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HomeMy WebLinkAbout20050592 Ver 1_Complete File_20050408 , O~,/" --\0" ,,' lLGJ" v 0/ \7 ~lD , .l~ ,....,":;:;..;:;.;;.;::.::~,.....;;::) \,.o0oI .\'t~_'~'~'"_~'~''''''''' '"' ~'3~~~~?;:; Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, r.E. Director Division of Water Quality April 25, 2005 Michael Kirkpatrick 808 Owl Ridge Road Waynesvil/e, NC 28486 DWQ Project # 05-0592 Haywood County Subject Property: Shingle Cove Estates Waynesvil/e, NC Approval of 401 Water Quality Certification with Additional Conditions Dear Mr. Kirkpatrick: You have our approval, in accordance with the attached conditions and those listed below, to place fill within or otherwise impact 149 linear feet of streams for the purpose of residential developement at the subject property, as described within your application received by the N.C. Division of Water Quality (DWQ) on April 8, 2005 24, 2005. After reviewing your application, we have decided that the impacts are covered by General Water Quality Certification Number(s) 3402 (GC3402). The Certification(s) allows you to use Nationwide Permit(s) 39 when issued by the US Army Corps of Engineers (USACE). 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, Non-discharge, and stormwater 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. Under no circumstances should the culverts, headwalls, and rip-rap dissi[ators exceed the 149 linear feet approved under this authorization. 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: 401 Wetlands Certification Unit 1650 Mail Service Center, Ralegh, North Carolina 27699-1650 2321 Crabtree Boulevard, Suite 250. Ra!eigh, North Carolina 27604 Phone: 919-733-1786/ FAX 919-733-6893/lnternet http://h2oenrstatenc,us/ncwetlands N~'l='thCaroJina ;Vntllrall!/ An Equal Opportunit/IAffirmative Action Employer - 50% Recycled/l 0% Post Consumer Paper VJ.J.lusn..\""..-u V I.,;.L:Jldlt;~. Page 2 of6 April 25, 2005: , 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: Stream Plan Location or Reference UT to Richland Creek 2. Erosion & Sediment Control Practices 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. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated, and maintained in accordance with the most recent version of the North Carolina Surface Mining Manual. d. The reclamation measures and implementation must comply with the reclamation in accordance with the requirements of the Sedimentation Pollution Control Act. 3. 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. , ulll11gl\;\... uvet:.states: Page 3 of6 April 25, 2005: 4. No Sediment & Erosion Control Measures wIn Wetlands or 'Naters 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. 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/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. 6. Culverts that are less than 48 inches in diameter should be installed with 20% of the diameter of the culvert placed below the level of the stream bottom to allow the accumulation of stream bed materials in the culvert and to facilitate aquatic life passage during periods of low stream flow. Larger diameter culverts should be placed 1 foot below the stream bottom. The culvert should be placed in the main flow channel (Le, thalweg). Partial burial of the culvert in this manner also may require increasing the size of the culvert to accommodate flow requirements. Where multiple pipes or barrels are used in parallel, one pipe should be installed as described above while the bottom of the barrel on the otherls should be higher (Le., level of floodplain bench) so that only flood flows can pass. This ensures adequate flow and water depth at the stream crossing in the base pipe or barrel during low and normal flow periods. 7. Under no circumstances should rock, sand, or other materials be dredged from the stream channels under authorization of this permit, except in the immediate vicinity of the culverts. In stream dredging has catastrophic effects on aquatic life and disturbance of the natural form of the stream channel can cause downstream erosion problems. The natural dimension, pattern, and profile of the stream above and below the crossing should not be modified by widening the stream channel or changing the depth of the stream, 8, The culverts should be placed in a dry work area if possible. Sandbags, flexible pipe, or other diversion structures should be used where possible to minimize excavation in flowing water, Materials used for flow diversions should be removed from the stream bed after completing the construction work. 9. If concrete is used during construction (e.g., headwalls), a dry work area must be maintained to prevent direct contact between curing concrete and stream water. Water that inadvertently contacts live concrete should not be discharged to surface waters due to the potential for water chemistry changes that can cause a fish kill. 10. Storm water should be directed to buffer areas or retention basins and not routed directly to streams. >J 111111:;1 t:L. U V t: cSIares: Page 4 of6 April 25, 2005: , 11. Riprap placed for bank stabilization should be limited to the stream bank below the high water mark and vegetation should be used above. Rip-rap should not be placed in the stream channel in a manner that obstructs aquatic life passage. . 