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HomeMy WebLinkAbout20021703 Ver 1_On Hold Request_20020924r i State of North Carolina Department of Environment and Natural Resources Division of Water Quality e?? Michael F. Easley, Governor NCDENR William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES DWQ Project No.• 20021703 County: w-7 Applicant: Project Name: SR 13 3 2 - lQ to IW-A M. '0410'4) Date of Issuance of 401 Water Quality Certification: 17-/1 & k602- Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division of Water Quality., 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of these. Ap nficant's Certification hereby state.that,.to the best of my abilities, due care and . diligence was used in the observation of the construction such that the construction was observed to bebuilt within. substantial compliance.ancUritent of the 401 Water Quality Certification and Buffer. Rules,;the :app roved,plans°and specifications; and other sup o .'ng materials. r i. Signature: Date: Agent's Certification I, , hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date: Engineer's Certification Partial Final I, , as a duly registered Professional Engineer in the State of North Carolina, having been-authorized to observe (periodically, weekly, full time) the construction of the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature Date Registration No. Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621 Telephone 919-733-1786 FAX 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper W A7- Michael F. Easley, Governor j ? William G. Ross Jr., Secretary ? O O? QG North Carolina Department of Environment and Natural Resources ` r Alan W. Klimek, P.E. Director Division of Water Quality December 1$, 2002 DWQ No. 021703 Wilson County Mr. James H. Trogdon, P.E., Division Engineer NCDOT, Division 4 PO Box 3165 Wilson, NC 27895-3165 Re: Wilson County, Extension of culvert on SR 1332 State Project No. 9.8044505 Toisnot Swamp [27-86-11; WS III NSW] APPROVAL of NEUSE RIVER BUFFER RULES AUTHORIZATION CERTIFICATE with ADDITIONAL CONDITIONS Dear Mr. Trogdon, You have our approval, in accordance with the attached conditions, to impact 848 square feet of protected riparian buffers for the purpose of widening SR 1332 in Wilson County. The project shall be constructed according to your application dated September 19, 2002 and any conditions listed below. This approval shall act as your Authorization Certificate as required within the Neuse River Area Protection Rules (15A NCAC 2B .0233). In addition, you should get any other required federal, state or local permits before you go ahead with your project including (but not limited to) Sediment and Erosion Control. This approval is only valid for the purpose and design that you described in your application dated September 19, 2002. If you change your project, you must notify us and you may be required to send us a new application. If the property is sold, the new owner must be given a copy of this authorization and approval letter and is thereby responsible for complying with all conditions. For this approval to be valid, you must follow the conditions listed below. If you do not accept any of the conditions of this authorization, 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 authorization 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 the "No Practical Alternatives" determination required in 15A NCAC 213 .0233(8). If you have any questions, please contact John Hennessy at 919-733-5694. Sincerely, Alan W. Klimek, P.E. Director cc: US Army Corps of Engineers Washington Field Office DWQ Raleigh Regional Office File Copy Central Files C:\ncdot\SR 1332\wqc\021703 buffer authorization1doc WfE-- -N? N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 (919) 733-1786 Customer Service: 1 800 623-7748 d ar+„u..n• STATE OF NORTH CAROLINA 021703 DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY LYNDO TIPPETT GOVERNOR September 19, 2002 SECRETARY U.S. Army Corps of Engineers Washington Regulatory Field Office PO Box looo S& 2 4 aW Washington, NC 27889-1000 Attention: Mr. Mike Bell 191 y SECT NCDOT Coordinator Subject: Use of NWP 18 for a Minor Discharge from Culvert Extension and Headwall Construction to Protect SR 1332 and Repair the Phillips Property in Wilson County. State Project Number 9.8044505. The North Carolina Department of Transportation (NCDOT) proposes to widen the pavement 3 feet and install curb and gutter on SR 1332 from .75 miles west of NC 58 to River Birch Road in the City of Wilson. The installation of a new culvert and headwall at the Phillips property to repair last months flood damage and protect the existing roadway will result in a discharge to waters of the US. The discharge falls below the threshold for notification to the USACE. Therefore this is a courtesy copy for your information only and no written response is requested. A review of the NHP database yielded no protected species in the project vicinity. Historic compliance work to be scheduled and concurrence with HPO will be obtained if required. The NCDWQ GS3362 requires written notification enumerating impacts for all projects that propose to use NWP18. Two copies of this PCN are being sent to DWQ to satisfy that