20060395 Ver 1_COMPLETE FILE_20060309

TjMichael F. Easley, Governor
W A
G William G. Ross Jr., Secretary
y North Carolina Department of Environment and Natural Resources
WA
r
-i Alan W. Klimek, P.E., Director
p .? Division of Water Quality
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Mr. Larry Adams
10084 Lakeview Road
Aberdeen, MS 39730
Subject Property: Adams Farm
Permitting Fee Return
Dear Mr. Adams:
April 5, 2006
Person County
DWQ 06-0395
On March 9, 2006 the Wetlands/401 Unit of the Division of Water Quality received your application for a 401 Water
Quality Certification in Person County, North Carolina. Your project had been placed on hold for lack of permitting fee;
Summit Engineering subsequently paid that $200 fee-on March 20, 2006. The $475 check that you submitted was not
required and is herein enclosed.
If you have any questions, please contact Ian McMillan or me in the Central Office in Raleigh at [phone].
2 in rel
Cyndi Karoly
Enclosure: Check # 3024 for $475.00
CBK/ jd
cc: File Copy + check copy
Central Files + check copy

06-0395 Adams Farm(Person)_Fee Retu
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/ncwetlands)
Customer Service #: 1-877-623-6748
tdCDENR

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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
March 27, 2006
DWQ Project # 06-0395
Wake County
Mr. Larry McAdams
10084 Lakeview Road
Aberdeen, MS 39730
Subject Property:
Adams Farm
North Flat River [030401, 27-3-2, WSIII, NSW]
Approval of 401 Water Quality Certification and Authorization Certificate per the Neuse River
Buffer Protection Rules (15A NCAC 213 .0233) with Additional Conditions
Dear Mr. McAdams:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact 103 linear feet of stream and 4,673 square feet (ft) of Zone 1 Neuse River
protected riparian buffers and 1,485 square feet (ft) of Zone 2 Neuse River protected riparian buffers for
the purpose of constructing the roadway and residential subdivision at the subject property, as described
within your application dated March 8, 2006, and received by the N.C. Division of Water Quality (DWQ)
on March 9, 2006. After reviewing your application, we have decided that the impacts are covered by
General Water Quality Certification Number(s) 3404 (GC3404). The Certification(s) allows you to use
Nationwide Permit(s) NW14 when issued by the US Army Corps of Engineers (USACE). This letter
shall also act as your approved Authorization Certificate for impacts to the protected riparian buffers per
15A NCAC 213 .0233. In addition, you should obtain or otherwise comply with any other required
federal, state or local permits before you go ahead with your project including (but not limited to) Erosion
and Sediment Control, and Non-discharge regulations. Also, this approval to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application shall expire upon
expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. 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 fills for this project (now or in the future) exceed one acre of
wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A
NCAC 2H.0506 (h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.ne.us/newetlands
Nocq' Caro ma
atutally
An Eaual ODDOrtunity/Affirmative Action EmDlover- 50% Rccvcled/10% Post Consumer Paver

Mr. Larry McAdams
Page 2 of 5
March 27, 2006
Amount Approved nits Plan Location or Reference
Stream 103 linear feet PCN page 8 of 12
Buffers Zone 1 4,673 (square ft. PCN page 11 of 12
Buffers Zone 2 1,485 (square ft. PCN page 11 of 12
2. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the Pre-Construction Notification. All construction
activities, including the design, installation, operation, and maintenance of sediment and erosion
control Best Management Practices, shall be performed so that no violations of state water quality
standards, statutes, or rules occur.
3. Erosion and sediment control practices must be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management Practices in
order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
c. Sufficient materials required for stabilization and/or repair of erosion control measures and
stormwater routing and treatment shall be on site at all times.
4. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
Division of Land Resources has released the project;
5. Protective Fencing - The outside buffer, wetland or water boundary and along the construction corridor
within these boundaries approved under this authorization shall be clearly marked with orange warning.
fencing (or similar high visibility material) for the areas that have been approved to infringe within the
buffer, wetland or water prior to any land disturbing activities to ensure compliance with 15A NCAC
213.0233 and GC 3404;
6. Diffuse Flow (No Review)
All constructed stormwater conveyance outlets shall be directed and maintained as diffuse flow at
non-erosive velocities through the protected stream buffers such that it will not re-concentrate
before discharging into a stream as identified within I5A NCAC 213 .0233 (5). If this is not
possible, it may be necessary to provide stormwater facilities that are considered to remove
nitrogen. This may require additional approval from this Office.
7. Culvert Installation
Culverts required for this project shall be installed in such a manner that the original stream profiles
are not altered. Existing stream dimensions (including the cross section dimensions, pattern, and
Mr. Larry McAdams
Page 3 of 5
March 27, 2006
longitudinal profile) must be maintained above and below locations of each culvert. Culverts shall
be designed and installed to allow for aquatic life movement as well as to prevent head cutting of
the streams. If any of the existing pipes are or become perched, the appropriate stream grade shall
be re-established or, if the pipes installed in a perched manner, the pipes shall be removed and, re-
installed correctly.
Culvert(s) shall not be installed in such a manner that will cause aggradation or erosion of the
stream up or down stream of the culvert(s). Existing stream dimensions (including the cross section
dimensions, pattern and longitudinal profile) shall be maintained above and below locations of each
culvert.
Placement of culverts and other structures in waters, streams, and wetlands must be placed below
the elevation of the streambed by one foot for all culverts with a diameter greater than 48 inches,
and 20 percent of the culvert diameter for culverts having a diameter less than 48 inches, to allow
low flow passage of water and aquatic life. Design and placement of culverts and other structures
including temporary erosion control measures shall not be conducted in a manner that may result in
disequilibrium of wetlands or streambeds or banks, adjacent to or upstream and down stream of the
above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ.
The establishmenf of native, woody vegetation and other soft stream bank stabilization techniques
must be used where practicable instead of rip rap or other bank hardening methods. If rip-rap is
necessary, it shall not be placed in the stream bed, unless specifically approved by the Division of
Water Quality.
Installation of culverts in wetlands must ensure continuity of water movement and be designed
to adequately accommodate high water or flood conditions.
Upon completion of the project, the Applicant shall complete and return the enclosed "Certificate of
Completion" form to notify NCDWQ when all 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 NC Division of Water Quality upon completion of the project. Please
send photographs upstream and downstream of each culvert site to document correct installation
along with the Certificate of Completion form.
8. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification, shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream impacts), 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, 6714 Mail Service Center,
Mr. Larry McAdams
Page 4 of 5
March 27, 2006
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a
hearing.
Any disputes over determinations regarding this Authorization Certificate (associated with the approved
buffer impacts) shall be referred in writing to the Director for a decision. The Director's decision is
subject to review as provided in Articles 3 and 4 of G.S. 150B.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act and the Neuse riparian buffer protection rule as described within 15A NCAC 2B .0233. If you have
any questions, please telephone Cyndi Karoly or Ian McMillan at 919-733-1786.
AWK/Ym
Enclosures: GC 3404
Certificate of Completion
Sincerely,
G l,? Alan W. Klimek, P.E.
cc: Summit Consulting Engineers, 252 N. Lamar Street, Roxboro, NC 27573
USACE Raleigh Regulatory Field Office
Eric Kulz, DWQ Raleigh Regional Office
DLR Raleigh Regional Office
File Copy
Central Files
Filename: 060395AdamsFann(Person)101_NBR
SUMMIT
Consulting Engineers
03/17/2006
NCDENR
Cindy Karoly - Supervisor
401 Oversight / Express Review Permitting Unit
2321 Crabtree Boulevard, suite 250
Raleigh, NC 27604
1000 Corporate Drive • Suite 101 • Hillsborough, NC 27278
Telephone [phone] • Fax [phone]

