20052067 Ver 1_Complete File_20070828

Michael F. Easley, Governor

William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources

Alan W. Klimek, P.E. Director
Division of Water Quality

December 22, 2005

DWQ Project # 05-2067
Dare County

Mr. Frank Jakob
P.O. Box 249
Salvo, NC 27972

Subject Property:

Frank Jakob - Lot 46
Pamlico Sound [030155, 30-22, SA, HQW] 303d

Approval of 401 Water Quality Certification with Additional Conditions

Dear Mr. Jakob:

You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact 0.09 acres of wetland for the purpose of constructing a residence at the subject
property, as described within your application dated November 11, 2005, and received by the N.C.
Division of Water Quality (DWQ) on November 16,2005, with additional information received on
December 2,2005 and December 15,2005. After reviewing your application, we have decided that the
impacts are covered by General Water Quality Certification Number(s) 3402 (GC3402). The
Certification(s) allows you to use Nationwide Pennit(s) NW18 when issued by the US Anny Corps of
Engineers (USACE). In addition, you should obtain or otherwise comply with any other required federal,
state or local pennits 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 CAMA 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:

Conditions of Certification:

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 Pennit) are met. No other impacts are
approved including incidental impacts:

N~~hCarolina
/Vlllllrallll

401 OversighVExpress 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]/lntemet: http://h2oenr.statenc.us/ncwetlands

An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

Mr. Frank Jaklob
Page 2 of3
December 22, 2006

404/CAMA Wetland

Sediment and Erosion Control:

2. Erosion and sediment control practices must be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management Practices in
order to protect surface waters standards:

a. The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
c. Sufficient materials required for stabilization and/or repair of erosion control measures and
stormwater routing and treatment shall be on site at all times.

3. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the 404/40 1 Permit Application. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control Best
Management Practices, shall be performed so that no violations of state water quality standards,
statutes, or rules occur;

4. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
Division of Land Resources has released the project;

5. Protective Fencing - The outside buffer, wetland or water boundary and along the construction corridor
within these boundaries approved under this authorization shall be clearly marked with orange warning
fencing (or similar high visibility material) for the areas that have been approved to infringe within the
buffer, wetland or water prior to any land disturbing activities to ensure compliance with 15 NCAC 2B,
Section .0500;

6. Deed Notifications - Deed notifications or similar mechanisms shall be placed on all retained
jurisdictional wetlands, waters and protective buffers in order to assure compliance for future
wetland, water and buffer impact. These mechanisms shall be put in place prior to impacting any
wetlands, waters and/or buffers approved for impact under this Certification Approval and
Authorization Certificate. A sample deed notification can be downloaded from the 401/Wetlands Unit
web site at http://h2o.enr.state.nc.us/ncwetlands. The text of the sample deed notification may be
modified as appropriate to suit to this proj ect;

7. Construction Stormwater Permit NCGOI0000

Upon the approval of an Erosion and Sedimentation Control Plan issued by the Division of Land
Resources (DLR) or a DLR delegated local erosion and sedimentation control program, an
NPDES General stormwater permit (NCGOI0000) administered by DWQ is automatically issued
to the project. This General Permit allows stormwater to be discharged during land disturbing

Mr. Frank ]aklob
Page 3 of3
December 22, 2006

construction activities as stipulated by conditions in the permit. If your project is covered by this
permit [applicable to construction projects that disturb one (1) or more acres], full compliance
with permit conditions including the sedimentation control plan, self-monitoring, record keeping
and reporting requirements are required. A copy of this permit and monitoring report forms may
be found at huo://h2o. enr.state.l1c.lls/s/l/Forms Docllments. htm.;

Certificate of Completion:

8. Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401/Wetlands Unit, North Carolina Division of Water Quality,
1650 Mail Service Center, Raleigh, NC, 27699-1650.

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 CAMA Permit.

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.

Sincerely, .

Q, . (~ /ttr-:
UV~ W. Klimek, P.E.

