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HomeMy WebLinkAbout19981248 Ver 1_COMPLETE FILE_19990129State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Wayne McDevitt, Secretary A. Preston Howard, Jr., P.E., Director 1 ;2 NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES February 3, 1999 Wake County WQC 401 Project #981248 APPROVAL of 401 Water Quality Certification and Neuse River Buffer Rules Mr. Mike Triton 417 Mailman Road Knightdale, NC 27545 Dear Mr. Triton: You have our approval, in accordance with the attached conditions, to place fill material in 0.005 acres of wetlands or waters for the purpose of constructing a road crossing at Lot 4, Wakebrook Estates, as you described in your application dated December 17, 1998. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number 3103. This Certification allows you to use Nationwide Permit Number 14 when the Corps of Engineers issues it. This approval is also valid for the Neuse River buffer rules (15A NCAC 2B .0233). In addition, you should get any other federal, state or local permits before you go ahead with your project including (but not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply Watershed regulations. Also this approval will expire when the accompanying 404 or CAMA permit expires unless otherwise specified in the General Certification. This approval is only valid for the purpose and design that you described in your application. If you change your project, you must notify us and 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 wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506 N. For this approval to be valid, you must follow the conditions listed in the attached certification. If you do not accept any of the conditions of this certification, 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, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and its conditions are final and binding unless you ask for a hearing. 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 John Domey at 919-733-1786. Attachment cc: Wilmington District Corps of Engineers Corps of Engineers Raleigh Field Office Raleigh DWQ Regional Office Mr. John Domey Central Files John Hams Division of Water Quality !lam' Jr. P.E. 981248.1tr Environmental Sciences Branch Non-Discharge Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone 919-733-1786 FAX 733-9959 An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper John Dorney Non-Discharge Branch Regional Contact: WO Supervisor: Date: SUBJECT: WETLAND STAFF REPORT AND RECOMNEAMIONS Facility Name Nfike Tritton County Wake Project Number 98 1248- County2 Recvd'From APP Region Raleigh Received' Date 12/17/98 Recvd By Region Project Type residential Certificates Stream Class Permit Wetland Wetland Wetland Stream Acres Feet Type Type Impact Score fndex Prim. Supp. Basin Req. Req. 14 F_ O Y O N F_ 27-26 F -c _ NSW 030402 F- F- Aitigation Wetland MitigationType Type Acres Feet' Is Mitigation required? O Y (ON Did you request more info? O Y ON Is Wetland Rating Sheet Attached? O Y ON Have Project Changes/Conditions Been Discussed With Applicant? O Y O N Recommendation: O issue O Issue/fond O Deny Comments: cc: Regional Office Page Number 1 Central Office rf 5l? ivccPr S'irv?ac. is us?? 70 6 7?? Vie. ;n e1 PZ46 ?oa?E (ie. AaoL C ale- 0 fr v?o4 ?Z?a_w Y?, ??e W4 9-1 8 12 z! 