12. Riparian vegetation, especially trees and shrubs, should be preserved as much as possible at the stream crossings. Native woody vegetation (e.g., rhododendron, dog hobble, silky dogwood, sycamore, river birch, red maple) should be reestablished upstream and downstream of the culverts if vegetation is removed during construction to provide bank stability and shading, We encourage the reuse of native plants that must be removed from permanently disturbed areas (e.g. new roads). 13.AII mechanized equipment operated near surface waters should be inspected and maintained regularly to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids or other toxic materials. 14. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface waters is prohibited. 15.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. 16, Turbidity Standard The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be exceeded as described in 15 A NCAC 2B. .0200. Appropriate sediment and erosion control practices must be used to meet this standard. 17. No Impacts Beyond those in Application 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. 18. 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 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 , ulJ Illgll:L.OVetstates: Page 5 of6 April 25,2005: 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, Therefore, you must provide plans with adequate details that indicate that the current stability of the stream will be maintained or enhanced. You must receive written approval from this Office for the above plans before the culvert(s) is installed. The establishment 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, 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 9401 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. 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 SeNice Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a hearing. ullll'I5'CI...-U V CC.SLalCS: Page 6 of6 April 25, 2005: , This letter completes the review of the Division of vVater Quality under Section 401 of the Clean Water Act. If you have any questions, please telephone Cyndi Karoly in the Central Office in Raleigh at 919-733-9721 or Mr. Kevin Barnett in the DWQ Asheville Regional Office at 828-296-4657 or at Kevin.Barnett@ncmail.net. Sincerely, \/.../ /1 i--,1 I / l ) O~l..l L.... ?- de. c'a. I.CJ'r1 tf<'<.'( Alan W. Klimek, P.E. AWKlkhb Enclosures: GC 3402 Certificate of Completion cc: Cavanaugh and Assoc., P.A.. 11 North Market Street Suite 101 Asheville, NC 28801 USACE Asheville Regulatory Field Office DWQ Asheville Regional Office DLR Asheville Regional Office File Copy Central Files Filename: 05-0592. S hing leCoveEstates. GC3402 .App roval MEMORANDUM TO: John Dorney Non-Discharge Branch Regional Contact: WQ Supervisor: Date: Barnett. Kevin RnOf~r Fnwr:lrns SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS Facility Name Shingle Cove Estates c/o Michael Kirkpatrick Project Number 05 0592 Recvd From APP County Haywood County2 Region Asheville Received Date 4/8/05 Project Type Residential SID Recvd By Region Certificates Permit Wetland Wetland Wetland Stream Type Type Impact Score Index Stream Class Acres Basin Req, Feet Req. Prim. Supp. I NW39 I Stream IOY @N I I 5 -16-( 1 ) Ii3I 140,305. I I 149.00 I I IOY ON I I r---I I I I MitiQation MitigationType Wetland Type Acres Feet r Is Wetland Rating Sheet Attached? 0 Y @ N Did you request more info? 0 Y @ N Have Project Changes/Conditions Been Discussed With Applicant? 0 Y @ N Is Mitigation required? 0 Y @ N Recommendation: 0 Issue @ Issue/Cond 0 Deny Provided by Region: Latitude (ddmmss) 352945 Longitude (ddmmss) 825950 Comments: Issued out of ARO - 04/25/2005 - KHB cc: Regional Office Central Office Page Number 1 Triage Check List Kevin Barnett, Asheville Regional Office Project Name: Shingle Cove Estates DWQ#: 05-0592 County: Haywood Date: 4/11/05 To: 60-day Processing Time: 4/8/05 to 6/6/05 r," t' ;;~, 'i N tl.~ n. n. h. i " '\ \\ i..j \! P '1\\ I U IJ b u ~ L 6 L., From: Cyndi Karoly Telephone: (919) 733-9721 The file attached is being forwarded to your for your evaluation. Please call if you need assistance. D Stream length impacted D Stream detern1ination Wetland detenl1ination and distance to blue-line surface waters on USFW topo maps D Minimization/avoidance issues D Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman) D Pond fill D Mitigation Ratios Ditching D Are the stream and or wetland mitigation sites available and viable? D Check drawings for accuracy D Is the application consistent with pre-application meetings? Cumulative impact concern D D D Comments: As per our discussion regarding revision ofthe triage and delegation processes, please review the attached file. Note that you are the first reviewer, so this file will need to be reviewed for administrative as well as technical details. If you elect to place this project on hold, please ask the applicant to provide your requested information to both the Central Office in Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim procedure as we slowly transition to electronic applications. Please apprise me of any complications you encounter, whether related to workload, processing times, or lack of a "second reviewer" as the triage process in Central had previously provided. Also, if you think of ways to improve this process, especially so that we can plan for the electronic applications, let me know. Thanks! ( " J . ~\ L::/ CAVANAUGH Solutions through integrity ond portnership February 21, 2005 Division of Water Quality 401jWetlands Unit 1650 Mail Service Center, Raleigh, NC, 27699-1650 r~ 1t~ ,/7,(J r-~ j H'L, !