20021361 Ver 1_COMPLETE FILE_20020826

_ _ T~
PERMANENT SEEDING SCHEDULE 'TEMPORARY aEEDING SCHEDULE 1
EROSION ~ SEDIMENT CONTROL SEED BED PREPARATION EARLY SPF;INGlLARE SUI(liBR Ii
MAINTENANf,E PLAN - - - gC' ~sno00 S~ .n Nixes ~ -tC-1p--- - - 75 :bs.1pOQ E ~^RCiBS Rc,te ;~~D/nrrel ° I I~
t. Al.~~ ER4SlON AND SERh+fNTATION CONTAIN PRACTICES w:;~ BE 'G ±p ---t2 `ns!t0411 SF Germcr U;!,er 40 ~ ~ ~i I
CkiLCdi(t iOk STAFi.!~~ ANO OPERdiiON rt7ilOw1NC h~tRY rtlfbEai' , ~:Gw IAUICi AFTf' ~fIO(NG 90 r~s't~(iQ SF Ire the ~ ~o4[zto+ ~h~ urt.v~~^~~~ c sm~! stemoea PHCDUC NG RA(NFr1l1 f3U1 !h' ;C CASE LESS iliAN ONIE I~IfaY WE[K,• ~ ' ^ 1~" TGty Of MUc~f~ ,~~,,;n ~s; ~r~; ~e so a5lii~ied 01 ~ !ate o' wiG.locre• ' A~RitAL~ iA,,K - E~ oH~. 'ni cn r I ~
AMY tiLEDE~ REPAfRS will 9E MADE 1!~,1EJ!A`F_'.Y TO NA;NTAlId r.:' ~ _ Y ~ FR„C1GS AS 'SIGN!?. ~ in. aT 5 - ! SITE ~ ~ I ~ ~ _ _
r. st~1~n~ lip Rt~uEU ~Reu Tnl Stl)1uEN1 TRAP AN[i N~.~Ii:A SEEDING MIXTURE l~a;n~~~ns uay t5 AuG. r -
ANp GAAVFt 1NiET vRQTIC; i~N ~7EvlCE WNEtV STOR4GE CkFAi:l'° (FEBRUARY t -APRIL 101 PlT;dm(x'+ toy 1 duq. t HAS 8.ch APPRQzIMlAiEi-~' ~C"~ iFO. (,hA~E,- ~i:, tlt GtANE,i A~_~ ~tSCbt. ~ (~bs,''00~~ SE `,0(;y'.^, V~,,n Air., ' Avg. I Y ~r~ i U _ ~ 'W
fiQ RFPt_d~Ei) W:{Fq' '„4 ;lfiiEl:a,i 0!'~,^: h .~,"talk i)ht,l1^~ cq^F'I;'v { EuSnCOtd llai!ihGRaSS 'u.2~ ~~s`.1>OQ S~ I~
e r i i N ~ i~k''N~ 'iN a. ~.tir 'i~u~ wl~;.r; " ~.',6 it ,SPti?F~~A '~~i~!( ~~l;i )ll/(1Q~ 5{ 5011 df08nM18niS 3, ~EJ~Nr-N ~~LL _L EUh'uEtl J~~ U Cr ~o.~or ~~~„nrrenGati m- t ~ rs a aoD 2000 Iplocre ~a,~r i >locre g~a,~e _ r ,
E~~'aES A80UT TT DEEo A~ ?Hf. Fi.NG `MIL S,,,lu1Yi ~l ai:., {fiAY t -AUGUST 3t t ~ ~ o sa~~ es iy 9' B. ,C-' ~ ~~'~'S'~f~r atlG'S;' ~')i{A.,e i~,-'0 Tf,+'t~i~/e". BF REPdIRlO AS NECESSARY T, IdAkTGi'v " ~dRR-TE;, w s ( l - ~ _ i
4 AE ~LE~itG AREA Vti C fE !tR'i, 'Ea, RE1EkUED A5 Nt~fJ51~FY, A I{`A ~N k~sf ',F.SPDEtA 15GAPiT(EDi- ~DSi(i'JL' Si 1` - ~ i ~ !f 1 a 9 _ j ~ ~ r` l T~ ~ ~ ?