AWKJijm

Enclosures:

GC 3402
Certificate of Completion

cc: Doug Dorman, Atlantic Environmental Consultants, LLC, P.O. Box 3266, Kitty Hawk, NC 27949
USACE Washington Regulatory Field Office
Kyle Barnes, DWQ Washington Regional Office
DLR Washington Regional Office
File Copy
Central Files

Filename: 052067FrankJakobLot46(Dare)401

ATLANTIC ENVIRONMENTAL CONSULTANTS, LLC
P.O. Box 3266, Kitty lIawl{, NC 27949
[phone] fax [phone]

December 12, 2005

Cyndi Karoly
Division of Water Quality
401 Certification Unit
1650 Mail Service Center
Raleigh, NC 27699-1650

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RE: DWQ Project No. 05-2067

Dear Ms. Karoly,

This letter is with reference to your letter dated Dccember 3, 2005 requesting additional
information in order to review the wetland fill request for Frank Jacob, Lot 46, Buxton,
Dare County, North Carolina.

The site plan has been revised to show the impacts to the wetlands on site. In addition
the proposed impervious surfaces have been provided on the site plan in the notes
section.

Please do not hesitate to call me if you have any questions or need additional information
252-261-7707.

Sincerely,

~?/J'V~/yZ,. 'v.~
DougDorman
Atlantic Environmental Consultants, LLC

cc: Kyle Barns, DWQ Washington Regional Office

o~ WAr~1r
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Michael F. Easley, Governor

William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources

Alan W. Klimek, P;E. Director
Division of Water Quality

December 6, 2005

DWQ Project # 05-2067
Dare County

CERTIFIED MAIL: RETURN RECEIPT REQUESTED

Mr. Frank Jacob
P.O. Box 249
Salvo, NC 27972

Subject Property:

Frank Jacob - Lot 46
Pamlico Sound [030155,30-22, SA, HQW] 303d

REQUEST FOR MORE INFORMATION

Dear Mr. Jacob:

On November 16, 2005, the Division of Water Quality (DWQ) received your application dated
November 11,2005, to impact 0,09 acres of wetlands and to construct the proposed residence,
On December 2, 2005, the DWQ received additional information from you, The DWQ has
determined that your application remains incomplete and/or provided inaccurate information as
discussed below, The DWQ will require additional information in order to process your
application to impact protected wetlands and/or streams on the subject property, Therefore,
unless we receive the additional information requested below, we will have to move toward
denial of your application as required by 15A NCAC 2H .0506 and will place this project on
hold as incomplete until we receive this additional information. Please provide the following
information so that we may continue to review your project.

Additional Information Requested:

1, Please provide a detailed inventory of proposed impervious surfaces based on built out
conditions for the site.

2. Please label the acreage of both wetland impacts on the site plan,

Please respond within three weeks of the date of this letter by sending this information to me in
writing and Kyle Barnes, of the DWQ Washington Regional Office. Ifwe do not hear from you
within three weeks, we will assume that you no longer want to pursue this project and we will
consider the project as withdrawn.

This letter only addresses the application review and does not authorize any impacts to wetlands,
waters or protected buffers. Please be aware that any impacts requested within your application
are not authorized (at this time) by the DWQ. Please call Ms, Cyndi Karoly or Mr. Ian

N~'i1hCarolina
;Vnlllfllll!/

401 OversightfExpress Review Pennitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crablree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone]/ FAX [phone] / Internet: http;//h2o.enr.state.nc.us/ncwctlands

An Equal Opportunity/Affinnative Action Employer- 50% Rccycled/10% Post Consumer Paper

Frank Jacob - Lot 46
Page 2 of2
December 6, 2005

McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.

Sincerely,

~r~

Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit

CBK/ij'm

cc: Kyle Barnes, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
File Copy
Central Files
Doug Dorman, Atlantic Environmental Consultants, LLC, P,O. Box 3266, Kitty Hawk, NC 27949

Filename: 052067 FrankJ akobLot46(Darc)On _lIold2

RE: OWQ # 05-2067 Frank Jakob Lot 46
.....
of

Subject: RE: DWQ # 05-2067 Frank Jakob Lot 46
From: Laurie Dennison <[e-mail]>
Date: Wed, 07 Dee 200509:57:09 -0500
To: [e-mail]

Please see attached the Division of Water Quality's request for more information
related to your recent application. Please note that this message is being forwarded
to you electronically so that you may expedite preparation of your response. Please
do not send your response as a reply to this e-mail or via fax. The hard copy is
being sent via US Mail. All response correspondence is to be mailed via hard copy to
the 401 Oversight and Express Permits Unit, 2321 Crabtree Blvd., Raleigh, NC, 27604
unless otherwise noted.