~: :['7: .! ~? f~!'1 rr (l~.~' ( " ;i' _.J j ,il . ' i;" Re: Shingle Cove Estates C&A No.: 3,03.106 Action 10. 200531022 Dear DWQ, Enclosed is a check for $200.00 for the Shingle Cove Estates project Nationwide Permit Number 39. A check was enclosed in the original submittal. However, it was made out to the wrong party. Please also find a copy of the General Permit (Regional and Nationwide) Verification. If you have any questions or comments, please feel free to contact me. Sincerely, CAV~GH & ASSOCIATES, P.A. .' V (.' ;; 7/ 4 ) ~UI Dow, .1. Project Engineer Enclosures m[g@[gO\Y1[g@ FEB 2 4 2005 S:\ADWGS\03-1 06\docs\Permits\Letler to Dwa 0221 05.doc DENR - WATER QUALITY WETtANDS NlD STORI.IWA TER BRANCH U.S. ARMY CORPS OF ENGINEERS WILMINGTON DISTRICT \olp ()~. l,'C ,., Action ill. 200531022 County: Haywood USGS Quad: Waynesville GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION Property Owner / Authorized Agent: Address: 808 Owl Ridge Rd. Waynesville, NC 28486 Telephone No.: Mr. Michael Kirkpatrick , , : i l I..j . ., , , J ',.1' ~ : .. Size and location of property (water body, road name/number, town, etc.): Shinge Cove Estates development located on 9,434 acre tract in the vi~inity of Sylvan Street, just north of Waynesville. Description of projects area and activity: This permit authorizes installation of 2 culverted road crossings impacting <150 LF of unnamed, intermittent tributaries to Richland Creek.. Applicable Law: [8J Section 404 (Clean Water Act, 33 USC 1344) D Section 10 (Rivers and Harbors Act, 33 USC 403) Authorization: Regional General Permit Number: Nationwide Permit Number: 39 Your work is authorized by the above referenced penirit provided it is accomplished in strict accordance with the attached Nationwide conditions, the attached January 25, 2005 North Carolina Wildlife Resources Commission conditions, and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the permittee to a stop work order, a restoration order and/or appropriate legal action. This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would no longer comply with the tenns and conditions of the nationwide permit, activities which have commenced (Le., are under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless discretionary authority has been exercised on a case:by-case basis to modify, suspend or revoke the authorization. Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You should contact the NC Division of Water Quality (telephone (919) 733-1786) to determine Section 401 requirements. For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior to beginning work you must contact the N.C. Division of Coastal Management, TIus Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State or local approvals/permits. If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulat~ry progra~ ple~e co~tact Steve Chapin at 828-271- ?980 x232. I' . Corps Regulatory Official Steve Chapin Date: February 4, 2005 Expiration Date of Verification: February 4,2007 ... ,"'~ '. , '! -..... ~I / 'oj ~ J ~ North Carolina Wildlife Resources COlnmission ~ Richard B. Hamilton, Executive Director January 25, 2005 Mr. Dave Baker U.S. Army Corps of Engineers, Regulatory Branch 151 Patton Avenue, Room 208 Asheville, North Carolina 28801-5006 SUBJECT: Mr. Michael Kirkpatrick Nationwide 404 Permit Application Shingle Cove Estates culverts - UT Richland Creek Haywood County, North Carolina. Dear Mr. Baker: Cavanaugh & Associates~ PA;on behiuf of Mr. Michael Kirkpatrick, requested a letter of concurrence from the NOr1l1 Carolina Wildlife Resources Coininission (Conimissioil) for a404 Permit from the U.S. Army Corps of Enginccrs. We reviewed the application and visited the project area on January 24,2005. Our commcnts are pro,:iclcd in accord:mce with provisIons of the Clean Water Act of 1977 (33 U.S.C. 466 et. seq.) and the Fish and Wildlife Coordination Ac.t (48 Stat. 401, as amendcd; 16 U.S.C.661-667d). The applicant proposes placing 149 linear feet of culvcrts in an unnamed tributary (UT) to Richland Creek to develop the Shingle Cove Estates subdivision in Waynesville, NOr1l1 Carolina. TIle project plan also shows a 20 by 30 foot stormwatcr detention basin in the UT as well as an adjacent storm sewer crossing. These possible stream impacts were not noted in the application. Richland Creek is classified B by the Division ofWatcr Quality. It is hatchcry supported under the Designated Public Mountain Trout Water program a short distance downstream of its confluence with the UT. Rich1and Creek also supports wild brown trout in the area and, consequently, may be reclassified by DWQ to B trout in the near future. We do not anticipate the occurrence of trout in the UT. However, it is our opinion t1Iat tile proposed project has tile potential to adversely affcct trout resources if sedimcnt from construction reaches Richland Creck during the spawning season. TIle Commission is conccrned about potential