20051458 Ver 1_Complete File_20060627

F WA TF ? v Michael F. Easley, Governor
?? 90 William G. Ross Jr., Secretary
?O G North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
> Division of Water Quality
O 'C
DWQ Project No.: 7-005' 1 4S8
Applicant: _/VG 00 r
County: VA;6h 1 no V"
Project Name: 54- 13,06 ( Mt- 10/04ISant 4oud -Lb - Date of Issuance of 401 Water Quality Certification: 8-- oS
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.
Applicant'y Certification
1, 9,&h , hereby state that, to the best of my abilities, due care and diligence
was used in V 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: _ //A,,. 4?? -- 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:
Engineer's Certification
Partial Final
Date:
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 Registration No.
Date
e
Jam.
One
VatiCaro ;}nnit
Transportation Permitting Unit t ra,
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] Internet htto://h2o.enr.state.nc.us/ncwetiands
An Equal Opportunity/Affirmative Action Employer- 50% Recycledl10% Post Consumer Paper
OF W AT F9
O r
August 26, 2005
Washington County
DWQ Project No. 20051458
?T a 9GC ??
APPROVAL OF 401Water Quality Certification with ADDITIONAL CONDITIONS or;
Mr. Anthony Roper, P.E.
NCDOT, Division 1
113 Airport Drive Suite 100
Edenton, NC 27932
Dear Mr. Roper: 1,7
_41 '__?' QG9 BOO` f
cy
You have our approval, in accordance with the attached conditions and those listed below, for the following impacts
to 404 jurisdictional wetlands and streams for the purpose of replacing a pipe on an unnamed tributary to Deep
Creek and for the paving and widening of SR 1306 in Washington County.
Impacts Approved:
The following impacts are hereby approved as long as all of the other specific and general conditions are
met. No other impacts are approved including incidental impacts:
Wetland Impact
Site Number Type of Impact Area of Impact
acres
Site 1 Fill 0.02
Site 2 Fill 0.03
Site 3 Fill 0.006
Total: 0.056
Stream lm act T e of impact Area of Impact
Stream A Pipe replacement/ xtension 14 ft.
The project shall be constructed in accordance with your application dated received August 5, 2005. After
reviewing your application, we have decided that these impacts are covered by General Water Quality Certification
Number 3404. This certification corresponds to the Nationwide Permit 14 issued by the Corps of Engineers. In
addition, you should acquire any other federal, state or local permits before you proceed with your project including
(but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This
approval will expire with the accompanying 404 permit, unless otherwise specified in the Water Quality
Certification.
This approval is valid solely for the purpose and design described in your application (unless modified below).
Should your project change, you must notify the DWQ and submit a new application. If the property is sold, the
new owner must be given a copy of this Certification and approval letter, and is thereby responsible for complying
with all the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of total
impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as
described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to remain valid, you must adhere to the
conditions listed in the attached certification.
IF_ lkr"
N. C. Division of Water Quality 943 Washington Square Mall Washington, N.C. 27889 Telephone [phone]
FAX [phone]
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
1.) Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed. The
responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the Division of
Water Quality upon completion of the project.
2.) All stormwater runoff shall be directed to sheetflow through stream buffers at nonerosive velocities, unless
.i
a ?MC.w hj,? . M-1.5 n?l?iiiv M?ivli
j,}1rGVC.. u ?.iv.v'aoe ,. ....
3.) During the construction of the project, no staging of equipment of any kind is permitted in waters of the U.S., or
protected riparian buffers.
4.) The dimension, pattern and profile of the stream above and below the crossing should not be modified by
widening the stream channel or reducing the depth of the stream. Disturbed floodplains and streams should be
restored to natural geomorphic conditions.
5.) Any riprap used must not interfere with thalweg performance and aquatic life passage during low flow
conditions.
6.) All mechanized equipment operated near surface waters must be regularly inspected and maintained to prevent
contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials.
7.) Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface
waters is prohibited.
