20052027 Ver 1_Complete File_20050117

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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

December 9, 2005
DWQ Project # 05-2027 & 05-2028
Burke County

Larry Pressley
City of Morganton
Post Office Box 3448
Morganton, NC 28680-3448 ~\\~.n~;~\

Subject Property: Sundowns Road Water and Sewer Line 't~,(Foll;'!.'C {1- ;J
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Dear Mr, Pressley:

You have our approval, in accordance with the attached conditions and those listed
below, to place fill within or otherwise temporarily impact 40 feet of streams for the
purpose of utility replacement at the subject properties, as described within your
application dated November 7, 2005. After reviewing your application, we have decided
that the impacts are covered by General Water Quality Certification Number(s) 3374
(GC3374). The Certification(s) allows you to use Nationwide Permit(s) 12 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, stormwater, and buffer 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:

NJ,"~Carolina
;Valllrnll!/

401 Wetlands Certification Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone]/ FAX [phone]/lntemet http://h2o.enr.statenc.us/ncNetlands

An Equal Opportunity/Affinnative Action Employer- 50% Recycied/10% Post Consumer Paper

f,

Aundowns Road Watcr and Scwcr Line Extension
Pagc 2 of?
Dcccmbcr 9, 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
Stream

Plan Location or Reference

Units)

Little Silver Creek
UT to Little Silver 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.

.,

Aundowns Road Water and Sewer Line Extension
Page 3 of7
December 9, 2005

4, No Sediment & Erosion Control Measures wIn Wetlands or Waters

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, Diffuse Flow

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, 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, 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.

8. Buffer Replanting

Replanting of vegetation within disturbed areas located within 25 feet of the
stream bank associated with the approved temporary culverting of a UT to Reed
Creek, installation, repair, replacement and/or maintenance must be done in an
"in kind" manner immediately following construction. (Example: Disturbed areas
with pre-existing grassed lawns must be replanted with grass, Disturbed areas
with pre-existing trees or woody vegetation must be replanted with trees and
woody vegetation. Disturbed areas with pre-existing forest vegetation must be
replanted with forest vegetation including at least two different native hardwood
tree species at a density sufficient to provide 320 trees per acre at maturity. This
density can usually be achieved by planting approximately 436 (10 x 10 spacing)
to 681 (8 x 8 spacing) trees per acre.)

t.

Aundowns Road Water and Sewer Line Extension
Page 4 of7
December 9, 2005

9, No Sediment and Erosion Control Measures in Waters

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 or locally delegated program has released the project.

10. Construction Stormwater Permit NCG010000

Upon the approval of an Erosion and Sedimentation Control Plan issued by the
Division of Land Resources (DLR) or a DLR delegated local erosion and
sedimentation control' program, an NPDES General stormwater permit
(NCG010000) administered by DWQ is automatically issued to the project. This
General Permit allows stormwater to be discharged during land disturbing
construction activities as stipulated by conditions in the permit. If your project is
covered by this permit [applicable to construction projects that disturb one (1) or
more acres], full compliance with permit conditions including the sedimentation
control plan, self-monitoring, record keeping and reporting requirements are
required. A copy of this permit and monitoring report forms may be found at
http://h20.enr.state,nc.us/su/FormsDocuments,htm.

11, Temporary Fills

All temporary fill and culverts shall be removed and the impacted area returned
to the original grade, including each stream's original cross sectional dimensions,
planform pattern, and longitudinal bed and bed profile after construction is
complete or within 6 months of the establishment of the crossing, which ever is
sooner, and the various sites shall be stabilized with natural woody vegetation
(except for the maintenance areas of permanent utility crossings) and restored to
prevent erosion. If the crossings are not completely removed and restored as
described above within the specified time above, additional written approval from
this Office must be obtained to modify this condition.

12, 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
stream grade shall be re-established or, if the pipes installed in a perched manner,
the pipes shall be removed and re-installed correctly.

'"

Aundowns Road Water and Sewer Line Extension
Page 5 of7
December 9,2005

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. Culvert(s)
must be installed according to approved plans.

13. Construction in and within the 25-foot trout buffers should not occur during the
typical October 15 to April 15 trout spawning season,

14, Stringent erosion control measures should be installed where soil is disturbed and
maintained until project completion. Sediment and erosion control measures shall
adhere to the design standards for sensitive watersheds (15A NCAC 48 .0124).