Subject Property : Adams Farm DWQ Project # 06-0395
Person County
Dear Ms. Karoly,
Enclosed you will find a check written in the amount of $200.00 for the missing permit application fee
for the above referenced project.
project.
Please feel free to give us a call at 919-732-3883 if you have any questions and/or comments about the
Sincerely,
Emmanuel A. Castel,
Summit Consulting Engineers, PLLC
12 (K?9 12 0 W F9 0
Mftft 2 0 2006
DENR - WATER QUALITY
11ET1ANDSAND ST=7A'ATER BRA14CH
O?O? W AT ,?,q?G
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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
March 14, 2006
Person County
DWQ 06-0395
CERTIFIED MAIL
Summit Consulting Engineers
Attn: Brantley Wells
252 N. Lamar St
Roxboro, NC 27573
Subject Property: Adams Farm
Dear Mr. Wells:
On March 9, 2005 the Wetlands/401 Unit of the Division of Water Quality received your application for a 401 Water
Quality Certification in Person County, North Carolina. Your project has been placed on hold for the following reason:
1. Lack of permit application fee
In accordance with North Carolina General Stature Section 143-215.3D(e), any request for written concurrence for a
401 Water Quality Certification must include the appropriate fee. Under Water Quality Certification #3404 (NW 14),
impacts to any stream length in the Neuse, Tar-Pamlico, Randleman and Catawba River Basins requires written
concurrence from DWQ in accordance with 15A NCAC 213.0200.
Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a fee for all
401 applications. The fee for applications is $200 for projects impacting less than an acre of wetland and less than 150
linear feet of streams. For projects impacting one or more acres of wetland or 150 or more feet of streams, the fee is $475.
In order for DWQ to begin review and process your request, you must send a check in the appropriate amount made payable
to the N.C. Division of Water Quality. Please reference the above DWQ # in all future correspondence.
Your project will remain on hold until all the permit criteria are met. Please reference the above DWQ number when
responding. If you have any questions, please contact Ian McMillan or me in the Central Office in Raleigh at (919) 733-
1786.
Sincerely,
Cyndl Kazoly
CKB/ jd
cc: Larry Adams, 10084 Lakeview Rd, Aberdeen, MS 39730
File Copy
Central Files
06-0395 Adams Farm(Person)_Fee
FG7
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), (htt r0h2o.enr.state.nc.us/ncwetlands)
Customer Service #: 1-877-623-6748
N ?1
03/07/2006
r ..y .? r
7 1
SUMMIT
Consulting Engineers
NCDENR
Cindy Karoly - Supervisor
401 Oversight / Express Review Permitting Unit
2321 Crabtree Boulevard, suite 250
Raleigh, NC 27604
Dear Ms. Karoly,
1000 Corporate Drive • Suite 101 • Hillsborough, NC 27278
Telephone [phone] • Fax [phone]
D
GF?
M AR ? ?.0
Please find attached seven (7) copies of the Pre-Construction Notification for the Adams Farm Subdivision
project in Person County. Each of the seven packages contains one copy of the PCN form, four 8.5x11 and three 11x17
attachment sheets. These are as follow:
- A signature authorization letter from our client Mr. Larry Adams.
- An 8.5x11 vicinity Map.
- An 8.5 x 11 USGS Map.
- An 8.5 x 11 USDA - NR CS Map.
- A Site and Impact Data sheet showing a cross section detail of the provisions for aquatic life passage, general
site data, percentage of impervious area (based on estimated built-out conditions) and a design calculation
worksheet for stream pipes and riprap aprons.
- A Site Plan /Impact Summary sheet showing all stream impacts (numbers matching those on our PCN form),
as well as a table summarizing the quantities associated with each impact location (there are no public utilities
on site).
- One Impact Plans and Profiles sheet, including a detailed plan view of the corresponding impact location
identified on the site plan, along with two cross sections of the impact showing aquatic life passage
provisions, as well as existing and proposed grades, zone 1 and zone 2 buffer locations, and existing stream
configuration.
Please feel free to give us a call at 919-732-3883 if you have any questions, comments or need additional
information about the attached application.
Sincerely,
Emmanuel A. Castel,
Summit Consulting Engineers, PLLC
MAR 9 2006
Office Use Only: pErii? vvATt?'f
WETUJ,Nf?`DSTG;.;Sv, 1ER2 yr00H Form Ve0rsi3 A9rc505
USACE Action ID No. D«'Q No. :J
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
L Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit © Riparian or Watershed Buffer Rules
? Section 10 Pen-nit ? Isolated Wetland Pen-nit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW 14. GC3404
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payinent into the North Carolina Ecosystem Ei>liancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environinental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
Owner/Applicant Information
Name: LARRY ADAMS
Mailing Address: 10084 LAKEVIEW RD
ABERDEEN. MS 39730
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: N/A
2. Agent/Consultant 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: SUMMIT CONSULTING ENGINEERS
Company Affiliation: ENGINEERING CONSULTANT HIRED BY OWNER
Mailing Address: 252 N. LAMAR ST
ROXBORO, NC 27573
Telephone Number: 336-559-3900 Fax Number: 336-599-7226
E-mail Address: brantlev.wellsasunnit-enQineer.com
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 ofproject: .ADAMS FARM
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 0914-14-43-6804.000
4. Location
County: PERSON CO. Nearest Town: ROXBORO
Subdivision name (include phase/lot number): ADAMS FARM
Directions to site (include road numbers/names, landmarks, etc.): FROM ROXBORO. 501
S. TO 158 W. (TOWARDS OXFORD). RIGHT TURIN ONTO HOUSTON BLAYLOCK
RD THEN RIGHT ONTO OUTLAW RD. SITE APPROXIMATLEY 1.700 LF ON LEFT
SIDE OF ROAD.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.344444 ON 78.950000 °W
6. Property size (acres): 73.58 AC
7. Name of nearest receiving body of water: NORTH FLAT RIVER
S. River Basin: NEUSE 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.ne.us/admiivmaps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: WOODED SITE (OLD HARDWOOD AND PINES
GROWING IN ABANDONED FARM LANDS). RURAL RESIDENCES IN VICINITY.
NO RECENT DEVEOLPMENT IN AREA.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: THE
PROJECT CONSISTS OF APPROXIMATELY 900 Ift OF 14' WIDE GRAVEL ROAD
CONSTRUCTION USING DUMP TRUCKS BULLDOZERS. MOTORGRADERS,
COMPACTION ROLLERS. BACKHOES. AND OR EXCAVATORS.
11. Explain the purpose of the proposed work: CREATE PRIVATE ROADWAY ACCESS TO
6 LOTS TO BE CREATED BY SUBDIVISION.
IV. Prior Project History
If jurisdictional determinations and/or pennits 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 pen-nits 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. THIS IS A NEW PROJECT WITH NO PRIOR HISTORY
V. Future Project Plans
Are any future pen-nit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
NO OTHER STREAM CROSSINGS. WETLAND IMPACTS OR BUFFER IMPACTS ON
THIS PROJECT. SINGLE FAMILY HOMES TO BE BULIT IN FUTURE WITH NO
IMPACTS TO RIPARIAN BUFFERS.
VI. 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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
nprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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. Provide a written description of the proposed impacts: THERE IS ONE IMPACT SITE
CONTAINING A 103 LF IMPACT TO STREAM AND 6.000 SF IMPACT TO RIPARIAN
BUFFER
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
cenarately lict impacts Clue to hoth stnicture and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

NO WETLAND IMPACTS

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
constriction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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
rrirnct he incl„ded Tn calculate acrea_ge_ multinly length X Nvidth. then divide by 43.560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Intermittent. Perennial t? Average
Stream width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 NO NAME ROAUCULVET/RAP PEREyiIlAL G 103 0.014

Total Stream Impact (by length and acreage) 103 0.014
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill excavation- dredging- flooding- drainage- bulkheads. etc.
Open Water Impact
Site Number
(indicate on ma)
Name of W aterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pand estuary, sound bay,
ocean. etc.) Area of
Impact
(acres)

NO OPEN WATERS

Total Open Water Impact (acres)
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.014
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.014
Total Stream Impact (linear feet): 103
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
S. 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., dani/embankinent, 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
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A
VIL Impact Justification (Avoidance and Minimization)
Expected pond surface area: N/A
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. IMPACT WAS UNAVOIDABLE
DUE TO STREAMS LOCATION. STEA'\I RUNS FULL WIDTH OF PARCEL. TO AVOID STREAM
IMPACTS. EASEMENTS WERE REQUESTED FRO'VI ADJOINING PROPERTY OWNERS BUT NONE
WERE GRANTED. THE ROAD LOCATION WAS MOVED EAST TO LESSEN THE IMPACT AREA AND TO
CROSS STREAM AS CLOSE TO 90 DEGREES AS POSSIBLE.
VIII. IN'Iitigation
DWQ - In accordance with 15A NCAC 2H .000, 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.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 1 5, 2002, 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 NCEEP 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
http://112o.cnr.state.nc.us/ncwetlands/strm.Lidc.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.
PERENNIAL STREAM IMPACT IS LESS THAN 150 Ift WITH NO WETLAND
IMPACTS NO MITIGATION REQUIRED.
2. Mitigation may also be made by payrnent into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
Nvebsite at http://112o.enr.state.ne.us!wm/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following infornation:
Amount of stream mitigation requested (linear feet): N/A
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
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
2. 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 envirommental documentation.
Yes ? No ?
3. 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 ?
X. Proposed Impacts on Riparian and IVatershed Buffers (required by D`VQ)
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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ® No ?
2. If "yes", 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 4,673 3 (2 for Catawba)
2 1,455 1.5
Total 6,158
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edee of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260. BUFFER IMPACT IS LESS THAN 150'
IN LENGTH AND LESS THAN 1/3RD OF AN ACRE IN AREA - NO MITIGATION
REQUIRED
Pale 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (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. If
percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed
impervious level. THERE ARE NO EXISTING IMPERVIOUS SURFACES ON SITE. THE
PROPOSED MPERVIOUS AREA IS 0.87 AC (GRAVEL DRIVEWAY AND ASSUMED 2.500 SF
PER LOT) E\7PERVIOUS = 1 19% OF TOTAL PROTECT AREA. LEVEL SPREADERS ARE TO BE
IIv'STALLED TO MEET THE DIFFUSE FLOW REQUIREMENTS PER 15A NCAC 0213.0233
XIL Sewage Disposal (required by D«'Q)
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.
INDIVIDUAL SEPTIC SYSTEMS TO BE USED ON SITE
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XI V. Cumulative Impacts (required by D«'Q)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.usincwetlands. If no, please provide a short narrative description: THE
PROJECT IS A STAND ALONE SUBDIVISION WITH NO FUTURE IMPACTS TO
STREAMS OR BUFFERS.
XN'. 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).
tnt MAnlu2 a. c ??-? 03/0 S/D 6
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
Mar 07 06 06:06p Summit Engineers
.. - - • -- -- • --I --....... _ _..- .._ _. -
March 6, 2006
Brantley Wclls. PIS
Summit Consulting Engineer's
252 N. Lamar St
Roxboro. NC 27573
Brantley,
3365997226 p.2
1 ain writing 41 response to our conversation Iasi week on the Adams 'Arm Subdivision
stream crossing. Please pursue tic emit with DWQ, and I hereby grant Summit
Consulting Engineers the authority to act as my agent / rc;.rc cmativc for rlm P.C.N
permit required by DWQ. Because I am out of state, I realize that Summit tray aced to
sign the permit u) expedite the application, so plca<e do so on my behalf.
We plan to be in North C-i mlina somriime in the nut two weeks and can discuxs any
:additional questions or concerns on the subdivision plans and road construction.
11t2tlk you.
lcz'r?
Larry Adams
10084 Lakeview Rd
Aberdeen, NiS 39730
[phone] phor?clfax

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SITE DATA: ENVIRONMENTAL DATA:
PIN: 0914-14-43-6804.000
TOTAL AREA: 73.58 ACRES FIRM MAP NO.: 3720091400 J
AREA IN NEW STREET: 0.42 ACRES FEMA FLOOD ZONE X
AREA IN LOTS: 73.16 ACRES WATERSHED NAME: UPPER NEUSE
PROPOSED LOTS: 8 USGS CATALOGING UNIT: 03020201
AVERAGE LOT SIZE: 8.98 ACRES CLOSEST BODY OF WATER: NORTH FLAT RIVER
OPEN SPACE: NONE REQUIRED
IMPERVIOUS DATA:
TOTAL AREA: 73.58 ACRES
PRE-DEVELOPMENT:
TOTAL EXISTING IMPERVIOUS AREA: 0
PERCENTAGE OF IMPERVIOUSNESS: OD/b
POST-DEVELOMENT:
TOTAL IMPERVIOUS AREA IN PROPOSED ROADS: 0.42 ACRE (18,084 SF)
TOTAL IMPERVIOUS AREA IN PROPOSED LOTS: 0.46 ACRES (20,000 SF)
(ASSUMING 2500SF OF IMPERVIOUS AREA PER LOT)
TOTAL IMPERVIOUS AREA: 0.87 ACRES
PERCENTAGE OF IMPERVIOUSNESS: 1.19°/10
Level Spreader #1 Level Spreader #2 Level Spreader #4
Drainage Area= _
2.63 Drainage Area= 0.53 Drainage Area=!.. 3.02
_.... _

TC=

5 .......... ....

