20010604 Ver 1_COMPLETE FILE_20010419

Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
Carl Classen
Camden County Manager
Post Office Box 190
Camden, NC 27921

APPROVAL of 401 Water Quality Certification
Dear Mr. Classen:
May 1, 2001
DWQ# 01-0604
Camden County
You have our approval, in accordance with the attached conditions, to construct a water main crossing across Sawyers
Creek in Camden County, as described in revised application materials received by the Division of Water Quality on April
19, 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,
rr tevens
Attachment
cc: Corps of Engineers Washington Regulatory Field Office
Washington DWQ Regional Office
File Copy
Central Files
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
Hobbs, Upchurch & Associates, P.A.
Consulting Engineers
?P
2522 S. Croatan Highway • Suite 2A • P.O. Drawer 1929 • Nags Head, North Carolina 27959
April 12, 2001
Henry Wicker
Washington Regulatory Field Office
U.S. Army Corps of Engineers
P.O. Box 1000
Washington, NC 27889
401 /SSVED
RE: Nationwide Permit # 12 Application
12-inch Water Main Serving County Residents
Camden County, North Carolina
HUA No.: CM0003 - Permits 010604
Dear Mr. Wicker:
Camden County, North Carolina wishes to install a 12-inch water main to serve County
residents. The new water main will need to cross two 20' wide unnamed creeks feeding
Sawyer's creek to the west of U.S. Route 158.
C? It is important to note that the existing contours of the area in question will be restored to r
their present condition upon project completion and all work will take place within the
highway right-of-way.
Please find enclosed the original and one copy of the PCN application form and supporting
plans. Also, as requested, we are sending seven copies of the same to Mr. John Dorney's
office at the Division of Water Quality in Raleigh, North Carolina along with the $200.00
application fee.
If you have questions or if additional information is needed, please do not hesitate to
contact me at any time.
Sincerely, __
HOBBS, UPCHURCH & ASSOCIATES, P.A. ;

Eric T. Weatherly, P.E.
Division Manager
Cc: John Dorney, Division of Environmental Management
WCAAIDF.N COUWY'.CS10003 COUN77 IV.477iR - PHASE IP300 PEP.V1I7S13'0 PEk107' APPLI('.4T1U.V;S-.SUB,Lfl7T4L INFOPW4FIONIUS'AP
CoRps of rm;PW WICKET. ixx,
Nags Head, NC • Telephone [phone] • Fax [phone] • e-mail: [e-mail]
Southern Pines • Myrtle Beach • Raleigh • Charlotte
`? \

a
of W A T9
QG
r
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://www.saw.usace.army.miUwetlands/Perm app.htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://www.saw.usace.army.mil/wetlands/rejztour.htm, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http:/ih2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Pagc I of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw.usace.artny.mil/wetlands/nnfinafFedReiz.pdf.
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetiands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
Office Use Only: 010604 orrn Version April 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
17-
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: C.Ar0r.0 GoUaT`I CAfLL GLASSEN C?yrJTY r^ANAGe(L
Mailing Address: P- o . 'Go 7c 19 0
1
CAMDEN. tic- 2.19 1
Telephone Number: 2 S I - 33% -1 q 19 Fax Number: 2 SL - 333- 16o3
E-mail Address: cwc 1 _c I&sse,r , 4- r r 'i l co ex
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: E R I L- T. w E A r„ ERLy
Company Affiliation: No66s oPcHUrLC>1 +ASSoc,AT'ES
Mailing Address: P.O. DiZA,+Ee- 1919
NA(,S NEAP. NL 21959
Telephone Number: 252-`1y1-30k13 Fax Number: 752-'441-1\00
E-mail Address Eweatherl??hobbSeP?hurch.c ?r+.
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: CA(ADErJ coQOTJ wATVR SYSTEM
2. T.I.P. Project Number (NCDOT Only): N IA
3. Property Identification Number (Tax PIN): koPERT`I 15 LocArq WITMIFJ v.5. RuJW 15B alp
4. Location
County: GAr'OEO Nearest Town: EL%ZA (3ETN c 1Ty
Subdivision name (include phase/lot number): N) A
Directions to site (include road numbers, landmarks, etc.): FROA GANNOEN 0,Jr of SR 3,13
P+r117 u s O."TE ISI> -TAKE y S Ro?Tt: IS8 No2TH; S1 rE 1 1S APPaok '- 100'
ON LIFT AT CitEEK GftoS5106- j S%-SE 2 IS APP2oX Sooo' 002T1-t or
5\TT 1), orf UF-T AT G2 OSK LRoSSlr1(r
„
.51TE 1 7(.°o9' St:'/ 3V 2o' 14
5. Site coordinates, if available (UTM or Lat[Long): S% rr L : ?6° oo,' %1'/3&'2.1' S6'
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
caEEK c.2oss1NG• - vavsEb
7. Property size (acres): .5 1=E 2 : 0.2o Ac. S 2 : o . 6 A?
8. Nearest body of water (stream/river/sound/ocean/lake): SAW Ye R1 ?RE?rc
9. River Basin: PA <>Q O oT Are K
(Note - this must be one of North Carolina's seventeen designated major river basins. The
ps'.)
River Basin map is available at httt)://h2o.enr.state.nc.us/admin/ma
Pagc 4 of 12
I ?? 4
10. Describe the purpose of the proposed work: To ?? s-rA?? wA-T1E(LMA 1 f4 P 19
GA2Ry10C- -rn-FA'rt- D WNrEYL T'o RESioENrs
11. List the type of equipment to be used to construct the project: QAc-K-No E
UT1\-\Ty QE"%C-,-E5
12. Describe the land use in the vicinity of this project: ROADS 10e - U a,JSE r.>
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
NIA
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: r) A _
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
AN0
Page 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
NIA