A'dO >dUE~rED Af^BR`JI'v S°EC;f r T r,,i f ~ ,MR~t;t~ M!r,`.~ - - .E ..3 'COQ S{ G I~AI~„nS iN hl vEG! t,~d, w I'~ APi U,.fi~Ai`t n diGGkOi,~~ GiNSE V „flhi'J.'` ~:JYFR. hjJpiy S `v.; ~~aUYe SI'aW AJx;f1. Sf~~wfly tOCK',ng With OSphGit, E,BtY ISEPTENBER E -JANUARY 31i x c ~t;~cr,rr~„noring t~+. r d~>N w~t,~ a~ades set nearly s+rair~rt can r ~ ~ ~ i~ ~ ~ iJn OSp~Git, nBtY~ ~lJ. y ~ i ~ ' I StrnLht COn ~e i i` ~ i ~ r_/ ~
r ~ c,R1L Sul TN'~Atv~t W 9c Crit~Kb(' AN~3 )RESSEiJ ~i i~, AN A TfSCfJE ~ h i~s!'000 SF used n , n,leh a'1Cha''!ng !oa'. 1 ~ ~ I -~'~~~-i._,~ _ i__.L_ ~ i
~ ''[w' ~ L b~Rf tN'?R n38F ~tSl'(Oi?A ~SLAIrIFIEaI-~ t,q h5i10(1(1 Si Au, ;'!Ci~Ai 2'" ~t u4 SiONI_ GS N'i:EDEi,. ;1RaiN; - - 0.6 Itis~1000 sr uo~ntena~ca ~_y " ,
' Narar~'tn Ir ~ owri is oaequote. Reseed. refe~`~ilre and ~iiR SLQPES 2:1 OR SiEE.°ER. A1'~7 ; cs.fhf, SFRICfA yr Y refP~' ;lre and nt,~icr. ~
DES"r~~7F?A a,~~0 sE Ins, w,EP';^.G LDUfGRA)S Imiw4late'~1 fe~,ow~~t~ erosia~ or other damage. 1 ij
i
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i - ~Sg i~2~- - - _ _
' Ai SiOT'E$ C~ S"i_ki'f - -Al.l - i i___._ - Y _R
BE.i NBA-_i~t.u Wi;H;~~ ~~,~p, E i ON Q~ ~flA~ ~ "'i~ ~ ~ jjTiat G i E~~~ l,__
~~tnlES )E?G' ~l. 1iAB ~tv '8''~a'°~ ' r{-~~ O ~ i,l
30 GAYS of GUMPI.E]',ON OF .;13A~~iP}(„. N ~ ~
'n ' , - , t C~CUlATED
E1P _ 5_~___ -.~1b..~ ~I
_ _ . - _ . - _ . • ! E \ _ _
r' ~ ~ N.I.S
- ~d ~ ~ Sf, ti(,~ I A VA _
ir~ ~ ~ ~ , s~/ S1LT FENC R1P RAP 1 (TYPICAL) 1 1 ~ I ~ r~'~ l
4 AREA. ~ ~ APRON
~1 ~ ~ 32?_ /ORES ~ Z ° 5 X 15
v-~ C~NSTRUCTfON y ~ eet,'r~~ ~ pct l l M l T S OF EN~kA~CE , ~ DISTURBANCE i lA AR A 0 L E 3.22 AC
SrC?~'o~A`` ~ ~ ~ ~ ~ 3.22 ACRES i~ ;i PROPOSED 1MPREVlOUS 31764 SF
hp ~ ~~i ~ ~.A ~S BIDGS. 10880 SF
nItVERT \ A ORIVEIVAY/PARKfNG 15706 SF
~ ~ 0 iZIP RAP o~ ~ POOL uECK a378 sF
1 APRON , ~ ~ ' ~ IMPACTED IMPACTED WETlANOS 2477 SF
6 X 12 ~ Q .°I WE T _ r--- - a WETLANDS 2477 SF ~
LIMITS OF £x.3o' X47 A ~ ~ DISTURBANCE ~ G~tvE~r \ ~A
, r,, , . strHN+ nHniti oho 0.16 ACRES r _ `a( j r~, CONCRETE ii~,d IBC 1 DR i VEWAY ~
P1~E qa~ , a ~~~~';?r rL~cF 2e ~ SLIT FENCE-, °o0 4 ~ sECrlon 3 ? ~ C a s s ! s t~ ~ (TYPICAL) ,,~r~ ~ r.