TC= .._....... _

5 ...._..._.._ -.----

TC=
-...._..
-- .....
5

110-
--- ------- - ------
7.5
110=
7.5
110= --------- _
7.5

C=
0.35 ---------- ----
C=
0.75
C=
0.75
Q10= 6.90375 Q10=I 2,98125 Q10= 16.9875
Min Req Length= (13'x Q10) Min Req Length= (13'x Q10) Min Req Length= (1 3'x Q10)
89.75 38.76 220.84
Width= 4 Width= 4 Width= 4
PIPES # 1 & 113
C=: 0.265 L= 6399 If 1(2)= 2.8 Q(2)=: 220.63 Cfs _
1(25)= 4.8.._ H- 160 ..feet 1(5)= 3.6
(5)=
Q
283.67
Cfs
A= 297.35 tc=+ 27.559 min 1(10)= 4.1 Q00)= 323.07 C.fs
Q(25)= 378.229cfs 1(50)= 5.5 Q(50)-i 433.39 Cfs_
Pipe Size (in)= 78" + 72 Slope= 2.00% Rip Rap Apron: CLASS I (13" DIAM.) _
-- HW/D= 0.85 + 1.00 V(10)=L 11 fps Size Apron (LxWXD) 52'x19.5'x36
SUMMIT
Lonsuaing tngmeers
1000 Corporate Dr., Suite 101
Hillsborough, NC 27278-8551
Voice: [phone] Fax: [phone]
www.summit-encineer.com
STREAMS AND WETLANDS IMPACTS TABLE
IMPACT;: STREAM TYPE:
1 PERENNIAL STREAM
STREAM BUFFER
STREAM MEANDER DISTURBANCES: WETLANDS
LENGTH: ZONE 1 ZONE 2 DISTURBANCES: CONSTRUCTION:
103 LF 4,673 SF 1,485 SF 0 SF ROAD/CULVERT/RIPRAP
NOTE:
THE CONTRACTOR MUST LIMIT STREAM DISTURBANCE AND EMBED STREAM CULVERTS ACCORDING TO THESE PLANS. IF STREAMS
ARE IMPACTED BEYOND WHAT IS SHOWN, THEN THE PROJECT MAY BE SUBJECT TO BIG MITIGATION FEES FROM NCDWQ AND/OR
UPACE.
THE SPECIFIED CULVERTS MUST BE EMBEDDED BELOW THE STREAM CHANNEL, TO ALLOW AQUATIC LIFE PASSAGE.
MIN. EMBEDDED DEPTHS ARE AS FOLLOWS:
CULVERT DIAMETER: 18" OR LESS 24" 30" 36" 42" 48" 54" OR MORE
MIN. EMBEDDED DEPTH: 0.3' 0.4' 0.5' 0.6' 0.7' 0.8' 1.0'
TYPICAL SECTION FOR RESIDENTIAL COLLECTO - A
I D; 1 ;2 11
_?
MAR 9 2006
5'-0" 14'-0" GRAVEL 5'-0" 5'-0"
F (.UhLITY

6" ABC 3 1 Z;1
2;1
NCDWQ REQUIREMENTS: IMPACTS AT STREAM CROSSINGS &
PROVISIONS FOR AQUATIC LIFE PASSAGE
TREE PROTECTION FENCE TREE PROTECTION FENCE
(OUTSIDE OF CHANNEL) (OUTSIDE OF CHANNEL)
RIPRAP APRON MUST CONFORM
DO NOT TO EXISTING CHANNEL AT END
DISTURB OF APRON, SO THAT NO GRADING
BEYOND EMBEDDED DEPTH IS NEEDED BEYOND THE APRON. DO NOT
FENCE. -? DISTURB
(SEE NOTE FOR DETAILS)
RIPRAP APRON BEYOND
FENCE.
NOT TO SCALE.
SEE PLANS FOR ADDITIONAL INFORMATION,
20' CULVERT LENGTH RIPRAP LENGTH 1' ,
TOTAL STREAM CHANNEL MEANDER DISTURBANCE LENGTH
CARO
SEAL
?`. 15456 a
COPYRIGHT © 2005
SUMMIT CONSULTING
ENGINEERS
DRAWING ALTERATION
IT IS A VIOLATION OF LAW FOR ANY PERSON,
UNLESS ACTING UNDER THE DIRECTION OF
LICENSED ARCHITECT. PROFESSIONAL
ENGINEER. LANDSCAPE ARCHITECT. OR
LAND SURVEI'CR TO ALTER ANYITEN ON
THIS COCUMEN7IN ANY WAY ANY LICENS
WHO ALTERS -1 OOT1111-T IS REQUIRED
EYUW TO AF F. S OF 'EA AND THE
NGTATIO- Eii@DaY• DMDRYH5
OR HER SIGNA PURE AIZ I_'C
DESC-TION C= THE X1 E; A 7IONE
PROJECT ENGINEER
JWP
PROJECT MANAGER
EAC
DRAWN BY
CAC
SCALE FIRST ISSUE DATE
NA 03/07/2006
01
REVISIONS CA E
SHOULDER SHOULDE
f?t? !??y,?TCi

1^ PER FT.

114' /"T 1!4' /FT

1" PER FT. /LITER LRAIiCH
ADAMS FARM
OUTLAW ROAD
PERSON COUNTY, NC
SITE & IMPACT DATA
PROJECT NO.:
05-159R
DRAWING NAME:
05-159R.DWG
SHEET 1 OF 3
SITE PI aN
0
I inch = 400 ft.
Ck
STREAMS AND WETLANDS IMPACTS TABLE
STREAM BUFFER
STREAM MEANDER DISTURBANCES: WETLANDS
IMPACT #: STREAM TYPE: LENGTH: ZONE 1 ZONE 2 DISTURBANCES: CONSTRUCTION:
1 PERENNIAL STREAM 103 LF 4,673 SF 1,485 SF 0 SF ROADICULVERT/RIPRAP
NEUSE RIVER RIPARIAN BUFFER
50' EACH SIDE OF STREAM
MEASURED FROM TOP OF BANK
ti
??
LEVEL VO
SPREADER #1: ti0
90 LF LONG
LEVEL '\
SPREADER #2:
39 LF LONG ,
CLASS I RIP RAP
CHANNEL LINING
521 x 19.5'W x 36" Th
NOTE: TAPER END OF RIP
RAP APRON TO MATCH
EXISTING STREAM WIDTH

SPREADER #3:
221 LF LONG

?D
MAR 0 2005
OENR • WATER UUALiTY
vETLkjDSkQST0241'dl1,TERUR NCH
PIPE #1 & 1B:
31.41 LF OF 78" CMP & 72" CMP @ 2.04%
WITH HEADWALLS AND WINGWALLS
\ INV IN #1 = 637.13
\ \ INV OUT #1 = 636.49
INV IN #1B = 638.13
INV OUT #1 B = 637.49
1
11
I I
GRAPHIC SCALE
50 0 25 50 100 200
( IN FEET)
I inch = 100ft.
CAROr'?//_1 11 COPIRIGHT ©3005 PROJECT ENGINEER 6
'R. ? •...?/ SUMMIT CONSULTING JWP 5 ADAMS FARM PROJECT No,
SUMI MT ENGINEERS PROJECT MANAGER
4 OUTLAW ROAD 05-159R
DRAW ING A AN EAC
ATINOFW FOR
SEAL - „Sa??,?DGFaFDR NYRERSGN. 3 PERSON COUNTY, NC
• - UNLESS ACTING UNDER THE DIRECTION OR DRAWING NAME:
Consulting Engineers = L: 4 6 ?CENSEG RCN LECT FRD SS ONaL 2
GINEER unvs=eREeRCxrtec:. OF
LAND SURVEYOR TO
TEV ON
DRAWN By 05-159R.DWG
1000 Corporate Dr., Suite 101 TI!S E000h,ENTWANY Y;AY ANY LICENSEE 1
S EAL
EYI
Hillsborough, 27278-8551 ALTE ?` PR NOTATION RS TH.S NDDS ORl FOLLOWED ISREOLIU!HFED
Voice: (919) 732 32-3883 Fax: [phone] ?V. -T AFTERS E D ERSE By HIS SCALE FIRST ISSUE DATE
IS ECA SITE P LAN I IMPACT S U M MARY SHEET 2 OF 3
wvAv.summit-engineer.com h ????? USS?R?r?a;"o?THEA?TERATIONS NA 0310712006 0
REVISIONS DATE BY
i VA \
Aso V A
C?
?2 \

?0-

------------------
NING
x 36" Th
R END OF RIP
/EXISTING RAP
TO MATCH
REAM WIDTH
1
GRAPHIC SCALE
10 0 5 10 20 40
(IN FEET)
I inch = 20 fl
IMPACT TO
ZONE1
IMPACT TO
ZONE2