'Q? DEC 1 7 1998 1 THIS PACKET OF INFORMATION PROVIDED TO ASSIST YOU IN COMPLETING THE PRE- CONSTR UCTION NOTIFICATION (PCN) FORM THAT IS REQUIRED BY THE U.S ARMY CORPS OF ENGINEERS AND THE NORTH CAROLINA DIVISION OF WATER QUALITY WHEN APPLYING FOR CERTAIN NATIONWIDE PERMITS AUTHORIZED BY THE U.S. ARMY CORPS OF ENGINEERS 0- ENCLOSED YOU WILL FIND THE FOLLOWING: NATIONWIDE PERMIT REQUIREMENTS TABLE INSTRUCTION SHEET - This sheet provides instructions on how to locate the number and title of the Nationwide permit being applied for. Each of the Nationwide permits includes terms and conditions which are not summarized in this document. Before deciding if a particular Nationwide permit covers your proposed work, you should consult either the Code of Federal Regulations 33 CFR Part 330 or the local Corps of Engineers Regulatory Field Office. 2. NATIONWIDE PERMIT REQUIREMENTS TABLE - This table lists the numbers and titles of available Nationwide permits and agencies to be notified. 3. PRE-CONSTRUCTION NOTIFICATION FORM - This form requests information from the applicant with regard to the proposed work to occur in wetlands. NATIONWIDE PERMIT REQUIREMENTS TABLE INSTRUCTION SHEET 1. Locate Permit Requirements Table. 2. Locate top, far left column designated as "Nationwide Permits (NWP) Numbers and Titles". Follow the column down to determine the number and title of the Nationwide permit for which you are applying. (example: 18 Minor Discharges) 3. Follow the row across for the specified Nationwide permit in which you are interested to determine to a requirements for notification to each agency listed in the six columns. FOR ACTIVITIES THAT MAY BE AUTHORIZED BY THE ABOVE LISTED NATIONWIDE PERMITS (5, 7, 12, 13, 14, 17, 18, 21, 26, 29, 33, 37 AND 30) THAT REQUIRE NOTIFICATION TO THE U.S. ARMY CORPS DISTRICT ENGINEERS, THE APPLICANT SHALL NOT BEGIN WORK: a. UNTIL NOTIFIED THAT THE WORK MAY PROCEED UNDER THE NATIONWIDE PERMIT WITH ANY SPECIAL CONDITIONS IMPOSED BY THE DISTRICT ENGINEER, OR b. IF NOTIFIED THAT AN INDIVIDUAL PERMIT IS REQUIRED, OR UNLESS 30 (CALENDAR) DAYS HAVE PASSED FROM THE TIME A COMPLETE NOTIFICATION IS RECEIVED BY THE DISTRICT ENGINEER, AND REQUIRED STATE APPROVALS HAVE BEEN OBTAINED. REQUIRED STATE APPROVALS INCLUDE: 1) A SECTION 401 WATER QUALITY CERTIFICATION IF AUTHORIZATION IS REQUESTED FOR A DISCHARGE OF DREDGED OR FILL MATERIAL, AND 2) COASTAL ZONE MANAGEMENT CONSISTENCY DETERMINATION IF THE ACTIVITY IS LOCATED IN ANY OF NORTH CAROLINA'S 20 COASTAL COUNTIES (SEE BELOW FOR A LIST OF THESE COUNTIES). * ITEM c ABOVE DOES NOT APPLY TO NWP 12 AND MAY NOT APPLY IN TROUT WATER COUNTIES. COASTAL