20041877 Ver 1_COMPLETE FILE_20041122

WI
ON
HAND DELIVERED
ti
vem er 17, 2004
N rth C olma Department of Environment and Natural Resources
Dlvisio of Water Quality
Attn.: s. Cyndi Karoly
2321 Cr btree Boulevard, Suite 250
Raleigh, North Carolina 27604-2260
i
:agate Area Drainage Improvement
Tt
'ade
Karoly;
?vo v ?
2 2 2004
yy? DEW WATER QUALITY
AND sToRM iR- BRANCH
of Wilmington appreciates your response to our email of November 11, 2004. Per advise from
ne Steinhous of the Wilmington NCDENR/DWQ Regional office, the City is submitting two
the PCN form to you. Per WQC#3402,; the City understands DWQ will notify us within 30 days
of the PCN if an Indiividual Certification will be required.
contact me at 341-$897 or via email at wade. [e-mail]. nc.us. Your cooperation is
lily Y urs,
r ,r'f "
G?-
Kirby, PE, PG
(ilmington
avid Cowell, PE, Construction Manager,; City of Wilmington
arl Farmer, PE, Division Engineer, City of Wilmington
i
Development Services
Construction Manag ment • P.O. Box 1810 • Wilmington • North Carolina* 28402-1810
(910)41-7807 • [phone] fax • [phone] TDD
41
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U?
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:
Use Only:
E Action ID No.
(If any partict
is not
041877 Form Version May 2002
DWQ No.
to this nroiect. please enter "Not Aanlicable" or "N/A".)
Processing
1. Check all of the, approval(s) reque'pted for this project:
Section 404 Permit ? Riparian or Watershed Buffer Rules
Section 10 ermit ? Isolated Wetland Permit from DWQ
401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 18
3. If this notification is solely a court esy copy because written approval for the 401 Certification
is not required, check here:
,
4. If payment into the North Carolina! Wetlands Restoration Program (NCWRP) is proposed for
prior to submittal of PCN), complete
mitigation of impacts (verify availability with N 7
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina -Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
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Applicant Information
1 Owner/Applicant. Information
Name: The City !?f Wilmington
Mailing Address: 305 Che"uT t Street, Municipal Complex
Telephone Num
E-mail Address:
Fax Number: (910)3,41-5881
Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/a 'licant.)
Name:
Company Affiliation:
Mailing Address: N n t_
Telephone Number:
E-mail Address:
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Page 5 of 12
Fax Number:
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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, o 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 shejet 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 untie decipherable maps are provided.
1. Name of project:' Seagate Area Drainage Improvements
Nearest body of water (stream/rivej
River Basin: Ca Fear
(Note - this must be one of North
River Basin map is'' available at httl
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 315 19-8232.000
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Location
County: New Iia?over j Nearest Town: Wilmington
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): Take Oleandor Drive to
Greenville Loop Road, turn south on Greenville Loop Protect is in drainage area opposite
side of Exxon on corner of Oleandor'and Greenville Loon Road
Site coordinates, Ilif available (UTI4 or Lat/Long): State Plane Coord, 1983, N169,225
U351,809 ,Lett)
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
i. Property size (acres): 14, 807 squara feet 0,34 acres)
9.
Describe the existing conditions on
at the time of this Application: Util
residential.
seventeen designated major river basins. The
tate.nc. us/admin/map s/. )'
site and general land use in the vicinity of the project
k
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10. Describe the overall project in detail, including the type of equipment to be used:
The ob'ectiv of he r 'ect is to all vi to drainage robl s in he Seagate area of
Wilmington. The u ent drainage system serves a 165-acre waters ed but is undersized to
work efficientlyTStorm Rip-es have ee? n sized to accommodate a 50-year storm event and are
proposed to be' installed as part ! of this project Wetland area has been identified
downgradient o f the system discharge and some adingwithin the wetland area will be
required.
11. Explain the purpose of the proposed work: The purpose of the project is to increase
capacky of the existing storm syste inn the Seagate area to alleviate flooding.
rior Project History
jurisdictional determinations and/or permits have been requested and/or obtained for this
roject (including all (prior phases of the same subdivision) in the past, please explain. Include
he USAGE Action ID Number, DWQ Project Nu er, application date, and date permits and
ertifications were issued or withdraw'. Provide hotoeopies of previously issued permits,
ertifications or other useful information. Describe, previously approved wetland, stream and
uffer 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
onstruction schedules.
I
uture Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
d provide justification for the exclusion of this work from the current application.
o futur rmittin is tic at for thi' project.
oposeO Impacts to Waters of the Uni ed States/Waters ;of the State
it is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
tlands, open water, and stream channels associated with the project. The applicant must also
p ovide justification for these impacts in!, Section VII below. All proposed impacts, permanent
, d temporary, must be listed herein, and must be clearly identifiable on an accompanying site
p l All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
I? lineation map, whether or not impacts' are proposed to these systems. Wetland and stream
aluation and deline4tion forms shoul be included as appropriate. Photographs may be
in luded at the applica is discretion. If this proposed impact is strictly for wetland or stream
Page 7 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Grading of wetlands
2. Individually list wetland impacts below:
We4and Impact
Si Number
(i?tdi on ma)
Type of Itnpact* Area of
Impact
:
(acres) Located within
1p0 year Floodplain**
es/no
I Distance to
Nearest Stream,
feet
Type of Wetland***
1 excavating <.03 n 0 linear feet Managed Pineland

