20000824 Ver 1_COMPLETE FILE_20000622

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
June 30, 20000
Mr. Frank Bonner County Beaufort
DWQ Project # 000824
APPROVAL of 401 Water Quality Certification and Neuse River Buffer Rules
Beaufort Water District I-Washington Township
Post Office Box 10270
Washington, NC 27889-1027
Dear Mr. Bonner:
You have our approval, in accordance with the attached conditions, to place fill material in less than one acre of
wetlands or waters for the purpose of constructing a water line (Contact No. 1 and 2) as you described in your application
dated June 19, 2000. After reviewing your application, we have decided that this fill is covered by General Water Quality
Certification Number 3289 This Certification allows you to use Nationwide Permit Number 12 when the Corps of
Engineers issues it. This approval is also valid for the Neuse River buffer rules (15A NCAC 2B .0233). In addition, you
should get any other federal, state or local permits before you go ahead with your project including (but not limited to)
Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply Watershed regulations. Also this
approval will expire when the accompanying 404 or CAMA permit expires unless otherwise specified in the General
Certification.
This approval is only valid for the purpose and design that you described in your application. If you change your
project, you-must notify us and send us a new application. If the property is sold, the new owner must be given a copy of
this Certification and approval letter and is thereby responsible for complying with all conditions. This approval shall
expire when the corresponding Nationwide Permit expires or as otherwise provided in the General Certification. 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.
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.
Since ly, }
L
Stevens
Attachment
Cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File Copy
Central Files
Albert Lewis; McDavid Associates, Inc.
Division of Water Quality Non-Discharge Branch
Non-Discharge Branch, 1621 Mail Service Center Raleigh NC 27669-1621 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer •
50% recycled/10% post consumer paper
McDAVID AssOCUTES, INC.
1 N C. Engineers • Planners • Land Surveyors
CORPORATE OFFICE GOLDSBORO OFFICE
[phone] • Fax [phone] [phone] • Fax [phone]
120 N. Main Street • P.O. Drawer 49 109 E. Walnut Street • P.O. Box 1776
Farmville, NC 27828 Goldsboro, NC 27533
July 14, 2000
OC) US Army Corps of Engineers
Washington Regulatory Field Office 11 772q
.
P.O. Box 1000 e.'
Washington, NC 27889
gPA1EITY SECTION
ATTN: Henry Wicker
SUBJECT: Nationwide Permit Request
Contract No. 40 - Water Distribution
Improvements
Beaufort County Water District I -
Washington Township
Dear Mr. Wicker:
In reference to the subject project, please find enclosed the following:
1. Contract No. 1 - Water Distribution Improvements
1 Ea. 24"x36" Index Map (Sheet 2 of 27 MAI B-1373-Red)
1 Ea. 11 "x17" Index Map (Sheet 2 of 27 MAI B-1373-Red)
1 Ea. 8'/i"x11" Creek Crossing Plan Drawings from sheets 5, 6, and 11.
2. 1 Ea. Standard Drawing (SD 07001) which depicts a typical Creek Crossing Plan and
section views.
3. Two (2) copies of signed permit forms.
D405BCG00 1 8:46am
BCWD-I-WASH-TWP-CN40-CE-404-REQ-WICKER.LTR;2 000714
Request nationwide permit or permit waiver at your earliest convenience. Please advise if
we may further assist.
Sincerely,
McDAVID ASSOCIATES, INC.
Albert V. Lewis, Jr., P. E.
Farmville Office
AVL/BCG:Icm
Enclosures
cc: Don Davenport
Curtis Jett
John Dorney
D405BCG00 2 iNe M 46am
BCWD-I-WASH-TWP-CN40-CE-404-REQ WICKER.LTR;2 000714
M McDAVIDAsSOCIATES, INC.
INC. Engineers • Planners • Land Surveyors
CORPORATE OFFICE GOLDSBORO OFFICE
[phone] • Fax [phone] [phone] • Fax [phone]
120 N. Main Street • P.O. Drawer 49 109 E. Walnut Street • P.O. Box 1776
Farmville, NC 27828 Goldsboro, NC 27533
June 19, 2000