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12/7/20059:57 AM

ATLANTIC ENVIRONl\'IENTAL CONSULTANTS, LLC
P.O. Box 3266, Kitty Hawk, NC 27949
[phone] fax [phone]

November 29,2005

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DEe 2 2005

Ian McMillian
1650 Mail Service Center
Raleigh, NC 27699-1650

DEW\. WAllH (JUf4t1 IT I'~
rr::ntl 'i1M;:>J 9tnR!,WMtil t,PJ./"..H

RE: DWQ # 05-2067 - Frank Jacob, Lot 46, Buxton, Dare COllnty

Dear Mr. McMillian,

The following site plan and vicinity map are being submitted in reference to your letter
requesting additional information dated November 22,2005.

Please proceed with the review process and if you have questions or need additional
information please do not hesitate to call 252-261-7707.

Sincerely,

'/../. . /~ ~
,----- ".-v7 .-~~~

Douglas Donnan
Atlantic Environmental Consultants, LLC

Olf WA Tl2'iy
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Michael F. Easley, Governor

William G. Ross Jr., Secrctary
North Carolina Dcpartmcnt of Environmenl and Natural Resources

Alan W. K1imck, P.E. Director
Division of Water Quality

November 22, 2005

DWQ Project # 05-2067
Dare County

CERTIFIED MAIL: RETURN RECEIPT REQUESTED

Mr. Frank Jacob
P.O. Box 249
Salvo, NC 27972

Subject Property:

Frank Jacob - Lot 46
Pamlico Sound [030155,30-22, SA, HQW] 303d

REQUEST FOR MORE INFORMATION
~

Dear Mr. Jacob:

On November 16,2005, the Division of Water Quality (DWQ) received your application dated
November 11, 2005, to impact 0.09 acres of wetlands and to construct the proposed residence,
The DWQ has determined that your application was incomplete and/or provided inaccurate
information as discussed below. The DWQ will require additional information in order to
process your application to impact protected wetlands and/or streams on the subject property,
Therefore, unless we receive the additional information requested below, we will have to move
toward denial of your application as required by 15A NCAC 2H ,0506 and will place this project
on hold as incomplete until we receive this additional information. Please provide the following
information so that we may continue to review your project.

Additional Information Requested:

1. Please provide a location map for the project.

2. Please summit a detailed site plan per information requested under Section III - Project
Information within the PCN application.

3. Please show all wetland impacts, including fill slopes, on the site plan.

4. Please locate all isolated or non-isolated wetlands, streams, and other waters of the State
as overlays on the site plan.

Please respond within three weeks of the date of this letter by sending this information to me in
writing and Kyle Barnes, of the DWQ Washington Regional Office. Ifwe do not hear from you
within three weeks, we will assume that you no longer want to pursue this project and we will
consider the project as withdrawn,

N.?~Carolina
/V1l/llrnll!/

401 Ovcrsight/Express Rcview Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699.1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone]/ FAX [phone]/lntcmet: http://h2o.cnr.state.nc.lIs/ncwctlands

An Equal Opportunity/Affirmative Action Employcr- 50% RecyclcdllO% Post Consumer Paper

Frank Jacob - Lot J.Jl.
Page 2 of2
November 22, 2005

This letter only addresses the application review and does not authorize any impacts to wetlands,
waters or protected buffers. Please be aware that any impacts requested within your application
are not authorized (at this time) by the DWQ. Please call Ms. Cyndi Karoly or Mr, Ian
McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.