List h impact separately and identity temporary impacts. Impacts MCI", nut are not tnmtea to: mecnam= mearmg, gmamg, uu,
ex ation, flooding, ditching/dr image, etc. For dams, separately list nnpac? due to both structure and flooding.
** 100 ear floodplains are identified through the Federalll Emergency ement Agency's (FEMA) Flood Insurance Rate Maps
or FEMA-approved local floodplain maps. Maps are available throtigh the FEMA Map Service Center at 1-800-358-9616, or
o ' e at http://www.fem&go?.
** List wetland type that best describes wetland to be impacted (e.g., fre&water/saltwater marsh, forested wetland, beaver pond,
Caro ' Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
j List the total acreage (estimated), of all existing wetlands on the property: 0.17 acres
Total area of wetland impact propos?d: 0.03 acres
Individually list all intermittent and perennial stream impacts below:
'
Stream Impact
Site umber

An ' on ma)
Type of Impact* Length of
Impact

linear feet)
(
Stream Name** Average Width
of Stream

Before
Impact Perennial or
Intermittent?

lease specify)
A
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jd: impact separately and ident4 temporary un pactsi impacts incime, nut are not hmttea to: cuivens ana associarea up-rap,
1y'list impacts due tp both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
on activities (cement wall, rip-rap, crib wall„gabi etc.), excavation, ditching/straightening, etc. If stream relocation is
plans and profiles showing the linear footprint for th the original and relocated streams must be included.
mes can be found on US,,GS topographic maps. Qf a stream has no dame, list as UT (unnamed tributary) to the nearest
named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
. ovSeveral Internet sites also allow direct, download and printing of USGS maps (e.g., www.topozone.cuest.co etc.).
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Cumulative impacts (linear distance in feet) to all streams on site:
4. Individually list all open water impacts (including. lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U S.) below:
Open W

Si
(indi ater Impact

Number.
on!map)

Type of Impact* Ares. of

Impact
(acres)
Name of Waterbody
(if
applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.
N/A

