19980324 Ver 1_Complete File_19980413

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
4 ?NXA •
NCDENR
NORTH CAROLINA DEPARTMENT OR
ENVIRONMENT AND NATURAL RESOURCES
April 28, 1998
Caldwell County
DWQ Project # 980324
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Mr. Martin Bolick
NC DOT
Boone District Office
PO Box 1460
Boone NC 28607
Dear Mr. Martin Bolick:
You have our approval, in accordance with the attached conditions and those listed below, for the
purpose of road widening at SR 1507, as you described in your application dated April 13, 1998. After
reviewing your application, we have decided that this impact is covered by General Water Quality
Certification Number 3100. This certification allows you to use General Permit Number 031 when it is
issued by the Corps of Engineers. In addition, you should get any other federal, state or local permits before
you go ahead with your project including (but not limited to) Sediment and Erosion Control, Coastal
Stormwater, Non-Discharge and Water Supply Watershed regulations. This approval will expire when the
accompanying 404 or CAMA 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 except as
modified below. If you change your project, you must notify us and you may be required to send us a new
application for a new certification. 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
wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required
as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, you must follow the
conditions listed in the attached certification and any additional conditions listed below.
Sediment and erosion control measures shall adhere to the design standards for sensitive watersheds
(T 15A:04B.0024).
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 conforming 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 Donley at 919-733-1786.
Si re
Pr ston Howard, Jr. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Asheville DWQ Regional Office
Mr. John Domey
Central Files
980324.1tr
Division of Water Quality - Non-Discharge Branch
4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer - 50% recycled/10% post consumer paper
P, I
APR 1 310,
`rTLt?NDS CROUP`
ER { IIALITY SECTa)11___
JAMES B. HUNT )P-
GOVERNOR
BOONE DISTRICT OFFICE
POST OFFICE BOX 1460
BOONE, NC 28607
April 7, 1998
Mr. Steve Chapin
U.S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, NC 28801-5006
Dear Mr. Chapin:
E. NORRIS TOLSON
SECRETARY
The N. C. Department of Transportation is proposing to grade, drain, base, and
pave portion of SR 1507, Laytown Road, in Caldwell County when the necessary
permits are obtained. A grade, drain, and stabilize project was completed in 1996 from
Sta. 0+00 to Sta. 53+00 and only minor ditch work will be performed in this area. This
project will require replacing several pipes which carry unnamed tributaries to Laytown
Creek, and building a headwall on an existing double line of arch pipe which carries
Laytown Creek. Laytown Creek has the DEM classification, C Tr. Due to the proposed
work, we are requesting a 404 Nationwide Permit.
I am sending a joint application form, typical roadway section, straight line sketch
with proposed erosion control, general notes on erosion control, notes on pipe
installation, and a marked county map.
By copy of this letter, I am requesting Mr. Joe Mickey, Western Piedmont Region
Coordinator, to comment directly to you concerning the 404 Nationwide Permit request.
Also, by copy of this letter, I am requesting a 401 Water Quality Certification from
the Division of Environmental Management for this project.
We would like to begin construction when the necessary permits are obtained. If
addition information is required, please let me know. Your early review and
consideration will be greatly appreciated.
Yours truly,
-7 -z?OW4?e
Martin L. Bolick
District Engineer
401 ISSUED
9803 4
STATE OF NORTH CAROLINA
DEPARTMENT OF 1PANSPORTATION
L'
Page 2
Mr. Steve Chapin
SR 1507, Laytown Road
April 7, 1998
MLB/MLM:mm
Enclosures
cc: Mr. Joe Mickey, Western Piedmont Region Coordinator, NCWRC
Mr. Richard Phillips, P.E., Regional Engineer, DEHNR
Mr. Eric Galamb, Water Quality Certification Unit, DEM
Ms. Renee Gledhill-Earley, Environmental Review Coordinator, NCDCR
Mr. W.E. Hoke, P.E., Division 11 Engineer
Mr. Neil Trivette, Area Roadside Environmental Engineer
Mr. Kelly Winkler, County Maintenance Engineer

DEM ID: CORPS ACTION ;.D:
NATTON'AIDE PERMIT REQUr=ED (?ROVIDE: NATION-WIDE PERMIT 4):
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PEFuMITS THAT REQUIRE:
1) NO :FICAT:ON TO T 'M CORPS OF ENGINEERS
2) "PLICATION TCR SECTION 401 CERTIFICATIoN
3) CoaRDINATION NJ -.H THE NC DIVISION OF CQXSTAL 244?NAGEMENT
SEND THE ORIGINAL.AND (1) COPY CF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION Or ENVIRON14ENTA-L MANAGEMENT
(SEE AGENCY ADDRESSES SHEET;. PLEASE PRINT.
