20001076 Ver 1_Complete File_20000313

PRE-DISCHARGE NOTIFICATION FCN
TO: National Marine Fisheries Service
Pivers Island, NC FAX [phone]
US Fish & Wildlife Service
Asheville, NC FAX [phone]
US Fish & Wildlife Service
Raleigh, NC FAX [phone]
State Historic Preservation Office
Raleigh, NC FAX [phone]
NC Division of Water Quality -
Raleigh, NC FAX [phone]
NC Wildlife Resources Commission
Creedmoor, NC eAX [phone]
1. ACTION ID: aow ?)Lo t0o 41
2. APPLICANT: Wwv I SR ?\O\?1 %r Lo°?
001®78
3. DATE OF TRANSMITTAL: \3 r,-*^00
4. RESPONSE DEADLINE (5 days from transmittal): \71t
5. COMMENT DEADLINE (10 days from response deadline): C%'v%0 0
6. SEND COMMENTS T0: RALEIGH REGULATORY FIELD OFFICE
RALEIGH, NC
ATTN:
FAX [phone]
We are also forwarding the attached PCN to the Fish and Wildlife
Service and the National Marine Fisheries Service for review and
comment concerning any likely affect to any threatened or
endangered species or their critical habitat within those
agencies' jurisdiction.
800/T00'd 85TT# LT:LT 000Z.ET'M
Imam
02/28/2000 21:14 N0.144 1791
D"WN FIVE
NCDOT BRME MAMENANCE
4309 BERYL ROAD
RALEIGH, NORTH. CAROLINA 27606:
FAX NO. 919-733-1496
PH. NO. 919-733--4699
DATZr:?A EF_ CPLEASE DELIVER TO:
FAX NO: Dig 2a - d w -
DEPARTMENT:
TIUS FAX IS BEING SENT BY:
NAME:
DBPAR.TMENT: -
M
NJIAER OF PAGES INCLUDINO COVER: 1
If you did not receive all pages clearly, cal I us as soon as possible.
REMARKS:

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PRE-CONSTRUCTION NOTIFICATION APPZICATIOX
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nzLD *"ICS OS' Tm I a"s or xmgZMISJtS (SRE A M&Y ADCOISSSS SHUT) • SAN
M COPIES SHOULD AN BZVT To ITHE N • c . DMSTON Or 2XVIRORMENTAL AA"62MC T
(5E9 ACBNCY ADDRESSES SHEET)., WMA29 PRXR
2. OWNSPJ NAME'- - /Y, r ..?.---?-?
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4. IP "PLICAaL1i: AGmTIS MAME oR RBSpORTSYBLZ CORPORATE OMCIAL, ADDUSS.
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SPECYFIC LOCATION (10CLUDE ROAD
I;UMAERS. LANDMIt", £TC.I
6. IMPACTED OR NEARE32 STRW/RIVE'A: ? e
RIVER DASI(i:
7a. IS P64-7tCT LOCATED NEB WATER q,AOSIPIUD AS TROUT, ?InAL DA,i,TWATI UL
(SA) r HIGH QUALITY UATEA3 (liQW) , OU?9T7WA=G AD30URCE VATF." (ORW) . WNTER
SUPPLY (US-Z OR ud-ZI) T Y ??,,,{e ( ] No (-I" Ir YSg, EXPLAZU:
?b. In THE PROTECT LOCATED IWXTHIN R NORTH CAROLTIO.' pIVZ3xoN or co)= n
=MGEt4ENT AREA OF EUVIROWIENTRL CONCERN (AEG) I YES ( ] NO I A--