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
'• 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Hood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEW Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
••' List a wetland type that best describes wetland to be impacted (e.g., freshwater/sal(water marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name" Average Width
of Stream
Before Im act Perennial or
Intermittent?
leasespecify)
1 Er o A/L`f
yGA? AT 1o N ?F F
E yyo'
UT To
SA"oIE
S Cri$X

20t

PERK r?ri tA!`
3 SO' 1

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
wlvw.uses.QOV. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tooozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: -7qo'
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres)
Name of Wat)
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
alP,

List each impact separately and identity tLmpc ty impacts. impacts include, but are not limited to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N 1 A _
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond-.- _ Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
IT IS N.T' PENSASLE To INsTA?.t THE NE,vJ wATFQP^Ayr! AboQE o(Z.
(3ELOv? TAE S)OSTIO(r (.vc.tERrs DvE To IrrTVLFF_1LENC.E Pr'.SLEMs o2
MEC.NArr%C.At UtAITC\TIONS IT IS MAVLEFo2E UNAy0%0AaLE To lr3SrA'LL
THE PIPIrl(, APP(Xo)( IS-2.o' FROM THE rROG-E OF PAJFMt:NT PARAV.yrL
To TIME ROAD Irl Kr1 oPEN T2EW-H APPRox 3' DEEP X S' wi 0E THE TRENCH
w«L f3E (rvT- wrr4 A, GAcvtHoF oW rA'r'S Arlo AFT-E(L PlPlri(_ INItALvATior,
r1AT?yE MAT1ERtiA? wi%-v GiE y5e'o To FILL ArJ O o(Z%CP-,%JAL_ Cr(LovrJD -
C,o r1 T o V n- S ?rC STORE 1]
Page 7 of 12
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRI' concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmy,ide.htmi.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if otl'site), of ected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of constriction. Please attach
a separate sheet if more space is needed.
rA% 1GAT1on1 SHuv?p rOT- b6 R.E0.v1a.ED S1,crE THE S1TES w"L
GE (1ES'ro2ED To THEIR _ C)a%6.1VJ A1` S?rF U90r1 CO r^PLE'r1oFJ
Page 8 of 12
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCkVRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy, mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at htip://h2o.enr.state.nc.us/M/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet).
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):_____
IV
Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes X No ?
X.
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA,/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No K
If ves, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and trap all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section V11 above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the bl_llleis G.-respondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1 l_J 11 voni iriisw'ercu ycS prir'viirc tllc Ivln)wiilr; iin?nuuulun:
'Xili the, project impact protected riparian bullers identified within 15A NCAC 213 0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements)., or other (please identify
Pagc 9 of 12
Identify the. s(Iuare feet and acreage of impact to each zone. OI the. riparian butlers. I[' bl111cI-
mitigation is required caicuiate the required amount of mitigation by applying the butler
mul_li, hers.
I
7.oncfi Inin:10 I I Kerlrlired
i Multiplier
1 (square feet) Mitigation
I' !
Total ! I I
/,utte I extends out 10 feet petpendiculai tium near bunk orawinei; Zone 2 extends an
additional 20 feet fiom the edLe of Zone L
If buffer mitigation is nxluired, please discuss what type of mitigation is proposed (i u, Donation
of Property, Conservation Fasement, Riparian BUtTer Restoration i Fnhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
idrniified within 15 A 'N'( iA f ?ti (iZ=lZ i,r nz.i,li
NIA