i. OWNERS NAME: -A/, ?QpGr-?MCA+ Qr /Y'Gir-SIP 0r4Zk ?
2. MAILING ADDRESS: -O, 3oX 11160 ?OONE /VG -Zg&Or
SUBDIVISION NPu%E: A/M
CITY: STATE. A) C LIP CODE: Z8lo0?
PROJ8CT LOCATION ADDRESS, INCLUDING SUBDIVISION4n NAM (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : SR X5t 2 ?),Y yn
3. . TELEPHONE NUMBER (HOME) :
(WORK) : (90y) "tom`-- z&, --6386
4. IF APPLICABLE: AGEJIT`'S NAME OR RESPONSI Li CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mo r-r??? L ac, I; c.k? f O $o-r ^166 A Zb&07
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY Or GSGS TOPOGRAPHIC
MAP OR AERIAL PHOT`OFRAP Y. WITK SCALE)
COUNTY., Ct? ?Oc? e I NEAREST TOWN OR CITY: Lenok-
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SPECIFIC LCCATIOi ? /INCLUDE P
N 3M5ERS, LPSIDI-7.RK ETC ?--
6. ?MPRCTEb OR NEA-?EST STREAM/RIVER: L-011/ 7'''?
RIVER BASIN: /ah",1 uPc?te
7z. IS PROJECT LOCATED NEAR WAT::R CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUA.T.,ITY WATERS (HQw), OUTSTANDING RESOURCE WATERS'(ORW), WATER
SUPPLY (WS-I OR WS-II)7 YES K NO ( J IF'YE5, ZXPLAIN: _
DEM C?MK . , c if:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CARCL7:7A DIVISION OF COASTAL
I-1-ruNAGEMENT AREA OF ENVIRONMENTAL CONCERN (A C) ? YES ( ) NO [A
1c. IF THE pSCJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COPZTP.L COUNTIES) , WHAT 7S THE LAND USE PLAN (L UP) DE.SIGNiATION?
N?
Sa. HAVE A"1Y SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ODI
THIS PROPERTY? YES ( ) NO [',%? IF YES, PROVIDE ACTION I,D. NUMBER OF
PREVIOUS PERMIT AND MY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONA1 ?EFL%fIT REQUESTS EXPECTED FOR. THIS PROPERTY IN THE
FUTURE? YES ( ) NO (yC IF YES, DESCRIBc ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: ll SACRF
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WET_T.AN05 LOCATED ON PROJECT SITE..
0. D.qa
2

102, NUMBER OF P.C'rtES CF METLANCS IMPACTED BY THE. PROFC5ED PROJECT BY:
FILLING: D _ EXCAVATION: 0.OQS
FLOODING:
DRAINAGE:

OTHER: --
TOTAL XCRES TO SE IMPACTED! 0.0-Z
lob. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (1`'
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION) :
NIA : FT
?I
LENGTH BEFORE.: FT AFTER ,
WIDTH BEFORE (based on normal high water contours): r.,4
wrDTH AFTER: N?A
FT AFTER: NJf? FT
AVERAGE DEPTH BEFORE:
(2) STRL'?I? CHANNEL IMPACTS WILL R CT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNE'. RELOCATION: PLACEMENT OF PIPc, IN CKANNF,L:
CHANNEL EXCAVATION: .CONSTRUCTIO9 OF A D.AM/FLOCDYNG: _
OTHER: P? K1 Oc[ hntnT3 S
11. IF CONSTRUCTION OF A POND IS PROPOSED,. wt-AT Is THE SIZE OF THE
WATERSHED DRAINING TC THE POND? N
WHAT IS THE EXPECT5:D POND SURFACE AREA?
12, OESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECKANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY) : S?J4 b i O r dace c? o; 4(--zy"cry)p w 30"crAp ' S 93- 9 We- 60"CmP .,;i
(00 It p %I-IS-1\ 3&"cmP ; S7A ASS410: RAnlace 3j,"cmp
.57,4 884-?0I crn p.vr4J.\ z6Acmp ' &7A 9?fS0' v,l? 1-lrae?".c?? '"
?xrr?in ?Z n ) CICV?<< ?in? r STA O i0d ? S 714 &-ko ?ncroac?mm'1 i n 1"ro?J? Sft?r.?rn ??
rk,
Zone puce scone a, _-pe or?r r?,;,?or a 1,4W0
13. PURPOSE OF PROPOSED WORK: i I ADA' iS r+ o-p ro c? rccze
rA?nSe CAha' q? SR ISD? La ?och IQ[,o,

3
14. STATE. REASONS WHY IT 15 BSLIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (Ir',CLUDE Y MEASURES Eti TO MICIIMI ?f WETLAND
h ? b?? f?lin?hAnC?
IMPACTS) P \4y\ CDnaN' n/, PlGiS?o cf,n?ro? measures aS or
M niM12e ? /M ACT 4 fie+),I S
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF A..NY FEDERALLY LISTED OR
FROPOSEG FOR LISTING ENOANGERED OR THREATENED SPECIES OR CRITICAL HABITAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED:3 co ire (ATTACH RESPONSES
FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSE5 SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY, BE A yrECTED BY THE PROPOSED
PRO.TF.CT. ' DATE CONTACTED: -R v CDpY D'p 4 le
17. DOES THE PRC TEC_ IYVOLVE AN EXPENDITURE OF PUBLIC r'UNDS OR THE USE OF
PUBLIC (STATE) T.MD?
YES >< NO [] (IF NO, GO TO 1E)
3. IF YES, FOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT FURSi7ANT TO THE REQUIREMENTS OF THE NORTH CAROLINA `ENVIRONMENTAL ..
POLICY ACT? ArQ?cc? go"I'Aps AS fon-mo?D' ad?D?Lj under m r n`i mu r\
).e cx
YES ( ) NO [
b. IF YES, Y.AS THE DOCUMENT BEEN REVIEWED THROUGH THL NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO [ ] rvb4
it ANSWER TO 17b 15 YES, THEN 3UBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL, MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRIS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONE5 STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
18. THE FOLLOWING ITEMS SHOULD. BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONW?DE PERMIT NUMBERS 14, 18, 21, ?G,
29, AND 38). ALL STREAMS (INTERMXTTENT AND PER22ANENT) ON THE PROPERTY
MUST BE SHOWN ON THE I-LAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANIDS TO BE
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTF.NT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MAMAGEMENT PL , c11n QU RED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? eSicYQn'1Iw zpimu 4uya1
IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? f%/)p
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. 14-XY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) , A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM..
?7,
OWNER'S/AGENT S SIGNATURE DATE
(AGENT'S SIGNATURE. VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED
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16.311.0.3 'I'ellllift 1•:ll-y ;ill D114-11 -------------------------------------- -- -- l S D)
16311.115 'rrll pol':11')• I?iversirrll -------------------------------------- -- - --T1)
1604.01 'I'el)ll?urary Sill Frncc ------------------------------------- --

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16311.111 Sill 1lnsill Type-A------------------------------------- ----- ?