- ~ ~ LOT 38 A r \ ~ " ~ ~ SEDIMENT ~ ' / \ ~ I
o0 0 RA .moo"~ AIA~n fNn ~-1 o d o ° Q? ~ r ~ ~ ~ ` ~Q i~q~l I~ ~
sE~Tt~r~ i ~i __o~ ~ °oa ooa o ~ r , SEDIMENT ~ ~ ~ ~ ~ ~A WETLNMQS ~ ~ \ WETIAHDS 'B' r ~ ~ u~spp~ i~
c v ~ ~ X TRAP ~2 ~ ~ A ~ ~ ~~N __~L_. 8~6 Sf i; ~ ~ ' ~
f iNISP~ ~ i ~ G`iAGE ,r SANK V ~ i.,~~'- ~ ~ '^i LEGEND
. ; A,F ~ ri, l \ i;~ r ` ' ~ ~ CONS?AlIC11GN ENIAANCE
o,, o 0 0 ~ ~ti~t ;.LASS "I3;- r-- "Tf~~t~311E~lI< ~ ~~c', N t C..O 2 ` w~ ~ y' r '~S~Qp \ r JP ® SEDIKEN? TRAP
ALP RAP ~`f I~ rl EAeRi~. ~ ..;I 32 ~ EX.24` ~ CUtVE~ ~ ` ~ ' -x-x- Slt! EENCt
sE,_t;°" f, " RIP RAP ~ _ _ 1 APRON ~ \ ~ ~ ~ / / 7 rt nC , ~ ~ b ~,41~. DISTURBANCE
P AP AP ON ~ V~ ~ ~ o K~ i ~ ~ ~ s E ~S1,NG GRADE
6` X 12' ~ ' 1 N. T, S. r..- v~_ _ 7 /uiRFxEEeaear; ~ wd~A nEIG+r T~ ~ ' ~ , ~ 4 CONSTRUCTIC CONSTRUCT[ON ~ ti: h
t ~o , ;,,e Rf ~'o - _ ~ ~ ~ ENTRANCE f-. c~1cr ~j~~' JNf [GH' ~ ~ / ENTRANCE 9~ h r ~ rEr,ANO uN< ~o r a
- ~jr~,~,Ta > t7 ~ ,t> b ~a p_~~ j0r ~ h; r. ~ SEDi11ENT TRAP q
- ~ b p~C, C,-q ~ ~ 1 ~ ~ uONa;:1 HR.cr!r GYklN1Rl P1~I;t ~ 24
PC6~4~Op~ ~ ~ ~ ~W~ ~ Q ~ S ovEo APPR SE....Oh I ;r~, 30 ~ CAROLINA ENVIRONMENTAL
e o` Naa~~;u ai~~r ~ ~ i ~8 } 4 j I M T OF NORTH ION ~e 2c ~ ~ L I 15 IIANAOEMENT COMMISS
trN,CA WA"'4C ~ O _ ~ E" OVF Hr 1i ~ u ~ r DISTUR9ANCE pIVISION OF WATER 4UAUTY 0.28 ACRES
_ u'.n T- ~ ~fOR_SCP.~c1Eh' i ~ ~ REVISIONS , iv~~ ~ ~
r- d ~ t UfN. . ~ COUMl+r p;~~: p BY N0. AT D S R T N SE~Trox ~~~~.57~Jp01(~(p pS 1 9/t7lOi AS P A NHC C
1~ I 1 1 ~ o 'E4ERGENC , y ._y_-(`. ' ~ .~~'T_-t"_~_'~. ! I S[Di BY-i'dSS r,T za ~ P+~ E E ~ CPS 2 0/19/0 AS PER NHC EC
i ~ I h'-EN I~''~~±~-~ - ~ ~ Si OPT. WAY 6` ~L01 1 1 ~ ' FABRIC SEihED LOP ~ r
I ~ Of OAN ~ . ~ ~ i MIN. Sl^,?f We CP.p1ND
j--'~ ~t'~_~` 1`.~_~- i I
' ; ~ DHAJf VARaS ~ ' ; ! ~ ! ~ -~-~___s----_-_- ~ ; , _r__ EDIMENT TRAP DETAIL ~..~E,_a~u_._-;
1 N.r.s. i t -µtE (gyp ~'i; l,/Y NOV 0 6 i"~'1
i SEE Dt All BuOw faN ~ p F o --W 1}lEu vpE~f~ ck EXt)1!NG DiICN BAW, TYPICAL SILT FENCE l~ ~ ~ / tNSTILlA110N. ~ ~ I I 0 4 0 I~' AND YFGAtA110N ,J pifCN BANK i0 BE
I e°e Qli i L p,o.. ~ 2" J" CD1,kSf ACCkiGA{i 'o-'7fuAl'H t /,l ~ AEGRADCD IO 3:~ SLDPE / ~ GU ~ Q Ti ANU SEFDED KS PEti
T PICAL POST SPACING I ~ wp 6~ DEPTH ~ °P N.T.S. i ^ ~ , c o As PEA sEEDiNe SCHEDULE EROSION CONTROL PLAN
'Sv ° R ~ p ^ 0`0° 0 ~
0° 0 p° 1 . , ! 0°~ °0 p 0
-tROSlaN 00 0°n° C(!N1NGl ?"-4" UNLESS _1..L_:>~~ p° ° 0 ° n._.
