20031504 Ver 1_COMPLETE FILE_20030121

WAIF Ntichacl F. Easley, Governor
u, R William G. Ross Jr., Secretary
\O? pG North Carolina Department of Environment and Natural Resources
6 7 Alan W. Klimek, P.E., Director
? DW r Quality
Division of Water .* =? • -3 Coleen It. Sullins, Deputy Director
Division of Water Quality
January 28, 2004
DWQ# 03-1504
Randolph County
Mr. Gary White
9814 U. S. Highway 311, Suite 2
Archdale, NC 27263
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. White:
You have our approval, in accordance with the attached conditions, to place permanent fill in 148 linear feet of
intermittent stream and 0.057 acre of wetlands in order to construct a road crossing for the White Oaks
Subdivision in Randolph County, as described in your application received by the Division of Water Quality
(DWQ) on December 1, 2003. After reviewing your application, we have determined that this fill is covered by
General Water Quality Certification Number 3404 which can be viewed on our web site at
http://h2o.enr.state.nc.us/ncwetlands. This Certification allows you to use Nationwide Permit Number 14 when it
is issued by the U.S. Army Corps of Engineers. In addition, you should secure any other federal, state or local
permits before you proceed with your project, including those required by (but not limited to) Sediment and
Erosion Control, Non-Discharge, and Water Supply Watershed regulations. Also, this approval will expire when
the accompanying 404 permit expires unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or in
the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506
(h). For this approval to be valid, you must follow the conditions listed in the attached certification, as well as
the additional conditions listed below:
1. The culvert required for this project shall be installed in such a manner that the original stream profile is not
altered (i.e. the depth of the channel must not be reduced by a widening of the streambed). Existing stream
dimensions (including the pattern and profile) are to be maintained above and below the location of the
culvert. The culvert shall be designed and installed to allow for aquatic life movement as well as to prevent
head cutting of the stream. If the culvert becomes perched, the appropriate stream grade shall be re-
established or, if the culvert is installed in a perched manner, the culvert shall be removed and re-installed
correctly.
The Applicant must submit a plan and receive written approval from this Office to address any head cutting
that will occur as a result of this project (e.g., use of cross vanes downstream of the culvert).
Native vegetation and other soft stream bank stabilization techniques must be used where practicable
instead of riprap or other bank hardening methods. If riprap is necessary in the streambed, it shall be limited
to the minimum amount required to protect the culvert from scouring, as shown by engineering calculations.
T4
e4
;rCDENA
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Ralcieh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (httpJ/l12o.cnr.st.ite.nc.us/tic"ctlan(is)
Customer Service #: 1-877-623-6748
2. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of Completion" to
notify NCDWQ when all work included in the §401 Certification has been completed. This certificate
should be returned to the 401/Wetlands Unit of the NC Division of Water Quality at the address listed.
Along with the Certificate of Completion, please send photographs upstream and downstream of each
culvert site to document correct installation.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must
act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition which
conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless
you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-771-
4600 or Cyndi Karoly in the Central Office in Raleigh 919-733-9721.
Sincerely,
Alan W. Klimek, P.E.
AW K/cdl
Attachments
cc: U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Paul R. Blanchard, PE, Deep River Engineering, PLLC, 110 Scott Avenue, Suite 3, High Point, NC 27265
MEMORANDUM
TO: John Dorney Regional Contact:
Non-Discharge Branch WO Supervisor:
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name White Oaks Subdivision
Project Number 03 1504
Recvd From APP
County Randolph
County2
Region Winston-Salem
Received Date 12/1/03 Recvd By Region
Project Type road crossing
Certificates Stream Stream Impacts (ft.)