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16.30.02 Silt 11r1min Type-11-----------
163.3.01 Tempol-stry Rock Silt Baler. (Tylre-A---•--------------- ---
163.3.01 Temp or;u•y Pork 'Silt (;Iles(Tylle-11------------------- --
1634.01 'I'cllllim-:lr•v Rock ` olinlclll M111 Type-A ------------- -- PM
16.311.02 '1•empol-ary RI)VIC 1r(li111ent U:InI Tyne-ll---------------
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868.01 Hip 12:111.--------------------------------------------------------
I'ilie Ofillet F11cf vy I)iailintot----------------------------
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OI_E: 5111 11:1%i11 I'11rr 11: 3's3'IIv G' 1 0111; unless fit IIcrivHe uol cfl by L:nc!iit ccr
GENERAL NOTES ON EROSION CONTROL
Silt Basin Type B's will be constructed to the dimension of six feet by three feet by
three feet unless otherwise noted on the plans.
Generally, the order of installation of the erosion control measures will be as follows:
Temporary Silt Basins shall be installed before clearing and
grubbing begins.
Silt Fences and Temporary Silt Ditches shall be installed as soon
as ditchline is established.
Temporary Stone Ditch Checks shall be installed as soon as soon as
ditchline is established.
Pipe Outlet and Inlet Protection will be done as soon as pipe is installed.
Seeding and Other Permanent Erosion Control Measures are to
be implemented as soon as practical.
Temporary Rock Silt Checks (Type B) will be spaced as required by percent of grade
as Described on page VI-16 in the Erosion and Sedimentation Control Guidelines.
No. 5 Stone, or equivalent, will be used in conjunction with Temporary Rock Silt Check
Type-B in location where water is leaving the project or entering pipe.
Where the plan calls for a rip-rap lined ditch to be installed, temporary silt basins and
rock check dams will be constructed and maintained until the final rip-rap lined ditch
can be constructed.
PIPE INSTALLATION NOTES
1) Install erosion control devices. In streams, where necessary, rock
silt screens will be used.
2) Remove material and existing pipe while limiting, as much as
possible, material and sediment from entering the stream and/or
escaping from project.
3) Prepare pipe foundation while again taking care to limit, as much
as possible, material and sediment from entering the stream and/or
escaping from project. Where possible, new grade will be below
existing strewnbed. If needed, bedding material will be clean
stone.
4) Place the new pipe and compact backfill.
5) Install slope protection on outlet and inlet ends of pipe. Also
complete installation of erosion control measures and perform
maintenance as needed on existing measures.
G) Establish permanent vegetation as soon as possible.
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PA ?.
JAMES B. HUNT JR.
GOVERNOR
E. NORRIS TOLSON
SECRETARY
BOONE DISTRICT OFFICE
POST OFFICE BOX 1460
BOONE, NC 28607
April 7, 1998
Mr. Steve Chapin
U.S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, NC 28801-5006
Dear Mr. Chapin:
The N. C. Department of Transportation is proposing to grade, drain, base, and
pave portion of SR 1507, Laytown Road, in Caldwell County when the necessary
permits are obtained. A grade, drain, and stabilize project was completed in 1996 from
Sta. 0+00 to Sta. 53+00 and only minor ditch work will be performed in this area. This
project will require replacing several pipes which carry unnamed tributaries to Laytown
Creek, and building a headwall on an existing double line of arch pipe which carries
Laytown Creek. Laytown Creek has the DEM classification, C Tr. Due to the proposed
work, we are requesting a 404 Nationwide Permit.
I am sending a joint application form, typical roadway section, straight line sketch
with proposed erosion control, general notes on erosion control, notes on pipe
installation, and a marked county map.
By copy of this letter, I am requesting Mr. Joe Mickey, Western Piedmont Region
Coordinator, to comment directly to you concerning the 404 Nationwide Permit request.
Also, by copy of this letter, I am requesting a 401 Water Quality Certification from
the Division of Environmental Management for this project.
We would like to begin construction when the necessary permits are obtained. If
addition information is required, please let me know. Your early review and
consideration will be greatly appreciated.