COUNTIES IN NORTH CAROLINA BEAUFORT BERTIE BRUNSWICK CAMDEN CARTERET CHOWAN CRAVEN CURRTTUCK DARE GATES HERTFORD HYDE NEW HANOVER ONSLOW PAMLICO PASQUOTANK PENDER PERQUIMONS TYRELL WAHINGTON TROUT COUNTIES IN NORTH CAROLINA ALLEGHANY ASHE AVERY BUNCOMBE BURKE CALDWELL CHEROKEE CLAY GRAHAM HAYWOOD HENDERSON JACKSON MACON MADISON McDOWELL MITCHELL POLK RUTHERFORD STOKES SURRY SWAIN TRANSYLVANIA 'WATAUGA WILKES YANCEY NORTH CAROLINA COUNTIES LISTED BY APPROPRIATE US COE FIELD OFFICES RALEIGH REGULATORY FIELD OFFICE ALAMANCE ALLEGHANY ASHE CASWELL CHATHAM DAVIDSON DAVIE DURHAM EDGECOMBE FRANKLIN FORSYTH GRANVILLE GUILFORD HALIFAX JOHNSTON LEE NASH NORTHAMPTON ORANGE PERSON RANDOLPH ROCKINGHAM STOKES SURRY VANCE WAKE WARREN WILKES WILSON YADKIN ASHEVILLE REGULATORY FIELD OFFICE ALEXANDER AVERY BUNCOMBE BURKE CABARRUS CALDWELL CATAWBA CHEROKEE CLAY CLEVELAND GASTON GRAHAM HAYWOOD HENDERSON IREDELL JACKSON LINCOLN MACON MADISON McDOWELL MECKLENBURG MITCHELL POLK ROWAN RUTHERFORD STANLY SWAIN TRANSYLVANIA UNION WATAUGA YANCEY WASHINGTON REGULATORY FIELD OFFICE BEAUFORT GATES PASQUOTANK BERTIE GREEN PERQUIMMONS CAMDEN HERTFORD PITT CARTERET HYDE TYRELL CHOWAN JONES WASHINGTON CRAVEN LENIOR WAYNE CURRITUCK MARTIN (CROATAN NATIONAL FOREST ONLY) DARE PAMLICO WILMINGTON REGULATORY FIELD OFFICE ANSON BLADEN BRUNSWICK CARTERET COLUMBUS CUMBERLAND DUPLIN HARNETT HOKE MONTGOMERY MOORE NEW HANOVER ONSLOW PENDER RICHMOND ROBESON SAMPSON SCOTLAND NATIONWIDE REQUIRES REQUIRES REQUIRES REQUIRES REQUIRES REQUIRES PERMITS NOTIFICATION APPLICATION NOTIFICATION NOTIFICATION NOTIFICATION COORDINATIO NUMBER AND TO THE US TO NC TO THE US FISH TO NATIONAL TO STATE N WITH THE NC TITLES ARMY CORPS DIVISION OF AND WILDLIFE MARINE HISTORIC DCM IN DISTRICT WATER SERVICE FISHERIES PRESERVSTION COASTAL ENGINEER QUALITY TO SERVICE OFFICE COUNTIES OBTAIN 401 W' 1. AIDS TO NO NO NO NO NO YES, IF NAVIGATION INVOLVES AREA OF ENVIRONMENT AL CONCERN AEC 2. STRUCTURE NO NO NO NO NO YES, IF INVLOVES AEC 3. NO NO NO NO NO YES, IF MAINTENANCE APPLICATION INVOLVES AEC NEEDED, GENERAL CERTIFICATION ISSUED WITH CONDITIONS 4. FISH AND NO NO NO NO NO YES WILDLIFE APPLICATION DEVICES NEEDED, GENERAL CERTIFICATION ISSUED WITH CONDITIONS 5. SCIENTIFIC YES, BUT ONLY NO YES, TO YES, TO YES, TO YES MEASUREMEN FOR APPLICATION DETERMINE DETERMINE DETERMINE T DEVICES DISCHARGES NEEDED, THE PRESENCE THE PRESENCE THE PRESENCE OF 10 TO 25 GENERAL OF OF OF CUBIC YARDS CERTIFICATION ENDANGERED ENDANGERED ENDANGERED ISSUED WITH SPECIES THAT SPECIES THAT SPECIES THAT CONDITIONS MAYBE MAYBE MAYBE AFFECTED BY AFFECTED BY AFFECTED BY THE PROPOSED THE PROPOSED THE PROPOSED PROJECT, PROJECT, PROJECT, PROVIDE PROVIDE PROVIDE RESPONSE RESPONSE RESPONSE 6. SURVEY NO YES NO NO NO YES ACTIVITIES T OUTFALL YES NO YES, TO YES, TO YES, TO YES STRUCTURES APPLICATION DETERMINE DETERMINE DETERMINE NEEDED, THE PRESENCE THE PRESENCE THE PRESENCE GENERAL OF OF OF CERTIFICATION ENDANGERED ENDANGERED ENDANGERED ISSUED WITH SPECIES THAT