20000625 Ver 1_COMPLETE FILE_20000516

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
D E N R
July 11, 2000
DWQ# 00-0625
Wake County
Fred L. Stancil
466 Stancil Road
Angier, NC, 27501
APPROVAL of 401 Water Quality Certification
Dear Mr. Stancil:
You have our approval, in accordance with the attached conditions, to place fill in 70 linear feet of streams to construct the
Kendall Hills Subdivision in Wake County, as you described in.your application received by the Division of Water Quality on
May 16, 2000, and in follow-up materials provided June 22, 2000. After reviewing your application, we have determined that
this fill is covered by General Water Quality Certification Number 3289 or 3287. This Certification allows you to use
Nationwide Permit Number 14 or 39 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.
Reference is made to a site visit conducted by Steve Mitchell of the DWQ Raleigh Regional Office on May 15, 2000. The
impact area approved within this Certification is not subject to the Neuse Buffer Rules. However, the forested buffer in the area
south of the Well #1 Common Area is subject to the Neuse Buffer Rules, and encroachment into this area is not approved within
this 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 for a new certification. If the property is sold, the new
owner must be given a copy of the 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). For this approval to be valid, you must follow the conditions listed in the attached
certification and the additional condition listed below.
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.
Sincerely,
ow I
Kerr T. Stevens
Non-Discharge Branch 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
RALEIGH REGIONAL OFFICE
June 22, 2000
T Lester Stancil
Stancil & Associates
P.O. Box 730
Angier, N.C. 27501
Subject: Neuse River Basin
Riparian Buffer Rules
Kendall Hill Subdivision
NBRRO 00-032/168
Wake County
Dear Mr. Stancil:
On May 15, 2000, I met with you at the subject property. An evaluation of the stream features were
performed to determine whether the site would require compliance with the Neuse Buffer Rule. This specific
project is referenced by the Raleigh Regional Office as NBRRO-00-032 and 168.
There is one feature represented on the Wake County Soils and the USGS Angier quad maps that
is questionable as to its origin. It was determined that this feature becomes subject to the Neuse
Buffer Rule at a point just below the Well # 1 Common Area. This point is delineated and the area
subject to the Neuse River Basin: Nutrient Sensitive Waters Management Strategy; Protection and
Maintenance of Existing Riparian Areas, Administrative Code T15A:02B.0233 (NCAC 0233) is shown.
This letter addresses only those issues involving the riparian area. For information relative to the Wetlands
401/404 issues, please contact that Unit at 919-733-1786. Thank you for your attention to this matter and
if this Office can be of any assistance or if you have additional questions, please do not hesitate to contact
me at 571-4700.
Sincerely,
Steve Mitchell
Environmental Scientist
cc: RRO/John Dorney
Wake County
nbrlet. for\00buf/kendall .16 8
r l p-
MAILING ADDRESS: 1828 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27898-1828
LOCATION: 8800 BARRETT DRIVE, SUITE 101, RALEIGH, NC 27809
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST-CONSUMER PAPER
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Kerr T. Stevens, Director LIF T • •
Bill Holman, Secretary
AdIftE
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
May 23, 2000
Wake County
DWQ Project No. 000625
Fred L. Stancil
466 Stancil Road
Angier, NC, 27501
Dear Mr. Stancil:
On May 16, 2000, the NC Division of Water Quality received your application for a 401 Water Quality
Certification for the Kendall Hill Subdivision in Wake County. Your application is not complete since you
have not provided details on any wetland, stream or Neuse Buffer impacts associated with Kendall Hill Road
and Shanna Hills Drive. Please include these impacts on the Pre-Construction Notification form and on a site
plan covering the entire property. If wetlands occur onsite, the surveyed wetland delineation line must be
included on the site plan. Also, Shanna Hills Drive is not perpendicular to the stream crossing. Shifting the
road to the south would make the alignment closer to perpendicular, thereby reducing any stream, wetland or
buffer impacts. We suggest that you discuss these and any other measures taken to avoid and minimize
impacts in your application.
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].
Sincerely,
Tome ' 'I
cc: Corps of Engineers Raleigh Field Office
Raleigh DWQ Regional Office
File Copy FILE COPY
Central Files
000625
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
Wetlands Tracking
Facility Name Fred Stancil Builders : Kendall Hills subdivision I County Wake
Project Number 00 0625 County2
0Inactive Region Raleigh
Project Type purpose of subdivision I DCM Office
Location Black Creek I COE Office Raleigh
Last Total Total Total Mit 401s Recvd Sent to Recvd Action 401 401 Totals Mit
Acres Feet Acres Feet
Recvd From Date Region Region Date Last Action
17,
APP 4/16/2000 i/18/2000 Hold 401
401
Total for Project:
Inspections/ Violations
Inspection Date Inspector Compliant Letter Type Date Sent Reply Date Current St
D00625
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE 1 N 831dN,
dnON9 SONVI13M
PRE-CONSTRUCTION NOTIFICATIONA.0CAPP
FOR NATIONWIDE PERMITS THAT REQUIRE:
W t
l) NOTIFICATION TO THE CORPS OF ENGINEERS 6' 2) APPLICATION FOR SECTION 401 CERTIFCATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT --
WETLANDS
TER UALITY'
SEND THE ORIGINAL. AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIA"
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES MUSS BE SENT TO THE NYC DIVISION OF WATER
OUALITY, AM: JOHN DORNEY, 4401 REM CREEK ROAD,
RALEIGH, NC Z70_7. PLEASE PRINT QR TYPE.
1. OWNER'S NAME: Fred L. Stancil
2. MAILING ADDRESS: 466 Starcil Rd., Angier, N.C. 27501
SUBDIVISIONNAME Kendall Hills
CITY: Willow Sing STATE: C. -- ZIP CODE: 7
PROJECT LOCATION ADDRESS. INCLUDING SUBDIVISION NAME (IF DIFFERENT FROIv4'.
MAILING ADDRESS ABOVE): on asr side of Old Stagg,, Road jest o b-.UL
N.C. Hwy. 42
I TELEPHONE NUMBER: (HOME) 639-2073 (WORK) 639-207
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Lester Stancilr P.L.S. _
P.O. Box 730, Angier N.C. 27501
639-2133 FAX [phone]
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Wake -NEARESTTOVVN:, Fug.s}ay-Vagi na
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
Located on east side of S R 1006 0].d Stage Rd.)and 0.5 mil south of
N.C. Hw 42 --
6. IMPACTED OR NEAREST STREAM/RIVER: Black Creek
--
RIVER BASIN: N e u s e
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER., (SA).
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURSEWATERS (ORW), WATER
SUPPLY (WS•i OR WS-11)7 YES ( ) NO ( ) IF YES. EXPLAIN: _--
7b IS THE PROJECT LOCATED WITION A NORTH CAROLINA DIVISION OF COASTAL
MANAGOAENT AREA OF'ENVIROMENTAL CONCERN (AEC)? YES ( ) NO ( x )
1C. IFTHI pROJECT IS COASTAL COUNTIES), WHAT S THE LAND USE PLAN (LUP) DESIGNATION? 7 F n / a T OF
Sp. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ( ) NO ( X) IF YES. PRovmE ACTION I.D. NUMBER OF PREVIOUS
PIERMI T AND ANY ADDITIONAL WFORMATION ( INCLUDE PHOTOCOPY OF 401
CERTIFICATION:
8b. ARE ADDITIONAL PERMIT REQUESTS EXITCTED FOR THIS PROPERTY IN THE
FUTURE? YSS t ) NO (X ) 7 YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBERS OP ACRES IN 'T'RACT OF LAND. 45.77 ac 9b. ESTUATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT' SrM:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
.2
FILI.iNG. EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
lob. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RaoCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION;
LENGTH BEFORE n/a FT AFTER: --_FT
WIDTH BEFORE (based on noMAJ high wactr contours):
FT
AVERAGE DF_PTH BEFORE: AFTER: -FT
(2) STREAM CHANNFY- IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: _ PLACPMENT OF P'IP'E IN CHANNEL: x
CHANNEL EXCAVATION: , COONSTRUCTION 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 F"ECTED
POND SURFACE AREA?
12. DISCTIPTIOt3 OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
- EQUIPM .AW TO 8E USED? (ATTACH PLANS: 8112 BY 11 DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK:, Subdivision roadway
14. STATE REASONS WHY IT IS
'tLAND IMPACTS IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIM= MUST
13
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHER SERIVEInGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LI ANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT ARi-A
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO ()( ) (IF NO, GO TO 16)
a. IF YES, DOES THE PROJECT REQUIRE PRE_P_ERATION OF AN ENVIRONMENTAL
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES( ) NO( )
b. IF YES, HAS THE DOCUMENT BEENAEFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STAT$ C AARINGIHOUSE YES ( ) NO
IF ANSWER 17b IS YES. THEN SUBMIT APPROPRIATE DOCUMENTATIO OM 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 ADMIMSTRATTON, 116 WEST ]ONES 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 IMPACM
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?
`"T

t IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Individual lot septic tank systems
g, SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WTLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
I ) 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