Yours truly,
,? -7
Martin L. Bolick
District Engineer
Alt
STATE OF NORTH CAROLINA
88os
DEPARTMENT OF 1PANSPORTATION
4()l ISSUED
??i
Page 2
Mr. Steve Chapin
SR 1507, Laytown Road
April 7, 1998
MLB/MLM:mm
Enclosures
cc: Mr. Joe Mickey, Western Piedmont Region Coordinator, NCWRC
Mr. Richard Phillips, P.E., Regional Engineer, DEHNR
Mr. Eric Galamb, Water Quality Certification Unit, DEM
Ms. Renee Gledhill-Earley, Environmental Review Coordinator, NCDCR
Mr. W.E. Hoke, P.E., Division 11 Engineer
Mr. Neil Trivette, Area Roadside Environmental Engineer
Mr. Kelly Winkler, County Maintenance Engineer
DEM IIJ; CiO;LpS ACTION ID: ?-
NRTXON'4108 PEP, REQUEST:- (FAOVIDr NATI0"rW10E PERMIT 4):
PPE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PEP-HITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) A-pPLIC:ATXON FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH TEE NC DIVISION OF CQASTAL XANAGrNXNT
SEND THE ORIGINAL-AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFrICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SRZET). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME:
2. MAILING ADDRESS:
CITY:
gwrit

?. d. Rio- /`1GD ?ooNE NG ZSao7
SUBDIVISION NAME: A//,4
STATE. AJ C LIP CODE: Z8 60")
PROJECT LOCATION ADDRESS, INCLITDING SUBDIVISION NAME IF DIFFERENT FROM
MAILING ADDRESS ABOVE) sR ??3. . TELEPHONE NUMBER (HOME) :

(WORK) :
(9vy) %!Zt- ZIaS-.S3f3CJ
4. IF APPLICABLE: AGENT' S NAME OR RESPON5UkLF. CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: ?a?r?1.1 L i ck r PC) &Z Al Zbb6
5. LOCATION OF WORK (PROVIDE A M-:LP, PREFERABLY A COPY Or USGS TOPOGRAPHIC
MAP OR AERIAL PHOTO,RAP Y.WITH SCALE):
COUNTY: NEAREST TOWN OR CITY: L-enorr
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5p°CIF/IIC LOCATION (INCLUDE ROAD
S /?'? ?? ?bwn mod,
IvimSERS, LA2?CN:ARKS, T . _) : ? -
6. IMPACTED OR NEAREST STREAM/RIVER: L-A?/?w'?
RIVER BASIN: laU K?? fTPe.pCe
7z. IS PROJEC_ LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA) , HIGH QUAT?ITY WATERS (HQ:;) , OUTSTANDING RESOURCE WATERS' (ORW), WATER
SUPPLY (WS-I OR WS-IT)7 YES NO [ ) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROL71NA DIVISIOIJ OF COASTAL
Y-kNAGEMENT AREA OF EliVIRONMENTA.L CONCERN (AEC) ? YES [ J NO [4
7c. IF THE PRCJECT S LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF CO.RSTAL COUNTIES) , WHAT' ?S THE LAND USE PLAN (LUP) DESIG?iAT.,
N?
8a. HAVE A.NY SECTION 404 PERHITS BEEN ?REVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ) NO ['>? IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND :ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONA..L ?ERMIT REQUESTS EXPECTED FOR. THIS PROPERTY IN THE
FUTURE? YES [ } NO [>4 IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTKL NUMBER Or ACRES IN TRACT OF LAND:
9b. ESTIMATED TCTRL NUMBER OF ACRES OF WETLAN05 LOCATED ON PRO'7ECT SITE:.
2
10a. NUMBER OF ACRES OF NETLANCS IMPACTED BY THE PROPC5ED PROJFC^ BY:
FILLING: D _-- EXCAVATION: 0• GQS-(n
FLOODING 0
DRAINAGE:

?-?- - -
OTHER!
TOTAL ACRES Tb BE IMPACTED: ? (?ZD
10b. (1) STREAM CHANNEL TO BE IMPACTED By THE PROPOSED VR03ECT (IF
RELOCATED, PROVIDE DISTANCE .BOTH BEFORE AND AFTER RELOCATION) :
???? ?/?
LENGTH HEFQRE: FT. AFTER: FT
.