?c. IF THE PROJECT 15 LOCATHAT WITHITHE N COASTAL POUHT (SEC SFAG cf N21T 0 i°
S?IST OF COASTAL, COUi7T=ES) . W
on. HAVE = 9ECTZ(= 404 PER=T3 Ei7 PREVIOUSLY ?U=TGD FOR UBE ON
THIS PROPERTY? YES ( I NO (e I6 VCS, pp.0VIVZ hCTIOV I.a. 1QO MZR 08
PREV;003 PZ MZT AND ANY ADDITIONAL INEORHATIOP (337CLUDR BrZTQCApY OF 402
CLRTSFICATION)i
ATED PROPERTY ZN THE
5b. A? RP,. MyZ5 OX ( GWAL O PBt-T PMJT Z MQUEESTDESCRIDE D FOR THIS
AE
8A, ;4TIMATCD TOTAL NUMDUL OF Acpzs IN TRACT Or LAND., -/'Ag 4????aase-
eb. EQTIMATEA TOTAL NUMaER Or Ac=rp AP W&TLAUD3 LOCATED M' 8It03ECT :"Tr=
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10a. NUri9EEt CS ACRES OF UZTfjwDS ZH8ACTED BY THE PROPOSED P"JECT DY:
P> LY.=NG: EXCAVATION:
rLOODING: OTHER:
DFWINACE! TOTAL A=z TO AA UIPACTu"A:
lob. (11 STRUM CHMNSL TO an IMPACTED BY THC PROPOSED PROJ'= (Tr
ftU0=TED, PROV,TDE 0157ANCE DOTH BEFORE AND AFTER "ADCA270N) :
=NOTH BEFORE: 1n4? AFTZA: Il /• 8,
WMTH BSFORS (bAdio0 On 110=41 high water contours) :
W,ZD70 AFTER:
AV PALM 9)APT13 DEMM , AFTER:
tZ1 W : (C=IG ALL'TIL 118AY.X]
OPEN CHAWEL A CLOCl1TION: PLbCZKENT OF PIKE IN CHANNEL:
CIUMZL EXCAVATION: CONSTRUCTION Of A DAB/!'r•CODING,
OTHERS PIP
11. jr CosazjwCxxON OF A VwD I8 PROPOSED, WHAT 13 THE ZIZB OF T1(2
WhTARMCD DRUN1110 TO THE QOND?
WHAT 13 THE EXPT.CTED POND SURFACE AREA?
12. 0ZZCRIPTZ(n; Of PRORMCD WORK JUCLUDING DIOC9331OU OF TYPE OF
H=H19TCAL MOXPLIENT TO aD UZED (ATTACH P2j%gS: 0 1/2" X 11" DMOZItGS
13. ftIA Q IZ OF PAOAOSED WORN:
3
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NO. 144
MUZT 09 AIiRIEU
TA%ea4 TO MINIMIZE WETLAUD
14, OUT INTAETIJWV3-ttg(?LUDE IS MY MEA3UREO THAT
IMPACTS) :
15. YOQ"ARP REQOIIIED TO CONTACT THE U.36 FItH AND UILDLIFE SELIVICE, acli-p
((7srws) AND/OSt•. TSONAL NARINE F'Y3HEACE3O?EAvIC?EDIE iro)Y (BEOT zacy ACtl
ADDR=rds SHEET) REGAR151HO THE PRS.i3EN
PROPOSER FOR LISTING -E-S W=RRD OR THReATPNED SPECIES OA CRITICAL 11=1TAT
IN THE PERHIT ARC THhV--T4AY-B&-AFFECTED BY Tife BROPQSW PR(OAJEC; MT3PpN3ES
coNrACTED: .
FRC2! TitEOE AGYC=ES . )
3SLA?T3'?i?-CFFZGRR d ,?
16. Y'o0 W`iiEQtl3?R£D-'?4?ON'?T THE STATE I?2OTOtlT,?1E w C?F+?+'
(SHPO) (SEE AGENCY U$DSSk?-.3HEE9) REfJ ADING 'Tkk PRES$WCE OF RTSTORXC
PROPER'TSES.-IN'-TAE PERMIT AA M VNICH MAY DE AFFECTED BY z7'iD' BROPo9ED
PROJECT. DATE CONUCTED:
11. DOES THE PFtOJCCT iNVOLvE AN gXpE27DITCIAE or pUaLIC FUNDS OR THE USE OF
FUDLIC ( STATE:) LAND?