TARR,C aTHERwfSE NDiED ON PLAN5
I L-fni rtrR F.XISTtNG ROAD aw , ~ fARtH i
NOTE; FEDERAL POINT TOWNSHIP NEW HANOVER COUNTY NORTH CAROLINA
= CONSTRUCTION ENTRANCE DETAIL BOUNDARY DATA SHOWN FROM M SHOWN FROM MAP PREPARED BY
I 1 N.1.S. CHARLES C. MOORE° PROFESS[ u - ~ ENTITLED SITE SURVEY FOR i iORE~ PROfESS[ONAL LAND SURVEYOR, OWNER: EDWARD A. GbSKINS DESIGNED: CPS E SURVEY FOR EDWARD A. GASKINS~
OWNER" DATED MAY 21, 20D1. MAY 21, 2001. NO BOUNDARY WORK ADDRESS: 621 P INER ROAD
`1 s' ufN. OR CHECKS PERFORME6 BY STR~ ~ ~---I BURY 'FORh~D BY STROUO ENGINEER[NG. P.A. WILMINGTON NC 2$409 DRAWN: CPS<,~ T
o> N ~ TOPOGRAPHIC DATA PROVIDED PHON 1 ~ATA PROVIDED NEW HANOUER COUNTY, N. C. f 251-461 APPROVED: k
3 100 50 d 100 200 TOPOGRAPHIC MAP LAP GAG I~ i k~i
w'o CAR DATE: 813/01
fl SILT FENCE DETAIL 0 ~ 1 N.T.s. GRAPHIC SCALE: 1 -100 ~O,~F 3i~.ti'h•,, tis ~ _ STROUD ENGINEERING, P.A. .
~2 JAZvIES N " - ~ ~ SCALE: 1"= 1 ` JAl~FS H, FENTRES'~, JR., uPE ~D643 toe-D C1NEMa DRtvE DO
w PROJECT NO° : ~'~~-295 'Q i WILMINGTON NC 28403
° RAW NAME:F./MA'T R/PW- 95/DGN/CASK N P. N ~ : 20'~~="'~ ~ D iNG S E 2 I SEC DG Y ~ iL ~ vA-~ . . _ . t9ta at5-o7~5 SHEET 1 OF 1 • q ~ iL
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_

\o?oF wAr?gp?
co
O '<
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
September 6, 2002
New Hanover County
DWQ Project #: 02-1361
APPROVAL OF 401Quality Certification with ADDITIONAL CONDITIONS
Edward Augusta Gaskins, Jr.
621 Piner Road
Wilmington, NC 28409
Dear Mr. Gaskins:
You have our approval, in accordance with the attached conditions, to impact 2,477 square feet of
wetlands for the purpose of residential construction at the end of Blake Trail as you described in your
application dated August 19, 2002. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 3362, which may be viewed on our website at
http://h2o.enr.state.nc.us/ncwetlands. This certification allows you to use General Permit Number 18
when the Corps of Engineers issues it. 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, Coastal Stormwater, Non-Discharge and Water Supply Watershed regulations. This approval
will expire when the accompanying 404 or CAMA 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 in the attached certification and any
additional conditions listed below.
1. Upon completion of the project, the applicant shall complete and return the enclosed
"Certification of Completion Form" to notify DWQ that all the 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.
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.

N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
(919) 723-17RR (nhnnn) 919-TTA-RR93 (faxl lhttn-//h2o.enr.state.nr its/nrwetland.R
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 919-733-1786 or JoAnne
Steenhuis at our Wilmington Regional Office at 910-395-3900.
Sincerely,
Attachments
cc: Corps of Engineers Wilmington Field Office
Wilmington DWQ Regional Office
File copy
Central Files
Stroud Engineering
P.E., Direc
AUG 2 6
6
WETLAN p
WATER SECT N QG
7
Pre-Construction Notification (PCN) Application Form 02 136 1
For Section 404 and/or Section 10 Natiomvide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Wate?-shed Buffer Rules
this firm is to be used for projects qualifying for a1v of the l I.S. Arn1v Corps of' (U')',/VT)
Natiomvide, Region;d or Gencral Permits as required by "colon 404 of' the ('lean Water Act and/or
Section 10 of, the Rivers and llarbors Act, itnd for the North Carolina Division of, \Vltcr Quality's
(D\> O) associated General 401 Watcr Owalily ('crtlhcations. Ibis 1;01-111 is also to he used for any
project requiring approval under any Riparian Buficr Rules implemented by the N.(_'. Division ol'Water
Quality. This 161-111 should nut be used if you arc 1-cquesting an Individual 404 Permit OF Individual 401
Water Quality ('ertification. The USA(T' Individual Pcrruit application 1o1111 is available online at
httl:?'www.saw.usacc.?umy.nnil/wetlarulsiPcrnl "nViltn1.
The USA('1? is the ]cad rc?(,ulatorv awcncy.
Regioml or General permits, and to determine
USA('I,, wchsitc at
hlil?:i/www.saw.usacc.arln
offices listed at the end of this application. 'I
each county in Notch Carolina and provides
regulation of'wetlands and waters of, the U.S.
1o rcvicw 111e requirements for the use of' Nationwide,
which permit applies to your project, please goo to the
?_nliliwetlandshc??tour.hllrl, or contact one of the field
he wchsitc also lists the responsible project manager fill-
additional information regarding the identification and
ne DWQ issues a COr7GSponding Certification ((ieneral or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants arc encouraged to visit DWG's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/rncwellands to read about current requirements liar the 401 Water Quality
Certification program and to determinne whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the 11111 text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the intetlnet
should contact DWG's Central Office in Raleigh at [phone].
