19960604 Ver 1_COMPLETE FILE_19960226

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality

Ja mes B. Hunt, J r., Gove mor
Jonathan B. I-bwes, Secretary
A. Presto n I-b ward, Jr., P.E., Direc to r

-AVA

DEHNA.

July 11, 1996
Dare County
DWQ Project # 960604

APPROVAL of 401 Water Quality Certification

Mr. Jan Aguirre
512 Cole Street
Raleigh, NC 27605

Dear Ms. Aguirre:

You have our approval to place fill material in 0.11 acres of wetlands or waters for the purpose of
constructing a road crossing at your property, as you described in your application dated 26 June 1996.
Mter reviewing your application, we have decided that this f111 is covered by General Water Quality
Certification Number 2732. This certification allows you to use Nationwide Permit Number 14 when it is
issued by the Corps of Engineers.
This approval is only valid 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. For this
approval to be valid, you must follow the conditions listed in the attached certification. In addition, you
should get any other federal, state or local permits before you go ahead with your project
If you do not accept any of the conditions of this certification, 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, P.O. Box 27447, Raleigh, N.C. 27611-7447. 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 John Dorney at 919-733-1786.

Sincerely,

Attachment

r.~

cc: Wilmington District Corps of Engineers
Corps of Engineers Washington Field Office
Washington DWQ Regional Office
Mr. John Dorney
Central Files
George Wood; Environmental Professionals

960604.1tr

Division of Water Quality . Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh. NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer . 50% recycled/10% post consumer paper

,,/ .
//

9 6 06 0 4
OEM 101 ACTION 10.
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT I).

40'IIS8lJED
JJW~/~

JOINT FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFiCATION TO THE CORPS OF ENGINBBRS
NATIONWIDE PERMITS THAT REQUIRE APPLICATION FOR SECTION 401 CERTIFICATION

WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN. CESAW-CO-E
Telephone [phone]

WATER QUALITY PLANNING .
DIVISION OF ENVIRONMENTAL ~NA~I~~NT.
NC DEPARTMENT OF ENVIRO~H~N1~~ ~~~T~, 'i,
AND NATURAL RESOURCI11~) r---..~..q-------- .
P.O. BOX 29535 'i p\:
RALEIGH, NC 27626-0535! lU; , JUN 2 6 1~Jl)r-) ".
ATTNI. MR. JOHN DORNEY l~ L---- ,j
Telephone (919) 733-S0ap VitYLAN1)SGRii~i"-- ,
I WATER Qll.4L1TY '.lFq.I::~
ONE (1) COpy OF THIS COMPLETED APPLICATION SHOULD BE SENT TO ~E ~ORP5 OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.

..

1. OWNERS NAME.

J~V\ ~ Aj oJlr~

2. OWNERS ADDRESSI

i-12 ('..J e Sf,
~ I€.,:, 1-1 . }J, c, ~ 7(;. D.!";-
, ./

,. ..,!-.\.,",

,,'.

3. OWNERS PHONE NUMBER (HOME) I

9/q 8337100 (WORK) I

4. IF APPLICABLEI
PHONE NUMBERI '
G e ~- .Q-

OFFICIAL, ADDRESS,

,: II' ,:' '"'(I

5.

LOCATION OF WORK (MUST ATTACH MAP). COUNTYI
NEAREST TOWN OR CITYI 1:::: t-f~ 1-t()..:..0~
SPECIFIC LOCATION (INCLUDE ROA NUMBERS, LANDMARKS, ETC.).

.n~,

,'" .".,'.,t",..t'." '.

]I.," '. "

7.

RIVER BASINI

A.// /J-
"

R:1Iy ~(,vjk, /~ v
/'

..,'

6.

NAME OF CLOSEST STREAM/RIVER:

8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ J NO 1XJ

9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ~ NO [ ) b1 /1 '~
IF YES, EXPLAIN, Alwf' /Y ;'s~uJ f.J}. i:llq'(~ ()/;;U~7. ,.eV'lul" /7tll.S e.)C~>~
A~pl,Co...v,,+ ,'5 v-ea.....,o;-aly/r'(! .fv-z..... Sc~ :5'Lq~ of vvo".--Ic
10. ESTIMATED TOTAL NUMBE~ OF~CRES OF WATERS OF THE U.S., INCLUDING"
WETLANDS, LOCATED ON PROJECT SITE: 5""', S a-cv-€--~
RECEIVED 1/14/93

JUN 25 1996

ENVIRONMENTAL SCIENCES
'."'1"'1,1

-2-

..,',)"
',\~
. . ~. ,fI,,":

11.

NUMBER OF ACRES
n LLED :
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED:

OF WETLAND
,1/
o
o
o
, / /

IMPACTED BY THE PROPOSED PROJECT:

.,,'

12.

DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
C Ire"> :5 S, "; 7 Jot / q (p" L c V1.-..:J X

. r~::.f.:~~t{.~.:~-..

}." . \.; "'~'.l,

ffl /;j avo l/' n'oJ
2'_'"i"/ L.~(~', "
.I"-,r..~..

~.. ...~...

13. P~RPOSE Of PROPOSED }JORK: '/0 ca...-c(,.-e5~ h'jh 9'''11~~ ~t~pL..
,-k,.......- t:v I-u~ /1 O~, 5 / Ie-

~

15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE L
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED,,; ,
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY~ij~
PROPOSED PROJECT. HAVE YOU DONE SO? YES [~ NO [ ) ,
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED. ; r,,'.. :,'~" ,

16, YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA'WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT? '
HA VE YOU DONE SO? YES [y/' NO [ ]
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.

