20001309 Ver 1_COMPLETE FILE_20001012

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
1 • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
October 20, 2000
Wake County
DWQ Project #001309
APPROVAL of 401 Water Quality Certification and Neuse Buffer Rules
H and K Partnership
c/o W. Kenneth Hinton
PO Box 37
Zebulon, NC 27597
Dear Sirs:
You have our approval, in accordance with the attached conditions, to impact 116 linear feet of stream channel and the
associated riparian buffers in Wake County for the purpose of road crossing construction as you described in your application
received by the Division of Water Quality on October 12, 2000. After reviewing your application, we have determined that this
action is covered by General Water Quality Certification Number 3289. This Certification allows you to use Nationwide Permit
Number 14 when issued by the U.S. Army Corps of Engineers. 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, Non-Discharge and Water Supply Watershed regulations. Also this approval will
expire when the accompanying 404 permit expires unless otherwise specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application except as modified below. If you
change your project, you must notify us and you may be required to send us a new application. If the property is sold, the new owner
must be given a copy of this Certification and approval letter and is thereby responsible for complying with all conditions. If total
wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A
NCAC 2H .0506 (h) (6) and (7). This approval shall expire when the corresponding Nationwide Permit expires or as otherwise provided
in the General Certification. For this approval to be valid, you must follow the conditions listed below and 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.
Sincerely, /
Irl, Kerr T. Stevens
Attachment
cc: Corps of Engineers Raleigh Field Office
Raleigh DWQ Regional Office
File Copy
Central Files
001309
Division of Water Quality • Non-Discharge Branch
1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
http://h2o.etir.state.nc.us/wetiandc.html
,•
CORPS :ACTION ID:
n r
f
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERK IT
DWQ ID:
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERN[ITS 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). SE_
(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.
Crn7
M :Ez
m
C7 --?
1. OWNER'S NAME: H and K fartftf4l'P
2. MAILING ADDRESS: POO OoCc, 90x 37 ZP/bylofl , NG 2'7597
SUBDIVISION NAIIVE Pfnevl&W Mate., 50104 (V, {Fh4se lV
?e?by `OVI
CITY: STATE: NL ZIP CODE: 275'97
PROJECT LOCATION ADDRESS, INCLUDING SUBDmSIGN NAB (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): NC 970AEp-Lo-)(l f141 GlmeS Wes d? SR Z31?9
3. TELEPHONE NUMBER: (HOME) 934 -792-7 (WORK) 934- 5055
4. IF .APPLICABLE: AGENI"S NA.NIE OR RESPONSIBLE CORPORATE OFFICIAL. ADDRESS.
PHONE N IMBER: W.
I?/Y1i1f/?"h ?ii??i1Yl, Gfin{il?a( Pa('?1'l?/Y, H f,Wld IC- I ?`?V1?iY??hi
ftsj Off (cc RX 37
Fav lon , A/C 2759-7
5. LOCATION OF WORK (PROVIDE A .MAP. PREFERABLY A COPY OF USGS TOPOGRAPHIC
.-LAP OR AERIAL PHOTOGR.-kPHY WITH SCALE):
0 0 1 09
see OAA A uses avdJ sCGholl
COf1`1TY:
wa Lt'
- NEAREST TOWN:
7,P.bvl0Vl
r
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS. LAINDb(aRKS. ECT.)
01AU County, ,kt Qdw r'dge, 0( za&) ?1y Ui??`ts
Approx(wt? y ©-Z 1411e5 We6f of NG 97 and s?- Z369 OM /VG 97
(?DYI ode, 70 ° 2.0' Z5" Gaf? 1'Ud? 35° 40 r 4511
6. INLIPACTED OR NEAREST STREAIWRIVER: 1 -ff jti V yy
RIVER BASIN: V+ff I c,
r'y
s
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-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 ( ) NO (x )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
lv/A
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ( ) NO (,C ) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERIQT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( ) NO ()0 IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: 70. OS
9b. ESTIMATED TOTAL.. NL7vIBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
29.50
iOa. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING:
FLOODING:
DRAINAGE :
EXCAVATION:
OTHER:
TOTAL ACRES TO BE IMPACTED:
0.26
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: 8(o FT AFTER: lib FT
WIDTH BEFORE (based on normal high water contours): 6 FT
AVERAGE DEPTH BEFORE: 1. 5 FT AFTER: 1.5 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:
1 I. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAR41NO TO THE POND?
WHAT IS THE EXPECTED
POND SURFACE AREA?
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS: 81/2 BY 11 DRAWINGS ONLY)
rya back mi ir) txisP q ohanpO pr fhe,
PlacoWt df pt'
F65 -
pU(PosC, Of a woad Way JO%i')q o
13. PURPOSE OF PROPOSED WORK:
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY (UST BE CARRIED OUT IN
WETLANDS ( INCLUDE ANY N[EASURES TAKEN TO NUNIMIZE WETLAND I,NLPACTS)
WAY vos(Al Is necwry accG5c'-7 far of ptop"t
13. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL i'vfaRINE 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 hiAY 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 PERMMIT AREA
WHICH NIAY 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 (,l) (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( )
b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO ( )
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. STREAIMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMMIT NUMBERS 14,18. 21, 26, 29,
AIND 38). ALL STREAIM (INTERMITTENT AND PERNfANENT) ON THE PROPERTY
NIUST BE SHOWN ON THE ?IAP. tvI.?P 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 N1 1PACTED
BY PRODUCT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT. INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACENIENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAIN IF REQUIRED.
a. WHAT IS LAND USE OF SURROUNDING PROPOERTY?
f. IF APPLICABLE. WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL.?
Pvbll'c,l 56Wff systam
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 TIRE 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,
/0-5-00
O 'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
2310 : J l y
.
( -- /' PINEVIEW ESTATES
I Y• -' ? • M / it ?.+
276 ?•.?? SECTION IV, PHASE IV
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SCALE: P= 2000' Jx -
on ZEBULON QUADRANGLE
NORTH CAROLINA
SITE MAP
PINEVIEW
SOU TH WI N D SECTION IV, PHASE 4
SURVEYING AND sot GLEN ROAD
ENGINEERING, INC. GARNER, N.C. 27529
919-773-0183 OWNER H AND K PARTNERSHIP
919-773-0148 (FAX) DATE 09/13/ PROJ. Na970092 STATE NC C0WAKE
RIPARIAN
FLOOD PLAIN BUFFER
-Q U8
i
4 ®72'- 60" RCP WITH
' HEADWALL AT EACH END
LEGEND
® OUTLET PROTECTION
m DISTURBED WETLANDS WETLAND AREA TO BE DISTURBED= 11,352 SFt
Q WETLANDS LENGTH OF STREAM TO BE DISTURBED= 116 LF
SCALE, 1'= 100'
- -- ---------- - -
CROSSING #1
PINEVIEW
SOU TH WI N D SECTION IV
PHASE 4
8 ,
SURVEYING AND 201 GLEN ROAD
ENGINEERING. INC. GARNER, N.C. 27529
919-773-0183 OWNER H AND K PARTNERSHIP