15, Seeding for a temporary cover of wheat, millet, or similar annual grain or permanent
herbaceous cover should occur on all bare soil within five (5) days of ground
disturbing activities to provide long-term erosion control. The projects should be
accomplished in stages instead of leaving large areas exposed to storm events,
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, Straw mulch
and tall fescue should not be used in riparian areas.

16. Where concrete is used, 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 change and a fish kill.

17. Under no circumstances should'rock, sand, or other materials be dredged from the
stream channels under authorization of this permit except, if necessary, in the
immediate vicinity of the crossings, Dredging has severe effects on aquatic life and
disturbance of the natural form of the channel can cause downstream erosion
problems. The natural dimension, pattern, and profile of the channels adjacent to
the pipes should not be modified by widening or changing their depths.

18, Sandbags, flexible pipe, or other diversion structures should be used to avoid
excavation in flowing water. Materials used for flow diversions should be removed
from the stream bed after completing the construction work. Any diversion channels
must be lined with rock and fabric.

19.Any riprap placed for stabilization should be clean and limited to the stream bank
below the high water mark and vegetation should be used above. Rip rap must not
be placed in stream channels in a manner that obstructs fish passage.

,.

Aundowns Road Water and Sewer Line Extension
Page 6 of7
December 9, 2005

20. Riparian vegetation should be preserved as much as possible. Where vegetation
must be cut, the area should not be grubbed so stumps and roots can resprout.
~ative. woody vegetation (e.g., rhododendron, dog hobble, silky dogwood, sycamore,
nver bIrch, red maple) should be reestablished upstream and downstream of the
impacted areas if it 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,

21. Stream crossings should be made as close to perpendicular to the stream channel
as possible to minimize riparian area disturbance,

22, The stream channels should be restored to stable and natural conditions after
completing the pipe installations.

23,AII mechanized equipment operated near surface waters should be inspected and
maintained regularly to prevent contamination of stream waters with fuels, lubricants,
hydraulic fluids or other toxic materials.

24. Discharging hydroseed mixtures and washing out hydroseeders and other
equipment in or adjacent to surface waters is prohibited,

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, Raleigh,
N,C. 27699':'6714. This certification and its conditions are final and binding unless you
ask for a hearing.

"'

Aundowns Road Water and Sewer Line Extension
Page 7 01'7
December 9, 2005

This letter completes the review of the Division of Water 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 Kevin Barnett in the DWQ Asheville
Regional Office at 828-296-4657,

Sincerely,

~~1 e. }::CL~u~lt ..;..~

Alan W. Klimek, P.E., Director
Division of Water Quality

AWKJkhb

Enclosures: GC 3374
Certificate of Completion
Guidelines for Riparian Buffer Establishment

cc: USACE Asheville Regulatory Field Office
DWQ 401 Central Office
DLR Asheville Regional Office
File Copy
Central Files

Filename: 05-2027,2028. SundownsRoadWater&SewerLineExtension .Approval

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I:,",PO.'t3. :..M:!ioat'.ons..Jees
I' Details! :

AIIWaOons Events ~ Inspections
D eJa}!.s 2

Project Number: 20052027

Version: ,1

Status: Issued

'Project Name: City of Morganton: Kathy- Sundown Roads Water line

Project Desc: water hoe

'Owner: Erwin, W Clark,

'Received From: Applicant

DOTTIP:

Received DI: 11107/2005

Issued DI: 1210912005

Statutory DI: 0110612006

CAMA NEPAl SEPA Received DI:

DCM O:nce:

SW Plan Received Dt:

CaE Omce: 'eville. Regulatory Field Office ., i SW Plan Approved DI:

Last Updated By laurie.dennison SW Plan Location:

Last Updated On: 1110812005 Sewage Disposal:

< gack

Comments History
,.P.ermlts, and Certs.

C:ross Refs

LastActlon Desc: 'proJect Issued
'PrajectType: [Other .

[. Q,eta1ls

CaE ID:

, Ready

'Primary Caunty: [Burke.
[...
'Mmin Region: ,Asheville

Reviewer: [k;vlr"bamett

1-_ - .,,,".,,,,'"", - J

Public NatlCe Published DI:

PubliC Nallce Received DI:

PH Camment Perlad Ends DI:

.Q.iase

Page 111

SID: WPDl

E

__J

Triage Check List

Kevin Barnett, Asheville Regional Office

Project Name: City of Morganton
Sundown Rds Waterline
DWQ #:05-2027
County: Burl{e

Date: 11/09/05

To:

60-day Processing Time: 11/07/05 to 1/05/06

From: Cyndi Karoly Telephone: [phone]

The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.

