19990699 Ver 1_COMPLETE FILE_19990628

PRE-CONSTRUCTION NOTIFICATION' \8

MITC~ELL ACRES SUBDIVISON \' . i,
GRANVILL~OUNTY, NORTH CAROLINA ',.,i.

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PCN':Application To:

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Mr. Todd Tugwell
U:S.'Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of Neuse Road, Suite 120
Raleigh, N.C. 27615-6846

~ .-~-

and

Mr. John Dorney
N.C. Division of Water Quality
Environmental Sciences Branch
4401 Reedy Creek Road
Raleigh, North Carolina 27607

Project Engineer:

Property Owner:

Mr. John Lee Hamme
1 51 Belle Street
Henderson, NC 27536
[phone]

Mr. Harold Mitchell
1661 NC Highway 96
Franklinton, NC 27525
[phone]

10 JUNE 1999

Robert]. Goldstein & Associates, Inc.
ENVIRONMENTAL CONSULTANTS
8480 Garvey Drive - Durant Office Park
Raleigh, North Carolina 27616-3175
Tel: [phone] Fax: [phone]

RJG&A Project No. 9920

CONTENTS OF PCN

Title Page, Contents, Project Description
Figure 1: Project Location Map
PCN Application Form
Figure 2: Existing Stream and Wetland
Figure 3: Proposed Impacts to Waters
Wetland Determination Data Forms
Notification Memo to FWS and SHPO
Total Pages

PROJECT DESCRIPTION

2 pages
1 page
5 pages
1 page
1 page
4 pages
1 page
1 5 pages

Mitchell Acres is a 112 acre residential subdivision containing approximately 80 lots
in southeastern Granville County. The subdivision entrance is on NC-96 3,500 feet east of
the NC-96/SR 1700 intersection and 2,500 feet northwest of the NC-96/SR 1711 intersection.
Much of the western portion is already developed, and the remainder is in forest or pasture.
A meandering 10 to 15 foot wide headwater tributary of Ford Creek (Class C-NSW tributary
of the Tar River) crosses the eastern portion of the property, making the easternmost 15 acres
inaccessible by vehicle.

The owner, Mr. Harold Mitchell, proposes to construct a 20-foot wide paved road in
a 50-foot wide right-of-way which will cross the stream and a small isolated floodplain
depression wetland to provide access to the eastern portion of the development. The property
is less than 200 feet wide in the vicinity of the proposed stream and wetland crossing,
rendering wetland avoidance and a perpendicular stream crossing impossible. RJG&A advised
the project engineer, Mr. John Hamme, to minimize the length of stream impact to the extent
practicable, as reflected in the proposed road design described in this PCN.

The affected stream segment is presently 165 feet long measured along the centerline
of the meandering channel. The substratum is predominantly sand, with small patches of
gravel and cobble. The banks are forested, and no aquatic vegetation is present in the stream.
The stream drainage basin area at the proposed crossing is 0.38 square mile, which we
believe is too small to support aquatic protected species known from Granville County.

The central 120 feet of the existing stream segment will be straightened and piped
through 93 feet of 60 inch diameter corrugated steel culvert pipe. Reinforced concrete
endwalls will stabilize each end of the culvert. The culvert invert will be at or slightly below
the existing streambed elevation. Beyond each end of the culvert, 23 feet of stream will be
artificially stabilized with rip-rap on the bottom and side slopes. Above normal high water the
tops of the stream banks will be stabilized with vegetation. The total length after construction
will be 140 feet, or 25 feet shorter than the existing stream.

The wetland affected is a 0.055 acre isolated floodplain depression located 50 feet east
of the stream bank. No surface connection with the stream is evident. It contains young
alluvial hardwood forest vegetation, with canopy trees 6 to 10 inches dbh. Hydrologic and
soil indicators suggest that this wetland is frequently saturated 6 to 1 2 inches below the
surface, but rarely ponded. No standing water or surface saturation was present during the
delineation (29 April 1999) despite moderate rainfall the previous day and night. This wetland
is unlikely to provide habitat for aquatic wildlife.

OXFORD 15 MI.
WIL TON 1.3 MI.

OEM ID:

CORPS ACTION ID:

NATIONWIDE: l?~RMJ:T REQUESTED (P:tOVIDE: NATIONWIDE: l?ERMI'l' ~) : AI W P J 3 + I Lf

PRE-CONSTRUCTION NOTIFICATION AEPLICATION

FOR NATIONlnDE l?~TS THAT REQUIRE:

1) HO'rD"1:O%:OH 'rO ~ COlU'S or ENG::::m:r:RS
2) APPLZo:!:C!I toR SZC:ZC!I 401 ~c::AXZON
3) COO1U:lnm!rZON ~ 'rm: HC Orv-ISJ:ON or COASnL MANA~

SZND ':mE ORJ:Gnu.L AND (1.) COPY OF nD:S COMl?Un:D FORM TO ':mE APPRO~
Fn:I.D OETICZ OF mE CORPS OF ENGINEZRS (SZZ AGZNCY ADDRESSZS SE:EZT). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION Of ENV!RO~~TAL MANAG~T
(SEZ AGENCY ADDRESSES SHEZI). PUASZ p~nrT.

1. OWNERS NAME:

HflROLD HlrcHELL

2. ~..A!r.ING ADDRESS:

jiP6/ H{GHW~Y 9', FRftAl/(UNTOIV NC r:J75~S

.

SOBDIVISION NAME:

I1/TCHELL ACReS

CITY: FRPtN/(LINTOAJ

STATE:

NC

ZIP CODE:

':<75;25

PROJECT LOCATION ADDRESS, INCLODING SuBDIVISION N~~~ (!: DI:FSRENT FROM
~_ULING ~...DDRESS ABOVE): t:N'TffANCE TO MITCHELL IlaES 1$ ON N S/l>E. OF A/C-1/',

3,500 fEET EAST OF NC-9' IrfIb SR 1700 1N7E~ScC.rloN j ,,2.0 MILes SE OF WILTON} NC

3. TELEP:iONE Nmf..BER (HOMEl: qlq- S,;zCS - 0'-/07 (wORK):

4.'I: }~PLI~~..BLE: AG~~'S NAME OR RESPONSIBLE CORPOR}_TE OfF!C!~~,}...DDRESS,
PHONE NUMB ER:

5. LOCATION or WORK (PROVIDE A ~~, PREFER}..BLY A COP~ or aSGS TOPOGaAEHIC
~~ OR AERIAL PHOTOGRAPHY WITH S~;LEl :
COONTY: G~AMVILLE NEAREST TOWN OR CITY: WIL TON

See AmcHE.p ",AP: USGS ToPo QUAl) : 6RISSOH, NC

1

S2ECIFIC LO~~ION (INCLUDg ROAD

NUMB gRS, LAND~_~ , ETC.):

AFfEc. TED STREIrH /tNP WETLAN)) ItRE ~,'tOO FED ~lJE NORTH OF

NC.-9' IrN'b Sf( /711 (N7C.((S~GTION.