TrOLlt Waters Coordination - Special coordination with the Not-Ili Carolina Wildlife Resources
Commission (NCWR(') is also required fill- projects occurring in any of North Carolina's twenty-Five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the Last page of this application).
r.
011\-111 Coordination - 11' the project occurs in any of' North Carolina's twenty coastal counties (listed oil
the last page of this application) the applicant should also contact the North Carolina Dlvlslorl of, Coastal
M,uragement (I)(WI) at [phone]. DCNI will determine whether or not the project involves it
designated Area of hivirornrnental Concern, in which case I)CNJ will act as the lead permitting, agency.
In such cases, DCNI will require it Coastal Arca Nlimii-emcrtt Act (CANNA) Penult 'Ind will coordinate
the 4041401 Permits.
USACF Permits - Submit one copy of, this 1i1-111, alone with supporting narratives. maps, data fours,
photos, etc. to the applicable l JSAC 'l Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the 1 ISACI` will determine it' the application is complete as
soon as possible, not to exceed 30 clays. This PCN form is designed fin the convenience of the applicant
to address information needs for all USACT: Nationwide, Rcoional or General permits, as well as
infonartion required for State authorizations, certilications, and coordination. I"Lilly providing the
in6>rnration requested on this four will result in it complete application for any of the USACh,
Nationwide, Regional or- General permits. TO review the minimum anxntnt of' inlormttion that must be
provided for it complete PCN for each IJSACI; Nationwide permit, see Condition 13, 65 Fed.Rcg. 12893
([vlarch 2000), available at httt?:iiw\v w.suw.usace.anny.mil/wetlandsinwpfinall?edRe,,.lxif.
Processing tines vary by permit and begin once the application has been determined to be complete.
Plcase contact the appropriate regulatory field office 161- specific answers to permit processing periods.
401 Water Onality Certification or Buffer Itulcs - All M16mialion is required unless otherwise stated
as optional. lncomplcle applications will he returned. Submit seven collated copies of all USACF,
Permit materials to the Division of* Water Quality, 401/Wetlands Unit, 1650 Mall Service ('enter,
Raleigh, NC, 27099-1650, It' written approval is required or specifically requested for it 401
Certification, then it loll- refundahle application Ice is required. Ill brief, if lrroject impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cunnilative impacts to
streams, then if Ice of $200 is required. Lf either of these thresholds is exceeded, then it fee of `1475 is
required. A check made out to the North Carolina Division of Witter Quality, with the specific name of
the project or applicant identified, should be stapled to the front of' the application package. For more
inlonnation, sec the DWQ website at hltp:/ih2u.ehur.state.nc.us%ncwetlands/1ces.html. The fee mush be
attached with the application unless the applicant is it federal agency in which case the check may be
issued from it separa(c office. Ill such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. 11' written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer RLdc approval is sought ill writing. Wetlands or waters of' the U.S. may not be impacted prior to
issuance or waiver of if Section 401 Water Quality Certification. Upon receipt of it complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested inlonnation, or denial.
Page 2 of' 12
Office Use Only: ? Fi rm Vcrsiun April 2001
USACE Action 11) No. 1)NVQ No. 0 213 U 1
If any paiticulm- item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space hkuik.
1. Processing;
1. Check all ot'the approval(s) requested tin this project
ltj Section 404 Permit
? Section 10 Permit
[?-401 Water (Quality Certification
? Riparian or Watershed Huffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notilicalion is solely a comicsy copy hecause written approval for the 401 Cellitication
is not required, check here:
4. If payment into the North Carolina Wetlands Restoration Program (NMIO) is proposed f6l"
11101gation ol,itnpacts (see section \1111 Mitigation), check here: ?
11. Applicant Information
1. Owner/Applicant luformation
Name: D u,-) r-1 k_ J_;
? _u?(,c=?T 1', ?A?k?NS?Srra.
Nbiling Address: Z( ??l M E 2 ?Z f,
I,J1Lrn?r+a NC'_ Z$ct?
Telephone Number: I to -,? ql - (oq 10 ( N ? I?ax Number:
F-mail Address: YPSVINSl;HCO_ AoL • Cuw\ pr=, act q/a. 393• (OpQ2(o
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:- --_Fax Number: - --
l"l-mail Address:
Pagc 3 of 12
Ill. Project Information
Attach a Vicinity map clcuidv 'howin", tlic: lorition ol' the property with respect to loc,il
landmmrks such as towns, rivers. amt roads. Also provide a detailed site plan showing property
houndarics and development plans in relation to surrounding properties. Loth the vicinity map
and site JAIII must include a scale and north arrow. -lhc specific I6olprirnts of all buildings,
impervious surl"aces, or other facilities must he included. If possible, the neaps and plans should
include the appropriate USES Topographic Quad Map and NRCS Soil Survey with the properly
houndarics outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clcarly dchlicd. For administrative aril distribution pulposcs, tile
USACE requires inlornralion to he submitted on sheets no larger than 11 by 17-inch fimmat;
however. DWO may accept paperwork of any sire. DNVO prelCrs full-sire construction
drawings rather than a sequential sheet version of the full-size plans. If full-sire. plans are
reduced to a small scale such that the final version is illegible, the applicant will he informed that
the project has heen placed on hold until decipherable maps arc provided.
