20120664 Ver 1_401 Application_20120712

2 0 1 2 0 6 6 4
oaoF W AT %
7-
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 10
PCN Form — Version 1 3 December 10 2008 Version
Pre Construction Notification (PCN) Form
A Applicant Information
rf
1
Processing
1 a
Type(s) of approval sought from the
Corps
®Section 404 Permit ❑Section 10 Permit
1 b Specify Nationwide Permit (NW P) number 12 or General Permit (GP) number
1c
Has the NVVP or GP number been verified by the Corps?
IF] Yes
® No
id
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ® Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
® Yes
❑ No
1 g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
® Yes
❑ No
1 h
Is the protect located within a NC DCM Area of Environmental Concern (AEC)
❑ Yes
® No
2
Project Information
2a
Name of protect
Boiling Spring Lakes Commercial Corridor Sewer Collection System
2b
County
Brunswick
2c
Nearest municipality / town
Boiling Spring Lakes
2d
Subdivision name
N/A
2e
NCDOT only T I P or state
protect no
N/A BAD
3
Owner Information
3a
Name(s) on Recorded Deed
N/A f ( /!r
3b
Deed Book and Page No
N/A
3c
Responsible Party (for LLC if
applicable)
Brunswick County t dv
�'� kQUgLt
water 7Y
3d
Street address
30 Government Center Drive
3e
City state zip
Bolivia NC 28422
3f
Telephone no
910 253 2000
3g
Fax no
910 253 2022
3h
Email address
mlawingQbrunsco net
Page 1 of 10
PCN Form — Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other specify
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City state zip
4f
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
T Carter Hubard PE
5b
Business name
(if applicable)
W K Dickson & Co Inc
5c
Street address
909 Market Street
5d
City state zip
Wilmington NC 28401
5e
Telephone no
910 762 4200
5f
Fax no
910 762 4201
5g
Email address
tchubard @wkdickson com
Page 2 of 10
PCN Form — Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
1 a Property identification no (tax PIN or parcel ID)
N/A
1 b Site coordinates (in decimal degrees)
Latitude 34 0246 Longitude 780635
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
N/A acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
proposed project
Boiling Spring Lake (Allen Creek)
2b Water Quality Classification of nearest receiving water
B SW
2c River basin
Cape Fear
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
The proposed project will be installed in existing NCDOT right of ways city street right of ways and easements
3b List the total estimated acreage of all existing wetlands on the property
6 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
0 no streams are crossed with this project
3d Explain the purpose of the proposed project
To provide sewer collection for the commercial corridor of Boiling Spring Lakes
3e Describe the overall project in detail including the type of equipment to be used
The proposed sewer lines will be installed mainly by open cut trenching using excavators and backhoes The surface
waters will be installed using horizontal directional drills
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the pasty
Comments
®Yes ❑ No El Unknown
4b If the Corps made the jurisdictional determination what type
of determination was made
® Preliminary ❑ Final
4c If yes who delineated the jurisdictional areas?
Name (if known) Matt Smith
Agency /Consultant Company
Other Environmental Services
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
October 20 2011
5 Project History
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑Yes ® No ❑ Unknown
5b If yes explain in detail according to help file instructions
6 Future Project Plans
6a Is this a phased projects
❑ Yes ® No
6b If yes explain
Page 3 of 10
PCN Form — Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
® Wetlands ❑ Streams tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of Jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ —non 404 other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
1 56
2h Comments See attached table and on drawing C2
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of Jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non 404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑Corps
❑ INT
❑DWQ
3h Total stream and tributary impacts
31 Comments
Page 4 of 10
PCN Form — Version 1 3 December 10 2008 Version

4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑ P ❑T
4f Total open water impacts
0
4g Comments All open waters in the project area will be crossed using directional drill
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f Total
5g Comments N/A
5h Is a dam high hazard permit required
❑ Yes ❑ No if yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
❑ Neuse ❑ Tar Pamlico ❑ Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
61 ❑ P ❑T
El Yes
❑ No
B2 ❑ P ❑T
El Yes
❑ No
B3 ❑ P ❑T
❑Yes
❑ No
6h Total buffer impacts
61 Comments N/A
Page 5 of 10
PCN Form — Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1 a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Where feasible to connect the properties wihtout open cut excavation forrested wetlands are proposed to be crossed using
directional drill
lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Where sewer lines are installed by open cut in wetlands silt fence will be installed on both sides of the cleared wetlands to
delineate the limit of disturbance in wetlands and prevent construction runoff from entering the wetlands
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
® Yes ❑ No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ® Corps
2c If yes which mitigation option will be used for this
project
❑ Mitigation bank
® Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
[Type
Quantity
3c Comments N/A
4 Complete if Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
N/A linear feet
4c If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWO only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non riparian wetland mitigation requested
1 acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
N/A
Page 6 of 10
PCN Form — Version 1 3 December 10 2008 Version