6. IMPACTED OR ~~ST STREAM/R-~R:

u r PaRD CREEl<

RIVER BASIN:

mR RIVE.R

7a. IS PROJECT LOCATED NEAR WATER C!.A.SSIFIED AS TROUT, TIDll.L SALTWATER
(S~), HIGCi QOll.LITY ~ATERS (HQW), OOTST]..NDING RESOURCE WATERS (ORW), WATER
SUPPLY (liS-! OR ~S-!I)? YES (] NO ~ IF YES, EXPLl:7'N:

Fo~P CRfek. IVlt> 7f(IBUiItRIES 1r~E. CLASSIFIE.l> C -NSW.

ib. IS THE PROJECT LO~~TED WITH!N A NORTH ~~OLINA DIVISION Of COF~T~.L
~_1;.NAG~..EN'!' 11..RE.;' OF ENVIRONMENTll.L CONCERN (AEC)? YES (] NO (Xl

7c. IF THE PROJECT IS LO~;'TED WITE!N A.COll~Tl1~ COUNTY (SEE l'AGZ 7 FOR
LIST OF COASTAL COUNTIES), WHAT IS THE L11.ND USE PLAN (LUl') DESIGNATION?

NA

Sa. HAVE 11.NY SECTION 404 l'E~~TS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES (] NO CKl IF YES, PROVZDE ACTION I.D. NUMBER OF
!?REVIOOS PERMIT }.ND 11.NY ADDITIONll.L INFO~-ATION (INCLUDE PHCTOCO!?Y Of 401
CERTIFICATION) :

8b. ARE ADDITION}~ PE~~T REQOESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE: YES (] NO [Xl IF YES, DESCRIBE ANTICIPATED WORK:

9a. ESTDf.ATED TOTAL NUMBER OF ACRES IN. TPACT OF LAND:

"J. acre s

9b. ESTIMATED TOTAL NUMBER OF ACRES Of WETLANDS LOCATED ON PROJECT SITE:

2

lOa. NUMBER OE' ACRES OE: WETLANDS IMPltCTED BY THE PROPOSED PROJECT BY:

E"ILLING:

o. OSS IIue

EXc..~VATION :

nOODING:

OTHER:
TOnI. AOES TO BE IM:li'ACT.ED: o. ass a,r~

. DRAINAGe::

lOb. (1) STREAM C:~ TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DIST.ANCZ BOTH BEFORE AND AFTER RELOCATION) :

LDfGni BEFORE: .

/1#5'

IT

AE"l'ER:

/"fO

F'l'

~m BEFORE (based on no~al high water c~ntours) :

~m AFTER: '13 lilt. ft. p~' in '0" culvert; ;23 It" It.
Sfqbi/lzed witlt rlp-rflp em" 15 -f<<r wiefe
A~GZ DEP'rR BE;E'ORE: f'!' AFTER:

10 fo IS'
<<f eath ~,J 10 be

M
- -

110 CHANGE. F'!'

(2) STRE~~ CK~EL IMPACTS WILL RESULT F~OM: (C:iECK ~~ TH.~T }~~~Y)

PLrtC~~NT OE' PIPE IN ca~EL:

CIS feet

OP=:"~ CHANNEL RELOO.TION:

CHANNEL EXCAVATION:

CONSTRUCTION OE' A D~~/FLOODING:

OTHER:

4' Irn. ft. -to be /in~ witA rlp-rtzp..

, .

11. IF CONSTRUCTION OE' A POND IS PROPOSED, w~~T IS THE SIZE OE' THE
WATERSHED DRAINING TO THE POND"? NA

wrlAT IS THE EXPECTED POND SORE':..CE ~_Q,.E.}_? Nit
. .

12. DESCRIPTION OE' PROPOSED WORK INC~ODING DISCOSSION OE' TYPE OE'
MECHANICAL EQUIPMENT TO BE USED (ATTACH PUo..NS: 8 1/2" X 11" DRAWINGS
ONLY) :
CLcPrR, GRUB, IM/l) 6-RAbE.. 50FT WIPS ~dlrJ:> RIGHT-Or-WAY. STRAIGH7E.N
1:20 FccT dF M1fANI>E.RIN6 STRfltH A-Nl> PlpC THlftOfJ6H 1'3 FE~r OF {,o''/
CULVERT (CSP). {5E.'/Olll> e~cH cNl> OF CIJl.Vc..~T, S11f8IlIZ& .zs FEET
OF NA-rlJfU1L CH~N^,cL WItH Rf'-~AP ON 80TTOH /tAl]) S//).ES.
13. PUR20SE OE' PROPOSED WORK: ROllI:> TO IJcC6SS SU8DIVISION Lors
IN cItS7C~N PO/f?TlON OF Pie opeRTY.

:3

. ."

14. STAT::: REASONS WHY IT IS aE!.!ZVED THAT THIS ACT...VITY MOST BE: CARRIED
OOT IN WETUO..NDS. (INCLlJDE ANY MEASURES TAKEN TO MIN!M!ZZ: WETL}..ND
i'M"ACTS) :

mE eX/ST/w6 STReAM l>/VI'/)es rHE PROPERTY. C.~OSSING IS tlNI'IVOIPASlc#
WE-TLAAlP IMPACt /s ALSO tlNAI/O/DABLe pue 70 THE SH1i"6 of
THe PRoPE~TY; ve~y Nit If ROW AT srlf6fM /W€rLAAll:> C~05s/NG..

. 15. yoa ARE REQOIRED TO CONTACT THE 0'. S. r:Sii AND WILDLIFE SE:RV:CC~
(Usrns) AND/OR NATIONAL M..~T'NE E'!SHERl:ES SERVIC::: (NME'S) (SE~ AGENCY
ADDRESSES Sh~:::T) REGllDING Th~ P?ESE."tC::: or ANY ::=:DERALLY LIST:::D OR
??OPOSED rOR LIST!NG END~_~GZRED OR THR~~T~"tED S2~C!ES OR CRIT!~~ a~~ITAT
.IN TrZ P~RM~T A-~ Ta~T M..~ BE AFE'ECT~D BY TEE P?OPOSZD.P?OJECT. DATE
CONTACT~D: J.f .jUAlc /1'19 (ATTAC:i RESPONSES
FROM THESE AGz...'iCIES.)

