20031296 Ver 1_COMPLETE FILE_20031021

0f WA rFR Michael F. Easley, Governor
William G. Ross Jr., Secretary
co y North Carolina Department of Environment and Natural Resources
j Alan W. Klimek, P. E. Director
0 Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
November 10, 2003
City of Wilson
C/o Gary L. Mills
PO Box 10
Wilson, NC 27894-0010
Subject Property: Lake Wilson off Airport Rd. Wilson, NC
Lake Wilson / Toisnot Swamp (030407,27-86-11-(1)), WSIII NSW)
DWQ Project No. 03-1296
Wilson County
Page 1 of 2
APPROVAL of 401 Water Quality Certification and AUTHORIZATION CERTIFICATE per the Neuse River
Buffer Protection Rules (15A NCAC 2B.0233) with ADDITIONAL CONDITIONS
Dear Mr. Mills:
You have our approval, in accordance with the attached conditions and those listed below, to impact, 24 feet of
perennial stream and 2,000 square feet (ft2) of protected riparian buffers for the purpose of constructing a sewer line
crossing that will provide sewer for the Lake Wilson improvements projects, as described within your application dated
10/21/03. After reviewing your application, we have decided that the impacts are covered by the N.C. Division of
Water Quality (DWQ) General Water Quality Certification Number(s) 3374 (GC3374). The Certification(s) allows you
to use Nationwide Permit(s) 12 when issued by the US Army Corps of Engineers (USACE). This letter shall also act
as your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 26 .0233. In
addition, you should obtain or otherwise comply with any other required federal, state or local permits before you go
ahead with your project including (but not limited to) Erosion and Sediment Control, Non-discharge, and Land Quality
regulations. Also, this approval will expire when the accompanying 404 permit expires unless otherwise specified in
the General Certification.
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. 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). For this approval to be valid, you
must follow the conditions listed in the attached certification and any additional conditions listed below.
Conditions:
1. Certificate of Completion
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.
2. Sewer Systems
The project shall comply with 15A NCAC 2H .0219(i)(2)(G) and all other State, Federal and local sewer system
regulations.
3. Water Quality Certification(s)
North Carolina Division of Water Quality, WETLANDS / 401 UNIT
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/newetlands
Mr. Gary Mills
11/10/03
Page 2 of 2
The proposed project must comply with all of the conditions of General Water Quality Certification(s) (GC)3374.
4. Buffer Replanting
Replanting of vegetation within disturbed areas located within 30 feet of the shoreline or coastal wetland
(whichever is more landward) associated with sewer line installation, repair, replacement and/or
maintenance must be done in an "in kind" manner immediately following construction. (Example:
Disturbed areas with pre-existing grassed lawns must be replanted with grass. Disturbed areas with pre-
existing trees or woody vegetation must be replanted with trees and woody vegetation. Disturbed areas
with pre-existing forest vegetation must be replanted with forest vegetation including at least two different
native hardwood tree species at a density sufficient to provide 320 trees per acre at maturity. This
density can usually be achieved by planting approximately 436 (10 x 10 spacing) to 681 (8 x 8 spacing)
trees per acre.)
Violations of any condition herein set forth may result in revocation of this Certification and may result in criminal
and/or civil penalties. This Certification shall become null and void unless the above conditions are made conditions
of the Federal 404 and/or coastal Area Management Act Permit. 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, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
Any disputes over determinations regarding this Authorization Certificate (associated with the approved buffer
impacts) shall be referred in writing to the Director for a decision. The Director's decision is subject to review as
provided in Articles 3 and 4 of G.S. 1508.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act and the
Neuse riparian buffer protection rule as described within 15A NCAC 2B .0233. If you have any questions, please
telephone John Dorney at 919-733-9646 or Bob Zarzecki at 919-733-9726.
Sincerely,
Attachments: Certificate of Completion
GC 3374
Cc: Bartlett Engineering and Surveying, PC, c/o Robert Bartlett 1906 Nash St. North, Wilson, NC 27893
USACE Raleigh Regulatory Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
DWQ # 03-1296
Date: 11 /10/03
. Klime , P.E.,
Q, Director
mch
ENVIRONMENTAL SERVICES, INC.