6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWO
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments N/A
Page 7 of 10
PCN Form — Version 1 3 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
1 a
Does the project include or is it adjacent to protected riparian buffers identified
El Yes No
within one of the NC Riparian Buffer Protection Rules
1 b
If yes then is a diffuse flow plan included? If no explain why
❑ Yes El No
Comments N/A
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
0 005 A
2b
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c
If this project DOES NOT require a Stormwater Management Plan explain why
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
A Notice of Intent for coverage under the General Stormwater Management Permit Np
SWO040000 for linear utilities
and associated built upon area was approved on October 6 2011
® Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
® DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project?
Brunswick County
❑ Phase II
3b
Which of the following locally implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
® Other
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
❑ HOW
4a
Which of the following state implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 246
® Other General Permit Linear
Utility Project
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
® Yes ❑ No
5 DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 3 December 10 2008 Version

F Supplementary Information
1 Environmental Documentation (DWQ Requirement)
la Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes ❑ No
use of public (federal /state) land?
1 b If you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c If you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
letter)
❑ Yes ❑ No
Comments N/A
2 Violations (DWQ Requirement)
2a Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) Isolated
Wetland Rules (15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after the fact permit application?
❑ Yes ® No
2c If you answered yes to one or both of the above questions provide an explanation of the violation(s)
3 Cumulative Impacts (DWQ Requirement)
3a Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development which could impact nearby downstream water quality?
3b If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered no provide a short narrative description
The potential secondary and cumulative impacts to water quality as a result of this project will be mitigated by the
required City County State and Federal water quality rules and regulations that apply to future development
4 Sewage Disposal (DWQ Requirement)
4a 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
Wastewater generated from this project will be sent to the Brunswick County s West Regional Water Reclamation Facility
for treatment and disposal by spray irrigation
Page 9 of 10
PCN Form — Version 1 3 December 10 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
® Yes ❑ No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
Yes ❑ No
impacts?
5c If yes indicate the USFWS Field Office you have contacted
Raleigh
®
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
http / /www cityofbsl org /woodpecker -map pdf
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http Hocean flondamanne org /efh_ coral /ims /viewer htm
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
http / /www hpo ncdcr gov/
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain?
®Yes ❑ No
8b If yes explain how project meets FEMA requirements Existing grades within the flood plain will not be modified
8c What source(s) did you use to make the floodplain determination? FIRM Panels 2160 2089 & 2180
/"kg� K �W Wco-
/
Ap icant/Agent s Sig ure
Applicant/Agent s Printed Name
Date
(Agents signature is valid only if an authoriz on letter from the applicant
is rovided
Page 10 of 10
PCN Form - Version 1 3 December 10 2008 Version

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NC ��I
North Carolina Department of Environment and Natural Resources
Division of Land Resources
Land Quality Section
James D Simons PG PE Beverly Eaves Perdue Governor
Director and State Geologist Dee Freeman Secretary
September 06 2011
LETTER OF APPROVAL WITH MODIFICATIONS AND PERFORMANCE
RESERVATIONS
Brunswick County
ATTN Marty E Lawing County Manager
P 0 Box 249
Bolivia NC 28422
RE Project Name Boiling Spring Lakes Commercial Corridor Sewer Collection
Project ID BRUNS 2012 007 Acres Approved 2100
County Brunswick NC 87 Boiling Spring Lakes
River Basin Lumber Stream Classification Other
Submitted By James Michel PE WK Dickson
Date Received by LQS August 10 2011
Plan Type New
Dear Mr Lawing
This office has reviewed the subject erosion and sedimentation control plan and hereby issues this
Letter of Approval with Modifications and Performance Reservations A list of the modifications
and reservations is attached This plan approval shad expire three (3) years following the date of
approval if no land disturbing activity has been undertaken as is required by Title 15A NCAC 4B
0129 Should the plan not perform adequately a revised plan will be required (G S 113A 54 1)(b)
Please be advised that Title 15A NCAC 413 01 18(a) requires that a copy of the approved erosion
control plan be on file at the fob site Also you should consider this letter to give the Notice
required by G S 113A 61 1(a) of our right of periodic inspection to ensure compliance with the
approved plan
North Carolinas Sedimentation Pollution Control Program is performance oriented requiring
protection of existing natural resources and adjoining properties If following the commencement
of this project it is determined that the erosion and sedimentation control plan is inadequate to meet
the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General
Statute 113A 51 thru 66) this office may require revisions to the plan and implementation of the
revisions to ensure compliance with the Act
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington North Carolina 28405 Phone [phone] / Fax [phone]