16. yoa ARE REQ1JIRED TO CONTACT THE STATE H~STORJ:C PP.ESERV]..TION OE'E'!C:::R
(SHPO) (SE~ AGENCY ADDRESSES SHEET) REGARDING TF.E PP.ESENCE OC HISTORIC
P?OI?:::RTIES IN THE P~RM~T AREA W'r.ICH ~_U BE AE':=:CTED BY THE P?OI?OSED
P?OJECT. D.P-.TE CONTACT:::D:' 1./ :fUN6 1911 -

17. DOES THE PROJECT INVOLVE AN EXPE.."tDITURE or PUBLIC roNDS OR TEE aSE OE'
PUBLIC (STAT:::} LAND?

YES (] NO W (IE' NO, GO TO 18)

a. IE' YES, DOES THE PROJECT REQaIRE PRE?ARATION OC AN ENVJ:RONME.i."tTAL
DOCUMENT PURSiJANT TO THE REQC1I~TS OC TEE NORTH c:..~OLINA ENVJ:RONMENTAL
POLICY ACT'?

YES (J NO ~ NPt

b. IF YES, HAS THE DOC~~T BEEN REVIEWED THROO'Gd THE NORTH CAROLINA
DEPARTMENT OE' ADM!NISTRAT!ON STATE CLEARING'dOaSE'?

YES (J NO M N A

IF ANSWER TO 17b IS YES, THu"t SiJBMIT AP~ROPR~.TE DOCUMENTATION FROM THE
STATE CLEARINGHOaSE. TO DIVISION or ENVIRONl"~T.AL ~.JlliAGE:MENT REG;UIDING
COMPLIANC::: WITH THE NORTH c:..\ROLINA ENV!RONl"~TAL POLICY ACT.

COESTIONS REGARDING THE STAT::: CLEARINGdOaSE ~-vIEW PROCESS SHOOLD BE
DIRECT:::D TO MS. CHRYS BAGuZTT, DIRECTOR STATE CLEARINGdOaSE, NORTH
CAROLINA DEPA..qTMENT or ADMINISTR..'\TION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE (919) i33-6369.

4

18. THE FOLLOWING ITEMS SHOlJLD BE INCLuDED WJ:TH THIS AP!?!.Ic..';X!ON IF
;?ROPOSED ACT!Y!TY INVOLVES THE DISCS11...RGe: Of EXC.-;'V1tXED OR ITLL M.1tTERLU,
INTO WETLANDS:

a. WETLAND DELINEATION l:!.'lU' SHOWL~G ALL WE'l'LANDS, STRD.lA'...5, LAKES
. AND PONDS ON THE PROPERTY 'FOR NAT!ONWIDE PERMIT ~~ERS 14, 18, 21, 25,
29, AND 38). ALL STFL\M.S (INTERM:!TTEN'l' AND PE~T) ON THE PROPERTY
MUST BE SHOWN ON THE ~..AP. l:!.1U' Sc..UES SHOC'LD BE 1 INC;f EQOALS SO FEET OR 1
INCH EQOALS 100 FEET OR THEIR ~QOrvALENT~
b. IF AVA!!.A.BLe:, REPRESENTATrvE PHOTO~H Of WET!.ANDS TO BE
IMPACTED BY, PROJECT.
c. IE' DELINEAT!ON WAS PERFORMED BY A CONSOLTANT, INCLUD~ ALL DATJ..
SHEETS RELEVANT TO THE PLACEMENT Of THE DELINEATION LINE.
d. ATTACH A COPY OE' THE STORMWAl'ER M.1l.NAGEMENT PLAN IE' REQuIRED.
e. 'ioTrlAT IS !.AND USe: OF SURROC'NDING ;?ROPERTY,?

. Forest; A.,9riCtA/fu~e,7 (Jlfd Low -7)~"5i, ~sitieH'hit/

t. IE' ~~!?LICABLE, ~_T IS PROPOSED ME:HOD OF SE~_GE DISPOSAL?
Ind/V,.du.al S eftic. S'yst~f1IS

g. SIGNED ~.ND DATED AGENT AuTHORIZATION LETTEa, I: ~~!?LIC~3LE.

NOTE: WETLANDS OR WATERS OF THE U.S. l-f.AY NOT BE IMPACTED PRIOR TOr
1) ,ISSUAN~ OF A: SECTION 404 CORPS OF' ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR ~R OF A 401 Drv!SION OF
ENVIRONMENTAL l-f~GEMENT (WATER QUALITY) ~RTIFICATION, AND
3) (IN TEE TW7:NTY COASXAL COUNTIES ONLY) I A !.ETTER nOM 'l'l::.i:.
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING TID: PROPOSED
ACTIVJ:TY IS CONSISTENT WITH THE: NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.

~ ln1~jJ

OWNER'S/AGENT'S SIGNATURE

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(AGENT'S SIGNF.TURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE Ow~R IS PROVIDED (lag.))

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DATA fORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)

wet/awl

Action 10. Date: ;(9 ItPf(IL 1'1'17
Applicant/Owner: HARDL]) HITCHELL proj ect/Site: MITCHELL ACPES
Address: "'I HIGHWAY 9' FRItI'(KL/NTD/IJ NC ;(7S;?S
Location: 1./000 Feet East of NC-<J' <<V1d SR 1700 intersectior1 ; J.o miles SE of Wilton
Wa terway: FoRD CR, TRIg TO U\R RIVER County: G~ANVILLE
Investigator: GERAt.'l> POTTE1!N State: North Carolina
R.:J'. GOL'PSTfJN ~ ASsoclllTE:S
0#
Do Normal Circumstances exist on the ~ite?
Is the site significantly d!~turbed (Atypical Situation)?
Is the area a potential Problem Area? (Explain on reverse)
Communi ty ID: ALLUVIAL FOREST Transect ID: W&TL/tNt> GA
VEGETATION

~r~~~IBI_
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1. LIRIODENPIOA/ TUL.IPIF. -m5 FAC 2. ILE~ DeCI DUf! SI1~ F AC-W -
3. LI Qu I Dftt18AIf ~TY~Ac. ~t; FAG 1- 4. L- OIJ I~ II ..J7l PO Nt cA V/~ FAc. - .
5. fL.lrT fiN!) S OCCl~cNT. ~'5 Fk..W - '6. 91101-X (( OTUAJDIF. V/N FA c.
7. PI NIJ.5 TltEt>A ~f; FAC. 8. ftTHYlflflM FILlX-FcH HER FAC.
9. LI Ll1US A-HE~/OIN ,4 S/-l~ Ff'tc..W 10. 1t~/SAEt11l WIPHYLL. HER FAC.W-
,11. Itc.&~ ~tJ€.R()M St-/R' , f Ac. 12. ~OSIt Cft/fOLl1Hf H-EIQ FAC. U
13 _ LIAJ1>~fJr 8rN2tJIN sttR FPtc. W 14. CIIREX CIU N I T1! HER F Ac.w +

Yes ~ No
Yes No --1L-
Yes No' L
PlotID:

Percent of Dominant. Species that ~re OBL, FACW, or FAC (excluding FAC-) l?~ iIo
Remarks:

SOILS
Map Unit Name
(Series and Phase) :
Taxonomy (Subgroup):

CH'ewltcLIl
Fluv~rMerrlic ])ysfrochreffs

. SOMEWIIA,
Dra~nage Class: POORLY
Field Observations Confi~
Map Type? Yes No

Profile Description:
Depth Matrix Color
(inches) Horizon (Munsell Moist)
0- "
(0- 1;<' B 2.5,/ 4/.:z.

