20031017 Ver 1_Complete File_20030507

*S&ME X30453
May 6, 2003
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Since 1973
Three Decades ... Three Reasons
We P listen. We respond. We solve.
WETLANDS 1401 GROUP
Division of Water Quality
401/ Wetlands Unit MAY 0 7 2003
1650 Mail Service Center
Raleigh, NC 27699-1650 MTER QUALITY SECTION
Attention: Cyndi Karoly
Reference: DWQ # 03-0459
Guilford County, North Carolina
On behalf of Mr. And Mrs. Carlton S. Hall, S&ME, Inc. has assembled the data that your
requested in your letter of April 23, 2003. Additionally, we have reduced the stream
crossing from 150 to 144 linear feet, in order to minimize impacts and avoid additional
mitigation penalties. Attached you will find seven (7) copies of the following documents:
a revised PCN application noting the modifications of the crossing design, a 1:50 drawing
of the crossing w/ the lot layouts for any lots likely to encroach upon the stream buffer,
and a 1:200 overview of the proposed crossing.
We respectfully request a review of this information, and your acceptance of this
application as complete. Should you have any questions or comments, please contact us
[phone].
Sincerely,
S&ME, Inc.
T. Sanders c illan
Wetland Scientist
Matthew H. O'Brien
Natural Resources Dept. Manager
Enclosures: [PCN Application (Amended), 1:50 scale drawing of crossing, 1:200
overview of crossing] (7)
SWE, Inc. [phone]
3718 Old Battleground Road [phone] fax
Greensboro, North Carolina 27410 [phone] www.smeinc.com

Office Use Only:
USACE Action ID No.
No.
ersion October 2001
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing WETLANDS/ 401 GROUP
1. Check all of the approval(s) requested for this project:
X Section 404 Permit MAY 0 7 2003
? Section 10 Permit
X 401 Water Quality Certification VMTERQUALITYSECTION
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. Carlton S. Hall & Ms. Doris L. Hall
Mailing Address: 1531 Mt. Hope Church Road
McCleansville, NC 27301
Telephone Number: [phone] Fax Number: N/A
E-mail Address: N/A
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: Matthew H. O'Brien
Company Affiliation: S&ME, Inc.
Mailing Address: 3718 Old Battleground Road
Greensboro, NC 27410
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: N/A
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
Property Identification Number (Tax PIN) 04-0217-0368-002-A B
3. Location
County: Guilford Nearest Town: McLeansville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Raleigh: Mum Right
to take the I-40 WEST/I-440 ramp towards INNER BELTLM/CARY/DURHAM 0.3
2) Mere on I-40 WEST/I-440 WEST 4.6 3) Continue on I-40 WEST 35.3 4) Continue on
I-40 WEST/I-85 SOUTH 29.9 5) Take the MT HOPE CHURCH RD exit, exit #132 0.2 6)
Continue on a local road 0.1 7) Bear Rijzht on MT HOPE CHURCH RD 2.2 8) Turn left on
unpaved farm road to left between barns 9) Stay straight and proceed to end.
4. Site coordinates, if available (UTM or Lat/Long): 36° 04' 14.23" N 79° 41' 9.66"W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct water body.)
5. Describe the existing land use or condition of the site at the time of this application: This
site is a partially wooded and is currently in use as an agricultural area.
6. Property size (acres): 56.799-acres
7. Nearest body of water (stream/river/sound/ocean/lake): U/T Little Alamance Creek
8. River Basin: Cape Fear (Via Haw River)
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 6 of 12
9. Describe the purpose of the proposed work: Applicant wishes to cross an intermittent
tributary of an unnamed tributary of Little Alamance Creek with a 124 Linear Foot Roadway.
A 20LF Rip-Rap Outfall is proposed downstream for a total of 144LF. This amount has been
reduced from the previous submission of 150LF in an effort to avoid and minimize impacts
to the stream.