?? 2 2 2000
t1DSGROUP
. , .....rr A1Ia117Y S t(,,
NC Department of Environment
and Natural Resources
Division of Water Quality 10O 0i7p 114,
P.O. Box 29535
Raleigh, NC 27626
ATTN: John Dorney
PAYMENT
RECEIVED
Dear Mr. Dorney:
SUBJECT: Nationwide Permit Request
Contract No. 1 - Water Distribution and
Booster Pump Station
Contract No. 2 - Water Distribution and
Valve Station
Beaufort County Water District I -
Washington Township
Beaufort County
In reference to the subject project, please find enclosed the following:
1. Contract No. 1 - Water Distribution West and Booster Pump Station
1 Ea. 24"x36" Index Maps (Sheets 2 and 3 of 67 MAI B-1284 Gold)
1 Ea. 81/2"x11" Creek Crossing Plan Drawings frm sheets 9, 14, 26, and 29 of 67.
2. Contract No. 2 - Water Distribution East and Valve Station
1 Ea. 24"x36" Index Maps (Sheets 2 of 59 MAI B-1285 Gold)
1 Ea. 81/2"x11" Creek Crossing Plan Drawings from 5, 6, 9, 14, 22, 24, and 29 of
59.
3. 1 Ea. Standard Drawing (SD 07001) which depicts a typical Creek Crossing Plan and
section views.
4. Seven (7) copies of signed permit forms.
5. Copy of letter to US Army Corps of Engineers.
D405BCG00
BCWD-I-CNI-CN2-WASH-NAWID-PER. LTR;2
a•
3:55pm
000619
This project consists 75± miles of water line. All water lines will be constructed within
DOT right-of-way, private road right-of-way, or acquired easements and will be installed on the road
shoulder as much as possible. Water lines constructed across creeks shall have minimum bury depth
of 4 fe We are not aware of any wetlands that will be affected by this prolect
Please find enclosed Check No. 13273 in the amount of $200.00 for Nationwide DEM 401
Permit. Request DEM 401 Permit or permit waiver at your earliest convenience.
Please advise if I may further assist.
Sincerely,
McDAVID ASSOCIATES, INC.
Albert V. Lewis, Jr., P.E.
Farmville Office
AVL/BCG:bph
Enclosures
cc: Don Davenport
Curtis Jett
D405BCG00
BCWD-I-CN 1-CN2-WASH-NAWID-PER. LTR;2
INC.
3:55pm
000619
o n 13,B ? 4
60'

SILT FENCE
CLASS I RIP-RAP
CARRIER PIPE
' R/W
PLAN VIEW
CLASS I RIP-RA
P/PE 2 L 20
SILT FENCE

r=r" MINIMUM ACCEPTABLE
-?? RIP-RAP DEPTH TO
STREAM - BE II/2 TIMES D MAX.
Sri= LARGEST STONE SIZE
err=.?a= a_
FILTER FABRIC TO BE PLACED
4' MINIMUM UNDER ALL RIP-RAP.
_/_ CASING . ---a
SECTION
The CONTRACTOR at a minimum shall install and maintain
the following sedimentation and erosion control measure at all
ditch, stream, and creek crossings :
1. All land disturbed areas on the banks and approaches
to ditch, stream or creek crossings shall be graded not
to exceed 2:1 ratio if possible. Surface water shall be
diverted from land disturbed areas if possible.
2. In areas of concentrated runoff preventative measures
to include but not limited to silt fences, rip rep, slope
drainage, or a combination thereof shall be installed the
same day crossings are constructed. Silt fences shall
be installed on the low side or at the toe of all land
disturbed areas to prevent sedimentation from entering
the waterway.
3. All land disturbed areas on the banks and approaches
to ditch, stream or creek crossings shall be fertilizeii,.
limed, seeded and mulched within twenty-four (24)
hours.