adverse effects of tile project on trout and othcr aquatic resources in this drainage. Small headwatcr streams are particularly important to tile overall water quality ofwatershcds and provide important habitat for amphibians and otller wildlife. Therefore, before issuance of a permit for this project., we recommend verifying that amount of culvert (i.e. length) requested is necessary because of site conditions. I was unable to locate the actual stream crossing locations during tile site visit. Similarly, we recommend verifying that additional stream impacts will not be necessary for any culvert inlet and outlet protection, as well as for other possible in stream construction dcnoted in the plan. We typically recommend against tile construction of stormwatcr structures on streams because t1ley block aquatic life passage. Mailing Address: Division of Inland Fishcries . 1721 Mail Service Ccntcr . Ralcigh, NC 27699-1721 Telephone: (919) 733-3633 ext 281 . Fax: (919) 715-7643 ,.., Kirkpatrick, Shingle Cove Estates Haywood County, UT Richland Creek Page 2 January 25, 2005 Upon resolving the concerns outlined above, we can concur Witll the project provided tile following conditions, which we feel would help reduce adverse effects on resources, are attached to the pennit and implemented: 1. Construction in tllis stream and disturbance within a 25-foot buffer should not be conducted during tile October 15 to April 15 trout spawning period to avoid adverse effects of sediment on eggs and larvae found in downstream areas. However, because of the small size of the UT and distance to Richland Creek, we believe that the potential for sediment reaching Richland Creek would be low provided appropriate erosion control measures are implemented during construction. Specifically, bypassing of stream flow Witll flexible pipe and placement ofthe culverts in dry beds would considerably reduce the potential for downstream sedimentation. We would not object to construction of the crossings during the spawning season provided construction was completed in this manner. 2. Adequate sedimentation and erosion control measures must be implemented and maintained to minimize sediment in areas downstream. Temporal)' (e.g., rye grain, wheat, millet) or permanent herbaceous vegetation should be planted on all bare soil within 15 days of ground disturbing activities to provide long-term erosion control. Erosion control matting should be used in conjunction with appropriate seeding on disturbed soils in steep slope and riparian areas. Matting should be secured in place with staples, stakes, or, wherever possible, live stakes of native trees. 3. Culverts that are less tl1a1148 inches in diameter should be installed Witil 20% of tile diameter of the culvert placed below the level of tile stream bottom to allow the accumulation of natural stream bottom materials in the culvert and to facilitate aquatic life passage during periods of low stream flow. Larger diameter culverts should be placed I foot below the stream bottom. The culvert should be placed in the main flow channel (i.e. thalweg). Partial burial oftlle culvert in this manner also may require increasing the size of the culvert to meet flow conveyance requirements. 4. Under no circumstances should rock, sand, or other materials be dredged from the wetted stream channels under authorization of this permit, except in the immediate vicinity of the culverts. In stream dredging has catastrophic effects on aquatic life and disturbance of tile natural form of the stream channel can cause downstream erosion problems. The natural dimensio~ pattern, and profile of the stream above and below the crossing should not be modified by widening the stream channel or changing the depth of the stream. 5. The culverts should be placed in a dry work area if possible. Sandbags, flexible pipe, or other diversion structures should be used where possible to minimize excavation in flowing water. Materials used for flow diversions should be removed from the stream bed after completing the construction work. 6. If concrete is used during construction (e.g., headwalls), a dry work area must be maintained to prevent direct contact between curing concrete and stream water. Water that inadvertently contacts live concrete should not be discharged to surface waters due to tile potential for altered water chemistry and toxicity to aquatic life. 7. Storm water should be directed to buffer areas or retention basins and not routed directly to streams. 8. Riprap placed for bank stabilization should be limited to the stream bank below the high water mark and vegetation should be used above. Rip rap should not be placed in the stream channel in a manner that obstructs aquatic life passage. 9. Riparian vegetation, especially trees and shrubs, should be preserved as much as possible upstream and downstream of the culvert. Native woody vegetation (e.g., rhododendron, dog hobble, silky dogwood, sycamore, river birch, red maple) should be reestablished upstream and downstream of tile culverts if vegetation is removed during construction to provide bank stability and shading. We encourage the reuse of native plants that must be removed from permanently disturbed areas. Kirkpatrick, Shingle Cove Estates Haywood County, UT Richland Creek Page 3 January 25, 2005 10. All mechanized equipment operated near surface waters should be inspected and maintained regularly to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids or other toxic materials. II. Discharging hydro seed mixtures and washing out hydroseeders and other equipment in or adjacent to surface waters is prohibited. 