Letter of Approval with Modifications and Performance Reservations
Project Boiling Spring Lakes Commercial Corridor Sewer Collection
September 06 2011
Page 2 of 4
Acceptance and approval of this plan is conditioned upon your compliance with Federal and State
water quality laws regulations and rules In addition local city or county ordinances or rules may
also apply to this land disturbing activity This approval does not supersede any other permit or
approval
Please be aware that your project will be covered by the enclosed NPDES General Stormwater
Permit NCGO1O000 (Construction Activities) You should first become familiar with all of the
requirements for compliance with the enclosed general permit
Please note that this approval is based in part on the accuracy of the infonnation provided in the
Financial Responsibility Form which you have provided You are requested to file an amended
form if there is any change in the information included on the form In addition it would be helpful
if you notify this office of the proposed starting date for this project Please notify us if you plan to
have a preconstruction conference
Your cooperation is appreciated
Sincerely
Rhonda Hall
Assistant Regional Engineer
Land Quality Section
Enclosures Certificate of Approval
Modifications and Performance Reservations
NPDES Permit
cc James Michel PE WK Dickson
t

Ir
fv
Letter of Approval with Modifications and Performance Reservations
Protect Boiling Spring Lakes Commercial Corridor Sewer Collection
September 06 2011
Page 3 of 4
MODIFICATIONS AND PERFORMANCE RESERVATIONS
Project Name Boiling Spring Lakes Commercial Corridor Sewer Collection
Project 1D BRiJNS 2012 007
County Brunswick
This plan approval shall expire on December 31 2014 if no land disturbing activity has been
undertaken as is required by Title 15A NCAC 48 0029
The developer is responsible for the control of sediment on site If the approved erosion and
sedimentation control measures prove insufficient the developer must take those additional
steps necessary to stop sediment from leaving this site Each sediment storage device must
be inspected after each storm event Maintenance and/or clean out is necessary anytime the
device is at 50% capacity All sediment storage measures will remain on site and functional
until all grading and final landscaping of the project is complete
Any and all existing ditches on this project site are assumed to be left undisturbed by the
proposed development unless otherwise noted The removal of vegetation within any existing
ditch or channel is prohibited unless the ditch or channel is to be regarded with side slopes of
2 horizontal to 1 vertical or less steep Bank slopes may be mowed but stripping of
vegetation is considered new earth work and is subject to the same erosion control
requirements as new ditches
The developer is responsible for obtaining any and all permits and approvals necessary for the
development of this project prior to the commencement of this land disturbing activity This
could include agencies such as the Division of Water Quality s stormwater regulations their
enforcement requirements within Section 401 of the Clean Water Act the U S Army Corps of
Engineers jurisdiction of Section 404 of the Clean Water Act the Division of Coastal
Managements CAMA requirements the Division of Solid Waste Managements landfill
regulations the Environmental Protection Agency and /or The U S Army Corps of Engineers
jurisdiction of the Clean Water Act local County or Municipalities ordinances or others that
may be required This approval cannot supersede any other permit or approval however in
the case of a Cease and Desist Order from the Corps of Engineers that Order would only
apply to wetland areas All highland would still have to be in compliance with the N C
Sedimentation Pollution Control Act
If any area on site falls within the jurisdiction of Section 401 or 404 of the Clean Water Act the
developer is responsible for compliance with the requirements of the Division of Water Quality
the Corps of Engineers and the Environmental Protection Agency (EPA) respectively Any
erosion control measures that fall within jurisdictional wetland areas must be approved by the
aforementioned agencies prior to installation The Land Quality Section must be notified of a
relocation of the measures in question to the transition point between the wetlands and the
uplands to assure that the migration of sediment will not occur If that relocation presents a
problem or contradicts any requirements of either DWQ the Corps or the EPA it is the
responsibility of the developer to inform the Land Quality Section regional office so that an
adequate contingency plan can be made to assure sufficient erosion control remains on site
Failure to do so will be considered a violation of this approval