8.) The outside buffer, wetland or water boundary located within the construction corridor approved by this
authorization shall be clearly marked by highly visible fencing prior to any land disturbing activities. Impacts
to areas within the fencing are prohibited unless otherwise authorized by this certification.
9.) There shall be no excavation from or waste disposal into jurisdictional wetlands or waters associated with this
permit without appropriate modification of this permit. Should waste or borrow sites be located in wetlands or
stream, compensatory mitigation will be required since it is a direct impact. from road construction activities.
10.) Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize
sedimentation and reduce the likelihood of introducing other pollutants into the stream.
11.) No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened
12.) The presence of equipment in the channels must be minimized. Under no circumstances must rock, sand or
other materials be dredged from the wetted stream channel under authorization of this permit, except in the
immediate vicinity of the culverts.
13.) All work shall be performed during normal or low flow conditions.
14.) All fill slopes located in jurisdictional wetlands shall be placed at slopes no flatter than 3:1.
15.) A copy of this Water Quality Certification shall be posted on the construction site at all times. In addition, the
Water Quality Certification and all subsequent modifications, if any, shall be maintained with the Division
Engineer and the on-site project manager.
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 that 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 contact Garcy Ward at 252-948-3922.
u uwer°v-
.? T
Alan W. Klimek, P.E. ---
Attachment
cc: Wilmington District Corps of Engineers
Mr. Bill Biddlecome, Corps of Engineers, Washington Field Office
W Clay Willis, DEO, NC DOT Div. 1
?Mr. Rob Ridings, NCDWQ, Wetlands/401 Unit
Central Files
File Copy
Vv ?/
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION ?y
MICHAEL F. EASLEY
GOVERNOR
July 29, 2005
Division of Water Quality
934 Washington Square Mall
Washington, N.C. 27889
Attention: Garcy Ward
LYNDO TIPPETT
SECRETARY
051458
Subject: Notification for a NW 14 permit for to grade, drain, base, and pave and perform pipe replacement
on SR 1306 (MT. Pleasant Road) in Washington County.
North Carolina Department of Transportation is requesting a NW 14 permit to grade, drain, base,
and pave and to perform pipe replacement on SR 1306 (Mt. Pleasant Road) in Washington County. The
current pipe is failing and needs to be replaced to secure safe travel and allow better drainage. The current
pipe (36' x 36" RCP) is to be replaced with a proposed pipe 50' x 48" CMP. The longer pipe is needed for
wider shoulders to allow safer passage and will allow better flow. There will be 0.056 acres of wetland
impacts and 14 linear feet of stream impacts associated with this project. The North Carolina Ecosystem
Enhancement Program (EEP) will provide mitigation for this project. NCDOT will use Best Management
Practices as outlined in the BMP manual to perform work on this project. If you need any additional
information or have any questions concerning this project please call me at 252-482-7977.
Sincerely,
Cc Bill Biddlecome, LISACOE
Rob Ridings, DWQ
John Hennessy, DWQ
Anthony Roper, PE
Division One Engineer
I-W
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Clay Willis
Division One Environmental Officer
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Pipe Replacement and Road Widening on SR 1306 (Mt. Pleasant Road) in Washington
County located in the Pasquotank River Basin. 24K Quad Name - Leonards Point.
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-------- -- ------- ----
Office Use Only: Form Version April 2001
USACF: Action ID No. DWQ No. 20051458
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Butfer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NW 14
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 Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
If. Applicant Information
2
1. Owner/Applicant Information
Name: Clay Willis, NC DOT Division One Environmental Officer
Mailing Address: 113 Airport Dr. Suite 100 Edenton, NC 27932
'Telephone Number: [phone] Fax Number: [phone]
E-mail Address: tewillisAdot. state.ne.us
Agent Information (A signed and dated copy of the Agent Authorization
attached if the Agent has signatory authority for the owner/applicant.)
Name: N/A
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
o??c?od?D
G?