12. To help protect habitat and water quality from the cumulative effects of additional development, vegetated buffers should be maintained along all streams on the tract. These buffers and remaining lengths of streams should be protected in perpetuity from fill, vegetation removal, and other fonns of disturbance with conservation easements, deed restrictions, or similar enforceable instruments. We recommend implementing a lOa-foot buffer on all perennial streams and a 50-foot buffer on all intennittent streams for effective water quality protection, for stream shading, and for maintaining adequate wildlife habitat corridors. These efforts are particularly important since the road system alone will result in approximately 10% imperviousness on the tract and studies have documented aquatic habitat degradation in watersheds with impervious coverage approaching and above 10%. Thank you for the opportunity to review and comment on this project. Pending availability of field staff, the Commission may inspect tile work site during or after construction. If there are any questions regarding these comments, please contact me at (828) 452-2546 extension 24. Sincerely, ~~, Dave McHenry Mountain Region Coordinator, Habitat Conservation Program cc: Mr. Paul Dow, Cavanaugh & Assoc. PA, Mr. Kevin Barnett, Division of Water Quality, Asheville PAYMENT RECEIVED 050592 &~~\' CAVANAUGH April 5, 2005 Solutions through intcgrity and partncrs/lip Laurie Dennison Division of Water Quality Wetlands 401 Unit 2321 Crabtree Blvd., Suite 250 Raleigh, NC 27604 Re: Shingle Cove Estates C&A No.: 3.03.106 v' r n r'" i ,J J: /'! :".. ..I ~',: ;, L .......-1 ""'-'-:1 t~~ ii' ":"; ~"~ r,: .~. L ~ ,. [, _J 1.! , : [" , -\..J:i J Dear Laurie: Please find enclosed the following items for the Shingle Cove Estates project in Waynesville, NC: 1. One (1) copy of the General Permit Verification from the USACE 2. One (1) letter from the NCWRC regarding the 404 Pemlit Application 3. Seven (7) copies of the Pre-construction Notification Application S~IY, K~wl E.I. Project Engineer Attachments !fI&@&OfYJ&1iiI APR R /P; lnnr: D'! II'fTzilNR. WAr' 'Os AND STO~~ QUAL I rr YATER BRANCH S:\ADWGS\03-106\docs\laurie Dennison DWa.doc .' .. P/\YMENT RECEIVED --p@@OW&@- APR 8' - 2005 \\'En.Z~~~~~1~~ QUALITY \,/'Iv/WATER 8FWJcH ~-~ , 1 ~" " \ ., 'I "ii' . 'J \1 , 't,< .,~~~f >J ~ J ~ ;~ ~~,~~1 ._'J Pre-Construction Notification (peN) Application Form For Section 404 and/or Scction 10 Nationwide, Regional and General Permits, Scction 401 General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE) Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's (OWQ) associated General 401 Water Quality Certifications. This form is also to be used for any project requiring approval under any Riparian Buffer Rules implemented by the N.C. ~ivision of Water Quality. This form should not be used if you are requesting an Individual 404 Permit or Individua1401 Water Quality Certification. The USACE Individual Permit application form is available online at http://v.'V.iw.saw.usace.anny.mil/wetlandslPermapp.htm. The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide, Regional or General permits, and to determine which permit applies to your project, please go to the USACE website at http://www.saw.lL.>ace.annv.mil/wetlands/index.htm. or contact one of the field offices listed on page 3 of this application. The website also lists the responsible project manager for each county in North Carolina and provides additional information regarding the identification and regulation of wetlands and waters of the U.S. The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant which 401 Certification will apply until the 404 Permit type has been determined by the USACE. Applicants are encouraged to visit OWQ's 401IWetlands Unit website at http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The applicant is also advised to read the full text of the General Certification (GC) matching the specific 404 Permit requested. In some cases, v.TItten approval for General Certifications is not required, provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should contact DWQ's Central Office in Raleigh at (919) 733-1786. Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC regional coordinator (listed by county on page 4 of this application) prior to submittal of the application. Page I of 13 Coastal Area Management Act (CAMA) Coordination -lfthe project occurs ill any of North Carolina's twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of Coastal Management (DCM). DCM will determine whether or not the project is within a designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such cases, DCM will require a CAMA Permit and will coordinate the 404/401 Permits. The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure that the proposed project will have no impact upon any endangered or threatened species or critical habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office, North Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon any properties listed or eligible for listing on the National Register of Historic Places. Compliance with these regulations is required to be eligible for any Department of the Army permit The addresses for both agencies are listed on page 3 of this application. USt\CEPc.rmits - Sybmit on~c;opy of this form, along with supporting narratives, maps, data forms, photos, etc. to the applicable USACE Regulatory Field Office. Upon receipt of an application, the USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant to address information needs for all USACE Nationwide, Regional or General permits, as well as information required for State authorizations, certifications, and coordination. Fully providing the information requested on this form will result in a complete application for any of the USACE Nationwide, Regional or General permits. To review the minimum amount of information that must be provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed. Reg. 12893 (March 9, 2000), available at http://www.saw.usace.anTIy.mil/wetlands/nwpfinalFedReg.pdf. Processing times vary by permit and begin once the application has been determined to be complete. Please contact the appropriate regulatory field office for specific answers to permit processing periods. 401 Water Quality Certification or Buffer Rules - Ail information is required unless otherwise stated as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 Certification, then a non-refundable application fee is required. In brief, if project impacts include less than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is required A check made out to the North Carolina Division of Water Quality, with the specific name of the project or applicant identified, should be stapled to the front of the application package. For more . information, see the DWQ website at http://h20.ehnr.state.nc.\L<;/ncwetlands/fees.html. The fee must be attached with the application unless the applicant is a federal agency in which case the check may be issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check so that it can be credited to the appropriate project If written approval is sought solely for Buffer Rules, the application fee does not apply, and the applicant should clearly state (in a cover letter) that only Buffer Ru1e approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to issuance or waiver ofa Section 401 Water Quality Certification. Upon receipt ofa complete application for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the applicant This may include a 401 Certification, an on-hold letter pending receipt of additional requested information, or denial. Page 2 of 13 US Army Corps Of Engineers Ficld Offices and County Covcrage Asbeville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania 151 Patton Avenue Asbe Cherokee Iredell Mitchell Union Room 208 A very Clay Jackson Polk Watauga A:;bevillc, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey Telephone: (828) 271-7980 Burke Gaston Macon Rutherford Fax: (828) 281-8120 Cabanus Graham Madison Stmlley Raleigh Regulatory Field Office Alamance Franklin Nash SWT)' US Army Corps Of Engineers Caswell Forsyth Northampton Vance 6508 Falls of the Neuse Road Chatham Granville Orange Wake Suite 120 Davidson Guilford Per:;on Warren Raleigb,NC 27615 Davie Halifax Randolpb Wilkes Telephone: (919) 876-8441 Durham Johnston Rockingham Wilson - -Fai:-{919)876=582J - _._----------~._- - - EdgeroJ:nbe --Lec---- - Stokes---- - Yadkin ----- Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington. NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Cbowan Benford PasquotmIk Fax: (252)975-1399 Craven Hyde Perquimans *Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Harnett Pender Post Office Box 1890 Brunswick Hoke Richmond Wilmington. NC 28402-1890 Carteret Montgomcl)' Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910)251-4025 Cumberland New Hanover Scotland North Carolina Statc Agcncies Division ofWatcr Quality 401 \\-ellands Unit 1650 Mail Service Center Raleigh. NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-6893 Division of Water Quality Wetlands Rt::;tor.lliun Progr.llll 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919) 733-5321 Stltc Historic Preservation Office Dt:partmt:nt Of Cultur.1l Rt::;Ulrrce:; 4617 Mail Service Center Raleigh, NC 27699-4617 Telepbone: (919) 733-4763 Fax: (919) 715-2671 US Fish and Wildlife Service I National Marine Fisheries Service US Fish and Wildlife Service Raleigh Field Office Post Office Box 33726 Raleigh. NC 27636-3726 Telephone: (919) 856-4520 US Fish and Wildlife Service Asheville Field Office 160 Zillicoa Street Asheville, NC 28801 Telephone: (828) 258-3939 National Marine Fisheries Service Habitat Con:;t:rvation Division Pivers Island Beaufort, NC 28516 Telephone: (252) 728-5090 Page 3 of 13 Division of Coastal Management 1638 Mail Service Center Raleigh, NC 27699-1638 Telephone: (919) 733-2293 Fax: (919) 733-1495 Western Piedmont Region Coordinator 3855 Idlewild Road KemersvilJe, NC 27284-9180 Telephone: (336) 769-9453 Mountain Region Coordinator 20830 Great Smol.J' Mtn. E};pressway Wayncsvillc, NC 28786 Telephone: (828) 452-2546 Fax: (828)452-7772 CAMA and NC Coastal