Sincerely,

~ f:{~

Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit

CBK/ijm

cc: Kyle Barnes, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
File Copy
Central Files
Doug Dorman, Atlantic Environmental Consultants, LLC, P.O. Box 3266, Kitty Hawk, NC 27949

Filename: 052067FrankJakobLot46(Dare)On _llold

DWQ 05-206'i\ t;rank Jakob Lot 46
i

Subject: DWQ 05-2067 Frank Jakob Lot 46
From: Laurie Dennison <[e-mail]>
Date: Wed, 23 Nov 200507:47:52 -0500
To: [e-mail]

Please see attached the Division of Water Quality's request for more information
related to your recent application. Please note that this message is being forwarded
to you electronically so that you may expedite preparation of your response. Please
do not send your response as a reply to this e-mail or via fax, The hard copy is
being sent via us Mail. All response correspondence is to be mailed via hard copy to
the 401 Oversight and Express Permits Unit, 2321 Crabtree Blvd., Raleigh, NC, 27604
unless otherwise noted.

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11/23/2005 7:50 AM

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VICINITY MAP
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... ...
... LOT 46 ...
85,630 sq it TOTAL
". (1.965 ACRES)
, 39,687 sq it UPLANDS
45,943 sq It JrETL4NDS ...
... ... ...
... A.

...

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PROPOSED FILL
AREA 355 SF

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WT 45

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WT 47 I
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SURVEY INFORMATION PROVIDED BY: I
W.M. MEEKINS & ASSOCIATES DATED 8/12/04 I
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11.3'
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PROPOSED SINGLE
FAMilY RESIDENCE

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PROPOSED CONVENTIONAl
SEPTIC AND REPIAR AREA

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NATIONWIDE #18 FILL PERMIT
ADAM JAKOB & ROGER HENDRICKSON
LOT 46, HATTERAS PINES
BUXTON - DARE COUNlY - NORTH CAROUNA
120' 180'
I 1

LEGEND

--
--

o EXISTING CONCRETE MONUMENT
o EXISTING IRON STAKE
V UTILITY POLE
~ GEODETIC MONUMENT
il WATER METER

30'
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60'
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GRAPHIC SCALE 1"= 60'

ATLANTIC ENV//?ONAIENTAL CONSULTANTS, LLC
p.o. BO% J26'5, KITTY HAIYIC MC. 279./9
(252)26'1-7707, e-mail roxdotmantJaol.com

FIlE: 05-008

11/10/05

REVISED:

DATE:

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I USACE Action ID No.

D\VQ No.

If any particular item is not applicable to this project, please enter "Not Applicable" or "N/ A" rather than
leaving the space blank.

I.

Processing

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1. Check all of the approval(s) requested for this project:
[2J Section 404 Permit
D Section 10 Pennit
[2J 401 Water Quality Certification
D Riparian or Watershed Buffer Rules

Gcr~l~ - WA
IVEilArlDsAND sr1ERR ?UAUn
I.I'\,ATER BRAi;CH

2. Nationwide, Regional or General Permit Number(s) Requested:

Nationwide 18

3. If this notification is solely a courtesy copy because written approval for the 401 Certification is
not required, check here: 0 N/ A

4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: [2J

II. Applicant Information

1. Owner/Applicant Infonnation
Name: Frank Jakob
Mailing Address: PO Box 249
Salvo, NC 27972

Telephone Number: see agent info.
E-mail Address: see agent info.

Fax Number: see agent info.

2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached
if the Agent has signatory authority for the owner/applicant.)
Name: Doug Donnan
Company Affiliation: Atlantic Environmental Consultants. LLC
Mailing Address: P.O. Box 3266
Kitty Hawk, NC 27949

Telephone Number: 252-261-7707
E-mail Address:[e-mail]

Fax Number: 252-261-2965

Page 1 0[8

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: Jakob AEC#05-008

2. T.I.P. Project Number or State Project Number (NCDOT Only): NI A

3. Property Identification Number (Tax PIN): #053609172273

4. Location
County: Dare County Nearest Town: Kitty Hawk
Subdivision name (include phase/lot number): Lot 46, Hatteras Pines, Buxton, NC
Directions to site (include road numbers, landmarks, etc. Heading south on Hwy NCI2 in
Buxton, take a left on Buxton Back Rd., go approx. I mile take left on Lost Tree Tr. Go 0.5
miles and take right on Arrow leak Circle.