DATE

(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
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
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
May 10, 2000
000625
Fred L. Stancil
466 Stancil Road
Angier, NC 27501 a s,?`i" 6 Il: i
Dear Mr. Stancil WETLANDS
WATER LIALIT
On May 8, 2000, your application for a 404 Permit and 401 Water Quality
Certification for a project in Wale County was received by the Division of Water Quality.
Please note that beginning January 1, 1999, the N.C. General Assena"-passeA legislation
requiring payment of a fee for all applications. This fee amount o $200 for rojects
with less than an acre of wetland impact and less than 150 linear mpacted stream.
For projects with an acre or more wetland impact or 150 feet or more of impacted stream,
a fee of $475 is required. Your project is being returned to you since there was no fee
included. In order for DWQ to review and process your request, you must send a check
for the appropriate amount made payable to the N.C. Division of Water Quality. Also,
seven copies of all application materials are required for our review, whereas you sent
only one.
Please call Rob Ridings or Cyndi Bell at 919-733-1786 or visit our web site at
http://h2o.eiir.state. nc. us/ncwetlands if you have any questions.
cc: Central Files
()0
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$_ r<_4?
5.? IS., 6 0
?i03?d
Wetlands/401 Unit 4401 Reedy Creek Road Raleigh. North Carolina 27607
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
DWQupoo625
CORPS ACTION ID:
NATIONWIAE PERMIT REQUESTED (PROVIDE NA
PRE-CONSTRUCTION NOTIFICA'
FOR NATIONWIDE PERMITS THAT REQUIRE:

t) 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 N!Q DM ION OF WAFER
QUALITY, AM JOHN DOHM. 44plREM CREEK ROAD,
RALEIGH. NC 276___07. PLEASE PRINT QR TYPE.
1. OWNER'S NAME:
Fred L. Stancil
2. MAILING ADDRESS: 466 Stamil Rd., Angier, N.C. 27501
SUBDIVISIONNAME Kendall Hills
CITY: Willow Spring STATE: N. C. ZIPCODE: 275()2 __
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT ZROM'.
MAILING ADDRESS ABOVE): on East side of Old Staff, Road just soutb,u£
N.C. Hwy. 42
I TELEPHONE NUMBER: (HOME) 639-2073 (WORK) 639-2073_
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Lester Stancil, P.L.S.
P.O. Box-730, Angier N.C. 27501
639-2133 FAX [phone]
5. LOCATION OF WORK (PROVIDE AM", PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE): .
COUNTY: Wake -NEARESTTOWN: Etiquay-Varin
I/
i k I
SPECIFIC LOCATION (INCLUDE ROAD NUMMERS, LANDMARY?- EC'•)
Located on east side of S R 1006 (Old Stage Rd.)and 0.5 mil south of
N.C. Hw 42 --
Black Creek
6. IMPACTED OR NEAREST STREAMIRIVER.
RIVER BASIN: Neuse
72. IS PROJTrCT LOCATED NEAR WATER CLASSIFIEI??"AS TR[TT7ERS O W), WATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDIN(ZO? A N.
SUPPLY (WS-I OR WS-Up YES ( ) NO ( ) --
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF'ENVIROIENTAL CONCERN (AEC)? YES( ) NO (x )
7c. IF THS PROJECT IS LOCATED WCTEIIN A COASTAL COUNTY (SEEPAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? _11(a _
8a, HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT?
1
ERMIT AND ANY ADDITIONAL INFORMATION INCLUDE PHOTOCOPY OF 40 PREVIOUS
P
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( } NO (x ) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBERS OP ACRES IN TRACT OF LAND: 45.7 7
9b. ES'TIMA'TED TOTAL NUMBER OF ACRES OF WEIIANDS LOCA'TM ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT By.-
2
FD LING: EXCAVATION:
FLOODING: OTTER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
lob. (1) STREAM CHANNEL. TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER MOCATION,
LENGTH BEFORE n/a Fr AFTER: _FT
WIDTH BEFORE (based on normal high water contours): . FT
AVERAGE DEPTH BEFORE: AFTER: _FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF F'1p'E IN CHANNEL: X - -
CHANNEL EXCAVATION: _, COONSTRUCTION OF A DAMM.OODING:
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?
(i2. DISCTIPI ESN PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
LAUTPUENT TO BE USED? (ATTACH PLANS: 8112 BY I I DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK: Subdivisions roadway
14. SPATE REASONS WHY TT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MR4M= WETLAND IMPACTS)
?3
15. YOU ARE REQUIRED TO CONT THE US FISH AND WILDLIFE SERVICE AND/OR
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT ARC-A
WHICH MAY BE AFFECTED BY THE PROPOSED PROTECT. DATE CONTACTED
NATIONAL MARINE FISHER SERIVE CARDING THE PRESENCE OF AjdY FEDERALY
LISTED OR PROPOSED FOR LI ANGERED OR THREATENED SPECIES-OR- -°l
CRITICAL HABITAT IN THE PERMIT AREA THAT MAX BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: '
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (x) (IF NO, GQ TO 16)
a. IF YES, DO ,S THE_PROJECT REQUIR&TREPERATIO0 10F AN ENVIRONMENTAL
DOCUMEN''PURUANTtTO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL P6LICY ACT? YES ( ) NO ( )
b. IF YES, HAS THE DOCUMENT BEE W.?E.!D THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STAT CL1~ARINCHOUSE YES ( ) NO
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIO OM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POI: CY 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
ACTIV[TY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES,.4ND
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 I INCH EQUALS 50 l:'EET
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?

4
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Individual lot septic tank systems
g, SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WT_ LANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
Q 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
DATE
,Y
5
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).

(3
W??ALI?`?`'` '
DWQ ID: CORPS ACTION ID: WI NI
NATIONWIDE PERMIT REQUESTED (PROVIDE NA
PRE-CONSTRUCTION NOTIFICATlpNjA tCA
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 UST BE SENT TO THE NC DIVISION OF WATER
QUALITY, AlIN; JOHN DORNEY, 4401 REEDY CREEK R AD,
RALEIGH, NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: Fred L. Stancil
2. MAII.INGADDRESS:466 Stamil Rd., Angier, N.C. 27501
SUBDIVISION NAME Kendall Hills
CITY: Willow Spring, STATE: N. C. ZIP CODE: 27942
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): on East side of Old Staff, Road just souther
N.C. Hwy. 42
3. TELEPHONE NUMBER: (HOME) 639-2073 (WORK) 639-207 __
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Lester Stancil. P.L.S.
P.O. Box-730, Angier N.C. 27501
639-2133 FAX [phone]
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE): .
COUNTY: Wake -NEARESTTOWN: Etiquay-Vagina
. k 4
SPECIFIC LOCATION (INCLUDE ROAD NU11BERS, LANDMARKS, ECT.), --
Located on east side of S.R. 1006 Old Stage Rd. and 0.5 mil south of
N.C. Hw 42 --
Black Creek
6. IMPACTED OR NEAREST STREAM/RIVER.
RIVER BASIN: Neuse
73. IS PROJECT LOCATED NEAR WATER CLASSIFIM AS TRQUT. TIDAL SALTWA''L"-It., (SA),
HIGH QUALITY WATERS (HQW), O(TTSTANDIN(TRESOURWWATERS (ORW), WATER
SUPPLY (WS-I OR WS-In? YES ( ) NO ( ) ? ?. EXPLAIN:
--
7b. IS THE PROJECT LOCATED WITIM A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIROMENTAL CONCERN (AEC)? YES ( ) NO ( x )
1c. IF THE PROTECT IS LACATE ? LAND USE LAN (Ltn')COUNTY [G(SEEPAGE NATION7 7 FOR LIST OF
COASTAL COUNTIES), WHAT S
ga. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESCED FOR USE ON THIS
PROJECT? YES ( ) NO ( X) IF YES, PROVIDE ACTION I. D. NUMBER OF PREVIOUS
PBRty= AND ANY ADDITIONAL INFORMATION ( INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
gb. ARE ADDITIONAL PERMIT REQUESTS EXPEC'T'ED FOR THIS PROPERTY IN THE
FUTURE? YES ( > NO (X ) IF YES. DESCRIBE ANTICIPA'T'ED WORK: ?-
9a. ESTIMATED TOTAL NUMBERS OA ACRES IN TRACT OF LAND: 45.77
9b. ESTDAATED TOTAL NUMBER OF ACRES OF WE'MANDS LOCA'TM ON PROJECT SITE:
108. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
.2

