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HomeMy WebLinkAbout20001176 Ver 1_COMPLETE FILE_20000913State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Bill Holman, Secretary Kerr T. Stevens, Director 1 01?WAA • NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES September 14, 2000 Franklin County DWQ Project #001176 APPROVAL of 401 Water Quality Certification with Conditions and Tar-Pamlico Buffer Rules CCI-Windley, LLC c/o May Realty 108 W. Franklin Street Louisburg, NC 27549 Dear Sirs: You have our approval, in accordance with the attached conditions, to impact 100 linear feet of stream channel and the associated riparian buffers in Franklin County for the purpose of road crossing construction as you described in your application received by the Division of Water Quality on September 13, 2000. After reviewing your application, we have determined that this action is covered by General Water Quality Certification Number 3289. This Certification allows you to use Nationwide Permit Number 14 when issued by the U.S. Army Corps of Engineers. This approval is also valid for the Tar-Pamlico River Buffer Rules (15A NCAC 2B.0259). In addition, you should get any other federal, state or local permits before you go ahead with your project including (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 only valid for the purpose and design that you described in your application except as modified below. If you change your project, you must notify us and you may be required to send us a new application. If the property is sold, the new owner must be given a copy of this 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) (6) and (7). This approval shall expire when the corresponding Nationwide Permit expires or as otherwise provided in the General Certification. For this approval to be valid, you must follow the conditions listed below and in the attached certification. 1. Deed notifications or similar mechanisms shall be placed on all lots accessed by the subject road with remaining jurisdictional wetlands and waters or areas within 50 feet of all streams and ponds to notify the state in order to assure compliance for future wetland and/or water impact. These mechanisms shall be put in place within 30 days of the date of this letter or the issuance of the 404 Permit (whichever is later). A sample deed notification can be obtained on the NC Wetlands/401 Certification Unit web page a http://h2o.enr.state.nc.us/ncwetlands/deednote.html. 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, P.O. Box 27447, Raleigh, N.C. 276 1 1-7447. 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 telephone John Dorney at 919-733-9646. Sinctrely, !Kerr 1`. Stevens f Attachment Y? cc: Corps of Engineers Raleigh Field Office Raleigh DWQ Regional Office J File Copy Central Files 001176 Division of Water Quality • Non-Discharge Branch 1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper http://h2o.enr.state.nc.us/wettandc.htmi [.<. 001176 SEA . Dwc CORPS ACTION m: wxrctart?a???? T) NA NWIDE PER-MIT REQUESTED (PROVIDE NATIONWIDE PERMIT PRE-CONSTRUCTION NOTIFICATION APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: 1) NOTIFICATION TO THE CORPS OF ENGINEERS 2) APPLICATION FOR SECTION 401 CERTIFCATION ffi 3) COORDINATION'WTM THE NC DIVISION OF COASTAL MA:NAGEME:NT SEND THE ORIGLNAL AND (1) COPY OF THIS COMPLETED FORM TO THE APFROPRL-kTE FIELD OFFICE OF THE COPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES '-,V[ ST BE SENT TO THE NC DIVISION OF WATER QUALITY AT'TNi: JOAN- DORNEY. 4401 REEDY CREEK ROAD. RALEIGH. NC 27607. PLEASE PRINT OR TYPE. 1. OWNER'S NAN. IE: CCI-Windley, LLC 2. 