Mottle Colors Mottle Abun-
(Munsell Moist) dance/Contrast

Texture, Cone.
Structure

10 YI< fD/Lf

c 0 ~ n10">1 / rAt's!.,.", ct

Hydric Soil Indicators'

. ~' -
Histosol , Concretions
"
It1stic Epipedon Hiqh Organic Content in Surface Layer in Sandy Soils_
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture R~ime . Listed on Local Hydric Soils List -
Reduci~ Conditions Listed on National Hydric Soils List -
X Gleyed or LOW-Chroma Colors Other (Explain in Remarks)

Remarks:

Sheet 1 of 2

1'.;2.

HYDROLOGY

Recorded Data (Describe in Remarks) :
Stream, Lake, or Tide Gauge
=== Aerial Photographs
Other
x No Recorded Data Available

Field Observations:
Depth of Surface Water: - (in.)
Depth to Water in Pit: ~(in.)
Depth to Saturated Soil:~(in.)

Wetland Hydrology Indicators:

Inundated

')(.
X

Oxidized Root Channels in U er 12 Inches
Water-Stained Leaves

x

Saturated in U er 12 Inches

Water Marks

Local Soil Surve Data

Drift Lines

FAC-Neutral Test
Other (E lain in Remarks)

Sediment De osits
X Draina e Patterns in Wetlands

,
Remarks:

WETLAND DETERMINATION

Hydrophytic Vegetation Present?
Hydric Soils Present?
Wetland Hydrology Present?

Yes X No
Yes ~ No
Yes -1L No

Is this Sampling Point Within a Wetland?

Yes X No

Remarks:

Sheet 2 of 2

Wer\A~d, p. a.

ftYDROLOGY

Recorded Data (Describe in Remarks) :
Stream, Lake, or Tide Gauge
=== Aerial Photographs
Other
x No Recorded Data Available

Field Observations:
Depth of Surface Water: - (in.)
Depth to Water in Pit: ~(in.)
Depth to Saturated Soil: W (in.)

Wetland Hydrology Indicators:

"~'''''''~^Y~''''''''^=~''''''''''l ~nY^""'Y';;'~~W"OY''''''''~Y''~~w.iim~-'W~'Yml
'. '., '<,,' . .,,, "'.', " . .,~ '" .,"". " ,
, '" ., y.", , . '''')''7:. """',,,'i:':rt "" '
~~,^'~'d,^,.L,x.:.nnm"''';; ~,:,n:l.'^.,,<,",~ ~~
Inundated )( Oxidized Root Channels in Upper 12 Inches
X Saturated in Upper 12 Inches X Water-Stained Leaves
Water Maries Local Soil Survey Data
Drift Lines FAC-Neutral Test
Sediment Deposits Other (Explain in Remarks)
X Drainaqe Patterns in Wetlands

Remarks:

WETLAND DETERMINATION

Hydrophytic Vegetation Present?
Hydric Soils Present?
Wetland Hydrology Present?

Yes X No
Yes ". No
Yes ..1L No

Is this Sampling Point Within a Wetland?

Yes X No

Remarks:

Sheet 2 of 2

Ur1flr\d, p. ~

ffYDROLOGY

Recorded Data (Describe in Remarks) :
Stream, Lake, or Tide Gauge
=== Aerial Photographs
Other
X No Recorded Data Available

Field Observations:
Depth of Surface Water: (in.)
Depth to Water in Pit: ===:(in.)
Depth to Saturated Soil: ~(in.)

Wetland Hydrology Indicators:

Inundated

Oxidized Root Channels in U er 12 Inches

Saturated in U er 12 Inches

Water-Stained Leaves

Water Marks

Local Soil Surve Data

Drift Lines

FAC-Neutral Test

Sediment De osits

Other (E lain in Remarks)

Draina e Patterns in Wetlands

Remarks:

WETLAND DETERMINATION

Hydrophytic Vegetation Present?
Hydric Soils Present?
Wetland Hydrology Present?

Yes 2L- No
Yes No ~
Yes No -L

Is this Sampling Point Within a Wetland?

Yes

No -X--

Remarks:

Sheet 2 of 2

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)

tip/tine(

Action 10.
Applicant/Owner:
Address: ,
Location: 0 et E st of
Wa terway: FoRD CR, TRIg 1"0 T1'tR RIVER.
Investigator: GE~AL:t> poTTEeN
R.:T. GOLPSTEiN ~ A5S0clllTE:S
""
Do Normal Circumstances exist on the ~ite?
'Is the site significantly d!~turbed (Atypical Situation)?
Is the area a potential Problem Area? (Explain on reverse)
Community ID: ALLUVIAL FOI?ES,T Transect 1D: UPLItNp GA
VEGETATION

;19 /1'PRIL Irrr
MITCHELL ACPES

Carolina

Yes 1L- No
Yes No
Yes No,
PlotID:

..1L.
.1L

l. '-/~/O Df3."b~ON Tl4uPIF: T}<e FAC 2. /LEX bEc..1 Du,4 SItR Fltc.w -
3. LI IX U/ DAM8fl,e s rY'Me., ,l'<c FAC. 1- 4. ILEX o P/fc fl SttR FAG -.
5. PIN/)' s mEM fr<e: FAC. '6. Th.,../( 0 1)fN~OJl 1M/). VltJ FftG.
7. ..tce~ RIJBRUl1 rr<S FAC- 8. LO NlCEItA 11tfJONlCll VIN Fire. -
9. lJ f.~CU ~ PH 'E LLO<; TRF: fAC.W - 10. ItTffYlflW1 F/UX-FEH. ttE(l FAG
,ll. U/>tu.S IfME/I2/UtNA ~E: f/'tC. w 12. cltRe'l- CRIN I T7f /tel€ F~c,w +
13. '-INbCleA 8E.N2.0IN ~fttQ f A-c..W 14. ~/SItE:HA Tf(IPHYL. I-tER F Itc w -

f mi . Q/~o
Percent 0 Do nant Species that are OBL, FACW, or FAC (excluding FAC-) O~ (e
Remarks:

SOILS
Map Uni t Name
(Series and Phase) :
Taxonomy (Subgroup):

CHEW/fCL!I

F/uvarueYlh'c D"sttr)cltr~/d.s
./ ,

Drainage Class:
Field Observations
Map Type? Yes

SOMewhaf
Poor/II
Con:fi~
No

Profile Description:
Depth Matrix Color
(inches) Horizon (Munsell Moist)
O-~
to - l;t B ,;;. 5 Y '1/ 3

Mottle Colors Mottle Abun-
(Munsell Moist) dance/Contrast

Texture, Conc.
Structure

Hydric Soil Indicators'

. '.
Histosol . Concretions
!(istic Epipedon !liqh Orqanic Content in Surface Layer in SandY soils_
Sulfidic Odor Orqanic Streakinq in Sandy Soils
Aquic Moisture Reqime . Listed on Local !lydric Soils List -
-
Reducinq Conditions Listed on National HVdric Soils List -
_u
Gleved or LOW-Chroma Colors Other (Explain in Remarks)

Remarks:

Sheet 1 of 2

o</;z.