, ,;11, ,,',

,.,j -1:_.'rl

17, ADDITIONAL INFORMATION REQUIRED BY OEM: f'^' ,', 'c,',
A. WETLAND DELINEATI9N IrAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY, ,4IJ,,^,::,,~ ' I .', '

, "
. .' "

B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED"BY
PROJECT.

/..,/,,14

-.,1.,. '.",

C. IF DELINEATION WAS PERfORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. A H~cJ.~

. .1>"",: '.~' 1\: "I'

0, IF A STORMW'ATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.

E. WHAT IS LAND USE OF SURROUNDING PROPERTY?

tf- t..- '$ /~.-y..~t/J: ." '."

F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?,'(':"I",,'~nl; '"

u-r"l- .5 /~--' 5.-e.e;?"?I-L.., "", "',.,,,,,',,, '~
,

~~~
OWN S I ,TURE .

<'t~~
, " I ATE

---.

-4

EXISTING

1.5'

CANAL

-B U l l-';>\
/'1ar s./,,-,
.~.r4 I

C~"'ClII".I%::N'.:1I1. 4.1" 7.'("
_ .577,:12' ()
-- ---- \.
LINE CLAIMED DY J ~--
KITTY HAWK WOO~ PRTSP. ____ ~\\) !If>:;'~
a../f. __ ~~
-- ------------
-
----N .'lo"..1.,. S')' ---------....
- ~~ . IV - \P~

~
~
, - " -----
r. ·
~ ~ \..0,,1
---------- ~ --------~-
I

...

~\6\~llD
09.0\

\ ----
\J
.
t.J
.,

---;.,--_______ t, \\
'>. ::: Cl 6'l.
___________ :-. _ ~_____ LoJ ~ --
{) _____~-~ '1 ___
~ ~ . ~
~ ,\ PARC~~---
~ ~ ~
\ (>~llv IT. 9:5 AC. ~

IfA Rk HI
IJ.. GUll
C.H.

(I.
C.Il,

--.

-B

o

A

R

D

'"
'"
, ;0
~'>
f'.

l\i
~_ l,
., '..
~ ~,~
tl ~

tI
..
~
~

\-

tf1
'\

HA.,
I

. .;

N/F
KI TTY HAWK WOODS f

y _ :> r. uh 4 r () ~ F,' JI Vb 4cL
(V/<:;:

JOl-V'\ f 4,3 U \:,.~
!)-/2 Q{) J e S+

Ro.J Q.\~ ~\ J AJ.~,
;7GoS-

-~/~~zay-

E ~G~~~
- ()OtJ / >- J s- / ::r-

/ If ;: :;) 00 I
K d.Jy H~k) \)o.~ ~~,

BAWl<

, .' ~,l ,

/~~
---------- ~l Y1 \-.

1<1111

, ~'~#,
~ftf/t ./ 5 rJ
lo~'

DATA FORM
ROUTINE WETLAND DETERMINATION P.O, Box 3368
(1987 COE Wetlands Delineation Manual)
Kill Devil Hills, N.C."Z7948

Environmental Professionals ,Inc.

Project/Site: 17. q3eL("~
Applicant/Owner: F I
Investigator: :r Clt.

!hawk (/Joo .So

Do Normal Circumstances exist on the site 7
Is the site significantly disturbed (Atypical Situation) 7
Is the area a potential Problem Area 7
(If needed, explain on reverse.)

~No
Yes dO>
Yes ","0>

Date: ~/~~d'
County: ~.....--
State: ~:l: <!.- \

Community 10:
Transect 10:
Plot 10:

VEGETATION

Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. )/1/ S~A ~vLv*~ "V ~....c-, 9.
I I e1; ~f"c...h....",,'\ ov' obl
2. /"--'I<oJ ;~Y'"\ 10.
3. 1Ic.e-v "-t"Jb,,..........~....... u ",d) hc-"- 11.
4. TvA.- ;:;.." hsc. e. v I :s (..(V\.d F A...:-....J 12.
5, 5'n /J .er-,oc brtA.. nf1:IC. '1~ ~t/ 13.
.;"
6. 14.
7. 1 5.
8. 16.
Percent of Dominant Species that are OSLo FACW or FAC >50/0
(excluding FAC-).
Remarks: fy~(tvtrJ V ~S <l- ~{li 0"", '- S )'7It-4t-S @-vY~

HYDROLOGY

_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream. Lake, or Tide Gauge Prima~ors:
r_ Aerial Photographs nundated
~ Other ~rated in Upper 12 Inches
o Recorded Data Available - Water Marks
- Drift Unes
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
r; Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper 12 Inches
L~ - Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Looal Soil Survey Data
CJ - FAC-Neutral Test
Depth to Saturated Soil: On.) _ Other (Explain In Remarks)
Remarks: We-~I(M""ot fI,/JrO/0~c::,_,/ t' .5 fJr6'-S~t-

SOilS

.~.._,~~,._~. -"-- .._."~,y,.,..._-,,,.*.~,~..
.~-~_.-----

Taxonomy (Subqroup):

C 4J V'\ ~ 7/ /1':L.0ScA._
-H~~~c- Ii v....~~-l:/d:::iqk,

Drainage Closs: j/ ~
Field Obsorvatlonn
Confirm Mopp<ld Tvp07 Yos No

Map Unit Nomo
(Sorios and Pho(lo):

Profilo Description:
Oopth
(Inches) Ho~',~

Mat,;',< Color
~n~~'!!!1':!:'l:!.!L

Mottle Color"
iMllnsotl M(li:'L...

Mottle
t\bundonc,,'t~;li"'.;.!:.!!.!!!

Toxtu.o, Concretions,
Structuro. otc.

0,-3
3-;,;A II
-------

I D '(If 01//
