20021157 Ver 3_Application_20061212

6Zuible
Quible & Associates, P.C. '' ` ~ ~, -p.d. awera7o
~ +": <. '1 ' 1(Itiq Yfawk~NC 27949
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING Phone: [phone]
SINCE 1959 Fax: [phone]
John Dorney
NC Division of Water~Quality
401/Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
December 6, 2006
v3 oa-~ ~s~
PRINCIPALS
Sean C. Boyle, P.E.
Joseph S. Lassiter, C.E.P.
Eduardo J. Valdivieso, P.E.
ASSOCIATES
Joseph J. Anlauf, P.E.
Katherine C. Marchello, P.L.S.
__ E
~~CEIVED
RE: Lots 58 and 66 Beachside Extension
Ocracoke, Hyde County, NC
Mr. Dorney:
Enclosed is a Nationwide 18 and 401 Water Quality Certification submission for Lots 58 and 66
Beachside Extension Subdivision in Ocracoke, Hyde County, North Carolina. This is an existing
subdivision, platted in June 1960 and includes residential lots and a designated right-of-way. We
have recently submitted a Nationwide #14 (revised application) for minor road crossing within the
subdivision. We have prepared this application for a Nationwide #18/401 Permit that would be
available for less than 0.1 acres of Section 404 wetland impacts. Uplands on the subject lots,
Lots 58 and 66, have been evaluated for on-site septic suitability, and have been issued
Improvement Permits by Hyde County Health Department.
The total wetland impacts proposed are 0.09 acres. The fill areas are intended to provide
adequate single family residential house footprints on Lots 58 and 66 (depicted on the site plan).
The coastal wetlands line has been established by DCM in August 2006. The coastal wetlands
line in this area lies to the north of the subject lots, and there are no proposed impacts to coastal
wetlands or the Tar-Pamlico Buffer Zones that apply in this river basin.
Enclosed are seven copies of the following:
D ~ ~ ~~ ~~ D
• Site Plan (11-28-06) 9-"~r° ~~ ~-~a~ ~-~ 'E- ! ~
• n
PCN Applicatio
• USGS Vicinity Map ~?~~ ~..~ A f' a~~16
• USACE Jurisdictional Determination
• EEP Acceptance Letter '~~"~~°~ ~~'~, ~ Lta.i,~I,IIY
WE7LAN0$ ~p ~T~riMW,4'f~i~ BaANCH
• Hyde County Improvement Permits (lots 58 and 66)
• $200 Processing Fee Check to NCDENR
Please review and process this permit request. If you have any questions or require additional
information, please contact meat [phone].
Sincerely,
Quible & Associates, P.C.
Brian Rubino
CC: Kyle Barnes, DWQ
Steve Trowell, DCM
Tom Steffens, USACE
Ann Warner

6~uible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
Thomas Steffens
US Army Corps of Engineers
P.O. Box 1000
Washington, NC 27889
December 6, 2006
RE: Lots 58 and 66 Beachside Extension
Ocracoke, Hyde County, NC
Mr. Steffens:
P.O. Drawer 870
Kitty Hawk NC 27949
Phone: [phone]
Fax: [phone]
PRINCIPALS
Sean C. Boyle, P.E.
Joseph S. Lassiter, C.E.P.
Eduardo J. Valdlvleso, P.E.
ASSOCIATES
Joseph J. Anlauf, P.E.
Katherine C. Marchello, P.L.S.
Enclosed is a Nationwide 18 and 401 Water Quality Certification submission for Lots 58 and 66
Beachside Extension Subdivision in Ocracoke, Hyde County, North Carolina. This is an existing
subdivision, platted in June 1960 and includes residential lots and a designated right-of-way. We
have recently submitted a Nationwide #14 (revised application) for minor road crossing within the
subdivision. As we have discussed, we have prepared this application for a Nationwide #18
Permit that would be available for less than 0.1 acres of Section 404 wetland impacts. Uplands
on the subject lots, Lots 58 and 66, have been evaluated for on-site septic suitability, and have
been issued Improvement Permits by Hyde County Health Department.
The total wetland impacts proposed are 0.09 acres. The fill areas are intended to provide
adequate single family residential house footprints on Lots 58 and 66 (depicted on the site plan).
The coastal wetlands line has been established by DCM in August 2006. The coastal wetlands
line in this area lies to the north of the subject lots, and there are no proposed impacts to coastal
wetlands or the Tar-Pamlico Buffer Zones that apply in this river basin.
Enclosed is the following:
• Site Plan (11-28-06)
• PCN Application
• USGS Vicinity Map
• USACE Jurisdictional Determination
• EEP Acceptance Letter
• Hyde County Improvement Permits (lots 58 and 66)
• Copy of the $200 Processing Fee Check to NCDENR
Please review and process this permit request. If you have any questions or require additional
information, please contact meat [phone].
Sincerely,
Qui(b~le & Associates, P.C.
~-~M ~~-
Brian Rubino
CC: John Dorney, DWQ
Kyle Barnes, DWQ
Steve Trowell, DCM
Ann Warner