Fa ISNG:
EXCAVATION:
OTHER
FLOODING.
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
.r.
10b. (1) STREAM CHANN& TO BE rMPACTED BY THE PROPOSED PROJECT (IF
MOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION;
LENGTH BEFORE.. n/a FT AFTER: -F1'
WIDTH BEFORE (based on nortnaJ high water contours): --FT
AVERA(3E DEPTH BEFORE: FT ASR: _FT
(2) STREAM CHANNEL IINPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF ?U"- IN CHANNEL: X -
CHANNEL EXCAVATION: - COONSTRUCTION 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 00ECTED
POND SURFACE AREA?
{ SCTIp'ROt 6F'YROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
?-- QE1iPMF.NT TO BE USED? (ATTACH PLANS: 8112 BY 1 I DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK: Subdivision roadway
24. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
weTLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IINPACTS)
3
1
15. YOU ARE REQUIRED TO CONT THE US FISH AND WILDLIFE SERVICE AND/OR
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT ARIA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
NATIONAL MARINE FISHER SERTVE CARDING THE PRESENCE OF ANY FEDE'RALY ,
LISTED OR PROPOSED FOR LI ANGERED OR THREATENED SPECIES'OR°"?""?CRITICAL HABITAT IN THE PERMIT AREA THAT MAX BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:
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, DO g&-THE PROJECT REQUIRETREPERATION'OF AN ENVIRONMENTAL
DOCUMENT-PURUANT O THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL:"PCY ACT? YES ( ) NO ( )
b. IF YES, HAS THE DOCUMENT BEEISEFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STAN ARINCHOUSE YES( ) NO (
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIO tlOM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE.
DIRECTED TO MS. CHRYS HAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 276034003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTTVITY 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 I 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? 14
,'I
4
L IP APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Individual lot septic tank systems
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: " WTLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
I) 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
DATE
11
I'll

(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
, I
DWQ ID.0 p 0 2 CORPS ACTION ID:
NATIONWINE PERMIT REQUESTED (PROVIDE NA
PRE-CONSTRUCTION NOTIFICA
FOR NATIONWIDE PERMITS THAT REQUIRE:
u
3)_ AYR I31d.
L ?.?.
t) 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 APPROPRIATI's
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN,
(7) COPIES MUST BE SENT TO THE N!Q DIVISION OF WATER
QUALITY, ATTN: JOHN DORNEY, 4401 REM CREEK ROAD,
RALEIGH, NC 27607. PLEASE PRINT OR T'YE .
1. OWNER'S NAME: Fred L. Stancil
2. MAII.INGADDRESS:466 Starril Rd., Angier, N.C. 27501
SUBDIVISION NAME Kendall Hills
CITY: Willow Spring STATE: N.C. ZIP CODE: ?7992
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): on East side of Old Stag,, Road jest so hof
N.C. Hwy. 42
I TELEPHONE NUMBER: (HOME) 639-2073 (WORK) 639-207
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Lester Stancil. P.L.S.
P.O. Box 730, Angier N.C. 27501
639-2133 FAX [phone]
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE): .
COUNTY: Wak
-NEARESTTOWN: FWgQ ay-Varina
II
SPECIFIC LOCATION (INCLUDE ROAD NUV32 S, LANDMARKS, ECTJ,'
Located on east side of S R 1006 (Old Stage Rd. )and 0.5 mil south of
N.C. Hw 42 --
Black Creek
6. IMPACTED OR NEAREST STREAMAUVER:
RIVER BASIN:
NPIIRP
7a. IS PROJECT LOCATED NEAR WATER CLASSIWAS TRQUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDIN(VRESOURP-WATERS (ORW), WATER
SUPPLY (WS-1 OR WS-I1)? M( ) NO ( '')--TNE9. EXK- --
7b. IS THE PROJECT LOCATED WnIIIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGPI 614T AREA OF ENVIROMENTAL CONCERN (AEC)? YES ( ) NO ( x )
7c. IF THE PROJECT IS LOCATED WITHIN USE ALAN COUNTY
DESIGNATION? N7 FOR a LIST OF
COASTAL COUNTIES), WHAT S HE LAND
ga, HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? PREVIOUS
AND ANY ADDMONAL INFORMATION INCLUDE PHOTOCOPY OF 401
P
CERTIFICATION):
gb, ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( } NO ( x ) IF YES. DESCRIBE ANTICIPA'T'ED WORK:
45.77 ac.
9a. ESTIMATED TOTAL NUMBERS OA ACRES IN TRACT OF LAND:
9b. ESTIIAA T'ED TOTAL NUMBER OF ACRES OF WETLANDS LOCATM ON PROJECT SITE:
IOa. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT By'.
.2
FILLING: EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE iMBACTED:
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED. PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE n/a FP AFTER: -FT
WIDTH BEFORE (based on normal high water contours): --Fr
AVERAGE DEPTH BEFORE: FT AFTER -FT
(2) STREAM CHANM IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION.- PLACEMENT OF PIPE IN CHANNEL: x - -
CHANNEL, EXCAVATION: _W COONSTRUCTION OF A DAMlFLOODING:
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 MMECTFD
POND SURFACE AREA?
/12. DISCTIPTI 6"ROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
?-- UJPMENT TO BE USED? (ATTACH PLANS: 8112 BY I I DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK: Subdivision roadway -
14. WSTATE REASONS WHY IT IS ETLANDS (INCLUDE ANY MEASURES TAKEN TO MINJU ZE S WETL.AND PACTS IN
II
1 h?
L?
15. YOU ARE REQUIRED TO CONTHE US FISH AND WILDLIFE SERVICE AND/OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAX BE AFFECTED BY THE PROPOSED
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT ARIA
WHICH MAY RE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
NATIONAL MARINE FISHER TVARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR OR THREATENED SPECIES'OR' -
PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO ()( ) (IF NO, GG TO 16)
a. IF YES, DO 3-M PROJECT REQUIR>i i PE T]0 OF AN ENVIRONMENTAL
DOCUMEN- PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAF: POLICY ACT? YES ( ) NO( )
b. IF YES, HAS THE DOCUMENT BEEI-?ftFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STA CHOUSE YES ( ) NO
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION, OM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLIICY ACT.
QUESTIONS REGARDING THE STATE CLEARINCHOUSE 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 IMPACM
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?
„
,'1r
`7

t IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Individual lot septic tank systems
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WT_ LANDS 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
S 7 7r>
DATE
1 I
5
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
ko
p00fi25
DWQ IDs CORPS ACTION ID
NATIONWIDE PERMIT REQUESTED (PROVIDE NA
PRE-CONSTRUCTION NOTIFI(
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TU THL CVKP5 UP CNULZ4=KJ
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 APPROPRIATIS.
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES MUST BE SENT TO THE NYC DIVISION OF WATER
QUA I'C'Y, ATT„ N: JOHN DQBMY, 440 REM CREEK ROAD,
RALEIGH, NO Z7607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: Fred L. Stancil
2. MAILING ADDRESS: 466 Stam-il Rd., Angier, N.C. 27501
SUBDIVISION NAME Kendall Hills
CITY: Willow S L i n pSTATE:_ N.C. ZIP CODE: 7
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM'.
MAILING ADDRESS ABOVE): on Fast side of-Old Staff, Road just south
N.C. Hwy. 42
3. TELEPHONE NUMBER: (HOME) 639-2073 (WORK) 639-207_ _
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Lester Stancil. P.L.S.
P.O. Box-730, Angier N.C. 27501
639-2133 FAX [phone]
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE): .
COUNTY: Wake -NEARESTTOWN: Enqua.y-Va in
` ?ti?
SPECIFIC LOCATION (INCLUDE ROAD NUbtBERS, LANDMARKS, ECT.)/
Located on east side of S.R. 1006 Old Stage Rd. and 0.5 mil south of
N.C. Hw 42 --
Black Creek
6. IMPACTED OR NEAREST STREAM/MP.R:
RIVER BASIN: Neuse
7a. IS PROJECT LOCATED NEAR WATER CLASSIF,1E1)"AS TROUT, TIDAL SALTWATER., AT(SA),
HIGH QUALITY WATERS (HQW), OUTSTANb1NC ?'YFS--
EXPLAIN:
SUPPLY (WS-1 OR WS-II)? YES ( ) NO ( )
7b. IS THE PROTECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIROMENTAL CONCERN (AEC)? YES ( ) NO ( x )
-
COASTAL COUNTIES), WHAT S THE LAND USE PLAN (LUP) DESIGNATION? 7 FOR aIS OF
Sa, HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ( ) NO ( X) IF YES, PROVIDE ACTION I.D, NUMBER OF PREVIOGS
PELMI T AND ANY ADDITIONAL INFORMATION (DMUDE PHOTOCOPY OF 401
CERTIFICATION):
Sb, ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( } NO (X ) IF YES. DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBERS OP ACRES IN TRACT OF LAND: 45.77
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT' SrM:
_ k
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROITCT BY:
.2
FILLING:
EXCAVATION:
FLOODING: OTTER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
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: --_FT
WIDTH BEFORE (based on normal high water contours): -.Fr
AVERAf3E DEPTH BEFORE: FT AFTER: _FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF P11 E IN CHANNEL: x - -
CHANNEL EXCAVATION: _, COONSTRUCTION OF A DAMIFLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SITE OF THE WATERSHED
n / a WHAT IS THE EXPECTED
DRAINING TO THE POND?
POND SURFACE AREA?
(t2. DISCTIP TI?6 "PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
?--E( UIPMENT'To 8E USED? (ATTACH PLANS: 8112 BY 11 DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK: Subdivision roadway_ .?._.._.
WETL ND AIPACTS)
14. WSTATE REASONS WHY IT IS ETLANDS (INCLUDE ANY MEASURES TAKEN TO MINTMtZE S IN
k4
?3
15. YOU ARE REQUIRED TO CONT TF US FISH AND WILDLIFE SERVICE AND/OR
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT ARCH
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
NATIONAL MARINE FISHER SERIVE CARDING THE PRESENCE OF A?IY FEDERALY
LISTED OR PROPOSED FOR LI ANGERED OR THREATENED SPECIES-OR- "" CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (?O (IF NO, GO TO 16)
a. IF YES, DO S-THE_PROJECT REQUI ' PERATIO IOF AN ENVIRONMENTAL
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL-POLICY ACT? YES ( ) NO ( )
b. IF YES, HAS THE DOCUMENT BEEIFTEWED THR?UGH THE NORTH CAROLDA
DEPARTMENT OF ADMINISTRATION STATi HOUSE YES ( ) NO
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION OM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POL CY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA vEPARTMENT OF ADMIMSTRATION, 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 SO 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?