HYDROLOGY

Recorded Data (Describe in Remarks) :
___ stream, Lake, or Tide Gauge
___ Aerial Photographs
Other
X No Recorded Data Available

Field Observations:
Depth of Surface Water:
Depth to Water in Pit: ----
Depth to Saturated Soil: >Ia

Wetland Hydrology Indicators:

Inundated

Oxidized Root Channels in U er 12 In(
Water-Stained Leaves

Saturated in U er 12 Inches

Water Marks

Local Soil Surve Data

Drift Lines

FAC-Neutral Test

Sediment De osits

Other (E lain in Remarks)

e Patterns in Wetlands

Remarks:

WETLAND DETERMINATION

III

Hydrophytic Vegetation Present?
Hydric Soils Present?
Wetland Hydrology Present?

Yes ~ No
Yes No ...jL
Yes No ...A-

Is this Sampling Point Within a Wetland?

Yes

No ..lL

Remarks:

Sheet 2 of 2

Robert]. Goldstein & Associates, Inc.
ENVIRONMENTAL CONSULTANTS

8480 Garvey Drive
Raleigh, North Carolina 27616-3175
a.mail: [e-mail]

Tel: [phone]
Fax: [phone]
http://members.aol.com/rjga

June 4, 1999

MEMO TO: U.S. Fish & Wildlife. Service - Endangered Species Office
N.C. Division of Archives & History - State Historic Preservation Office

FROM: Gerald Pottern

RE: Mitchell Acres Subdivision Road - Granville County
404/401 Pre-Construction Notification Application

This memorandum constitutes notification to your agency regarding the project
described below, as required by the Army Corps of Engineers for Section 404/401 permitting
in jurisdictional waters of the U.S. We solicit your comments regarding potential impacts of
this project on protected species or archaeological and historic sites. Please call me at the
phone number above if you need further information.

Mitchell Acres is a 11 2 acre residential subdivision containing approximately 80 lots
in southeastern Granville County, located on NC-96 3,500 feet east of the NC-96/SR 1700
intersection. Much of the western portion is already developed, and the remainder is in forest
or pasture, A meandering 10 to 15 foot wide headwater tributary of Ford Creek (Class C-NSW
tributary of the Tar River) crosses the eastern portion of the property, making the easternmost
15 acres inaccessible by vehicle. The owner, Mr. Harold Mitchell, proposes to construct a 20-
foot wide paved road in a 50-foot wide right-of-way which will cross the stream and a small
isolated floodplain depression wetland to provide access to the eastern portion of the
development. The property is less than 200 feet wide in the vicinity of the proposed stream
and wetland crossing, rendering wetland avoidance and a perpendicular stream crossing
impossible.

The stream segment to be affected is 1 65 feet long measured along the centerline of
the meandering channel. The substratum is predominantly sand, with small patches of gravel
and cobble. The banks are forested, and no aquatic vegetation is present in the stream. The
stream drainage basin area at the proposed crossing is 0.38 square mile, which we believe is
too small to support protected mussels or Harperella.

The central 1 20 feet of existing stream will be straightened and piped through 93 feet
of 60 inch diameter CSP culvert pipe. Beyond each end of the culvert, 23 feet of stream will
be artificially stabilized with rip-rap on the bottom and side slopes. Above normal high water
the tops of the stream banks will be stabilized with vegetation. The total length after
construction will be 140 feet.

The wetland affected is a 0.055 acre isolated floodplain depression located 50 feet east
of the stream bank. No surface connection with the stream is evident. It contains young
alluvial hardwood forest vegetation, with canopy trees up to 10 inches dbh. Hydrologic and
soil indicators suggest that this wetland is frequently saturated 6 to 1 2 inches below the
surface, but rarely ponded. It is unlikely to provide significant amphibian breeding habitat.

Environmental Assessments. Environmentallmpact Statements. Jurisdictional Wetland Delineations · Endangered Species Surveys
GlSIGPS Mapping . Reservoirs. Archaeological Surveys and Testing. Water Supply Projects · Real Estate Risk Assessments · Lake Management
Walershed Management. lnstream Flow Analyses. Mitigation Plans. Stream Restoralion · Municipal Solid Waste Landfills · Sewerlines
Wastewaler Treatment Plants. 404 and 401 Penn its . Groundwater Monitoring · Biological Assessments. Expert Witness Testimony

JUN.22'1999 09:01

#0817 P.001/011

.

P~E-DISCHARGE NOTIFICATION PCN

TO:

National Marine Fisheries Service
Pivers Island, NC I!'!'.X [phone]

State ~istoric Preservation Office
Raleigh, NC !;/lX 1919,7)]-Bb~.l

~~'{~tt\1
~tctN~\)

US Fish & Wildlife Service
Raleigh, NC FAX (919)8~';-4~56

NC Division of Water. Quality
Raleigh, NC FAX (91g) 733-9959

NC Wildlife Resources Commission
Creedrnoor, NC FAX [phone]

1. ACTION TO:

199920955/199920956

2. APPLICANT:

Haz:olc:l Mitchell

3. DATE OF TRANSMITTAL: 6/29/99

4. RESPONSE DEADLINE(5 days from transmittal): 7/2/99

5. COMMENT DEADLINE(10 days from response deadline): 7/12/99

6. SEND COMMENTS TO: RALEIGH REGULATORY FIELD OFFICE
RALEIGH, NC

ATTN: Todd Tugwell

E'AX : ( 91 9) 87 6 - 5823

We are also forwarding the attached PCN to the Fish and Wildlife
Service and the National Marine Fisheries Service for review and
comment concerning any likely affect to any threaten@d or
endangered species or their critical habitat within those
agencies' jurisdiction.

