20010465 Ver 1_Complete File_20010402

O?OF W A TF9QG
r
o -c
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
April 11, 2001
DWQ# 01-0465
Currituck County
Don Conner, NCDOT
Post Office Box 850
Edenton, NC 27932
APPROVAL of 401 Water Quality Certification
Dear Mr. Edenton:
You have our approval, in accordance with the attached conditions, to place fill in 0.005 acre of wetlands and
35 feet of streams for the purpose of culvert replacement at Indiantown Creek in Currituck County, as you described
in your application received by the Division of Water Quality on April 2, 2001. After reviewing your application, we
have decided that this fill is covered by General Water Quality Certification Number 3106. This Certification allows
you to use Nationwide Permit 18 when the Corps of Engineers issues it. 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. 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 for a new certification. If the
property is sold, the new owner must be given a copy of the 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). For this approval to be
valid, you must follow the conditions listed in the attached certification.
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 919-733-9646.
Sinc ely,
r.StevenWs
Attachment
cc: Corps of Engineers Washington Regulatory Field Office
Washington DWQ Regional Office
File Copy
Central Files
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
010 71'1 17or /..I.---N 010 7,21 R001 /f,-\ - n+'f- n..
s 4: J',
a,. 7-
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR P.O. BOX 850 SECRETARY
Edenton, N.C. 27932
Division One
March 28, 2001
U.S. Army Corps of Engineers
Regulatory Field Office
P.O. Box 1000 '401 ISSUED'
Washington, NC 27889-1000 010465
ATTENTION: Mr. Michael F. Bell, PWS
NCDOT Coordinator
Dear Sir
The North Carolina Department of Transportation (NCDOT) is proposing to improve SR 1201 (Buckhor Road) in
Currituck County. The existing soil road will be upgraded to a paved surface to improve safety. One pipe within
within a blue-line canal will be resized from a 35 foot x 18 inch reinforced pipe to a 40 foot x 18 inch concrete pipe.
Wetland impacts will be very minimal since cropland lies on either side or the roadway, but one of the waterways is
designated a stream on the USGS topography map. Since streams are under 404 and 401 jurisdiction any pipe
resizing will require a Nationwide permit and Department of Water Quality certification. A small cattail (Typha
latifolia) community will be impacted (0.005 acres) as result of increasing the pipe size.
The NCDOT requests that this work be authorized under the provisions of Nationwide Permit No. 18. By copy of
this letter, the NCDOT also requests that the North Carolina Division of Water Quality issue the appropriate water
quality certification. Please find attached a vicinity map along with a plan , iew of the proposed work and a
completed pre-construction notification form. A copy of the original check for $200.00 is attached that will cover
the permit fees. Work will begin as soon as the permits are issued. Thank you for your attention to this important
matter.
Sincerely,
Don Conner, PE
Division Engineer-Division One
'11/•y? 5?1*_?
Kristen Shacochis
Division Environmental officer
r 'U
rn a
Lil IZZ
G? ?
'-i
C
Cc: Mr. David Cox, NCWRC
Ms. Sarah Winslow, NCDMF
Mr. Ron Sechler, NMFS
Mr. Tom McCartney, USFWS
Mr. Jon Hennessy, NCDWQ
Mr. Ted Sampson, NCDCM
Ms. Gretchen Byrum, PE, NCDOT
3/25/96
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT): 18
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF 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 OF ENVIRONMENTAL
MANAGEMENT (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NC Dept. of Transportation
2. MAILING ADDRESS: Post Office Box 850
SUBDIVISION NAME:
CITY: Edenton STATE: NC ZIP CODE: 27932
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT
FROM MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER (HOME):
(WORK) : 252-482-7977
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER:
D. R. Conner, P.E., Division Engineer
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Currituck NEAREST TOWN OR CITY: Shawboro
1
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
SR 1201 (Buckhorn road) Lat: N 36 23.987, Long: W 76 7.838
6. IMPACTED OR NEAREST STREAM/RIVER:
Indiantown Creek
canal that drains into the
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW),
WATER SUPPLY (WS-I OR WS-II)? YES [] NO [x] IF YES, EXPLAIN:_
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)?YES[] NO[x]
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
rural
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO [x] IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [x] IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: n/a
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT
SITE:
n/a
2
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0.005 EXCAVATION:
FLOODING: OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED: 0.005
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: 35 FT AFTER: 40 FT
WIDTH BEFORE (based on normal high water contours):
WIDTH AFTER: 1.5 FT
1.5 FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: x
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY): replace a 35 foot x 18 inch reinforced concrete pipe with a
40 foot x 18 inch concrete pipe within a canal.