`7
f
U IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Individual lot septic tank systems
g, SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WT LANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
lj_ 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 LET'T'ER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL

DATE
k I

(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
DWQ ID:
p o o s z 5 urlps
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NA
PRE-CONSTRUCTION NOTIFICATTPN?A tCA
FOR NATIONWIDE PERMITS THAT REQUIRE:

I) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTWCATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL, AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES MUST BE SENT TO THE C DIVISION OF WAXER
QUALITY, AM; JOHN DORNEY, 4401 REM CREEK ROAD,
RALEIGH, NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: Fred L. Stancil
2. MAILING ADDRESS: 466 Star-il Rd., Angier, N.C. 27501
SUBDIVISIONNAME Kendall Hills
CITY: Willow S p r i no STATE: N. C. ZIP CODE: 2 7 5 g?
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): on East side of Old app. Road jest so t of
N.C. Hwy. 42
I TELEPHONE NUMBER: (HOME) 639-2073 (WORK) 639-207 _
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Lester Stancil. P.L.S.
P.O. Box-730 Angier N.C. 27501
639-2133 FAX [phone]
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE): .
COUNTY: Wake -NEARESTTOWN: Etiquay-Vari_ a
,1?t
SPECIFIC LOCATION (INCLUDE ROAD NIAGERS, LANDMARY-4 ECT.)"` ---
Located on east side of S R 1006 (Old Stage Rd.)and 0.5 mil south of
N.C. Hw 42 --
6. IMPACTED OR NEAREST STREAMIRIVBR:
Black Creek
RIVER BASIN: N e u s e
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS-TROUT, TIDAL SALTWA'T'ER., (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDINQ: ESOURPVATERS (ORW), WATER
SUPPLY (WS-I OR WS-IM YU ( ) NO ( )` IY"YES. EXPLAIN: .-?
7b. IS THE PROJECT LOCATED WnIM A NORTH CAROLINA DIVISION OF COASTAL
MANA0,00 F. 4T AREA OF ENVIROIENTAL CONCERN (AEC)? YES( ) NO (X )
7 OF
7c. IF TKE PROJECT IS ?T TE ??N?D USE LAN (LUOP)U COUNTY (SEE 7 F n / a_
COASTAL COUNTIES),
ga, 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 ADDITIONAL WFORMATION ( INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
gb. ARE ADDI'I'TONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES( ) NO (X ) IF YES. DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBERS OA ACRES IN TRACT OF LAND: 45.77
9b. ES'T'IMATED TOTAL NUMBER OF ACUS OF WETLANDS LOCATED ON PROJECT SI E:
Ibe. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
2
FILLING. EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
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: -FT
WIDTH BMRE (based on no(tnal high water cootouts): -.FT
AVERAGE DEPTH BEFORE: _ Fr AFTER: _FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACPMENT OF PIP2 IN CHANNEL: x
CHANNEL EXCAVATION: ___.r COONSTRUCTION OF A DAMlFLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAIMNG TO THE POND? n/a WHAT IS THE EXPECTED
POND SURFACE AREA?
(i I2 DD SCTIPTIq•OFPRAPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
?-- ;UIPMPNT TO 8E USED? (ATTACH PLANS: 8112 BY 1 I DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK: Subdivision roadway
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMUM WETLAND IMPACTS) 1 }?

15. YOU ARE REQUIRED TO COREMANGERED FISH AND WILDLIFE SERVICE AND/OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER:
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT ARIA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
NATIONAL MARINE FISHER CARDING THE PRESENCE OF A?IY FEDERALY
LISTED OR PROPOSED FOR OR THREATENED SPECIES-OR-----
PROJECT. DATE CONTACTED:
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, DOfSSHE,PROJECT REQUl PE~vT]O %OF AN ENVIRONMENTAL
DOCUMENTPURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL P6LICY ACT? YES( ) NO(
)
b, IF YES, HAS THE DOCUMENT BEE FIEWED THRQUGH THE NORTH CAROLWA
DEPARTMENT OF ADMINISTRATION STA E N ,HOUSE YES( ) NO (
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIOI OM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POL CY ACT.
QUESTIONS REGARDING THE STATE CLEAMNCHOUSE 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 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?

`-

U IF APPLICABLE. WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Individual lot septic tank systems
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 LE'T'TER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
DATE
1 II
5
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION GETTER FROM
THE OWNER IS PROVIDED).

()00625_
DWQ ID: CORPS ACTION ID: WETLANDS
NATIONWIDE PERMIT REQUESTED (PROVIDE NA'
PRE-CONSTRUCTION NOTIFICA
FOR NATIONWIDE PERMITS THAT REQUIRE:
l) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION Opt CERTEFCA71ON
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 Mol BE SENT TO THE PVC DIVISION OF WATER
QUALITY, AT rN-, JOHN DORNEY, 4401 REEDY CREEK RQAD,
RALEIGH, NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: Fred L. Stancil
2. MAILING ADDRESS: 466 Stamil Rd., Angier, N.C. 27501
SUBDIVISIONNAME Kendall Hills
CITY: Willow Spring STATE: N. C. ZIP CODE: 27592
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): on East side of Old StagQ Road just south-.Qf
N.C. Hwy. 42
3. TELEPHONE NUMBER: (HOME) 639-2073 (WORK) 639-207!_
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Lester Stancil. P.L.S.
P.O. Box 730, Angier N.C. 27501 -
639-2133 FAX [phone]
5. LOCATION OF WORK (PROVIDE A MAP. PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE): .
COUNTY: Wake -NEARESTTOWN. Etigslay-Varina_
y
SPECIFIC LOCATION (INCLUDE ROAD NUIGERS, LANDMARKS, EC'T•)
Located on east side of S R 1006 (0]d Stage Rd.)and 0.5 mil south of
17 TT_ ___ /. 7
6. IMPACTED OR NEAREST STREAM/MP.R: Black Creek
RIVERBASIN• Neuse
7a. IS PROJECT LOCATED NEAR WATER CLASSIMED"AS- TROUT. TIDAL SALTWAT R., (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDINk ESOURp-WATERS (ORW), WATER
SUPPLY (WS-1 OR WS-IT)? YES ( ) NO ( )--YES. EXPLAIN: ---
7b. IS THE PROJECT LOCATED WI TM A NORTH CAROLINA DIVISION OF COASTAL
MANAGeAFlqT 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 TH.E LAND USE PLAN (LUP) DESIGNATION? n / a _
Sa. 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):
S b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( ) NO (x ) IF YES. DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBERS OP ACRES IN TRACT OF LAND: 45.77 ac.
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY TIE PROPOSED PROJECT BY-
2
FILLING. EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED: -
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION;
LENGTH BEFORE: n / a FP 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 PM IN CHANNEL- x
CHANNEL EXCAVATION: _, COONSTRUCTION OF A DAM/FI.0013ING: ?.
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?
12 CTI7nW,0F PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
(! QEUjPMENT TO BE USED? (ATTACH FLANS: 8112 BY 1 I DRAWINGS ONLY)
13. PURPOSE OF PROPOSED WORK:, Subdivision roadway
24. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMt2 3 WETLAND IMPACTS)
1.3
15. YOU ARE REQUIRED TO CONT US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHER SERIVE CARDING THE PRESENCE OF ANY FEDE'RALY
LISTED OR PROPOSED FOR LI ANGERED OR THREATENED SPECIES'OR°
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT ARC-A
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
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, DOEAS-THE_PROJECT REQUIRSTREPERATIONIOF AN ENVIRONMENTAL
DOCUMEN'? PURUANT,,.TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL-POLICY ACT? YES ( ) NO( )
b. IF YES, HAS THE DOCUMENT BEE FIEWED THROUGH THE NORTH CAROLDA
DEPARTMENT OF ADMINISTRATION S A ARINIHOUSE YES ( ) NO
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIO OM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POL CY ACT.
QUESTIONS REGARDING THE STATE CLEARINCHOUSE 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
ACTIVrrY 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 PROPERre
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 I:TET
OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OP 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?
„
`-
U IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Individual lot septic tank systems
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) EITHMR 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
DATE
I ,
5
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
MAY.3112000 10:21 9198765823 USACE RAL AEG #1672 P.001/030