N
Letter of Appro� al with Modifications and Performance Reservations
Project Boiling Spring Lakes Commercial Corridor Sewei Collection
September 06 2011
Page 4 of 4
6 Any borrow material brought onto this site must be from a legally operated mine or other
approved source Any soil waste that leaves this site can be transported to a permitted mine
or separately permitted construction sites without additional permits Disposal at any other
location would have to be included as a permit revision for this approval
7 This permit allows for a land disturbance as called for on the application plan not to exceed
21 acres Exceeding that acreage will be a violation of this permit and would require a
revised plan and additional application fee Any addition in impervious surface over that
already noted on the approved plan would also require a revised plan to verify the
appropriateness of the erosion control measures and stormwater retention measures As
proposed the land disturbance width of the utility line should not exceed 23 feet
8 The construction detail for the proposed silt fence requires reinforcing wire and steel posts a
maximum of eight (8) feet apart Omission of the reinforcing wire is a construction change
that necessitates more posts for support ► e the spacing distance needs to be reduced to no
greater than six (6) feet apart
9 A graveled construction entrance must be located at each point of access and egress
available to construction vehicles during the grading and construction phases of this project
Access and egress from the project site at a point without a graveled entrance will be
considered a violation of this approval Routine maintenance of the entrances is critical
10 As a condition of the provided NPDES General Stormwater Pemit groundcover stabilization
must meet specific time frames Slopes (including cuts fills and ditch banks) that are
steeper than 3 horizontal to 1 vertical left exposed will within seven (7) calendar days after
completion of any phase of grading be provided with groundcover Slopes that are 3
horizontal to 1 vertical or flatter will be provided with groundcover within fourteen (14)
calendar days
11 In order to comply with the basic control objectives of the SPCA (15A NCAC 04B 0106) both
exposed area and time of exposure should be limited We recommend this project be
phased so that uncovered area is limited to a maximum of 20 acres at any given time As
per North Carolina General Statute 113A 57(5) the land disturbing activity shall be conducted
in accordance with the approved erosion and sedimentation control plan

J
A4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H Sullins RECEIVED
Governor Director
October 6 2011
Marty K Lawing County Manager OCT 12 2011
Brunswick County W K DICKSON
PO Box 249
Bolivia NC 28422
Dee Freeman
Secretary
Subject Stormwater Permit No SWG 040041
Boiling Spring Lakes Commercial Corridor Sewer Collection System
General Permit Linear Utility Project
Brunswick County
Dear Mr Lawing
In accordance with your application to be covered under the State Stormwater General
Permit Number SWG 040000 for a Linear Utility Line project submitted on August 10
2011 with final information submitted on September 26 2011 we are forwarding
herewith the subject Certificate of Coverage Number 040041 for the construction of a
linear utility line project with associated incidental built upon area The General Permit is
issued pursuant to the requirements of North Carolina General Statute 143 215 1 and
Title 15A NCAC 2H 1000 the stormwater management rules
Please take notice that this Certificate of Coverage is not transferable except by action
of the Division of Water Quality (DWQ) The DWQ may require modification or
revocation and reissuance of the Certificate of Coverage
This permit does not affect the legal requirement to obtain other permits which may be
required by the Division of Water Quality the Division of Land Resources Coastal Area
Management Act or any other federal state or local agency law rule or ordinance
Attached is a copy of the General Permit If you have any questions concerning the
requirements of the permit or if you need additional information on this matter please
contact Linda Lewis at [phone]
Sincerely
For 6on en H Sullins Direltor
Divi f Wa ter Quality
GDS /arl S =WStormwater\Permits & Projects \SWG04 Utility \040041 COC SWG04\2011 09 permit 040041
cc James R Michel P E WK Dickson
Brunswick County Building Inspections
Brunswick County Engineering
Wilmington Regional Office Stormwater File
Wilmington Regional Office
127 Cardinal Drive Extension Wilmington North Carolina 28405
Phone [phone] FAX [phone] Customer Service 1877-623 6748
Internet www rimaterquality org
F in r+ titnrrmi mi
One
NorthCarohna
Natur,7119

r
State Stormwater Management Systems
COC No SWG 040041
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT GENERAL PERMIT NO SWG040000
CERTIFICATE OF COVERAGE NO 040041
LINEAR UTILITY LINE PROJECT AND
ASSOCIATED INCIDENTAL BUILT UPON AREA
In compliance with the provisions of North Carolina General Statute 143 215 1 as
amended other lawful standards and regulations promulgated and adopted by the North
Carolina Environmental Management Commission and 15A NCAC 2H 1000 the
Stormwater rules
Brunswick County
is hereby authorized to construct 15 980 square feet of built upon area incidental to the
proposed utility line installation for the subject project located at
Boiling Spnng Lakes Commercial Cornder Sewer Collection System
Begins 6 miles south intersection US 17 and NC 87and continues 4 5 miles along NC 87
Town of Boiling Spring Lakes
Brunswick County
and to discharge stormwater to receiving waters designated as Allen Creek (Boiling
Spring Lakes) and Moore Creek class B Sw and C Sw respectively in the Cape Fear
River Basin in accordance with the provisions of the General Permit for a Linear Utility
Line No SWG040000 and the approved stormwater management plans and
specifications and other supporting data as attached and on file with and approved by the
Division of Water Quality and considered a part of this permit for the subject project
This Certificate of Coverage shall become effective October 5 2011
Signed this the 5th day of October 2011
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Colee46fater Sullins Director
Division Quality
By Authority of the Environmental Management Commission
Page 2 of 2