Permit Wetland
Wetland Wetland
Stream Class Acres 6+ f a,-r., letta?
Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
14 IW FT-O-
Y O N F__ 17-11-3 NsI11 HQNv 30,609. o.06 148.00 148.00
fir- O Y ON F_F_(-F_F_(__F_
Mitigation Wetland
MitigationType Type Acres Feet
BOGF F_ F_
F-r F_
Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? 0 Y 0 N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? 0 Y O N Recommendation: 0 Issue 0 Issue/Cond 0 Deny
Provided by Region: Latitude (ddmmss) 355154 Longitude (ddmmss) 794422
Comments:
cc: Regional Office
Central Office Page Number 1
Facility Name White Oaks Subdivision County Randolph
Project Number 03 1504 Regional Contact: Daryl Lamb
Date: 1 /21 /2004
Comments (continued from page 1):
deadline- In addition, the status of the wetland, isolated or jurisdictional, will have to be determined in
order to know whether a general water qualety certification and a state general permit for isolated
wetlands is required or a general WQC can cover both impacts, If the USACE makes its
determination on the 27th, WSRO will issue the required 401 authorization on 01/28/2004.
cc: Regional Office
Central Office Page Number 2
401 WQC Authorizations Issued
Subject: 401 WQC Authorizations Issued
From: Daryl Lamb <[e-mail]> ll
Date: Fri, 23 Jan 2004 13:24:13 -0500
To: Cyndi Karoly <[e-mail]>
Hi Cyndi,
The following 401 WQC authorizations have been issued effective 01/23/2004:
03-1475 Arabian Trails Subdivision
03-1505 Beck Ridge Manor Subdivision
03-1513 Viewmont Sandrock Mine
Hold letters for 03-1519 Haire Property Culvert and 03-1585 Barrocliff/647 Barrocliff Road will be
issued 01/26/2004. The applicant for Haire Property Culvert has requested that the application be put on
hold while he negotiates with DOT on the diameter and placement of the proposed culvert. The
Borrocliff application is missing several required pieces of information as well as an engineering
determination of the appropriate culvert diameter. White Oaks Subdivision, 03-1504, will be issued
01/28/2004 if the USACE makes their jurisdictional call as scheduled on the 27th. If the USACE
reschedules, that application will also be put on hold. The main issue here is a jurisdictional/isolated
determination for a wetland.
Best regards,
Daryl
Daryl Lamb
NC DENR Winston-Salem Regional office
Division of Water Quality, Water Quality Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone] ext 272
FAX: [phone]
1 of 1 1/23/04 3:42 PM
Triage Check List
Date:. / Project Name: OU C C17 ki Y41
DWQ#:
County:
To: ? ARO Mike Parker ?' WaRO Tom Steffens
? FRO Ken Averitte ? WiRO Noelle Lutheran
? MRO Alan Johnson WSRO Daryl Lamb
? RRO Steve Mitchell
From: -? Telephone : (919)
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
Stream determination ho C,, "
Comments.
?Y C?C/(", I <o/It
h inimization/avoidance issues
El Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
El Pond fill
? Mitigation Ratios
El Ditching
? *Are the stream and or wetland mitigation sites available and viable?
El Check drawings for accuracy
El Is the application consistent with pre-application meetings?
El Cumulative impact concern
? etland determination and distance to blue-line surface waters on USFW topo maps
Q? -
r cel11 Cnfj j-l
Y yV v V
ENGINEERING, PLLC
110 Scott Avenue, Suite 3
High Point, NC 27265
Phone: [phone]
Fax: [phone]
j?5 r? ? e-y $ j l
WETLANDS / 401 GROUP
DEC 0 T 2003
WATER QUALITY SECTION
November 20, 2003
NCDENR Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Re:
White Oaks Subdivision
Racine Road Area
Intermittent Stream Impact Permitting
Randolph County, NC
Dear Sir:
Pursuant to onsite meetings and evaluations with Cynthia Karoly and Darrell Lamb of the Wetlands
Section of Division of Water Quality of NCDENR, please find the Pre-Construction Notification for
White Oaks Subdivision in Randolph County. The field evaluation determined that one crossing is an
intermittent stream, and the pipe and associated fill was already installed. Three other crossings were
evaluated onsite, and were determined to be ephemeral. The intermittent stream crossing is
highlighted for clarity. Thus, I am forwarding the PCN to request an "after-the-fact" permit.
Please feel free to contact me at [phone] or [phone] if any further information is
required. Thank you very much for your time and consideration.
Sincerely,
Paul R. Blanc lard, P.E.
c: file
Office Use Only' Form Versi on May 2002
z ? „ 1
USAGE 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
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 3404 & 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 (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
°&MMDS / 401 GROUP
1. Owner/Applicant Information
Name: Gary White DE r v " 1 2H
vu3
Mailing Address: 9814 U.S. Highway 311
Suite 2
Archdale NC 27263 t
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: reecediamond@aol coin
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: Paul R. Blanchard PE
Company Affiliation: Deep River Engineering, PI I C
Mailing Address: 110 Scott Avenue
Suite 3
High Point NC 27265
Telephone Number: 336 887-9009 Fax Number: 336 887-5174
E-mail Address: prblanchard@bnorthstate net
Page 5 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 snaps 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: White Oaks Subdivision
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 7787-11-5383
4. Location
County: Randolph Nearest Town: Randleman
Subdivision name (include phase/lot number): White Oaks (roadway crossings)
Directions to site (include road numbers, landmarks, etc.): From US 220 Business south of
Level Cross turn east onto Providence Church Road (SR 2114) for 2.5 miles-, turn right
(south) onto Racine Road (SR 2106) for 1.5 miles, site (Road A) is on the left (east).
5. Site coordinates, if available (UTM or Lat/Long): N 35 51' 54" / W 79 44' 22"
(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): 147.98+-acres
7. Nearest body of water (stream/river/sound/ocean/lake):
8. River Basin: Cape Fear
(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.iis/admin/mat) .)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is generally wooded - formerly beine a farm, and
the roadways are rot graded and under construction at this time The land use nearby is
ap,rieultural and residential with lots greater than one acre
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: The
project is a residential development with minimum lot sizes of -3 acres. The developer
intends for the lots to be sold mostly wooded as they will be served by onsite wells and septic
tanks. The roads are to NCDOT standards and should be turned over for maintenance after
construction and lots are occupied Construction equipment anticipated includes: pans;
gradalls• track hoes; backhoes• logging trucks, tractors; and concrete trucks.
11. Explain the purpose of the proposed work: The proposed work is to construct roadways
meeting NCDOT and Randolph Count requirements for the residential subdivision.
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.
This is the first formal submittal for this project however NCDENR DWQ staff previously
(September 2002) and recently (July 2003) investigated this site for impacts.
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 future permit requests are anticipated
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 7 of 12
1. Provide a written description of the proposed impacts: A small 2 476 wetland is
proposed to be filled for the roadway construction. One roadway culvert is to be placed in an
intermittent stream along with its associated headwall and outlet protection features.
2. Individually list wetland impacts below:
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***
1 Fill 0.057 no 100 Bog - isolated