SPECIES THAT SPECIES THAT CONDITIONS MAYBE MAY BE MAYBE AFFECTED BY AFFECTED BY AFFECTED BY THE PROPOSED THE PROPOSED THE PROPOSED PROJECT, PROJECT, PROJECT, PROVIDE PROVIDE PROVIDE RESPONSE RESPONSE RESPONSE 8. OIL AND GAS NO NO NO NO NO YES, IF STRUCTURES INVLOVES AEC 9. STRUCTURES NO NO NO NO NO YES, IF IN FLEETING INVOLVES AEC AND ANCHORAGE AREAS 10. MOORING NO NO NO NO NO YES, IF BUOYS INVOLVES AEC 11. NO NO NO NO NO YES, IF TEMPORARY INVOLVES AEC RECREATIONA LSTRUCTURES 12. UTILITY YES (see •1 NO NO NO NO YES, IF LINES below) APPLICATION INVOLVES AEC NEEDED, GENERAL CERTIFICATION ISSUED WITH CONDITIONS 13. BANK YES, BUT ONLY YES, FOR YES, TO YES, TO YES, TO YES, ET STABILIZATION FOR ACTIVITIES IN DETERMINE DETERMINE DETERMINE INVOLVES AEC STABILIZATION EXCESS OF 50 THE PRESENCE THE PRESENCE THE PRESENCE ACTIVITIES IN FEET IN OF OF OF EXCESS OF 500 LENGTH OR ENDANGERED ENDANGERED ENDANGERED FEET IN WHERE SPECIES THAT SPECIES THAT SPECIES THAT LENGTH OR WETLANDS MAY BE MAYBE MAY BE GREATER ARE IMPACTED AFFECTED BY AFFECTED BY AFFECTED BY THAN AN THE PROPOSED THE PROPOSED THE PROPOSED AVERAGE OF PROJECT, PROJECT, PROJECT, ONE CUBIC PROVIDE PROVIDE PROVIDE YARD PER RESPONSE RESPONSE RESPONSE RUNNING FOOT (see *2 below) 14. ROAD YES, BUT ONLY YES YES, TO YES, TO YES, TO YES CROSSINGS FOR FILLS IN DETERMINE DETERMINE DETERMINE SPECIAL THE PRESENCE THE PRESENCE THE PRESENCE AQUATIC OF OF OF SITES, ENDANGERED ENDANGERED ENDANGERED INCLUDING SPECIES THAT SPECIES THAT SPECIES THAT WETLANDS, A MAYBE MAYBE MAYBE DELINEATION AFFECTED BY AFFECTED BY AFFECTED BY OF AFFECTED THE PROPOSED THE PROPOSED THE PROPOSED SPECIAL PROJECT, PROJECT, PROJECT, AQUATIC SITES PROVIDE PROVIDE PROVIDE MUST BE RESPONSE RESPONSE RESPONSE INCLUDED 15. USCG NO YES NO NO NO YES APPROVED BRIDGES 16. EFFLUENT NO YES NO NO NO YS UPLAND DIKES 17. YES YES YES, TO YES, TO YES, TO YES HYDROPOWER DETERMINE DETERMINE DETERMINE THE PRESENCE THE PRESENCE THE PRESENCE OF OF OF ENDANGERED ENDANGERED ENDANGERED SPECIES THAT SPECIES THAT SPECIES THAT MAY BE MAYBE MAYBE AFFECTED BY AFFECTED BY AFFECTED BY THE PROPOSED THE PROPOSED THE PROPOSED PROJECT, PROJECT, PROJECT, PROVIDE PROVIDE PROVIDE RESPONSE RESPONSE RESPONSE 18. MINOR YES, BUT ONLY YES, BUT ONLY YES, TO YES, TO YES, TO YES DISCHARGES WHEN FOR PROJECTS DETERMINE DETERMINE DETERMINE DISCHARGE WITH GREATER THE PRESENCE THE PRESENCE THE PRESENCE EXCEEDS 10 THAN 10 CUBIC OF OF OF CUBIC YARDS YARDS OF FILL ENDANGERED ENDANGERED ENDANGERED OR THE IN WATERS OF SPECIES THAT SPECIES THAT SPECIES THAT DISCHARGE IS THE US ONLY MAYBE MAYBE MAYBE IN A SPECIAL AFFECTED BY AFFECTED BY AFFECTED BY AQUATIC SITE; THE PROPOSED THE PROPOSED THE PROPOSED A PROJECT, PROJECT, PROJECT, DELINEATION PROVIDE PROVIDE PROVIDE OF THE RESPONSE RESPONSE RESPONSE AFFECTED SPECIAL A UAITC SITE *1 WRITTEN CONCURRANCE IS REQUIRED FROM THE DISTRICT ENGINEER ONLY, BEFORE WORK CAN BEGIN. NONE IS REQUIRED FROM THE NORTH CAROLINA DIVISION OF WATER QUALITY AND NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT. *2 THIS MEASUREMENT IS TAKEN BELOW THE ORDINARY HIGH MARK OR TIDE LINE. 19. MINOR NO NO NO NO NO YES, AEC DREDGING 20. OIL SPILL NO NO NO NO NO YES, AEC CLEANUP APPPLICATION REQUIRED, GENERAL CERTIFICATION ISSUED WITH CNDTIONS 21. SURFACE YES, MUST YES YES, TO YES, TO YES, TO NO, THIS COAL MINING INCLUDE A DETERMINE DETERMINE DETERMINE PERMIT IS NOT DELINEATION THE PRESENCE THE PRESENCE THE PRESENCE AVAILABLE IN OF AFFECTED OF OF OF COASTAL SPECIAL ENDANGERED ENDANGERED ENDANGERED COUNTIES AQUATIC SITES SPECIES THAT SPECIES THAT SPECIES THAT INCLUDING MAYBE MAYBE MAYBE WETLANDS AFFECTED BY AFFECTED BY AFFECTED BY THE PROPOSED THE PROPOSED THE PROPOSED PROJECTS, PROJECTS, PROJECTS, PROVIDE PROVIDE PROVIDE RESPONSE RESPONSE RESPONSE 22. REMOVAL NO NO NO NO NO YES, AEC OF VESSELS APPPLICATION REQUIRED, GENERAL CERTIFICATION ISSUED WITH CNDTIONS 23. NO NO NO NO NO YES, AEC CATEGORICAL APPPLICATION OTHERWISE EXCLUSIONS REQUIRED, MUST JUST GENERAL PROVIDE CERTIFICATION DESCRIPTION ISSUED WITH OF PROPOSAL CONDTIONS NOTIFICATION REQUIRED 24. STATE NO NO NO NO NO NO, THIS ADMINISTERED PERMIT IS NOT SECTION 404 AVAILABLE IN PROGRAM COASTAL COUNTIES 25. NO NO NO NO NO YES, AEC STRUCTURAL APPLICATION DISCHARGES NEEDED GENERAL CERTIFICATION ISSED WITH CONDITIONS 26. HEAD YES, BUT ONLY YES, BUT ONLY YES, TO YES, TO YES, TO YES, AEC WATERS FOR IMPACTS FOR PROJECTS DETERMINE DETERMINE DETERMINE /ISOLATED GREATER WITH GREATER THE PRESENCE THE PRESENCE THE PRESENSE WATERS THAN ONE THAN ONE- OF OF OF HISTORIC ACRE TOTAL;; THIRD ACRE EFNDANGERED EFNDANGERED PROPERTIES NOTIFICATION FILL OF SPECIES THAT SPECIES THAT THAT MAY BE MUST INCLUDE WETLANDS OR MAY BE MAY BE AFFECTED BY A 150 LINEAR AFFECTED BY AFFECTED BY THE PROPOSED DELINEATION FEET OF THE PROPOSED THE PROPOSED PROJECT; OF AFFECTED STREAMS PROJECT; PROJECT; PROVIDE SPECIAL PROVIDE PROVIDE RESPONSE AQUATIC RESPONSE RESPONSEE SITES, INCLUDING WETLANDS 27. WETLAND NO YY.J Nu .v ... .. , RESTORATION 28. NO NO NO NO NO YES, AEC MODIFICATION S OF EXISTING 3i .cnvri.F. YES. MUST NO YES TO YES, TO YES, TO I NO, THIS ?I FAMILY INCLUDE A APPLICATION DETERMINE DETERMINE DETERMINE PERMIT IS NOT HOUSING DELINEATION NEEDED THE PRESENCE THE PRESENCE THE PRESENCE AVAILABLE IN OF AFFECTED GENERAL OF OF OF HISTORIC COASTAL SPECIAL CERTIFICATION EFNDANGERED EFNDANGERED PROPERTIES COUNTIES AQUATIC ISSED WITH SPECIES THAT SPECIES THAT THAT MAY BE SITES, CONDITIONS; MAY BE MAYBE AFFECTED BY INCLUDING NOTIFICATION AFFECTED BY AFFECTED BY THE PROPOSED WETLANDS REQUIRED THE PROPOSED THE PROPOSED PROJECT: PROJECT; PROJECT; PROVIDE PROVIDE PROVIDE RESPONSE RESPONSE RESPONSE 32. COMPLETED NO NO NO NO NO YES,AEC ENFORCEMENT APPLICATION ACTIONS NEEDED GENERAL CERTIFICATION ISSED WITH CONDITIONS; 33. YES, MUST YES YES, TO YES, TO YES, TO YES TEMPORARY INCLUDE A DETERMINE DETERMINE DETERMINE CONSTRUCTIO RESTORATION THE PRESENCE THE PRESENCE THE PRESENCE N PLAN OF OF OF OF HISTORIC REASONABLE EFNDANGERED