D Stream length impacted
D Stream determination
D Wetland determination and distance to blue-line surface waters on USFW topo maps
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 of the 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!

...VilLel

Subject: DWQ Project: Kathy-Sundown Road Water Line
From: Laurie Dennison <[e-mail]>
Date: Mon, 07 Nov 2005 11:37:21 -0500
To: wccrwin@juno,com

please see attached the Division of Water Quality's request for more information related to your
recent application. Please note that this message is being forwarded to you electronically so
that you may expedite preparation of your response. Please send your response as a reply to this
e-mail.

Content-Type: application/msword
Kathy-Sundown Roads Water Line (BurkeLlIold for Permit No,doc
Content-Encoding: basc64

1 of 1

11/7/2005 11 :38 AM

Delivery Status Notification

Subject: Delivery Status Notification
From: Mail Delivery Service <[e-mail]>
Date: Mon, 7 Nov 2005 11 :37:26 -0500
To: [e-mail]

- These recipients of your message have been processed by the mail server:
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Subject: DWQ Project: Kathy-Sundown Road Water Line
From: Lauric Dennison <laurie,j,[e-mail]>
Date: Mon, 07 Nov 2005 11 :37:21 -0500
To: [e-mail]

Please see attached the Division of Water Quality's request for more information related to your
recent application. Please note that this message is being forwarded to you electronically so
that you may expedite preparation of your response, Please send your response as a reply to this
e-mail.

Part 1.2 Content-Type: MessagelDelivery-Status

DWQ Projcct: Kathy-Sundown Road Watcr Line .eml Content-Type: Message/RFC822

Content-Type: application/msword
Kathy_Sundown Roads Water Line (BurkeLHold for Permit No.doc
Content-Encoding: base64

1 of 1

11/7/2005 11 :38 AM

N. CITY OF MORGANTONA.
ORTI-I CAROLIN

October 28, 2005

Jolm Dorney
Water Quality Certification Program
1650 Mail Service Center
Raleigh, NC 27699

Re: 401/404 Permit Application for:
Kathy Road-Sundown Road Industry Water Line Construction

Dear Mr. Dorney:

Please find the enclosed seven copies of detailed plans, review fee, vicinity map and USGS topographic
map for your review.

The vicinity map is shown on the title sheet of the plans. There are two branch crossings; impact 1 is
located at station 11+50 on sheet 1, and impact 2 is located at station 30+50 on sheet 3.

We would welcome a phone call to clarify any remaining issues and to expedite project approval.
Please feel free to contact me at [phone].

:prclY,
f~l~

City Engineer

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TelepllOne [phone]
www.ci.morganton.nc.us

305 E UniBvg6HdtFt) Suite AIOO
Morganton, NC 28655

Post Office Box 3448
Morganton, NC 28680-3448

Office Use Only:

Form Version October 200 I

USACE Action ID No.

DWQ No.

If any particular item is not applicable to this project, please enter "Not Applicable" or "N/ A" rather than
leaving the space blank.

1. Check all of the approval(s) requested for this project:
~ Section 404 Permit
o Section 10 Permit
~ 401 Water Quality Certification
o Riparian or Watershed Buffer Rules

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NO V 7 - 2005 ~
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I.

Processing

2. Nationwide, Regional or General Permit Number(s) Requested: N W I:L ee-r L-u-rt..t

3. If this notification is solely a courtesy copy because written approval for the f~~ation
is not required, check here: 0

4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ON/ A

II. Applicant Information

1. Owner/Applicant Information
Name: Burke Partnership for Economic Development, Inc., Clark Erwin/Chairman
Mailing Address: P,O. Box 1702
Morganton
North Carolina 28680-1702

Telephone Number: 828-437-3770
E-mail Address:wcerwin(iV.juno.com

Fax Number: 828-433-8543

2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: completed by the City of Morganton Design Department on behalf of Burke
Partnershi for Economic Develo ment, Inc. Si nature b Owner/ A licant
Company Affiliation: uY)~t.
Mailing Address: City of Morganton
P. O. Box 3448
Mor~anton, NC 28680-3448
~