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NOTE: THERE ARE NO COASTAL WETLANDS ON ~
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THE SUBJECT LOTS AS DETERMINED BY DCM ~
(COASTAL LINE IS X175 FT TO THE NORTH OF LOT 66); \;
THE WETLANDS LINE DEPICTED HAS BEEN CONFIRMED
BY USACE \WZ
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NOTE: HYDE COUNTY HEALTH DEPT. HAS ISSUED ON-SITE ~
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SEPTIC TREATMENT SYSTEM IMPROVEMENT PERMITS \
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FOR LOTS 58 AND 66 Hp

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PROJECT
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DRAWN
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06107
DATE
11/26/06
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COPYRIGHT © 2008
QUIBLE # ASSOCIATES, P.C.
DOCUMENT IS THE PROPERTY I
IBLE do ASSOCIATES, PC. ALL
iHTS ARE RESERVED. ANY RE-
QUIBLE dt ASSOCIATES, PC WILL
ONSTRUTE VIOLATION OF COPYRIGFf
LAWS. VIOLATION WILL BE SUBJECT
TO LEGAL ACTION

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NOTES: / ~-
1. APPLICANT: ANN WARNER
,1' P.O. BOX 238
]YiL OCRACOKE. NC 27960
2. PROPERTY AREA: 13,498 SOFT.
SEPTIC A. LOT 58: 6,749 SQ.FT.
SYSTEM B. LOT 66: 6,749 SQ.FT.
3. PROPOSED WORK:
USING A NATIONWIDE ~118: FILL OF (4,434 SOFT./0.09 AC)
OF SECTION 404 FRESHWATER WETLANDS
(REQUIRES 401 WATER QUALITY CERT.)
'~- . ~1ltr` /
NATION~ItIDB 18 AND 401 CBRTIPICATION
LOTS 58 AND 66
ANN WARNBR PARCELS
OCRACOKE HYDE COUNTY
NORTH CAROLINA
0 3o so
GRAPHIC SCALE IN FEET 1'=30
~uible S/NCE f959
~ Associates, P.C.
ENGINEERING ^ CONSULTING * PLANNING
ENVIRONMENTAL SCIENCES • SURVEYING
Phone: [phone]
Fax: [phone]
E-Mall: qutbisOaarthlink.net