JUN.22'1999 09:01

#0817 p.002l011

RECEIVED JUN 1 6 1995

PRE-CONSTRUCTION NOTIFICATION

MITCHELL ACRES SUBDIVISON
GRANVilLE COUNTY, NORTH CAROLINA

,qqq~(Jq55
\qq q9-D qsl.o

peN Application To:

Mr. Todd Tugwell
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of Neuse Road I Suite 1 20
Raleigh, N.C. 27615-6846

and

Mr. John Dorney
N.C. Division of Water Quality
Environmental Sciences Branch
440 1 Reedy Creek Road
Raleigh, North Cerollna 27607

Project Engineer:

Property Owner:

Mr. John Lee Hamme
1 51 Belle Street
Henderson, NC 27536
[phone]

Mr. Herold Mitchell
1661 NC Highwey 96
Frankllnton, NC 275215
[phone]

10 JUNE 1999

Robert J. Goldstein & Associates, Inc.
ENVIRONMENTAL CONSULTANTS
8480 Garvey Drive - Durant Office Park
Raleigh, North Carolina 27616-3175
Tel: [phone] Fax: [phone]

RJG&A Project No. 9920

JUN.22'1999 09:02

#0817 P. 003/011

CONTENTS OF PCN

Title Page, Contents, Project Description
Figure 1: Project Location Map
peN Application Form
Figure 2: Existing Stream and Wetland
Figure 3: Proposed Impacts to WC!ters
Wetland Determination Data Forms
Notification Memo to FWS and SHPO
Total Pl!Ige~

2 pages
1 page
5 pages
1 page
1 page
4 pages
1 page
1i5 pages

PROJECT DESCRIPTION

Mitchell Acres is a 11 2 acre residential subdivision containing approximately 80 lots
in southeastern Granville County. The subdivision entrance is on NC-96 3,500 feet east of
the NC-96/SR 1700intersection and 2,500feet northwest of the NC-96/SR 1711 Intersection.
Much of the western portion ;s already developed, and the remainder is in forest or pasture.
A meandering 10 to 1 IS foot wid. heedwater tributary of Ford Creek (Class C-NSW tributary
of the TEll' River) crosses the eastern portion of the property, making the easternmost 15 acres
Inaccessible by vehicle.

The owner, Mr. Harold Mitchell, proposes to construct a 20-foot wide paved road In
IJ 50-foot wide right-of-way which will cross the stream and a smell isolated floodplain
depression wetland to provide access to the eastern portion of the development. The property
is I.ss than 200 feet wide in the vicinity of the proposed stream and wetland cl'08slng,
rendering wetland avoldence and It perpendicular stream crossing impossible. AJG&A advised
the project engineer, Mr. John Hamme, to minlml:l':e the length of stream impact to the extent
practicable, as reflected in the proposed roed design described In this PCN.

The affected stream segment is presently 166 feet long measured along the centerline
of the meandering channel. The substratum Is predominantly sand, with small patches of
gravel and cobble. The banks are forested, ~Jnd no aquatic vegetation is present In the stream.
The streem drainage basin areB at the proposed crossing is 0.38 squere mile, which we
believe is too smell to support aquatic protected species known from Granville County.

The central 1 20 feet of the existing stream segment will be straightened and piped
through 93 f.et of 60 inch diameter corl'ugeted steel culvert pipe. Reinforced concrete
endwalls will stabilize each end of the culvert. The culvert invert will be at or slightly below
the existing streambed elevation. Beyond each end of the culvert, 23 feet of stream will be
artificially stabilized with rip-rap on the bottom and side slopes. Above normsl high water the
tops of the stream banks will be stabilized with vegetation. The total length after construction
will be 140 feet, or 25 feet shorter than the existing streem.

The wetlend affected is a 0.055 acre isolated floodplain depression locelted 50 feet east
of the stl'l..am bank. No surface connection with the stream is evident. It contains young
alluvial hardwood forest vegetation. with canopy trees 6 to 10 inches dbh. Hydrologic and
9011 indicators suggest that this wetland is frequently saturated 6 to 12 inches below the
surface, but rarely ponded. No standing water or surface saturation was present during the
delineation (29 April 19991 despite moderate rejnfall the previous day and night. This wetland
Is unlikely to provide habitat for aquatic wildlife.

#0817 P.004/011

-

JUN.22'1999 09:03

#0817 P.005/011

lqqq~o95.5
OEM IO: COP-iS ACUON IO: L q q q ~ 0 9. 5~
NA'l'IONnOF; '~'1' P-!:Q01:SUJ:) (I'!l.OVID& I'Ql.TIONWItl& r!:2\MZ'l' Ill: ~IAIP /3 · 1'+

PRE-CONSTRUCTION NOTIFICATION APPLICATION

rOR NATIONWIDE PDKITS THAT !U:Qr.nu:

1) ~~aN \'0 \tD: C:OU~ 01' J:NQ~
2) U1'I.:r~ON'!'OJ\. :lZC':'J:0N' 401. ~Ir1:~0N'
~) ~J:HJJ.!::IClH ll'%U 1:m: He J:lrv-ts:tcM or <:QAS'UW;. ~

SEND 'mE OlU:GDfAI. AND (1.) copy OF nas c:oMPLEn:D FORK ':0 mE A1'!P!lO~
nn.c O!'T.I:CZ or TB c:oR1'S 02' ENr;~ ($U NdBl:'r ACOJilESSC:S Sa:u:'1'). SEVEN
(7) conES SHOt1I.D BE SENT 'r0 'rHE N.C. DIVl:.sION OF ~ROmr..E:N'rAL HANAGE:MEN'r
(SEE AGZNCY ADDRESSES 5HE~). P?...xASZ P!t:rN'l'.

1. OWNtP.s NAME ~

Hltl<o/,p MItCHELL
IIP'I Hf6HW~Y 9', r~~AI/(l.JNroN NC ';17S~S
.

2. MAJ:I.IN<i ADORES!:

SOBDtvISION NAME: HfTCIfELL Ac.~~s

CITY: FR~NKLlNTDAJ

S'rA'rE:

NC

zn CODE:

.;(..,5;15

~~OJtc~ ~OCA~ION ADDRESS, rNCLUC!NG SUBDIVISION NAME (IF DI:r~~~ fROM
KAILING ADOUSS ABOVE); EfoI7TIIM/Ce '"' HITCHELL /#CIIES IS fJN N S/l>e: Of' J/c-r"

~soo FEET EASr bF NC.1' Irf'b S~ 1700 1H7E~SEGTI()N j ~.O MILes SE ()~ WILT'(JN, NC

3. U.t.El?!iONE NT.OOJe:R (HOME): cw,- Sc2~ - 0'107 (WORK):

~.'Ir ~~PtI~~~Lt: AG~'S N~ oa RESiONSI3L~ CORfORAre: OceIC!AL, ADDRESS,
PHONE Nm4'J3ER:

S. LOCATION or WORK (PROVrOE A ~~, PRE:E~LY A COP~ OF crSGS TO~OGRARHIC
MAl' OR AERIAL iHOTOGilARHY WITH SCALE I :
COC7NTY: GflAAlVILLE. NEAREST TOWN OR CITY: WIL TON

s~c AmcHep MAP: USGS TQPO QUAl> . 6RISSOH, NC

1

JUN.22'1999 09:03

#0817 p.006/011

S~ECIrxc LOCAX!ON (rNCLaC~ ~OAO

NOtGER.S , LANDKJU\RS, t'I'C. I: ,

ItFFEGTE7J STiEAH ItNP WETLANJ) I+~c <<, JOO FEET bUE NORTH 'OF

NC.-9' ANJ> S~ /711 rN-re~sr:CTION.