Telephone Number: 828-438-5265
E-mail Address:

Fax Number: 828-438-5264

Page 5 of 13

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: Kathy Road-Sundown Road Sewer Line Construction
2, T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): Road right of way Sundown Rd (SR 1143) &
Pin No, included with property owners list
4. Location County :Burke Nearest Town: Morganton
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc,):Take exit number 96 from 1-40 and
go North 0.1 mile on Kathy Rd. (SR 1138) to Sundown Rd. (SR 1143). Right on Sundown
Rd. 1 mile to proposed sewer line crossing roadway,
5. Site coordinates, if available (UTM or Lat/Long):Site 1: Lat N35042' 33" Long W81 047'46",
Site 2: Lat N35042'20" Long W81 048' 14",
6. Describe the existing land use or condition of the site at the time of this application:
The area is partly undeveloped residential/industry and woods,
7. Property size (acres): Area disturbed by sewer line construction is 6,0 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Little Silver Creek
9. River Basin: Catawba River
(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/admin/maps/.)

10. Describe the purpose of the proposed work: New Sewer Line Construction

11. List the type of equipment to be used to construct the project:

pipe laying equipment

12. Describe the land use in the vicinity of this project: Wooded/ Industry/ Residential area

Page 6 of 13

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 States/Waters of the State

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, pem1anent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
I. Wetland Impacts N/A

Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact IOO-year FloodpJain** Nearest Stream Type of Wetland***
(indicate on map) (acres) (yes/no) (linear feet)

Page 7 of 13

*

List eaeh impact separately and identify temporary impacts, Impacts include, but are not limited to: mechanized clearing, grading, lill,
excavation, nooding, ditching/drainage, dc, For dams, separately list impacts due to both structure and nooding,
IOO-Year noodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insunmce Rate Maps
(FIRM), or FEMA-approved local tloodplain maps, 1\laps are available through the FEMA Map Service Center at I -800-358-96 I 6, or
online at http://www,fema,l!ov.
List a wetland type that best describes \\etland to be impacted (e.g., freslmater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, ete.)

**

***

List the total acreage (estimated) of existing wetlands on the property: N/ A
Total area of wetland impact proposed: N/A

2, Stream Impacts, including all intermittent and perennial streams

Stream Impact Length of A verage Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
(indicate on map) (linear feet) Before Impact (please specify)
I Rip-Rap 10' Little Silver Creek 10' Perennial
2 Rip-Rap 10' Little Silver Creek 10' Perennial

**

List eaeh impact separately and identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impaets due to both structure and nooding), reloeation (include linear feet before and after, and net loss/gain),
stabilization aetivities (cement wall, rip-rap, crib wall, gabions, etc,), excavation, ditching/straightening, etc, If strcam rclocation is
proposed, plans and promes showing the linear footprint for both the original and relocated streams must be included,
Stream names can be found on USGS topographic maps, If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into \\hich it tlows, USGS maps are available through the USGS at I -800-358-9616, or online at
www,usgS.gov, Several internet sites also allow direet download and printing of USGS maps (e.g" www,topozone,eom,
www.mapquest.com. ete,),

Cumulative impacts (linear distance in feet) to all streams on site: 20 linear feet

3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.

Open Water Impact Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact* Impact (if applicable) (lake, pond, estuary, sound,
(indicate on map) (acres) bay, ocean, etc,)
N/A

*

List eaeh impact separately and identity temporary impacts, Impacts include, but are not limited to: Iill, excavation, dredging,
nooding, drainage, bulkheads, etc,

Page 8 of 13

4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application,
Pond to be created in (check all that apply): D uplands D stream D wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A

Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A

Size of watershed draining to pond: N/ A

Expected pond surface area: N/ A

VII. Impact Justification (Avoidance amI 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.
N/A

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

Page 9 of 13

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
http://h20.em.state,nc. us/ncwetlands/ strmgide.html.

1, Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation casement, etc.), and a
description of the current site conditions and proposed method of construction, Please attach
a separate sheet if more space is needed.
Silt Fence, Vegetation and Rip rap

2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401lWetlands Unit if payment into the
NCWRP is available as an option, For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o,enr,state,nc,us/wrp/index,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 (D\VQ Only)

Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes D No D
If yes, docs the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEP AlSEP A)?
Note: If you are not sure whether a NEP AlSEP A document is required, call the SEP A
coordinator at [phone] 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

Page 10 of 13

X. Proposed Impacts on Riparian and \Vatcrshcd Buffers (D\VQ Only)

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local butTers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate, Photographs may also be included at the
applicant's discretion.

