20010101 Ver 1_COMPLETE FILE_20010125

Attachment
cc: Corps of Engineers Raleigh Field Office
Winston-Salem DWQ Regional Office
File Copy
Central Files
Larry Pearce, 401 Commerce Place, Asheboro, NC, 27203

010101
.I
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
D E N R
January 31, 2001
DWQ# 01-0101
Wilkes County
Town of North Wilkesboro
C/o Gail Harris
801 Main Street
North Wilkesboro, NC, 28659
APPROVAL of 401 Water Quality Certification
Dear Ms. Harris:
You have our approval, in accordance with the attached conditions, to install a sewerline along Mulberry
Creek to serve the Wilkes Industrial Park in Wilkes County, as described in application materials received by the
Division of Water Quality on January 25, 2001. After reviewing your application, we have decided that this work
is covered by General Water Quality Certification Number 3288, which can be downloaded from our web, site at
http://h2o enr state.nc.us/ncwetlands . This Certification allows to use Nationwide Permit Number 12 when the
Corps of Engineers issues it. In addition, you should get any other federal, state or local permits before you go
ahead with your project including (but not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-
Discharge and Water Supply 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. 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.
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,
JL1OUY
Stevens
Non-Discharge Branch 1621 Mail Service Cen Raleigh, N Carolina 27699-1621
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
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010101
wkl?
DWQ ID: - CORPS ACTION ID: W00016454
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 12
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN 7
COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY,
ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC
27607. PLEASE PRINT OR TYPE.
1. OWNER'SNAME: Town of North Wilkesboro
2. MAILING ADDRESS:
SUBDIVISION NAME
801 Main Street
Not Applicable
CITY: STATE: ZIPCODE: North Wilkesboro, NC 28659
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): Proposed Wilkes Industrial Park
3. TELEPHONE NUMBER: (HOME) _ (WORK) 336-667-7129
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONENUMBER: Gail Harris, Town Manager
f?-i
c rri
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY:_- NEAREST TOWN: North Wilkesboro (See Vicinity Map)
Wilkes
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) NCSR 2 3 3 3 (River Road)
6. INIPACTED OR NEAREST STREAM/RI VER: RIVER BASIN: Yadkin River Basin
Mulberry CreeT
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ? NO ® IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES E] NO X?
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? N/A

8. (a) 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 INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO ? IF YES, DESCRIBE ANTICIPATED WORK: Construction of sites
within Industrial-Park
(a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: Not Applicable
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
None Known
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: _ OTHER : Not Applicable
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: _ FT AFTER: _ FT
WIDTH BEFORE (based on normal high water contours): _ FT Not Applicable
AVERAGE DEPTH BEFORE: FT AFTER: FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: _ PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: _ CONSTRUCTION OF A DAM/FLOODING: Not Applicable
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? -WHAT IS THE EXPECTED POND SURFACE AREA? Not Applicable
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Trench excavation and backfill of utility (sewer pipe) by backhoe
13. PURPOSE OF PROPOSED WORK: Provide wastewater service to proposed
Wilkes Industrial Park
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
Not Applicable
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: Instructions indicate this is not required for
Nationwide Permit 12 (utility lines)
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 _
Instructions indicate this is not required for Nationwide
Permit 12 (utility lines)
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES (2 NO ? (IF NO, GO TO 16)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ? NO
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
OWNER'S6kGENT'S SIGNATURE DATE -? mx?
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
z?:
TRITECH
NC Department of Environment
and Natural Resources
Division of Water Quality
Wetlands/401 Unit
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Attention: Mr. John Dorney
PAYMENT
RECEIVED
Dear Mr. Dorney:
January 23, 2001
l?
G?
200!
010101
RE: 401 Certification
Wilkes Industrial Park
Wastewater Improvements
Enclosed are seven copies of the application, a check in the amount of $200.00, and the
pertinent plan sheet necessary to request a 401 certification for the construction of wastewater
improvements to serve the Wilkes Industrial Park. We requested a nationwide permit 12 from
the Corps of Engineers and received the permit dated July 12, 1999 (Action ID 199920587).
The enclosed application is the same as that we submitted to the Corps of Engineers. As
indicated in our submittal to the Corps of Engineers, we are not aware of any jurisdictional
wetlands that will be affected by this project.
Bidding and construction of this project was placed on hold pending location of an industry in
the park that would require wastewater service. The Town now plans to proceed with
construction of just that portion of the project requiring the stream crossing at Mulberry
Creek. In accordance with the nationwide permit, we are requesting written concurrence
from you regarding those conditions for which compliance with the conditions of water
quality certification is not achieved or is subject to interpretation (identified in bold in the
following narrative).
The piping specified for the force main crossing Mulberry Creek is ductile iron (18-20 foot
lengths) with ball and socket or restrained joints. Anti-seep collars are typically necessary
where the pipeline is paralleling the creek and are not applicable for this installation
(condition no. 3).
The erosion and sedimentation control plan for this project received approval from the
Division of Land Resources on April 12, 1999. This includes approval of the stream crossing
detail illustrated on sheet 9, which includes riprap above the high water level. Because of the
riprap required by the Division of Land Resources, the final stream bank contours will not be
exactly identical to the original contours (condition no. 6).
Tritech Civil Environmental, PC
WATER & WASTEWATER ENGINEERS
401 Commerce Place • Asheboro, North Carolina 27203 • [phone] • Fax: [phone]
Post Office Box 4127 • Asheboro, North Carolina 27204 • [phone]