EFNDANGERED PROPERTIES MEASURES TO SPECIES THAT SPECIES THAT THAT MAY BE AVOID AND MAY BE MAY BE AFFECTED BY MINIMIZE AFFECTED BY AFFECTED BY THE PROPOSED IMPACTS TO THE PROPOSED THE PROPOSED PROJECT; AQUATIC PROJECT; PROJECT; PROVIDE RESOURSES PROVIDE PROVIDE RESPONSE RESPONSE RESPONSE 34. NO YES NO NO NO NO, THIS CRANBERRY PERMIT IS NOT PRODUCTION AVAILABLE IN ACTIVITIES COASTAL COUNTIES 35. NO NO NO NO NO YES, AEC MAINTENANCE DREDGING OF EXISTING BASINS 36. BOAT NO NO NO NO NO YES, AEC RAMPS APPLICATION NEEDED; GENERAL CERTIFICATION ISSED WITH CONDITIONS 37. YES APPLICATION YES, TO YES, TO YES, TO YES EMERGENCY NEEDED DETERMINE DETERMINE DETERMINE WATERSHED THE PRESENCE THE PRESENCE THE PRESENCE PROTECTION OF OF OF AND EFNDANGERED EFNDANGERED EFNDANGERED REHABI ITATI SPECIES THAT SPECIES THAT SPECIES THAT ON MAY BE MAY BE MAY BE AFFECTED BY AFFECTED BY AFFECTED BY THE PROPOSED THE PROPOSED THE PROPOSED PROJECT; PROJECT; PROJECT; PROVIDE PROVIDE PROVIDE RESPONSE RESPONSE RESPONSE 38. CLEANUP YES, MUST YES YES, TO YES, TO YES, TO YES OF INCLUDE A DETERMINE DETERMINE DETERMINE HAZARDOUS DELINEATION THE PRESENCE THE PRESENCE THE PRESENCE AND TOXIC OF AFFECTED OF OF OF WASTE SPECIAL EFNDANGERED EFNDANGERED EFNDANGERED AQUATIC SPECIES THAT SPECIES THAT SPECIES THAT SITES, MAY BE MAYBE MAY BE INCLUDING AFFECTED BY AFFECTED BY AFFECTED BY WETLANDS THE PROPOSED THE PROPOSED THE PROPOSED PROJECT; PROJECT; PROJECT; PROVIDE PROVIDE PROVIDE RESPONSE RESPONSE RESPONSE 40. FARM NO YES NO NO NO YES BUILDINGS DWQ ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) PRE-CONSTRUCTION'NOTIFICATION APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: 1) NOTIFICATION TO THE CORPS OF ENGINEERS 2) APPLICATION FOR SECTION 401 CERTIFCATION 3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY, ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC 27607. PLEASE PRINT OR TYPE. 1. OWNER'S NAME: t K e_ Tr ; {#en 2. MAILING ADDRESS: 4-t pi f' n y"an Qd - SUBDIVISION NAME Widlabrse k E 'a,_ e s CITY: AM '14 AlWalt STATE: ZIP CODE: V150 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): 3. TELEPHONE NUMBER: (HOME) &26 - X09 0 (WORK) Z 1'7 - 0 64_ 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: stn K N lt) . ? rri S 7g0?1 Ocoet ??• ?71 17- 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: k4k - NEAREST TOWN: A. SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) oCJ--At-5&,r- - 6. IMPACTED OR NEAREST STREAM/RIVER: lA ll -/iarn ea-"ri hol RIVER BASIN: 9Cu5 9- 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURSE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES ( ) NO X) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIROMENTAL CONCERN (AEC)? YES ( ) NO X 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? t?l /A 8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROJECT? YES ( ) NO IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITI NAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES( ) NO (< IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: O. Ass 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: tact 0"I'lli-CrAl It, maid s c4imd&- o4 it-6 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: L ? A'S EXCAVATION: FILLING: 0.007 FLOODING: 0 OTHER : O c? DRAINAGE : TOTAL ACRES TO BE IMPACTED: /n. 40b J - s ? 