20061532 Ver 1_Complete File_20060921

N. C. DEPAIRRaNT`)F TRANSPORTATION
DATE 8?
TRANSMITTAL SLIP 4 v
TO: n 71 REP. NO. OR IROOK BLDG.
REP. NO. OR ROOM,
? NOTE AND PILE ? PER OUR CONVERSATION
? NOTE AND RETURN TO ME ? PER YOUR REQUEST
? RETURN WITH MORE DETAILS ? Poo YOUR APPROVAL
? NOTE AND SEE ME ABOUT THIS ? POR YOUR INFORMATION
? PLEASE ANSWER ? POR Y MENTS
13 PREPARE REPLY FOR MY SIGNATURE 13 NATURE
? TAKE APPROPRIATE ACTION INVKBTIGA ANph!PORT
COMMENTS:

A cp-xc' -'-?

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
September 20, 2006
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
NC) 4je' 5
SEp D
If O
?nANp ?Nh - v? U06
SANSSr U'4Cln
ATFRe?
LYNDO TIPPETT
SECRETARY
15,32
Subject: Proposed maintenance improvements to a structure conveying an unnamed
tributary to Horse Creek on SR 1140 (John Mitchell Road) in Franklin
County.
The North Carolina Department of Transportation (NCDOT) proposes to replace a pipe
conveying an unnamed tributary to Horse Creek on SR 1140 (John Mitchell Road) in
Franklin County (Figure 1 - 3). Information concerning this activity is provided below:
Impacts to Waters of the United States
Site 1 - Waters of the U.S.
Maintenance activities at this site will impact an unnamed intermittent tributary to
Horse Creek [NCDENR-DWQ Index No. 27-17-(0.7), Best Usage Classification WS-IV
NSW, HUC 03020201] (Figure 3) in the Neuse River Basin. The existing structure
conveying the creek is a 36-inch reinforced concrete pipe (rcp) that is 56 feet long
(Photographs 1 and 2). Please note that the existing structure has separated joints on the inlet
end. On the day of the field visit, a large sink hole was evident above the pipe end. The
NCDOT proposes to reset the first two joints while the site is dewatered. This will involve
the temporary placement of sandbags in the creek 10 ft upstream of construction. Once the
stream has been dewatered, the pipe joints will be reset. Permanent impacts at the site
associated with the repair are limited to 10 ft of rip rap used for armoring. No surface water
fill is associated with this repair. The work zone will be dewatered for approximately 1 day.
Temporary concurrent impacts to the stream from this activity will result in the dewatering of
10 lft of stream. The materials sandbags used for dewatering will be removed after
construction.
Division 5,2612 N. Duke Street, Durham, NC 27704
Phone: [phone] Fax: [phone]
A
Riparian Buffer
Site 1 -Buffers
The maintenance at this site involves a road crossing of a stream that is subject to the
Neuse River Buffer Rules. The intermittent tributary to Horse Creek, at Site 1 is depicted
on the most recent version of the Grissom (USGS 1978/1987) topographic quadrangle
(Figure 1) and the Soil Survey of Franklin County (USDA-SCS, 2004) (Figure 2).
Construction access impacts at this site total 1,213 ft2 in Zone 1 and 261 ft2 in Zone 2
(totaling 10 lft of riparian buffer impacts). Based on the impacts to the riparian buffer at
this site, this crossing is EXEMPT.
Waters of the U.S. Mitigation
Avoidance: All wetlands and 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 wetlands or near surface waters.
Minimization: The side slopes have been steepened to the extent possible at jurisdictional
sites. 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 these sites.
Compensatory Miti ag tion: All compensatory mitigation requirements will be left to the
discretion of the regulatory review agencies.
Protected Species
Plants and animals with federal classifications of Endangered, Threatened, Proposed
Endangered and Proposed Threatened are protected under provisions of Section 7 and
Section 9 of the ESA. As of September 2006, there are three federally protected species
listed for Franklin County. They include dwarf wedgemussel (Alasmidonta heterodon),
Tar spinymussel (Elliptio steinstansana), and Michaux's sumac (Rhus michauxii). The
roadway shoulders along John Mitchell Road are heavily maintained, eliminating the
possibility for Michaux's sumac to exist in this area. This intermittent stream is small and
does not provide suitable habitat for mussel fauna. Additionally, a review of the Natural
Heritage Program database (last updated July 2006) revealed no occurrences of protected
species within the project area. Therefore, based on lack of suitable habitat observed
during the 09/12/06 site visit and the NHP database review, biological conclusions of No
Effect have been rendered for each species.
Summary
The NCDOT proposes to repair the existing structure by resetting the first two joints. The
NCDOT proposes to temporarily dewater the work zone during the construction of the
project. This will involve the temporary placement of sandbags in the creek 10 ft
upstream of construction. Once the stream has been dewatered, the pipe will be repaired.
Permanent impacts at the site associated with the repair of the structure and minimal
amounts of rip rap to protect the structure involve a total of 10 lft (no surface water fill
and 10 ft of rip rap). The work zone will be dewatered for approximately 1 day.
Temporary concurrent impacts to the stream from this activity will result in the
dewatering of 10 lft of stream. The sandbags used for dewatering will be removed after
construction. Construction access impacts at this site total 1,213 ft2 in Zone 1 and 261 ft2
in Zone 2 (totaling 10 lft of riparian buffer impacts). Based on the impacts to the riparian
buffer at this site, this crossing is EXEMPT.
Application is hereby made for a Department of the Army Section 404 Nationwide
Permit (NWP) 3 and NWP 33. Additionally, this application provides notification to the
NCDWQ as Section 401 Water Quality Certification (WQC) No. 3376 and No. 3366 will
be utilized for construction of this project. The NCDOT will comply with all applicable
NWP and WQC conditions. A pre-construction notification is attached with this request.
If you have any questions or need additional information, please contact Ms. Heather
Montague at [phone].
Sincerely,
G. '/" OU41ce
/?'Jon G. Nance, P.E.
Division Engineer
cc: Mr. Rob Ridings, NCDWQ Transportation Planning Unit
Mr. Steve Winstead, NCDOT District 3 Engineer
Mr. Jonathan Tyndall, NCDOT Franklin County Maint Engineer
Ms. Katie Simmons, NCDOT REU Field Ops Techn