P:\ARCHIVE\1998\98074-21\DOC\DENRLTR5.DOC 1

Tritech Civil Environmental, PCi
The pipeline construction will be within ten feet of the creek, the disturbed areas must be
seeded and fertilized, and grass must be established in accordance with the approved erosion
control plan (condition nos. 2 and 10).
Once the Town of North Wilkesboro decides to construct the remaining wastewater facilities
in the industrial park, we will request a 401 certification as applicable for these facilities.
Please contact us if you have questions.
Very truly yours,
Tritech Civil Environmental, PC
Larry W. Pearce, P. E.
Enclosures
cc: Gail Harris
P:\ARCHIVE\1998\98074-21\DOC\DENRLTR5.DOC
???? p 14101.
DWQ ID: - CORPS ACTION ID: WQ00164 54
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 12
.410lISSUFD.
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY,
ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC
27607. PLEASE PRINT OR TYPE.
1. OWNER'SNAME: Town of North Wilkesboro
2. MAILING ADDRESS: 801 Main Street
SUBDIVISION NAME Not Applicable
CITY: STATE: ZIPCODE: North Wilkesboro, NC 28659
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): Proposed Wilkes Industrial Park
3. TELEPHONE NUMBER: (HOME) _ (WORK) 336-667-7129
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Gail Harris, Town Manager
rrn
C7 -?
m
.C t'i't
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? ?
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: --NEARESTTOWN: North Wilkesboro (See Vicinity Map)
Wilkes
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) NC S R 2 3 3 3 (River Road)
6. IMPACTED OR NEAREST STREAM/RI VER: RIVER BASIN: Yadkin River Basin
Mulberry CreUX
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ? NO ® IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? NO El
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? N/A
8. (a) 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 INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO E] IF YES, DESCRIBE ANTICIPATED WORK: Construction of sites
within Industrial-Park
(a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: Not Applicable
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
None Known
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: _ OTHER
DRAINAGE : TOTAL ACRES TO BE IMPACTED: Not Applicable
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: _ FT AFTER: _ FT
WIDTH BEFORE (based on normal high water contours): _ FT Not Applicable
AVERAGE DEPTH BEFORE: FT AFTER: FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: _ PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: _ CONSTRUCTION OF A DAM/FLOODING: Not Applicable
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND?- WHAT IS THE EXPECTED POND SURFACE AREA? Not Applicable
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Trench excavation and backfill of utility (sewer pipe) by backhoe
13. PURPOSE OF PROPOSED WORK: Provide wastewater service to proposed
Wilkes Industrial Park
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND R'4PACTS)
Not Applicable
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: Instructions indicate this is not required for
Nationwide Permit 12 (utility lines)
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 _
Instructions indicate this is not required for Nationwide
Permit 12 (utility lines)

i
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 PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ? NO
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE I INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE UvIPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
_ CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
OWNER'SAGENT'S SIGNATURE DATE /(?'? mx
i
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
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FOR f;ON~INl1ATION ~ 7 I ~ ` ~ ~ ~ ~AM SO THAI TIE CONS UCTION ARE .MAY BE ~ DEVuhTERED. ~CCK, SEDIM NT, AND OTtHER DEBRI5 DESi(:NE:D BY
/ f?EMOVED DU ING B~ASTIN SHALL BE ~-REMOVED LWP
_ 2~ h Berd ~ f R.~'~1 TNE_ SI E AND DISP SEG OF PR ~ERLY IF
~!E r; ~ ~ ~ ALC - _ - _ DRAYYN BY
~ TEMPORARY EDIMENT RE ENTtON BA.SII~ ON EAST j I~: MRS
>aIDE OF CRE K ON OWN S PROPERI~I' CREEK , CHECKED BY
i i ~ ~ ~ BOSSING . H TG R ~ S ALL BE SC DULED dCCU A
; I ~ ~ ~ • , URING A LO FLOW PER 00 LATE
STALL, MMER/FAL~). PRIOR
- Pma U XTEN ONE JOINT ON t`ORCE MAIN WITHIN THE ANKS OF ? CREEK, SCALE
5' Bend EITHER SIDE OF 4 ' & tfHE CONTRA TOR SHALL ROVIDE THE ENGINEER 1 =50 H 1"=5' V
A DETAILED LAN ANDSCHEDULE FOR THE CREEK 22'~' BENDS RaOS DATE
~ . s Nc.
I 92't t JANUARY, 1999 X25
9+C. 0+i)G 4- 00 12t7G5+0C 16+OC+! r ~ ~4+ ~o of
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