20030065 Ver 1_More Info Received_20030304

•
Soil & Environmental Consultants, PA
11010 Raven Ridge Road Raleigh, North Carolina 27614 Phone: [phone] Fax: [phone]
www.SandEC.com
WETLANDS 1401 GROUP
PY March 3, 2003 MAR ~ ~ ?_003
~~
DENR-DWQ UsacE ~VA~~R QI~ALlTY SECTION
Wetland Group Attn: Mr. William td ecom
Attn: Bob Zarzecki 107 Union Drive, Suite 202
2321 Crabtree Blvd., Suite 205 Washington, NC 27889
Raleigh, NC 27604
40~ ~ssu~®
Dear Mr. Zarzecki and Mr. Biddlecomb:
The purpose of this correspondence is to request a Nationwide Permit 18 and
associated 401 Water Quality Certification on behalf of HWB Inc., Mr. David Weil,
president.
In August of 2002 I met on-site with Bob Zarzecki of DWQ to evaluate the area
and have met and/or discussed the project with him a number of times since then. Prior
to tllat Mr. Bill Biddlecomb of the USACE visited the site. A tear sheet was issued by
Mr. Biddlecomb and I discussed the project with him by phone. I realize that Mr.
Biddlecomb no longer handles Wayne County, but based on past involvement felt this
should go to him initially prior to passing it along to Scott Jones.
T'he project is located due south of the intersection of Hwy 70 and Hwy 58 ] in
Wayne County, just east of Goldsboro, NC (see Figure 1). The site is currently
developed and contains numerous metal buildings and impervious parking areas. Figure
2 is an aerial photo of the entire property owned by HWB Inc. and specifies the area
where the proposed buffer and stream impact would occur and the proposed on-site
buffer mitigation areas. Also enclosed is a photo of the "ditch" and adjacent buffer area
that is proposed to be impacted. The photo shows views from Hwy 70 (Photo 1). As you
can see there is very little forest vegetation adjacent to the feature. Figure 3 indicates the
existing woody vegetation, grass, and existing impervious area adjacent to the ditch and
also has a breakdown of buffer and stream impacts. Even though the vast majority of
buffer impacts (0.76 acres out of 0.96 acres) are to grass areas the client proposed to
mitigate on-site at the required 3 : l ratio for Zone 1 impacts and 1:5 for Zone 2 impacts
by restoring forest vegetation to areas currently occupied by either grass or gravel
parking areas (see Figure 4).
While we concur that the proposed feature to be impacted "scores" high enough
to be classified as a stream by current DWQ and Corps criteria, we would like to point
out the soils present on-site adjacent to the ditch according to the soils survey are the
Craven soils series. Such soils are described by NRCS as moderately well drained
upland soils on rounded sides of divides. Therefore, it is unlikely that a natural stream
Charlotte Office:
236 LePhillip Court, Suite C
Concord, NC 28025
Phone: [phone]
Fax: [phone]
Greensboro Office:
3817-E Lawndale Drive
Greensboro, NC 27455
Phone: [phone]
Fax: [phone]
Hickor~Office:
622 Coon Mountain Lane
Taylorsville, NC 28681
Phone [phone]
Fax: [phone]

existed in the area. Rather the channel was probably dug historically to drain the poorly
drained Rains soils that are present west of Hwy 58l .
Figure 5 shows the proposed redevelopment plan for the site, which indicates an
approximate location of a Stormwater wetland for treatment of Stormwater generated at
the proposed redeveloped area. Currently there are no redevelopment plans for the
remainder of the site. However, since the site lies within Wayne County's jurisdiction, if
the balance of the area were redeveloped, compliance with the Neuse River Nutrient
Removal Standards will be required. A preliminary Stormwater management plan for the
site by S&EC dated 12/20/2002 and the required Extended Wetland Worksheet were
previously submitted to DWQ.
The following list demonstrates the justification for permitting:
Practical difficulties, hardships and uniqueness-
Much of the site contains existing impervious surface (1.84 acres out of
2.99 acres) that currently requires no treatment of its Stormwater.
2. Even the grassed areas adjacent to the ditch are compacted and allow very
little infiltration (behaves like impervious).
3. The ditch bisects the property making major highway road frontage
required for such a redevelopment as proposed impossible.
4. The area of the site is zoned "HI" Heavy Industry by Wayne County, the
proposed redevelopment is allowed by this zoning.
5. The site was originally developed in the very early 1970's.
Water Quality will be better protected if the permit is issued because none of the
following will occur if the permit is not issued.
1. DWQ typically requires treatment of Stormwater only for new impervious
surface on a site. The proposed plan will treat the entire 2.99 acres on-site
and .41 acres of offsite impervious surface. Currently 1.84 acres on-site
and .41 acres offsite is untreated.