. ~ -..

/f/'('~ 3/!

_..~.._.- ----.-

_.. .~_._---- - . -~ -"'.

.. ._._,-_.,._~_._...-

,.~._. _.~..---~._-_._.-

Hydric :." ;j Indice",',~;

..;bto."....,

CCH :;uliuos
k:-'Vi-::;;' Orgonic ContC;!, '1"." :., ..ayer in Sondy $oil3
~._,." Qp;JHnio Stroaking in :""nn..:y $O:t:l
_,.---('("...<1 on Local HydriG Soil:! Li,,~
. '-.+:rtflrJd on Notional Hydric SoiL. \.; .t
.._.' ()llll,r (Explain in f\OIn,uk:;i

Histlo l";;"' ',VI,
Sulfldi<; ,-,<Jar
_ AjlUlc ; ",istur8 R.. '.10
t::.:-'A:educl' '\.I Conditio,',: ,
~yed or Low-Ch,', ,,/.I C"",m

-...-.-;r---d;------ f
(;(./(;:'//::.1"/'/ .JOt 'I s ""..v--<L- /",e~<Z-t,./i

RomOlk3:

.".-~._-'"
...-.--"

-..,...-

WETLAND DETERMINIIOl"I

~..--'" ..-.--.--.----
._-,."...-.._~

. ., .'_.__ ," .._h_~"_' ','-"
...........__._-~..

Hydrophyltc VlIglltation Pp'"ont<'
Wetland Hydrology Prese,,'
Hydric Soib Pr8slInt)

t:.~:n
\;)

No
No
No

(Circle)

(Circle)

i:l this Sompliny p"

W'thin" ,rotlandl

e No

Remarks: .1 !. I
V 1./ -e...-V- (Z/y \.()

/.1 ,~- S .,:'<~ 4'-€ s;'.a-
/i..-/I h.:.~p'",n e4"':::p" /~
"

L

.----..-....
--,.-,.

..-~-"-_.~...~."_.

. ippro~~:~~

, , /'1 L1e ~
--r: t;::J r
/f35 . l. () rV(
/ll~1 fl ~

DATA FORM
ROUTINE WETLAND DETERMINATION P.o.
(1987 COE Wetlands Delineation Manual)
Kill

Environmental Professionals Inc.

Box 3368
Devil Hills, N.C.'Z7948

Project/Site: I . q-~
Applicant/Owner:
Investigator: J~,

Q No
Yes (Nji>
Yes r€J->

Date: L~:<CJ/C{~>
"1 1
County: ~
State: IJ . c/,

Community 10:
Transect 10:
Plot 10:

Do Normal Circumstances exist on the site?
Is the site significantly disturbed (Atypical Situation)?
Is the area a potential Problem Area?
(If needed, explain on reverse.)

VEGETATION

Dominant Plant Species
...-. "
1. {....vu~L.-'C '-i~~ ./I..).t'..\lc."V\......."....

2. ;:- / € A- 1/ L '-yJ,.,\ t'-{,,.,1J.- " cl.

Stratum Indicator

Dominant Plant Species

Stratum Indicator

() t-/ t?:,-- ...1
'>'h"/ I~~'~

s,~ ~/A.~
VI' {i....

6~) ,V\ .c..._, \ <' .x

r.~t c...

9.
10.
11.
12.
13.
14.
15.
16.

3.
4.
5.
6.
7.
8.

s~,
,

l'... .-

Percent of Dominant Species that ara OSLo FACW or FAC
(excluding FAC-).

L.5 tY)0

I'
Remarks: (.,0 c/ / [u."i/ I,/c';; ,!J"d"~n', IS ,.",.1 yO."" ':.>,,-<...)11

HYDROLOGY

- Recorded Data (Describe in Ramarks): Wetland Hydrology Indicators:
_ Stream, Laka, or Tide Gauge Primary Indicators:
_ Aerial Photographs - Inundated
/ Other _ Saturated in Upper 12 Inches
~No Re~ded Data Available - Water Marks
- Drift Unes
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Wilter: ,- (in.) _ Oxidized Root Channels in Upper 12 Inches
- Water-Stained Leaves
Depth to Free Water in Pit: >f,::.t, (in.) _ Local Soil Survey Data
- FAC-Neutral Test
Depth to Saturated Soil: >/(;)... (in.) _ Other (Explain in Remarks)
Remarks: J;Ue.-i--('<-t-.,J . u1 I v t " .f- r/.I-e ",>p.-.- 5(-
;;I'i t- <-' I '" J )" , 'S

SOILS

"--;"" .;:::='. _._~.. .-.-

Map Unit Nl1Intl ./" -
(Saries and f'I18se): ~c-~~crj'?

Taxonomy (Subgroup):

-,.......,
.-----

OrninuIJo Class:
Fi(11d Observatlonv
Confirm Mapp<lo Typa7 Yes No

--.--'--"

.fL.::!d. I(

Mot;i;, CGlor
!Mun~"l( Moist}

/ () ;r/ ;ilo/V' .

Mottle Coloro
(Munslli! Moi9.iL__

Mottla
Abu ndanco 1~::).:J.i.:l!:!!

Texture, Concratlonll,
gr.i"tura. etc.

Profitll r'()"(I'L~!..-'.
Depth
.l!nchll!lL Horizon

__.._M'__

~._.-._-- --'--"~---

\1
,\
\-".

-"-"---'--"-

. -~._...,_..----

-.-' -._---

---'. ~-""-

~ '\ydric. .;, ,ij; ;i .,;iCO(OI'-'I:

;1
H
II
r

ilistouu,
Histlc Ci.' T c,
:,;ulfldi.'
. _. Aqult.; fI,'..i:j:!. . i\r;~;imo
Reducil1\i ,;.". ""ions
.___ Gloyed t" c_" '. .\;hromo Colvr:!

Concretions
..,.... High Organic C"iltonl in Surfal;0 . .ayer in ::iondy Soil9
._. Organic Streaking in Sandy Soils
__" listed on Local Hydric Soils Ust
.._ L.i9ted on Notional Hydric Soils Li~t