13. PURPOSE OF PROPOSED WORK: This work is part of a pave and grade
secondary road project to improve safety conditions and as part of state
law.
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS):Wetlands will be affected by placing fill within
jurisdicitonal wetlands to provide adequate road shoulders.
15. YG9 RE REQUIRED TO GGNTAGr F°zraE U.S. FI$Tr-PrPTav-Wl;:9L!F-°a--SEPC IGE
(USFWS) AN1GR NATIGNAL MARINE FISHERIES SERVIG° "14F-C-)--FSE GY
ADDRESEuo- SHEET) REGARDING THE PRESENCE GF ANY FEPaP<A?'=LY 1318T ED GR
P RGPG9E9 FG C LISTING ENDANGERE£-9R THREATENED SPEEIF$GR GRITIGA13
HABITAT IN THE-PEP411T AREA THAT MAY BE AFFEGTED-BY THE PRGP 899 PRGj99T.
m
16. YGTV-APca-REQUIRED TG G0N AG£ THE STATE HIS-TGFk;G P=-?SSBR-VTrIGN GF-F!
PRGPERTTIFS-lN THEPR41T AREA -WHICH MAY BEAFFEGTE-E) Y THE PROPOSES
P-RGjEGT. DATE GGNTAGTFb9 :
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE
OF PUBLIC (STATE) LAND?
YES H NO [x] (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH
CAROLINA ENVIRONMENTAL POLICY ACT?
YES [I NO [I
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO [X]
IF ANSWER TO 17b IS YES, THEN SUBMIT 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. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES 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 CR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WE--LANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21,
26, 29, AND 38). ALL STREAMS (IN'-ERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS
50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUI';ALENT.
b. IF AVAILABLE, REPRESENTA-IVE 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 LIFE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLrv IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?
rural
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N/A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY 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.
ex-1
OWNER'S/AGENT'S SIGNATURE
41Z-7
?0 /
DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
5
AGENCY ADDRESSES
ENDANGERED SPECIES:
U.S. FISH AND WILDLIFE SERVICE NATIONAL MARINE FISHERIES SERVICE U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE HABITAT CONSERVATION D=VISICN ASHEVILLE FIELD OFFICE
P.O. BOX 33726 PIVERS ISLAND 160 ZILLICOA STREET
RALEIGH, NC 27636-3726 BEAUFORT, NC 28516 ASHEVILLE, NC 28801
TELEPHONE [phone] TELEPHONE [phone] TELEPHONE[phone]
HISTORIC RESOURCES:
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, NC 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES:
MR. JOHN DORNEY
DIVISION OF ENVIRONMENTAL MANAGEMENT
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT, HEALTH, AND NATURAL
RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, NORTH CAROLINA 27607
TELEPHONE [phone]
MR. STEVE BENTON
DIVISION OF COASTAL MANAGEMENT
NORTH CAROLINA DEPAR-MENT OF
ENVIRONMENT, HEALTH, AND NATURAL
RESOURCES
POST OFFICE BOX 2768-
RALEIGH, NORTH CAROL=NA 27611-7687
TELEPHONE (919) 733-:293
FAX [phone]
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
6508 FALLS OF THE NEUSE ROAD,
SUITE 120
RALEIGH, NC 27615
TELEPHONE [phone]
ASHEVILLE REGULATORY FIELD OFFICE
US ARMY CORPS OF ENG=NEE_RS
151 PATTON AVENUE, ROOM 143
ASHEVILLE, NC 28801-5000'
TELEPHONE (704) 271-=854
ATTN: CESAW-CO-R
WASHINGTON REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
POST OFFICE BOX 1000
WASHINGTON, NC 27889-1000
TELEPHONE [phone]
WILMINGTON REGULATORY FIELD OFFICE
US ARMY CORPS OF ENG=NEERS
POST OFFICE BOX 189C
WILMINGTON, NC 28402-1890
TELEPHONE [phone]

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR P.O. Box 850 SECRETARY
Edenton, N.C. 27932
Division One
March 28, 2001
U.S. Army Corps of Engineers
Regulatory Field Office qp
P.O. Box 1000 0 1 0 4 6 5 j1UF0"
Washington, NC 27889-1000
ATTENTION: Mr. Michael F. Bell, PWS
NCDOT Coordinator
Dear Sir
The North Carolina Department of Transportation (NCDOT) is proposing to improve SR 1201 (Buckhom Road) in
Currituck County. The existing soil road will be upgraded to a paved surface to improve safety. One pipe within
within a blue-line canal will be resized from a 35 foot x 18 inch reinforced pipe to a 40 foot x 18 inch concrete pipe.