"h
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C?
wh impact separately ana; wenmry temporary nnpacts. impacts mcium, out are not umnea to.- nu, exu4v4u' u arcu?,ag,
ng, drainage, bulkheads, etq.
i. 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 ? stream ? wetlands
Describe the method of construction (e.g., dar?/embankment, excavation, installation of
draw-down valve pr spillway, etc.):
Proposed use or purpose of pond
local stormwater requirement, etc.):_
livestock watering, irrigation, aesthetic, trout pond,
Size of watershed draining to pond:-
pact Justification (Avoidance and 1
pecifically describe measures taken. to
iformation related to site constraints si
nancial viability of the project. The al
ite layouts, and explain why these desi
ere minimized once ,the desired site 1
.chniques to be followed during constn
Ligation
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Expected pond surface area:
Did the proposed impacts. It may be useful to provide
as topography, building ordinances, accessibility, and
cant may attach drawings of alternative, lower-impact
options were not feasible. Also discuss how impacts
i was developed. If applicable, discuss construction
on to reduce impacts.
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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 maybe 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
king a required mitigation plan or NCWRP ;concurrence shall be placed on hold as
lacIc
lete. An applicant may also choose to review the current guidelines for stream restoration
omp
in DWQ's Draft ?,echnical Guide for Stream ( Work in North Carolina, available at
http://h2o.enr.state.W.us/ncwetlands/st=gide.htn-l.
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 icurrent site conditions and proposed method of construction. Please attach
a separate sheet itmore space is needed.
Mitigation may also be made by payment into the North. Carolina Wetlands Restoration
Program (NC")' Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP websit at http://h2o.enr.state.nc.us/wrp/index.htm. If use of
the NCWRP is proposed, please cheek the appropriate box on page three and provide the
following information:
Amount of stream mitigation requ sted (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
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IX.
X.
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Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Environmental Documentation (required by DWQ)
ill the project impact protected riparian buffers identified within 15A NCAC 2B .0233
euse), 1 SA NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
ater Supply Buffertequirements), or Other (please identify )?
Yes' ? No ® If you answered "yes", provide the following information`
dentify the square feet and acreage of, impact to each zone of the riparian buffers. If buffer
itigation is required calculate the required amount of mitigation by applying the buffer
ultipliers.
Does the project involve an expenditure of public (federal/state) funds or the use of public"
(federal/ state) land?
Yes ? No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
Proposed Impacts on Riparian and' yatershed Bu? ers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
requ4ired state and local buffers associated with the project. The applicant must also provide
justification for thes 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'
*
Zone Impact 1
( care feet)
Multiplier Required'
Mitigation
1 3
2 1.5
Total
Gone 1 extends out 3U teet perpencucuW from near banK of Cannel; Lone :Z extends an
additional 20 feet from the edge of Zone 1.
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Pa?e 11 of 12

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If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
)f Property, Conservation Easement, Riparian Buffer Restoration I Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
dentified within 15AR NCAC 2B .0242 9r.0260.
?Stormwater (required by DWQ)
escribe impervious j acreage (both ex.sting and proposed) versus total acreage on the site.
iscuss stormwater controls proposed in order to protect surface waters and wetlands
ownstream from the property.
o additional. impervious acreage will be generated with this project. A rira basin has been
co orated into the design as a mea' s to reduce discharge velocit . Additionally, a level
reader has been inc orated in h de i n to increase the flow width.
swage Disposal (required by DWQ)
leanly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
astewater generated from the proposed project, or available capacity of the subject facility.
?To wastewater is to be generated with this project.
X IlL Violations (required by DWQ)
II this,, site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
I this an after-the-fact permit application?
Yes ? No
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XIV. ther Circumstances (Optional):
I is the applicant's responsibility to subunit the application sufficiently in advance of desired
c nstruction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with I 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).
Applicant/Agen1
( ent's signature is vali,
s Signature Date
only if an authorization letter from the applicant is provided.)
Page 12 of 12
Joins sheet I
(Joins sheet 24)