2. The existing ditches on-site have very little to no woody buffer adjacent to
them. If approved 2.45 acres of woody buffer will be restored along the
ditches as shown in Figure 2 and Figure 4. These buffers will treat run off
from existing impervious surface as well as preserve them into the future.
Since there is existing impervious surface adjacent to these ditches the
owner is not only restoring a buffer but also giving up the right to continue
to use the areas for parking, storage, and driveways.

3. Even after doing all of the above the client will still have to pay into the
WRP to meet the nitrogen load removal standards required under the
Neuse River Basin-Nutrient Sensitive Waters Management Strategy:
Basinwide Stormwater Requirements. Based on preliminary evaluation
this could be up to a $9200.00 offset payment.
Based on my phone call with Mr. Biddlecomb, he stated that no stream mitigation
would be required by the Corps. The Neuse Buffer variance issued by the NC-EMC
determined the proposed Stormwater wetland and buffer restoration to be adequate with
no additional stream mitigation required.
Please call if you have questions or need further information in order to issue the
Nationwide Permit and associated 401 Water Quality Certification.
Sincerely,
~~~ ....
Kevin Martin,
President

08/26/2002 11:54 9198469467 S&EC rrw~ c+c
Address:
en a ~
www.SandlvC.corn
AGENT AUTHORIZATION FORM
All Blanks To Be Filled In By 'The Current Landowner
oil & Environmental Consultants, PA
10 Rav It d c Road Raleigh North Caroline 27614 Phone: [phone] Fax: [phone]
no ~ ox vo~3 C-r~~sbcR-o r`I C, z, s33
Phone: 5 l ti ~ 3~ -1 ~ (~ ~~ 1 Z3
Project Name/Description: _.~:~~ ~. 70 ~- S'~ l ~
Date. ~~l TtD t')~ooZ.~
The Department of the Arl~ny
U.S. Arncty Corps of Engineers, Wilmington District
P.O. Box 1,890
Wilaxtirtgton, NC 28402
~ QQ
Attn: ~ ` ~ ~"°~ C= Lp VAL.
Field Office: ~U o. iv. o~~A I~f L
Re: Wetlands Related Consulting and Permitting
To Whom It May Concern: -. .
I, the current ro owner, hereby designate and auti~orixe Soil & Environmental Consultants, PA to
act in my behalf as my agent in the processing of permit applications, to furnish upon request
sup lemental infornctation in support of applications, etc. fronn this day forward. The ~_... day of
f~.s?5~~ -voov.
This notification supersedes any previous correspondence corlcenniztg the agent for this project.
NQTICE: This attthorizaHon, for liability and professional courtesy reasons, is valid only for
govezxtnaent officials to enter the property when accompanied by S&EC staff. You should call S&EC
to arrange a site meeting prior to visiting the site.: i `^ I
1 ~~~~ V~,~• Q ~ ~~5.
W Bt (rJ L ~ ' '""`' t
Print Property Owner's Name Property Owner's Signature
cc: Mr. John Dorney cc: Mr, Kevizi Martini
NCDENR - DWQ Soil & Environmental Consultants, PA
2321 Crabtree Boulevard
Raleigh, NC 27604 blank agent auth form.doc
Ch~L411g O ice: ~ Grcenstwro Office: );jjckory Office;
2361.aPbiilip Court. Suite C 3817-E l.awndale Drive 710 Boston Road
Concord, NC 28025 Greensboro, NC 27455 T~ylorsvilie, NC 28681.
Phone [phone] Phone: [phone] Phone [phone]
Fax; [phone] Faz: [phone] Fax: [phone]
Name: N W ~ 1_ ~ C

.~~~ ~;,
U.S. ARMY CUK!'S O[~ ENGINI':ERS~~`~`~~.°~
Wilmington District ;;
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Action ID: ~~~ ~ ~ V ~ I_- ('olrnty: -___YlL ~. /U n _
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Notification ofJurisdirtiunal Uctcrminatiou .r~r
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Property owner/Authorised Agent__ v . '''
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Address ~ ~. o ~ 3 "'~
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Telephone Number ~-_-1 l.(I __ e,~4 Z 3~ "!
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Size~and Location of Property (~~aterhody, 1 ligh~~a~ nant~ nuntbrr, tu~~n, etc.) ~
o~ -l~,e ~ -.~e~~~r~ of _ 1S!G__~~.,~, S& I r~~~ ~-t , 5- - N~-~, a^ --~.-~yy-,.~C
Indicate which of the ,~ollowing apply: ~f•~-•`~~~j~ ~' `1`~ L•~ ~~/.
~• .