14LAIL.LNG ADDRESS: c/o May Realty 108 W. Franklin ST. Louisburg, NC 27549 SUBDIVISION NAME CITY: Louisburg STATE: Nnrt-h rArnl ; n i ZIP CODE: 27549 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FR0?1 "vL4II.INGADDRESSABOVE): Camelot Estates Subdivision, off of Sims Bridge Road SR 1003 3. TELEPHONE N- JbBER: (HOME) 919-496-2055 (WORK) 919-496-2055 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NC] vBER: May Realty Same as above 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Franklin -NEA.RESTTOWN: Louisburg Off of Sims Bridge Road (SR 1003) south of Rocky Ford SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) Off of Sims Bridge Road (SR 1003) NW of Louisburg, South of the Rocky Ford Crossroads. (4,155 feet South of intersection of SR 1003 and SR 1239) 6. a lPACTEDORNEARESTSl E.kNURIVER: Branch of Tooles Creek RIVER BASE;: Tar River 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA), HIGH QUALITY WATERS (HQW?, OUST.A- DING RESOURSE WATERS (ORW), WATER _ SUPPLY (WS-I OR WS-II)? YES( ) NO (xx) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITH].N A NORTH CAROLINA DIVISION OF COASTAL NUUNAGENLENT AREA OF EWIRO?tE`+ZAL CONCERN (AEC)? YES ( ) NO ( XX ) 7c. IF THE PROJECT IS LOCATED WTI-HI t A COASTAL. COUNTY (SEEPAGE 7 FOR LIST OF COASTAL COUNTIES), W -L-3T IS THE LAND USE PLAN (LUP) DESIGNATION? 8a. HAVE.V Y SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON I-= PROJECT? YES ( ) NO O?X) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERIMIT AND ANY ADDITIONAL LNFOP-MATION ( INCLUDE PHOTOCOPY OF 401 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS ENPECTED FOR THIS PROPERTY IN THE FUTURE? YES ( ) NO (xy) IF YES, DESCRIBE :?yTICIPATED WORK: 9a. ESTIMATED TOTAL, NUMBERS OF ACRES IN TRACT OF LAND: 28 9b. ESTIlvLATED TOTAL. NUYBEIR OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: NONE 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING. FLOODDiG: EXCAVATION. OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: NONE 10b. (1) STREAtif C:i.?YtitT TO BE L?IPACTED BY THE PROPOSED PROJECT (IF ?Y RELOCAicD, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION: I LENGTH BEFORE: AFTER: SAME WIDTH BEFORE (based on normal high wa[er contours): SAME FT AVERAGE DEPTH BEFORE. FT AFTER: SAME FT (2) STREA-M CHANNtL 2-YIPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CI ANNEL RELOCATION: PLACEMENT OF PIPE IN . i T : XXX CHANNEL EXCAVATION: COONSTRUCTION OF A DANUFLOODLNG. OTHER: 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THI E SIZE OF THE WATERSHED DF-U NG TO THE POND'S N/A WHAT IS THE EXPECTED POND SURFACE AREA? 12. DISCI'IP'IION OF PROPOSED WORK INCLUDLNG DISCUSSION OF TYPE OF MECH.-k?IICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 3 U^ BY 11 DRAWINGS ONLY) Install 100 feet RCP Culvert. Fill across culvert and creek channel to a depth of sixteen feet. Build Type II private gravel road. 13. PURPOSE OF PROPOSED WORK: Construct a subdivision road. 14. STATE REASONS WILEY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETL?ti-DS (INCLUDE ANY NtEASL)'RES TAKEN TO NIMMIZE WETLAND IMPACTS) - fy'G 4 N/A 15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AlN-D/OR NATIONAL MARI\i iE FISHERIES SERVE REGARDING THE PRESENCE OF.?YY FEDERALY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: m/ A 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PER.?,= AREA WHICH ,IvL-?Y BE AFFECTED BY THE PROPOSED PROJECT. DA1= CONTACTED N/A 17. DOES THE PROJEr--r a4VOLVE AN E=ENDITLRE OF PUBLIC FUNDS OT THE USE OF PUBLIC (STATE) LAND? YES ( ) NO (XX) (IF NO, GO TO 16) _ a. IF YES, DOES THE PROJECT REQUIRE PREPERATION OF AN ENVIRONMENTAL DOCUi?vIENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONiv=, AL POLICY ACT? YES( ) NO ( ) b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF :?.DtvM IISTR.-3TION ST:?TE CLEARLGHOUSE YES ( ) NO ( ) IF ANSWER 17b IS YES, THEN SUBINIIT APPROPRIATE DOCUMENT ATIONFROM THE STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEkRINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMIMSTRATION, 116 WEST JONES STREET, RAI.EiGH, NORTH CAROLINA 27605-3003, TELEPHONE (919) 733-6369. 18. THE FOLLOWING ITEM'fS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIV= INVOLVES THE DISCHARGE OF E.YCAVATED OF FILL. MATERIAL INTO WETLANDS: a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, A,YD PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAM (IN'TERMITTEN'T AND PERM ANENT) ON THE PROPERTY MUST BE SHOWN ON THE NIAP. MAP SCALES SHOULD BE I INCH EQUALS 30 FEET OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETL.V DS TO BE Dv PACTED BY PRODUCT. c. IF DELINE.