Counties Beaufort Bertie Brunswick Camden Carteret Chowan Craven Currituck Dare Gates NCWRC and NC Trout Counties Alleghany Ashe A very Burke ~ -- -- _._--_._--- - Buncombe Cherokee Clay Graham Haywood Caldwell Mitchell Stokes Surry Henderson Jackson Macon Madison McDowell Hertford Hyde New Hanover Onslow Pamlico Watauga Wilkes Polk Rutherford Swain Transylvania Yanccy Pasquotank Pender Perquimans Tyrrell Washington APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1 - 4. Page 4 of 13 ~&l@&lU\Yl&l @ APR 8 2005 P/\ '.I/IVI. F IIJ T .1 ,~I. RECEIVED .. - --nt:ttn- . \mWIDS Nm STOHUWATER BrWlCH Fonn Version May 2002 o i10E)f) 2 Office Use Only: USACE Action ID No. DWQ No. (lfany particular item is Dot applicable to this project, please entcr "Not Applicable" or "N/A".) I. Processing 1. Check all of the approval(s) requested for this project: o Section 404 Permit 0 o Section 10 Permit 0 o 401 Water Quality Certification Riparian or Watershed Buffer Rules Isolated Wetland Permit from DWQ 2. Nationwide, Regional or General Permit Numbcr(s) Requested: Nationwide #: 39 3. If ~ notification is solely a courtesy copy because written approval wrthe 401 Certification is not required, check here: [g] 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete section VIll and check here: 0 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 Environmental Concern (see the top of page 2 for further details), check hcre: 0 II. Applicant Information 1. Owner! Applicant Information Name: Michacl Kirkpatrick Mailing Address: 808 Owl Ridge Road Wavnesville, NC 28486 Telephone Number: (828)-275-5866 E-mail Address: Fax Number: 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: Paul Dow Company Affiliation: Mailing Address: Cavanaugh & Associates, P .A. 11 North Market Street.., Suite 101 Asheville, NC 28801 Telephone Number: (828)-255-7596 Fax Number: (828)-255-0770 E-mail Address:paul.dow@Cavanaughsolutions.com Pagc 5 of 13 Ill. Project Information Attach a vicinity map clearly showing the location of the property Witll 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 pwposes, 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 proj~~ has_bee~place<! on ho~~ llI!!il d~!pherable maps are provided. - . -- - 1. Name of project: Shin~le Cove Estates 2. T.l.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (fax PIN): 8606-81-8160 4. Location County: Haywood Nearest Town: Wavnesville Subdivision name (include phasellot number): Shingle Cove Estates Directions to site (include road numbers, landmarks, etc.): Starting from town hall, gO west on US-23 BRIN Main ST (rd # 1818) towards Woodland Dr. Turn Left to stav on US-23 BRIN Main ST. Go 6/10 ofa mile and turn right onto Depot Street (rd #- 1375). Go 3/10 ofa mile and left onto Chestnut Park Dr. (rei #- 1181). Chestnut Park Dr. is located on the exterior of an almost right angle curve. Go 3/10 of a mile up Chestnut Park Dr. and take a left onto Culpepper Dr. Go less than a 1110 of a mile turn slight right onto Sylvan St Go on down Sylvan St. and turn left: to stay on Sylvan St At second curve there is a 10' dirt road to the right. this is the start of the proiect. About 15 to 20 ft down the dirt road is fire hydrant. 5. Site coordinates, if available (UTM or LatlLong): N/A (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinatcs for each crossing of a distinct waterbody.) 6. Property size (acres): 9.434 acres 7. Nearest body of water (stream/river/soundloceanllake): Richland Creek 8. River Basin: French Broad Page 6 of 13 (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h20.enr.state.nc.us/adminlmaps/.) 9. Describe the existing conditions on the site and general land use in tlle vicinity of the project at the time of this application: undeveloped edge of neighborhood. 10. Describe the overall project in detail, including the type of equipment to be used: The project will consist of extending lancing road to loop into Sylvan drive. Both of which are currently dead end drives. The CQuipment that will be needed for the project are a D-5 dozer, a trackhoe, mini-excavator, 334 bobcat., and tandem/single axle dump trucks. 11. Explain the purpose of the proposed work: To create a 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. N/A 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. N/A VI. Proposed Impacts to Waters of the United St:ltesfWatcrs ofthc State Page 7 of 13 It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VlI below. Ail proposed impacts, pennanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. Ail wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Installation of 2 culverts. 2. Individually list wetland impacts below: W ctland lmpact Area of Located within Distance to Site Number Type of Impact. Impact IOO-year floodplain*. Nearest Stream Type ofWetland*** (indicae on map) (acres) (yes/no) (linear feet) N/A N/A N/A N/A N/A N/A · List each impact :,cpar.ueiy and identify Lcmpor.1r)' impacts. Impacts include, but are notlinli1ed 10: mechanized clearing, grading, fiI~ excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due 10 both structure and flooding. .. 