5. Site coordinates, if available (UTM or Lat/Long): 35015'43"N 75042'32.31"W
(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. Describe the existing land use or condition of the site at the time of this application:
This parcel is currently undeveloped with mature forest. adiacent lots are developed as
single-family residential.

7. Property size (acres): 1.97 acres

8. Nearest body of water (streamlriverlsoundloceanllake): Pamlico Sound

9. River Basin: Pasquotank River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httD://h2ocnr.statcnc.us!adnliJJim.ap~sn

Page 2 0[8

10. Describe the purpose of the proposed work: Fill in Section "404" wetlands to prepare the
site for residential construction to meet building and septic setbacks.

11. List the type of equipment to be used to construct the project:
loader

Dump truck. frontend

12. Describe the land use in the vicinity of this project: Single-family residential

IV. Prior Project History

If jurisdictional detenninations 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 infonnation. Describe previously approved wetland, stream and
butTer 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.
Jurisdiction determination has been made by. William Wescott USACE on 6-09-05. Action ID
Number 200511075. No prior permits obtained for this lot.

V. Future Project Plans

Are any future pennit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
No future pennit requests are anticipated for this proiect.

VI. Proposed Impacts to 'Vaters ofthe United States^Vaters of the State

It is the applicant's (or agent's) responsibility to detennine, 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 fonns 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.
1. Wetland Impacts

Page 3 0[8

Wetland Impact Area of Located within Distance to
Site Number Type ofImpact* Impact 100-year Floodplain** Nearest Stream Type ofWetland***
(indieate on map) (acres) (yes/no) (linear feet)
1 Wetland fill 0.09 ae 3,500 t fccllo forested wetland
yes Pamlico Sound

*

List each impact separately and identify tempor..uy impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, Sl.'Paratcly list impacts due to bolll structure and flooding.
100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM>. or FEMA-;lPlxo\,eu loc31 tloodplainmaps. Maps are 3\'3ilable through the FEt-.-fA Map Sen'ice Center at 1-800-358-9616. or
online at hltp:li\\ \n\' fCI~.
List a \\dhmd type that best uescribes \\etlanu to be impacted (e.g.. lreshwatcr/saIt\\atcr marsh. forested \\etlanu. bea\'er pond.
Carolina Bay. bog. c1c.)

**

***

List the total acreage (estimated) of existing wetlands on the property: 1.05 acres
Total area of wetland impact proposed: 0.09 acre

2. Stream Impacts, including all intermittent and perennial streams

Stre;Ull Impact Lcngth of A\'cragc Width Pcrennial or
Sitc NUlIlbcr Type ofImpact* Impact Stream Name** of Strcam IntcBl1ittcnt?
t indicatc onlll..1p) t Iincar fccll Beforc Imnact (Dlc:lsC specifY)
N/A N/A N/A N/A N/A N/A

List e3ch impact scparatd~' anu identil~' tempor;uy impacts. Impacts include. but an: nol limited to: cul\'erts and associated rip-mp.
dams (scparatcJ~' list impacts due to both stl1lcture ;md 1100Jing l. relocation (include linear kcl bd()re and aller. and net losslg3in).
stabilization 3cti\'ities (cement \\'all. rip-rap. crib wall. gabions. c1c.). exca\'ation. ditch.ing/straightening. etc, If stream relocation is
proposeu. plans ami projiIcs showing the linear j()otprinl for both the origiml ,mu relocated streams must be incluueu,
.. Stream names can be j(1UnU on USGS topog.r<lphic nwps. If a stream h<ls no name. list as lTI' (Ull1l<lmeU tributary) to the ne<lrest
dO\\1lstream named stream into \\hich it 110\\s. USGS nwps arc a\'3ibble throug.h the USGS at 1-800-358-9616. or online at
\\\\\\'IISQS ~lW, Sc\'eral intemet sites also allo\\' dircct dO\\1lload ,UlU printin:; of USGS maps (e.g.. \\W\\IOjlOlOIlCCOIl1.
\\ 'II \\ ll1apq\lc~1 (Olll. etc. ),

Cumulative impacts (linear distance in feet) to all streams on site: no stream impacts

P:lge 4 of8

3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.