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404 FILL AREA:
12.031 SQ. FT.
0.05 AC. /
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Office Use Only: Form Version March OS
USACE Action ID No. DWQ No. ~ 3 O a, - 1 1 S ~
(If any particular item is not applicable to this project, please enter "Not Applicably"., pf„"~TlA°,)
I. Processing
~~~EIVkG
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 ^ Express 401 Water Quality Certification
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: ^
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here:
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), che~cl~ re: ~~~
II. Applicant Information _ ~~ D
~r C 1 ~ Z~06
OwnerlApplicant Information
Name: Ann Warner u~:~;,~. ~~~..;a ~ru~~.~nr
Mailing Address: P.O. Box 238
Ocracoke, NC 27960
Telephone Number: [phone] Fax Number:
E-mail Address:
2. Agent/Consultant 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: Brian Rubino
Company Affiliation: Ouible & Associates, P.C.
Mailing Address: P.O. Drawer 870
Kitty Hawk, NC 27949
Telephone Number: 252-261-3300 Fax Number: 252-261-1260
E-mail Address: [e-mail]
Updated 11/1/2005
Page 6 of 14

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: Lots 58 and 66 Beachside Extension
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): M.B. B PG. 69-B2
4. Location
County: Hyde Nearest Town: Ocracoke
Subdivision name (include phase/lot number): Beachside Extension
Directions to site (include road numbers/names, landmarks, etc.): From Hatteras to Ocracoke
ferry terminal take NC 12 to the village of Ocracoke• take first right after Howard's Pub and
another ri~llt onto Central Drive
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.107094 °N 75.970253 °W
6. Property size (acres): Total: 0.31 ac. (13,498 sq.ft.); both lots are 6 749 sq.ft.
7. Name of nearest receiving body of water: The Pamlico Sound is approximately 2 500 linear
feet from the subject property
8. River Basin: Tar-Pamlico
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maQs/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this. application: Undeveloped gassy with sparse trees and shrub-scrub tyke
vegetation; property contains upland areas and freshwater Section 404 wetlands The nearest
coastal wetlands line is approximately 175 feet to the north of Lot- 66 and was established by
Updated 11/1/2005
Page 7 of 14

DCM in August 2006. The Section 404 wetlands line has been confirmed on November 13
2001 by William Walker, USACE. Platwork for re-confirmation has been submitted to Tom
Steffens, USACE on September 16, 2006, and a new jurisdictional determination will be
issued when the current USAGE moratorium expires None of the proposed work is within
coastal wetland areas or within the Tar-Pamlico Buffer areas. This general vicinit~of
Ocracoke is comprised of residentially developed and undeveloped residential lots and
commercially developed businesses along NC 12.
10. Describe the overall project in detail, including the type of equipment to be used:
The proposed work involves placement of sand fill in the Section 404 freshwater (non-
coastal) wetland areas identified on the accompan~g_proposed site plan for the purpose of
residential house construction on lots 58 and 66. Prior to any fill on the subject lots silt
fence will be properly installed to around the boundary of the land disturbance areas While
the impact areas indicated are jurisdictional wetlands the normal water table is at least 6-12
inches below existing grade. Sand will be transported to the site via dump truck and will be
spread and compacted with a bulldozer. This material will be compacted and seeded for
stabilization prior to construction of the house and associated septic system and drivew~
11. Explain the purpose of the proposed work: The purpose of the proposed work is to rp oxide
buildable areas on Lots 58 and 66 (platted in 1960) that have upland areas which are suitable
for on-site septic systems (these lots have been evaluated by Hyde County health Department
and have been issued Improvement Permits for septic systems- see permits enclosed) It is
necessary to identify a house footprint outside the suitable septic system area and the
proposed fill accomplishes this.
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 USAGE 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. A USACE jurisdictional determination had been issued on 11-13-01 and
in July 2006 field re-confirmation of the approved line was performed by Quible and USAGE
An updated plat was submitted to USAGE in September 2006• a new jurisdictional determination
cannot be issued until expiration of the USAGE moratorium A Nationwide #14 has been
applied for minor road crossings in the subdivision but there have been no permit requests on
Lots 58 or 66.
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.
Updated 11/1/2005
Page 8 of 14

There will be future building permit requests to Hyde County The development footprints
depicted on the proposed site plan adhere to Hyde County requirements and septic improvement
permits have been issued by Hyde County Health Department (enclosed).
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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