I. Manicofproject: Fu(,Uf ,-,u A - ?SKtrvS Jr,
2. T.I.P. Project Number (NCI )(fl
Onlv): ?/ /? __- --
3. Property ldcrntilication Nuintm ( Tax PIN): 2o'7900 - C?O? 000
4. I.ocation
County: Acvwl HAIIC46f- Ncarest Town:---_?%jt[_intN376P?,
Subdivision name (include phasrilol uunaber): /Y/f? _
I)irectlolls to site (include road numbers, landmarks, etc.): lvY `{ [ S" i-a CY-O ?C- r( tip ,
?T .. ?l ?? Y r? r (? ?r2oV I ova ll r? lwiw G ?? 1 a _ eol -y -Yt m t c 1 .mow ?C `Y
-_ ?q, I?t,er( Le?T ?oc?vu> To PY1E ktb of ? LKaiCE TW N .
5. Site coordinates, if available Mlor kit/Long): O 3'I - S s7 133 a l3
(Note 11' project is linear, sue as a road or utility line, attach a sheet that , cparatcly lists the
coordinates Im each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time ol'this application:
5,5?ln, - CL??R E'J r'?a CCaVSZIZ(c C7Tol1? /J11?V?vuScy l.?SE/? FI3
,a ?02SE f ASTU-? 6 ?
IC2tS
7. Property sire (acres): ,j. 1?- i?-7
h. Nearest body ol'water (stream/river/sound/ocean/lake): e0n,4N?1c- 00_6AV
9. River Basin: APt-- 1'1 a? --
(Note this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at lit lh:i%la_2_o.eaurstate.nc.usiacfaii in/nia ps/.)
Pwe ,l of' 12
10, 1escribe the purpose of the proposed work: IC ES 1 bI-NTl,n L QhSTE U-C 7 t o r?
1 1 . List the type ofeluipment to he used to construct the project: In
12. I)escrihe the land use in the vicinity ofthis project: R?StoErr t/A f__ 1{- CI-KDKYE r_c[fQ
IV. Prior Project Ilistory
11' jurisdictional determinations arid/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 USACI? Action 11) Number, DWO Project Number, application date, and date permits and
certilicatioiis were issued or withdrawn. Provide photocopies of previously issued permits.
certifications or other useful information. Describe previously approved wetland, strewn and
buffer impacts, along with associated mitigation (where applicable). It' this is a NC DOT project,
list and describe permits issued li>r prior scoments of the same T.I.P. project, sllong with
construction schedules.
V. Future Project Plans
Are any additional permit requests arnlicipatcd fin- this project in the luture? If so, describe the
anticipated work, and provide justification for the exclusion of this work fi-om the current
application: Nd ?y
V1. 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, anti stream channels associated with the project. The applicant must also
provide justification for these impacts in Section V11 below. All proposed impacts, peimrznent
and tempormy, must be listed herein, and must be clearly identifiable oil an accompanying site
plan. Ail wetlands and waters, and all streams (inteimittcnl 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 wId describe the impact in Section Vlll below. If additional space is needed for
listing or description, please attach a separate sheet.
1';ige 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate oil Ina ?)
fvpe of Irlpact* Arc,l of
Impact
(acres) Located within
100-year Floodplaill"
(ves/no) Distance to
Ncalresl stream
(linear feet)
I\ pc of Wetland***
It
Ulf jG-t,? .
A/r-'IUA r

* List each impact separately and identify temporary impacts. Impacts include, but arc not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/diainalge, etc. Fur dams, separately list impacts due to both stricture and flooding.
* 100-Year Iloodplains ire identified through the Fedcrll Lilcigency Management Agcncy's (FFMA) Flood Insurance Rate Maps
(FIRM), or FGMA-approved local floodplain maps. N-laps are avnilablc through the FFNIA NI apSmice('entend I-,XW358-90I6,oi
online at htti;wcvcv.fctna.!?>v.
* List a wetland type that hest dCSellbCS wClland to be impacted (c g- Fl CS It wateI!SaII%\;IIcI marsh, I*oICSlcd wetland. beaver pond.
( aroIina Ilan. hoe.. ch'.)