f. IMl'AC':ED Oil N!:AlU':S'r S'rREAMJRJ:V'EP.:

U'r Fo~P CREEk

~-

P.IVER BASnt:

Tft~ RIVER

7.. IS PllOJ'!:CT LOC-'\'!tO NEAR \VATU CUSS!!'IEt' AS 't1\OOT, T!D~.1. SALTWAtEA
(SA), HIGH Qt7ALIT'! WATUS (HQW), Ot7TSTANDING 1\ESooac~ 91A7~as (O~W), uztP.
SUPPLY (WS-X Otl. 915-11) 7 YES [] NO ~ IF y~S, txSl!.AIN:

FoIU) C~ IVJf) ~/erJrltRleS 1r~E. CUSS1F'IE.1> C -NSW,

7b. IS TH!: 1l!l.OJt:CT LOCATED WITh"ZN A NO~TH <:AaOI.%NA OIVISION 0 E' COASTAr..
~ZMENT )~~ OF ENVI::\ONlWtrAL CONC!:lUl (UC)? Y:':S r J NO (Xl

7c. IF T~ PP.OJE:CT IS LOCATED WI'!E!N A. co~TAL COtlNTy (SEZ fAGlt 7 FOR.
LIST O~ COASTAL COUNTIES), WHAt IS ~ LANO t7SZ PLAN (LOP) DESIGNAXION7

N~

821.. HAVE'..NY StC'rION' 404 P!:P.MI'l':3 Sli:tN ~PrnOO'SLY UQaESTtD FOil. OSE ON
THIS ~ROE'P;RT"!7 YES [] NO 1)(1 IF YES, PROV'It)!: AC'IION I. 1). N'CMl3!:;" OF
i'P.tVIOC'S 1?!:i.MIT AND ANY ADDITIONJl.L INFOElMAT!Otl (INCLOUE PHCTOCO~'! or 401
CEp.TInCAT!ON) :

8b. APL ADDITIONAL l?EPJ!!T P.EQtn:STS tx~ECT!tl FOP. THIS l'P,OP::RTY IN THE
ro'r1JRE'? ytS (] NO IX] IF 'rES, De:SCU~E ANTICI!'ATED WOEU<:

9a. tSTIMAtEO TOTAL N'OMBe:R o!' ACilJ!:S IN. TuC'r O!' LAND:

,,~ (;Icres

9b. ESTIMATED TOTAL ~Ea Ot' ACRES or WETLANCS LOCAtED ON iBOJECT SI:E:

2

t: 1'1

JUN.22'1999 09:03

#0817 p.007/011

lOa _ NtJM]!!:Et ot ACUS OE: WETLANDS IMPACTED BY THE PROPOS~D Ii'ltOJEC'r BY:
nu,INCd: O. OSS ~cre EX~VA'1'XON:

FI,OOCmli :

V .dtl."""""'-;-

OTHEP.:
'1'0'DoL ~ 'to m: I1GIACnD: o.oss- (tel"(!

DUINAGC: :

~~

lOb. (1) s'tP.EAK c:-tANN!:t. to at ImlAC't'l!:O BY '1'HE P1l0POS1l.:C S'P.OJEC't (X::
UL"c:.uz.o, PRCvmE DISTWa: ~OrH ~Er01tE AND AFTER RELOcaTION) :

Ulfcm BE:FORE; .

"~

N

AnEP.. :

/1.(0 !'T

Ie to I~ ET

~f &1,/4 ~~ to be

~'tS AE'rEP.:

(basad on nQrmal hiqh water c~ntQU4s) :

i in '0 N c.ulllert '* ~3 lilt.ff:
witft rlp-"'p al'l IS wi e
F'l' }on::p.:

I/O CHIIN6E. !'T

wm'm BEFORE

..

(2) STR~ CiOI.NNEL IMoACTS WILL RESULt ~OM: (C-"i!:C%(.ALL THAT A5'5'!.YI

. PI.AC::MEN'l' OJ!" 1i'I:1i'!: IN CtUtNNEI.:

93 her

01i'!:N CHANNEL RELOCA!!ON:

C'dANN!:I. EXCAVAtION: CONSTROCTION OE' A D).M/nOODING: '
OTHER: "" l/n. ft. fTJ be /I,,~ wit/. rl.,..nlf.

11. I~ CONST~OCTION OE' A POND IS PROPOS~D, WHAT Is THE SIZE O~ T~
WAtERSHZO DQAINING TO 'IHt POND'? Nil

WHAT I:S THE !:X~~C't~!) POND SO'RE".?CE ~.P-O..'? Nit

12. D&SCRIP'l'I:ON or i~OPOS~O WORK INCtODING D!SCOSSION oE' TY~~ or
KECHANXCAL EQOtJMENT TO a~ USED (ATTACH PLANS: a 1/2" x 11" C~WI:NGS
ONLY) :
CLePrR, G-RIJ8, IMItI 6JUll>E. S'OFr WI/)te.....~IA-P RI61I'r-OP'-w~t- ~l1U~/(,H7E.N
120 FEET DF HSAI/I>UIAl6 STRf~H /WI> PIP6 ,lfllOfJ6H '3 "eer OF 'ON
CULl/eRr (CSP). (lE."IfJllb elfCH eNb OF CI/LVlAT, S7lt81llzE .u FEET
OF 1I4TIJ/tflL C.H~ft/NcL wl1"H ~?-~AP ON 80m"" ~AJ1) S//)e5.
J.3 _ i~OS&: or l'P.OiOSED WOaK; RDIIl> 7f) "cc6$S S/ABPIIIISIDN t..6'f"$
.

IN EASrEfiN PONT/ON OF ?~O~eRrr.

3

-.

JUN.22'1999 09:04

#0817 P. 008/ 011

...., .. . - ~~

14 . S'rAT~ ~ONS Wh"Y !T IS B~J:tv!:D Tn': 't'H1:S AC'r%VIT~ He'S'!' BE: CAU.It.O
OO'!' IN wC:T~.NDS. (J;NcI.tmJ!: ANt ~t7US TAKEN ':0 M!N!M!:ZE: WEl'L}...ND
DGlAC1:S) :
mE EX/STI#!6 smfAM l>/VIT>C.j rilE PRopeRTY. . (!.RDSSING IS flN"VO/PA8t6.
We.TLltJJP /"'PAc; IS ALSO "NItVOIl)"BL~ f)Ue 'If:) THE SHAPe dF
THe P~OPE~T'I; vep.y NA~RDW IfTsntEAH IWerLAAlb C~4S'SING.