_? ..?. .J.. -"Cnn fill
* List cacti impact separately and identify temporary impacts. impacts include, uui are uuL uuuHcu ,???. ??u?,,. . ?•?w••••b. b °°
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 httn:/hvtivw.fcma.aov.
*** List a wctland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wctland, 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: 2+- acres
Total area of wetland impact proposed: 0.057+- acres
3. Individually list all intennittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on map)
Type of Itnpact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
2 Culvert/rip-rap 148 if UT Little Polecat Creek 3 feet Intermittent

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-W,
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, ditch in g/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 arc available through the USGS at 1-800-358-9616, or online at
vvtvw.usgs.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozonc.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 148 If (intermittent)
Page 8 of 12
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 ma
Type of Impact* Area of
Impact
acres Name of Waterbody

(if applicable) Type of Waterbody
(lake, pond, estuary, sound,

bay, ocean, etc.

Il d ed in
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to. fi , e?.cavation, r g g,
flooding, drainage, bulklieads, etc.
5. 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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
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.
The subdivision lavout took into consideration the developer's desire for large lots (3+ acres)
and efforts were made to stay above perennial streams The intermittent stream and isolated
wetland impact were a result of meeting the lot size criteria without significantly decreasing the
total number of lots or increasing, road lengths
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 perertrtial
streams.
Page 9 of 12
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/newetlands/strmgide.litmi.
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
[phone] 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.nc.us/wrp/index.litm. 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):
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):
Page 10 of 12
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 [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 (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 213 .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* rmpact
(square feet Multiplier Required
Mitigation
I 3
2 1.5
Total
* Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 1 I of 12
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 213 .0242 or .0260.
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.
The site has an existing impervious surface area (ISA) of less than 1% Due to the large lots, the
overall ISA for the protect should approximately 5% - accounting for the road surfaces and
allowing 4,000 sf per lot impervious The subdivision has ribbon pavement with side ditches in
lieu of structural drainage features
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.
The lots will be served by onsite wells and septic tanks
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes X No 1
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).
-d - d3
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
A
III'
j
X
i W
lz
OY
c c???j
"O
r?
I .a

?L\
?p
Al
V?-?