Open Water Impact Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact * Impact (lake, pond, estuary, sound,
(indicate on map) (acres) (if applicable) bay, occan, etc.)
N/A N/A N/A N/A N/A

*

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fiB, excavation, dredging,
l1ooding, drainage, bulkheads, etc.

4. Pond Creation N/A
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application. N/A
Pond to be created in (check all that apply): D uplands D stream D wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A

Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/ A

Size of watershed draining to pond: N/A

Expected pond surface area: N/ A

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 folio during construction to reduce impacts.
TIle TO sed im ac was Ii lited to a total of 0.09 acre. Wetland fill is necessa to make this lot buildable 10
meet se tic and buildin J s tba s for residential constmctio. Site Ian is-desi 'ned to minimize wetland fill to sta
within the General Pennit. Fill will have an adequate slope 0 lhewetlartd interf.1cc where silt fencc will be placed
at the fillimits to prevent intmsion into wetlands not pemlittcd for fill.

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 5 of8

USACE - 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
hltp:l/112o. enL~tate,nc .lIs/ncwet lands/ strmgjde. I1tml.

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., deed restrictions, conservation casement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Compensatory mitigation proposed to ofTset the wetland impacts will be the purchase of wetland credits
from N.C. Ecosvstem Enhancement Program (NCEEP).

2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 40l/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at hllp://h2o,cm.statc.llc.\Isl\\llJ/indc:\.Iltlll. 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 ofbufTer mitigation requested (square fect):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):

IX. Environmental Documentation (DWQ Only)

Page 6 of8

Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?

Yes 0

No ~

If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEP AlSEP A)?
Note: If you are not sure whether a NEP AlSEP A document is required, call the SEP A
coordinator at [phone] to review current thresholds for environmental documentation.
Yes 0 No ~

If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEP A or SEP A final approval letter.
Yes 0 No ~

X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local
buffers associated with the project. TIle applicant must also provide justification for these impacts in Section VII
above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan.
All buffers must be shown on a map, whether or not impacts arc proposed to the buffers. Correspondence from the
DWQ Rcgional Officc may be included as appropriate. Photographs may also be included at lIle applicant's
discretion.

WiIllIle project impact protected riparian buffers identified \\lthin 15A NCAC 28 .0233 (Neuse), 15A NCAC 28
.0259 (Tar-Pamlico), 15A NCAC 28 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other
(please identify Nt A )?
Yes D No ~ If you answered ~yes", provide lIle follo\\lng infonnation:

Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required
calculate the required amount of mitigation by applying lIle buffer multipliers.

Zone* Impact Multiplier Required
(square fcet) Mitigation
I N/A 3 N/A
2 NtA 1.5 N/A
Total N/A N/A

..

Zonc 1 cxtcnUs out 30 feet perpendicular [rom near bank of channel; Zonc 2 cxtl..'Ilds

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 infomlation as identified within
15A NCAC 2B .0242 or .0260.
No buffer mitigation required for this proiect since disturbance/fill is not within the buffer.

XI. Stormwater (DWQ Only)

Page 7 of8

Dcscribe impcrvious 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.
Existing impervious surfaces do not exist at this time. Impervious surfaces will be limited to
house footprint, driveway and parking. Not to exceed 30% lot coverage. Stormwater runoff will
be routed from several areas from the valley and gutter system within the roof to allow
stormwater runoff to be directed to several areas on the ground adjacent to the proposed house to
filter within the soils and grassed areas. Silt fence will be placed behind the fill area to prevent
fill material from impacting the adjacent wetlands not permittcd for fill. The site will be graded
at 3: 1 slope towards the front of the lot to direct stormwater away from the adjacent wetlands in
the back of the property.

XII. Sewage Disposal (DWQ Only)

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.
Conventional septic system are proposed for this lot

XIII. Violations (DWQ Only)

Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes D No l2]

Is this an after-the-fact permit application?
Yes D No l2]

XIV. Other CirCllmst~lI1Ces (Optional):

It is the applicant's responsibility to submit the application sufficiently in advance of desired construction
dates to allow processing time for these permits. However, an applicant may choose to list constraints
associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down
schedules for lakes, dates associated with Endangered and Thrcatened Species, accessibility problems, or
other issues outside of the applicant's control).
No constraints are currently associated with this proiect

o~~~. /,,~//<> r
ApplicatiUAgent's Signature Date
(Agent's signature is valid only if an authorization lettcr from thc applicant is provided.)

