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Home My WebLink About20010492 Ver 1_Complete File_20010327S ?' - STATE of NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY LYNDO TIPPETT GOVERNOR SECRETARY March 22, 2001 U.S. Army Corps of Engineers Raleigh Regulatory Field Office 6508 Falls of the Neuse Road, Suite 120 Raleigh, North Carolina 27615 ATTENTION: Mr. Eric Alsmeyer, USACE-Raleigh Field Office NCDOT Coordinator Subject: Johnston County, Temporary Dewatering on SR 1309, Associated with the Replacement of Bridge No. 115, on Black Creek/Neuse River Basin. Dear Mr. Alsmeyer: By copy of this letter, the North Carolina Department of Transportation (NCDOT) requests authorization under Nationwide Permit #33 for Temporary Dewatering. Ms. Jean Manuele authorized a Nationwide Permit # 3 for the subject bridge replacement on May 6, 1999. (Action ID. 199920728) The subject project requires authorization for temporary dewaterin,, of the work area adjacent to the proposed bridge replacement, located below the headwaters of Black Creek. The subject stream (DWQ ID No. 27-45-(12)) is classified as B, NSW. Temporary dewatering will occur during the slope repair activities in order to allow construction on the slope and at the base of the slope. Sheet metal cofferdams will be used and will be removed entirely upon completion. It is anticipated that the entire process from installation to removal will be completed within five consecutive days. Appropriate and best management practices will be implemented to protect water quality during the proposed project. Post Office Box 3165, Wilson, North Carolina 27895-3165 . JP Pape 2. The NCDOT anticipates that these activities will be authorized under Nationwide Permit 933. Enclosed please find the project site map permit drawing and the preconstruction notification form for the above referenced project. By copy of this letter, we are also providing courtesy notification underSection 401 General Water Quality Certification # 3114 from the North Carolina Division of Water Quality. Please contact Ms. RobinLittle at (252) 237-6164 if you need additional information or if you have any questions. Sincerely, H. Trogdon, III, P.E. on Engineer Cc: Mr. David Franklin, USACE,Wilmington Mr. John Dorney, NCDWQ, Raleigh Mr. David Cox, NCWRC, Creedmoor Mr. Garland Pardue, USFWS, Raleigh Ms. Renee Gledhill-Earley, SHPO, Raleigh Mr. Bryant Bunn, P.E., NCDOT Division Maintenance Engineer, Wilson Mr. JimmyMarler, Bridge Maintenance Superintendent, Wilson Mr. Don Goins, NCDOT Operations Branch, Raleigh DWQ ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT I#) 33 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 DEPARTMENT OF TRANSPORTATION 2. MAILING ADDRESS: PO BOX 3165 CITY: WILSON STATE: NC ZIP CODE: 27895 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): JOHNSTON CO, SR 1309, Bridge No. 115, located approx. 0.8 miles northwest of Hardee Crossroads. 3. TELEPHONE NUMBER (WORK): (252) 237-6164 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, and PHONE NUMBER: JAMES H. TROGDON, III, P.E., DIVISION ENGINEER (252) 237-6164 ROBIN M. LITTLE, DIVISION ENVIRONMENTAL OFFICER (252) 237-6164 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: JOHNSTON NEAREST TOWN OR CITY: Hardee Crossroads 1 SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): NC 50 East, south on SR 1309, approx. 5.1 miles to Bridge, located between intersections with SR 1322 and SR 1313. 6. IMPACTED OR NEAREST STREAM/RIVER: Black Creek RIVER BASIN: NEUSE RIVER 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: DWQ 1D No. 27-45-(12). B, NSW 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? 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: NA 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: NA 2 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: FLOODING: OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: <0.01 10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): LENGTH BEFORE: NA FT AFTER: WIDTH BEFORE (based on normal high water contours): WIDTH AFTER: NA FT AVERAGE DEPTH BEFORE: NA FT AFTER: NA FT NA FT NA FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: TEMPORARY DEWATERING BY PLACEMENT OF SHEET METAL COFFERDAMS IN CHANNEL FOR BRIDGE REPLACEMENT. 