1. Provide a written description of the proposed impacts: Impacts include a jurisdictional
Section 404 wetland impact of 0.09 acres. This includes areas that are proposed to be filled
for single-family residential structures. Prior to any land disturbance silt fencing will be
installed around the perimeter of the work area. The sand material will be compacted and
seeded for stabilization prior to construction of the house and associated septic system and
driveway.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts dne to tenth ctnictnre and flnnrlina
Wetland Im act
p
Site Number
(indicate on map)

Type of Impact T
ype of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within

100-year
Floodplain
(yes/no) Distance to

Nearest
Stream
(linear feet) Area of

Impact
(acres)
Lot 58 Fill, Grading Herbaceous, scrub-shrub yes 2'600 if to
Pamlico Sound 0.04
Lot 66 Fill, Grading Herbaceous, scrub-shrub yes 2,SOO iF to
Pamlico Sound 0.05

Total Wetland Impact (acres) 0.09
3. List the total acreage (estimated) of all existing wetlands on the property: 0.09 ac.
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
Updated 11/1/2005
Page 9 of 14

construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), 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. To calculate acreage, multiply length X width. then divide by 43.560. N/A
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Im act Impact
Length
(linear feet) Area of
Impact
(acres)

Total Stream Impact (by length and acreage)
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. N/A
Open Water Impact

Site Number
(indicate on ma)
Name of Waterbody

(if applicable)

Type of Impact Type of Waterbody

(lake, pond, estuary, sound, bay,

ocean, etc.) Area of

Impact

(acres)

Total Open Water Impact (acres)
6. List k
he cumulative im act to all Waters of the U.S. resultin from the roject
Stream Impact (acres):
Wetland Impact (acres): 0.09 ac.
Open Water Impact (acres):
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. 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.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Updated 11/1/2005
Page 10 of 14

Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond:
VII. Impact Justification (Avoidance and Minimization)
Expected pond surface area:
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. The wetland impacts have been
minimized to the fullest extent possible and the impacts associated with filling are achievable
under a single Nationwide #18/401 Water Ouality Certification for two lots (less than 1 acre
total impacts). There is no posed fill within an Area of Environmental Concern (AEC)
including estuarine AEC and coastal wetlands.
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.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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 NCEEP 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
http:!/h2o:enr.state.nc.us/ncwetlands/strmgide.html.
Updated 11/1/2005
Page 11 of 14

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 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.
Proposed mitigation includes ~ayment into the NC EEP at a 2.1 mitigation to fill ratio (See
enclosed acceptance letter from EEP.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five 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):_ 0.25 acres (2:1 miti ation
to fill ratio)
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federal/state) land? Yes ^ No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No ^ N/A
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^ N/A
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
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. The 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
Updated 11/1/2005
Page 12 of 14

map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify Tar-Pamlico )? Yes ® No ^
2. If "yes", 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 the
buffer multi liers. N/A- No work in Buffer Zones
Im act
Zone* ~~~„aP fPPr~ Multiplier Required
1 I I 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A
XI. Stormwater (required by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level._No existing.impervious coverage•
Proposed new impervious coverage (residential house construction on both lots)• 2 400 sq ft /
17.8% coverage
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.
On-site septic treatment systems will be installed Upland soils have been evaluated by the Hide
Count Health. De artment see enclosed im rovement ermits .
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Updated 11/1/2005
Page 13 of 14

Is thin :.~ ;~>~tcrntla~~-iac•t pd:rmit application? ~4s ~ Iti'o
XI's. ~~~a~ul~titte lmisacts (re€lt~red b~ i)~iC,~)
WiII tlii~ tarc~ject (ba~eci nn past arsd t'easvtaa}~ly atltiripated fTatut°e i~xlp~ats) result in additional
d.~~•eldapax~erzt„ whit°.h ~i3tild impact tadr~uby dorvt1strd=arr~ v~ater q~xla~y?' ~d~,g ~! lea
If yPs, please stibznit a clnalitati~•e or c7uantit2d[ive c~tmulative %n±pact ,inalysis in acGd~trizsrzce with
the Tt1C~~t ICC~`Tlt ~r~pT"tll ~~.TOl1I2a l~1Vi5ft3Y] of Water duality l3d~l.icy posted on .our ~vebsite at
i~tt~:lfh~~?s~.~:~z~r.gtat~.ztc~.z-slncwetlaIYrls. If nd:~, please pr~vicle a shd~rt zx~~ative ~3escripti~t~.---