JUN 2 2 M
DWQ ID: V v `, f n / ?, WETtJ4P??1S € f'._-
CORPS ACTION ID: MATER QUALITY SECT??,+%'
NATIONWIDE PER?IMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION m
nrn ?
FOR NATIONWIDE PERMITS *THAT REQUIRE: m Z
r 0 .-4
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
X71 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• Beaufort County Water District I - Washington Township
2. MAILING ADDRESS: P.O. Box .1027
SUBDIVISION NAME
CITY: Washington STATE: NC ZIP CODE: 27889-1027
PROJECT LOCATION ADDRESS, INgUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): (See Plans)
3. TELEPHONE NUMBER: (HOME)
(WORK) [phone]'
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: ,
Frank T. Bonner
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY:
- NEAREST TOWN:
Beaufort Washington
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
Beaufort County Water District I - Washington Township (Northwest of
Washington, NC) "
6. IMPACTED OR NEAREST STREAM/RIVER: r Pamlico
RIVER BASIN: Pamlico
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING'RESOURSE WATERS (ORW), WATER _
SUPPLY (WS-I OR WS-II)? YES ( ) NO ( X ) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIROMENTAL CONCERN (AEC)? YES (X. ) NO ( )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? '
8a. 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):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( ) NO (X ) IF YES, DESCRIBE ANTICIPATED WORK
9a. ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: Less than one (1) acre
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Less than one (1) acre
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
. 1
FILLING: 0 EXCAVATION: Le G. than one (1 arrP
FLOODING: .0 OTHER : 0
DRAINAGE : 0 TOTAL ACRES TO BE IMPACTED: Less • than one (1) acre
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A Fr AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A FT
Plans
AVERAGE DEPTH BEFORE: See 8 1/2"' x 11"LFr- AFTER: Same as before F.
(2) STREAM CHANNEL. IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION. PLACEMENT OF PIPE IN CHANNEL: R
CHANNEL EXCAVATION: COONSTRUCTION OF A DAMIFLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND?
N/A
WHAT IS THE EXPECTED
POND SURFACE AREA? N/A
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Water dine will be placed 4' minimum below the bottom of channel with
'the use of a horizontal directional directional drilling machine or
excavator.
13. PURPOSE OF PROPOSED WORK: Water line extensions are to provide potable
water supply to rural residents.
T
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTTVTTY MUST BE CARRIED OUT IN
WETLANDS -(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
Water line extensions are to provide potable water supply to rural
residents.
Erosion control measures will be installed (Rip Rap, gravel filters
and check dams, etc). to minimize sediments from entering streams.
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: Not required
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
Not required
17. DOES THE PROJECT EVVOLVE 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 PREPERATION OF AN ENVIRONMENTAL
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT. YES NO ( X )
b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO (X )
IF ANSWER 17b-IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIONFROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH•CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
L ' 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 IN[PACTED
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?
DOT Right-of-Ways, Woodsland and Agriculture
Y
T
t IF APPLICABLE, WHAT IS PROPOSED METHOD. OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE,
NOTE: WTLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,`
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3) (Ili 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,
4WNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
' THE OWNER IS PROVIDED).

DWQ ID:
000824
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS 'THAT REQUIRE:
r
1) NOTIFICATION TO THE CORPS OF ENGINEERS
i 2) APPLICATION FOR SECTION 401 CERTIFCATION
W 3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
N
END THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
rw D 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.
I. OWNER'S NAME: Beaufort County Water District I - Washington Township
2. MAU_WG ADDRESS: P.O. Box.1027
SUBDMSION NAME
CITY. Washington STATE. NC ZIP CODE: 27889-1027
PROJECT LOCATION ADDRESS, IN UDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): kSeg Plans)
' 3. TELEPHONE NUMBER (HOME) (WOgyp [phone]•
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: ,
Frank T. Bonner
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Beaufort _ NEAREST TOWN: Washington
D
rn rn
< rn
rn z