524 NEW HOPE ROAD
RALEIGH, NORTH CAROLINA 27610
October 21, 2003
Mr. Kevin Yates
US Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
[phone]
Re: PCN Application for Nationwide Permit
#12 Authorization for Utility Line
Wilson County, North Carolina
Dear Mr. Yates:

*'ZftS/401 GROUP
OCT 2 1 2003
WATER QUALITY SECTION
Environmental Services, Inc., (ESI) is pleased to submit the attached Pre-Construction Notification (PCN)
on behalf of the City of Wilson. This PCN seeks authorization to install a sewer line that will serve to
connect a proposed park building near Lake Wilson. We believe that the proposed crossing is consistent
with what can be authorized under Nationwide Permit (NWT) # 12 pursuant to Section 404 of the Clean
Water Act. The applicant for this PCN is the City of Wilson with Mr. Robert Bartlett, P.E., of Bartlett
Engineering and Surveying, PC serving as the authorized agent
Lake Wilson is located on SR 1332, approximately 1.5 miles from the intersection of SR 1332 and Hwy
58. Please refer to the location map attached to this submittal. No wetland impacts will result from the
proposed project. The site plan as prepared by the project engineer is attached to this submittal.
Wetlands & Streams
The stream within the proposed crossing is approximately 24.3 feet wide with a top-of-bank width of
approximately 30 feet. This stream is named Toisnot Swamp and is mapped on the United States
Geological Survey (USGS) 7.5-minute series topographic map (Winstead Crossing, NC) as perennial and
in the Soil Survey of Wilson County, North Carolina as intermittent. The proposed crossing of Toisnot
Swamp is just north of SR 1332, below the outfall of Lake Wilson. An existing water line crosses the
channel approximately 20 feet to the northwest of this proposed crossing.
Wetland & Stream Impacts
The sewer line will be installed by trenching through the uplands to the edge of the stream channel. The
sewer line will completely span the channel inside of a steel casing. No structures relating to the sewer
line, such as piers, will be placed in the stream.
ENVIRONMENTAL SERVICES, INC.
Protected Species
Species with the federal classification of Endangered (E) or Threatened (T), or officially proposed (P) for
such listing, are protected under the Endangered Species Act (ESA) of 1973, as amended (16 U.S.C. 1531
el seq.). The following federal protected species are listed for Wilson County (USFWS list dated 29
January 2003):
Common Name Scientific Name Status
Red-cockaded woodpecker Picoides borealis Endangered
Dwarf wedgemussel Alasmidonta heterodon Endangered
Michaux's sumac Rhus michauxii Endangered
Biological Conclusion
No effect
Not likely to adversely affect
Not likely to adversely affect
No evidence of any of these three federally listed species for Wilson County were found within the
project area. North Carolina Natural Heritage Program (NHP) records indicate that no known
occurrences of protected species have been documented within 3 miles of the project site.
No suitable habitat for the red-cockaded woodpecker occurs within the project study area.
The stream channel does provide suitable habitat for dwarf wedgemussel. The stream channel has deep
fast moving water, with overhangs of tree roots along the banks. There will be no in stream work relating
to the utility line crossing, and silt fences will be used to help prevent runoff.
There is potential habitat along the stream and along the gravel driveway and road for Michaux's sumac;
however, all of these areas are maintained by mowing on a regular basis and no permanent disturbance of
the habitat will come from the sewer line construction. No Michaux's sumac was observed along the
sewer line route.
Cultural Resources
ESI submitted a separate letter to SHPO on September 22, 2003. Copies of this letter are available upon
request.
Alternatives, Avoidance & Minimization
The applicant is minimizing jurisdictional impacts by crossing the stream at a perpendicular angle.
Jurisdictional impacts cannot be completely avoided by the proposed crossing. No other practicable
alternatives are available to the applicant that would satisfy the purpose and need of the project.
A stringent erosion and sedimentation control plan will be implemented and monitored daily during the
construction to ensure no siltation or turbidity affects downstream habitat.
ENVIRONMENTAL SERVICES, INC.
Riparian Buffer Impacts
The proposed project is located within the Neuse River Basin. Streams and surface waters that are
located within this basin and that are depicted on the most recent version of either the USGS quadrangle
maps or the county soils maps are subject to a 50-foot riparian buffer. The stream proposed to be crossed
is depicted on both USGS and soils mapping and is subject to the buffer rules. Lake Wilson is depicted
on both USGS and soils mapping and is also subject to the buffer rules.