1
.f

-:1
P?
7PF
ago ?- ?,
v o
? ??'', ?mac- ? t>?

n?

• _a
i? pa
" 0
15
1
/ .P 1
r?
.O
COURSE
L-11
L-12
L-13
L-14
L-15
L-16
L-17
L-18
L-19
L-20
L-21
L-22
L-23
L-24
L-25
L-26
L-27
L-28
L-29
L-30
L-31
L-32
L-33
L-34
L-35
L-36
L-37
L-38
L-39
L-40
L-41
L-42
L-43
L-44
L-45
L-46
L-47
L-48
L-49
L-50
L-51
L-52
L-53
L-54
L-55
L-56
L-57
L-58
L-59
L-60
L-61
L-62
L-63
L-64
L-65
L-66
L-67
L-68
L-69
L-70
L-71
L-72
L-73
L-74
L-75
L-76
L-77
L-78
L-79
L-80
L-81
L-82
L-83
L-84
L-85
L-86
L-87
L-88
L-89
L-90
41
BEARING
44'51'49"E
02'48'08'E
06'24'26"W
61'49'381Y
I 11' 12' 10"E
37'31'521+1
01'47'28'W
33'02'
10'02'
1 21'01
23'26
17'15'
39'21'29'W
I 17' 12'09'E
07'47'30'W
107'41'36'E
47' 17'05'W
109'47'34'E
27'23'42'W
139'41'20"E
13'03'52 W
132'32'38'E
711'11 1'34W
I 15'46'46'E
68'04'08' W
28'17'23"W
12'26'39'W
10713'06'E
156'O8'43'E
1740'21'W
64'05'4819
108'33' 19'E
17'10'31'W
1 74' 14'27'E
I 13' 59' 12'E
4717'14'W
O6'46'37'W
02'26'42"W
101'05' 18'E
5T43'1 7W
06'35'30-W
5704'41'W
23'09'0019
2T44'58' W
63'21'26'W
03'37'50'W
27'11'15W
127'31'23'E
13'58'38"W
1 44'S2'1 1"E
i 5,703'O6'E
1 38' 18'11 2'E
0711'25W
130'44'46'E
00'44'11"W
26'50'30'W
188'43'50'E
145'24'50'E
155'52'08'E
i 87'24'05"E
170'31'48"E
1 55'47' 16'E
1 44*21'25'E
i 68'00'03'E
146'42'45'E
14'39'43'W
137'13'20'E
129'24'44'E
1 26'50'1 3'E
106'02'58'E

DISTANCE
184.39'
141.62'
268.40'
50.20'
57.15'
43.17:
47.03'
24.99'
134.28'
77.40'
114.37'
18.16'
30.10'
127.39'
49.61'
105.46'
19.71'
75.08'
57.92'
75.27'
179.93'
34.44'
44.41'
70.41'
94.26'
23.09'
102.49'
31.70'
16.83'
85.16'
34.30'
36.29'
42.62:
55.54'
74.51'
61.44'
29.75'
25.40'
24.39'
86.83'
28.04'
17.56'
33.53'
25.45'
76.26'
81.36'
126.59'
47.76'
49.24'
48.39'
126.56'
20.49'
34.85'
64.32'
37.19'
56.93'
64.62'
21.72:
19.22:
68.66'
87.91:
70.63'
53.33'
45.81'
77.91'
174.66'
81.70'
34.63'
32.30'
49.88'
50.06'
88.58'
257.14'
135.75'
95.34'
NIP
i
J
?

rye. I

R
85'20'3 7'E
OhD fNCE c
if RD
330.00

186.04' 143.96 19
X. AXLE I b

L-57 n SITE
L-56 \\ /
I A
L-55
\
L-54
SALEM RD
L-53 NEW
CY 2 0
J
L-51
L-50
VICINITY MAP NOT TO SCALE
`° C-1
9
v
I
J
rata:
t

^
Sauey loosed on ndsUnq Yaw and is suOjact to
ory wswnarNs. rwo-of-way or egnamar" of
jk6 L record prior to Yq arvq.
EtP . Ex" Yon P.po EIS Ewkt" Yon $tafw
KP . Now Yon r00 N5 . Now ran Stela
L-4 PL Property Uno Cl Cantor lJrw

C
L' ECM . Ew" Conarolo Monunwnt
4J E.Px - Ea+stnq Partwe Keen NW
Z
j?1 L-42 NPX . Nw PcwW VOW Noll
=
Q R.O.W. (R\W) .fagot of way
° 2 2 t AS twos 0do".d by Caor&ota Gsorrwlry.