_..._. 0tl1or (Explsin in Ramarks)

........ ".( V't' ~'S.-Jl--.~-

Ramade;

{/udlWvt J. 'Ju i (S

e./-.t;-'"

WETLAND DETEHi. ,I;. ,nON

_.........~....._.. ."
.. . -.----.-..-.

-_....-_...-.....~._..__.~.

(Circle)

Hydropi1\':ic Vogel" \,
WetlonJ.lydrology "
Hydri\. :".vils Presen',"

'~~ont7

Y~9 (;
y,;~j .N:
Yorl ~9

(Circle)

, b this Sampling Point Within 0 'Netland'l

Y09 ~

f rr.e ~

RemQlk:;~ I
AlOY\

vv-e }tA,v--J

d_l/ /,4-v~VJ-) 4..-.~.s

......A_e

.l--L()

Appro~~,j

PHONE CONVEH.SATION RECORD

TALKED WITH... S<i-?1. Yc?-' .lA),'(;;erv. . DATE' /;4J/0;, TIME ItI:(1Y;~ PM
OF .U.S .r..f. ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PHONE NO. 91'1 S'S<P Y's7-.o
RE.l/i:I!l.y.,.//f"'C.i~-4 ..<I.>l/~~ /.V."''!?/t:f. .,. .~...........
. . I PLACED CALL .. Pl\H'l'Y Cl\LLEJ)~ ~1 __ :/ ~
MY .~ESSAGE .. REPLY. . .Orc. .t<?'/ PF-r. .'/'?!'."--). . . . . . . . . . . . . . .

.. .. .. .. ... .. .. . . .. . .. ... .. .. .. ... .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. ..

f O.~ox
337;<<'
~k!1.1jfJ; ~.
;l763(P

.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. ..

PARTY 'S. . MESSAGE .. HEPLY. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

ACTioN' Ol~' f.'OLLO~' ~l;' NI;;cEss~I~~ :;a:'-:'d~;4#/:~~)~~;..?~

. .!-P. . t/....<;.;::.;-;- N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.... ........................................... ............... ......... ...
REFER TO. It.:).---.: ~ . . . . . . . . . . . --FlLE
"
SIGNED;~r~~""

PHONE CONVERSATION RECORD

TALKEl. ~ W:J'H. . . :/.;;t.-'Yl--.y. .JA'":~. . . . . DA'l'E c;, j,;lo/rt(, T IME,A:;I.r"'t,.? J04 PM
OF R~ !~'. . A1r-n-:A. ~,.:i~; t'o-'::. . . . . . . . . . . . . . . . PHONE NO. "fIt:( 7~g .S-~ 0
RE /::J"h/; ~ II c-.--.<" I ~ ,,-t.J./Jp /?'
.. ~ C/I.1 .../ ..~. r .-.---.. .. Woo"? ~ .. .. .. , .. .. /.. .. .. .. .. .. .. .. . . . . . . . . . . . . . .
.0 PLAC'D CALL. .PAHTY CALLED ~
MY ~ESSAGE .. HEPLY. . . . . . . ."'O""'T~. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . .. . . . . . . .. . .. .. . . .. . .. . . . . .. . . . ..

.. . . . .. . . . .. .. . . .. .. .. .. .. .. .. . .. . .. .. .. .. . . . . .. . . . .. .. . . . .. .. . .. .. . .. .. . .. .. . . . .

P ARTY IS. . MESSAGl:: .. HEP L Y . vJ.<: . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . .. .. .. . . .. . .. . . . . . . . . .. .. . . .. .. . .. .. . .. .. . .. . .. .. . .

. . . . . .. .. . . . .. . .. .. .. .. .. .. . .. .. . . . .. . . . .. .. .. .. . . . . . . .. .. . .. . . . .. . . . .. . .. . .

ACTION OH FOLLOW UP NECESSAHY/Ik-Q............... .......

. .. . . . .. . . . . .. . .. . . .. . .. .. .. .. . .. . . . .. . .. .. . . .. .. .. .. . . . .. . . .. .. . .. . . .. .. . . . .

.. . . . . . . . . . . .. .. . .. . .. .. . . .. . . . .. . .. . . . .. . . . . .. . . . . . . .. . . . . . . . .. . . .
REFER TO. . . .J.,J.,.i<('''-:- r:-<: , . . . . . . IA I LE

- SIGNED. 9)..p,L....",;e~...
; u

PHONE CONVERSATION RECORD

TALKED WITH.. .:?~)v~,-; .t/.!:tJ.:-:~... .DATE (j /"lo/'1f-TIME/v/.,IVlrlf PM
OF .SW.c.. ("/~~:<;-.8.-.s.~'-:-~C!J/'.L:n . f'..J.&:(w.... . . . PHONE NO. '1/9 733 Y7<53
RE'~/;'::"f' I It e;t.e.v.-4-~. ~-,><,r;d.<'1-"': .~~~~~:..................
.0" PLAe'ED CALL :.; PAH'l'Y CALLED ~
MY ~SSAGE .. REI L Y . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . .

............... ..................... .......... ............

. . . . . .. . .. .. . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . .. . . . .. . .. .. .. . . . . .. . ..

PARTY IS. . MESSAGE . .lmPLY A).-<;. . . . . . . . . . . . . . . . . . . . . . . . .

.. .. .. .. . .. .. .. .. .. .. . .. . .. .. . . . .. .. .. . .. .. . .. .. . .. .. . .. . . . .. .. .. .. .. . . .. . .. .. . . . .. .. .. ..