919-773-0148 (FAX)
VRVEYING/ENGINEERING/LAND PLANNING
DATE 09/13/00
PROJ. No. 970092
STATE NC
CO. WAKE
SNMUMA"
SOUTHWIN® L [EUMER o)IF MUSE0` ML
SURVEYING AND ENGINEERING 9
201 Glen Road ® ®? 3 0
Garner, North Carolina 27529
Phone: [phone]
Fax: [phone]
TO ?BV) POrMy
NGDEIVP-- -,D W,6?
W!
Off I
DATE 10 -09 _ OD JOB NO.,SW 970097,
JW
ATTENTION
RE:
s 6vt ? ?Ca,?e ?

Cd ?s_4 _
'i 11tP?5Tr,
WE ARE SENDING YOU ? Attached ? Under separate cover via
? Shop drawings ? Prints ? Plans ? Samples
? Copy of letter ? Change order ?
the following items:
? Specifications
COPIES DATE NO. DESCRIPTION
7
40
?? CUYES rVWM Nadi i
.L G?l?,( 3S3 ! loft 0200
r ME
CEI VED

THESE ARE TRANSMITTED as checked below:
? For approval
? For your use
? As requested
? For review and comment
? FOR BIDS DUE
REMARKS
? Approved as submitted
? Approved as noted
? Returned for corrections
19 ? PRINTS RETURNED AFTER LOAN TO US
COPY
Am*cw
SIGNED:
if enclosures are not as noted, kindly notify us at once.
? Resubmit copies for approval
? Submit copies for distribution
? Return corrected prints
,..
DWQ [D:
001309
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT i#)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE: n 32
1) NOTIFICATION TO THE CORPS OF ENGINEERS m ER:
2) APPLICATION FOR SECTION 401_CERTEFCATIONVrn --I
C
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, AWN: JOHN DORNEY, 4401 REEDY CREEK ROAD
RALEIGH NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: H ahd K FiftnY4fP
2. MAILING ADDRESS: Fyl OOC C, Fox 37 Zeb*l , NG Zr7s9'7
SUBDIVISION NAME Pinev[cW 6,5tates SCctloa IV, tM' ,c, IV
CITY: Zebu Ion STATE: A/(, ZIP CODE: 27`597
PROJECT LOCATION ADDRE
MAILING ADDRESS ABOVE):
,2 miles wes
3. TELEPHONE NUMBER: (HOME) 934 -7927 (WORK)
934-5055
i. [F.-\.PPLICABLE: AGEVT'S NAgE OR RESPONSIBLE CORPORATE OFFICIAL.. ADDRESS.
PHONENUMBBER: W. K?M??? h HiVi C1h, (W{ All Wt)lff , H 6Md Kr 9(fMc4l
?os? office gox 3?
gav Ion , )Vc Z759-7
5. LOCATION OF WORK (PROVIDE A .MAP. PREFERABLY A COPY OF USGS TOPOGRAPHIC
'v(.AP OR AERIAL. PHOTOGR.-kPHY WITH SCALE):
M/6tU, . NEAREST TOWN: 7,ebyioh
COUNTY:
Sae A-HAAfA uses aMA sec on
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS. LANDb(ARKS. ECT.)
wAye, aunty , At Paw ?dq e, of za&) caly 14 tc
ApproK(Wtd y © -2- 14f lf,s 061 of NG 9 7 and sP? Z3(o9 oh 41C 97
lonol'de, 70° Zo' Z5" Afik .360 4014511
6. IMPACTED OR NEAREST STREAMIRIVER: yl l! lei Vyy
r
RIVER BASIN: pV&r
f
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-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 ( ) NO (X )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
lv/A
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: 70. OS
9b. ESTIMATED TOTAL. NU14tBER OF ACRES OF WETLANDS LOCATED ON PROTECT SITE:
29.50
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROTECT BY:
I
FILLING:
FLOODING:
DRAINAGE :
EXCAVATION:
OTHER :
TOTAL ACRES TO BE IMPACTED: 0'26
