20000460 Ver 1_COMPLETE FILE_20000405

Mate 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
APPROVAL of 401 Water Quality Certification
Henderson County Board of Public Education
131 Fourth Avenue East
Hendersonville, NC 28793
Dear Sirs:
1 kTZ.W;WAJ ?
A"ft%%MW- "moon
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
May 12, 2000
Henderson County
DWQ Project # 000460
You have our approval, in accordance with the attached conditions, to cross Cane Creek with a sewer force000 main in
Henderson County, as you described in your application received by the Division of Water Quality on APri15, 2
. After
reviewing your application, we have determined that this action is covered by General Water Quality Certification Number
3101. This Certification allows you to use Nationwide Permit Number 12 when issued by the U.S. Army Corps of
Engineers. 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, Non-Discharge and Water Supply Watershed regulations:.
Also this approval will expire when the accompanying 404 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 except as modified below. 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). This approval shall expire when the corresponding expires or as otherwise provided in the General Certification. For this approval to be valid, you must follow the conditions listed
in the attached certification. Nationwide Permit
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 Dorney at 919-733-9646.
Si rely,
tAttachment
cc: Corps of Engineers Asheville Field Office
Asheville DWQ Regional Office
File Copy
Central Files
000460
Division of Water Quality •
1621 Mail Service Center, Raleigh, NC 27699-162elephon?Discha 3e1Bran h # 733-9959
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
http://h2o.enr.state.nc. us/wetlandc.htmi
Laughter, Austin and Associates, P.A.
Engineering • Planning o Land Surveying
131 FOURTH AVENUE EAST
HENDERSONVILLE, NORTH CAROLINA 28792
Jon H. Laughter
Donald J. Austin
Thomas P. Welbourn
James D. Chambless, Sr.
May 5, 2000
Mr. John R. Dorney
North Carolina Division of Water Quality
Wetlands1401 Unit
4401 Reedy Creek Road
Raleigh, North Carolina 27607

[phone]
Fax[phone]
WATS 1-800-858-LAND
82000
WETLANDS GROUP
El3fV
WATER t1AL.I SECT
Project: Pre-Construction Notification Application
Stream Crossing Permit
Fletcher Elementary School; Sewer-Public
Henderson County
LAA Job No. 99-059
Reference: your letter dated April 13, 2000
[ ] Application For Plan Review [ ] Preliminary [ ] New Submittal [%%% ] RESUBMITTAL [ ]
Final Submittal [ ] Information You Requested [ ] Additional Info. Requested [ ] For Approval [ ]
As-Built Submittal[ ] Completion Certification [ ] Request To Start Construction [ ] For Your Files [ ] Other
Dear Mr. Dorney:
Enclosed please find the information you requested regarding the above referenced
project for consideration and approval A.) Seven (7) copies of a "Pre-Construction
Notification Application" (Stream Crossing Permit) B.) Seven (7) copies of Plan/Profile
drawing showing the proposed point of stream crossing C.) Brief Project Narrative.
If you have any questions, please call me at [phone] or (800) 858-LAND.
Facsimile [phone].
Respectfully submitted,
LAUGHTER, AUSTIN AND ASSOCIATES, P.A.
JON H. LAUGHTER, P.E., R.L.S.
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
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
April 13, 2000
Henderson County
DWQ Project No. 000460
Jon H. Laughter
Henderson County Board of Public Education
131 Fourth Avenue East
Hendersonville, NC, 28793
Dear Mr. Laughter:
On April 5, 2000, the NC Division of Water Quality received your application for a 401 Water Quality
Certification to install a pump station and sewerline in Henderson County. Before we can proceed with
reviewing your application, we need the following information:
1. The cover letter and plan drawing refer to Cane Creek as the impacted stream, while the application
form names Clear Creek. Please inform us which of these streams is involved in this project;
2. The vicinity map is limited to an illegible insertion in the plan drawing. We cannot use this map to
determine the location of the project. Please provide a better vicinity map, with a scale and north
arrow.
3. Please be sure to fill out the wetland and stream impact information in the application form. Where
no impacts are involved, please state so. If it would be helpful for you to describe the impacts in
separate correspondence, please do so.
Until this information is received, I will request (by copy of this letter) that the Corps of Engineers place
this project on hold. Also, this project will be placed on hold for our processing due to incomplete
information (15A NCAC 2H.0507(h)). I can be reached at [phone].
Attachment
cc: Corps of Engineers Asheville Field Office
Asheville DWQ Regional Office
File Copy
Central Files
000460
Division of Water Quality • Non-Discharge Branch
401/Wetlands Unit, 1621 Mail Service Center, Raleigh, NC 27699 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
`Vd
PAYMENT
s.?' ° ?-- RECEIVED
LETTER OF TRANSMITTAL
April 3, 2000
John R. Dorney t"
North Carolina Division of Water Quality
Wetlands1901 Unit
4401 Reedy Creek Road
Raleigh, North Carolina 27607
Project.• Pre-Construction Notification Application
41 Stream Crossing Permit
L Fletcher Elementary School; Sewer-Public
Henderson County
LAA Job No. 99-059
Reference. your letter dated Dec 3, 1999.
[ ] Application For Plan Review [ ] Preliminary [ ] New Submittal [R%% ] REVISION [ ] Final Submittal
[ ] Information You Requested [ ] Additional Info. Requested [ ] For Approval [ ] As-Built Submittal
[ ] Completion Certification [ ] Request To Start Construction [ ] For Your Files [ ] Other
Dear Mr. Dorney:
0004 6 4
In reference to the aforementioned project, please find enclosed for your consideration and approval A.)
Seven (7) copies of a "Pre-Construction Notification Application" (Stream Crossing Permit) B.) Seven (7) copies of
Plan/Profile drawing showing the proposed point of stream crossing C.) Brief Project Narrative.
If additional information is required or should you have any questions, please phone me at
[phone] or (800) 858-LAND. Facsimile [phone].
Respectfully submitted,
jdc
Attachments:
Enclosures: yes
Proj. status: Applic.
Action: review/approve
cc: Project file
LAUGHTER, AUSTIN AND ASSOCIATES, P.A.
JON H. LAUGHTER, P.E., R.L.S.
t? ???(( PAYMENT
RECEIVED
PRO ?T''NAIZKATEM WOUNDS G, -U, (1 C04 ??]
"
Project`TQ? A 1Artkwentary School V
Sewer Force Main Extension & Pump Station
Henderson County, Mills River Community
Project No.: LAA99-257
Date: April 3, 2000
Re: Wetlands 401 Application
NC Division of Water Quality
This proposed Sewer Force Main Extension project is being designed for the Henderson County Board of
Public Education. The main purpose is to provide wastewater disposal for a new Fletcher Elementary
School located on Howard Gap Road (SR1006).
The scope of work consists of:
Installation of duplex wastewater pump station at the school site and intallation of approximately 1.2 miles
of 3-inch diameter pipeline to an existing gravity system. The entire length of pipeline shall be installed
along NC Department of Transportation rights-of-way from the school property to the point of discharge.
Stream crossings impacted by this project are listed below. Necessary stream bank and channel protection
will be provided at each location to ensure the least effect and disturbance to the natural conditions and
vegetation at the crossing of Cane Creek.
Prepared By: Laughter, Austin & Associates, P.A.
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NO. 4056 -
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ProjNARRwet401 app. doc