Photograph 1. Stream

_ i
Photo ra h 2 First t nth ted V f II b
1
C!, p . Wo Jo s ave separa an 1 a ove pgn..,.ounpamx,
465
r I :1! . ..
7., 41
_. ._ of
SITE 1
,
• Y
rsaY:?y. f r ?, , ?t3di0 I Owfj'.
_ (,1131)
(itA;
M
YotlIlgsv I(-
??
Armory
1 i Y +
Copyright (C) 1998, Maptech, Inc.
Project Study Area
SR 1140 John Mitchell Road
Franklin County
Grissom
USGS Topo Map (1978/1987)
Figure 1 1:24,000
al.', .
V
' }
AQB

1139

' y rirx s

_ ? a 1

40

?u ?C[a?f:1?4?ti2•
3993

r a i
a ?
1140
1 A^B
IN'rA
fie9?''" NY K ryi
C~
1138
Cad'
?' pry
w
,, x
;AI
1 ?1r_ 96 yr
36°02'30"
Uff PuC 3991
.N
1134
1 •1
1139
h
bR J ?_ JS.S
1190
42, _ N
rN
Project Study Area
SR 1140 John Mitchell Road
Franklin County
USDA-SCS (2004)
Figure 2 1:24,000
T
U
v
LL
c
to o
L }
4)
4- o v
a v L c
N
N ?
CL U 0 c
p L O
L F- 4-
U
N p Ot 7
o c +
CL c + W
o - c
L = x o
W W U
N LL
4-
0 W
Z - I
N
rn
0
? rn
v c
c
v o
Lo +-
4- v
O 3
m
c
m r_
E o
m ?
V
O
IL
I r I
I ? +' I
N ?
I v 3 I
?\ I a T I