Page 8 0[8

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VICINITY MAP
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LOT 46
85,630 sq It TOTAL
(1.985 ACRES)
39,887 sq It UPLANDS
45.943 sq It WETLANDS

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LOT 45

...
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" ).. WETLANDS ... ...
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7.8'
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LOT 47 I
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SURVEY INFORMA 1l0N PROVIDED BY: I
W.M. MEEKINS & ASSOCIATES DATED 8/12/04 I
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SF) :
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PROPOSED SINGLE
F AI.lIL Y RESIDENCE

urr<<

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1I~/
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NATIONWIDE #18 FILL PERMIT
ADAM JAKOB & ROGER HENDRICKSON
LOT 46, HATTERAS PINES
BUXTON - DARE COUNTY - NORTH CAROUNA
120' 180'
I J

--

LEGEND

1:?9'SXJ PROPOSED 'NETLAND FILL AREA {4,131

o EXISTING CONCRETE MONUMENT
o EXISTING IRON STAKE
V UllLlTY POLE
~ GEODETIC MONUMENT
III WATER METER

30'
I

0'
I

60'
I
GRAPHIC SCALE 1"= 60'

ATLANTIC ENV/I?ONIIENTAL CONSULTANTS, LLC
p.00 BO% 3256; KIlTY HAH'k; N.e. 279-/9
(252)25/-7707, e-m(lil roxdonTl(ln(J(lol.com

FIlE: 05-008

11/10/05

DATE:

REVISED:

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VICINl'l'Y MAP
NTS

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LEGEND -,
-- SF) I
-- r.((<~:X1 PROPOSED WETLAND FILL AREA (4,131
--
-- li~/ I
o EXISTING CONCRETE MONUMENT I
o EXISTING IRON STAKE I
I ~:I V UTILITY POLE I
,.j l{)/. 6 GEODETIC MONUMENT
il WATER METER I
NATIONWIDE ~18 FILL PERMIT
ADAM JAKOB & R GER HENDRICKSON
LOT 46, HATTERAS PINES
BUXTON - DARE COUNlY - NORTH CAROUNA
30' 0' 60' 1,0' 180'
I I I ~ ATLANTIC ENV//?ONAlENTAL CONSULTANTS; LLC
GRAPHIC SCALE 1"=60' p.o. BO% J255, KITTY HA/fIt; N.c. 27919
(252)25/-770;; e-mail roxdom7an(Jaol.com
FILE: 05-008 DATE: 11/10/05 REVISED:

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LOT 60

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PROPOSED CONVENTIONAl
SEPTIC AND REPlAR AREA

lill41

SURVEY INFORMATION PROVIDED BY:
W,M. MEEKINS & ASSOCIATES DATED 8/12/04

DWQ# ~O'o5 00 in

Date \ ~. ~ - crS

Who Reviewed:

~~kt'J-1~,j
I

Plan Detail Incomplete

o Please provide a location map for the project.
o Please show all stream impacts including all fill slopes, dissipaters, and bank stabilization on the site plan.
o Please show all wetland impacts including fill slopes on the site plan.
o Please indicate all buffer impacts on the site plan.
o Please indicate proposed lot layout as overlays on the site plan.
o Please indicate the location of the protected buffers as overlays on the site plan.
o Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overla~s on the site plan.
o Please provide cross section details showing the provisions for aquatic life passage.

Please indicate the diffuse flow provision measures on the site plan. ~ 10 atJ- ~ ti 1 ~ .

Please indicate whether or not the proposed impacts already been conducted.' ~ ~ '.LI ' ..:)....... )
. . I ~ ~ 0'<'\ 0--- S' r1:. f N').
Avoidance and/or Minimization Not Pr~vided .