Wetland impacts will be very minimal since cropland lies on either side or the roadway, but one of the waterways is
designated a stream on the USGS topography map. Since streams are under 404 and 401 jurisdiction any pipe
resizing will require a Nationwide permit and Department of Water Quality certification. A small cattail (Typha
latifolia) community will be impacted (0.005 acres) as result of increasing the pipe size.
The NCDOT requests that this work be authorized under the provisions of Nationwide Permit No. 18. By copy of
this letter, the NCDOT also requests that the North Carolina Division of Water Quality issue the appropriate water
quality certification. Please fmd attached a vicinity map along with a plan view of the proposed work and a
completed pre-construction notification form. A copy of the original check for S200.00 is attached that will cover
the permit fees. Work will begin as soon as the permits are issued. Thank you for your attention to this important
matter.
Sincerely,
r(
Don Conner, PE Z7
Division Engineer-Division One

Kristen Shacochis
Division Environmental Officer
c
'r
Cc: Mr. David Cox, NCWRC
Ms. Sarah Winslow, NCDMF
Mr. Ron Sechler, NMFS
Mr. Tom McCartney, USFWS
Mr. Jon Hennessy, NCDWQ
Mr. Ted Sampson, NCDCM
Ms. Gretchen Byrum, PE, NCDOT
3/25/96
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT 4): 18
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF 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 OF ENVIRONMENTAL
MANAGEMENT (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NC Dept. of Transportation
2. MAILING ADDRESS: Post Office Box 850
SUBDIVISION NAME.
CITY: Edenton STATE: NC ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME
FROM MAILING ADDRESS ABOVE):
27932
(IF DIFFERENT
3. TELEPHONE NUMBER (HOME):
(WORK): 252-482-7977
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER:
D. R. Conner, P.E., Division Engineer
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Currituck NEAREST TOWN OR CITY: Shawboro
1
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
SR 1201 (Buckhorn road) Lat: N 36 23.987, Long: W 76 7.838
6. IMPACTED OR NEAREST STREAM/RIVER:
Indiantown Creek
canal that drains into the
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW),
WATER SUPPLY (WS-I OR WS-II)? YES [] NO [x] IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)?YES[] NO[x]
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
rural
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO [x] IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [x] IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: n/a
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT
SITE:
n/a
2
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPCSED PROJECT BY:
FILLING: 0.005 EXCAVATION:
FLOODING: OTHER:
DRAINAGE:
TOTAL ACRES TO BE IMPACTED: 0.005
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: 35 FT AFTER: 40 FT
WIDTH BEFORE (based on normal high water contours): 1.5 FT
WIDTH AFTER: 1.5 FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: x
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY): replace a 35 foot x 18 inch reinforced concrete pipe with a
40 foot x 18 inch concrete pipe within a canal.
13. PURPOSE OF PROPOSED WORK: This work is part of a pave and grade
secondary road project to improve safety conditions and as part of state
law.
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS):Wetlands will be affected by placing fill within
jurisdicitonal wetlands to provide adequate road shoulders.