'~1•~ere ws~~+le~ l?~ no, additid~nal deveto ]z~~nt nn, the ~ut,~ect Ic~ts _that_wve~uld irnlaaet wcrl~inzl:; or
dawz~sr„r~azn =graters.
%~T. I:~th~r Cir~un~~#atacd=~ ~~p4•ional;ie l~iJ~
ii is tl'xd: applicant's r~spcznsibility t~ suhrrit the ajJ}~licatiarrt sufficic;rztly in advancds of desired
CCYYISLallGtli~l7 dates ~d) allda°.~• prc~~:~ssing tit~ie fcz• •ttzese pezzxzits. 1°iowever, aia applicant m.~~,
choose td~ list cor~straidtts a.sss~t:iated with c4nstntction. or sdJcluencin; that rz~ay impose ;routs on
v<~ork sGheda.les (e-~., dra~.~>-dr~~wi~ scheduies fo, 1a~.cs, daF.c4 associatd:d with ~ndan~;ered anci
I'?~r.~atet~~:d ~nec.ies, adMeessibitity prd3blc.ins, or other issues outside d~f the applit~~.it; ecntrr~l).
~ ~,
Appiicarttl~.gerzt's ~igra~tur~ Jilate -_-_~
(,A.~ent's sig:~aturd is valid only if arl autri.orizatid~z~ letter ~xorn the applidant is prd~vidir.d.}
dJpdasci 1I11(_'a?d:5
Page 14 or 1~1•

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W1.~~11ll~totA J~13t1°1C~
Action ID: ~~~ ~ ~'l ~ County:
Notification of Jurisdictional I)eterrnirraHon
Property owner/Authorized Agent ~ ~ ~ ~ ~ ~,, ~ ~~ ~ ~ 1,~ ~, ~ ~ ~ ~,~
Address ~. l~: ~ ~- ~ w -~ .~ `d r ~
Telephone Number
Szejja~QQd Location of Propertyt (waterbody, Highway namelnumber, town, etc.) / p
© c2..: S
Indicate which of the following apply:
® There are. wetlan the above described petty which we strongly sugges be
delnea surveyed. The serve et and lines must be verified fur staff before the
~will~make a final jurisdic ' al determination on your property.
® Because of the. size of your properly and our present workload; our identification and delineation
of your wetlands cannot e' ,accomplished in a timel ~`anner. You may wish to eni
consultant to ob` more timely delineation e-C~ wetlands. Once your consult as flagged
a wetland 'eon the property, C~o will review it, and if it is ate, we atrongly
reco end'that you have . ' e surveyed for final approval by ores The Corps. will not
make.a final~urisdictional determination on your pr~perty with~iut an approved survey. ~ 1
anti Sac~ve ~ ct5:• ~~~la. S ~~. ld d~ of
'® The wetlands~`ori yol~r lot Have been delineated,~and the limits of ~orps junsdsctic~n have been
explained to you. Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed yearn from the date of this
notification. -~' ~
® There-are no wetlands present, on the above de ed, property which are subjec permit
- requirements ction 404 of the Cle ater Act (33 USC 1344). U ere is a ch
the la our published re - a ' ,this determination may be re a upon for a period not to
e ed three years from the date of this notification.
V"~ The project is located in .one of the 20 Coastal Counties. You should contact the nearest State
Of6:ce of Coastal Management to determine their requirements.
.cement of dredged or fill material in wetlands on this properly without a Department of the Army permit
in most cases a violation of Section 301 of the Clean Water Act (33 USC 1311). A permit is not required
work on the property restricted entirely to existing high ground. If you have any questions regarding the
rps of Engineers regulatory program, please contact
~perty owner/Authorized Agent Sigry~,ture , ,
ject 1Vlanager Signature ~~ ~f~~,~~t-~-ff~"
;e .~/ ~/ 3 f~ j Expiration Date ~/' ~13 jp ~
EtVEY PLAT OI2 FIELD SKETCH OF DESCRIBED PROPERTY AND THE WETLAND
LINEATION FORM M[TST SE ATTACKED TO THE YELLOW (FiL) COPY OF THIS FORM.
~ ~.r-r~ W.z~~^7~~+ ~ ~~c~~u.~7~~/J r5j°e~~-~Pe ins. nT ~~ ~~1~~ ~L-
tW Form 566 6~ s i ~~- ~ I/~ L ~ ~.-~ ~2T f ~°,. ~l ar. •~. k ~, 1 ~ ~„ V,. ~ i s ~t ~C j ~ G.~ r` j" L~. ~ y

Y
-~~~, os stem
PRQGRAM
December 5, 2006
Ann Warner
P.O. Box 238
Ocracoke, NC 27960
Project: Beachside Extension Lots 58 & 66 County: Hyde
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NCEEP will be approved.
This acceptance is valid for six months from the date of this letter. )(f we have not received a copy of the issued 404
Permit/401 Certification within this time frame, this acceptance will expire. It is the applicant's responsibility to send
copies of the 404/401/CAMA permits to NCEEP. Once NCEEP receives a copy of the 404 Pernut and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
following table.
River Basin Stream Impacts (feet) Wetlands Impacts (acres) Buffer I Buffer II
CU (Sq. Ft.) (Sq. Ft.)
Cold Cool Warm Ri arian Non-Ri arian Coastal Marsh
Tar-Pamlico 0 0 0 a 0.09 0 0 0
03020105
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 mitigation-to-impact ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The type and amount of the
compensatory mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or
CAMA Permit. The mitigation will be performed in accordance with the Memorandum of Understanding between the N. C.
Department of Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
_ ....
Sincerely,
liam D. Gilmore, PE
Director
cc: Cyndi Karoly, Wetlands/401 Unit
Tom Steffens, USAGE-Washington
Kyle Barnes, DWQ-Washington
Doug Huggett, NCDCM-Morehead City
Brian Rubino, agent (fax)
File
R,P~St"DYGGI~... ~ ~ ... PYDtC~ OGLY Stag
~~~
Nor#h Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1 652 / 91 9-71 5-0476 / www.:~ceep.net