ACTioN' OR' FOLLow 'lJl; . NECI~SS^I~~ :/h: : : : : : ~ : : : : : : : : : : : : ~ ~ ~

. . .. .. .. . .. . .. . .. .. . . .. .. .. .. . . .. .. .. .. . .. .. . . .. .. . .. .. .. . .. .. .. . . . .. .. . . . . . . .. .. . .

RE FER' TO: : : : : ;.ii- ~: ~;e.: : : :.: : : : . ~ L E . . . , . . . . . . . . . . . . . . . .
SIGNED, 71'fL.v-",/ .

/
/./'

~:.

t3 6 06 0 4

;\ rI'\ \SSUEU
~tl.l

OEM 101 ACTION 101
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT I) I 1/ #AI ~ / ~

JOINT FORM FOR
NA~IONWIDE PERMI~S ~RA~ REQUIRE NO~IFtCA~ION ~O ~HE CORPS OF ENGINBBRS
NA~IONWIDE PERMI~S ~RA~ REQUIRE APPLICA~ION FOR SEC~ION 401 CBR~IFICA~ION

..

WATER QUALITY PLANNING .
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIR~R1>~W1 ~
AND NATURAL RESOUR1 ~ 15 \!j .~U '.I!J--l
P.O. BOX 29535 :
RALEIGH, NC 27626-053S!. I JUN 26 1996 1 '.
ATTNI, MR. JOHN DORNEY II i
Telephone [phone]b ~____.___J
, VTI.k,:::~S GFrl1 q;>
\~T" P,':'-": :?( (.;~'.:''''':ON
CORPS()F._...,..... ,
OF

WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTNI CESAW-CO-E
Telephone [phone]

ONE (1) COpy OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.

1.

OWNERS NAME I

J~V\ ~ ,4 .j V I ;r.~

i-/2 C 0 I e. Sf,
~ I e.lj VI ) JfJ I c.. c;l 7(;, 0.5-

I' _",',~"\,,,':1../

2.

OWNERS ADDRESSI

t,'<'-

3. OWNERS PHONE NUMBER (HOME) I

9/q 8337/00 (WORK) I

4. IF APPLICABLEI
PHONE NUMBERI '
Ge

OFFICIAL, ADDRESS,
,: j I" . " ~ ~ ". I.} ..,

:.;

5.

LOCATION OF WORK (MUST ATTACH MAP). COUNTY I
NEAREST TOWN OR CITY I 1::: l-ll I-I~ /.C-.
SPECIFIC LOCATION (INCLUDE ROA NUMBERS, LANDMARKS, ETC.)I

.J') ~.

',"-i/'

'-ot .,.~_.,llI.v1>'" ,""

I . " - J,:~ ~ I:

7.

RIVER BASINI

fl///}
"

~1Iy ~'k I~v
,/

,.,'

6.

NAME OF CLOSEST STREAM/RIVER:

8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS I I ? YES ( J NO tX1

9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES CXJ NO [ I ~ /1 . A
IF YES, EXPLAIN. Alwf' /Y /SSucJJ f.JJ, fflq9.:z()/;;U~7. ,#vN'IIl" /'7KS e..K~"y~
A~f'J,~..+ 1-5 v-ea.....,o~/'{I.y,\! .f..,-c,- SC"~ 5c....CT~ o,y /iUo",-h=
10. ESTIMATED TOTAL NUMBE OF~CRES OF WATERS OF THE U.S., INCLUDING'.
WETLANDS, LOCATED ON PROJECT SITE: 5""', 5' a.....c.v~

, (

1/14/93

LINE CLAIMED OY J ~. 0 ---
KITTY HAWK WOOQ;: PRTSP. ~\Gql>~~
o./.f. ~
--:- --- -----------
. --w .1)'..1'7'S9'W' ~
\ -----------~
. ..

~
'n
- ,,~
r. ·
~ ~ \..()"I
---- ~ ------~-

l

.'

...

EXISTING 15' CANAL

c~"'ClI1II'IC}./ jl. . 45' tlf"
577. :12'

-

\

---- k--

'>. '.0
_______:.. _ ~___ LoJ
() - -----------

~
.
~
'1
\

\~
y-,v \~
(}Vlll>

PARCEL A
IT. 9:5 AC.

XUHO
6.. OlJf1
C.It.

~

-B

-
'"
, :;
~'>
l'-

l\i
"
~

ft1
~

-~/>?/~~

<: '"> ClA.,{Vtrf
- ()OiJ / y ;}S-/ >-

Y _~r.Jl"jI'- o-f (,'Jl vbAcL
rvrs:

.

~\V~,lV
0Q.o

----

-8 U L L ~ \
;11ars./~ .
~, I
. ..

\P

\'p'!i

, ----
\J
I
N
"1

\\
6~

,
.,
Cl
------ ~
'<1 _____
~ .

o

A

~--
..
0-
Il.)

(,.
~.H.

R

o

tl
..
~
~

lQ
I>-
"

\-

HAl'

NIF
KI rTY HAWK WOODS f

(; A j U \ 'v- r-€....
C.O J e s+

Jo..V\
S-/2

R,,-,I ~\~ ~\ J AJ. t,
e-;27rPOS-

I It;:: ::;J. 00 I
Ie Illy H~k) \)~~ 1J~.

~

-2-

..,:../
'.,~
. .'.,to;:

11.

NUMBER Of ACRES
fI LLED :
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED:

Of WETLAND
,1/
~
(/
o
. / /

IMPACTED BY THE PROPOSED PROJECT:

.,,'

12. DESCRIPTION OF
C'/

WORK (ATTACH PLANS):
q'('P" L c....-..-

13. P~RPOSE Of PROPOSED }-JORK: '/0 ra.rcca-5~ j., 'jh 9'''z:J~/'/ ~t~~, :.
,-krv- ~I/I-u~ tlQ~,S II<-

;j

15. YOU ARE REQUIRED TO CONTACT THE U.S. fISH AND WILDLIFE SERVICE J."
(USfWS) AND/OR NATIONAL MARINE fISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED fOR LISTING ENDANGERED OR THREATENED,; .
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY.T.H~
PROPOSED PROJECT. HAVE YOU DONE SO? YES [~ NO [ ] .
RESPONSES FROM THE USfWS AND/OR NMfS SHOULD BE ATTACHED." ',("0. ..,>., .'