10. List the type of equipment to be used to construct the project: Trackhoe. Dumptruck.
11. Describe the land use in the vicinity of this project: Surrounding lands mostly agricultural.
12. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
DWO 03-0459 This application was originally submitted with 150LF of impacts to the stream.
The project engineer has subsequently, redesigned the crossing for a total of only 144LF of
impacts in an effort to minimize and avoid impacts to the stream.
IV. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
None known.
V. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please seci )
S1 Culvert 144 u/t Little Alamance
Creek 10' Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usg_s.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 144 Linear Feet
Page 8 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VI. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Crossing is essential to the development of the property. Applicant has reduced the width of the
crossing to keep all impacts below 150 Linear Feet. As per NWP general conditions: appropriate
soil and sediment controls will be place and measures taken to minimize disturbances to soils
and aquatic habitat.
Page 9 of 12
VII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
hItp://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htrn. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Page 10 of 12
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
VIII. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ? No X
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
IX. 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 buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
Yes ? No X If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 teet perpendicular trom near bank of channel; Gone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
X. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
All surface waters on the property are protected by a well designed sediment and erosion control
system of diversion ditches, filter basins, check dams, and silt fencing. These devices are
designed to be seamlessly incorporated into more permanent stormwater controls during future
stages of project development.
XI. Sewage Disposal (DWQ Only)
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.
Non-discharge. Public sewer.
XII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
XIII. 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).
N/A
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
N
W +E
S
Current Extent of Design Regarding Essential Crossing for the Hall Property
Crossing has been reduced from 150 linear feet to 144 linear feet in an effort
to minimize impacts to stream
Old pond and Spillway are no longer jurisdictional
All lots that may encroach upon riparian buffers have been included in the crossing design
Feet
0 100 200 400
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Project Name: River Basin: County: Evaluator:
DWQ Project Number: Nearest Named Stream: Latitude: Signature:
Date: USGS QUAD: Longitude: Location/Directions:
*PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary.
if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this
._wing system should not be used`
Primary Field Indicators: (Circle One Number Per Line)
I. Geomorphology Absent Weak Moderate Strong
1) Is There A Riffle-Pool Sequence? 0 1 2 3
2) Is The USDA Texture in Streatnbed
Different From Surrounding Terrain?
0
1
2 3
3) Are Natural Levees Present? 0 1 2 3
4) Is The Channel Sinuous? 0 1 2 3
5) is There An Active (Or Relic)
Floodplain Present?
0
1
2 3
6) is The Channel Braided? 0 1 2 3
7) Are Recent Alluvial Deposits Present? 0 1 2 3
8) Is There A Bankfull Bench Present? 0 1 2 3
9) Is A Continuous Bed & Bank Present?
(*NOTE: If Bed & Bank Caused By Ditching An 0
d WITHOUT Sinu 1
osity Then Score=0*1 2 3
10) Is A 2nd Order Or Greater Channel (As Indicated
On Tono Map And/Or hi Fieldl Prm-ent? Yes=3
No=
PRIMARY GEOMORPHOLOGY INDICATOR POINTS:
11. Hydrology Absent Weak Moderate Strong
1) Is There A Groundwater
Flow/Discharge Present? 0 1 2 3
PRIMARY HYDROLOGY INDICATOR POINTS.
M. Biology Absent Weak Moderate Strong
1) Are Fibrous Roots Present In Streambed? 3 2 1 0
Z) Are Rooted Plants Present In Streambed? 3 2 1 0
3) Is Periphylon Present? 0 1 2 3
31 Are Bivalves Present? 0 1 2 3
?RIMARYBIOLOGY INDICATOR POINTS:
adary Field Indicators: (Circle One Number Per Line)
L Geomorphology Absent Weak Moderate StronE
L) Is There A Head Cut Present In Channel? 0 .5 1 1.5
<) is There A Grade Control Point In Channel? 0 .5 1 115
1) Does Topography Indicate A
Jatural Drainage Wav? 0 .5 1 1.5
'ECONDAR Y GEOMORPHOLOGY INDICATOR POINTS.
