C( drivel` from fits
Page 7 of 12
r
Provide a written description'of the proposed impacts:
???t?icle ?rctvel ririve u`,ill r'i'??S n E.>s'??-wlrh of i?X'NrItY95. illrFe ??t "rne
win run un-9er therlove• porrpprcycctnln::H< fix) LbVeu?,nU will h Si?jM1g, hullfUP
_Wbcre it crci?ci -Oit wctlftrdf
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wctland***
s ITE # 1 C fil 110Zocgt VCS rM, ln rak wednnd
Ul 1 csF? rossirX IS
vilebri?M 17VfrM
ml ' Fiver

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://wwNv.fema.gov.
**• List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, ctc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: . 08 acres
Total area of wetland impact proposed: . O 2 acre s C lz X6 S ft = 6SO sf
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, ctc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.useS•cOV. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapgticst.coni, ctc.).
Cumulative impacts (linear distance in feet) to all streams on site: NON (!
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sound.., Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acre
(if Name applicable) ) Wat Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

List each impact separately and identity temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is pro osed, associated wetland and stream impacts should be
included above in the wetlan nd stream impact sections. Also, the proposed pond should
be described here and illus ted on any maps included with this application.
Pond to be created in (c ck all that apply): ? uplands ? stream ? wetlands
Describe the metho of construction (e.g., dam/embankment, excavation, installation of
draw-down valve spillway, etc.):
NA
Proposed u or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local sto water requirement, etc.):
Siz of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
across Tne wet/QWs wl i 1 be T rUCK41 rn t)51 111 11)C d r`? secti rn) Of clriy y firory) t4 rood
USACCE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
htti)://1]2o.enr.state.nc.us/ncwetlands/strm?*ide.litnil.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., decd restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
11-11
IZ WA
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state. no.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No Ed"
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National orb? North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure Ghether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-5 to review current thresholds for environmental documentation.
Yes ? ?
If yes, has the do ment review been finalized by the State Clearinghouse? If so, please attach a
copy of the N OA or SEPA final approval letter.
Ye No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsib' ity to determine, delineate and map all impacts to
required state and local buffers associ d with the project. The applicant must also provide
justification for these impacts in Sect' n VII above. All proposed impacts must be listed herein,
and must be clearly identifiable o e accompanying site plan. All buffers must be shown on a
map, whether or not impacts e proposed to the buffers. Correspondence from the DWQ
Regional Office may be inc ded as appropriate. Photographs may also be included at the
applicant's discretion/0259 N/A
Will the protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 1(Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supprements), or other (please identify )?
Yes ? If you answered "yes", provide the following information:
intif the square feet and acreage of impact to each zone of the riparian buffers. If buffer
ti ti_n is required calculate the required amount of mitigation by applying the buffer
Atin-liers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
Lone t extends out su tect perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260. 11.1
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
`The nropncrd hcuse and w? g'm r)ad wovb docopq nr, rrae film) 25co sF of the kui ldable oma -
- cb ncre ot- the entire , N I n;rre (ot• When ? r??ninn 0) ? , stvrrn i
+0 ensure ct cliff vcc sheet' Fl o befcre, recrhinq any wetfar(% orbvrftr area.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Se pgfaje loth ban ny(cl)osed -fcrpurmon- of Instolltrn thCspntfcClrnlll f cId
-tr ra? s ln/o-7.
XIII. Violations (required by DWQ)
0
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No 0
Is this an after-the-fact permit application?
Yes ? No [ r
XIV. Other Circumstances (Optional):
It is the applicant's resp sibility to submit the application sufficiently in advance of desired
construction dates to low processing time for these permits. However, an applicant may
choose to list cons aints associated with construction or sequencing that may impose limits on
work schedules e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened eCi.eS, accessibility problems, or other issues outside of the applicant's control).
1 l i' ? `/_ LL
Applicant/Agent s Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
WAYN E t, * KAREN H• SM I M
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VA-7 25.33 N'8*34'40"W
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WL9 9.27 N52'04'50"W
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(CONTROL \s?, ti2
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ti6 !°A??J EIP y) 6'iy
1
EIS "B" LIES S89'13'26"W -1 V,
5919 F