Will the project impact protected riparian buffers identified within 15A NCAC 2B ,0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B ,0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes D No D If you answered "yes", provide the following information:

Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

Zone* Impact Multiplier Required
(square fcct) Mitigation
I 3
2 1.5
Total

*

Zonc 1 cxtcnds out 30 fect pcrpcndicular from ncar bank of channcl; Zonc 2 cxtcnds an
additional 20 fcct from thc cdgc of Zonc 1,

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.

XI. Stormwater (D\VQ Only)

Describe impervious acreage (both eXlstmg and proposed) versus total acreage on the site.
Discuss stonnwater controls proposed in order to protect surface waters and wetlands
downstream from the property.

Page 11 of 13

XII. Sewage Disposal (D\VQ Only)

Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.

XIII. Violations (DWQ Only)

Is this site in violation of DWQ Wetland Rules (l5A NCAC 2H .0500) or any Buffer Rules?
Yes D No D

Is this an after-the-fact permit application?
Yes D No D

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).

bS'

Date
if an authorization letter from the applicant is provided.)

Page 12 of 13

CURRENT PROPERTY OWNERS

Mail Address

I.Summitville Carolina INC
PO BOX 73
Summitville, OH 43962
Recorded in Deed Book 762, Page 1542

2,Rosemm)' Underwood
3112 Gabriel AVE
Zion, IL 60099
Recorded in Deed Book 840, Page 79

3,BJL Properties LLC
211 Stephens DR
Morganton, NC 28655
Recorded in Deed Book 1464, Page 381

4.John Padgett & Charles D Owens
PO BOX 610
Forest City, NC 28043
Recorded in Deed Book 903, Page 451

5,Phillip L Justice
3678 Sundown RD
Morganton, NC 28655
Recorded in Deed Book 1307, Page 26

6.Clarence E Justice
3728 Sundown RD
Morganton, NC 28655
Recorded in Deed Book 592, Page 300
Recorded in Deed Book 509, Page 457

7.James P McKesson Est.
5420 Boland
Grand Blanc, MI 48439
Recorded in Deed Book 59, Page 340

8,MJ Jenkins & Wanda F Jenkins
4030 Sundown RD
Morganton, NC 28655
Recorded in Deed Book 744,Page 1789

9,Burke Partnership for Economic Development, INC
PO BOX 1702
Morganton, NC 28680
Recorded in Deed Book 1465, Page 320

Street Address

Summitville Carolina INC
100 Ceramic Tile DR
Morganton, NC 28655
Pin No.1 7720906 1 060

Rosemary Underwood
3605 Sundown RD
Morganton, NC 28655
Pin No, 176216944688

BJL Properties LLC
3645 Sundown RD
Morganton, NC 28655
Pin No, 176216946195

John Padgett & Charles D Owens
91 C Ceramic Tile DR
Morganton, NC 28655
Pin No, 176216935713

Phillip L Justice
3658LI/3 Sundown RD
Morganton, NC 28655
Pin No, 176216842478

Clarence E Justice
3650& 3728 Sundown RD
Morganton, NC 28655
Pin No, 176216749093

James P McKesson Est.
3642 Sundown RD
Morganton, NC 28655
Pin No. 176215733769

MJ Jenkins & Wanda F Jenkins
3790 Sundown RD
Morganton, NC 28655
Pin No. 176215722699

Burke Partnership for Economic Development, INC
4336 42 Sundown RD
Morganton, NC 28655
Pin No, 176219617148

Office Use Only:

Form Version October 2001

USACE Action ID No.

DWQ No.

If any particular item is not applicable to this project, please enter "Not Applicable" or "N/ A" rather than
leaving the space blank.