t
HYDE COUNTY HEALTH DEPARTMENT
P.O. Box 100 Swan Quarter, IYC 27885
Phone # [phone]
IMPROVEMENT PERMIT
INITIAL INSTALLATION: XXX
Permit No: 102006-2
Permittee: Elizabeth Ann Warner
EXPANSION: REPAIR:
Date: November 20, 2006
Address: C/O E.3. Valdivieso, P.O. Drawer 870, Kitty Hawk, NC 27948
Phone No.: [phone]
Properly Location: ,Lot #58 Beachside Extension S/ D, Ocracoke
Facilities to be served: 3 bedroom house
Water Supply: private well
Wastewater Flow GPD: 480
Wastewater System Type: Va., TS-I, Pretreatment
Wastewater System Repair: NA
Long Term Acceptance Rate: 1.0 gpd/sq.ft.
Absorption Area: 270 sq.ft.
Septic Tank Capacity: 1000 gallons with frlter
Pump Tank Capacity: 1000
Total Bed/Trench Length: To ~ determin+ad by engineer Width: To ~ determined by
engineer
Bed/Trench Spacing; NA
Maximum Bed/Trench Bottom Depth: 6"above the naturally occurring soil surface

IhfPROVEMENT PERMT
ELIZABETH ANN WARNER
PAGE 2
CONDITIONS;
1. Plans and specifications shall be submitted to the Hyde County Health Department
for a TS-I pretreatment system. The plans and sp~ifications shall be prepared by
a registered professional engineer and hisJher seal affixed to the submittal.
2. The plans and specifications shall contain information necessary for construction
of the system in accordance with the applicable rules and laws, the system
approval, and section .1938 {i){i-y) of the taws and Rules for Sewage Treatment
and Disposal Systems.
3. Prior to the. issuance of the Operation Permit the owner shall submit to the Hyde
County Health Department a statement signed by the design engineer stating that
construction is complete and in accordance with the approved plans and
specifications and approved modifications. Periodic observations of constrruction
and a final inspection for design compliance by the design engineer or hisJher
representative shall be required for this statement. The statement shall be affixed
`with the design engineer's seal.
4. This permit does not circumvent any other permits required by other agencies for
filling activities.
5. Use water conserving fxtures i.e. 1.6 gallon flush toilets, 2 gpm shower heads, 1
gpm all lavatories.
6. An Authorization to Construct will be issued upon final approval of the submitted
plans and specifications and the initial site modifications.
7. The well shall be located a minimum of 50` from all parts of the wastewater
system and 25' from any building foundation.
8. All setbacks from the drainfield shall be measured from a point 5' from the nearest
edge of the rock bed.
9. The system will require operation and maintenance by a licensed subsurface
operator certified by the Water Pollution Control System Operator Certification
Commission. A copy of the contract with the flRC shall be submitted to the Hyde
County Health Department prior to the issuance of an Operation Permit.