-3TION WAS PERFORINMD BY A CONSULTANT, LYCLUDE.ALL DATA SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. e. WHAT IS LAND USE OF SURROUNDING PROPOERTY? Agricultural i. IF APPLICABLE. WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A cr. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WTL.AXDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO: 1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, 2) EITIHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY CERTIFICATION, AND ;) (Ii 1 THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MAl'NAGEIavT PROGR IM, 0 S q (II cc) DATE (AGENT'S SIGNATURE VALM ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED). W N -_ O V Ui N -4N N (0 N O W W cn m Riw- - -SR003 - M raj °- ---" - --- - - --------- M.a R-1w------- 60' Publlc ----} - --------M?a Raw 10 Cb o ?°? v• cl cif ? 0 Ask Amm w ° --o 1 '. m ° ao 4 ANm,• Ac?opw o O_ Rl O - ? Q m 0 m r N e1oOy nnO v n H C w 4 _ n(?Cl0n0n A U 1 1 1 1 1 1 1 0•N yo,v,iswN- r? N /0.133/• ?? I v_ A n? 19303• N !0.1323- , p \ NNNNNNN n / jy 37. W W A •A A A A C $ 8 Z O O 305.63' 6 NN.1W01w0?0?0? 1ry n ?? w'ne<nOq I ? 1 pJ o up O WaoNNNNN m ? _ I?? Ooy ? O I c(D S70.1328• tt ?93.23 318.30' -11. \ m N _ o 0 360. 1. U1 V-ON(Ornin cl o, p 3 0 O_rnVOOmOW O n ? ? c O ?r?l ? o/? 570 npj 350. `S /0.1328 MKi -? W / pL N ? N W CT O C ? ?.66' ?(O?<w CII (f? ? cn A O ?1 O ?w0-NON aCO v n rn-oiv cnm a mz?0 4c c n 00 340 0 8 ?w -in ?, ?, U ??u g na ? O??m -% co r- V V V NN, M 330 /32a-w zs to \ . o !D Io o_oQoQOO oho m ?6Q /2= /./? !3946./ / r x ? UNiAUtOVVU A ? ? _ N ?_ O1NOm NN(n??nm no y 4 c }l N$ c - Q- r r4 r? r r4 r; Ri 320 a 3 w Ri v? 10 10 O , 41 ,x ° at = \ cJ0 S 03.23'PS. 261. .................... . ` U 2 0? N 14 q to v' f? °. O - O lye 1v •%?? O N / / x'30\ s ° ?4 wo w \ O gb ? N v 3bb - 177.66' •S •12'30-W 2 .66' N 1 1 f ;tzl C n C g U ? NSJ V O / O 61 a / oo O ? ? ?OSZ 3,40 O jV 330 o '- o o / Z es / W :ZE -. co r / ? / n n cJ n7 r n? co m Q - O I Tie From E SR /01 (b I,1 0 O_ - -rv O ? ? O r ? 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C? _? d o CD p cn co o ? ? g c C fD tp 8 CD g 1 q cD + cn (D CD Q N u + N g O 3 W g DWQrD: CORPS ACTION ID: 0011 76 NATIONWIDE PER-MIT REQUESTED (PROVIDE NATIONWIDE PERIMIT ) PRE-CONSTRUCTION NOTIFICATION APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: 1) NOTIFICATION TO iTIECORPS OF ENGINIEERS 2) APPLICATION FOR SECTION 401 CERTIFCATION 3) COORDLNI.ITION WITH THE NC DIVISION OF COASTAL. MA.NIAGENIE:N7 0 W y ?u e a r-.- s SEND THE ORIGLNIAL AND (1) COPY OF THIS COMPLETED FORM TO THE APFROPRL-kTE FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGF_NCY ADDRESSES SHEET). SEVEN (7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER OUALITY. ATTN:.TOID,; DOR.NEY. 4401 REEDY CREEK ROAD. RALEIGH. NC 27607. PLEASE PRINT OR TYPE. 1. OWti"ER'S NA,jE: CCI-Windley, LLC 2. NLAJ_LDGADDRESS: c/o May Realty 108 W. Franklin ST. Louisburg, NC 27549 SUBDIVISION NAINIE CITY: Louisburg STATE: Nc)rth 0,4rnl i na ZIPCODE. 27549 PROJECT LOCATION ADDRESS, II CLUDINIG SUBDIVISION NAME (IF DIFrERENT FROM NLAILINGADDRESSABOVE): Camelot Estates Subdivision, off of Sims Bridge Road SR 1003 TELEPHONE NUNIB ER: (HOME) 919-496-2055 (WORK) 919-496-2055 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NLnIBER: May Realty Same as above 5. LOCATION OF WORK (PROVIDE A NL-P, PREFERABLY A COPY OF USGS TOPOGRAHHC MAP OR AF_U-% . PHOTOGRAPHY WITH SCALE): COUNTY: Franklin -NEkRESTTOWN: Louisburg Off of Sims Bridge Road (SR 1003) south of Rocky Ford SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, L4kNDMARKS, ECT.) Off of Sims Bridge Road (SR 1003) NW of Louisburg, South of the Rocky Ford Crossroads. (4,155 feet South of intersection , of SR 1003 and SR 1239) 6. L'vfPACTED OR NEAREST STREA-?,UPIVER: Branch of Tooles Creek RIVER BASL,i: Tar River 7a. IS PROJECT LOCATED NE.