PIPE #1 & 1B
31.41 LF OF 78" CMP & 72" CMP @ 2.049t,
NV IN #1 = 637.13
NV OUT #1 = 636.49 /
INVIN #1B=638.13 --
INV OUT #1 B = 637.49 A V T ?? ti?
1o,
\ -- - v' , o
652 HORIZONTAL SCALE: 1" =10'
VERTICAL SCALE: 1" =1'
650 CL
STREAM
648 ZONE2 ZONE1 ZONE1 ZONE2
Y Y
Z Z
CID m
ILL
L
646 0
6441
642
640 --- -
WIDTH OF RIPRAP IMPACT TO ZONE 1 = 40'
1
LOPES
31.41
OF 72 CMP @ 2]04%
V V PIPE #1 ?? INVIN#1B 638.13
'01 638 3141LFOF78 CMP@2D4% I I ? INVOUT#1B=637.49
'6 rq INV IN #1 = 637.13 wr =
176\ INV OUT #1 = 636.49
\ \ 636 - BOTTOM OF E ISTING STREAM -
°
LLJ 'A?? v 635 -??
LL 0
LL m n w ?? \ NCO O? ?CCO? O?
z LL \ CLASS RIP RAP ?D (?D
LL 03
N V V ?F ' N Ln CHANNEL LINING: U
Z w \\ 52'L x 19.5'W x 37hick Q0 co Q
o 04B_ cD CO
a rv ? \
- - - - `? 13+00 14- 00 15+00 16, C
CROSS SECTION OF IMPACT & PROVISIONS FOR AQUATIC LIFE PASSAGE (NTS)
5'SHOULDER -,)'SHOULDER
TREE PROTECTION FENCE 14' GRAVEI DRIVE TOP OF CUT SLOPE RIPRAP APRON MUST CONFORM TREE PROTECTION FENCE
(OUTSIDE OF CHANNEL) PIPE #1 :78" CMP CULVERT (= CUTTER LIMITS OF TO EXISTING CHANNEL AT END (OUTSIDE OF CHANNEL)
IMPACT TO ZONE 1) OF APRON SO THAT NO GRADING F
ti 2' IS NEEDED BEYOND THE APRON
DO NOT
DO NOY
DISTURB P?TEi ?7N GRASSED 21 SIDE SLOPE
BEYOND H\?G? EMBEDDED DEPTH =1' G?V DISTURB
FENCE BEYQ?D ?QO?I
638.13 FENC8.-'
637 49
63713 8q36.49 n ?/1 ;,, . R (?Lm.!
EXISTING BOTTOM of CREEK RIPRAP CHANNEL LI ING
20' CULVERT LENGTH = 31.41' RIPRAP LENGTH = 52' p
TOTAL STREAM CHANNEL MEANDER DISTURBANCE LENGTH =104'
SUMMIT,
Consulting Engineers
1000 Corporate Dr., Suite 101
Hillsborough, NC 27278-8551
Voice(919)732-3883 Fax: [phone]
www.summit-engineer.com
SEAL
1 4 6 oz
c)(
?rrrl?? . ,IIL??`
F CT ENGINEER
CT MANAGER
DRAWN BY
EAC
SCALE FIRST ISSUE DATE
NA 03!02;2006
6?
5?
4

2?

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QC\/ICI(1NC II nzTr= Qv
ADAMS FARM
OUTLAW ROAD
PERSON COUNTY, NC
IMPACT PLANS & PROFILES
PROJECT NO.:
05-159R
DRAWING NAM'
05-159R.DWC
SHEET 3 OF
COP)-RIGHT © 2005
SUMMIT CONSULTING
ENGINEERS
DRAWING AITERATpN
D IS A VIOLATION OF LAY.' FOR AN PERSON
UNIFSS ACTING UNDER THE DIRECTION OF
LICENSED ARCHITECT. PROFESSIONAL
ENGINEER LANDSCAPE ARCHITECT. OF
LAND SURVEYOR TO ALTER ANY ITE" ON
THIS DO Un n IN ANN a AN 1`5
WHO ALTERS THIS DOCUMENT IS REOUTESE
SYL T FD Of PSEL INTIE HLF .HITATIII! 1 P.CU ILLC E i
AIL:
E F., (K? M 0 W 01 B
MAR 9 2006
Office Use Only' DENT<- WtV ER t.u„ F m Version March 05
V,-ETW4C3 AND STCZ' "NATER Mr11icH
USACE Action ID No. DWQ No. 2 0 0 6 0 3 0 5
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit © Riparian or Watershed Buffer Rules
? Section 10 Pen-nit ? Isolated Wetland Pen-nit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Pennit Number(s) Requested: NW 14, GC3404
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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Enviromnental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: LARRY ADAMS
Mailing Address: 10084 LAKEVIEW RD
ABERDEEN. MS 39730
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: N/A
2. Agent/Consultant 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: SUMMIT CONSULTING ENGINEERS
Company Affiliation: ENGINEERING CONSULTANT HIRED BY OWNER
Mailing Address: 252 N. LAMAR ST
ROXBORO, NC 27573
Telephone Number: 336-559-3900 Fax Number: 336-599-7226
E-mail Address: brantley.wells(a?sunnit-encineer.com
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: ADAMS FARM
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PINT): 0914-14-43-6804.
4. Location
County: PERSON CO. Nearest Town: ROXBORO
Subdivision name (include phase/lot number): ADAMS FARM
Directions to site (include road numbers/names, landmarks, etc.): FROM ROXBORO, 501
S. TO 158 W. (TOWARDS OXFORD). RIGHT TURN ONTO HOUSTON BLAYLOCK
RD THEN RIGHT ONTO OUTLAW RD. SITE APPROXINIATLEY 1,700 LF ON LEFT
SIDE OF ROAD.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.344444 ON 78.950000 °W
6. Property size (acres):
73.58 AC
7. Name of nearest receiving body of water: NORTH FLAT RIVER
8. River Basin: NEUSE RIVER
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:Uh2o.enr.state.nc.us/admire/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: WOODED SITE (OLD HARDWOOD AND PINES
GROWING IN ABANDONED FARM LANDS). RURAL RESIDENCES IN VICINITY.
NO RECENT DEVEOLPMENT IN AREA.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: THE
PROTECT CONSISTS OF APPROXIMATELY 900 lft OF 14' WIDE GRAVEL ROAD
CONSTRUCTION. USING DUMP TRUCKS BULLDOZERS. MOTORGRADERS,
COMPACTIONT ROLLERS. BACKHOES. AND OR EXCAVATORS.
11. Explain the purpose of the proposed work: CREATE PRIVATE ROADWAY ACCESS TO
6 LOTS TO BE CREATED BY SUBDIVISION.
IV. 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 infornation. 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. THIS IS A NEW PROJECT WITH NO PRIOR HISTORY
V. 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.
NO OTHER STREAM CROSSINGS. WETLAND IMPACTS OR BUFFER IMPACTS ON
THIS PROJECT. SINGLE FAMILY HOMES TO BE BULIT IN FUTURE WITH NO
IMPACTS TO RIPARIAN BUFFERS.
VL Proposed Impacts to Waters of the United States/«'aters 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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forns 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. Provide a written description of the proposed impacts: THERE IS ONE IMPACT SITE
CONTAFNTING A 103 LF IMPACT TO STREAM AND 6.000 SF IMPACT TO RIPARIAN
BUFFER
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
0 1.1
senaratPly list imnarts clue to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

NO WETLAND IMPACTS

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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 he inrluded_ To calculate acreage. multin1v length X width. then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact r
PereIntermmrial oittentr Averane
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 NO NAME ROAUCULVEVRAP PERENNIAL 6' 103 0.014

Total Stream Impact (by length and acreage) 103 0.014
5. hndividually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill Pxrnvation drodaino flnnclin(?,_ drninape_ bulkheads. etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