WIDTH BEFORE (based on normal high water contours): t.-)A
D+'IDTH AFTER:
NIA
AVERAGE DEPTH BEFORE: Nk? FT
(2) STRrAY! C A.NNEL IMPACTS W LL U T
OPEN CHANNEL RELOCATION: PLACEME
CHANNEL EXCAVATION: CONSTRUCT.109
OTHER: Pi ttl ?C hnenl3 ?S
AFTER:
FROM: (CHECK ALL THAT APPLY)
3T OF PIPS IN CHANNEL:
OF A DAM/FLOCDING:
11. IF CONSTRUCTION OF A POND IS FROPOSED,. WHAT Is THE SIZE OF THE
WATERSHED DRAINING TC THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12, DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIFMENr TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
if-
o,TLy) : 5714 t D: Ace cv c+ Z4" 30"trnP ' S 7,3490.' lace Coo"CMP a,i
"cvy P slip 90.15 RP Z?f"cmP ? 3lo"cmP ' S7A AS'410-' R Iace 3(?''crriP
-46 cm S- r,4 0 = R fay / ctnp'v?' 3(?ncmP ' S7-4 3As0' ti'lS g fl
6 44\
•? t .?? Q•rod -? y?f1 • (t L .
?X/r?i^ 7Z u? , c10t1?It fine r STS O S 7?a (p }rncroa??^m1- i n TYDV? S F?rwM l?
Zone lace s ne c?rk per-" m;, r l4taor-k
13. PURPOSE OF PROPOSED WORK: War rS r' of
roan ?Se o??a av? s R )s? 7 La ?h IQr,Q-
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (It'C:.UDE 7 ;IEASURES 'F t7 TO MINIMI ``4iETLAND((
one?
n le Mc1?n"?Ph
IMPACTS):
n
co ' n/ i Gan?r01 measures aS s?o?n on ?e ?a s?ou?
n
t`nin,m?2e ITe /m Ac'r 7'U /?e'?lan
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONA=L MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF tNY FEDERALLY LISTED OR
PROPOSED FOR LISTING ENDANGERED OR THREATEN-TO SPECIES OR CRITICAL F•:ABITAT
RDATE
T MAY BE?AFFA)s IECTED BY THE PROPOSED PROJECT.
IN THE PERMIT AREA Th;
ESPONSES
CONTACTED: B ?D
FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY, B: A yECTED BY TH4 PROPCSED
PRO.;ECT.'DATE CONTACTED: ( i
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC ZJNDS OR THE USE OF
PUBLIC (STATE) T,"A23D?
YES _$< NO [] (IF NO, GO TO 18)
3. IF YES, DOES THE PROJECT REQUIRE PREPnRATION OF AN ENVIRONMENTAL
DOCUMENT FURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL .
POLICY ACT?Q?cc? G?vA?iiPS cis non-row ad?o,,) undrr mVry\
6t) no`
YES (] NO [ ]
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES (] NO
IE' ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGE?4ENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHQVLD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE (919) ?33-6369.
4
18. THE FOLLOWING ITEMS SHOULD. BE INCLUDED WITH TH-TS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26,
29, AND 38). ALL STREAMS (INTERMXTTENT AND PER1,L KENT) ON TICS PROPERTY
MUST BE SHOWN ON THE I-tAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PL cU RED.
. WHAT IS LAND USE OF SURROUNDING PROPERTY? R-e3 kY•?n4Q zPi In(uti Iuvc'?
IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? tV)P
y SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANCS OR WATERS OF THE U.S. KXY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLI") , A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL, MANAGEMENT
PROGRAM..
OWNER'S/AGENT S SIGNATURE DATE
(.AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
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Frl?sioll x1111 Seclimell( dims ('1?lltrl?I 1'I:u>I
1'r'?Iccl:j,,aY_IpLA?11_ (:mnll?:`C a.1dwcl..l_-
I'rcr:u'cll I1?•:_? -- ---------- _I):Ilc: -%-a?//l ---
Dille:
('rnmlp M1lnlntr•nnnrr• N:nvlnr•?r
---- -- Ville: --9--
Illvl rl (',ngln r
-V- - Itnniltl?lo I?'nclrrunr?r•nlnl I?.nehrrrr
Date:
51J.11 Urscrilliull Scn11?ol

1630.0.1 •I'enll?I?1':lly ;ill Dilrll --------------------------------------- -
16.;0.05 Tenll olarl• I)iccrsir?ll -------------------------------------- -- - --T1.)