1. Hydrology Absent Weak Moderate Strong
I Is This Year's (Or Last's) Leaflitter
-Present In Streambed? 1.5 1 S 0
Is Sediment On Plants (Or Debris) Present? 0 5 1 1.5
Are Wrack Lines Present? 0 .5 1 1.5
1) Is Water In Channel And >48 Hrs. Since 0 .5 1 1.5
ast Known Rain? (*NOTE. If Ditch Indicated In #9 Above Skin This Step And Ifs Below*)
Is There Water In Channel During Dry 0 S 1 1-5
:onditions Or In Growing Season)?
AreHydric Soils Present In Sides OfChannel_(Or In Headcut)? Yes=I.S_ No=O
:ECONDARY HYDROLOGY INDICATOR POINTS.
H. Biology Absent Weak Moderate Strong
Are Fish Present? 0 .5 1 1.5
Are Amphibians Present? 0 .5 1 1.5
Are AquaticTurtles Present? 0 .5 1 1.5
Are Crayfish Present? 0 5 1 1.5
Are Macrobenthos Present? 0 .5 1 1.5
) Are Iron Oxidizing Bacteria/Fungus Pr esent? 0 .5 1 1.5
) Is Filamentous Algae Present? 0 .5 1 1.5
) Are Wetland Plants In Streambed? SAV
* NOTE. If Total Absence Of All Plants In Streambed 2
1s Noted Above Skiv This Sten UNLESS SAV Present*). Mostly OBL
1 Mostly FACW Mostly FAC Mostly FACU Mostly UPL
.75 .5 0 0
ECONDARY BIOLOGY INDICATOR POINTS:
.JTAL POINTS (Primary + SecondarV)= (If Greater Than Or Equal To 19 Points The Stream Is At. Least Intermittent)
pF W Michael F. Easley, Governo,
?p V William G. Ross Jr., Secretary,
North Carolina Department of Environment and Natural Resources)
Alan Klimek, P.E., Director Division of Water Quality
G3 r
April 23, 2003
DWQ # 03-0459
Guilford County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
U Oft
Mr. Carlton S. Hall & Ms, Doris L. Hall
1531 Mt. Hope Church Road
McCleansville, NC 27301 ;
Dear Mr. & Ms. Hall:
On April 14, 2003 the Division of Water Quality (DWQ) was notified by receipt of your application
regarding your plan to fill waters for the purpose of a road crossing in Guildford County. Approval from DWQ is
required to disturb these areas. Please provide 7 copies of the following information and refer to the DWQ #
listed above in your reply. Please show these on maps of suitable scale (for instance 1" = 100 feet) so we can
begin to determine your projects' compliance with 15A NCAC 2H .0500.
1. Please show stream impacts including all fill slopes, dissipaters and bank stabilization on the site
plan.
2. Please indicate proposed lot layout as overlays on the site plan.
3. The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland
impacts were requested. Please provide $275. This additional fee must be received before your
application can be reviewed.
4. 150 of compensatory stream mitigation is required for this project. Please provide a compensatory
mitigation plan. The plan must conform to the requirements in 15 A NCAC 2H .0500 and must be
appropriate to the type of impacts proposed.
Please telephone Ed Schwartzman at 919-733-1787 if you have any questions or would require copies of
our rules or procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC
2H .0505(c). The processing time for this application will begin when this information is received. If we do not
hear from you by writing within three (3) weeks we will assume you no longer want to pursue the project and
will consider it withdrawn.
Sincerely,
j; V
John R. Dorney
401 Water Quality Certification Program
JRD/bs
cc: Winston-Salem DWQ Regional Office
Asheville Corps of Engineers
Central Files
File Copy
Matthew O'Brien, S&ME, 3718 Old Battleground Road, Greensboro, NC 27410
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetiands
FILE Cop y
Office Use Only: Form Version October 2001 AD I i13 USACE Action ID No. n o 4 n 1 vDWO No
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
L Processing
APR 1 4 ?003
1. Check all of the approval(s) requested for this project:
X Section 404 Permit a-$
? Section 10 Permit
X 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. Carlton S. Hall & Ms. Doris L. Hall
Mailing Address: 1531 Mt. Hope Church Road
McCleansville NC 27301
Telephone Number: [phone] Fax Number: NIA
E-mail Address: N/A
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: Matthew H. O'Brien
Company Affiliation: S&MEInc.