NO OPEN WATERS

Total Open Water Impact (acres)
Pa(,e 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.014
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.014
Total Stream Impact (linear feet): 103
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. 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-do,,vn 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
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. 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. IMPACT WAS UNAVOIDABLE
DUE TO STREAMS LOCATION. STEAM RUNS FULL_ WIDTH OF PARCEL. TO AVOID STREAM
IMPACTS EASEMENTS 'WERE REQUESTED FROM ADJOINING PROPERTY OWNERS BUT INTONE
WERE GRANTED. THE ROAD LOCATION WAS MOVED EAST TO LESSEN THE IMPACT AREA AND TO
CROSS STREAM AS CLOSE TO 90 DEGREES AS POSSIBLE.
VIII. 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.
Pan 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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 NCEEP 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
http://li2o.enr.state.nc.us/newetlands/stniiLidc.litml.
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.
PERENNIAL STREAM IMPACT IS LESS THAN 150 lft WITH NO WETLAND
IMPACTS NO MITIGATION REQUIRED.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http:/,.,"l12o.ciii-.state.nc.us/NN!I])/iiiclex.litm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): N/A
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
Ainount of Coastal wetland mitigation requested (acres): N/A
Page 10 of 12
I1. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
2. 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 enviroiunental documentation.
Yes ? No ?
3. 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 ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes N No ?
2. If "yes", 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 multiDliers.
Zone* Impact
(square feet) Multiplier Required
MitiLation
1 4,673 3 (2 for Catawba)
2 1,485 1.5
Total 6,158
* Zone 1 extends out 30 feet perpcndicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edi!c of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. BUFFER MPACT IS LESS THAN 150'
IN LENGTH AND LESS THAN 1/3' OF AN ACRE IN AREA - NO MITIGATION
REQUIRED
Page 11 of 12
XI. Stormwater (required by DNVQ)
Describe impervious acreage (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. If
percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed
impervious level. THERE ARE NO EXISTING IMPERVIOUS SURFACES ON SITE. THE
PROPOSED TNIPERVIOUS AREA IS 0.87 AC (GRAVEL DRIVEWAY AND ASSUMED 2.500 SF
PER LOT) IMPERVIOUS = 1 19% OF TOTAL PROTECT AREA. LEVEL SPREADERS ARE TO BE
INSTALLED TO MEET THE DIFFUSE FLOW REQUIREMENTS PER 15A NCAC 0213.0233
XII. Sewage Disposal (required by DR'Q)
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.
INDIVIDUAL SEPTIC SYSTEMS TO BE USED ON SITE
X'III. Violations (required by DNVQ)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .000) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by D«'Q)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our "vebsite at
htip://ih2o.enr.state.nc.us/ncNvetlands. If no, please provide a short narrative description: THE
PROJECT IS A STAND ALONE SUBDIVISION WITH NO FUTURE IMPACTS TO
STREAMS OR BUFFERS.
XV. 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).
?m MantuFL A. c4ri-L-7L O 3/O 8/b r=,
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
Mar 07 06 06:06p Summit Enainccrs
1Narch d, 2006
Brantlcy Wells, PI.S
Summit Consulting Engineers
252 N. Lamar St
Roxboro. NC 27573
Brantlcy,
33GS007226 p.2
I ahn writing in response to our conversation last week on the Adams Farm Subdivision
stmarn crossing. Please pursue the yermit with DWQ, and I hereby grant Summit
Consulting Engineers the authority to sti as my agent / rcpvcscn%=ivc for the P.C.N
penttit retluincd by DWQ. BeCause I am QUt of state, I realize that Summit may weed to
sign the permit to expedite the application, ,o pleasc do soon my behalf.
we plan to be in North Carolina sometime in the nett two weeks and can discuss any
zdditionnl questions or Gorki rns on the tuhdivision plans and roan construction.
TIznk you. Larry Adams
10084 Lakeview Rd
Aberdttn, MS 39730
[phone] phondfax
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SITE DATA: ENVIRONMENTAL DATA:
PIN: 0914.14-43-6804.000
TOTAL AREA: 73.58 ACRES FIRM MAP NO.: 3720091400 J
AREA IN NEW STREET: 0.42 ACRES FEMA FLOOD ZONE: X
AREA IN LOTS: 73.16 ACRES WATERSHED NAME: UPPER NEUSE
PROPOSED LOTS: 8 USGS CATALOGING UNIT: 03020201
AVERAGE LOT SIZE: 8.98 ACRES CLOSEST BODY OF WATER: NORTH FLAT RIVER
OPEN SPACE: NONE REQUIRED
IMPERVIOUS DATA:
TOTAL AREA: 73.58 ACRES
PRE-DEVELOPMENT:
TOTAL EXISTING IMPERVIOUS AREA: 0
PERCENTAGE OF IMPERVIOUSNESS: 0%
POST-DEVELOMENT:
TOTAL IMPERVIOUS AREA IN PROPOSED ROADS: 0.42 ACRE (18,084 SF)
TOTAL IMPERVIOUS AREA IN PROPOSED LOTS: 0.46 ACRES (20,000 SF)
(ASSUMING 2500SF OF IMPERVIOUS AREA PER LOT)
TOTAL IMPERVIOUS AREA: 0.87 ACRES
PERCENTAGE OF IMPERVIOUSNESS: 1,19%
Level Spreader#1 Level Spreader #2 Level Spreader #4
Drainage Area=' 2.63 Drainage Area=l 0.53 Drainage Area=' 3.02

TC=
5 ........ _._
TC=
5 ....
TC=
5
110= 7.5 110= 7.51 110= 7.5

C=
0.35 ....___
C=
0.75
C=
0.75
Q10= 6.90375 Q10= 2,98125 Q10= 16.9875
Min Req Length= (13'x Q10) Min Req Length= (13'x Q10) Wain Req Length= (1 3'x Q10)
89.75 38.76 220.84
Width= 4; Width= 4 Width= 4'
PIPES #-1 & 1B -- ?
-.__C= -.._0.265 _?. L= -6399 If _ 1(2)='2.8 Q(2)=. -220.63 cfs.._ _
1(25)= 418 H- 1,60 feet I(5)= 3.6__ _ _283.67------- _. cfs
A= 297.35 tc= 27.559 min 1(10) - 4.1 Q(10)- 323.07 cfs
Q(25)= 378.229 cfs 1(50)= 5.5 0(50)= 43139 cfS
Pipe Size (in) 78" + 72 Slope= 2.00% Rip Rap Apron: CLASS 1(13" DIAM.)
HW/D= 0.85 + 1.00 V(10)= 11 fps Size Apron (LxWXD)- 52'xl9.5'x36_'
SU11MI
Consulting Engineers
1000 Corporate Dr., Suite 101
Hillsborough, NC 27278-8551
Voice: [phone] Fax: [phone]
www.summit-engineer.com
CAROB A%.
SEAL =
1 4 6
COPYRIGHT (D )
SUMMIT CONSULTING
ENGINEERS
DRAWING ALTERATION
IT IS A VIOLATION OF LAW FOR ANY PERSON.
UNLESS ACTING UNDER THE DIRECTION OF
LICENSED ARCHITECT, PROFESSIONAL
ENGINEER, LANDSCAPE ARCHITECT, OR
LAND SURVEYOR TO ALTER ANY ITENI ON
THIS OOCUNIENT IN ANY WAY ANY LICENSEE
WHO ALTERS THIS DOCENT IS RECUIREC
BY LAW TO AFFIX HIS OR HER SEAL AND THE
NOTATION 'ALTERED BY' FOLLON ED AY HS
OR HER SIGNATURE AND SPECIFIC
DESCRIPTION OF THE ALTERATIONS
PROJECT ENGINEER
JWP
PROJECT MANAGER
EAC
DRAWN BY
EAC
SCALE FIRST ISSUE DATE
NA 03/07/2006
STREAMS AND WETLANDS IMPACTS TABLE
STREAM BUFFER
STREAM MEANDER DISTURBANCES: WETLANDS
IMPACT n: STREAM TYPE: LENGTH: ZONE 1 ZONE 2 DISTURBANCES: CONSTRUCTION:
1 PERENNIAL STREAM 103 LF 4,673 SF 1,485 SF 0 SF ROAD/CULVERT/RIPRAP
NOTE:
THE CONTRACTOR MUST LIMIT STREAM DISTURBANCE AND EMBED STREAM CULVERTS ACCORDING TO THESE PLANS. IF STREAMS
ARE IMPACTED BEYOND WHAT IS SHOWN, THEN THE PROJECT MAY BE SUBJECT TO BIG MITIGATION FEES FROM NCDWQ AND/OR
USACE.
THE SPECIFIED CULVERTS MUST BE EMBEDDED BELOW THE STREAM CHANNEL, TO ALLOW AQUATIC LIFE PASSAGE.
MIN. EMBEDDED DEPTHS ARE AS FOLLOWS:
CULVERT DIAMETER: 18" OR LESS 24" 30" 36" 42" 48" 54" OR MORE
MIN. EMBEDDED DEPTH: 0.3' 0.4' 0.5' 0.6' 0.7' 0.8' 1.0'
TYPICAL SECTION FOR RESIDENTIAL COLLECTOR ROAD rt?w?a
D
? h1 AR ? Zna6
14'-0"GRAVEL 5'-0" 5'-0" NITElt(1J?;-??
SHOULDER SHOULDER DITC?HEist ptipSZG;;;^?tk,?P
licllh
114' !rT 1/4'/FT
PER FT. 1" PER FT.
31 2:1
6- ABC
z1
NCDWQ REQUIREMENTS: IMPACTS AT STREAM CROSSINGS &
PROVISIONS FOR AQUATIC LIFE PASSAGE
TREE PROTECTION FENCE TREE PROTECTION FENCE
(OUTSIDE OF CHANNEL) (OUTSIDE OF CHANNEL)
RIPRAP APRON MUST CONFORM
DO NOT TO EXISTING CHANNEL AT END
DISTURB OF APRON, SO THAT NO GRADING
BEYOND EMBEDDED DEPTH IS NEEDED BEYOND THE APRON. DO NOT
FENCE. (SEE NOTE FOR DETAILS) DISTURB
RIPRAP APRON BEYOND
FENCE.
NOT TO SCALE.
SEE PLANS FOR ADDITIONAL INFORMATION.
20' CULVERT LENGTH RIPRAP LENGTH 1'
I
TOTAL STREAM CHANNEL MEANDER DISTURBANCE LENGTH
6
5
4
3
2
1
0 -1 -
REVISIONS DATE BY
ADAMS FARM
OUTLAW ROAD
PERSON COUNTY, NC
SITE & IMPACT DATA
PROJECT NO.:
05-159R
DRAWING NAME:
05-159R.DWG
SHEET 1 OF 3
r;?N
SITE PLAN I STREAMS AND WETLANDS IMPACTS TABLE
STREAM BUFFER
STREAM MEANDER DISTURBANCES:
IMPACT #: STREAM TYPE: LENGTH: ZONE 1 ZONE 2
1 PERENNIAL STREAM
103 LF
4,673 SF 1,485 SF
WETLANDS
DISTURBANCES: CONSTRUCTION:
0 SF ROAD/CULVERTRIPRAP
NEUSE RIVER RIPARIAN BUFFER
50' EACH SIDE OF STREAM
MEASURED FROM TOP OF BANK
0
1 inch = 400 ft.
IJ
ry
??
LEVEL NO 0
D
SPREADER #1: 20 ?
90 LF LONG
LEVEL
SPREADER #2: I i
39 LF LONG LEVEL hD)SPREADER #3:
CLASS I RIP RAP 221 LF LONG ?R
CHANNEL LINING
PIPE Ill & 16:
521 x19.5'Wx36"Th
31.41 LF OF 78" CMP & 72" CMPt
NOTE: TAPER END OF RIP \ WITH HEADWALLS AND WINfl-,%L03
RAP APRON TO MATCH INV IN #1 = 637.13
EXISTING STREAM WIDTH \ INV OUT #1 = 636.49
INV IN #113 = 638.13
INV OUT #1 B = 637.49
GRAPHIC SCALE
50 0 25 50 100 200
(IN FEET)
?^ n I inch = 100 ft.
? lI COPYRIGHT 5 2005 PROJECT ENGINEER
6 ADAMS FARM PROJECT NO.:
SUNINIIT CONSULTING JWP 5
SUMMIT \ ???9 ENGINEERS PROJECT MANAGER 4 OUTLAW ROAD 05-159R
I°N EAC
DRAWING ALTERATION EAC
SEAL - IT IS A °uT°NOF LAW FOR ANY PERS 3 PERSON COUNTY, NC
UNLESS ACTING UNCER THE DIFETION OF DRAWING NAME:
COn5U1t10g Engineers A C V ESSeoARCNnECT PROPE_ss?au 2
ff EM1GIAEER. LArvCICAPE ARCNIiECi °R.
LAND SIRVEYGRTOALTER ANYITEIIICN DRAWN BY 1
05-159R.DWG
1000 Corporate Dr., Suite 101 THrs°oOL"IENT NANYWAY ANYLI-NsEE
Hillsborough, NC 27278-8551 BY LAY' TO AF FIX HIS OUIRED
-8551 - PR WN°ASTER,T" G6R -F HER SEAL AND THONT SREBIDTHS E EAC SITE PLAN / I M PACT SUMMARY SHEET 2 OF 3
Voice: [phone] Fax: [phone] '. °iATION TERENErFOLLGa:EOYN SCALE FIRST ISSUE DATE 0
wwwsummlt engineer.com % ????? oCS R TIOI GITti °T'A'G'?< NA 0310712006 REVISIONS DATE BY