,,
• There are •etlands on the ahu~e ~ies~rihcd I~rupcrt~ ~~hicl we strongly sugges1t should he
delineated nd sur~eved. Tic sur~e~ed ~~etl~ nd lines must ~~ verified by our staff before tl~~•
Corps will sake a final jar sdictional det~•rn nation on your ~ruperty.• ~,f
• Because of the s' e of .'our property ar our present workll td, our idez~tificatio and deline ion
of your wetlan s cannot be accom fished in a tlmcly canner. You' may fish to em oy a
consultant too fain a more timely d lineation of the we ands. Once your co sultant h flagged
a wetland lin on the property. (' Grp. •;taif will rep i w it. and if it'is curate, w strongly
recommend t at you have the: lin ~ur~~•~~•d fur final • ppruval by the Co .The Corps will nut
make a final urisdictiunctl deters n;uie,n un ~ our prop rte ~sithuut ari approved survey.
O TF;e wetlands un your lot ha~c hen ~i~•Iln~ated, and thr limits of Corps jurisdiction have bean
explained to you. t ~nlcss thcr~• I, a ~hang~• in the la~~ ur our published regulations, this
determination may be relied upon Iur a I>~•riu~i nut to e.accrd ~~ears from the date of this
notification. .~ ~ ~~~ ~~~, ~~t~~~~~
• There arc n > wetlands present >n the.• ahu~ e: d~• ~•rihcd property w ich are subjec to the snit
requiremcr s of Section ~1~-t e, the (~I~:,II \\ at r ~\~t r > ; l'S(' 13 4).• (fnless ?h e is a c nge in
the law or our puhlishe:d rcg lotion,, thl., ~i~• •rntinatiun ntu~ b elied upon r a period not to
exceed th ec years I~rom the d to of this notili 'a[ion. '
• The proj ct is orated in one ~ th~• 'u (oa.' al l aunties. 1' u should,'COn et the nearsrs~t St~nc
Office of Coa al Managemer to deterutin • heir re~luirente ts. ~
Placement of dredged or fill material in ~~ctland: on this prupert~ without a Department of the Army permit
is in most cases a violation of Section iU 1 u~~ th~• ~ I~;ul \\ ater ~\~•t 13 ; USC 1311), A permit is not rclluircd
for work on the property restri~•ted ~•ntirel~ to ~•~~~rnl~ iu~h ~ruund. It ~uu have any questions regdl•diug the
Corps of Engineers re ulatory program, please cunta~t
n . ! •..
Pro e owner/Authorized A~~ent SI ~Ilalllr~C "~~'=~vL-•- ~ ___ ___
Project Manager Signaturc_ _ /~ ~ ~ .~y~'
Date I•spiratiortl)al~• _61ZOJ(lo~~ __ ____.__
~~l~LZazl__ ------ - -
SURVEY PLAT 012 FlE1,U StiI•:"I'('11 Uf• UI~:SCIt1131•:I) I'R(>I'1?RY'Y .AND TH[~: WETI,A~ll
DELINEATION FOR!~1 :~Il',ti(~l 13F.:~"I~T,~t 11 I•.I) I U l f1I•: 1'I•:I,t,O~~ {FILE) COPY OF'1'tilS FUK;\1.
Y~ ~ tt.~Ct'~~.., ~ J '~/ • ~~~J c 5 ~ v ~,-~Jc! ~ (~~ "11~-1-e ~J-,..,.~'-, C~C",~-.~ ('
CI:SAW Fornt 566 Q'£ •t~l.--~ C'/-ec'~ C~,~ C ~~~ (n,. L~S O~ ~G,S ~"C~ ~---•~5
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Office USe Only' Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to tn~s project, please enter ivot ~+ppncaoie or ~~~f+ .~
I. 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: 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 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
1. Owner/Applicant Information
Name: Mr. David Weil
Mailing Address: HWB Inc.
106 E. Walnut Street
Goldsboro NC 27533
Telephone Number: 919-734-1111 Fax Number: 919-734-0877
E-mail Address: dweil~a weilent com
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: Mr. Kevin Martin
Company Affiliation: Soil & Environmental Consultants, PA
Mailing Address: 11010 Raven Ride Road
Raleigh NC 27614 _
Telephone Number: 919-846-5900 Fax Number: 919-846-9467
E-mail Address: kmartin~a sandec com
Page 5 of 13

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: Rosewood Industrial Park
2. T.I.P. Project Number or State Project Number (NCDOT Only):,
3. Property Identification N-umber (Tax PIN):,
4. Location
County: Wayne Nearest Town: Goldsboro
Subdivision name (include phase/lot number): Rosewood Industrial Park
Directions to site (include road numbers, landmarks, etc.): Site is adjacent to and due south
of the intersection of Hwx 70 and 581. West of Goldsboro (see Fi ug re 1).