AU 6 0 3 1.005
letter must be
DEW - WATER a0AUT BRANCH
WETLANDS AND sTORMWATER
Page 3 of 12
III. 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: SR 1306 (Mt. Pleasant Road) Washington County
2. T.I.P. Project Number (NCDOT Only): IC.094021
3. Property Identification Number ("Tax PIN):
4. Location
County: Washington Nearest Town: Creswell
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): Take US 64 east towards
Creswell until reaching SR 1310 (Alligood Road). Turn left on SR 1310 and go
approximately 1.4 miles and then turn left onto SR 1303 (Davenport Forks Road). Go
approximately 1.5 miles and then turn right onto SR 1306 (Mt. Pleasant Road). This is the
location.
5. Site coordinates, if available (UTM or Lat/Long): Project Be€;in Location 35.922574 N
76.396958 W Project End Location 35.906141 N 76.400086 W
Site 1 Pipe Replacement 35.906752 N 76.399638 W
(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. Describe the existing land use or condition of the site at the time of this application:
Woodland, agriculture and commercial, rural residential.
7. Property size (acres): 8.7 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed tributaries to Deep Creek
9. River Basin: Pasquotank River
Page 4 of 12
(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.nc.us/admin/maps%.)
10. Describe the purpose of the proposed work: To widen and pave a narrow gravel road to
ensure safer public travel To replace a structurally failing, pipe (36' x 36" CMP) with one
new pipe 50' x 48" CMP at StreamA.
11. List the type of equipment to be used to construct the project: excavator, backhoe, motor
grader, and dump trucks
12. Describe the land use in the vicinity of this project: Woodland and residential.
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 additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: None
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
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.
Page 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
Site I Fill 0.02 Yes 1800 Riverine wetlands
Site 2 Fill 0.03 Yes 1600 Riverine wetlands
Site 3 Fill 0.006 Yes Adjacent Riverine wetlands
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till,
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 FF.MA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httII.// w ww_ ferna.L'ov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0.21 acres
Total area of wetland impact proposed: 0.056 acres
2. Stream Impacts, including all intermittent and perennial streams:
Stream Impact
Site Number
(indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please s ecif
Stream A Fill 14 Unnamed Trib. To
Dee Creek 4-6 Feet Perennial

* 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),
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.usks.ttov. Several internet sites also allow direct download and printing of USGS maps (e.g., w?aw.brz_onc cc?m,
www•mapuuest.com, etc.).
3. Cumulative impacts (linear distance in feet) to all streams on site: 14 feet
4. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S. None
Open Water Impact Area of Name of Waterbod
y Type of Waterbody
Site Number Type of Impact* Impact (if applicable) (lake, pond, estuary, sound,
(indicate on ma acres) bay, ocean, etc.)
N/A
Page 6 of 12
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation N/A
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.
Impacts were minimized by narrowing the road width and not using the entire right-of-way
where wetlands were present as much as possible but still allowing a wide enough road for safe
travel NCDOT also chose the shortest and smallest pipe possible while still allowing adequate
water flow and wide shoulders for safe travel.
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
Page 7 of 12
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.eiir.state.nc.us/ncwetlands/strmgide.litin1.
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.
Mitigation will be provided by the North Carolina Ecosystem Enhancement Program.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http;//112o.enr.state.iie.tis/wr /a index_htni. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): 14 Feet
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): 0.056 acres
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
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 [phone] to review current thresholds for environmental documentation.
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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 ? 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 (DWQ Only)
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 213 .0233
(Neuse), 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.
Zone* Impact
(square feet) Multiplier Required
Miti a n
--- 1--- N/A 3
2 1.5
--- Total -
* Zone I extends out 30 feet perpendicular from near bank of channel; /.one 2 extcnas 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.
N/A
XI. Stormwater (DWQ Only)
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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.
Impervious acreage will increase by 2.8 acres
XII. Sewage Disposal (DWQ Only)
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.
No wastewater will be generated
X111. Violations (DWQ Only)
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. 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., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
2?
Applicant/Agent's S' ature Date
(Agent's signature valid only if an authorization letter from the applicant is provided.)
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