1/w 10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF 1?1 Ir+? RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION: LENGTH BEFORE: FT AFTER: FT WIDTH BEFORE (based on normal high water contours): FT AVERAGE DEPTH BEFORE: FT AFTER: FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: CHANNEL EXCAVATION: COONSTRUCTION OF A DAM/FLOODING: OTHER: N/A 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? POND SURFACE AREA? WHAT IS THE EXPECTED 12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY) $e??C b 1AAjeT14 ! 'A '4.1' riNOway a 06V!S% Tr irewA%/ - - 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) L 13. PURPOSE OF PROPOSED WORK: - t i / 1 1 402 •1 t. /? 15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR ? ?/ NATIONAL MARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT'AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: N/A 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER N/A (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED N/A 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC (STATE) LAND? YES ( ) NO X) (IF NO, GO TO 16) a. IF YES, DOES THE PROJECT REQUIRE PREPERATION OF AN ENVIRONMENTAL DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES( ) NO ( ) b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO ( ) IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIONFROM THE STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003, TELEPHONE (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO WETLANDS: a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PRODUCT. c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. e. WHAT IS LAND USE OF SURROUNDING PROPOERTY? L IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WTLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO: 1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, 2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY CERTIFICATION, AND 3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT PROGRAM, . 12-17-118 S/AGENT'S IGNATURE DATE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED). 1 • 4 0 N N J N co 0 u ~? NZ 3 ^?:. 35 l? o A F N ?? c i ?^ - 70 m 03 a? -,?_ _ w I-C o - 11' 3 ?O t ? 0? i x 0 S 0 Cl) l 8+7 6? y A 'J d gyp= ? I N W C0 <o .l ? fli v ? o ° _w 0 L l x -L o? ° UO cv l/ ova 'NBC: ??_ _s? ? ? v l ( ) / L ?v ? _ s ? g o I ?iya: h 1 ?91 W N 0 ® O 1 80 " ? as o o ?? 250 ??/day '?/f j j' c• u , ?_%?l' 11 % Vj vz50 250 ` \ o a ? 0 a g LIJ Q z cf) 25o ry a?8 //1. O U o?N O E o i? N N a o w ro 11 0 o^o '?? c / / Irv •\. LLJ C7O0. f- J/J ?o ZVa 3 O <.a''??\ J 1? t- Q ?9 C3 a Cf) ?ZLJ? I` a E W w wQcna - o Lij r Jti w \ Q Z\,U. W 0 N i I lii Z Q O L h O LL O w U w z J w cc 0 z i O m J 0- w w w ,Q7N YA