The riparian buffer along the stream will be crossed in a perpendicular manner pursuant to the buffer rule
requirements. The riparian buffer along the lake will be crossed parallel to the buffer, but will be going
along an already existing gravel road. This gravel road represents an existing and ongoing use within a
riparian buffer. The proposed sewer line crossing of the stream will be perpendicular and will disturb
less than 40 linear feet of riparian buffer with a maintenance corridor equal to or less than 10 feet in
width. The proposed utility line around the lake will run along an existing gravel road, and should not
further impact the riparian buffer due to the existing use within this buffer area.
Riparian Buffer Determination: Exempt
Miti ag_tion
Approximately 24.3 linear feet of perennial stream channel will crossed by the sewer line. No in-stream
work is proposed. Any ground disturbance will be returned to pre-construction contours.
The crossing may also impact less than 40 linear feet of riparian buffer.
No compensatory mitigation is being proposed by the applicant. Thank you for your assistance with this
PCN request. Do not hesitate to call Robert Bartlett, P.E. at 252-399-0704 or me if you have any
questions.
Sincerely,
ENVIRONMENTAL SERVICES, INC.
Jeff Harbour, PWS
Senior Scientist
Cc: Robert Bartlett, P.E.
John Dorney - DWQ
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ® Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 12
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 Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
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), check here: ?
II. Applicant Information
Owner/Applicant Information
Name: Garv L. Mills/Assistant Public Services Director
Mailing Address: City of Wilson
PO Box 10
Wilson NC 27894-0010
Telephone Number: 252-399-2465 Fax Number: 252-399-2453
E-mail Address: mg illsg ilson.org
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: Robert Bartlett
Company Affiliation: Bartlett Engineering and Surveying, PC
Mailing Address: 1906 Nash Street North
Wilson NC 27893
Telephone Number: 252-399-0704 Fax Number: 252-399-0804
E-mail Address: robert(abartletteng.com
Page 5 of 5
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: Lake Wilson Sewer Line
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Wilson Nearest Town: Wilson
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From Raleigh: Take Hwy 64
East to Hwy 264 East into Wilson. Turn left on Airport Rd. Cross Hwy 58, Lake Wilson
will be on the left. Turn left into narkine lot.
5. Site coordinates, if available (UTM or Lat/Long): Lat 35 47 19.034 Long 77 55 10.826
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): Unknown
7. Nearest body of water (stream/river/sound/ocean/lake): Lake Wilson, Toisnot Swamp
8. River Basin: Neuse River Basin
(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/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a recreational park. The stream coming from the
Lake is surrounded by a maintained grass field, and a gravel parking lot. There is a gavel
road running down the eastern edge of the lake. The area surrounding the lake is residential.
Page 6 of 6
10. Describe the overall project in detail, including the type of equipment to be used: To
construct a utility line crossing of the outfall of Lake Wilson (Toisnot Swamp), and around
the southeastern corner of Lake Wilson towards an area proposed for restrooms and showers.
Typical construction equipment, backhoes, etc.
Explain the purpose of the proposed work: To provide sewer for the Lake Wilson
Improvements project.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
Not Applicable
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.
Nothing that would require Section 404 permitting.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 7 of 7
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: A aerial utility line crossing of
the outfall of Lake Wilson (Toisnot Swamp).
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
I00-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
NA

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.Ig -
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: NA
Total area of wetland impact proposed: NA
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please seci
I span 20 feet Toisnot Swamp 24 feet Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditch ing/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Page 8 of 8
Cumulative impacts (linear distance in feet) to all streams on site: 20 feet
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres)
Name Wate)
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
NA

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is 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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): NA
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): NA
Size of watershed draining to pond: NA Expected pond surface area: NA
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Avoiding direct impact, by using an aerial crossing. Remainder of sewer line is avoiding
additional buffer impact by being installed along the edge of an existing dirt road.
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
Page 9 of 9
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 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
http://h2o.enr.state.nc.us/ncwetiands/strmgide.html.
I . 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.
None is being proposed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.ne.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): NA
Amount of buffer mitigation requested (square feet): NA
Amount of Riparian wetland mitigation requested (acres): NA
Amount of Non-riparian wetland mitigation requested (acres): NA
Page 10 of 10
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No
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
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
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
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.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ? If you answered "yes", provide the following information:
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
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 1200 sq' 3
2 800 sq' 1.5
Total 2,000 sq'
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of I 1
Note: ** The proposed sewer line around the lake will run along an existing gravel road, and should not
further impact the riparian buffer. No vegetation outside the limits of the gravel road will be disturbed.
No impacts have been calculated for this section.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
NA
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
NA
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.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (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
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
ld-- If -03
'Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 13 of 13
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