n
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
Beaufort County Water District I - Washington Township (Northwest of
Washington, NO
'
6. IMPACTED OR NEAREST STREAM/RIVER: Pamlico
RIVER BASIN: Pamlico
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURSE WATERS (ORW), WATER _
SUPPLY (WS-I OR WS-II)? YES ( ) NO ( X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIROMENTAL CONCERN (AEC)? YES (X. ) NO ( )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. 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):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES( ) NO (X) IF YES, DESCRIBE ANTICIPATED WORK
9a. ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: Less than one (1) acre
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Less than one (1) acre
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING:
0
EXCAVATION: Less than on (1 c r
FLOODING: 0 OTHER : 0
DRAINAGE 0 TOTAL ACRES TO BE IMPACTED: Less • than one (1) acre
lob. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A FT
Plans
AVERAGE DEPTH BEFORE: See 8 1/2"_ x 11"LF?p AFrM. Same as before FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X
CHANNEL EXCAVATION: COONSTRUCTION OF A DAMIFLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A WHAT IS THE EXPECTED
POND SURFACE AREA? N/A '
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Water line will be placed 4' minimum below the bottom of channel with
.the use of a horizontal directional directional drilling machine or
excavator.
13. PURPOSE OF PROPOSED WORK: Water line extensions are to provide potable
water supply to rural residents.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS -(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
Water line extensions are to provide potable water supply to rural
residents.
Erosion control measures will be installed (Rip Rap, gravel filters
and check dams, etc) to minimize sediments from entering streams,
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL. HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: Not required
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HIS'T'ORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED -
Not required
17. DOES THE PROJECT IUNVOLVE 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 PREPERATION OF AN ENIRONMENTAL
DOCUMENT 'PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT. YES(. ) . NO (X )
b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO (X )
IF ANSWER 17b-IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIONFROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH' CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTTVI TY 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?
DOT Right-of-Ways, Woodsland and Agriculture
r
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? _ N/A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE,
.. NOTE: WTLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,'
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL _
MANAGEMENT PROGRAM, AWNEWS/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
4

oooa24
DW :
Q ID CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION m

. m
FOR NATIONWIDE PERMITS THAT REQUIRE: m Z

1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFCATION
0
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
N 4? THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
6 COPIES MUST BE SENT TO THE NC DIVISION OF WATER
UALITY, ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD,
__RALEIGH. NC 27607, PLEASE PRINT OR TYPE.
1. OWNER'S NAME• Beaufort County Water District I - Washington Township
2. MAILING ADDRESS: P.O. Box.1027
SUBDIVISION NAME
CITY: Washington STATE: NC ZIP CODE: 27889-1027
PROJECT LOCATION ADDRESS, INUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): (See Plans)
' 3. TELEPHONE NUMBER-(HOME) (WORK) [phone]'
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Frank T. Bonner
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY:Beaufort
- NEAREST TOWN. Washington

SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
Beaufort County Water District I - Washington Township (Northwest of
Washington, NC) '
6. IMPACTED OR NEAREST STREAM/RIVER: Pamlico
RIVER BASIN. Pamlico
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDINGRESOURSE WATERS (ORW), WATER _
SUPPLY (WS-I OR WS-In? YES ( ) NO ( X ) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIROMENTAL CONCERN (AEC)? YES (K ) NO ( )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. 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):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES( ) NO (X) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: Less than one (1) acre
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Less than one (1) acre
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:

FILLING:
0
EXCAVATION: . Les than one (I ) c r-
FLOODING: • 0 OTHER : 0
DRAINAGE : 0
TOTAL ACRES TO BE IMPACTED: Less, than one (1) acre
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A FT
Plans
AFTER: Same as before FT
AVERAGE DEPTH BEFORE: See 8 1/2" x 11"
LFr-
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE 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 EXPECTED
POND SURFACE AREA? N/A
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Water line will be Placed 4' minimum below the bottom of channel with
'the use of a horizontal directional directional drilling machine or
excavator.
13. PURPOSE OFPROPOSED WORK: Water line extensions are to provide potable
water supply to rural residents.
14. STATE REASONS WHY IT IS BELIEVED-THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS -(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
Water line extensions are to provide potable water supply to rural
residents.
Erosion control measures will be installed (Rip Rap, gravel filters
and check dams, etc) to minimize sediments from entering streams,
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: Not required
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
Not required
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 PREPERATION OF AN ENVIRONMENTAL
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES (. ) . NO (X )
b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA
DEPARTNIENT.OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO (X )
IF ANSWER 17b.IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIONFROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH'CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
L • 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 MTrERMITTENT 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 WAC17ED
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?
DOT Right-of-Ways, Woodsland and Agriculture
P
f
t IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A
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 DMSION 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,
. • WNER'SIAGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
4

'r
000824
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PER&MITS'THAT REQUIRE: CC-)
r m
. r: 1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFCATION o ?
--i
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
c%j `FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
i M COPIES MUST BE SENT TO THE NC DIVISION OF WATER
T
QUALITY, ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD,
RALEIGH, NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME• Beaufort County Water District I - Washington Township
2. MAILING ADDRESS: P.O. Box.1027
SUBDIVISION NAME
CITY: Washington STATE: NC ZIP CODE: 27889-1027
PROJECT LOCATION ADDRESS, IN UDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): 15eg Plans)
3. TELEPHONE NUMBER (HOME)
(WORK) [phone]'
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: ,
Frank T. Bonner
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Beaufort _ NEAREST TOWN:
Washington

SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
Beaufort County Water District I - Washington Township (Northwest of
Washington, NC)
6. IMPACTED OR NEAREST STREAMMWR: Pamlico
RIVER BASIN: Pamlico
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDINGAESOURSE WATERS (ORW), WATER _
SUPPLY (WS-I OR WS-In? YES ( ) NO ( X ) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIROMENTAL CONCERN (AEC)? YES (X. ) NO ( )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? - ' \
8a. 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):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES( ) NO (X) IF YES, DESCRIBE ANTICIPATED WORK
9a. ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: Less than one (1) acre
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Less than one (1) acre
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION: Less than on 11 cro
FLOODING: 0 OTHER : 0
DRAINAGE : 0 TOTAL ACRES TO BE IMPACTED: Less - than one (1) acre
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A FT AFTER: N/A _ FT
WIDTH BEFORE (based on normal high water contours): N/A FT
Pans
AVERAGE DEPTH BEFORE: See 8 1/2" x 11"? AFTER. Same as before
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE 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 EXPECTED
POND SURFACE AREA? N/A
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Water line will be placed 4' minimum below the bottom of channel with
.the use of a horizontal directional directional drilling machine or
excavator.
13. PURPOSE OF PROPOSED WORK: Water line extensions are to provide potable
water supply to rural residents.
14. STATE REASONS WHY IT IS BELMVED•THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS -(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND RAPACTS) •
Water line extensions are to provide potable water supply to rural
residents.
Erosion control measures will be installed (Rip Rap, gravel filters
and check dams, etc) to minimize sediments from entering streams,
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERA.LY
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: Not required
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
Not required
17. DOES THE PROJECT ENVOLVE 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 PREPERA77ON OF AN ENVIRONMENTAL
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) . NO ( X )
b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO (X )
IF ANSWER 17b-IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIONFROM THE STATE
!CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH'CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
L ' 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?
DOT Right-of-Ways, Woodsland and Agriculture
t IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? _ N/A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WTLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
l) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMfT,:
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DMSION OF WATER QUALITY
CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOS-ED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL _
MANAGEMENT PROGRAM, '
WNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
4