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? NA WHAT IS THE EXPECTED POND SURFACE AREA? NA 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY): TEMPORARY DEWATERING BY PLACEMENT OF SHEET METAL COFFERDAMS FOR BRIDGE FOOTING PLACEMNT, REQUIRED DURING BRIDGE REPLACEMENT. TEMPORARY IMPACTS TO WATER QUALITY AND STREAM BUFFER MINIMIZED TO GREATEST EXTENT PRACTICABLE. 3. PURPOSE OF PROPOSED WORK: TEMPORARILY DEWATER WORK AREA AT BASE OF SLOPE IN ORDER TO FACILITATE CONSTRUCTION. EXCAVATION: 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): NA. 15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3/22/01 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA, WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3/22/01 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES [ X ] NO [ ] (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 [ ] NO [ X b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ] NO [ 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 (919) 733-6369. 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 NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT 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 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 PLAN IF REQUIRED. e. WHAT IS LAND USE OF SURROUNDING PROPERTY? RURAL RESIDENTIAL f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? NA 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 OWOERWAGENT'S SIGNATURE ( GENT S SIGNATURE VALID ONLY I AUT ORIZATION LETTER FROM T 0 ER IS PROVIDED (18g.)) Iz /6) _ ATE 5 17111 /sue" i / c /? ? ?`?...:,/ ? l ^? - \ '\, ?. 1_53 - `" 1'Jt+3.?? 1-'.1 510 .51 70 1570 04 / ? ' ' 1-=? r .xr'= Ir3 . •? s/ \ ' t ch. 16 ?7 i ?/,-`I "\ I...O _?^"1.\ v! 'r 1971 P-45 °?,^ \ •,J• I V/ 1 2 I .. i:i>1 1: ?/{,`F3 )"200 1 ?J »vr,ivt?"' 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HP 12x53 ST[EL P1 $„ 7aAA e I HP 1253 ST K ^+! a -HP 12x53 STEEL'ILES EST LEPIGTH-10'± IttP RN (rrT) cm OF POOT;+o EST LENGTH.:C' -? EST LENGTH-CIS' EL U8267 (ral BOTTOM OF FOO11140 E1.483.965' jrM 9+00 10+00 p?/ g,?? 11400 12+00 SCALE 1 • - 20' I I M OR SLAlo L)CPP 1.614 (UP) 263 " (LC,Y,Y)* i .J51 " (UP) 23,SPi3PJ ? iJi 11 FXTE;tICR SLL3 Uh'PT (SLAB U.YiT ALC;YE UP) 0.f23" (UP) IN PLACE) 7 DrFL1Cnc'.j (SL'PERAWPOSED D 0?0 OC(i'.N OAfS" (DC,4N)A LOA D) PUJAL DL. ucnca a 1J0" (UP) 0.114" (UP) ?E IA'CL"DE F?1 UR,° HEARLYO SURFACE ?' ; A 1 ryv A S1 7 STATE of NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY LYNDO TIPPETT GOVERNOR SECRETARY . March 22, 2001 U.S. Army Corps of Engineers Raleigh Regulatory Field Office 6508 Falls of the Neuse Road, Suite 120 Raleigh, North Carolina 27615 ATTENTION: Mr. Eric Alsmeyer, USACE-Raleigh Field Office NCDOT Coordinator Subject: Johnston County, Temporary Dewatering on SR 1309, Associated with the Replacement of Bridge No. 115, on Black Creek/Neuse River Basin. Dear Mr. Alsmeyer: By copy of this letter, the North Carolina Department of Transportation (NCDOT) requests authorization under Nationwide Permit #33 for Temporary Dewatering. Ms. Jean Manuele authorized a Nationwide Permit # 3 for the subject bridge replacement on May 6, 1999. (Action ID. 199920728) The subject project requires authorization for temporary dewaterinb of the work area adjacent to the proposed bridge replacement, located below the headwaters of Black Creek. The subject stream (DWQ ID No. 27-45-(12)) is classified as B, NSW. Temporary dewatering will occur during the slope repair activities in order to allow construction on the slope and at the base of the slope. Sheet metal cofferdams will be used and will be removed entirely upon completion. It is anticipated that the entire process from installation to removal will be completed within five consecutive days. Appropriate and best management practices will be implemented to protect water quality during the proposed project. Post Office Box 3165, Wilson, North Carolina 27895-3165 Page 