16135.01 I'cnlrolarv Sill FClive -------------------------------------- -
1622.01
3q
01
1f I'rlllr/11':11'' Slrlrc Dr-.1111---------------------------------
Sill Illlsill 1 ?'re-A---..--------------------------------------- -- ??\ _ -'
\
-- _
1.
.
1(.1(1.112 Sill llrlgillType .11-------------------------------------------- J
-- C
161.13.01 Tenlror111-y Rock Sill (:llec.lc'tyre-A-------------------- --
1633.02 Te1111101':I1'y Rock Sill Check 'L'y're-13-------------------- --
163,1.111 Trlllponlry Rock Serlinlcllt MIII Type-A-------------- - PIN
1634.02
1635
01 1'enlrnr:lrl Rock SC(linlcllt Dalai T1•rc 11-------------
e Irllrl Serlilllclll 'n-nip 't'1'lle...\...--------------
I
fi
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1635.(12 Rock 1'irc Tnlcl Scllin)crll 1 rnr lyre-l3--------------- .
- - - :
?
6136.111 Rock Sill Scrrcn --------------------------------------------
,,: ; .
-
1630.04 SHIHIIp Il:Imill ------------------------------------------------ ILII
Rock Inlel sedimcrll 'trap:
--------------------------------------
'1'
A 1
A Ll or nJ
1632.01 vile-
-------------------
11 -------------------------- 1. -.... -----
t'
-
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163
l632.03 I?e
,
1'yl/e --------------- ------------------------------------------ C L1 t r C)
868.01 still Rop --------------------------------------------------------
fire 01111rl I-.llct-gy Disir:lam---------------------------- ..
Ditch Lillel---------------------------------------------------
1'ire UIIUeI or fillet slabilizsllioll----------------------- L
O 111"_ Sill 13:Isil1 T1 re 13: Y.N 3'I?v 6' Imig 1111lei9 nlllel-Whe lintels I?1' V111011ccl'
GENERAL NOTES ON EROSION CONTROL
Silt Basin Type B's will be constructed to the dimension of six feet by three feet by
three feet unless otherwise noted on the plans.
Generally, the order of installation of the erosion control measures will be as follows:
Temporary Silt Basins shall be installed before clearing and
grubbing begins.
Silt Fences and Temporary Silt Ditches shall be installed as soon
as ditchline is established.
Temporary Stone Ditch Checks shall be installed as soon as soon as
ditchline is established.
Pipe Outlet and Inlet Protection will be done as soon as pipe is installed.
Seeding and Other Permanent Erosion Control Measures are to
be implemented as soon as practical.
Temporary Rock Silt Checks (Type B) will be spaced as required by percent of grade
as Described on page VI-16 in the Erosion and Sedimentation Control Guidelines.
No. 5 Stone, or equivalent, will be used in conjunction with Temporary Rock Silt Check
Type-B in location where water is leaving the project or entering pipe.
Where the plan calls for a rip-rap lined ditch to be installed, temporary silt basins and
rock check dams will be constructed and maintained until the final rip-rap lined ditch
can be constructed.
PIPE INSTALLATION NOTES
1) Install erosion control devices. In streams, where necessary, rock
silt screens will be used.
2) Remove material and existing pipe while limiting, as much as
possible, material and sediment from entering the stream and/or
escaping from project.
3) Prepare pipe foundation while again taking care to limit, as much
as possible, material and sediment from entering the stream and/or
escaping from project. Where possible, new grade will be below
existing streambed. If needed, bedding material will be clean
stone.
4) Place the new pipe and compact backfill.
5) Install slope protection on outlet and inlet ends of pipe. Also
complete installation of erosion control measures and perform
maintenance as needed on existing measures.
G) Establish pennanent vegetation as soon as possible.

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