YES 11 NO (7 (xr No, Gd To 10)
0. X8' Y33, ZOZS THE 2ROJECT REQUZPX P1IEPARATIOU OF AU F-"V 'ONMWTAL
DocumENT PURSUANT TO THS REODYEEMENTS OF THE NORTH CAROLINA LNVXa0 TAT'
POLIC`1 ACT?
Yl24 II NO 11
b. IF YES. HAS THE aO=ZNx AEEN REVIEWED THROUGH TUC NORTH CAROLIt7A
DEPARTMENT of AL'l!lYNX2TDATX0N STATE CY.EARINUNOUSE7
YES c I UO c 1,
IF ANDUER TO I7b XS YES, THEN SUBMIT AVPAOPitXNTE oocLQ4CNTATT0N Fttot THE
STATt TO CO=IAUS WITH THM 31ORTH ?C.7kRGLIt1A EUVIAW94ENTAL BO?TCYrT• ?CiAliDZNG
QUS9TX0NO AV=LADlVG,THE STATE CLEUTN0110004 9=21F IfROCES3 SHOULD DE
DIRECTED TO MS. CHRYS BAG1GZTT, DIRECTOR STATE Cj,E,m=GttoUOC. NORTH
CAROLIVA DSPARTMCMT Olt hZ32HISTRATYON, 116 VEST 70.W,.7 STR7:F:T, RAI,GIGH,
RORTH CAnOLINA 21603-8003, TELFVXON$ (9191 733-6369-

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THIS in. TUZ MLLOGIITF-14 .g TrIEDDI ,CHARGE OF EXCAVATED ORpFIY•I.TIM]?TERTAL
PROPOSED ACTIVITY
YNTO WETLANDS i
a. siETI,AND DEL%NEATZOti MA9 SHOWING ALL WETLANDS, ST=MIZe I+IU=
AND FONDS 014 THE PROPERTY (MR NATIONWIDE pP..F IT 1lUtl0FlW 141 10t 21, 26,
3TREMS (YNTERNITTENT A110 PERNME 1T) Ott The PROPERTY
20! AND 30). ALL
U= BE SK l{4t7Tt ort THe'i MAB. tsAB SCAL3;S 33i0UL0 >33: l ItTCit EQURL3 50 BEST OR
'INCH EQUALS 100 FEET OR THEIR =01VALEUTs
b. IF AVMLAHLE, REPRIvSENTATIVE PROTOGMPH 031' UZTL3'1 02 TO BE
19PACTED aY PAOJECT.
o. Xr MEI.YNEATION WAS PERFORUCD BY A CGNSULTANT, Xt;CLUPE ALL DATA
SHEETS RELEVIWT TO THE PLACWENT OF THE D&LXNEA?ION LIUR.
a, ATTACH x copy or THE $TOM-MATED L' WIAGEt)ENT PLAIT I£ REQUIRED.
p, WHAT 15 LAND 09Fi OF sumumviva PROPElt7yi
P. if APPLZCAaL$, WHAT IG OPOROSED MFwTKOD OF 9ERAGIE AY3Pt)9hL7
9. SlGlJZD AND DATED ACENT AUTHORIZATION LETTER, XF APULICABLE•
:To=: w2TLAMS OR VAT= OF TH£ U.S. MAY NOT DZ I1417ACTFD V=OR TO:
1) 13SUANC31 OF A EMCTION 404 C01,2 OF QOSZD yI PEMIX
OFT,
2) ]CITUZR THE ISSUANCk Ott ?j7ER OF A
ENVIF NTAL MANAGRUENT (WATER QUALITY) C39TIVICATION, AM
O) (.RT TTID TA=7r CG1 sm= c=IT= C=55 $ A LETTER FROM Ttm
N=TI3 CARroL111A cxvx920rt OF coASTA3. rVjWECNT STC?ZNTG?3F? L?NT
ACTMTY ZO CONSISTENT WITH THE 11ORTH CAVZLX?
PL:OGRAM . .
OWNS 'S/AGED '6 SIGNA2URE DATE
(AGENT # 8 SIGNMURS VALID ONLY
IF AUTHORIZATION LETTER FROM
THE O'ANER IS PROVIDED (1890)
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