List the total acreage (estimated) ol,existing wetlands oil the property:
Total area ol,wetland impact proposed:- 4??1 F
2. Stream Impacts, including all intermittent and perennial streams
stream Impact
Site Number
(indicate oil ma))
Type of Inipact* 1 ength of
Impact
(lllicar feet)
Shram Name** Average Width
ofsireanl
lictorC Impact perennial or
Intcrmittent?,
(please specify)
OI{?

I .,

* List each impact separately and identify temporarv impacts. Impacts include,butM-c notlilnitcdto:culvcilsand associated ripuap,
clams (separately list impacts due to both simcllire and flooding), relocation (include linear feet before and after, and net loss gain),
stabilization activities (cement wall, rip-rap, crib Wall, gnhions, etc.), excavation, ditchin,g/straightenijig, etc. 11'strcan) relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must tic included.
** Sucam names can be found on USGS topographic maps. If a stream has no name, list as ( IT (unnamed tributary) to the nearest
downslicam named stream into which it flows. USGs neaps arc available through the US(iS at 1-800-358-9616, or online at
w-ww,usgs.gov. Several intcmet sites also allow direct download and printing of USGS claps (e.g., w?s_??_.tolxuune_com.
wWw.mau(Iucst.col etc.).
Cunnllative impacts (Iinela- distance in feet) to all Streams on site:
Pawe 6 of 12
I. ( )pen Water Impacts. includ no lakes. 1'on(Is, I?:sttmries. Sounds. Atkilitic Ocean and any
other Water of, 111C U.S.
Open AVoter Impart
Site Nuintm

(indicate on nui p) --
I\ pc of Impa( t' Area of
Impact

Ocres) N;um of waterboely

(if applicahlc) Typo of Waterbody
(lake, pond. estuary, sound.

hav, ocean, etc.)

--- ------- - - -

LIs I each unpacI sCparetely and Idc IIIII temporary impacts. Impacts include, but me not limited tw till, excavation, dredging,
flooding, drainage, bulkheads, ctc.
4. Pond Creation
It' construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wctlan(l and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be crealed ill (check all that apply): ? ttl)lands 1-1 stream wetlands
I )CSC ribe the Method ol' construction (c.,., danvcn)hankment, (,xcavation, installation of
drrlw-(town valve or spilhvaY, clc.): ;y / A
Proposed use or purpose of pond (c.g., livestock watering, irrigation, aestluetic, trout pond,
local stortltwater requirement, etc.):
Si/c of watershed draining, to pond: I',xpected pond surface area:
VII. Impact Justification (Avoidance and N inimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useiitl to provide
inlonnation related to site constraints such as topography, building ordinances, accessibility, and
Niancial viability of the pro - ject. 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 curing constniction to reduce impacts. / 1
?LLE?JErD ? ACk`?s f2ooos6& t5 -L-L-C1/NSS 1 LVOR-K5ROP J

Page 7 of 12
VI11. I Iitigation
I)WO - In accordance with 15.1 NCAC 211 .0500. mitigation rrury be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre o1, impacts to
freshwater wetlands or greater than or equal to 150 lincar feet of total impacts to perennial
streams.
USACE In accordance with the final Notice of Issuance and Modification of Nationwide
Permits, published in the Fcdcral Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic cnvironillent are minimal. Factors
including size and type oh proposed impact and luncliou Mid relative value ol' the impacted
aquatic resource will be considered in determining acceptahility of appropriate and practicable
mitigation as proposed. Examples of mitigation that may he 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 steams; and replacing losses of-
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
I'Mictions and values, preferable in the same Watershed.
If mitigation is required fin- this project, a copy of' the mitigation plan must be attached in order
for USA(T or D WO to consider the application complete f6v processi ng. Any application
lacking a required mitigation plan or NCWRP concurrence shall he placed on hold as
incomplete. Ali applicant may ,also choose to review the current guidelines fir stream restoration
in DWG's 1)raff Technical Gtiidc lirr Stream Work in North C arolina, available at
http://l12o.cu r.state.mc.us/ncwetlands/stm.i?ide.html.
Provide a brief, description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not llmitcd to. site location (attach directions
and/or map, if olfsite), affected stream and rivcr basin, type and amount (acreage/lincar feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., decd restrictions, conservation casement, ctc.), and <<
description of the current site conditions and proposed method of conslmction. please attach
a separate sheet if more space is needed.
Page 8 of 12
2. M'1k-,Aloe uzay also be rrrlde by payment into the North Carolina Wetlands Restoration
Pro-ram (NCWZP) with the N0VRP's written aiorccinent_ Check the box indicating„ that
you would like to pay into the NCWRP. Please note that payment into the NCWZP must be
icvic\vcd and approved hcforc it can be used to satisly niitioation requirements. Applicants
will be notified early in the review process by the -lot/Wctlands Unit if- payment into the
NCWIZP is available as an option. For additional information reoarding the application
process fix- the NC'WRP, check the NCWIZP websitc al hup?, i???.cur.srye.nc.us%wr?index.him If
use of the NCWIZP is proposed, please check the appropriate box on page three and provide
the following information:
Amount ofstream mitigationi requested (linear lest): A/ 1,A
Amount of butler mitigation rcquested (square lect): h
Amount of Riparian wetland mitigation requested (acres): fl
Amount of Non-riptu-ian wetland mitigation requested (acres): ,?