16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER -.
(SHPO) REGARDING THE PRESENCE Of HISTORIC PROPERTIES IN THE PERMIT AREA'WHICH
MAY BE AffECTED BY THE PROPOSED PROJECT? .
HA VE YOU DONE SO? YES [y/' NO [
RESPONSE fROM THE SHPO SHOULD BE ATTACHED.

. .'. ,. ;1}.

.' ,':'j" _j',!,t

11. ADDITIONAL INFORMATION REQUIRED BY DEM: "I.' .. .(;',
A. WETLAND DELINEATION ~AP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY. A-/~'''^~ . I

," ';.

B, IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED-BY
PROJECT 0 ..p A .,,1.'..

C, If DELINEATION WAS PERfORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEV ANT TO THE PLACEMENT OF THE DELI NEATION LINE. A Ho-.ch 4i!

. .'-'.1 ":' . ',~ ' I J..: t", '

0, IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.

E. WHAT IS LAND USE OF SURROUNDING PROPERTY?

tf- t..' 'S /~---V\----h J .. ... . ...

f. If APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?"\'::;"""~lTl'. .~
~ .5 /~ $-e/~'-L.' " ..... .,.",'", .~

~& ~,t~
OWN S I ,TURE .

,'t~~
.\ I ATE

~

.'.:'

w
t

flAWK

, " .' i. ~

________. __0~ ..__
.4--~~ \

#

, .. JA

1:: L t~j'
~'t~ ./ 3 t' .
lo~1'

DATA FORM
ROUTINE WETLAND DETERMINATION P.O. Box 3368
(1987 COE Wetlands Delineation Manual)
Kill Devil Hills J N.e ." 27948

Environmental Professionals Inc.

Project/Site: /7. q 3 cLc..V'C!..
Applicant/Owner: F I
Investigator: :r Clt.

Do Normal Circumstances exist on the site?
Is the site significantly disturbed (Atypical Situation)?
Is the area a potential Problem Area?
(If needed, explain on reverse.)

Ikwk {,)Joo S

Date: ~/~~ tf
County: ~
State: .. <!... \

G.> No
Yes ~
Yes t.Jd

Community 10:
Transect 10:
Plot 10:

VEGETATION

Dominant Plant Species Stratum Indicator Dominent Plent Species Stratum Indic8tor
1.1111 S:JA :!!)vLv~'Co- t'V ra. c- , 9.
I I J~s+-.......h......., 0\/ obl
2'/"'-xoJ ;....'1"" 10,
3. lice+- "-vtb..-~~....... LA VI cf 4"-,, 11.
4.Tv~ ;::.-" use. e v, ::"i' Uv.d ~A-&v..J 12.
5. 5"n/J~ ~nA.. ,n';~' 1rrX ~t.; 13.
/'
6. 14,
7. 15.
a. 16,
Parcent of Dominant Species thet ere OSl, FACW or FAC >.50/0
(excluding FAC-).
Remarks: jy~/(~Tlj 1/ €-.S 4,....tc..;{L-/' O'Y\ '- S jOY'-4t.S ~t"

HYDROLOGY

_ Recorded Date (Describe in Remerks): Wetlend Hydrology Indicators:
_ Streem, lake, or Tide Geuge Prima~tors:
_ Aariel Photographs nundated
~ Other ~r8ted in Upper 12 Inches
o Recorded Data Available - Weter Marks
- Drift Unes
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
(p Secondary Indicators (2 or more required):
Depth of Surfece Water: (In.) _ Oxidized Root Channels in Upper 12 Inches
L~ - Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
C) - FAC-Neutral Test
Depth to Saturated Soil: (In,) _ Other (Explain in Remarks)
Remarks: VI e-.Jf.llM"'- J. If yel r" fc.,_~_y f' .5' jJ;-6! S ~..t-

"

,_____._n

SOILS

Mep Unit Noma
(Serie8 end PhO'IOI:

C tJj) '. \ e.0 > / /1t,'4.~i~:.:
Taxonomy (Sull./roup): __fit ~~(: 1-fv.~'"\~4::-':d..<j!:fP-H::,-

Drainege Chao: Y r
field Ob8(!IVlltlOI ,
Confirm rll"pp<).] 'iype7 Yes No

profile Descnpli'i'.!,;,
Dopth
llnchesl !:!.L'.lJL..

Ma... ( Color
~: . .r.i,,,:.!.L

Mottln Color"
~\InA"li~::'

Mottle
1\ bu nd anCfY i <;.li....'.':!!!!!

Textllo to. Concrlltlons,
~~!re. etc.

_0-3
3"/,J-'1

-- ,/I( ,;1..' /1
I l " - /1

---..,.----

~) If ~ 3/_._ ".....

....-,..----.-..-

---",-,--"~--._'"~-

--..---.. ,-- --_.~-

,....-,_. --.,...- ,-_..~.~.--_.

Hydric :J, ;, IndiL, .,','j,

Hi~.;u,...J.

';,,, .i",tiorm
\.._....~I;."OrgonicCon(.':.;1 d.", "llyerinSonuySoill
\):',:!fnio Strookinu if! _.,an,;y :';0;(:'
_~/j:;.,..d on Local Hydf!;; 5oi!3 Lil"
\...-;_~:'.tnd on Nationat t ~ /-,]ric SQIi'.
'J\i>"r (Explain in 1\'" Ii'lrk,;)

Histio E:.. .
. Sulfidic C.uor
A,WJic ;:"19tUI II ,"