I ~
IMPROVEMENT PERMIT
ELIZABETH ANN WARNER
PAGE 3

This improvement Permit shall be valid:
without expiration
upon a showing satisfactory to the Hyde County Health Department that the site and soil
conditions are unaltered, that the facility, design wastewater flow, and wastewater
characteristics are not increased, and that a wastewater system can be installed that '
meets the permitting requirements in effect on the date this permit was issued. This
permit is subject to revocation if site plans or the intended use changes.
Authorized
Envirod"mental Health specialist
Hyde County Health Department

~~ .
HYDE COUNTY HEALTH DEPARTMENT
P.O. Box 100 Swan Quarter, NC 27885
Phone # [phone]
IMPROVEMENT PERMIT
INITIAL INSTALLATION: XXX EXPANSION: REPAIR:
Permit No: 102006-5 Date: November 20, 2006
Permittee: Elizabeth Ann Warner
Address: C/O E.7. Valdivieso, P.O. Drawer 870, IGtty Hawl4 NC 27948
Phone No.: [phone]
Property Location: Lot #66 Beachside Extension S/D, Ocracoke
Facilities to be served: 4 bedroom house
Water Supply: private well
Wastewater FIow.GPD: 480
Wastewater System Type: Va., TS-I, Pretreatment
Wastewater System Repair: NA
Long Term Acceptance Rate: 1.0 gpd/sq.ft.
Absorption Area: 360 sq.ft.
Septic Tank Capacity: 1000 gallons with filter
Pump Tank Capacity: 1000
Total Bed/Trench Length: To be determined by engineer Width: To be determined by
engineer
BedJTrench Spacing: NA
Maximum Bed/Trench Bottom Depth: 6"above the naturally occurring soil surface

IlMPROVEMENT PERMT
` ELfZABETH ANN WARNER
PAGE 2
CONDITIONS:
i. Plans and specifications shall be submitted to the Hyde County Health Department
for a TS-I pretreatment system. The plans and specifications shall be prepared by
a registered professional engineer and hisJher seal affixed to the submittal.
2. The plans and specifications shall contain information necessary for construction
of the system in accordance with the applicable rules and laws, the system
approval, and section .1938 (i)(1-~) of the Laws and Rules For Sewage Treatment
and Disposal Systems.
3. Prior to the. issuance of the Operation Permit, the owner shalt submit to the Hyde
County Health Department a statement signed by the design engineer stating that ,
construction is complete and in accordance with the approved plans and
specifications and approved modifications. Periodic observations of construction
and a final inspection for design compliance by the design engineer or his/her
representative shalt be required for this statement. The statement shall be affixed
with the design engineer's seal.
4. This permit does not circumvent any other permits required by other agencies for
filling activities.
5. Use water conserving fxtures i.e. 1.6 gallon flush toilets, 2 gpm shower heads,l
gpm all lavatories.
6. An Authorization to Construct will be issued upon final approval of the submitted
plans and specifications and the initial site modifications.
7. The well shalt be located a minimum of 50' from all parts of the wastewater
system and 25' from any building foundation.
8. Alt setbacks from the drainflefd shaft be measured from a point 5' from the nearest
edge of the rock bed.
9. The system will require operation and maintenance by a licensed subsurface
operator certified by the Water Pollution Control System Operator Certification
Commission. A copy of the contract with the ORC shaft be submitted to the Hyde
County Health Department prior to the issuance of an Operation Permit.

,_,
IMPROVEMENT PERMIT
ELIZABETH ANN WARNER
PAGE 3

This Improvement Permit shall be valid:
Without. expiration
upon a showing satisfactory to the Hyde County Health Department that the site and soil
conditions are unaltered, that the facility, design wastewater flow, and wastewater
characteristics are not increased, and that a wastewater system can be installed that
meets the permitting requirements in effect on the date this permit was issu~f~ This
permit is subject to revocation if site plans or the intended use changes.
Authorized
Envirdnmental Health S~(iecialist
Hyde County Health Department

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