requirement. The project does not require written concurrence from the NCDWQ as NCDOT intends to comply with conditions for the WQC. Under the Neuse River Buffer Rules, allowable uses require written authorization from the Division. Only Buffer Rule approval is being sought in writing. Impacts to Waters of the United States Construction of the project will necessitate impacts to waters of the United States in the Neuse River Basin. The project crosses one unnamed intermittent tributary to Toisnot Swamp, as shown in the attached vicinity map. The tributary is shown as intermittent on Post Office Box 3165, Wilson, North Carolina 27895-3165 the most recent USGS quadrangle. It does not show up on the soil survey. Total impacts to the stream from construction will total 100 square feet (0.002 acres) fill in surface water and 25 linear feet of channel impact. No impacts to wetlands will result from the project. Waters of the U.S. Mitigation Avoidance: All wetlands or surface waters not affected by the project will be protected from unnecessary encroachment. No staging of construction equipment or storage of construction supplies will be allowed in or near wetlands or surface waters. Temporary impacts will be avoided by working from the Phillips yard and the road. Minimization: The length of the pipe will be shortened to the extent possible. If we find that 16 feet of pipe will suffice to stabilize the corner of the yard then that is all that will be installed. We included impacts to 24 feet in this application in case it is needed. Strict Enforcement of sedimentation and erosion control Best Management Practices for the protection of wetlands and surface waters will be enforced during project construction. Continued coordination will occur with maintenance forces and the Environmental Officer during construction to minimize impacts to waters of the U.S. at these sites. Riparian Buffer Impacts The project is subject to the Neuse Riparian Buffer Rules. The proposed protection, repair and road improvement uses are exempt or allowable under the rules. A total of 848 square feet of riparian buffer will be converted from its existing use as grassed shoulder to impervious. The NCDOT will adhere to all applicable Section 404 NWP and Section 401 WQC conditions. If you have any questions or need additional information, please contact Mr. Jamie Shern at (252) 237-6164. Sincerely, James H. Trogdon, III, P.E. ' Division Engineer cc: Mr. John Hennessy, NCDWQ, Raleigh (2 copies) Mr. Bryant Bunn, P.E., NCDOT Division Maintenance Engineer I opoLone - 1 the web's i opograpnic ivlap rage ul ann. Target is UTM 18 235711E 3963679N - WINSTEAD CROSSROADS quad L Quad I 0 o one.co Copy right 0) 2000K4apsalaeatte;lnC Ale*Inpe Park i:4ITl - yy ?.? K l i, , r' '' i? J t ! 'E ' 'e? h. 4? 4. Y _ Sy :i. ?«n-.?.?_ CAS y, - ? ?? V ? x, S ?'.. I= t ? Iv ,y.. ?y y ? n? ? __ ? ? f?Fj • ?..r3 t* > d? ?• ??o Tee I ?.. ! "( 4?t ?• fib., i?'?? _ 0 500 1000 160 2000 meters i i .. . i miles Oi 0i5 10 http://www.topozone.com/print.asp?z=18&n=3963679&e=235711 &s=25 9/12/02 20' BUFFER ZONE 2 - 20' BUFFER 30' BUFFER ZONE 2 ZONE 1 30' BUFFER ZONE 1 PHI LIPS 4 FOOT WIDE K TO BANK AS TTENTT ON WNS O SOIL SU T RESI ENCE SHNOT S O EXTENSIVELY PIP DOWN i PROP 2.5` CONC &G PROP 15" RCP PROP 24" RC EXISTI G HDWL NEW STORM DAMAG ?„ SLOPE FAILURE EP 24 of 36" CP MASS WASTING n 19 .8 S 2 1 S ?- SF II II II LAKE WILSON ROAD SRI 11332 II II /,-- 811 RC ii 36 - RC -------- RCP W/ FES \ \ }? \ \ SCALE 1"= 20' POQ NOR7N CRO`,7 25 LF OF STREAM IMPACT 100 SF FILL IN STREAM d zJ Q9'Plh1P% 485.9 SF NEW IMPERIOUS IN ZONE 1 O NrOFTRAN$v 261.9 SF NEW IMPERIOUS IN ZONE 2 Office Use Only: Form Version May 2002 USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: Section 404 Permit ® Riparian or Watershed Buffer Rules Section 10 Permit ? Isolated Wetland Permit from DWQ F-I 401 Water Quality Certification 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 18 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ® Notification required per GS3362. Written authorization required from the Division per Buffer Rules. 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: ? 5. If your project is located in any of North Carolina's twenty coastal counties (listed on page 4), and the project is within a North Carolina Division of Coastal Management Area of Environmental Concern (see the top of page 2 for further details), check here: ? II. Applicant Information Owner/Applicant Information Name: Mr. James H. Trogdon, III, P.E., Division Engineer Mailing Address: North Carolina Department of Transportation /Division 4 P.O. Box 3165 Wilson, NC 27895-3165 Telephone Number: (252) 237-6164 - Fax Number: (252) 234-6174 E-mail Address: jtrogdon@dot.state.nc.us 2. Agent 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. Jamie Shern Company Affiliation: Division Environmental Officer Mailing Address: North Carolina Department of Transportation/Division 4 P.O. Box 3165 Wilson, NC 27895-3165 Telephone Number: (252) 237-6164 Fax Number: (252) 234-6174 Page 5 of 13 E-mail Address: jfshem@dot.state.nc.us III. Project Information 4. 