lieducip\J Condlllo\: ,
1,::::,-GIe'Ylld ur Low.ell;', ,,0 .:;, '-r,1

-,-.-- '~
pl.-'~' !-" <.....,P . JC>1

<) ""._.-C-. /~. e~ 1I-,t '^j

R"mallo:

"""---'

eO "..."..,..._~..__.._,... ---..-.
_...,._____w._"__"---- ..,-, ._.~....-

....~.'--,....__. ..-
.-.---.

WETLANLi DETERMINl ION

--.-,,-.---...-.

..._.~---. -,---_. -,~,-,.,.
.~-_._,._.--.

HydrophY:lc Vegetallon PI' .,jnt?
Wetland Hydrology 1'108011
Hydric SoiLl Prosont}

e.~ No

'Oll No
'0 No

\'.'irclo}

((;irclo)

/.." this Sarnplil1\) i_".

W\llII\ " . ,,,t1andi'

B No

.._..,----.'-,._~.._.,-

-.....-.....-...-,.... ,~-...__.

Remarks: ,L I. I
vU--e...-V- f.Vj, \C' :-

/'~/ /';;';::.~ p.,.n e;{c6'...S p.....--.-c-.. ./.;. --€I s:-o..,;-'
,.~ I ,I

iL

/PPI~~::.;.

IY HCO$ACE" J

> . : , tj L1-e ~
1e f./r' ,,-;
Illj ~ j

DATA FORM
ROUTINE WETLAND DETERMINATION P.O.
(1987 COE Wetlands Delineation Manual)
Kill

Environmental Professionals Inc.

Box 3368

Devil Hills, N.C.' 27948

Project/Site: I' . q-~
Applicant/Owner:
Investigator: ~~.

Do Normal Circumstances exist on the site?
Is the site significantly disturbed (Atypical Situation)?
Is the area a potential Problem Area?
(If needed, explain on reverse.)

~J,I:.' tu"..,j.s

Q No
Yes@
Yes r€l:)

Date: 4~:<<:,/,,?(t;,
County: ~
State: IJ' . C/.

Community 10:
Transect 10:
Plot 10:

VEGETATION

.->"', '.
1. {%U~\.,.--'(""i'~':" ."').....hU\..--\........:\..

2. r I e'A l/ l. "'y-i,.'l. t'-f-..,Jy', ,,,-

() ../
,;/yu,1

(7:, .'

Dominant Plant Species
9.

Stratum Indicator

Dominant Plant Species

Stratum Indicator

~..."" ~ I ^-k
V,' f.i'~

6'::'>>.vi iI.-,t" ~

r:::._< <..- .
reA..'

10.
ll.
12.
13.
14.
15.
16.

/"11 ,~

3.
4.
5.
6.
7.
8.

sp,
,

Percent of Dominant Spocies thet ore OBl, FACW or FAC
(excluding FAC-).

L ~'5-{/) 0

Ramarks: . I I 1/ . J L.' '1' 1
(,JJ Lf- I v_-t..-....(.V '..Ie.) ~v"...:I-\........... 15 ......"., y".vc.:-:.:,.....-1,...J,-

HYDROLOGY

_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream, laka, or Tide Gauga Primary Indicators:
_ Aerial Photographs - Inundatod
/ Other _ Saturatod in Upper 12 Inches
--!::::No Re-;;;;;dod Data Available - Woter Marks
- Drift Unes
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: .- (in.) _ Oxidized Root Channels in Upper 12 Inches
- Water-Stained Leaves
Depth to Free Water in Pit: >I,::.l., (in.) _ local Soil Survey Data
- FAC-Neutral Test
Depth to Saturatad Soil: > I ,A (in.) _ Other (Explain in Romarks)
Remarks: /IV e..{. (,....1/,,) 1'1 'toft- ~I /0 J /' "- ....1. (, 1- /.I-e '>P....-5(-
, - I

SOilS

"-;:" -:.::::-....-

Map Unit Noma
(Series and Phesel:

./' .
rCLL{/j?

-----....

Drrlf"I\;" Closs:
Fin,\: Obaotvetlolw
Confirm Mopp,jd Tvp07

TOlCono'!"v (Subgroupl:

-",'--"'~'-~
..----

Yos

No

~/(

/ t/ )//{I 0/&7

Ma:;ix C"lor
(Mun51J1l Moistl

Mottle Coloru
(Munsoll Moifl.IL__

Mottle
,Abu nd onco 1<:::' ~,:,::21

Tor,Hao, Conerationt1,
Stn,,,turo. ote.

Proflln _L,:-. ~,.'l':~,--,-
Depth
l!.nchn"i Horizon

-----..-

",--'--"-- ..,.-- -'"

_.---~-~_...". '-

-------.-

:1

-------.-.-----.

...- ----.--

--.-- -,--

---

..- -'" --..-'

----- _..-"

.__--.....N...

-'."--

iydrit. ~"ill il ;icotor "j:

i
:1
1\

L listotJ(.l1
Histic:':1 '\':"0
Sulfi(l' '
,,_' .-\qui!; M'..,,;':.', 'lIo;:.irntl
Roducill',; ,;" !\~iOIl9
.._ Gleyed (If l.,;'.- \.;hromo Color:l

!,' oncretions
Hi\lh Organic CU, ,tont in SurfO!;" Ilyer in Sandy :;00119
Organic Stroekin\J in Sandy Soils
. Uatod on Locnl Hydric Soils Ust
~j9tlld on Notional Hydric Soils L",:
u Gther (Explain in Remerks)

'- '

Remark], tJV-eJ(~/

___ ".f v?t'-", ~..r-:1-

Stl;(~~

V.,V-_11.

.~-"'~ ._..~._-~
-'-~"_..'--

--...

WETLAND DETEHi,:, nON

.--,.-""'..'-'-'
--~-----

(Circle)

Hydroj.'l1y.ic Vegat;; \,' :" .10n\7
Wetlond Hydrology:' I'
Hydril, :,~\lils Proson,