O -a- C.P. - CCICUIoted Point (No Point Set)
L-40 Q
L-39 O
0
6 If
n
I
I O
i \`'' 2 3
b
n
I
J
J
/ L-34 /
/ 2 5 L-33
o /
rn
I
a
X0;P
s /
0' 24
y/
40 /
1 ?.
L-eo?
L-77 ?9
A - n
1 ^?
I cwtify that o ?I surveyed the property
shown on this plat. that Ms pope y fines and location of oil structures
an a -otsly shown hereon, that no slnxturs located on this property
anawches on any adjacent street or property aM that no st ucture on
adjacent property arxroochn on the p n1s.. surveyed a.cept as shown.
Surveyor Rog. Numt»r
?0.2,ZOZ ?.rrat..?4?rL ?E.J?TvLtE..S
C C???
14
\
\
\
\
\
/ 13
1 \ \
J
12
r01 ? ? N t \
L-24
WETLAND
J \
C?B4 ds 2,476 SF \ 4 \
?0 11
O
O M m g:
\ 1 Z s
L-72
\ 1L-70
\ 1L-69
v?
\ L-62
O
I v
L
576.76'
SURVEY FOR:
GARY WHITE
t O
L-67 O O
L-66
65
1' 4 to
\,'6 O
L-61 z
C
CA o
10 O
tQ
1 .J
Ex. AXLE
10 ? <,
0
! ! Z L-19
? r0
?s to
. _? f
J 3
®
C,f4 to
to
0
<n
-? o
I J
0
1104.46-
N 85'00'35ww 1473.46'
11 /
123.62' 68.62'
INEZ REYNOLDS TRUST Ex. AXLE
1376-1776
WHITE OAKS SUBDIVISION
RACINE ROAD,RANDLEMAN NORTH CAROLINA
PROVIDENCE TOWNSHIP, RANDOLPH COUNTY
TAX REFERENCE: 7787-1 1-5383
DEED REFERENCE: DEED BOOK 1265 PAGE 483
DATE OF BOUNDARY SURVEY: APRIL 30, 2002
SURVEY OF DRAINAGE FEATURES: OCTOBER 22, 2002
200 0 200 400 600
GRAPHIC SCALE - FEET
Job No. 02-9668 A
N 84'26'38-W
229.57'
a
to
cc n
ti w.
z
to
00
d
w
Q
o.
<n
to
N
Y
EX. AXLE
w
o AI
Ri
= UII
O
Z
%it,:':,I;.
ti
? CqO w
Prepared By:
CHARLES C. TIHICKER, RI
& ASSOCIATES, INC.
Lund Surveying and Mapping
17-B Randolph Street
Thomasville, N.C. 27360
Bus: [phone] Fax: [phone]
E:\SURVEYS\029324 029324.CRD 1 1 X 17-MAP 1.DWG
Now..
Survey b*W as ow" ton. one is $&led to
any eoewerwne. rV49-61--oy w ogrwnents of
record paw to this Its 0y.
tip - te417rq ton P1pe OS - EAW" tour stoke
ri - Nee koa pips MS - t. tan sae
PL - Property Lkw CL - Center Lire
Mm - EA" Conww% sfan ft"
E.PJL EA" P~ Mean NO
Nlx . floe Pad Kelm Noi
RAW. (" - " of Way
COURSE BEARING DISTANCE
L-1 N 85'03'59W 62.51'
L-2 N 85'03'59W 37.37'
L-3 N 32'43'26W 157.62'
L-4 N 35"3'26W 150.06'
L-5 N 39'33'52'W 108.12'
L-6 N 46'29'19'W 221.64'
L-7 N 32'43'26W 158.55'
L-8 N 35'13'26'W 151.85'
L-9 N 39'33'52W 111.07'
L-10 N 46'29'19'W 245.41'
COURSE BEARING DISTANCE
L-91 N 83'06'01'W 65.35'
L-92 N 23'50'09"W 28.72'
L-93 N 37'09'54'W 45.96'
L-94 N 29'45'18'E 37.85'
L-95 N 2-T48'52 W 58.21'
L-98 N 45'45'26 W 70.10'
L-97 N 22'05'52W 67.75'
L-98 N 54'53'22?W 24.54'
L-99 N 33'06'56'E 21.973'
L-100 N 1LY25'03'W 77.84'
L-101 N 09'54'56'E 76.30'
L-102 N 51'40'54'W 50.06'
L-103 N 11'51'09'W 79.96'
L-104 N 67'33'03'E 9.44'
L-105 N 09'44'08'E 77.04'
L-106 N 26'21'45"W 79.202'
L-107 N 06'43'02'E 114.87'
L-108 N 01'46'1 6'E 34.63'
L-109 N 38'10'03 W 57.54'
L-110 N 76'20'38'E 33.27'
L-111 N IY56:29-W 53.78'
L-112 N 73*3840'W 77.89'
L-113 N 49'04'39W 37.79'
L-114 N 30'23'05'W 64.88'
L-115 N 24'11'46'E 37.95'
L-116 N 23'07'24W 176.56'
L-117 N 00'07'37W 56.09'
L-118 N 21'04'45W 148.96'
L-119 N 54'12'21'W 42.50'
L-120 N 31'31'13'W 63.66'
L-121 N 65'40'47-W 63.94
L-122 N 48'01'58"W 27.90'
L-123 S 2701'49'W 76.64'
L-124 S 18'49'46'W 400.97'
L-125 S 26'49'15'W 167.36'
L-126 S 48'55'37W 151.25'
EIS
JIMMIE FULP
1688-1411
\ CHRISTIAN BICE
1537-45