GRAPHIC SCALE
10 0 5 10 20 4(
(IN FEET)
I inch= 20 ft.
IMPACT TO
ZONE1
IMPACT TO
ZONE2

652 HORIZONTAL SCALE: 1" =10'
VERTICAL SCALE: 1" =1'
650 CL
STREAM
648 ZONE 2 ZONE 1 ZONE 1 ZONE 2
Y Y
m m
646 0
a
0 0
638 PIPE#, ?F
31.41 LF OF 78" CMP @ 2.04%D
--INVIN #1= 637.13 -- "I'
INV OUT #1 - 636.49
636
635
o°
'
It?\ 11 !J
uu '-
MAR 9 2006
DENR • WATER QUALi1Y
V'1ETWlDS NO STOR '; RATER ERNu C

WIDTH OF RIPRAP IMPACT TO ZONE 1 - 40'
' 2: 1. GRASSED, SLOPE
,
1
---- _-PIPE #1B___
31.41 LF OF 72" CMP @ 204%D
INV IN#1B--638.13
INV OUT #1 B = 637.49
j
> - BOTTOM OF-E ISTING STREAM -
QD r,
? d N L_n
LD LD ? ?
13+00 14+00
o?
CLASS I RIP RAP [D
CHANNEL LINING: `;?_
521 x 195W x 37hick (-0 (.D
15+00
?r
CD [
Ln U
LD C
16+C
CROSS SECTION OF IMPACT & PROVISIONS FOR AQUATIC LIFE PASSAGE (NTS)
5'SHOULDER 5'SHOULDER
TREE PROTECTION FENCE ' 14' GRAVEL DRIVE , TOP OF CUT SLOPE RIPRAP APRON MUST CONFORM TREE PROTECTION FENCE
(OUTSIDE OF CHANNEL) ' PIPE #1 :78" CMP CULVERT (= OUTTER LIMITS OF TO EXISTING CHANNEL AT END (OUTSIDE OF CHANNEL)
IMPACT TO ZONE 1) OF APRON, SO THAT NO GRADING
DO NOT Z? IS NEEDED BEYOND THE APRON.
DISTURB ?P?V`' ly7 GRASSED 2:1 SIDE SLOPE DO NOT
BEYOND EMBEDDED DEPTH =1' ?C?V DISTURB
FENCE. BEYOND
638.13 637.49 FENCE.
637.13 636.49 n ?/ \
O
EXISTING BOTTOM OF CREEK RIPRAP CJANNE? ING
I
U
20' CULVERT LENGTH = 31.41' RIPRAP LENGTH = 52'
TOTAL STREAM CHANNEL MEANDER DISTURBANCE LENGTH =104'
001,
SUMMIT.
Consulting Engineers
1001) "-rp-ate rl?. ° ^te 101
Hills: r a , N 71 -8551
Voic:l ( 1 73 8 Fax: [phone]
C AR qO,/,y
-? SEAL(9-
1 6
COPYRIGHT © 2005 PROJECT ENGINEER 6
SUMMIT CONSULTING JWP 5
ENGINEERS PROJECT MANAGER
D-VING ALTERATION EAC 4
IT15AVICI TICNO= LAW FOR ANY PERSON. 3
UNLESS ACTING UNDER THE DIRECTION O'
LICENSED AR`H17EZ7 PROFESSIONAL
I NGWEER. LANDSCAPE ARCHITECT. OR 2
IANC SURVSYOR TO AITER ANY ITEhf ON
HIS eaeunlEm IN ANreLAV. ANY LICENSEE
DAWN BY
N'HO ALTERS THIS DOCUMENT IS REQUIRED AC
E -,
SY LAN' TO AFFIX HIS OR HER SEAL AND THE
NOTATION •ALTEPECErFOLICITI)RYH
OR HER SIGNATURE AND SPECIFIC
CESCRIPTIONOFTHEALTERATIONS ,
SCALE FIR'.:'. I;i;',1E DATE

IPE #1 & 1B
0
- -- -
31.41 LF OF 78" CMP & 72" CMP @ 2.04% \
INV IN #1 = 637.13 \
INV OUT #1 = 636.49 /
INV IN #1 B = 638.13 INVOUT#1B=637.49'
/ `
0,7 tx t
D,
CD,
` :. 0,

ADAMS FARM
OUTLAW ROAD
PERSON COUNTY, NC
IMPACT PLANS & PROFILES
PROJECT NO.:
UUI
DRAWING NAME:
SHEET 3 OF 3

MAR 2006
DENIR-WATERQU"ITRFJ Y 4Cti
CrCTIlS;DS 91D STGO-11,:',TER F
Office Use Only: Form Version March 05
USACE Action ID No. D`N'Q No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit ® Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Pennit Number(s) Requested: NTW 14. GC3404
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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Enviromnental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
Owner/Applicant Information
Name: LARRY ADAMS
Mailing Address: 10084 LAKEVIEW RD
ABERDEEN, MS 39730
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: N/A
2. Agent/Consultant Information (A sided and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: SUMMIT CONSULTING ENGINEERS
Company Affiliation: ENGINEERING CONSULTANT HIRED BY OWNER
Mailing Address: 252 N. LAMAR ST
ROXBORO, NC 27573
Telephone Number: 336-559-3900 Fax Number: 336-599-7226
E-mail Address: brantley.wells(H?sunnit-engineer.com
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: ADAMS FARM
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PINT): 0914-14-43-6804.000
4. Location
County: PERSON CO. Nearest Town: ROXBORO
Subdivision name (include phase/lot number): ADAMS FARM
Directions to site (include road numbers/names, landmarks, etc.): FROM ROXBORO, 501
S. TO 158 W. (TOWARDS OXFORD). RIGHT TURN ONTO HOUSTON BLAYLOCK
RD THEN RIGHT ONTO OUTLAW RD. SITE APPROXIMATLEY 1.700 LF ON LEFT
SIDE OF ROAD.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.344444 °N 78.950000 OW
6. Property size (acres): 73.58 A
7. Name of nearest receiving body of ,,eater: NORTH FLAT RIVER
8. River Basin: NEUSE RIVER
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.em.state.nc.us!admin/maps!.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: WOODED SITE (OLD HARDWOOD AND PINES
GROWING IN ABANDONED FARM LANDS). RURAL RESIDENCES IN VICINITY.
NO RECENT DEVEOLPMENT IN AREA.
Page 6of12
10. Describe the overall project in detail, including the type of equipment to be used: THE
PROJECT CONSISTS OF APPROXIMATELY 900 lft OF 14' WIDE GRAVEL ROAD
CONSTRUCTION. USING DUMP TRUCKS BULLDOZERS. MOTORGRADERS,
COMPACTION ROLLERS. BACKHOES. AND OR EXCAVATORS.
11. Explain the purpose of the proposed work: CREATE PRIVATE ROADWAY ACCESS TO
6 LOTS TO BE CREATED BY SUBDIVISION.
IV. 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. THIS IS A NEW PROJECT WITH NO PRIOR HISTORY
V. 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.
NO OTHER STREAM CROSSINGS. WETLAND IMPACTS OR BUFFER MJPACTS ON
THIS PROJECT. SINGLE FAMILY HOMES TO BE BULIT INT FUTURE WITH NO
IMPACTS TO RIPARIAN BUFFERS.
VI. 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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
nprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intennittent and perennial)
should 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. Provide a written description of the proposed impacts: THERE IS ONE IMPACT SITE
CONTAINING A 103 LF IMPACT TO STREAM AND 6.000 SF IMPACT TO RIPARIAN
BUFFER
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
cenaratPly lict imnnctc clue to hnth stnieture and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

NO WETLAND IMPACTS

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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
n,,,ct he inelnrled To calculate ,icrea?Te_ mnltiniv length X width. then divide by 43.560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intern Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 NO NAME ROAD/CULVET/RAP PERENNIAL 6' 103 0.014

Total Stream Impact (by length and acreage) 103 0.014
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill excnvntinn dre.dainc7_ flnndino_ drmnage_ bulkheads- etc.
Open Water Impact
Site Number
(indicate on ma) Name of )Alaterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