b ? O
O
a
c °? b ?
II
.G

b M

a

i
i
i
0 oa
i
,
o,
i
i
i
i
i
\ el
?F
Li L LL
I O I
W I I W
I ?
Office Use Only: Form Version March 05
6> ' 5 ? 2-
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ® Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3 and NWP 33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here:
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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
1. Owner/Applicant Information
Name: NCDOT Division 5. Jon G. Nance
Mailing Address: 2612 N. Duke St., Durham NC 27704
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 1 of 8
M. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Proposed repair of a structure conveying an unnamed tributary to Horse
Creek on SR 1140 (John Mitchell Road) in Franklin County.
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Franklin Nearest Town: Youngsville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Youngsville take Hwy 96
North for approximately 1.5 miles. Make a left onto SR 1160 Old John Mitchell Road).
After approximately 0.2 mile this road T-intersects with SR 1140 (John Mitchell RoadZ
Project inlet is straight across roadway in pasture.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0466 ON 78.5096 °W
6. Property size (acres): 0.08 acre
7. Name of nearest receiving body of water: Horse Creek
8. River Basin: Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at hh://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site is surrounded by wood lands.
Page 2 of 8
10. Describe the overall project in detail, including the type of equipment to be used: So that
the failed shoulder can be repaired the NCDOT will reset the first two joints on the inlet end
of the concrete pipe Rip rap armoring will be added to stabilize the stream banks and
shoulder fill section above the pipe end. The NCDOT will also dewater the work zone during
construction. Equipment may include excavator, backhoe bulldozer. Szader, and crane
11. Explain the purpose of the proposed work: Repair highway shoulder which has collapsed
above separated joints on the pipe inlet.
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.
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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
Provide a written description of the proposed impacts: Dewatering the stream is necessgn to
repair the pipe end. Once the pipe joints are reset, the NCDOT will repair the existing roadway
shoulder by back fillip the slope and armoring the pipe end and stream banks with rip M.
Page 3 of 8
I . Individually list wetland impacts. Types of 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.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)
N/A N/A N/A N/A N/A N/A

Total Wetland Impact (acres) N/A
2. List the total acreage (estimated) of all existing wetlands on the property: N/A
3. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact Perennial or Average Impact Area of
Number Stream Name Type of Impact Intermittent? Stream Width Length Impact
indicate on ma Before Impact linear feet acres
Site 1 Ut to Horse Crk Fill (piped length) Intermittent 1.0 NONE NONE
Rip rap armoring 10 0022
0
to strew banks .
Temporary 10
0
0022
dewatering concurrent .
Total Stream Impact (by length and acreage) 10 0.0022
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
indicate on ma Name Waterbody
applicable) e)
(if ap
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
acres
N/A

Total Open Water Impact (acres) N/A
5. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Im act acres): 0.0022
Wetland Impact acres : NONE
Open Water Impact (acres : NONE
Total Impact to Waters of the U.S. acres 0.0022
Total Stream Impact (linear feet): 10
Page 4 of 8
6. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
7. 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
Current land use in the vicinity of the pond: 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 and surface
waters not affected by construction will be protected from unnecessary encroachment during
construction. Strict enforcement of Best Management Practices for the protection of wetlands
and surface waters will be enforced during construction. Only the smallest amount of fill
necessary to complete the project will be placed in waters of the United States
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 January 15, 2002, 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
Page 5 of 8
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 NCEEP 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/strmaide.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.
All compensatory mitigation requirements will be left to the discretion of the re ug latm
review agencies.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr. state. nc. us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federaVstate) land? Yes ® No El
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes E] No
Page 6 of 8
3. 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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ® No ?
2. If "yes", 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.
Site 1
Zone* uare feet Multiplier Mtequired
1 1,213 3 (2 for Catawba) N/A
2 261 1.5 N/A
Total 2,229 N/A
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A
XI. Stormwater (required by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. No additional impervious surface is proposed
with this maintenance pipe repair proiect. Erosion and sediment control devices at this site are
comprised of temporary dewaterin and nd rip rap armoring `of structure end.
Page 7 of 8
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.
This project will not generate wastewater.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application'? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent Ncrth Carolina Division of Water Quality policy posted on our website at
httfi://h2o.cnr.st,?te.nc.us/ncwetlnnds. If no, please provide a short narrative description:
This maintenancep:ioject will not result in additional development.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., (.1,aw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
DCa
I I/ Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8