. lS. 'lOC' A1U: R.EQ'O'IPJ:D TO CONTAC'!' THE lJ'. s. n:stl AND WILOLIFt S1!:RVICi:
(trsnrs) ANtl/OIl NUIONAL tof..APJ:N!: !1:satP.!!:s SDVIc::t (NM!'S) (s!:!: A<iENC~
ADD~S~ Sh'XZ'I) J.tG.t\.P.OING THt PR~ZNC~ or ANY F=:OOALL'l LIS'!'~ OR
~Roeoszo roll tIST~NG tNCANGt~u OR TH~~D S~ECI!:S OR C::~Tt~ HA!I'r~
. IN TH!:. P!:~T A.P.E.?t. TH}.T tof.AX BE AFnCT~ n 'tst f!tOElOSZ!). PROJECT. C~E
CON'rAC'r::O: JI .rUNE 1'/'/'1 (ATTACH RESiONSE:S ."
nOK THESE: AGZNC!Es.)

16 . yoa A.El!: UQUIUD ':0 CONTACT ':t'K.e S'tA:'!: }t..!.5'!'ORIC I?!tE:S2!:RVATION O!T!C!:1\
(StiPO) (SE:~ AG2:."fCY ACDElJ:SS(:S' S"'tlEE'l') R!:WUl.DING TP.E E'RESc:NC:: or HISTORIC
PP.o~tlll'I:IS U' 'tHE: llEiU!IT ~ w-r:.IC::i ~~.Y B2; A!'n:CTED ax THE iP.OiOSJ:O
PtlOJEC'l'. OAT!: CONTACTED:' -1./ fliNG ""." -

17. DOES T~ PROJECT INVOLVE AN EXi'!:NDI'rOPJ!: or PUBLIC FONDS OR TF..E t1SE: OF'
PfJlJt-IC (S'l';lTZ) LANO?

Y~S [] NO W (Ii' NO, ~ TO 19)

a. If ns, OOES 't'~ P9.0~C'! !\EQOIU iil.Ei]'~ION or AN ENV:U.ONllr.!N'DL
coc:oKEN'l' P~trANT TO TH!: l\EQti!~'lTS or 'I'~ NORTH ~OtINA !:NVIilO~TAL
'OLIC~ ACT~

n;s [] NO ~ N A

lO. IF Y!:S, HAS THE DO~ 8!:~ il..EVI:::'iEO 'rHP.OOG"'rt '!m; NOR.TH c:.u.otINA
DEPu''rHE:NT or ADMnUSTAATION STATE CI.E.AlI.tNGHOOSt?

Y!:S [J NO" NA

IF ANSWER TO ].71:1 IS Y!:S, 'l'liEN St1!~.I'l' Ai9l'.O"~.IATE OOC'r1M!:NTMION rP.OM THE
S'l'ATE CLEAJUNG'HOt1:U:- TO OIVIS!ON or !:NVIll.oNMEN'rAL )(..ANA~T P.!:I.iAPJ:)ING
COKPloZANC!: nTH THE NOEl.'I'H CAROLj;NA ENVIP.ONMEN'rAL PQtICY ACr.

Qt7tS'tIONS Uc;;.JU)ING TK!: STAn CLUJUNGHOOSC: ~V!E'R Ii'ROC::SS SHOC1oO BE
DIIl!:C'I'!:O TO ~.s. CRR:!! BAGGZTT, DIP.EC'40R STArt C'L!:AP.!N~rtotJs!:, NOIlTH
CAl.OLINA OE?ARTMENT or ADMINtstMTION, 116 nST JONES S'rUE:T, RALEIG"'d,
NORTH QJl.OLINA 27603-B003, Ttr..t~t-rON!: (919) 7:3:3-8369.

4

JUN.22'1999 09:04

#0817 p.009/011

., .' . I"

18. 'rHi: FOLLOnNG t'rl!:MS SKOat.D aE: INCLOOED \VJ:TH rms Ui!.ICAtION IF
~p.otlOStD ACTIV:tn INVotV!:S THt O!SCMARli!: OF EXCAVl\.TED, OR FILL ~E1U.lI..L
INTO WETLANDS:

.. . RTLANC DELINEAUON zap SHOWING ALL 1lC:T!.ANDs, stPLAt!S, I..A:RZS
, AN!) PONOS ON 'l:HE: I?ROP~Rn (MR NA1'!ONWIDE "!:RMr't NCH8!:M 14, 18, 21, H,
29, AND J8). ALL S'rRDMS (INTERMITtENT AND PE~TI ON tHE PROilER'!'!
~ I3E SHOWN' ON THE: MU. ~ SCALES SHOOLD 8E 1 INC."! !:QOAL5 SO FEZ'! OR 1
INCH EQUALS 10 O!1:!:T OR THnll !:Qt7rnu.EN'r.
b. IF AVAILA!LE, REP~SENTAT~ iHOTOGAARH OF WEXLANCS TO BE
IMPA~tED !~ PROJECT.
c. IE' CELIN!:A1'ION OS E'~!'ON"..ED BY A CONSt1L1'ANT, I:Ncttme: ALL DA::..
SHEETS UL~T TO THE PLACi!:MJ:N'r or THE De:LINEA1':J:ON Lnl'!:.
d _ ~tACH A CO"~ OF THE STOll.HWA1'ER 1mNAGC:!!ENT ~I.AN !:C' UQa-IREC.
II. wt-m.'!:tS UUfO os!: OF 5t1UOONDING "ROE'~'I'Y?

,For'tst.' AJrtCIJ/fuf"t., rJlul /,ow '" 7)~'l$ify ReSt'Jflf17,/

t. Il' AP~LIC'..!LE, WHAT IS PSI.OElOStD ME':'HOO or ~:;WAGZ: DISPOSAL?
Ind,vlJU4/ StI(Jf/c S/$f(!"'S

g. SIGNtD ~.ND Dl'.'!'E:D AG~'! AC''!IiOEUZATION LZTTE:~, I! AP~LIC}..3LE..

Na~; WE'rLANDS OR WATi:RS OF TF.E O. S. wcr NOT Bi: IMPAC'!'I:D PRIOR TO c
1) ,ISSUANCX OV ~ S~CTION 404 CORPS OF ~GXNEERS Pt~T,
2) EI'l'Hl:lt THE IS~CZ OR WAIVER OF A 401 DIVIS:ION OF
iNVI~NMENTAL to4~.&.MENT (WATER. QUALITY) CERTIi'ICArION, AND
:3 ) (IN 1!EE ~'rY COASnL COUN'1!r%S arx.l"), ]I.. u:. T'l'ER 5MM TE
NORTH CAROLINA DIVISION OF COASv.L ~T STATING THE PlItOPOSEI:l
-'CTIVITT IS CONSISn:NT WI'l'B: THE NORTH CAROLZNA COASTAL HANA.G"~T
PROGRAM .

~-II11:rU-l/
OWNER'S/AGZNT'S SIGNATURE

If -.7~9,!
DATE

(AGENT'S SIGNATURE VALID ONLY
IF AOTHORIZATION LETTER FROM
THE OWNER IS PROV1DE:D (lBg.))

, "

#0817 P.010/011

JUN.22'1999 09:04

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