-UR WATER CLASSIFIED AS TROD', TIDAL. SALTWATER, (SA), HIGH QUALITY WATERS (HQW1 OUTSTANDING RESOURSE WATERS (ORW), WATER _ SUPPLY (WS-I OR WS-In? YES ( ) NO (XX ) IF YES, E.10L-kLN: 7b. IS THE PROJECT LOCATED %VMIN, A NORTH CAROLINA DIVISION OF COASTAL b --NAGEvfEN7 AREA OF ENPV ONfENFTAL CONCERN (AEC)? YES ( ) NO ( XX ) 7c. IF THE PROJECT IS LOCATED WTITMN A COASTAL. COUNTY (SEE PAGE 7 FOR LIST OF COASTAL COUNTMS), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? 8a. HAVE. "NY SECTION 404 PER..MITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROJECT? YES( ) NO ?,X) IF YES, PROVIDE ACTION I.D. NiTTINMER. OF PREVIOUS PERMIT AND ANY ADDITIONAL 1NFORNIA17ON (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS E.`G?ECTED FOR THIS PROPERTY IN THE FUTURE? YES( ) NO (Xy) IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL, NUMBERS OF ACRES INTRACT OF LAND: 28 9b. ESTIINIATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: NONE 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: FLOODING: EXCAVATION: OTHER: DRAINAGE : TOTAL ACRES TO BE IMPACTED: NONE 10b. (1) STRE.?NI C.1 N-IN-EI. TO BE LVIPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTIH BEFORE AND AFTER RELOCATION: LENGTH BEFORE: FT AFTER: SAME FT WIDTH BEFORE (based on norm:! hish water contours): SAME FT AVERAGE DEPTH BEFORE: FT .ALTER: SAME FT (2) STRE.4"M CH.-,YNF- LVIPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CPL-%2qNEL RELOCATION: PLkCENIENT OF PIPE IN CHI AN EL. XXX CHANNE. E: CAVATION: COONSTRUCTION OF A. DA.NUFLOODING: OTHER: 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAPIING TO THE POND? N/A WHAT IS THE EXPECTED POND SURFACE AREA? 12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECH.-? IC L EQUIP.NM-NT TO BE USED? (ATTACH PL-VNS: 8112 BY I1 DRAWINGS ONLY) Install 100 feet RCP Culvert. Fill across culvert and creek channel to a depth of sixteen feet. Build Type II private gravel road. 13. PURPOSE OF PROPOSED WORK: Construct a subdivision road. 14. STATE REASONS `WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETL?'v-DS (INCLUDE ANY MEASURES TAKT-N TO MR-TIMIZE WETLAND IINIPACTS) . N/A 15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE :,NND/OR ;NATIONAL ?LARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALY LISTED OR PROPOSED FOR LISTING ENNDA.NGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: N/A 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MLaY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED N/A 17. DOES THE PROJEf--r ^IVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC (STATE) LAND? YES ( ) NO (xx) (IF NO, GO TO 16) _ a. IF YES, DOES THE PROJECT REQUIRE PREPERATION OF ALN EWIItON, NTAL DOCUMENT PURUANNT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENWIRONMENTAL POLICY ACT? YES( ) NO ( ) b. IF YES, H.-?.S H DOCUMENT BEEN REF-MEWED THROUGH THE NORTH CAROLINA DEPARTMEM OF ADM NISM-'?TION STATE CLEAR.LNGHOUSE YES ( ) NO ( ) IF ANNSWER 17b IS YES, THEM SUBMIT APPROPRIATE DOCUN ENNTATIONFROM THE STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLE.'kRI'i IGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTR-kTION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003, TELEPHONE (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACI'IV'I Y INVOLVES THE DISCHARGE OF EYCAVATED OF FILL MATERIAL INTO W=ANDS: a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBEIRS 14, 18, 21, 26, 29, AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WEiZ.ANNDS TO BE LM?ACTED BY PRODUCT. c. IF DELINEATION WAS PERFOR'ED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT TO THE PLkCEIENNT OF THE DELINEATION LINE. d. ATTACH A COPY OF THE STORMWATER MANAGEMENNT PLAN IF REQUIRED. e. WHAT IS LANND USE OF SURROUNDING PROPOERTY? Agricultural f. IF APPLICABLE. WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A SIGNED AND DATED AGENT AUTHORIZATION LETTER. IF APPLICABLE. 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