Mailing Address: 3718 Old Battleground Road
Greensboro NC 27410
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
IIL Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: N/A
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
Property Identification Number (Tax PIN) 04-0217-0368-002-A, B
3. Location
County: Guilford Nearest Town: McLeansville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Raleigh: I)Turn Right
to take the 140 WEST/I440 ramp towards INNER BELTLINUCARY/DURHAM 0.3
2 Merge on I-40 WEST/I-440 WEST 4.6 3) Continue on 1-40 WEST 35.3 4) Continue on
1-40 WEST/I-85 SOUTH 29.9 5) Take the MT HOPE CHURCH RD exit, exit #132 0.2 61
Continue on a local road 0.1 7) Bear Right on MT HOPE CHURCH RD 2.2 8) Turn left on
unyaved farm road to left between barns 9) Stay straight and proceed to end.
4. Site coordinates, if available (UTM or Lat/Long): 36° 04' 14.23" N 79° 41' 9.66"W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct water body.)
5. Describe the existing land use or condition of the site at the time of this application: This
site is a partially wooded and is currently in use as an agricultural area.
6. Property size (acres): 56.799-acres
7. Nearest body of water (stream/river/sound/ocean/lake): U/T Little Alamance Creek
8. River Basin: Cage Fear (Via Haw River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mos/.)
9. Describe the purpose of the proposed work: Applicant wishes to cross an intermitt
ent
tributary of an unnamed tributary of Little Alamance Creek with a 130 Linear Foot Roadway.
A 20LF Rip-Rap Outfall is proposed downstream for a total of 150LF.
10. List the type of equipment to be used to construct the project: Trackhoe. Dumptruck.
Dozier.
11. Describe the land use in the vicinity of this project: Surrounding lands mostly agricultural.
12. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
W. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
None.
V. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
(acres) Located within
100 year Floodplain**
es/no Distance to
Nearest Stream
linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(MW, or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fcm&gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: NIA
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on gap)
Type of Impact* Length of
Impact
(linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease specify)
S I Culvert 150 u/t Little Alamance
Creek 10' Perennial

Lin each impact separately and identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gam),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.uses.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mMuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 150 Linear Feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S.
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbod
y
( applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VL Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Crossing; is essential to the development of the property. Applicant has reduced the width of the
crossing? to keep all impacts below 150 Linear Feet. As per NWP general conditions: appropriate
soil and sediment controls will be place and measures taken to minimize disturbances to soils
and aquatic habitat.
VII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
VIII. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ? No X
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
IX. 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 buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
Yes ? No X If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
*
Zone , Impact
(square feet)
Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or. 0260.
X. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
All surface waters on the property are protected by a well designed sediment and erosion control
Vstem of diversion ditches, filter basins, check dams, and silt fencing. These devices are
designed to be seamlessly incorporated into more permanent stormwater controls during future
stages of project development
XL Sewage Disposal (DWQ Only)
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.
Non-discharge. Public sewer.
XUL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
XIM 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).
N/A
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Mar-14-03 12:53P P.01
01/901994 05-.41 3362749171 ROYS PAUL t12
HAR-13-03 U 10%58 AM SB?t'E FAX NO. 33WtSti VOV r
Ml4h 2003
,I er?ling the Application rut A Natiorwide rcluit for my S6.'?94-trcrc Froperty Off of
Mt.;I1apc C-bvjroh Road in GUilfori County, we bereby ant orivt Sd IMB INC. to act m
ourlegctnt raid to prescat our interests :A the US Army C.ory-m of &Ow atws, NC' mpO.Tm-.Qnt
of rtvirotuucnt and Natural Rootircri. Aad any otter regulatory a pmicies involved in the
peroittiats proms,
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