15. *G9 ARE REQUIRED T-'GQPd` AGT- THE U.S. FISH "?1'^n
?(USFWS) ANB
/GR NATIGNAL MARINE zISHER
;aS SERV
1EF ?T'TIL9;Iz'E; SERVIG
(PR4F
S
SBE; c
GENG*
r
:
--
, -
) (
:
ADDRESSES SHEET) REGARDING THE P-RESENGE GF AN* FS9 SRAL1." LISTED GR
HABITAT Ind THE PERMIT AREA THAT MAYBE AFFEGT-Eg 3Y THE; PRGPG B9 P-RGjEGT.
r T HESE AGENGIES
.)
(SHPG) (SEE -AGENCY A9ERES6ES SHEET) -REGAR91NG-THE PD SENGz' GF HIS -GRIc
P RGPE cTIES Ind THE PERMIT AREA WHIGH MAY BE AFEEG-'"-Ea- BY THE PROPOSED
P-ROdEL'T . DATE GGNT-ACTED :
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE
OF PUBLIC (STATE) LAND?
YES [] NO [x] (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH
CAROLINA ENVIRONMENTAL POLICY ACT?
YES [I NO [ ]
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEF-RINGHOUSE?
YES [ ] NO [X]
IF ANSWER TO 17b IS YES, THEN SUBMIT 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. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH TH±S APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED CR 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 (INTERMITTENT AND PER2m.ANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOU1jD BE 1 INCH EQUALS
50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUI%ALENTT.
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 LIFE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?
rural
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N/A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY 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.
OWNER'S/AGENT'S SIGNATURE
L
DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
5
AGENCY ADDRESSES
ENDANGERED SPECIES:
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. BOX 33726
RALEIGH, NC 27636-3726
TELEPHONE [phone]
HISTORIC RESOURCES:
NAT::)NAL MARINE F--SHERIES SZRVIC=
HAB:-AT CONSE VATION D:':ISI:)N
PIVERS ISLANL
BEALFORT, NC 285=6
TELEPHONE (91=? 7=3-505.
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, NC 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES:
MR. JOHN DORNEY
DIVISION OF ENVIRONMENTAL MANAGEMENT
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT, HEALTH, AND NATURAL
RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, NORTH CAROLINA 27607
TELEPHONE [phone]
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
6508 FALLS OF THE NEUSE ROAD,
SUITE 120
RALEIGH, NC 27615
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
POST OFFICE BOX 1000
WASHINGTON, NC 27889-1000
TELEPHONE [phone]
U.S. FISH AND WILDLIFE SZ_RVICE
ASH?VIL_E FIELD CFFICE
160 ZILL:COA STREET
AS.EVIL , NC 26801
TErPHC` E (7C4) 665-1195
Nt. STEVE z----NTCPA'
C--VISION OFF COASTAL !C-_NAGZMENT
NCRTH CARDL:NA DEPAR-KENT OF
ENVIRONMENT, HEALTH, AND NATURAL
F=SOUFZES
PCST OFFICE BOX 276E-
R=SLEIGH, NCRTH CAROLDIA 2761_-7687
TELEPHONE ?19) 733-_293
FAX [phone]
ASHEVILLE 3EGULATORY FIELD OF-CE
US ARMY CORPS OF ENGINEERS
151 PATTON AVENIIE, R_-OM 1.33
ASHEVILLE, NC 2880'--5006
TELEPHONE ,704) 271-4_354
A7TN: CES;W-CO-R
WILMINGTON REGU--_ATOPY FIELD O_ICE
US ARMY COPS OF ENGITEERS
POST CFFIC= BOX 189C
WILMINGTON, NC 284C:-1890
TELEPHONE ;910) 251-4511
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IF INCORRECT RETURN TO
NC DEPARTMENT OF TRANSPORTATION
DIVISION - 01 OFFICE--------,---
.-
?- 252-482-7977
WARRANT NO. 7320
DATE 03/21/2001
INVOICE NUMBER INVOICE DATE INVOICE AMOUNT NET AMOUNT
0321162633 03/21/2001 $200.00 $200.00