ti
.9,
EIS \ '91 81y
00 N N 07'30'47-E
1 120-44-
W
Q
a N 06*23
0 86.457.E
0r
N
Y
8
?o
CIO
W 'Y FAQ
0
?O
PSev Co '
o
O ck:
\
z ?
CAR
>'~,r?' E?S/p`?'?''•? 0 mss.
R ' Z ERs 9.
SEAL 0?
? r L- 3497
''ffltrfllfll?l``
1 certify that on Ara 1L. 5C3, surveyed the property
shown on this pot, that the property fines and location of o9 structures
are occuratey shown hereon, that no structure located on this poperty
encroach" on my adjacent street or property and that no structure an
cdjooenl property encroaches on LN pemises surveyed except as shown.
Surveys Rep. Numoe`r
SURVEY FOR:
GARY WHITE
WHITE OAKS SUBDIVISION
RACINE ROAD,RANDLEMAN NORTH CAROLINA
PROVIDENCE TOWNSHIP, RANDOLPH COUNTY
I
EIP
Z
W
Oo
co
to
1
9 tW V \<-'
EX. STONE
eW
n
O N
M seas ookvsoMe by ooordir As Gornetry.
-G- C.P. ee Colculoted Point (No Point Set)
S 84'46'16-E
395.93'
257.64 .?
/ rv
rv
_ f f
? J
EIP
PRO1ryDf Nce CH RO
r
? SITE
0 1 \\J
g
NEW S WE"
RO
VICINITY MAP NOT TO SCALE
$ 85'3622"E EX. NAIL
542.01 IN ROCK PILE
L_719
I 7
31
J hV
/ O L-117
ry/ 0 32
\ v Z? 1_-115
Q -
T , t 4
^ ?6 \CJ? 1L-1 11 ??
try \ L } 1 10 y
L? 109 t0+t
\ 34 4-106 m 33
\ 1
\ I L-107
O
35 \ to 0
R P » p»
29
0? 28
0
s
n
s
27
L-104 O
1? x
10
2
1 0 26
36 / ? 138
\ 1 ? J
? A9, I 3 7 L-l?o
`?09,?is I L-9
EIP / Li97 /
zr) \ L-95 /
o \ L-94
\ I
L-93 L-91
L-92
to it)
o \ / ? ? 40
43 ? ? \
h \
??\ EIS / \ 41
r NIP
\ A
M "A?. \ \\ ? ? RO pt,0
'o
\s / 42
?<1 1
a? \?9 1
ie d? el
S?
?,
o6,
TAX REFERENCE: 7787-11-5383
DEED REFERENCE: DEED BOOK 1265 PAGE 483
DATE OF BOUNDARY SURVEY: APRIL 30, 2002
SURVEY OF DRAINAGE FEATURES: OCTOBER 22, 2002
200 0 200 400 600
GRAPHIC SCALE - FEET
E:\SURVEYS\029324 029324.CRD 1 1 X 17-MAP2.DWG