0
1 a;
x
1 9

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ry ..vu�
el qg,�i

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Offid Use Only; Form Version May 2002
4 17
USA E Action ID No. DWQ No.o 8 f
(if any particular' item is not applicable to this project, please enter "Not Applicable" or "N/A".)
L Processing
1. Check' all of the approval(s) requesited for this project:
Section 404 Permit ? Riparian or Watershed Buffer Rules
Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 18
li 3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here:
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with N WRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your'project is located in any of'North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: The Cky!Rf Wilmington
Mailing Address:1 305 Chestnut Street, Municipal Complex
Wilmington. NC 28402
Telephone Number:_(910)341-7807 Fax Number: [phone]
E-mail Address wade kirby?a c?Jmington,nc uc
Agent/Consultant W ormation (A signed and dated copy of the Agent Authorization letter
M
must be attached i the Agent has signatory authority for the owneR
Name: V
Company Affiliation:
Mailing Address:
- nc?io IA/1Tr[f ?. u..w. --
Telephone Numb
E-mail Address:!
Fax Number:
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Location
County: New Hanover Nearest Town: Wilmington
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): Take Oleandor Drive to
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Project Information
Attach a vicinity ?ap 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
,SACS requires information to be submitted on sheets no larger than 11 by 17-inch format;
owever, DWQ may accept paperwork of any size.. DWQ prefers full-size construction
awings 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.
Name of project: Seagate Area Drainage Improvements
T.I.P. Project Number or State Project Number (NCDOT Only): N/A
Property Identification Number (Tax PIN): 315 19-8232.000
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cidt- nf1RVYn nn anrner nfOleandor'and Crreenville Loon Road
Site coordinates, if available (UTM or Lat/Long): State Plane Coord, 1983, N169,225
E .351 809 feet)
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
Property size (acres): 11807 square feet (0.34 acres)
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Nearest body of water (stream/river/sound/ocean/lake): Hidden Lake/Bradley Creek
River Basin: Ca 1L.e Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:L/li2o.enr.state.nc.us/admin/mUs/.)
Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Utility easement for sewer and drainage. General land use is
residential.
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10. Describe the overall project in detail, including the type of equipment to be used:
The objective of the pr sect is to alleviate drainage problems in the Seagate area of
Wilminiton The current drainage system serves a 165-acre watershed but is undersized to
work efficient Storm pipes have' been sized to accommodate a 50-year storm event and are
proposed to be installed as part of this project. Wetland area has been identified
downgradient o f the system discharge and some grading within the wetland area will be
e wired.
11. Explain the purpose of the proposed work: The purpose of the project is to increase
capacity of the existing storm system in the Seagate area to alleviate flooding.
Prior Project History
If jurisdictional determinations and/or' permits have been requested and/or obtained for this
Fr9Ject (including all prior phases of the same subdivision) in the past, please explain. Include
he USACE Action ID Number, DWQ Project Nu er, application date, and date permits and
ertifications were issued or withdrawn. Provide Photocopies of previously issued permits,
ertifications or other useful informatign. Describe, previously approved wetland, stream and
uffer impacts, along, with associated mgigation (where applicable). If this is a NCDOT project,
ist and describe permits issued for prior segments of the same T.I.P. project, along with
onstruction schedules.
l ?I
uture Project Plans
e any, future permit, requests anticipated for this project`t If so, describe the anticipated work,
d provide justification for the exclusion of this work from the current application.
Zo future ermittin i anticipated for is project.
?roposed Impacts to Waters of the United States/Waters of the State
II is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
etlands, open water, and stream channels associated with the project. The applicant must also
p ovide justification fir these impacts inl Section VII below. All proposed impacts, permanent
d temporary, must be listed herein, anmust be clearly identifiable on an accompanying site
p an. All wetlands and waters, and all streams.(intermittent and perennial) must be shown on a
I lineation map, whether or not impacts are proposed to these systems. Wetland and stream
aluation and delineation forms should be included as appropriate. Photographs may be
?n luded at the applicant's discretion. ; If ';this proposed impact is strictly for wetland or stream
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mitigation, list and !describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a s6parate sheet.
1. Provide a written description of the proposed impacts: Grading; of wetlands
2. Individually list wetland impacts below:
Wetl?
Si
(indi nd Impact
Number
on ma)
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
1 excavating, <.03 no 0 linear feet Managed Pineland

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cn unpact separately and irmury temporary impacts. Impacts MCI", but are not limited to: mechatuzed clearing, grading, till,
tion, flooding, ditching/draimage, etc. For dams, separately list finpac? due to both structure and flooding.
war floodplains are identified through the Federal I Emergency Man4gement Agency's (FEMA) Flood Insurance Rate Maps
), or FEMA-approved local floodplain maps. Mapj are available throtigh the FEMA Map Service Center at 1-800-358-9616, or
at hft://www.fema.go v. i
wetland type' that best describes wetland to be impacted (e.g., fre§hwater/saltwater marsh, forested wetland, beaver pond,
to Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: 0.17 acres
Total area of wetland impact proposed: 0.03 acres
Individually list all intermittent and perennial stream impacts below:
S
Site
0 ' Impact
umber .
on ma)
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream '
Before Impact Perennial or
Intermittent?
lease specify)
A