N C DIVISION OF WATER QUALITY
SURFACE WATER PROTECTION SECTION
STATE STORMWATER NOTICE OF INTENT (NOI)
SWG040000 - GENERAL PERMIT TO CONSTRUCT A LINEAR UTILITY
LINE AND ASSOCIATED INCIDENTAL BUILT UPON AREA
FOR AGENCY USE ONLY
Date Rece ed
Year J
Mont
Day
Cert f cafe of Coverage
S W D
Check a
Amou t
c
Permit Ass gned to
State Management t Management Application Notice of No SWG040000 to construct a utility line and incidental built upon area t associated with a
Management P
linear utility project including water sewer gas telephone and electric
Incidental built upon area associated with the utility project includes small single pump stations access roads
which minimize their built upon area concrete pads manhole covers etc
(Please print or type)
Mailing address of owner /developer (The address to which all permit correspondence will be mailed)
owner/Developer Name Brunswick CountY
Street Address P O Box 249
City Bolivia State NC Zip Code 28422
Telephone No [phone] Fax [phone]
2 Proposed Project Information
Project Name
Contact Person
Street Address
City
County
Telephone No
Wilmington NC State NC Zip Code Z64yi
[phone] Fax [phone]
3 Physical Location Information
Please provide the street address of the project and describe how to get to the project using street names state road
numbers and the distance and direction from the nearest major intersection The protect begins approximately
6 miles south of the intersection of NC 17 and NC 87 and continues aproximately. 4 5 miles along NC 87
4 What is the name of the receiving stream" Allen Creek (Boiling Spring Lakes) and Moore Creek
5 River Basin Cape Fear Receiving Stream Classification B Sw and C Sw
6 This Certificate of Coverage is being submitted as a result of
® New or proposed project ❑ Modification to an existing project
Existing COC or Permit Number
Date project is scheduled to begin construction December 2011
What is the total project area above mean high water? 958,320
ft2
SWU 116 040108 Page 1 of 3

8 What type of utility project will be constructed?
❑ Water Line ® Sewer Line ❑ Gas Line ❑ Telephone ❑ Electric ❑ Other
9 How much built upon area is proposed' 15,980 square feet (Please include all manhole
covers pump stations concrete pads and gravel access roads )
10 Is the project within 575 of the Mean High Water line of class ORW waters?
❑ YES (Please show the 575 AEC line on plans) ® NO
11 Are there any wetlands on the site? ® YES (please delineate on the plans) ❑ NO
Name and affiliation of person making this determination
12 Please list all Best Management Practices employed at this site
There are no planned BMPs for this project
13 Certification
North Carolina General Statute 143 215 6 b (i) provides that
Any person who knowingly makes any false statement representation or certification in any application record
report plan or other document filed or required to be maintained under this Article or a rule implementing this
Article or who knowingly makes a false statement of material fact in a rulemaking proceeding or contested case
under this Article or who falsifies tampers with or knowingly renders inaccurate any recording or monitoring
device or method required to be operated or maintained under this Article or rules of the Commission implementing
this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10 000 (18 U S C
Section 1001 provides a punishment by a fine of not more than $10 000 or imprisonment of not more than 5 years
or both for a similar offense )
I hereby request coverage under the referenced General Permit I understand that coverage under this permit will
constitute the pewit requirement for the project and is enforceable in the same manner as an individual permit
I certify that I am farruliar with the information contained in the application and that to the best of my knowledge and
belief such information is true complete and accurate
Printed name of person signing Marty K Lawin
Title Countv Manaeer
(Signature ofApph nt) (Date signed)
A check or money order must accompa y this Notice of Intent for $505 00 made payable to NCDENR Your
application will be returned unprocessed unless all of the following items are submitted
® This completed form
® Two sets of site and grading plans
® A check for $505 00
® A USGS map with the project clearly located on it
Marl the entire package to NCDENR Division of Water Quality
Surface Water Protection Section — Stormwater
at the Appropriate Contact Address (see the following page)
Note
The submission of this document does not guarantee the issuance of a Certificate of Coverage under the General
Pernut
SWU 116 040108 Page 2 of 3
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