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: Phillips Residence on SR 1332 2. T.I.P. Project Number or State Project Number (NCDOT Only): Secondary Road Project 3. Property Identification Number (Tax PIN): Directions to site (include road numbers, landmarks, etc.): Lake Wilson Road Location County: Wilson Nearest Town: Wilson Subdivision name (include phase/lot number): N/A 5. Site coordinates, if available (UTM 18): 235711E 3963679N (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): -1/2 acre 7. Nearest body of water (stream/river/sound/ocean/lake): Unnamed Tributary to Toisnot Swamp (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h2o.enr.state.ne.us/admin/maps/.) 8. River Basin: Neuse Page 6 of 13 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: Road shoulder next to an old residence surrounded by new subdivisions 10. Describe the overall project in detail, including the type of equipment to be used: Widen Lake Wilson Road 3 feet. Install 24 ft of new 36"culvert with headwall to allow installation of 2.5 foot wide curb and gutter and to protect roadway from unmanaged stormwater. Prevent further damage to the streambank at the Phillips front yard. Heavy construction equipment ( back hoe, track hoe excavator, dump truck) 11. Explain the purpose of the proposed work: Protect existing structures. New stormwater from adjacent subdivision is eroding the yard and road. IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. N/A 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. no 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 Page 7 of 13 and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream 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: Widen Lake Wilson Road. Install 24 ft of new 36" culvert with headwall to allow installation of curb and gutter, to protect roadway from unmanaged stormwater, and to preserve private property. 2. Individually list wetland impacts below: Wetland Impact Site Number (indicate on map) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain** (yes/no) Distance to Nearest Stream (linear feet) Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.fema.gov. *** 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: 0 Total area of wetland impact proposed: 0 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number (indicate on map) Type of Impact* Length of Impact (linear feet) Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? (please specify) 1 pipe 24 UT to Toisnot Swamp 4 dotted blue on topo * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), Page 8 of 13 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. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapquest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 24 feet 4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.) below: Open Water Impact Site Number (indicate on map) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) N/A * List each impact separately and identify temporary impacts. impacts include, but are not limited to: nit, excavation, dredging, 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.): N/A Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): N/A Size of watershed draining to pond: N/A Expected pond surface area: N/A 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. All wetlands or surface waters not affected by the project will be protected from unnecessa encroachment. No staging of construction equipment will be allowed in or near wetlands or waters of the U.S. Strict enforcement of sedimentation and erosion control Best Management Page 9 of 13 Practices for the protection of wetlands and surface waters will be enforced during project nnn Oni nti nn _ 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. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at http://h2o.enr.state.nc.us/ncwetlands/stnngide.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. - 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 (919) 733-5208 to determine availability and to request written approval of mitigation prior to submittal of a PCN. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o.enr.state.ne.us/wrp/index.htm. If use of Page 10 of 13 the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-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 (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. - Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ® No ? If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Page 11 of 13 Zone* Impact (square feet) Multiplier Required Mitigation 1 585.9 3 N/A 2 261.9 1.5 N/A Total 847.8 Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. Road crossinizs that impact less than 40 linear feet of riparian buffer are exempt. Protection of existing structures and streambanks is allowable. Mitigation not required per Table of Uses. 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. Before 2080 sf (.047 ac) After 2928 sf (.067 ac) or .02 acres of new impervious area converted from grassed road shoulder. 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. NA _ XIII. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules? Yes ? No Is this an after-the-fact permit application? Yes 0 No XIV. Other Circumstances (Optional): Page 12 of 13 x It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). Ap licant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 13 of 13