NO OPEN WATERS

Total Open Water Impact (acres)
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.014
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.014
Total Stream Impact (linear feet): 103
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
S. 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/embankinent, 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
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (.Avoidance and I\'Iinimization)
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. IMPACT WAS UNAVOIDABLE
DUE TO STREAMS LOCATION. STEAM RUNS FULL WIDTH OF PARCEL. TO AVOID STREAM
IMPACTS EASEMENTS WERE REQUESTED FROM ADJOINING PROPERTY OWNERS BUT NONE
WERE GRANTED. THE ROAD LOCATION WAS MOVED EAST TO LESSEN THE IMPACT AREA AND TO
CROSS STREAI\I AS CLOSE TO 90 DEGREES AS POSSIBLE.
VIII. 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.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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 NCEEP 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
httn://hlo.enr.state.nc.us/ncwetlandslstniiL,idc.litml.
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.
PERENNIAL STREAM IMPACT IS LESS THAN 150 lft WITH NO WETLAND
IMPACTS NO MITIGATION REQUIRED.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Effliancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
Nvebsite at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following infonnation:
Amount of stream mitigation requested (linear feet): N/A
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
Pale 10 of 12
IX. Environmental Documentation (required by D`VQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
2. 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 ?
3. 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 ?
1. Proposed Impacts on Riparian and Watershed Buffers (required by D«'Q)
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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes © No ?
2. If "yes'', 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 multibliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 4,673 3 (2 for Catawba)
2 1,485 1.5
Total 6,158
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. BUFFER IMPACT IS LESS THAN 150'
IN LENGTH AND LESS THAN 1/3' OF AN ACRE IN AREA - NO MITIGATION
REQUIRED
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (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. If
percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed
impervious level. THERE ARE NO EXISTING IMMPERVIOUS SURFACES ON SITE. THE
PROPOSED IMPERVIOUS AREA IS 0.87 AC (GRAVEL DRIVEWAY AND ASSUMED 2.500 SF
PER LOT) IMPERVIOUS = 1 19% OF TOTAL PROTECT AREA LEVEL SPREADERS ARE TO BE
INSTALLED TO MEET THE DIFFUSE FLOW REQUIREMENTS PER 15A NCAC 02B .0233
-XI 1. Sewage Disposal (required by DNVQ)
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.
INDIVIDUAL SEPTIC SYSTEMS TO BE USED ON SITE
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (1 5A NCAC 211.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.usinevvetlands. If no, please provide a short narrative description: THE
PROJECT IS A STAND ALONE SUBDIVISION WITH NO FUTURE IMPACTS TO
STREAMS OR BUFFERS.
XV. 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).
-Eht MAtjUtL A. CASiL-'L
O3/08/bG
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Pave 12 of 12
Mar 07 06 06:06p

Summit: End, i neers
March 6, 2006
Brantlcy Wclls, PIS
Summit Consulting EngincCts
252 N. Lamar St
Roxboro. NC 27573
Brantlcy,
33GS00722G
i ern writing in response to our conversation last week on the Adams Farm Subdivision
strt am crossing- Please pursue tic permit with DWQ, and l licreby grant Summit
Consulting Engineers the authority to act as my agent / representative for the P.C.N
pcttttit rquincd by DWQ. Because l am out of state, 1 realize that Summit tasty aced to
sign the pcrmit to expedite tic application, w plewc do soon my behalf.
We plan to )K in North Carolina sometime in the next two weeks and can discuss any
additional questions or oct c rns on the subdivision plans and road construction.
Trunk you.
Larry Adams
10084 Lakcvicw Rd
Aberdeen, hAS 39730
[phone] phonelfax
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2010000 FEE? APB '?.e8
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A PC APC APB ApE
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(loins sheet 7) 1 i
SITE DATA:
PIN:
TOTAL AREA:
AREA IN NE' STREET:
AREA IN LOTS:
PROPOSED LOTS:
AVERAGE LOT SIZE:
OPEN SPACE:
ENVIRONMENTAL DATA:
0914-14-43-6804.000
73.58 ACRES FIRM MAP NO.: 3720091400 J
0.42 ACRES FEMA FLOOD ZONE: X
73.16 ACRES WATERSHED NAME: UPPER NEUSE
8 USGS CATALOGING UNIT: 03020201
8.98 ACRES CLOSEST BODY OF WATER: NORTH FLAT RIVER
NONE REQUIRED
IMPERVIOUS DATA:
TOTAL AREA: 73.58 ACRES
PRE-DEVELOPMENT:
TOTAL EXISTING IMPERVIOUS AREA: 0
PERCENTAGE OF IMPERVIOUSNESS: 0%
POST-DEVELOMENT:
TOTAL IMPERVIOUS AREA IN PROPOSED ROADS: 0.42 ACRE (18,084 SF)
TOTAL IMPERVIOUS AREA IN PROPOSED LOTS: 0.46 ACRES (20,000 SF)
(ASSUMING 2500SF OF IMPERVIOUS AREA PER LOT)
TOTAL IMPERVIOUS AREA: 0.87 ACRES
PERCENTAGE OF IMPERVIOUSNESS: 1.19%
Level Spreader #1 Level Spreader #2 Level Spreader #4
Drainage Area=i 2.63
. Drainage Area= 0.53 Drainage Area= 3.02

TC= _._ . --_..
.
5 ...
T
c= _
5 .. _
Tc= __--
5'
_
I10= 7.5 _
110= _
_
7.5 110=_ 7.5
C=
_ 0.35 C= 0.75 C= 0.75

Q10=
6.90375 . ... .
Q10='
2.98125
Q10=
16.9875
--___-_
Min Req Length=
(13'x Q10)
Min Req Length=
(13'x Q10)
Min Req Length= (1
3'x Q10)
89.75 38,76 220.84
Width= 4 Width= 4 Width= 41
PIPES 1 & 1B
C= 0.265 L= 6399 If 1(2)= 2.8 Q(2)= 220.63 Cfs

1(25)= -
- 4.8???- ---- - -------- - - --- ------- -
H= 160 feet
1(5)- 3.6
Q(5)-
283.67 -
- cfs
A= 297.35 _--
- _
tc=, 27.559 min

1(10)= 4.1_

- Q(10)=

323.07

cfs
Q(25)= 378.229 cfs
..... .......... ... ....... _
... _ 1(50)= 5.5
- Q(50)= 433.39 cfs
Pipe Size (in)=. 78"-+.--72"1_ Slope= 2.00% . R ip Rap Apro n: CLASS 1(13" DIAM.) --
HW/D= 0. 85 + 1.00 V(10)=,11 fps Size Apron (LxWXD)=, 52'x19.5'x36"
SUMMIT
Consulting Engineers
1000 Corporate Dr., Suite 101
Hillsborough, NC 27278-8551
Voice: [phone] Fax: [phone]
www.summit-engineer.com
CAR
SEAL -
15456

COPYRIGHT © 'T 5
SUMMIT CONSULTING
ENGINEERS
DRAWING ALTERATION
IT IS A VIOLATION OF LA'A• FOR ANY PERSON
UNLESS ACTING UNDER THE D:,E-T:l OF
LICENSED ARCHITECT, PROFESS OIAL
E-1-FR LANDSO-E-ClITEC7 OR
LAND SURVEY'O'R TO ALTER ANY ITEh'. ON
THIS CCCUT.I:N" INANY-' ANY LI.'ENEFE
WHO ALTERS THIS DC_UNEN' IS REaJIIRE:
BY LAN' TO AFFIX HIS OR HER SEAL AI:C THE
NO. A?ON ALTERED B' F' FOLLDa%-D EV M'.S
OR HER SIGNATURE AND SPECIFIC
DESCRIPTION OF THE ALTERATGNs
PROJECT ENGINEER
JWP
PROJECT MANAGER
EAC
DRAWN BY
SCALE FIRST ISSUE DATE
NA 03/0712006
D
STREAMS AND WETLANDS IMPACTS TABLE
?
STREAM BUFFER 1%IAR 9 2006
STREAM MEANDER DISTURBANCES: WETLANDS
IPv1PACT r:: STREAiv1 TYPE: LENGTH: ZONE 1 ZONE 2 DISTURBANCES:; GnIJS,T?JCTIOiJ:
to . "t...: -.
-'-'2i? ,-1!•rrocr r•
1 PERENNIAL STREAM 103 LF 4,673 SF 1,485 SF 0 SF T2'OAD/?RVE14-.IRIPRAP
NOTE:
THE CONTRACTOR MUST LIMIT STREAM DISTURBANCE AND EMBED STREAM CULVERTS ACCORDING TO THESE PLANS. IF STREAMS
ARE IMPACTED BEYOND WHAT IS SHOWN, THEN THE PROJECT MAY BE SUBJECT TO BIG MITIGATION FEES FROM NCDWQ AND/OR
USACE.
THE SPECIFIED CULVERTS MUST BE EMBEDDED BELOW THE STREAM CHANNEL, TO ALLOW AQUATIC LIFE PASSAGE.
MIN. EMBEDDED DEPTHS ARE AS FOLLOWS:
CULVERT DIAMETER: 18" OR LESS 24" 30" 36" 42" 48" 54" OR MORE
MIN. EMBEDDED DEPTH: 0.3' 0.4' 0.5' 0.6' 0.7' 0.8' 1.0'
TYPICAL SECTION FOR RESIDENTIAL COLLECTOR ROAD
5'-0" 14'-0" GRAVEL 51-0" 51-0"
SHOULDER SHOULDER DITCH
114' /FT 1/4'/FT
1" PER FT. _ 1" PER FT.
1 6„ ABC 31 Z:1
2.
NCDWQ REQUIREMENTS: IMPACTS AT STREAM CROSS114GS &
PROVISIONS FOR AQUATIC LIFE PASSAGE
NOT TO SCALE.
SEE PLANS FOR ADDITIONAL INFORMATION.
1 20' , CULVERT LENGTH
RIPRAP LENGTH 1 1'
TOTAL STREAM CHANNEL MEANDER DISTURBANCE LENGTH
6
5
4
3
2
1
0
REVISIONS DATE BY
TREE PROTECTION FENCE
(OUTSIDE OF CHANNEL)
DO NOT
DISTURB
BEYOND
FENCE.
EMBEDDED DEPTH
(SEE NOTE FOR DETAILS)
TREE PROTECTION FENCE
(OUTSIDE OF CHANNEL)
RIPRAP APRON MUST CONFORM
TO EXISTING CHANNEL AT END
OF APRON, SO THAT NO GRADING
IS NEEDED BEYOND THE APRON. DO NOT
DISTURB
RIPRAP APRON BEYOND
FENCE.
PROJECT NO.:
05-159R
DRAWING NAME:
05-159R.DWG
SHEET 1 OF 3
ADAMS FARM
OUTLAW ROAD
PERSON COUNTY, NC
L SITE & IMPACT DATA
CITF PI AN
STREAMS AND WETLANDS IMPACTS T
SPREADER #3:
221 LF LONG
STREAM BUFFER T n?? u cuuu
STREAM MEANDER DISTURBANCES: WETLANDS
N?rTI?l9
IMPACT #: STREAM TYPE: LENGTH: ZONE 1 ZONE 2 DISTURBAN:C,. ENR
1 PERENNIAL STREAM 103 LF 4,673 SF 1,485 SF 0 SF ROADICULVERTIRIPRAP
0
I inch = 400 ft.