~~~ (~ (Circlo)
Y03 \~;)

1'1 this Sampling Point Within 0 Wlltlond'l

Yll3 ~

a_If /4''''--'' -V~"'7 4---/~ ,~';>

.....'~.1...-..

e- ....-r,-c f ~;rre f7~

Remark:;: ,
No""'

/i j
(.II..r€. Fe <'/'/1-"

APprovo;i'l)'yR'Qamt'

.~.._--....._~ ...
.,-_.._.~

" . '

PHONE CONVEHSATION RECORD

TALKED WITH... S~rc,,--,./..V"/:J~~ .DATE '/;tu/0;. TIME/tl:()~~ PM
OF .U.S /.i. ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PHONE NO. 9 ('( $'S(P ~..57--O
RE .i!0!'.r. "~/ .A.cr~-4 ..:I.>r f..(~-.. /.V.l-l/?/.::-. . . . . ~. . . . . . . . . . .
..1 PLAcED CALL ..PAR1Y CALLE~ ~_.'I ~
MY .K1"fESSAGE .. REPLY. . .a~. ./.Ip" PfL.-. .~!'o...). . . . . . . . . . . . . . .

..... ....................................................................... ...........

t: O.~Ox
337;l.(,
tfa.kJ 1.1 jIJ J (! ,
;1.763 t;:.

.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..

PARTY'S .. MESSAGE .. HEPLY. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.... .......................................... .............. .... .........

ACTioN' oR' FOLLO~' uP' NECESSAI~Y :;~:'?/.4#/:i~)~: ~~

. .!--P. . t/. ~ ;::: -r. N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
REFER TO. A,:j.v.;~........... ~iLE
SlGNEOh~~....

PHONE CONVEHSATION RECORD

TALK,;e_W;)'H... :/.;L-,y-,.-;,? .~-~... . DATE G/-:lo/Ilr, TIME/d.r()~AM PM
OF ~ . !~.. . A1fM:",~, ~(.~~; ~s . . . . . . . , . . . . . . . PHONE NO. erlC( 7~g' S-~ 0
RE /::'-"h/ ~lt II p-c.'---<' 1"..........- tv..JP/Y'
.. .r ~,.. ...J ...... r .-....... .. v.'" ~ .. .... .... / .. '.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
. v! PLAC' D CALL .. PAH.TY CALLEDj
MY I./.'1'1ESSAGE .. REP L Y . . . . . . . . .~- .......................

.. .. . . . . . . . . . . . . . . .. . . . . . . .. .. . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . .

.................... ................................ .... .... ...

PARTY'S .. MESSAGE . .ImPLY. v.f~. . . . . . . . . . . . . . . . . . . . . . . .

... ........ .......................... ........ .... .....

......................................................

ACTION OR FOLLOW UP NECESSARY~....... ... ... .........

. . . . . . . . . . . . . . . . . .. . . .. . .. . .. .. . . .. . . .. . . . .. . . . . . . . . . . . . . . . .. . .

. . . .. . .. . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REFER TO. . . .1..7.,. 41('''''; ("'.~, . . . . . . vF I LE

- SlGNEO.JJjlL,,~~~...

PHONE CONVERSATION RECORD

TALKED WITH.. .~~~Vf"'" .W~J.... . DATE ti /"lo/'1~'l'IME/U/"'VxJit PM
OF .S W.e.. ~"/~~: <r-.8.-.s.~<~p.--i'~:n . f'..J'.&'-1..W-.. . . . PHONE NO. ,,/9 733 Y70'3
RE. ,.f'.(/A~Jf . I / t a.~~'i>. ",,~N1< .~~c:'~~: . . . . . . . . . . . . . . . . . .
.~ PLAC'ED CALL .. PARTY CALLED .-!J

MY ~SSAGE .. REPLY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.................................. ..... ... .... ..........

. . .. . . . . . . . . . . . . . . . .. . .. .. . . . .. .. .. . . . .. . . . . . . . . . . . . . . . . . . . . .. .

PARTY'S. . MESSAGE . .REPLY.~~........ ...... ...........

............. ...................... ............... .... ...

ACTioN' OR' FOLLO~ . ui) . NECESSAI~Y :~: : : : : : : : : : : : : : : : : : : : : :

. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . .

REFER' TO: : : : : ').~ ~:~;;. : : :: : : : '~LE . , . . . . . . . . . . . . . · . . · .
SIGNED. 71.fL.v...~/.