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HomeMy WebLinkAbout20000345 Ver 1_COMPLETE FILE_20000320State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Bill Holman, Secretary Kerr T. Stevens, Director • NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCE5 March 30, 2000 Camden County DWQ Project # 000345 APPROVAL of 401 Water Quality Certification Mark Gregory PO Box 374 Camden, NC 27921 Dear Mr. Gregory: You have our approval, in accordance with the attached conditions and those listed below, to fill 0.09 acres of wetlands in Camden County for the purpose of residential construction as you described in your application received by the Division of Water Quality on March 20, 2000. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number 3106. This certification allows you to use Nationwide Permit Number 18 when the Corps of Engineers issues it. 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 Water shed regulations. 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 you may be required to send us a new application. If the property is sold, the new owner must be given a copy of this Certification and approval letter and is thereby responsible for complying with all conditions. If total 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 (h) (6) and (7). 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. 276 1 1-7447. 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 Dorney at 919-733-9646. Attachment cc: Corps of Engineers Washington Field Office Washington DWQ Regional Office Ronnie Spivey, PO Box 391, Elizabeth City, NC, 27909 ie Copy Central Files 7 000345 Division of Water Quality • Non-Discharge Branch 1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper http://h2o.enr.state.nc.us/wetiandc.html PAYMENT RECEIVED 0 a 2wo DEM 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 CERTIFICATION 3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT MAR ?_ 0 2000 Y""? ? !_AN!?S GROUN I:-!+ QUALITY SECTION 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 SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT. 1. OWNERS NAME: Mark Gregory 2. MAILING ADDRESS : P- 0- Box 374 SUBDIVISION NAME: River Bridge Apartments CITY: Camden STATE: NC ZIP CODE: PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): 3. TELEPHONE NUMBER (HOME): (WORK): 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICI ADDRESS, PHONE NUMBER: _ Ronnie Spivey PLS P. O. Box 391, Elizabeth City, NC 27909 252-338-4161 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Camden NEAREST TOWN OR CITY: Camden SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) Site is located 1350 feet along U.S. Highway 158 in a SW direction from the intersection of U.S. Highway 158 and N.C. Highway 343. Sie is diagonally located across the Highway from the Camden High School Ball Fields 6. IMPACTED OR NEAREST STREAM/RIVER: Roland Creek C SW RIVER BASIN: Pasauntank 4) 1 109,0 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [ ] NO [ }{) IF YES, EXPLAIN: 7b. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT ARE OF ENVIRONMENTAL 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: Rural with service 8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ) NO [XX) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ] NO [XX) IF YES, DESCRIBE ANTICIPATED WORK: 9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 41 9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 31 10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: 0.09 EXCAVATION: FLOODING: OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: 0.0 9 10B. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): LENGTH BEFORE: n /a FT AFTER: n /a FT WIDTH BEFORE (based on normal high water contours): n /a FT WIDTH AFTER: ri/a FT AVERAGE DEPTH BEFORE: n / a FT AFTER: n / a FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: XX CHANNEL ELEVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? n / a WHAT IS THE EXPECTED POND SURFACE AREA? n / a 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8%" x 11" DRAWINGS ONLY) : Land clearing and land leveling equipment to clear, demuck, and fill proposed road crossing. 13. PURPOSE OF PROPOSED WORK: To provide vehicular access to proposed apartment building complex. 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): This tract of land is isolated from U.S. Highway 158 by these wetlands. No other access is available. Location of proposed road is planned to cross the wetlands at the narrowest point. IS. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED : 2 / 3 / 0 0 16. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES [ ] NO [X$ (IF NO, GO TO 18) a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES [ ] NO [ ) b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ] NO [ ) IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE 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. 17. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR 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 STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. 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 PROPERTY? Rural f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? Septic tank / nitrification field 9. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO: 1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, AND 2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION. 7 ER'S AGENT' GNATURE / (AGENT'S SIGN E VALID ONLY DATE IF AUTHORIZ ON LETTER FROM THE OWNER IS PROVIDED (18G.)) +i?,W i V I r ``? n D... .,..,. 4% sue. wa. M.• ? ar, r5 rIA 4W i4 u I r r.r r , O , a, N, fa: a ? ?::??P j ref o?x:• b ,. ,?. x ,200 T 15 PROPOSED 6" 7.3 CL 6.8 TB PROPOSED DOUBLE WATERMAIN 60 LF 18- CMP W/ FLARE ENOS SITE CAMDEN NV OUT 0.73 ZO' NV IN 1.25 74.3' 6' ROADBED 61' LIMITS OF FILL W X-SECTION 'A' I"- 20 too ,y O VICINITY MAP n.t.s. } l = O ? ° 1\ 4 \ oN b ?, /? O RIP-RAP _ FILTER DA yYc i ? ? i \\\ i AL ? SEE (-SECTIO PROPOSED AREA i OF FILL OF 404 i 1 WETLANDS 0.9 AC. / I } DBL LF 18 HOPE J A, Y. A 1 4 .00, I ^\ \ I II ? RIP-R i i FIL TER AM ??. i AgANOOAe-0 BORROW 4 / m 18' 10' 14' % NIP $ 13'13'50 W 170.22' v v u NIP $ 16"14'27" W 117.95' ---- NIP 4 7 N OUT 100' 18' HDPE NSON 4. U. S. HIGHWAY No. 158 60' R/W 1350' TO NC 343 SITE PLAN 1*2 McDOWELL & ASSOCIATES, P.A. POST OFFICE BOX 391 PROPOSED FILL IN 404 WETLANDS ENGINEERS D 1715 WEI , ROAD 27909 ELIZABETH TH CITY, N.C. p SURVEYORS PHONE (919)338-4161 161 FOR FAX (919)335-9585 RIVER BRIDGE APARTMENTS SCALE: so' DRw BY: R.L.S. PROJ. No. S3485_404 CAD No. 3-485_404 COURTHOUSE TOWNSHIP CAMDEN COUNTY NORTH CAROLINA REV. a 20 i e•? L+e?i 1 V Y S?+ ! ! nl r i 11 a Ft w '. ? ,;! ? ` .ice Y• ' +? ??•? _' ( 'v{ ,. V ?),/?L? .?', X11 ? r 17 ? A. 1 •, N ?y 14 y \ $. • H . 1 1 1 1 r?a ? 't • I t A ': JA0 McDOWELL & ASSOC/AMS,P,A. ENGINEERS - SURVEYORS William P. McDowell, III Post Office Box 391 1715 Weeksville Road Elizabeth City, NC 27907-0391 March 16, 2000 OQO3 4 5 Division of Environmental Management N. C. Department of Environment and Natural Resources 1621 Mail Service Center Raleigh, NC 27699-1621 RE: River Bridge Apartments Dear Mr. Dorney: Enclosed please find: _.wFaNDS G SECTION.. `TVA( UALITI P4YP4?vr 1. Seven (7) copies of Pre-Construction Notification Application for River Bridge Apartments. 2. Check in the amount of $200.00 for project impacting less than 1 acre of wetlands. If you have any questions, please do not hesitate to give me a call Sincerely yours, Ronnie L. Spivey Professional Land Surveyor RLS/rae Enclosure CC: Mr. Mark Gregory Telephone: (252) 338-4161 Fax: (252) 335-9585 State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Bill Holman, Secretary Kerr T. Stevens, Director Ronnie L. Spivey McDowell & Associates 000345 PO Box 391 1715 Weeksville Road Elizabeth City, NC 27907-0391 A 4 • NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES March 10, 2000 MAR :/i. I) 1(10'1 Dear Mr. Spivey: ''NF. LANps GROIN illE JALITY SECTION On March 7, 2000, your application for 401 Water Quality wCertification on behalf of Mark Gregory for a project in Camden County was received by the N.C. Division of Water Quality. Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a fee for all 401 applications. Your application is being returned since no payment was received with the package. The fee for applications is $200 for projects impacting less than an acre of wetland and less than 150 linear feet of streams. For projects impacting one or more acres of wetland or 150 or more feet of streams, the fee is $475. In order for DWQ to review and process your request, you must send a check in the appropriate amount made payable to the N.C. Division of Water Quality. Please call Robert Ridings at 919-733-9817 or visit our web site at Hh2o.enr.state.nc.us/ncwetlands if you have any questions. cc: Central Files to rely, o . Dor PAYM?,??T l . ?.1. V L i..' Wetlands/401 Unit 4401 Reedy Creek Road Raleigh, North Carolina 27607 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper PAYMENT RECEIVED 000345 VM '7 no WERf I16 GINO?I i "7 R 01 J5)_ITY S[(T0PJ DEN ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUBSTED (PROVIDE NATIONWIDE PERMIT #): PRE-CONSTRUCTION NOTIFICATION APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: MCI ?? 2000 Ii?n,` ?IT?E?