A_
ro ID
DWQ ID:
PAYMENT
RECEIVED
401 ivStij?
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #)
J v
IAPr
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
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)
27607. PLEASE PRINT OR TYPE.,,.=J"
1. OWNER'S NAME: Henderson County Board of Public Education f ?.
2. MAILING ADDRESS: 131 Fourth Avenue Easter
SUBDIVISION NAME
CITY: Hendersonville STATE: N. C. ZIP CODE: 28793
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT F1 M
MAILING ADDRESS ABOVE): Fletcher Elementary School located on Howard Gap Road So of
Clear Creek.
3. TELEPHONE NUMBER: (HOME) (WORK) 828 692-9089
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: 828 692-9089
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Henderson NEAREST TOWN: Fletcher
SPECIFIC LOCATION (INCLUDE ROAD NUM$ERS?LANDMARKS, ECT.) SR 1006
6. IMPACTED OR NEAREST STREAMIRIVER:Cleearar Creek RIVER BASIN: French Broad
7. (a) 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:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? NO X
(c) 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

8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES NO X IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO X IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND:.05
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF 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
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X
CHANNEL EXCAVATION: 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? WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK: Lay Sewer Main
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND HAPACTS)
Cross Creek
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
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: Nov 1999
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED Nov 1999.

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17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC
(STATE) LAND? YES X NO ? (IF NO, GO TO 16)
(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 X
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM 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 [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FELL 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 PROPERTY?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS 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,
Henderson County Board of Public Education
OWNER'S SIGNATURE DATE vloo 1 G,19 q q

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16

PROJECT NARRATIVE
Project: Fletcher Elementary School
Sewer Force Main Extension & Pump Station
Henderson County, Mills River Community
Project No.: LAA99-257
Date: April 3, 2000
Re: Wetlands 401 Application
NC Division of Water Quality

ate 8 2-00
WETL NDS
a a a0 UCL,
This proposed Sewer Force Main Extension project is being designed for the Henderson County Board of
Public Education. The main purpose is to provide wastewater disposal for a new Fletcher Elementary
School located on Howard Gap Road (SRI 006).
The scope of work consists of:
Installation of duplex wastewater pump station at the school site and intallation of approximately 1.2 miles
of 3-inch diameter pipeline to an existing gravity system. The entire length of pipeline shall be installed
along NC Department of Transportation rights-of-way from the school property to the point of discharge.
Stream crossings impacted by this project are listed below. Necessary stream bank and channel protection
will be provided at each location to ensure the least effect and disturbance to the natural conditions and
vegetation at the crossing of Cane Creek.
Prepared B;+: a r r sociates, P.A.
ProjNARRwet401 app.doc
' Fletcher School
Henderson County
Cane Creek
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 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 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: Henderson County Board of Public Education
2. MAILING ADDRESS: 131 Fourth Avenue East
SUBDIVISION NAME
CITY: Hendersonville STATE: N. C. ZIP CODE: 28793
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): Fletcher Elementary School located on Howard Gap Road South of
Cane Creek
3. TELEPHONE NUMBER: (HOME) (WORK) 828 692-9089
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: 828 692-9089
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Henderson NEAREST TOWN: Fletcher
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) SR 1006
6. IMPACTED OR NEAREST STREAM/RIVER:Clear Creek RIVER BASIN: French Broad
7. (a) 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:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? NO X
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LIP) DESIGNATION?
jr
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES NO X IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO X IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND:.05
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF 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
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X
CHANNEL EXCAVATION: 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? WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK: Lay Sewer Main
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
Cross Creek
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
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: Nov 1999
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED Nov 1999.

17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC
(STATE) LAND? YES X NO ? (IF NO, GO TO 16)
(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 X
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM 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 [phone].
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 I 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 PROPERTY?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS 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,
Henderson County oard of Public Education
OWNE 'S SIGNATYRE DATE
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