I. Processing

m&@&llW&@

NOV 7 -,2005

l''i:TY ~E:NR .IYATfF~
'~"'N(D3N'D STOi~ QUALITY
,1WAT/:'R /JRN~Cii

2. Nationwide, Regional or General Permit Number(s) Requested: A.)w I a.. ?er Lcu-r'1 p~~

3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: 0

1. Check all of the approval(s) requested for this project:
~ Section 404 Permit
o Section 10 Permit
~ 401 Water Quality Certification
D Riparian or Watershed Buffer Rules

4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ON/ A

II. Applicant Information

1. Owner/Applicant Information
Name: Burke Partnership for Economic Development, Inc" Clark Erwin/Chairman
Mailing Address: P.O. Box 1702
Morganton
North Carolina 28680-1702

Telephone Number: 828-437-3770
E-mail Address:[e-mail]

Fax Number: 828-433-8543

2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: completed by the City of Morganton Design Department on behalf of Burke
Partnership for Economic Development, Inc. Signature by Owner/Applicant
Company Affiliation:
Mailing Address:

City of Morganton
P. O. Box 3448
Morganton, NC 28680-3448

~ 0 r M J P Q(U"l1"'l Lv....
\ \ I

Telephone Number: 828-438-5265
E-mail Address:

Fax Number: 828-438-5264

Page 5 of 13

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: Kathy Road-Sundown Road Sewer Line Construction
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): Road right of way Sundown Rd (SR 1143) &
Pin No. included with property owners list
4. Location County :Burke Nearest Town: Morganton
Subdivision name (include phase/lot number): N/ A
Directions to site (include road numbers, landmarks, etc.):Take exit number 96 from 1-40 and
go North 0.1 mile on Kathy Rd. (SR 1138) to Sundown Rd. (SR 1143). Right on Sundown
Rd, 1 mile to proposed sewer line crossing roadway.
5, Site coordinates, if available (UTM or Lat/Long):Sitel: Lat N35042' 33" Long W81 047'46",
Site 2: Lat N35042'20" Long W81 048' 14",
6, Describe the existing land use or condition of the site at the time of this application:
The area is partly undeveloped residential/industry and woods,
7. Property size (acres): Area disturbed by sewer line construction is 6.0 acres
8. Nearest body of water (stream/river/sound/oceanllake): Little Silver Creek
9. River Basin: Catawba River
(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/admin/maps/.)

10. Describe the purpose of the proposed work: New Sewer Line Construction

11. List the type of equipment to be used to construct the project:

pipe laying equipment

12. Describe the land use in the vicinity of this project: Wooded! Industry/ Residential area

Page 6 of I3

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 infomlation, 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 States/Waters of the State

It is the applicant's ( or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, pemlanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan, All wetlands and waters, and all streams (intemlittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems, Wetland and stream
evaluation and delineation fomls should be included as appropriate, Photographs may be
included at the applicant's discretion, If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts N/A

Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact I DO-year Floodplain** Nearest Stream Type ofWetland***
(indicate on map) (acres) (yes/no) (linear feet)

Page 7 of 13

*

List each impact separately and identify temporary impacts. Impacts include, but arc not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding,
100-Year floodplains arc identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FlIu-..1), or FEMA-approved local floodplain maps. Maps arc available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www,fema,gov.
List a wetland type that best describes wetland to be impacted (e,g" freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)

**

***

List the total acreage (estimated) of existing wetlands on the property: N/ A
Total area of wetland impact proposed: N/A

2. Stream Impacts, including all intermittent and perennial streams

Stream Impact Length of A verage Width PerelUlial or
Site Number Type of Impact* Impact Stream Name** of Stream Intenllittent? '
(indicate on map) (linear feet) Before Impact (please specify)
I Rip-Rap 10' Little Silver Creek 10' Perennial
2 Rip-Rap 10' Little Silver Creek 10' Perennial

List each impact separately and identify temporary impacts, Impacts include, but arc not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activitics (cement wall, rip-rap, crib wall, gabions, etc,), excavation, ditching/straightening, etc, If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included,
** Stream names can be found on USGS topographic maps, If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named streanl into which it flows, USGS maps arc available through the USGS at 1-800-358-9616, or online at
www,usgs,gov, Several internet sites also allow dircct download and printing of USGS maps (e.g" www.topozone,com,
www.mapquest.com. etc.).

*

Cumulative impacts (linear distance in feet) to all streams on site: 20 linear feet

3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.