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Last n impact separateq ana menuty temporary impacts; Impacts include, but are not lmmted to: culverts and associated np-rap,
dams ( arately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabil' on activities (cement wall, rip-rap, crib wall, gabigns, etc.), excavation, ditching/straightening, etc. If stream relocation is
propo plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream, names can be found on U8GS topographic maps. 1f a stream has no name, list as Ur (unnamed tributary) to the nearest
do named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www. s. ov. Several internet j sites also allow direct download and printing of USGS maps; (e.g., www.topozone,com
www. uest.co etc.).
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Cumulative impacts (linear distance in feet) to all streams on site:
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1 4. Individually list) all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the I. S.) below:
Open
Si
(indi ater Impact
Number
on ma
Type of Impact* Area of
Impact
(acres)
Name Wate)
( applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ean, etc.)
N/A
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VII.
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each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
ling, drainage, bulkheads, etc.
5. Pond Creation
If construction 9f a pond is prop sed, associated wetland and stream impacts should be
included' above i? the wetland and tream impact sections. Also, the proposed pond should
be described here and illustrated on any maps inctuded 'with this application.
Pond to be created in (check all that lapply): uplands ? stream ? wetlands
Describe the method of construction (e.g., d*embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed (draining to pond: Expected pond surface area:
tpact Justification (Avoidance and Minimization)
)ecif tally describe measures taken to avoid the proposed' impacts. It may be useful to provide
formation related tolsite constraints such as topography, building ordinances, accessibility, and
uncial viability of t?e project. The ap? licant may attach drawings of alternative, lower-impact
e layouts, and explain why these design options were not feasible. Also discuss how impacts
re minimized once the desired site plan was developed; If applicable, discuss construction
;hniques to be followed during construction to reduce impacts.
j
DWQ - In accordance with 15A NOAC 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.
mitigation is required for this project', a copy of the mitigation plan must be attached in order
or USACE or DWQ to consider the 1, application complete for processing. Any application
acking a required mitigation plan or NCWRP ;concurrence shall be placed on hold as
ncomplete. An applicant may also choose to review the current guidelines for stream restoration
n DWQ's Draft Technical Guide for Stream I Work in North Carolina, available at
A.// 111d. V . VILL. 1,C11.?i.1lU?l,LA/ 1a V V V V aG4aaµa/ a L:a i,?l??aµv. aal.aau . -
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
Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP): Please note it is !the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PPN. For additional information regarding the application process for the
NCWRP, check the NCWRP websit? at http://h2o.enr.state.nc.us/m/`l*ndex.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):
Amount of buff fr mitigation requested (square feet):
Amount of Rip;an wetland mitigation requested (acres):
II
Pago 10 of 12
IX.
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or Noah Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether) a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
Proposed Impacts on Riparian and Nyatershed Bu# ers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
Irequired state and local buffers associated with the project. The applicant must also provide
ustification 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
ap, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
gional Office may be included as ppropriate. Photographs may also be included at the
pplicant's discretion.
;
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
euse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
ater Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
dentify the square feet and acreage of ?I impact to each zone of the riparian buffers. If buffer
itigation is required calculate the required amount of mitigation by applying the buffer
ultipliers:
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
'Lone 1 extendsiout M feet perpendxcula? from near bank of channel; Gone 2 extends an
additional 20 feet from the edge of Zone; 1.
Page 11 of 12
f 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
ayment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
dentified within 15A NCAC 2B .0242 or.0260.
XL
,ater (required by DWQ)
impervious acreage (both existing and proposed) versus total acreage on the site.
stormwater 'icontrols proposed in order to protect surface waters and wetlands
eam from the property. .
XIL Sewage Disposal (required by DWQ)
learly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
astewater generated om the proposed r0 osed ro'ect or available capacity of the subject facility.
o wast ewater is to be mera ed with tproject.
XIK Violations (required by DWQ)
I' this site in violation of DWQ Wetland (Rules (15A NCAC 2H.0500) or any Buffer Rules?
l
Yes [] No
I' this an after-the-fact 'Ipermit application?
Yes ? No ® j
DIV. 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
c oose to list constrai is associated with construction or sequencing that may impose limits on
f w A schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
T eatened Species, accessibility problems, or other issues outside of the applicant's control).
'7- 2 07
Applictant/Ag
ent's signature is I
Signature Date
only if an authorization letter from the applicant is provided.)
Page 12 of 12
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