5. Site coordinates, if available (UTM or Lat/Long): Lat: 35° 25' 30' Long: 78° 03' S5"
(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): 3.4
7. Nearest body of water (stream/river/sound/ocean lake): Unnamed tributary of the Little
8. River Basin: Neuse
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httU://h2o.enr.state.nc.us/admii~/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: ExistingLsite is developed containing buildin sg_ and parkin
areas Adjacent property is coinrnercial to the north residential to the west and agricultural
to the south and east (see Figure 2).
Page 6 of l3

10. Describe the overall project in detail, including the type of equipment to be used: Project
will be redeveloped into a Gas Station/Convenience Store and Fast Food Restaurant using
apical construction equipment
11. Explain the purpose of the proposed work: Allow use of Hwy 70 frontage for
redevelopment of commercial property
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.
1'he iJSACE visited the site and issued a,JD tear sheet on 6/20/01 (copy attached from William
Biddlecomb) ID #200110877. The EMC issued. a major variance to the Neuse Buffer rules for
the project during their February 2003 meeting of the Water Quality Committee.
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.
None likely since remaining jurisdictional areas are being preserved and/or restored as part of the
buffer variance May need to maintain or widen 2 existing_road crossings at the most.
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
Page 7 of 13

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: Fill/Pipint; of 570' of modified
(channelized) stream (see Figure 3)
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, nn,
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 ham://www.fema.~04~.
*** 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: Unknown
confined to channels.
Total area of wetland impact proposed: 5701inear feet (<0.1 acre)
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Im act Perennial or
Intermittent?
(leases ecify)
1 Fill/Pipe 570 UT Little River 7.5' or less Perennial
unimportant

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and assoaated nprap,
dams (separately list impacts due to both stn~cture and flooding), relocation (include linear feet before and after, aid net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, 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.
Page 8 of 13

** 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 arc available through the USGS at I-800-358-9616, or online at
www.us_~S._g~~y. Several interact sites also allow direct download and printing of USGS maps (e.g., ww•w.topozone.com,
www.mapyuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 570'
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 ma)
*
Type of Impact Area of

Impact
(acres)
Name of Waterbody
(if applicable) Type of Waterbody
lake, and estua pound,
( p ry'
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not luntted to: nu, excavanon, areagmg,
flooding, drainage, bulkheads, etc.
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.):__
Proposed use or purpose of pond (e.g.; livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
See attached S&EC letter.
Page 9 of 13

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.
USAGE - 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 USAGE 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/ncwetlands/stnn~ide.html.
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.
Client will restore 2.45 acres of riparian buffer on-site and will construct Stormwater
control (a wetland) for the redevelopment area and runoff from Hwy 58 and Hwy 70. No
additional mitigation is to be required by DWO. The USAGE (Mr. Biddlecomb advised
Kevin Martin that no mitigation would be required by the USAGE for the impact.
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.nc.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Pagc 10 of 13

Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount ofNon-riparian wetland mitigation requested (acres):
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
(Neuse), 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.
Page I 1 of 13

Zone* Impact
(s uare feet) Multiplier Required
Mitigation
l 27495 3 82485
2 14344 1.5 21516
Total 41839 104001 (2.39ac)
* Zone 1 extends out 30 Yeet perpendicular trom near bank of channel; Gone ~ extenos an
additional 20 feet from the edge of Zone 1.
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 1 SA NCAC 2B .0242 or .0260.
On-site restoration -see Fi ug re 4 (2 45 acres)
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.
A conceptual Stormwater plan was submitted to DWQpreviousl~as part of the buffer variance.
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
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (1 SA 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
Page 12 of 13

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).

Applicant/ 'gent' Signature Date
(Agent's signature i only if an authorization letter from the applicant is provided.)
Page 13 of 13

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STACKHOUSE INC ~ SOIL & ENVIRONMENTAL CONSULTANTS, PA
WELL ENT.
HWY 70 & HWY 581 11010 Raven Ridge Rd., Raleigh North Carolina 27614 [phone] [phone] Fx
WAYNE COUNTY, NORTM CAROLINA
NOVEMBER 2002 FIGURE 3
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STACKHOUSE INC ~
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HWY 70 & HWY 581
WAYNE COUNTY, NORTH CAROLINA
NOVEMBER 2002
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BUFFER MITIGATION
RESTORATION AREA UP TO 50-100'
106,804 S0. FT. (2.45 AC.)
/ TOP OF BANK
/ EXISTING FOREST VEGETATION
SOIL & ENVIRONMENTAL CONSULTANTS, PA
11010 Raven Ridge Rd., Raleigh North Carolina 27614 [phone] [phone] Fx
FIGURE 4

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STACKHOUSE INC ~ SOIL & ENVIRONMENTAL CONSULTANTS, PA
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H WY 70 & H WY 581 11010 Raven Ridge Rd., Raleigh North Carolina 27614 (919) 8465900 [phone] Fx
WAYNE COUNTY, NORTH CAROLINA
NOVEMBER 2002 FIGURE 5

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