.w
Q
C%i
DWQ ID: 000824
CORPS ACTION ID:
NATIONWIDE PER1ti1IT REQUESTED (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION m ;
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
f;
END THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
! ? ?RIELD
5
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
1. OWNER'S NAME• Beaufort County Water District I - Washington Township
2. MAILING ADDRESS: P.O. Box.1027
SUBDIVISION NAME
CITY: Washington STATE. NC ZIP CODE: 27889-1027
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): (See Plans)
3. TELEPHONE NUMBER (HOME)
(WORK) [phone]'
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
Frank T. Bonner
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Beaufort
Washington
NEAREST TOWN:
-
-..
rr,
xr• .
:mss.
Ap,
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
Beaufort County Water District I - Washington Township (Northwest of
Washington, NC)
6. IMPACTED OR NEAREST STREAMIRIVER: " Pamlico
RIVER BASIN• Pamlico
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDINGRESOURSE WATERS (ORW), WATER _
SUPPLY (WS-I OR WS-In? YES ( ) NO ( X ) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIROMENTAL CONCERN (AEC)? YES (X ) NO ( )
7c. IF THE PROJECT IS LOCATED WITHIN, A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. 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):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( ) NO (X ) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: Less than one (1) acre
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Less than one (1) acre
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:

FILLING: 0 EXCAVATION: Less than on (1 cro
FLOODING: 0-
DRAINAGE: 0
OTHER: 0
TOTAL ACRES TO BE IMPACTED: Less -than one (1) acre
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A FT
Plans
AVERAGE DEPTH BEFORE: See 8 1/2 x 11"L/FF AFTER: Same as before FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE 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 EXPECTED
POND SURFACE AREA? N/A .
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Water line will be placed 4' minimum below the bottom of channel with
'the use of a horizontal directional directional drilling machine or
excavator.
13. PURPOSE OF PROPOSED WORK: Water line extensions are to provide potable
water supply to rural residents.
14. STATE REASONS WHY IT IS BELIEVED•THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS -(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
Water line extensions are to provide potable water supply to rural
residents.
Erosion control measures will be installed (Rip Rap, gravel filters
and check dams, etc) to minimize sediments from entering streams,
15, YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR,
NATIONAL MARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FHDERALY
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: Not required
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HIS'T'ORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
Not required
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 PREPERATION OF AN ENVIRONMENTAL
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES(. ) . NO (X )
b. IF YES, HAS THE DOCUMENT BEEN REFMWED THROUGH THE NORTH CAROLINA
DEPARTMENT. OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO (X )
IF ANSWER 17b-IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIONFROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH•CAROLINA 27603-8003, TELEPHONE [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 (INTERMTTTENT AND PERMANENT) ON THE PROPERTY
MUST 33E 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?
DOT Right-of-Ways, Woodsland and Agriculture
r
E IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N=
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 ENbINEERS PERI&r l
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,
. • WNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
4

000824
DWQ ID: CORPS ACTION ID:
NATIONWIDE PER?IMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
rrt
FOR NATIONWIDE PERMITS'THAT REQUIRE: 0 ?.
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFCATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
I
N
CV
it
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
M COPIES MIDST BE SENT TO THE NC DIVISION OF WATER
'_v¢ QUALITY. ATTN: JOHN DORNEY. 4401 REEDY CREEK ROAD
Jai RALEIGH. NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME• Beaufort County Water District I - Washington Township
2. MAILING ADDRESS: P.O. Box.1027
SUBDMSION NAME
C=: Washington STATE. NC ZIP CODE: 27889-1027
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): (See Plans)
3. TELEPHONE NUMBER: (HOME) (w0m [phone]'
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL ADDRESS,
PHONE NUMBER:
Frank T. Bonner
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Beaufort . NEAREST TOWN: Washington

SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
Beaufort__County Water District I - Washington Township (Northwest of
Washington, NC)
6. IMPACTED OR NEAREST STREAMMIVER: Pamlico
RIVER BASIN: Pamlico
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDINGAESOURSE WATERS (ORW), WATER _
SUPPLY (WS-I OR WS-In? YES ( ) NO ( X ) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF 24-YIROMENTAL CONCERN (AEC)? YES (X. ) NO ( )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PER rS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ( ) NO (X ) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERM MAND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
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 OF ACRES IN TRACT OF LAND: Less' than one (1) acre
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Less than one (1) acre
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:

FILLING: 0

FLOODING: 0

DRAINAGE : 0
N/A
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A _FT
Plans
AVERAGE DEPTH BEFORE: See 8 1 /2 x 11"R; Same as before.
(2) STREAM CHANNEL. IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X
CHANNEL EXCAVATION: COONSTRUCTION OF A DAMIFLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND?
EXCAVATION: Less than on (1) acre
OTHER: 0
TOTAL ACRES TO BE IMPACTED: Less, than one (1) acre
WHAT IS THE EXPECTED
POND SURFACE AREA? N/A
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Water line will be placed 4' minimum below the bottom of channel with
-'the use of a horizontal directional directional drilling machine or
excavator.
13. PURPOSE OF PROPOSED WORK: Water line extensions are to provide potable
water supply to rural residents.
T
14. STATE REASONS WHY IT IS BELIEVED -THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS -(INCLUDE ANY MEASURES TAKEN TO MDMVIIZE WETLAND IMPACTS)
Water line extensions are to provide potable water supply to rural
residents.

Erosion control measures will be installed (Rip Rap, gravel filters
and check dams, etc) to minimize sediments from entering streams,
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: Not required
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
Not required
17. DOES THE PROJECT DWOLVE AN MENDITURE 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 PREPERA71ON OF AN EIWIRONMENTAL
DOCU MENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( . ) . NO ( X )
b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO (X )
IF ANSWER 17b-IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIONFROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH' CAROLINA 27603-8003., TELEPHONE [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 MTMTMITTENT 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 IIOACTED
BY PRODUCT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATON LINE.
d. -ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPOERTY?
DOT Right-of-Ways, Woodsland and Agriculture
Y
r
t IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A
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 ENbI EERS PERMri',`
Z) 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
ACIW='IS CONSISTENT WITH THE NORTH CAROLINA COASTAL _
MANAGEMENT PROGRAM,
. 6 WNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
4

J106- .. .
000824
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION ,
rn
FOR NATIONWIDE PERMITS'THAT REQUIRE: A z
r
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFCATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER
QUALITY, ATTN: J019N DORNEY, 4401 REEDY CREEK ROAD,
PLEASE PRINT OR TYPE.
,.d>RALEIGH. NC 276070
c%J U F_
cos 1. OWNHR'S NAME: Beaufort County Water District I - Washington Township
2. MAILING ADDRESS: P.O. Box.1027
SUBDIVISION NAME
C=: Washington STATE. NC ZIP CODE: 27889-1027
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): (See Plans)
' 3. TELEPHONE NUMBER (HOME) (WORK) [phone]'
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER ,
Frank T. Bonner
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Beaufort . NEAREST TOWN:
Washington

t..
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
Beaufort County Water District I - Washington Township (Northwest of
Washington, NC) "
6. IMPACTED OR NEAREST S R• t Pamlico
RIVER BASIN: Pamlico
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDINGRESOURSE WATERS (ORW), WATER _
SUPPLY (WS-I OR WS-In? YES ( ) NO ( X ) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF MIFV ROMENTAL CONCERN (AEC)? YES (X• ) NO ( )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? -
8a. 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
PBRMTT'AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
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 OF ACRES IN TRACT OF LAND: Less than one (1) acre
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Less than one (1) acre
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROTECT BY:

FILLING: 0 EXCAVATION: Less than on (1) a_ nro_
FLOODING:
0
OTHER: 0
DRAINAGE : 0 TOTAL ACRES TO BE IMPACTED: Less, than one (1) acre
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A FT
Plans
AVERAGE DEPTH BEFORE: See 8 1/2"x 11"? AFTER: Same as before
(2) STREAM CHANNEL. IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE 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 EXPECTED
POND SURFACE AREA? N/A ,
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Water line will be placed 4' minimum below the bottom of channel with
.the use of a horizontal directional directional drilling machine or
excavator.
13. PURPOSE OFPROPOSED WORK: Water line extensions are to provide potable
water supply to rural residents.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS'( INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND RAPACTS)
Water line extensions are to provide potable water supply to rural
residents.
Erosion control measures will be installed (Rip Rap, gravel filters
and check dams, etc) to minimize sediments from entering streams,
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: Not required
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
Not required
17. DOES THE PROJECT IuNVOLVE 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 PREPERA77ON OF AN ENVIRONMENTAL
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT. YES(. ) . NO (X )
b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO (X )
IF ANSWER 17b.IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATIONFROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH•CAROLINA 27603-8003, TELEPHONE [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?
DOT Right-of-Ways, Woodsland and Agriculture
L IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A
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,` '
Z) 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, '
WNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
• 4

,Army Corps of Engineers
ington Regulatory Field Office
Box 1000 _
inaton, NC 27889
TTN: Henry Wicker
000824
SUBJECT: Nationwide Permit Request
Contract No. 1 - Water Distribution and
Booster Pump Station
Contract No. 2 - Water Distribution and
Valve Station
Beaufort County Water District I -
Washington Township
Beaufort County
Dear Mr. Wicker:
In reference to the subject project, please find enclosed the following:
1. Contract No. 1 - Water Distribution West and Booster Pump Station
1 Ea. 24"x36" Index Maps (Sheets 2 and 3 of 67 MAI B-1284 Gold)
1 Ea. 11 "xl7" Index Maps (Sheets 2 and 3 of 67 MAI B-1284 Gold)
1 Ea. 81/2"x11" Creek Crossing Plan Drawings from sheets 9, 14, 26, and 29 of 67
2. Contract No. 2 Water Distribution East and Valve Station
1 Ea. 24"x36" Index Maps (Sheets 2 of 59 MAI B-1285 Gold)
1 Ea. 11 "x17" Index Maps (Sheets 2 of 59 MAI B-1285 Gold)
1 Ea. 8'/2"xll" Creek Crossing Plan Drawings from sheets 5, 6, 9, 14, 22, 24, and
29 of 59.
IN C. Engineers - Planners -,Land Surveyors
CORPORATE OFFICE GOLDSBORO OFFICE
[phone] - Fax [phone] [phone] - Fax [phone]
120 N. Main Street - P.6. Drawer 49 109 E. Walnut Street • P.O. Box 1776
Farraville, NC 27928 Goldsboro, NC 27533
June 19, 2000
McDAVID AssOCUTES, INC.
PAYMENT
0
RECEIVED
3. 1 Ea. Standard Drawing (SD07001) which depicts a typical Creek Crossing Plan and
section views.
4. Two (2) copies of signed permit forms.
D405BCG00 1 2:49ptn
BCWD-1-CNI-2-WASH-NATONWD-PER-ARMY-COD.LTR;2 000619
Request nationwide permit or permit waiver at your earliest convenience. Please advise if
we may further assist.
Sincerely,
McDAVID ASSOCIATES, INC.
Albert V. Lewis, Jr., P. E.
Farmville Office
AVL/BCG:bph
Enclosures
cc: Don Davenport
Curtis Jett
John Dorney
D405BCG00 2
BCWD-I-CN 1-2-WASH-NATON WD-PER-ARMY-COD.LTR;2
2:49pm
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