o
?0.
9L 'P GPQ
tn0 flo PNO
0o.
,P/,
61
01
\ V N \
Job No. 02-9668 B
Prepared By: L
CHARLES C. WHICKER, RLS
& ASSOCIATES, INC.
Land Surveying and Mapping
17-B Randolpph Street
Thomasville, V. 27360
Bus: [phone] Fez: (338) 472-28924
EIS
2
SHARON KOCKETT RAMSEY
1591-296
o0)
EX. STONE
z
EIS
DORIS S. HOCKETT
993-404 4'
rn
M Oh
O et
2

0
J
Z (0
_°4 aFARmc: 7~~Si4rJ~:E ~ 1 14~b' ag"~ +84.!9' ~
416= ~ CHRISTIAN RICE e~~~ ~'„.N ~r 4r ~ Rr
~ 1537-45 A V ~ I i i n
4 ~3 , , ~ 5 ~a, n I
~i 4'~. a~~ 46.16"E ~e R..w 395.93' IN TRUST GL REYN~LD$
A, ~JJ lL ~ ~ , JIMMIE FULP w 4 S 85'36'22"E 1376-i776 ? ' - .
~4~~~~ ~'r,~~ 1 -fait ~ - X42.01' tech a~~~.~ 688
' ~ ~ O ~ h d.~ ~.E
~ a ` o n, S _ 5 9x'09' t ~
°J" a 947 02~ ~ ~ uaE' ,;ter ~:A, E
~ ~ ~ 1A ~ f~ ' V T, .W
- y N vo - ~
ti~ ~ -
. , ~ - _ r, ~ 0 - n~ Note:
SHARON KOCKETT RAMSEY N . v ' 1 Survey bocce an ertinq van ab n wbpct W onr eoearwnle, fyw-d-.oy a ognemenb of
, 591- 296 ~ _ _ _ _ ! _ - - - ~ _ _ S 95' 20 `3 ~ recona pria to ms •ray
33!:.00 Ep Ewtirq ton Pne Ea • E,nt.q ~ Stob ~.r'~' _ yeP . NN toe Ppe M$ • NM ton $lpKe Y
!~\j ' ~ 4 . z 'a~jF, - PL .Property tiM Cl + Gnlp lin? ECwr • Emtvp Comae ~onrxner+~
. ` ~ ~ . - z - - C.P K . E.~ainq Porter Kobri NW - - N.P N . Ne. PaW KWpn NOA
e R.O.¦ (R\W) Rent O( eby <<
,`v • ~ ~ _ 1 _ _ _ , : _ - ; f ~ i- ui Drew cdcubtee ty cooranote Gearntry. ~ ~ C P Colculated Pomt {No Po~rrt Set)
_ - i ~ M I
~ ~ ~ ~ 1 _ ~ } V
DORIS S. HOCKETT ,fir. ~ _ a(74 - ~ _ _ ~ I Q
~ ~ n ;T~ ~ m - l2 I 1
:U ~'v 1 rn ! I 1
r , A Y ~K ~ I pU I ~ r ~ 1
E- ~ ~ ~ Z ~ _ _ v, e 1 i Y ~ ! J
_ ~ n' 4 +t ~ S " ( ~ Q m ? - i ~ _ ya - i I G
- ~ ~ r C ~ I i lai ~ 1 w
, . 3.~, ~ ~ i Z r_ ~ W ~ ~
k~N~:. ~ 'g Qd, v 1 Z m 4 iq ~ ~ O
'y fn ---`tom i 1 _ _ --'~_j„ _ ~ Q N v ~
I ! p ROp~O ~ ~ „ ~Q ~ ~ ~ ? ' p `o ~
- ~ ~ i i v e ~ ~ ~ Z s - _
_~J 1 Z Z N '3~'3~'a~°~ ~ ~ r ~ z 3 -n ' o