NEUSE RIVER RIPARIAN BUFFER
50' EACH SIDE OF STREAM
MEASURED FROM TOP OF BANK
LEVEL SPREADER
1: LF LONG
V,-I
LEVEL A\
SPREADER'2:
39 LF LONG ,
CLASS I RIP RAP-
CHANNEL LINING
521L x 19.5'W x 36" Th
NOTE: TAPER END OF RIP
RAP APRON TO MATCH
EXISTING STREAM WIDTH
i
! w l I'= 10"

?- PIPE #1 & 1B:
31.41 LF OF 78" CMP & 72" CMP @ 2.04%
\ WITH HEADWALLS AND WINGWALLS
INV IN #1 = 637.13
?\ \ INV OUT #1 = 636.49
INV IN friB = 638.13
INV OUT n1 B = 637.49
1
11 II
GRAPHIC SCALE
50 0 25 50 100 200
)=74. 1 !71 1
(IN FEET)
Iinch= 100ft.
„C.,,T , c n PROJECT ENGINEER 6 - -
COPYRIGHT O 2005 PROJECT NO.:
??? ISUMMIT CONSULTING JWP 5 ADAMS FARM
LSS P I I A A ?I?q ENGINEERS PROJECT MANAGER 4 OUTLAW ROAD 05-1598
CRAW[NG ALTERATION EAC
SEAL ?ISAViOI TION OF LAW FOR ANY PERSON 3 PERSON COUNTY, NC
UNLESS ACTING UNDER THE CIaECTICN OF DRAWING NAME:
Consulting Engineers 1 4 6 r ?- LIGENSECARC-ECT PROEESs'loll 2
F-INFER LAI- CAPE ARrHITFCT OF
/? AND SUR'.EYCF. TO ALTER ANY f EAIcN 1 05-159R.DWG
1000 Corporate Dr., Suite 101 TM:S D3--ENTINANYWAY ANY LICENSEE DRAWN B
Ho1se: (91ugh, 9) N2 27276-8551 NW THIS ENT:SREC?n L EAG SITE PLAN l IMPACT SUMMARY
....... \ ouno ?.irc coe o LO lmov HI- 0
Voice: [phone] Fax: [phone] PR? . SCALE FIRST ISSUE DATE SHEET 2 OF 3
www.summlt-engineer.com CE3C TIONOFTHEALTERATIONS NA 03107!2006 REVISIONS DATE BY
\X ?? \ ? PIPE#1 & 1B
31.41 LF OF 78" CMP & 72" CMP @ 2.04%
1 _...._ _ ._..
A bG 0? INV IN #1 = 637.13 \ P
???? \ \ ; \ \ F2 INV OUT#1 =636.49 HORIZONTAL SCALE: 1" =10'
INV IN #1B=638.13 '"-"_ -- ?-- ? 652
so. \ \ E2 INV OUT #1B = 637.49 VERTICAL SCALE: 1"
=1'
650
/ STREAM
\ \ \ ?? / CL
A ZON \ C,?/// 648 ZONE 2 ZONE 1 ZONE 1 ZONE 2 F??S?OO
tj-
\ 646 0
i \ Jo, 0 o ,
\ C?
644
r
WIDTH OF RIPRAP IMPACT TO ZONE 1 = 40'
\ \ ?o, 642 - _1.
_. _...?2:1_ GRASSED SLOPE
640
PIPE #lB
\ \ \ \ \ ?\ \ ; ( 31.41 LF OF 72 CMP @ 204°rb _
\ \ 638 _PIPE#1 _._t_ I ) INVIN#1B=638.13
31.41LFOF78'CMP@2.04.6 ,,? INVOUT#1B=63749
CLASS I P RAP \ ? INV IN #1 = 637.13
CHAN L LINING w \ \ INV OUT #1 = 636 49
521 9.5'wx36°Tr o \ 636 BOTTOM-OF E'ISTING STREAM
1
N E: TAPER END OF RIP X 635
' w 9 \ 0 \
,AP APRON TO MATCH v v A O 1.
EXISTING STREAM WIDTH / F O O
LL°?\ \ CO??G CLASS I RIP RAP
Q0 (D 00 C-0
N \\ ?F v N trj CHANNEL LINING: d Ln U
1
Cr (.0
z w \ V ?"- , CD (.0 52'L x 19.5'W x 3'Thick
' Q o CO
13+00 14+00 15+00
GRAPHIC SCALE CROSS SECTION OF IMPACT & PROVISIONS FOR AQUATIC LIFE PASSAGE (I4TS)
10 0 5 10 20 40
5SHOULDER 5'SHOULDER
TREE PROTECTION FENCE 14' GRAVEL DRIVE I , TOP OF CUT SLOPE RIPRAP APRON MUST CONFORM
( IN FEET) (OUTSIDE OF CHANNEL) PIPE #1 : 78" CMP CULVERT (= GUTTER LIMITS OF TO EXISTING CHANNEL AT END
1 inch = 20 ft. IMPACT TO ZONE 1) OF APRON, SO THAT NO GRADING
01 1 IS NEEDED BEYOND THE APRON.
DO NOT
DISTURB ?P?VSi t GRASSED 2:1 SIDE SLOPE
IMPACT TO BEYOND EMBEDDED DEPTH =1' Cw
ZONE1 FENCE.
/ 638.13
t74 637.49 --L,? )
637.13
IMPACT TO 636.49 ? n (?/? O O
RIPRA`P CHANNEL LINING
ZONE2 EXISTING BOTTOM OF CREEK CJ
20' CULVERT LENGTH = 31.41' RIPRAP LENGTH = 52'
TOTAL STREAM CHANNEL MEANDER DISTURBANCE LENGTH =104'
16+C
TREE PROTECTION FENCE
(OUTSIDE OF CHANNEL)
DO NOT
DISTURB
BEYOND
FENCE.
1
SUMMIT
Consulting Engineers
1000 Corporate Dr., Suite 101
Hillsborough, NC 27278-8551
Voice: [phone] Fax: [phone]
www.summit-engineer.com
_ ??jnT,TTTrlr4
vvvvAA ?ARO,
SEAL =
(^ ??It.YFf?` -
COPS-RIGHT 0 2005
SUMMIT CONSULTING
ENGINEERS
DRAWING ALTERATION
IT IS A VIOLATION OF LAN' FOR ANY PERSON.
UNLESS ACTING UNDER THE DIRECTION OF
LICENSED ARCHITECT, PROFESSIONAL
ENGINEER, LANOSCAPEARCHITECT. 05
LAND SURVEYOR TO ALTER ANY ITEh10N
THIS DO-WENT IN ANY WAY. ANY US NSEE
-0 ALTERS THIS DOCUMENT IS REOmRED
EY LAIR TO AFFIX HIS OR HER SEAL AND THE
NCT-ON 'ALTERED 01 FOLlON'ED BY HIS
OR HER SIGNATURE ANCSPECIFI;,
?CESCRIFTION OF THE ALTERATIONS
PROJECT ENGINEER
JWP
PROJECT MANAGER
EAC
DRAWN BY
SCALE FIRST ISSUE DATE
NA 03107/2006
6
5
4
3
2
1
0
REVISIONS DATE BY
ADAMS FARM
OUTLAW ROAD
PERSON COUNTY, NC
IMPACT PLANS & PROFILES
U omp e e ems , , an so comp e e
em 4 if Restricted Delivery is desired.
© rint your name and address on the reverse
so that we can return the card to you.
© Attach this card to the back of the mailpiece,
or on the front if space permits.
ue
I I ?, ? Agent
? Addressee
B. Received by (Printed Name) C. Date of Delivery
. c o ddressed to:
Mr. Larry Adams
10084 Lakeview Road
Aberdeen,MS 39730
DWQ9 06-0395-Person
c e um er
Ir rr
orm
e ru
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
Service Type
Certified Mail ? Express Mail
Registered 3 Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) [ s
omes c e urn ece' 102595-02-M-1540
UNITED STATES POSTAL SERVICE
LISPS
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
Permit No. G-10

omp e e ems „ an so comp e e
em 4 if Restricted Delivery is desired.
® Tint your name and address on the reverse
so that we can return the card to you.
o Attach this card to the back of the mailpiece,
or on the front if space permits.
r r c e idressed to:
Summit Consulting Engineers
Attn: Brantley Wells
252 N Lamar St

x ? Agent
? Addressee
B. Receive by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
Rotiboro,NC 27573 3. erviceTypo
Certified h1ail Express Mail
\DWQ# 06-0395-Person ?Registered ?Return Receipt for Merchandise
ce um r
?r rr
orm a rua
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
7005 1160 0000 9954 5187
omes c e urn ece
102505-02-10-1540
UNITED STATES POSTAL SERVICE
LISPS
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
Permit No. G-10
cCSo ;
C omp e e ems , , an . so comp e e
em 4 if Restricted Delivery is desired.
© rint your name and address on the reverse
so that we can return the card to you.
o Attach this card to the back of the mailpiece,
or on the front if space permits.
c e ,ddres.sed to:
Mr. Larry Adams
10084 Lakeview Road
Aberdeen,MS 39730
DWQ# 06-0395-Person
c e um er
r + ?n rr n I
orm a ru
LAent
B.tAeceived by (P?fnfed'Name) I C. Date o I very
D. Is delivery address different from item 17 C
If YES, enter delivery address below: C No
3. Se ice Type
Certified Mall ? Express Mal
Registered Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee)
omest c eturn ece p
'1
102595-02-NI-1540
UNITED STATES POST,,,t?F ?ykGbu r"Is z.
• Sender: Please print your name, address, and ZIP
NC DENR Division of Water Quality
401 Oversiglit/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
box •