10b. (1) STREAM CHANNEL TO BE McACTED BY THE PROPOSED PROJECT (IF
RELOCATED. PROVIDE DISTANCE BOTH BEFORE AND AF'T'ER RELOCATION:
LENGTH BEFORE: fl (o FT AFTER: 16 FT
WIDTH BEFORE (based on normal high water contours): 6 FT
AVERAGE DEPTH BEFORE: S" FT AFTER: 5 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?
POND SURFACE AREA?
WHAT IS THE EXPECTED
12. DISCTIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Pac t of pt' Oa ba 40'ii fxtsP q rhanpO pr th6
p?rposcl a road way r?ossinq 0
13. PURPOSE OF PROPOSED WORK: V-esl " ` fi?'A SUN I yf?`Dpl
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS ( INCLUDE ANY MEASURES TAKEN TO :MINUMIZE WETLAND D4PACTS)
loakary cxos;,fl is wx ,ry tO acct ft4r 9 f pf0p"
13. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL NfARINE FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HAB[TAT 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 AREA
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, DOES THE PROJECT REQUIRE PREPERATION OF AN ENVIRONMENTAL
DOCUMENT PURUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES( ) NO( )
b. IF YES, HAS THE DOCUMENT BEEN REFIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO ( )
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 ADMI`i fISTRATION, 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 PERIVANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. M.aP 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 STORNM ATER MANAGELIENT PLAIN IF REQUIRED.
o. WHAT [S LAND USE OF SURROUNDING PROPOERTY'
F-6tdw ffal 40 Gomel&rdal
r'. IF APPLICABLE. WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Pybl I L SONY syStdo
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,
O 'S/AGENT'S SIGNATURE
to -5-00
DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
PINEVIEW ESTATES
r ' ? ` I t `I % II • ` ? ? ? 96
SECTION IV, PHASE IV
d. 276)•
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SCALE: 1" = 2000' 1
41 ?0'
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ZEBULON QUADRANGLE
` NORTH CAROLINA
SI TE MAP
Iff
PINEVIEW
SOU TH WI N D
. SEQTI ON IV, PHASE 4
?
12 SURVEYING AND 201 GLEN ROAD
IS
ENGINEERING, INC. GARNER, N.C. 27529
919-773-0183 n a H AND K PARTNERSHIP
919-773-0148 (FAX)

URVEYING/ENGINEERING /LAND PLANNING DAB 09/13/00 PR04 No.
1
STATE NC
CO. WAKE

RIPARIAN
FLOOD PLAIN BUFFER -
M1
4 ® 72'- 60" RCP WITH
HEADWALL AT EACH END,

i

.o
LEGEND
® OUTLET PROTECTION
D DISTURBED WETLANDS WETLAND AREA TO BE DISTURBED= 11,352 SFf
Q WETLANDS LENGTH OF STREAM TO BE DISTURBED= 116 LF
SCALE+ 1'= 100'
CROSSING #1
PINEVIEW
SOU TH WI N D SECTION IV
PHASE 4
•
,
SURVEYING AND 201 GLEN ROAD
ENGINEERING, INC. GARNER, N.C. 27529
919-773-0183 OWNER H AND K PARTNERSHIP
919-773-0148 (FAX)
VftVE)qNG/ENGINEERING/LANQ PLANNING DATE
09/13/00 PROD. No.
970092 STATE
NC CO
WAKE
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