O. Please locate any planned sewer lines on the site plan. . . . .' . 1;/

]:(~,""",~~y",;_3-IjO\j. pf/JlAtet
o PI"", pro"''''' ""till f" the "onnwotcr ",,"'g=1 _ti"" " reqWrul by GC . . . flea tP t~
o . Please specify the percent of project imperviousness area based on the estimated built-out conditions.~ ;n L;(Jlt .~
o Please indicate all stormwater outfalls on the site plan. . ~. ~ ~ \ oJa..J ~
o
o

o The _ labeled as _ on the plans does not appear to be necessary. Please eliminate the _ or provide additional
information as to why it is necessary for this project.

o This Office believes that the _labeled on the plans as
. Please revise the plans to avoid the impacts.

can be moved: or reconfigured to avoid the impacts to the

o This Office believes that the _labeled on the plans as
. Please revise the plans to minimi7.e the impacts~

can be moved or reconfigured to minimize the impacts to the

o The stormwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because
. Please revise the plans and provide calculations to show that diffuse flow will be achieved through.the entire buffer. If it
is not possible 'to achieve diffuse flow through the entire buffer then it may be necessary to provide stormwater management
practices that remove nutrients before the stormwater can be discharged through the buffer.

Other

o The application fee was insufficient because over 150 feet of-stream and/or over 1 acre of wetland impacts were requested. Please
provide $ . This additional fee must be received before your application can be reviewed,

o Please complete Section(s) on the application.

o Please provide a signed copy of the application,

o . Please provide _ copies of the application, ~ copies of the site plans and other supporting information.

Mitigation

o of compensatory mitigation is required for this project Please provide a compensatory mitigation plan. The
plan must conform to the requirements in 15 A NCAC 2H .0500 and must be appropriate to the type of impacts proposed.

o Please indicate which 404 Permit the USACE would use to authorize this project.

~
~

<<(

Other

DWQ# "2(Jl).,zob 7

111'7)u~

Who RewewooJk-9 / ?l<
I

Date

Plan Detail Incomplete
X' Please provide a location map for the project.
o

X
D
~
D
~
o
o
0, Please provide the location of any propos~ stonnwater manageinent practices as required by GC
o
o
o
o
o

Please show all stream impacts including all fill slopes, dissipaters, and bank stabilization on the site plan.

J~ Yn:~J

'S-I~ c 01CL.n

( }'I\ (Y\ -h I'\^l.- d I r-
Please indicate the location of the protected buffers as overlays on the site plan. i /-_,.,... .____ )

Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overla:>-:s on the site plan. V J-l-. i f..1

Please show all wetland impacts including fill slopes on the site plan.

Please indicate all buffer impacts on the site plan.

Please indicate proposed lot layout as overlays on the site plan.

Please provide cross section details showing the provisions for aquatic life passage.

Please locate any planned sewer lines on the site plan.

Please provide detail for the stonnwater management practices as required by GC

Please specify the percent of project imperviousness area based on the estimated built-out conditions.

Please indicate all stonnwater outfalls on the site plan.

Please indicate the diffuse flow provision measures on the site plan.

Please indicate whether or not the proposed impacts already been conducted.

AvoIdance and/or MInimIzation Not Pr~vided

o The _labeled as _ on the plans does not appear to be necessary. Please eliminate the _ or provide additional
information as to why it is necessary for this project.

o This Office believes that the ~ labeled on the plans as
. Please revise the plans to avoid the impacts.

can be moved, or reconfigured to avoid the impacts to the

o This Office believes that the _labeled on the plans as
. Please revise the plans to minimhe the impacts.

can be moved or reconfigured to minimize the impacts to the

o The stonnwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because
. Please revise the plans and provide calculations to show that diffuse flow will be achieved through the entire buffer. If it
is not possible'to achieve diffuse flow through the entire buffer then it may be necessary to provide stonnwater management
practices that remove nutrients before the stonnwater can be discharged through the buffer.

o The application fee was insufficient because' over 150 feet of -stream and/or over 1 acre of wetland impacts were requested. Please
provide $ '. This additional fee must be received before your application can be reviewed.

D Please complete Section(s) on the application.

D Please provide a signed copy of the application.

D ,Please provide _ copies of the application, ~ copies of the site plans and other supporting information.

Mitigation

D of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The
plan must conform to the requirements in 15 A NCAC 2H .0500 and must be appropriate to the type of impacts proposed.

o Please indicate which 404 Permit the USACE would use to authorize this project. .