Amount of Coastal wetland mitigation requested (acres):
IX. Fnvironincntal Documentation (I)WQ Only)
I)ocs the project involve an expenditure of' public. funds or the use of' public (fcderal/state/local)
land?
Ycs [_] No
If yes, does the project require preparation of an UrviromnCmtal doCWmenl pursuant to the
requirements of the National or North Carolina I'.nvironmenlal Policy Act (NI:PA/SFPA)?
Note: If' you are not sure whether it NI,,PA/S1'-.PA document is requirccl, call (lie SFIPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes 1_1 No []
If yes, has the document review been finalized by the State Clearinghouse? It' so, please attach a
copy of the NI?PA or SI- PA final approval letter.
Yes [ ] No Ll
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 butlers 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 I)WQ
Regional Office may be included as appropriate. Photographs may also be included at tale
applicant's discretion.
Will the project impact protected ripamin buffers identified within 15A NCAC 213 .0233
(Neese), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Butler Requirements), or other (please identily )?
Yes ? No [] Il'you answered "yes", provide the following intonnation:
Page 9 of 12
Identify file square feet and acreage of' impact to each zone of the riparian buffers. If buffer
mitigation is required calctdate the required amount of mitigation by applying the buffer
nntltiplictl".
Zone* Impact
(s(uarc Icct) NIultihlier Required
Mitigation 3
2 1 .5
Total
Zone I extends out 30 feet perpendicular from near hank of channel: Zone 2 extends an
additional 20 feet from the edge of 'Lone I .
II' buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation F.asemcnt, Riparian Buffer Restoration / I?nhanccment, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
idcntilied within 15A NCAC 213 .0242 or .0260.
X1. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surFtce waters and wctlands
downstream from the property.
FXI ?' Irt ?ZErtr? ?/(O?bSE(? - ??G41tr>!?(S tom. Fa SF Pcol
(-13'7 ? SF, /JR(u?t,cJAc? ? F'A2K1r1S ?S:^C'J?o SF
X11. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge of discharge) of
wastewater generated from the proposed project, or available ci . acity of the subject facility.
S6`pT(L SyS?Ln t/a e5- DESt3N(? n
XI11. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211 .0500) or any Miller Rules?
Yes ® No
is this an alter-the-fact permit application?
Yes KI No ?
Page 10 of' 12
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).

g
01-
Applicant/Agent's Signature bath
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
l5 t Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alammice Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Page I I of 12
US F
t IS Dish and %vildlitc Service
Raleigh Field Oliicc
Post ()flicc Box 33726
Raleigh. N(' 27636-3726
I clcphoiic: [phone]
ish and Wildlife Service / National N
US Dish and Wildlife Scrvicc
Asheville I icld Office
160 %illicoa Strcct
Asheville. NC 28801
Telephone [phone]
Iarine Fisheries Service
National Marine fisheries Service
Ilabitat Conservation Division
Pivcrs Island
13cauloit, NC 28516
Telephone: [phone]
North Carolina State Agencies
I)i%imon of Water Ouality
401 Wetlands Unit
1650 flail Service Center
Raleigh, NC 27699-1650
Tclcphonc:(91))733-1786
Fax: (91)) 733-9959
Division of \Valcr ()utility
Wetlands Restoration Program
1619 Mail ""CINice Center
Ralci);h, NC 27699-1619
'I clephone: [phone]
Fax: [phone]
CANIA and NC Coastal Counties
State Historic Prescrvalion Office
DcparUnentOfCultural Resources
4617 Mail Service Centel
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Division of Coastal Managcn,ci,t I I caukII ( howan Ilcrtford Pasquotank
16 )s NIml Service Ccntcr liertie Craven I Iyde Pendcr
161cigh, NC 27699-16.38 Brunswick Currituck New ILmovcr Peryuimans
Telephone: [phone] ('anulen Dare Qnslow lyrrcll
Fax: [phone] Carteret (idles Pamlico Washington
NCNNTC and NC 'T'rout Counties
Western Piedmont Rc-?ion Coordinator Alleglhany Caldwell Watauga
3855 Idlcwild Road Ashc Mitchell Wilkes
Kcrncrsvillc, N(' 27284-9180 Avery Stokes
Telephone: [phone] Budce Stilly
Mountain Region Coordinator Buncombe Henderson Polk
20830 Grcat Smoky Nlhi. Fxpressway Cherokee Jackson Ruthei Ford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] laywood McDowell Yancey
Page 12 of 12