U.S. Army Corp:
Raleigh Regulates
6508 Falls of the
Suite 1
Raleigh, North. C,
Phone: (919)
Fax: (919) 8
FAX
Date:
Message to:
From:
Total number of pages
if all pages are not rep
Remarks:
?5 LAA
(G
PO&
uls?vac?- l t Pt
4k4.,?,? C-, j , -- ? pq?
of Engineers
? Field Office
leuse Road
&a27615
6-8441
SHEET
ng cover page:
please call 876-8441. X 9

MAY.31'2000 10:21 9198765823
USACE RAL REG
PRE-DISCHARGE
TO: National Marine Fisheries Serv e
Rivers Island, NC FAX [phone]-- 796
US Fish & Wildlife Service
Raleigh, NC FAX [phone]
State Historic Preservation Of ce
Raleigh, NC FAX [phone]
NC Division of Water Quality
Raleigh, NC FAX [phone]
NC Wildlife Resources Commissi
Creedmoor, NC FAX [phone]
PCN
1. ACTION ID: 200021069
2. APPLICANT: Freddie Stancil (St ail Builders)
3. DATE OF TRANSMITTAL: 5/30/00
#1672 P.002/030
4. RESPONSE DEADLINE(5 days from tr nsmittal): 6/9/00
5. COMMENT DEADLINE(10 days from re ponse deadline): 6/19/00
6. SEND COMMENTS TO: RALEIGH REGULA ORY FIELD OFFICE
RALEIGH, NC
ATTN: Todd Tu ell
FAX: [phone]
We are also forwarding the attached PCN to the Fish and Wildlife
Service and the National Marine Fis eries Service for review and
comment concerning any likely affec to any threatened or
endangered species or their critica habitat within those
agencies' jurisdiction.
T

MAY.31'2000 10:21 9198765823 USACE RAL REG #1672 P.003/030

DEM ID: CORPS ACTION ID:j
NATIONWIDE PERMIT REQUESTED (PROVIDE
PRE-CONSTRUCTION NOTIFI
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINZIU
Z) APPLICATION FOR SECTION 401 CSRTIFICA
3) COORDINATION WITH THE NC DIVISION OF
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLET
FIELD OFFICH OF THE CORPS OF ENGINEERS (SEE Air
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION
(SEE AGENOY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: /'%,r
MAILING ADDRESS:

SUBDIVI
CITY: Pt na,-r STATE: NC_
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISI
MAILING ADDRESS ABOVE) : ?rs X Iog_ .,
_ V,"Aal,l k4, U S. 4&v %50-- (Sem-
3. TELEPHONE NUMBER (HOME)(V) LiLo aLr I
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE
PHONE NUMBER:
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY
MAP OR AERIAL. PHOTOGRAPHY WITH SCALE):
)LINTY : Wt? _ NEAREST T
200OZ.10(PS RECEIVED
MAY 732000
S PERMIT M):
R6,2 o Y W
ON APPLICATION
XTAL MANAGBMSIm
FORM TO THE APPROPRIATE
:.L ,wvAESSES SHEET). SEVEN
' ENVIRONMENTAL MANAGEMENT
.% Is
NAME :
ZIP CODE:
NAME (IF DIFFERENT FROM
WORK) : _??'t14, Co34 ` X073
RPORATS OFFICIAL, ADDRESS,
COPY OF USGS,TOPOGRAPHIC
OR CITY; 0, t6w ? "jl
MAY.31'2000 10:21 9198765823 USAGE RAL REG #1672 P.004/030
y/ SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, ]MARKS, ETC.):
S ?- looF ?n?d S-l
..'? 1+ jrt?m
6. IMPACTED OR NEAREST STREAM/RIVER: r,
RIVER BASIN:
7a. IS PRWECT LOCATED NEAR WATER CLASS
(SA), HIGH QUALITY WATERS (HOW), OUTSTA
WATER SUPPLY (WS-I OR WS-II)? YES [ )
M
4L
AS TROUT, TIDAL SALTWATER
SOURCE WATERS (ORW),
j IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN
7c. IF THE PROJECT IS LOCATED WITHIN ft
LIST OF COASTAL COUNTIES), WHAT IS THE LA
DESIGNATION?
8a. HAVE ANy SECTION 404 PERMITS , BEEN
THIS PROPERTY? YES [ I NO IF
OF PREVIOUS PERMIT AND ANY ADDI TONAL
OF 401 CERTIFICATION) :
8b. ARE ADDITIONAL PE IT REQUESTS EX
FUTURE? YES ( ) NO IF YES, DESC
ROLYNA DIVISION OF OASTAL
C) ? YES [ NO T'
_ _:7:'Y (SEE PACE 7 FOR
USE PLAN (LUP)
OUSLY REQUESTED FOR USE ON
PROVIDE ACTION I.A. NUMBER
ATION (INCLUDE PHOTOCOPY
D FOR THIS PROPERTY IN THE
ANTICIPATED WORK: ?-
?O t
9a. ESTIMATED TOTAL, NUMBER OF ACRES xN +CT OF LAND:
i
MAY.31'2000 10:22 9198765823 USACE RAL REG #1672 P.005/030

T
9b. ESTIMATED TOTAL NUMBER OF ACRES OF- TLANDS LOCATED ON PROJEC
SITE: Jt
10a. NUMBER OF ACRES OF WETLANDS IMPACT BY THE PROPOSED PROJECT BY!
FILLING: 6300 EXCAVAT ON:
0.
FLOODING: OTHER:
DRAINAGE: TOTAL A RES TO BE IMPACTED:
Job. (1) STREAM CHANNEL TO BE IMPACTED Y THE PROPOSED PROJECT (IF
BOTH BEFORE
RELOCATED, PROVIDE DX$TANCE AFTER RELOCATION) :
n
LENGTH BEFORE: FT AFTER: _ FT
WIDTH BEFORE (based on normal high water contours): FT
WIDTH AFTER:
AVERAGE DEPTH BEFORE: AFTER: FT,
(2) W (CHECK ALL THAT
APPLY)
OPEN CHANNEL RELOCATION: P EMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUC ION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOS T IS THE SIZE OF THE
?-
WATERSHED DRAINING TO THE POND? f

WHAT IS THE EXPSCTED••POND SURFACE AREA? , r n
12. DESCRIPTION OF PROPOSED WORK INCLUD G DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH LANE: 8 1/2" X 11" DRAWINGS
ONLY) :

GaVel'?O/ R K ? i vA LL
?? C..OiLjT/ Oc?d
Gro S d ar A r ? • S ? " d'l.?c- o.. ? cea? '?

i
MAY.31'2000 10:22 9198765823

13. PURPOSE OF PROPOSED WORK:
ro oOC a..R S-d A
USACE RAL REG
#1672 P.006/030
.?'CA4r
14. STATE REASONS WHY IT IS BELIEVED THAT fS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. (INCLUDE ANY MEAS S TAKEN TO MINIMIZE
WETLAND IMPACTS):
vu t i C .4L-4- o AL Q c1.a[l ca V ca f . 04t..,
t t.'L