' Q ~ 1 . '~~~aa ~ J i N
Q ~1 .y ~ - ~ ~ ~ n _ ~ ~ i i O Z ~ i
~ y~. ~ ~ '~6 ~ ~ ~ ^ INEZ REYNOLDS TRUST ~ _ . '376-1776
I ; N _ ~ i
_ -t 3q , ~L . ~ ~ ~ ~ ~
_ ~ ~ ~ O I 1 j I
4 l ' ~ - I '
_ ~ ~S,y ~ ~ ~O - ? ~ i i A. i
~ - r ~ Q ~ _ ~ ~ I ~ _r ~ J i COURSE BEARING OI;,:ANCE
Z a ~ I ~ 1
~ ~ I ~ ~ ~ ~ ~ ~ t-2 N 95'03'59"w 37.37'
Q ~ ~ ~ . ~ 1 ~ ~-3 N 32'a3'26"w 157 6~' i ~ -c " i %6"w ; Sr uh' 1. E N 3a 3
- ~ Cf, , \ ~ ' J ~ ~ , _5y tg°i3,a2"w ,na
T 1 ~ ~ L-5 N a6"29t9"w 22t 6a' /
~ ~ ~ ~ i. ~ N 32'4326"w ?58" i ~-8 N 35'i32b"w +51.85
, ~ , 1 _ ~ . , . f I ;-9 39'33'52"w
' ~ ~ ~ r9, .'v' • Y , J~. • ~-t0 N a6'29'~9"w Za541
7 . ~ ; C l ~
t J
r
~ ~ P
~ / 1
~ ~ n
~ ~ ~ t*
i ~y ! N 54'26' {A" r 1 _ 4;
~ ~P ' e 29,57; ~ !
1 ~ ~ ~ ~ ~ ~ P, o
~ ~ p ~ ~ ~ ~I _ ' m. ~ ;
_ \ i +~n~ ~ ( q e •
. ~ ~ ~ ' ~ ;G s t • ~y(A~
~ 9~ ~ 31 T ~e ~j ~ V7
T~ ti ~ n ` I ~
F _ qv ~ \ 4 - ~n 0 ~ SURVEY' FOR: - ~ ~
9 C ~ -
_ _ ~ ~ IT GARY WH E
~ _ _ _ . ~ r _ ~ ~ ~ _ ~ 1 a i I r
. ,A 2 ~a.p~ ~ WHITE OAKS SUBDIVISION _ ~ ~ i
. _ - t j l ~ V - _
O ~ \ - RACiNE ROAD,RANDLEMAN NORTH CAROLINA - PROVIDENCE TOWNSHIP, RANDOLPH COUNTY
_ U
A 1ww V /ys ~ ~ T~ ~ - TAx REFERENCE: 7787-11-538~~
\ ~ F, ~ ~ - DEED REFERENCE: DEED BOOK 1265 PAGE A83
U Job No ~:L:~1Cck~~ , , ~ ~-~_r, _ DATE OF BOUNDARY SUR'dEY: APRIL 30, 2002
~ C - a -2 ~ ar DATE OF SURVEY OF DRAINAGE FEATURES: OCTOBER 22, 2002
Preor~~d tic ~ N 85'00'35"W lay .ha 3 4F~' ~
CHARLES C. WHICKER, RLS
& ASSOCIATES, INC. ~ ~ _ ax~ ` 200 0 200 400 600
~ ~ INEZ REYNO i~ i~7 :u.~r~uig .,1.1 bi~lFla., S INEZ REYNOLDS TRUST i376-1776
do' n street 147.221 AC. OUTSIDE ROAD RIGHT OF WAY t 376- t _ tau i~ T,ott:a,i'i;~e ~ . %~jh« OJ62 AC. INSIDE ROAD RIGHT OF WAY a- ~ \ t~: ' A I ;RAPHlC SCALE -FEET
a,:~ ,~r; 4,~z ,A~~~ ~~r , ~yy:~ 147.983 AC. TOYAL , _
NEW SALEM ROAD E `~.,SUHV~~S~~~~~932a 02932a CRD wETt.awD-Mkpt.Dwu
_ _ _ _ _ _