61.26 FEET FROM EIS "A" r
CIO EIP
?91
MB 24 PG 58
EIS LIES 0.5'
(
EAST Of
20 ----
? m
rv
t
rn
rl M
2
0.69 AC. t
M8 24 PG 58
w
v r., ?' 1
M rv
v° MB 24 PG 58
1177/ o
/,(\ SITE
1123
\Vo 1190
1122 e`
1119
1123
VICINITY MAP
(NOT TO SCALE)
LEGEND
EIS - EXISTING IRON STAKE
EIP = EXISTING IRON PIPE
0 = NO POINT SET
NOTES
1) NO N.C.G.S. HORIZONTAL CONTROL MONUMENTS
FOUND WITHIN 2000' OF THIS PROPERTY.
2) ALL DISTANCES SHOWN ARE HORIZONTAL
CONTROL MONUMENTS UNLESS OTHERWISE NOTED.
3) AREAS COMPUTED BY COORDINATE METHOD.
4) THIS PROPERTY IS LOCATED IN ZONE AE AND
IS IN A SPECIAL FLOOD HAZARD AREA AS TAKEN
FROM N.F.I.P. RATE MAPS DATED MAY 15, 2003
COMMUNITY PANEL NUMBER 3720568200J.
5) FOR BUILDING SETBACK LIMITS REFER TO DEED
BOOK 713 PAGE 91 OF THE BEAUFORT COUNTY
REGISTRY.
SOURCE OF TITLE
MB 24 PG 58
DB 981 PG 879
DB 719 PG 91
100 50 0 100
GRAPHIC SCALE: 1" = 100'
PHYSICAL SURVEY
STATE OF NORTH CAROLINA `""I1111111111111?11P???000UNTY
I, ANTHONY J. HA ???y /14 HIS
PLAT WAS DRAWN UNDER MY M. ?Q7UAL
SURVEY MADE UNDER MY SU IPr,fN
RECORDED IN BOOK 981 I?z E ). THA RATtfl
OF PRECISION AS CALCULATE•1] I 14p40_+n1HA TIlIS F?T
WAS PREPARED IN ACCORD-CE ITH Z'rrDRR66 OF- E
PRACTICE. WITNESS MY ORKGiNAL*SIGN!)TlUWTI!z8alION`
NUMBER AND SEAL THIS 2 - D --- J -O?004,7
I, REt
mS1 VpICER OF
BEAUFORT COUNTY, CERTIFY THAT THE MAP OR PLAT TO
WHICH THIS CERTIFICATION IS AFFIXED MEETS ALL STATUTORY
REQUIREMENTS FOR RECORDING.
REVIEW OFFICER do DATE

\ LOT NO. 17 & 20 BLOCK "A"
EIS LIE?
2 LIES
( SUBDIVISION BAY HILLS
(CONTROL P
E CHOCOWINITY
TOWNSHIP, BEAUFORT COUNTY
CORNER) q
4, SURVEY FOR WAYNE E. SMITH
LIES 1.4' and wife KAREN H. SMITH
T OF EIP)

MD 24 PC 58

MB 24 PG 58 (7 1 EAST
G R 0 U P
324 S. EVANS ST. . BOX 7305
MB 24 PG 58 Engineering Architecture Surveying Technology (252) 252) 75 758-3746
DRAWN BY: WBH PROJ. NO. : 20040192
SURVEYED BY: GLW, NMH DATE: 7/28/04
SCALE: 1" = 100' DWG NAME: smith.dwq
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N° 02670 $tlortorc)unttalHealthSaetlol1
-permti: tluort County Hcalih DaPottwent '
t.0.Box579 S.Y,f ?uG ?ewCansriy.
W ><l !ngtoat North Carolina 27889 d Repair
'??`a46•GOdB ? l?tlttir? Syn t;
IMP OVEMENS PEP-Ma.
Thls permit It Talld Ar five yamfrom the date of ltsur.
improvemenw perm;u aro'sub =t to r
Dace; 12-0 erOtSLOp if the site plsa>t or lntartdrd use ehutgea•
Owner or ontrsctor, GL Site Plan SCPtc-
t
ony a Lor
Address: - -+ .r•:-Ph Nv
Subdivision:
? t r '
Num
State Road Nurnlxr: La r:
Property Site; 'T'ype Strveture; i'
No. BI"dt0oms:_ •'2 No. People:.. _ tai G Ir t• }. ;
Water Supply: ??'6?- - - ?? 1 I_ ". ' . ?.. I '
(Maintiln minimutn[t (cet I't'
n ' .
tep:radi rocrl any pact of sepde eysmnn W repair eyes.) ' -- I
Classification:. ? Suitable XProrfslonall
Aliditlona] Drainl¦pa; ??,•? Y SUita<ble ? PS with RIf
Seasonal Wetneea CondlQnn R." Y' Solf f7^?c;
Septic Tank
: gal. Pump Tank'
khrifieatien Feld: 1• `
Cammeate; r en square feet n •? :? I i
.'. 1. i. L• . - ^ : •, • ,. - i . . i -
u.???G1._1Cl?si.•4..., t'iT I m
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ddl/t dorsal for .ali ' tcrns• I. 1 i 1
[sldrettpr tyttem area far laafa« mater 11,16clli Ind
i' 1 ' ' ?..1 • ???(
tip. Do not place drive or Xqy balldln; aver ft
tryueat 2M2 or ttpo>r m,ea
Obstsve all Fr.o • ?.. F -
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109
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I- -Jr1 : BEAUFORTgCTYgENU. HEALTH PHONE NO. : 9199162074 :run. 29 20034 11: 36AM P2
PROJECT SHEET
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