15. YOU ARE REQUIRED TO CONTACT THE U.S. Vl" rwn WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SE ICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF I .9y FEDERALLY LISTED OR
PROPOSED FOR LISTING ENDANGERED OR THREAT SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFE ED BY THE PROPOSED
PROJECT. DATE
CONTACTED: '?- (ATTACH
RESPONSES FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE STORIC PRESERVATION
OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) EGARDING THE PRESENCE OF
HISTORIC PROPERTIES IN THE PERMIT AREA WHI MAY BE AFFECTED BY THE
PROPOSED PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE
USE OF PUBLIC (STATE) LAND?
}
YES [) NO (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE P PARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQU MENTS OF THE NORTH
CAROLINA ENVIRONMENTAL POLICY ACT?
YES (] NO H
..a/ I
MAY.31'2000 10:22 9198765823
b. IF YES, HAS THE DOCUMENT BEEN
CAROLINA DEPARTMENT OF ADMINISTRATION
YES [] NO [)
IF ANSWER TO 17b IS YES, THEN SUBMIT A
THE STATE CLEARINGHOUSE TO DIVISION OF
REGARDING COMPLIANCE WITH THE NORTH CA
QUESTIONS REGARDING THE STATE CLEARINGHO
DIRECTED TO MS. CHRIS BAGGETT, DIRECTOR
CAROLINA DEPARTMENT OF ADMINISTRATION, 1
NORTH CAROLINA 27603-8003, TELEPHONE (91
18.%* THE FOLLOWING ITEMS SHOULD BE INCLU
PROPOSED ACTIVITY INVOLVES THE DISCHARGE
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING
AND PONDS ON THE PROPERTY (FOR HATIO!
21, 26, 29, AND 38). ALL STREAMS (INTER!
PROPERTY KR@Z BE SHOWN ON THE MAP: MAP I
50 FEET OR 1 INCH EQUALS 100 FEET OR THE:
#1672 P.007/030
1 ?
USACE RAL
WFID THROUGH THE NORTH
CLEARINGHOUSE?
ATE DOCUMENTATION FROM
NMF.NTAL MANAGEMENT
ENVIRONMENTAL POLICY ACT.
REVIEW PROCESS SHOULD BE
TE CLEARINGHOUSE, NORTH
WEST JONES STREET, RALEIGH,
733-6369.
WITH THIS APPLICATION IF
EXCAVATED OR FILL MATERIAL
LL WETLANDS, STREAMS, LAKES
IDE PERMIT NUMBERS 14, 18,
TTENT AND PERMANENT) ON THE
ALES SHOULD BE 1 INCH EQUALS
EQUIVALENT. ?-?
b. IF AVAILABLE, REPRESENTATIVE PH OGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
n T4 T4T.T%=ATTAN Wx-R PRRVnvm" .--"-^ -TANT. INC AMM AT.T.
DATA
SHEETS
d.
@.
RELEVANT'TO THE PLACEMENT OF THE
ATTACH A COPY OF THE STORMWAT$R
WHAT IS LAND USE OF SURROUNDING
? LY '+rr?r J
LINEATION LINE.
4ANACEMENT PLAN IF REQUIRED.
PROPERTY?,
t-1

f. IF APPLICABLE, WHAT IS PROPOSED
rj Att. +W.?L ETHOD OF SEWAGE DISPOSAL?

MAY.31'2000 10:23 9198765823
/
USACE RAL AEG
#1672 P.008/030
g. SIGNED AND DATED AGENT AUTHORIZATIlN LETTER, IF APPLICABLE.
NOTE: WETLANDS-OR `PATERS OF THE V.S. Mi
TO:
1) XSSIIANCE OF A SECTION 404 CORPS
2) EITHER THE ISSUANCE OR WAIVER OF
ENVIRONMEPI'pAL MANAGEM$NT (WATER QUALITY)
3) (IN = TWENTY COASTAL COONT.TES
NORTH CAROLINA DIVISION OF COASTAL MANAC-
PROPOSED ACTIVITY IS CONSISTENT WITH THE
MANAGEMENT PROGRAM.
Ste'
OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM.
THE OWNER IS PROVIDED (18g.))
0
I

' NOT EE IMPACTED PRIOR
?F ENGINEERS PERMIT,
A 401 DIVISION"OF
CERTIFICATION, AND
NLY), A LETTER FROM THE
MENT STATING THE
NORTH CAROLINA COASTAL
r!I b ?o ci
DATE

MAY.31'2000 10:23 9198765823
1liliow
Sgrlbp NC dR
a
STM
a 4
lJoar ss? ,uht:,t;nu:
WOM of -Y per 1Vaurryad Ammar
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IS 414 ,Slgofria Tnmafarmor Sq. FL
61p,rr iforth Amarioem Datum of ln07
UD 60 MWO AAtaribee Datum of 1067
W.G.N. North Caroline oaadeaa surrey
lam,
lydn Stakes mot at oil proporfj oornow
val#6a DOW othereiw.
Arose delafmmed by daorddlata moihod.
All dirtanovo/4110"O- aro ROPI atal
mound dlstenow ua/ou olharetmo indicated.
Numtwv to ( ) aw mhvot addnrrw.
on LIA Video of ail 1 ottm b
routb 41 =11 a
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nee eltem nom
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USACE RAL REG
I !'I ?

1 I' ?
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Wake Couatr CorUfloetloo wrl
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NerJow o7loor of wake Coua(r, earthy that Ude plat
onatw a rubdlt0ake oub/aei to and in aocol d with the A -
Aakq County Subdlddon Ord/nanea, and that it meets all 8 -
mhevtorr too/ for reverd/no(? 1, alw, eorth)r
that coplma o/ all nerommarJ approwlr of other State end C -
,(y D
lwal •`0001#6 haetma Jurlad/ctlsa owr Lb* roadf, urlpUOr,
kt F -
01
and ot8Or /mprovomentm haw boom eubm/tted to me and amom V
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Recorded in Wake County Book of Maps 2000, Page