100- Y ear floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Ser\-ice Center at 1-&00-358-9616, or online at http:/{wwvdema.gov. *** List a wetland type th31 best describes wetland 10 be impacted (e.g., freshwater/saltw31er marsh, forested wetland, beaver pond, Carolina Bay, bog. etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only). List the total acreage (estimated) of all existing wetlands on the property: N/A. Total area of wetland impact proposed: N/A 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Length of A verage Width Perennial or Site Number Type of Impact * Impact Stream Name" ofStrcam Intenniuent? (indicate on map) (linear feet) Before Impact (please specify) I Culverts 68LF UT Richland 4' Intenniltent 2 Culverts 81 LF UT Richland 4' Intermittent Page 8 of 13 -I I I List each impact separately and identify temporary impacts. Impacts include, but are nollimiled to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wal~ rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ... Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed uibutary) to the nearest downstream named stream into which it flows. USGS maps are available throngh the USGS at 1-800.358-9616, or online at WWW.USj!S.l!OV. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tOl>Omne.com.. 'www.m;mQuestcom.,etc.). * Cumulative impacts (linear distance in feet) to all streams on site: 149 LF 4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.) below: Open Water Impact Area of Name ofWaterbody Type of Watcrbody Site Number Type of Impact. Impact (Jake, pond, estuary, sound, (indicate on map) (acres) (if applicable) bay, ocean, etc.) N/A N/A N/A N/A N/A . List each impact separately and identifY temporary impacts. Impacts include, but are not limited to: fil~ excavation, dredging. flooding, drainage, bulkheads, etc. 5. 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. AIso, the proposed pond should be dcscribed hcre and illustrated on any maps included with this application. Pond to be created in (check all that apply): D uplands D stream 0 wetlands Describe the method of construction (e.g., damlembank:ment, excavation, installation of draw-down valve or spillway, etc.):_N/A Proposed usc or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.):_N/A Size ofwatcrshed draining to pond:_N/A Expected pond surface area:_N/A VII. Impact Justification (A\'oidancc 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. AIso discuss how impacts Page 9 of 13 were minimized once the desired site plan was. developed. If applicable, discuss constructIOn techniques to be followed during construction to reduce impacts. Inlet protection and energy dissipaters will be installed at each culvert. A sediment/storm water basin will be constructed to minimize tlle downstream disturbance. 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. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at httv:1 fh20.enr.state.nc.usIncwetlandslstrm gide.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 off site), affected stream and river basin, type and amount (acrcage/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 ifmore space is nceded. _N/A 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at Page 10 of 13 (919) 733-5208 to determine availability and to request written approval of mitigation prior to submittal of a PCN. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wm/index.htm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet):_N/A 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 IX. Environmental Documentation (required by DWQ) Does the project involve an expenditure of public (federal/state) funds or the use of public (federal/state) land? Yes D No [2J If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPAlSEPA)? Note: If you are not sure whether a NEP AlSEP A document is required, call the SEP A coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes D No D If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEP A or SEP A final approval letter. Yes D No D 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. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B .0259 (far-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes D No [8] If you answered "yes", provide the following information: Page 11 of 13 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 Multiplier Required (square feet) Mitigation 1 3 2 1.5 Total . Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 ex1ends an additional 20 feet from the edge of Zone l. If buffer mitigation is requir~ please discuss what type of mitigation is proposed (i.e., Donation ofPropcrty, Conservation Easement, Riparian Buffer Restoration 1 Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. N/A XI. Stornnvater (required by DWQ) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. The existing impervious acreage is .023 acres. This is a doublewide trailer and porch. The new road will add .559 acres of impervious acreage. The total impervious acreage after completed construction is .968 acres XII. Sewage Disposal (required by DWQ) 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. Sewage from the site will connect to the municipal gravity sewer line. XIII. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes D No fZ] Is this an after-the-fact permit application? Yes D No fZ] Page 12 of 13 XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). N/A IA ~n(ffkJ[ l-t-6i (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 13 of 13