2. The NCDOT anticipates that these activities will be authorized under Nationwide Permit #33. Enclosed please find the project site map permit drawing and the preconstruction notification form for the above referenced project. By copy of this letter, we are also providing courtesy notification underSection 401 General Water Quality Certification # 3114 from the North Carolina Division of Water Quality. Please contact Ms. RobirLittle at (252) 237-6164 if you need additional information or if you have any questions. Sincerely, " H. Trogdon, III, P.E. on Engineer Cc: Mr. David Franklin, USACE,Wilmington Mr. John Dorney, NCDWQ, Raleigh Mr. David Cox, NCWRC, Creedmoor Mr. Garland Pardue, USFWS, Raleigh Ms. Renee Gledhill-Earley, SHPO, Raleigh Mr. Bryant Bunn, P.E., NCDOT Division Maintenance Engineer, Wilson Mr. JimmyMarler, Bridge Maintenance Superintendent, Wilson Mr. Don Goins, NCDOT Operations Branch, Raleigh C - DWQ ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT $)) 33 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 DEPARTMENT OF TRANSPORTATION 2. MAILING ADDRESS: PO BOX 3165 CITY: WILSON STATE: NC ZIP CODE: PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): JOHNSTON CO, SR 1309, Bridge No. 115, located approx. 0.8 miles northwest of Hardee Crossroads. 3. TELEPHONE NUMBER (WORK): (252) 237-6164 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, and PHONE NUMBER: JAMES H. TROGDON, III, P.E., DIVISION ENGINEER (252) 237-6164 ROBIN M. LITTLE, DIVISION ENVIRONMENTAL OFFICER (252) 237-6164 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: JOHNSTON NEAREST TOWN OR CITY: Hardee Crossroads 1 27895 SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): NC 50 East, south on SR 1309, approx. 5.1 miles to Bridge, located between intersections with SR 1322 and SR 1313. 6. IMPACTED'OR NEAREST STREAM/RIVER: Black Creek RIVER BASIN: NEUSE RIVER 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: DWQ ID No. 27-45-02). B, NSW 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? 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: NA 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: NA 2 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: FLOODING: DRAINAGE: EXCAVATION: OTHER: TOTAL ACRES TO BE IMPACTED: <0.01 10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): LENGTH BEFORE: NA FT AFTER: WIDTH BEFORE (based on normal high water contours): WIDTH AFTER: NA FT NA FT AFTER: AVERAGE DEPTH BEFORE: NA FT NA FT NA FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: TEMPORARY DEWATERING BY PLACEMENT OF SHEET METAL COFFERDAMS IN CHANNEL FOR BRIDGE REPLACEMENT. 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? NA WHAT IS THE EXPECTED POND SURFACE AREA? NA 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY): TEMPORARY DEWATERING BY PLACEMENT OF SHEET METAL COFFERDAMS FOR BRIDGE FOOTING PLACEMNT, REQUIRED DURING BRIDGE REPLACEMENT. TEMPORARY IMPACTS TO WATER QUALITY AND STREAM BUFFER MINIMIZED TO GREATEST EXTENT PRACTICABLE. 3. PURPOSE OF PROPOSED WORK: TEMPORARILY DEWATER WORK AREA AT BASE OF SLOPE IN ORDER TO FACILITATE CONSTRUCTION. 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): NA. 15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3/22/01 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA, WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3/22/01 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES [ X ] NO [ ] (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 [ ] NO [ X ] b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ] NO [ ] 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 (919) 733-6369. 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 NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT 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 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 PLAN IF REQUIRED. e. WHAT IS LAND USE OF SURROUNDING PROPERTY? RURAL RESIDENTIAL f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? NA g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. 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