1,19 ' I
#1672 P.009/030
POND
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ONARM D)STANCN
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MAY.31'2000 10:23 9198765823 USACE RAL AEG #1672 P.010/030
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REFERENCE:
DEED ROOK 4955, PAGE 110
BOOK OF MAPS 197e, PAGE 388
Wetlands boundary For
Kendall Hill Subdivision
svr•ey For., STANCIL & ASSOCIATES,
James D. Woolard, et al Registered land Surveyor, P.A.
3005 John Ademe Road, Willow Springs, NC 27592 (919) 562 16 00 Kart Depot Strcct, P. 0. Box 790, Antler, N.C. 87501
Phone: [phone] Fix: 919-609-,2502
TOWNSHIP: PANTNP.R BRANCA COUNTY., 1IAK1i DATE: 06-00-00 SURPEYSD BY. ?AC Fr= AMC
0 STA7E: NORM CAROLINA SCALE: l " + 100' DRAWN BY: JMT DRAWING 11-6 N
ZONE: R-30 PAM5L NUMBER. 0090.01-E5-4472 C7MCKED dt C1-0SURE BY, 6, 1.1IP11-1.997-1
h
jgo{t.. .
MAY.31'2000 10:24 9198765823
USACE RAL REG
PRE-DISCHARGE NOJIFICATION
TO: National Marine Fisheries Servi e
Pivers Island, NC EAx (919)72 8796
US Fish & Wildlife Service
Raleigh, NC FAX [phone]
State Historic Preservation Off}ce
Raleigh, NC FAX (919)77#8653
NC Division of Water. Quality
Raleigh, NC FAX [phone]
NC Wildlife Resources Commissi
Creedmoor, NC FAX [phone]
1. ACTION ID: 200020050 6 2000210
2. APPLICANT: Town of Louxabuzg
3. DATE OF TRANSMITTAL: 5/30100
#1672 P.011/030
4. RESPONSE DEADLINE(5 days from tr smittal): 6/9/00
5. COMMENT DEADLINE(10 days from re on-se deadline): 6/19/00
6. SEND COMMENTS TO: RALEIGH REGULA RY FIELD OFFICE
RALEIGH, NC
ATTN: Todd Tu 11
FAX: [phone]
We are also forwarding the attached CN to the Fish and Wildlife
Service and the National Marine Fis ries Service for review and
comment concerning any likely affec to any threatened or
endangered species or their critica habitat within those
agencies' jurisdiction.
MAY.31'2000 10:29 9198765823 USACE RAL REG
DEM ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE I
PRIE-CONSTRUCTION N
FOR NATIONWIDE PERMITS THAT REQUIRE
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATIO1'
3) COORDINATION WITH THE NC DIVISION OF Cu
SEND THE ORIGINAL AND (1) COPY OF THIS COX
FIELD OFFICE OF THE CORPS OF ENGINEERS (SK
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS' NAME: Town of Louisburg
2. MAILING ADDRESS l to West Nash Street
SUBDIVISION
#1672 P.012/030
#): 12 & 25
,A?.TION APPLICATION
i i AL MANAGEMENT
. ETED FORM TO THE APPROPRIATE
AGENCY ADDRESSES SHEET). SEVEN
- ENVIRONMENTAL MANAGEMENT
CITY Louisburg STATE: NC
PROJECT LOCATION ADDRESS, INCLUDING SUBDI.?
MAILING ADDRESS ABOVE):
ZIP CODE: 27549-2526
NAME (IF DIFFERENT FROM
3.
4.
TELEPHONE NUMBER (HOME): -
IF APPLICABLE: AGENT'S NAME OR
PHONE NUMBER,
C.L.
110 West Nab Street
NC 27549-2526 (91
5. LOCATION OF WORK (PROVIDE A MAP, PREF R
MAP OR AERIAL PHOTOGRAPHY WITH SCAL ):
COUNTY: Franklin NEAREST (
WORK; 919 496-3406
CORPORATE OFFICIAL, ADDRESS,
Y A COPY OF USGS TOPOGRAPHIC
OR CITY: Louisburg
MAY.31'2000 10:24 9198765823 USACE RAL REG #1672 P.013/030
S ECIFIC LOCATION {INCLUDE ROAD
NUMBERS, LANDMARKS, ETC.:
6.
PERMIT 25 is on Highway 401 where it crosses the Jar River.
PERMIT 12 runs across counhy and crosses Hi hwa 56.
IMPACTED OR NEAREST STREAM/RIVER:
RIVER BASIN: TAR RIVER _
7a. IS PROJECT LOCATED NEAR WATER CLA&
(SA), HIGH QUALITY WATERS (HQW), OUTSTAND
SUPPLY (WS-I OR WS-II? YES I I NO I x
7b. IS THE PROJECT AREA LOCATED WITH A 1\
MANAGEMENT AREA OF ENVIRONMENTAL COT`
7c. IF THE PROJECT IS LOCATED WITHIN A COA
LIST OF COASTAL COUNTIES), WHAT IS THE LAND
N/A
8a. HAVE ANY SECTION 404 PERMITS BE
THIS PROPERTY? YES I NO x
PREVIOUS PERMIT AND ANY ADDITIONAL INF
CERTIFICATION:
8b. ARE ADDITIONAL PERMIT REQUESTS EXPE
FUTURE? YES I NO I x I IF
ED FOR THIS PROPERTY IN THE
;S, DESCRIBE ANTICIPATED WORD:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN
9b. ESTIMATED TOTAL NU1 OER OF ACRES OF
Parfait 2S 0.252 acres. Permanent Imoaet 0.108 I
12 Fox Swamv Creek, Permit 25 Tar River
D AS TROUT, TIDAL SALTWATER
RESOURCE WATERS (ORW), WATER
IF YES, EXPLAIN:
'H CAROLINA DIVISION Of COASTAL
' " x rl? YES 1 I NO X
AL COUNTY (SEE PAGE 7 FOR
;E PLAN (LUP) DESIGNATION?
RE OUSLY REQUESTED FOR USE ON
T Y S, PROVIDE ACTION I.D. NUMBER OF
l . TION (INCLUDE PHOTOCOPY OF 401
CT OF LAND: 4.8 ACRES
120.721
LOCATED ON PROJECT SITE:
2
MAY.31'2000 10:25 9198765823 USACE RAL REG #1672 P.014/030
10a. NUMBER OF ACRES OF WETLANDS IlVIPACTEI
FILLING: 0.97 acres EX(
FLOODING N/A OTI
DRAINAGE N/A TO I
10b. (1) STREAM CHANNEL TO BE IMPACTED B-
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AN
LENGTH BEFORE: 0 FT
WIDTH BEFORE (based on normal high water coutou
WIDTH AFTER:
AVERAGE DEPTH BEFORE FT
(2) STREAM CHANNEL IMPACTS WILL RES'
OPEN CHANNEL RELOCATION: PLACED
CHANNEL EXCAVATION: CONSTI
OTHER:
BY THE PROJECT BY:
(VATION: 0.97 acres
N/A
W ACRES TO BE IMPACTED. 0.97 acres
THE PROPOSED PROJECT (IF
AFTER RELOCATION:
AFTER: 0 FT
FT
FT
AFTER: FT
.T FROM: (CHECK ALL THAT APPLY)
NT OF PIPE IN CHANNEL:
CTION OF A DAM/FLOODING:
11. IF CONSTRUCTION OF A POND IS PROPOSED, tAT 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 INCLUDIN
MECHANICAL EQUIPMENT TO BE USED (ATTACH PL
ONLY): Permit 25 will have some wetland forest cleared DISCUSSION OF TYPE OF
S: 8 1/2" X 11" DRAWINGS
n excavator wi.l.l di the footings and set the
2!2e on the piers. Permit 12 will have excavators clear trcuc bed and backfill the nine- Dum trucks will
supply the beddiri materials.

13. PURPOSE OF PROPOSED WORK: PERMIT ZS s to eliminate a 23 ear old um station that
is in oor condition. This tun station will be replaced with avi sewer that is supported on piers.
PERMIT 12 is to replace 4000' of 12" terracotta clay sewer th, si ficant inflow & infiltration roblems.

3
MAY.31'2000 10:25 9198765823 USAGE RAL REG #1672 P.015/030
14 STATE REASONS WHY IT IS BELIEVED THAT T
OUT IN WETLANDS. INCLUDE ANY MEASURES TAK
IMPACTS): PERMIT 25: The onl path that will accomrr
This sewer has been designed at the toe of the slope to US 40
1.2: WE
wetland
ACTIVITY MUST BE CARRIED
TO MINIMIZE WETLAND
to gravity flow is adjacent to tho wetland.
minimize wetland impacts.
he new sewer farther from the creek to
sewer and have
15. YOU ARE REQUIRED TO CONTACT THE T.T Q. F
(USFWS) AND/OR NATIONAL MARINE FISHERIES SE
ADDRESSES SHEET) REGARDING THE PRESENCE O]
PROPOSED FOR LISTING ENDANGERED OR THREAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY
CONTACTED: Owen Anderson
FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STAT
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARD
PROPERTIES IN THE PERMIT AREA WHICH MAY BE
PROJECT. DATE CONTACTED: November 2 1999,
17. DOES THE PROJECT INVOLVE AN EXPENDM
PUBLIC (STATE) LAND?
YES I x I NO I IF NO,
a. IF YES, DOES THE PROJECT REQUIRE F
DOCUMENT PURSUANT TO THE REQUIREMENTS 0
ENVIRONMENTAL POLICY ACT
YES I I NO I x
b. IF YES, HAS THE DOCUMENT BEEN RE
DEPARTMENT OF ADMINISTRATION STATE CLEARJ
YES I NO I X I
IF ANSWER TO 17b IS YES, THEN SUB 7 APPROPRI
CLEARINGHOUSE TO DIVISION OF NVJRONMENT
COMPLIANCE WITH THE NORTH AROLINA ENVIR
QUESTIONS REGARDING THE STATE CLEARINGHO
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR ST
DEPARTMENT OF ADMINISTRATION, 116 WEST JO
27603-8003, TELEPHONE [phone].
u ANTI WILDLIFE SERVICE
jc E (NMFS) (SEE AGENCY
#NY FEDERALLY LISTED OR
[DIED SPECIES OR CRITICAL HABITAT
HE PROPOSED PROJECT. DATE
(ATTACH RESPONSES
HISTORIC PRESERVATION OFFICER
'G THE PRESENCE OF HISTORIC
FFECTED BY THE PROPOSED
OF PUBLIC FUNDS OR THE USE OF
TO 1.8)
?ARATION OF AN ENVIRONMENTAL
3E NORTH CAROLINA
THROUGH THE NORTH CAROLINA
TE DOCUMENTATION FROM THE STATE
MANAGEMENT REGARDING
MENTAL POLICY ACT.
SE REVIEW PROCESS SHOULD BE
CLEARINGHOUSE, NORTH CAROLINA
S STREET, RALEIGH, NORTH CAROLINA
4
MAY.31'2000 10:25 9198765823 USACE RAL REG
18. THE FOLLOWING ITEMS SHOULD BE INCA
PROPOSED ACTIVITY INVOLVES THE DISCHARGE or
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWIN
AND PONDS ON THE PROPERTY (I;OR NATIONWIDE
29, AND 38). ALL STREAMS (INTERMITTENT AND PE
MUST BE SHOWN ON THE MAP. MAP SCALES SHOU
I INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOi
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY
SHEETS RELEVANT TO THE PLACEMENT OF THE DE
d. ATTACH A COPY OF THE STORMWATE]
C. WHAT IS LAND USE OF SURROUNDING
nFRMTT 2S T.q AT)TArF.NT TO COMMERCIAL REAL W
PERMIT 12 IS ADJOINED BY
THE OTHER SIDE.
f IF APPLICABLE, WHAT IS PROPOSED ME[Hl
THE PROPOSED METHOD OF SEWAGE DISPOSAL 1S b
OF SEWAGE DISPOSAL?
v i 1Y SEWER.
TO LOUISBURG'S WASTEWATER TREATMENT PL.
g. SIGNED AND DATED AGENT AUTHORL
NOTE: WETLANDS OR WATERS OF THE U.S. M
1) ISSUANCE OF EITHER A SECTION 404 C
2) EITHER THE ISSUANCE OR WAIVER OF
ENVIRONMENTAL MANAGEMENT (WATER QUALIT
3) (IN TIME TWENTY COASTAL COUNTIES
NORTH CAROLINA DIVISION OF COASTAL MANAGI
ACTIVITY IS CONSISTENT WITH THE NORTH CAROI
PROGRAM.
OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY IF
AUTHORIZATION LETTER FROM THE
OWNER IS PROVIDED (ISg.))
5
#1672 P.016/030
-71S APPLICATION IF
VATED OR PILL MATERIAL
?LL WETLANDS, STREAMS, LAKES
M UT NUMBERS 14,18, 21, 26,
ANENT ON THE PROPERTY
BE 1 INCH EQUALS 50 FEET OR
OF WETLANDS TO BE
fSULTANT, INCLUDE ALL DATA
TION LINE.
AGEMENT PLAN IF REQUIRED
)E AND UNDEVELOPED LAT
TION, IF APPLICABLE.
(NOT BE IMPACTED PRIOR TO:
ZPS OF ENGINEERS PERMIT,
401 DIVISION OF
CERTIFICATION, AND
1LY), A LETTER FROM THE
ENT STATING THE PROPOSED
4A COASTAL MANAGEMENT
? 1,4, "ow
DATE
rr
MAY.31'2000 10:26 9198765823 USAGE RAL AEG #1672 P.017/030