(ti?T+ON 1) NOTIFICATION TO THE CORPS OF ENGINEERS 2) APPLICATION FOR SECTION 401 CERTIFICATION 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 SHOULD BE SENT TO THE N. C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE AGENCY ADDRESSES SHEET) PLEASE PRINT. 1. OWNERS NAME: Mark Gregory 2. MAILING ADDRESS : P- 0. BOX 374 SUBDIVISION NAME: River Bridge Apartments CITY: Cam en STATE: NC ZIP CODE: Z lYZ PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): 3. TELEPHONE NUMBER (HOME): (WORK): - ?2 331 "1 32 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIiT, ADDRESS, PHONE NUMBER: Ronnie Spivey. P P. 0. Box 391, Elizabet City, NC 27909 252-338-4161 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Camden NEAREST TOWN OR CITY: Camden SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) Site is located 1350 feet along U.S. Highway 158 in a SW direction from the intersection of U.S. Highway 158 and N.C. Highway 343. Sie is diagonally located across the Highway from the Camden High School Ball Fields 6. IMPACTED OR NEAREST STREAM/RIVER: Roland Creek C SW RIVER BASIN: Pasclunt'ank 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [ ] NO [ X] IF YES, EXPLAIN: 7b. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT ARE OF ENVIRONMENTAL 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: Rural with service Sa. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ] NO [XX] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ] NO [XX] IF YES, DESCRIBE ANTICIPATED WORK: 9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 41 9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 31 10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: 0.09 EXCAVATION : FLOODING: OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: 0.09 10B. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): LENGTH BEFORE : n / a FT AFTER : n /a FT WIDTH BEFORE (based on normal high water contours): n/a FT WIDTH AFTER : n /a FT AVERAGE DEPTH BEFORE: n / a FT AFTER: n / a FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: XX CHANNEL ELEVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? n/a WHAT IS THE EXPECTED POND SURFACE AREA? n / a 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8%" x 11" DRAWINGS ONLY) : Land clearing and land leveling equipment to clear, demuck, and fill proposed road crossing. 13. PURPOSE OF PROPOSED WORK: To provide vehicular access to proposed apartment building complex. 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): This tract of land is isolated from U.S. Highway 158 by these wetlands. No other access is available. Location of proposed road is planned to cross the wetlands at the narrowest point. IS. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED : 2 / 3 / 0 0 16. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES [ ] NO [ X$ (IF NO, GO TO 18) a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES [ ] NO [ ] b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ] NO [ ] IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE 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. 17. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR 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 STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. 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 PROPERTY? Rural f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? Septic tank / nitrification field 9. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO: 1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, AND 2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION. OWN R'S/A SIGNATURE (AGENT'S I 1 TUBE VALID ONLY DATE IF AUTHORI ATION LETTER FROM THE OWNER IS PROVIDED (18G.)) t t? rt?• ? vs ' r. l I \ :' rt ' MY r ? ?•? ` t. 4t P ?gE ''? _ ter -? V C ? /L•` V f t? V PROPOSED 6" 7.3 CL 6.6 iB PROPOSED DOUBLE WATERMAIN 60 L! Is- CUP ,?, W/ ILARE ENDS SITE __ --- - - CAMDEN INV OUT 0.73 2D' NV IN Ls tt3' 6' ROADBED t B t' A! LIMITS OF nu X-SECTION 'A' '? ?-r I' - 20 I VICINITY MAP n.t.s. wc-°ND 6 ?_/ RIP-RAP 5 FLTER DAM 3 a14 ,r? A, yA 14 ?? 3 4 ?- 5 tl Q- O O a 0 D: i 4 SEE - SE } DBL LF 4r ? ? I Ar r? I r? (f ?.h i?c ? i 'A' i PROPOSED AREA ?E ?I\ // RIP-R II/ AM \\ Aeq?OONEO B019POw 1077' \s zz `' ? ? HDPE ?t- i r I? ' ? ? 4 C?r7 T?ANQE NIP _ __ S 1373'50' W 170.22 NIP S 16'ia'27" W _ 112.95' "--'-- NIP n+?, our 100' 78' HDPE I sVO? -- _- ? U. S. HIGHWAY No. 158 60' R/W ? 1350' TO NC 343 SITE PLAN ?? McDOWELL & ASSOCIATES, P.A. POS7 OFFICE BOX 391 PROPOSED FILL IN 404 WETLANDS CNGINEERS D 1715 WEEKSVILLE ROAD ELIZABETH CITY, N.C. 27909 p ulRVEiDRS PHONE X919)338-x161 FOR ? FAX 1919)335-9585 RIVER BRIDGE APARTMENTS SCALE: 1" = so' DRW BY: R.L.S. PROJ. No. 53485_404 CAD No. 3-485-404 COURTHOUSE TOWNSHIP CAMDEN COUNTY NORTH CAROLINA REV. FILTER II Of FILL OF X04 NETLANDS 0.9 ?