Open Water Impact Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact* Impact (if applicable) (lake, pond, estuary, sound,
(indicate on map) (acres) bay, ocean, etc,)
N/A
-

*

List each impact separately and identify temporary impacts, Impacts II1clude, but arc not lllTIlted to: 1111, excavatIOn, dredgmg,
flooding, drainage, bulkheads, etc,

Page 8 of 13

4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections, Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): D uplands D stream D wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A

Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A

Size of watershed draining to pond: N/ A

Expected pond surface area: N/ A

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,
N/A

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

Page 9 of 13

lacking a required mItIgation plan or NC\VRP 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 Teclmical Guide for Stream Work in North Carolina, available at
http://h20.em.state.nc. us/ncwetlands/ strmgide.html,

1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction, Please attach
a separate sheet if more space is needed.
Silt Fence, Vegetation and Rip rap

2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 40llWetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o,enr.state,nc,us/wrp/index,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 (D\VQ Only)

Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes 0 No 0
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEP A/SEP A)?
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 0 No 0
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 0 No 0

Page 10 of 13

X. Proposcd Impacts on Rip~lrian and \Vatcrshcd Buffcrs (DWQ Only)

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan, All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.

Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes D No D If you answered "yes", provide the following information:

Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

Zone* Impact Multiplier Required
(square feet) Mitigation
I 3
2 1.5
Total

*

Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone I,

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e" Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund), Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.

XI. Stormwatcr (D\VQ Only)

Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss storm water controls proposed in order to protect surface waters and wetlands
downstream from the property.

Page II of13

XII. Sewage Disposal (DWQ Only)

Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.

XIII. Violations (DWQ Only)

Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes D No D

Is this an after-the-fact permit application?
Yes D No D

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),

~~~Q

~

Page 12 of 13

CURRENT PROPERTY OWNERS

Mail Address

Street Address

l.Summitville Carolina INC
PO BOX 73
Summitville, OH 43962
Recorded in Deed Book 762, Page 1542

2,Rosemary Underwood
3112 Gabriel AVE
Zion, lL 60099
Recorded in Deed Book 840, Page 79

3.BJL Properties LLC
211 Stephens DR
Morganton, NC 28655
Recorded in Deed Book 1464, Page 381

4,John Padgett & Charles D Owens
PO BOX 610
Forest City, NC 28043
Recorded in Deed Book 903, Page 451

5,Phillip L Justice
3678 Sundown RD
Morganton, NC 28655
Recorded in Deed Book 1307, Page 26

6.Clarence E Justice
3728 Sundown RD
Morganton, NC 28655
Recorded in Deed Book 592, Page 300
Recorded in Deed Book 509, Page 457

7.James P McKesson Est.
5420 Boland
Grand Blanc, MI 48439
Recorded in Deed Book 59, Page 340

8.MJ Jenkins & Wanda F Jenkins
4030 Sundown RD
Morganton, NC 28655
Recorded in Deed Book 744,Page 1789

9,Burke Partnership for Economic Development, INC
PO BOX 1702
Morganton, NC 28680
Recorded in Deed Book 1465, Page 320

SummitviIle Carolina INC
100 Ceramic Tile DR
Morganton, NC 28655
Pin No, 177209061060

Rosemary Undenvood
3605 Sundown RD
Morganton, NC 28655
Pin No. 176216944688

BJL Properties LLC
3645 Sundown RD
Morganton, NC 28655
Pin No, 176216946195

Jolm Padgett & Charles D Owens
9 I C Ceramic Tile DR
Morganton, NC 28655
Pin No, 176216935713

Phillip L Justice
3658Ll/3 Sundown RD
Morganton, NC 28655
Pin No, 176216842478

Clarence E Justice
3650& 3728 Sundown RD
Morganton, NC 28655
Pin No. 176216749093

James P McKesson Est.
3642 Sundown RD
Morganton, NC 28655
Pin No. 176215733769

MJ Jenkins & Wanda F Jenkins
3790 Sundown RD
Morganton, NC 28655
Pin No, 176215722699

Burke Partnership for Economic Development, INC
433642 Sundown RD
Morganton, NC 28655
Pin No. 176219617148

Invoice Date Invoice Number
11/03/05 110305

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Vendor No,
10701

NC DIVISION OF WATER QUALITY

Check No,
580027

P,Q, No,

Vendor Name

Voucher Invoice Description
122745 PROJECT PLAN APPROVAL

Check Date
11/04/2005

200,00

Check Amount
$200,00

City of Morganton
P,O. Box 3448
Morganton. NC 286BO-3448

NC DIVISION OF WATER QUALITY