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MAY.31'2000 10:28 9198765823 USACE RAL REG #1672 P.022/030
PRE-DISCHARGE N IFICATION PC
TO: National Marine Fisheries Servi e
Pivers Island, NC Fax [phone]
US Fish & Wildlife service
Raleigh, NC FAX [phone]
State Historic Preservation Of ce
Raleigh, NC FAX ,=--.
NC Division of Water Quality
Raleigh, NC FAX [phone]
NC Wildlife Resources Commissi
Creedmoor, NC FAX (919))1a-9839
1. ACTION ID: 200021076 A 2000]11
2. APPLICANT: County of Frankl3. DATE OF TRANSMITTAL: 513010.0
4. RESPONSE DEADLXNE(5 days from smittal): 6/9/00
5. COMMENT DEADLINE(10 days from onse deadline): 6/19/00
6. SEND COMMEN'T'S TO: RALEIGH REGRY FIELD OFFICE
RALEIGH, NC
ATTN: Todd FAX: (919) 6 I o-.*
WE are also forwarding the attached CN to the Fish and Wildlife
Service and the National Marine Fis ries Service for review and
comment concerning any likely affec to any threatened or
endangered species or their critica habitat within those
agencies' jurisdiction.
MAY.31'2000 10:28 9198765823 USACE RAL REG
PUBLIC WATER SUPPLY SEC'T'ION (Review 5/93) I
DEM ID: At
Nationwide Permit Requested (Provide Nationwide Permit#):
JOINT FORM
Nationwide permits that require
Nationwide permits that require a
RALEIGH REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
6508 FALLS OF THE NEUSE ROAD
SUITE 120
Raleigh, NC 27615
ATTN.: Mr. Todd Tugwelf
Telephone [phone]
#1672 P.023/030
TD: WCOZ-\ 0 -1 G tZ200ZA077
n to the Corps of Engineers
for Section 401 Certification.
NC D ARTMENT OF ENVIRONMENT AND
NA L RESOURCES
DIVI N OF WATER QUALITY
WET NDS \ 401 UNIT
1G21 11 Serviec Center
RAL H, NC 27699.1621
A MR. JOHN DORNEY
TF,'' "T " '019) 733-1786
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SE
COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONME
PLEASE PRINT.
1. Owners Nnme: COUNTYOFFRAN"JN TO THE CORPS OF ENGINEERS. SEVEN (7)
L MANAGEMENT.
2. Owner% Address: Franklin Cesm* AlminlOrfidVe BttllAJrtj.113 Marled &fed,
3. Owners Phone Number (Home):
4. If Applicable: Agent's Name or responsible corporate official, address, p
HOBBS, UPCNURCII and ASSOCIATES. P.A. bkarrg, KC 275!9
(Work) (919J 496.5994
e natty or:
W,cWBROADSTREET
SOUTHERN PINES, NC 28387 ATTN.: Mr. Ckarfes McGosrgaw
s. Location or Work (MUST ATTACH MAP). County: FRANXUN CO TY
Nearest Town or City YovxSswile -d Louisburg
Special Location (Include road numbers, landmarks, etc.): SEER ACHMENT

ame o (Closest Wm River: SEEATT3CNM$N7
7. River Basin; TAR RIVER
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW,
9. Have any Section 404 permits been previously requested for use on this pr r WS U? Yes [ ) No I X 1
erty? Yes [ No ( X I
Hyea, explain.
10. Estimated total number of acne of waters of the U.S., Including
11. Number o Acres of waters of the U.S., Including wetlands. Imp:
Filled:
Drained:
Flooded:
Excavated: 0.04 AC.
Total Impacted: 0.04 AC.
on project site; 0.04 AC
MAY.31'2000 10:28 9198765823 USACE RAL REG
12. Description of proposed work (Attach PLANS - 81/2" x It" drawings
d" DUt TILE IRO1V AND PVC WATER MAIN.
#1672 P.024/030
INSTALLATIONOFNEIV IS" anif
13. Purpose
14. State reasons why the appliant believes that this acitivity must be Carr
minimize wetlands impacts. THE PROPOSED WATER NAIN.ROUre$ CRC
EROSION CONTROL MRASURES WILL RE USED TO MINIMI1$ IMPACTS
15. You are required to contact the U.S. Fish and Wildlife Service (USFW
regarding the presence of any Federally listed or proposed for listing enda
permit area that may be affected by the proposed project. Have you done
RESPONSE FROM THE USFWS ANA/OR NMFS SHOULD BE FORWi
16. You are required to contact the State Hhtorle Preservation Officer (SA
permit area which may be affected by the proosed project? Have you done
RESPONSE FROM THE SNPO SHOULD BE FORWARDED TO CORPS
17. Additional Information roquired by DEM:
A. Wetiond dellnention map showing all wetlands, str...._
IL If nvailable, representative photograph of wetlands to be is
C. If delineation was performed by a consultant, include all d
D. If a stormwater management plan is required for the this;
E. What is the use of surrounding property? AGA
F. If applicable, what is proposed method of sewage disposal?
C
Owner's Signature
out in wetlands. Also, note measures taken to
STREAMS
I/or National Marine Fisheries Service (NM")
0 or threatened species or critical habitat in the
YES ( X ( NO
D TO CORPS.
regarding the presence of historic properties In
YES X I NO ( j
property.
cted by project
shoats relevant to the placement of the delineation lino.
act, attach copy.
N/A
and Aseocistcs,
Date
MAY.31'2000 10:28 9198765823 USACE RAL AEG #1672 P.025/030
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FRANKLIN COUMY C,&- LINE W UM MUM
COUNTYWIDE IMPROVEMENTS (V?&APA
S.R. & WATER MAIN EXTETIWoNS .R. 1109/CEDAR REEK ?/ :n1T
FIUINKuN COUNTY, NoFRI'1 CAROI-INA
MAY.31'2000 10:29 9198765823 USACE RAI, avr_
STA 41+70 W-2
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FRANKLIN COL NM, NOS CAROLINA
MAY.31'2000 10:30 9198765823 USACE RAL REG #1672 P.028/030
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Nome: FRANKLINTON Loca n: 17 728266 E 3992748 N
Date: 5/30/100
Scale: 1 Inch equals 2000 feet

MAY.31'2000 10:31 9198765823 USACE RAL REG #1672 P.029/030

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Name: FRANKLINTON Loco n: 17 734423 E 3992494 N
Date, 5/301100
Scale; 1 inch equals 2000 feet
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Name: LOUISBURG Loca on; 17 736372 E 3993714 N
Date: 5/301100
Scale: 1 Inch equals 2000 feet