Dcscrille impervlOLIS 1Crea,,VC (110th existing and propOSCCI) Versus total acrca.L;c on the site.
Discuss stormwaier controis proposed in order to protect surface waters and wetlands
downstream from the property.
No IMPE(LV1ouS AQEA -ro GE AODEv wETLANOJ A(LE Tb (3E P(krEcTED
FPoM RvNoFF V, N1 A IEMPa&A(?`? Stti.T krC-C (ZQ0 ltrt(, ALON(r T14E u+ESr
_.S%OE OF TNF PRo:7EcT-
'X Ii. CwaiEC Disposal 0I .1h, j
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
..
vv'a `,,c I,. .,.."'nose'1 nroic Cai'iri(,iit'v i,.t_,i'cU .c_:nr,.,y
?icwaiei- zencrated frii iii litnvln,?c? In,c?,l , I n available f,h2 " ?tu a:In
r'IA
XM. Violations (D`VQ Only)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Butler Rt11CS?
tc thic an atYrr_thr>_ta?t nr,rm,t annli?^atinn '
... .......... ....... ..... ...., , ter......... .. r, r . .......... .. .
YCS li No
.1
'ill'. Otiii:r CirCiiiistancv; (Optic nall):
11 a Is isle,. applicant's responsi01i,it'y' to silvlilia tile, application sill icion. } in ad v. nco o do-sired
,
construction dates to allow processing time for these permits However, an applicant may
choo-1. to list consalaii...J ci7n :ar u-C-1;oii or sC?1t ten: ui.ia rl'i ", ti"..poso li-m4v on
work scheduies (e.g., draw-clown schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or ether issues outside of the applicant's control).
NIA
y,/?-Z?0,0 l
Applicant/Azent's Signature Date
t A rra,nl : ;ram - 14' 1 tr - r :;.. 'ha - s lsra - ?ari
?..J.•... ., .:?...'Iivi. ... ....... ... .? .. .... ........ ....... ...., a:r, ....?... .. 1: ., ...... .?
l` f ,•` ..i.J 1y .J
???+ :A ?1'7Ti"t Corps Off i:Ilgitt££iS li'tiiii iiICC? il;.ii C.'llttitv Cvi'£7"itg£
Asheville Regulalon Field Office Alexander Cherokee iredell Mitchell
i::? 4rIi orinsof f:n°lliccrs iv rr 1 kn !:l•kson t%nIL
I ?, I P.-Mon Avenue Hnnconibe ( •Iel'ChIld I .}ncoln Rogan
Koolll Llls 1J. u,-Kc I.:alcton ^A :cen Kliul.crtora
Ashevillo. N(' 1881)1- O06 (_•ab:irnis Graham M:Nixon tit:inlev
Telephone. [phone] Caldwell Ha%Nlood NlcDoklell Silain
1'3X: riS_.'cI 'r 1-4?:"? atstitin,i 1-1^nn:rcnn ,.N, Fa, nntlro i.raiisi!tania
Raleigh Regnfalon held Office Alamance Dtirhani Johnston Rockineham

' .... :....?i•.
1 I Lj Ann-, t ll L'
_
\ II....l....
L'. 1..........1..,
1 -
l 1..I -.
OiON Fulls of tllc Ncusc Road Ashc Franklin Nash Surry
Silife 120 ('asl?.e!! 1 ors_ Ili Northamn!on Vance
L,.i}I?, c, u. c I_? _ •, _:v:1?:11:. c, ..icalil i,:•_ _u ;. c,c? c n?
Telephone: (',>1'.i) 876-8441 D n idson Guilford Person Warren
F:iv [phone] Dn IC I hII`W: Randolph Wilke-,
1Yashington R-tilafot} Field Office P.aufort Currituck Joncs
tiC Arlm' ComS Of E112i!IMS Bcrtic 17:irr 1 choir
U.?r-t ! 1l ii,.i. F2 •?. !111171 ! '.in.? /7,i 11'? \1._i r-llii
Washington, NC 2 7v8!>-lt?(?l1 Cflrtcrct44 Grccn f2.illliico
Telenhone 052) 97.16!6
' Ch m:ln Hertford P:isnunlnnk
! •) G') '. 1) 7] z T.
,11
C.i.X. .
c t_-•_? ..
(•_... ... _.
1t 1..
1).. r.:..:...
,luull:i"i
u
1t;ilmin-ton Rf-iii:oon i wid (Iff!cc.
•.. An?.cr. I±ur.lin Imcio%,
l?iir"`?.if C...p...
.^ariii; 1., 1.11
ir'
_+..1i_•:'r'? Gt...1.
v1,r..?i ii 11.11...,
11, n•._ii rl.....1.._
1u?u._I
_
Post Office Yo. I81>I!' Pruns,.rick I lekc R; .mold
Wilminllton hi( ?8d11 -Ixyf) (girt.^r.^t ?.lonrl?cmen P-h(-gnn
TC i i:I.i C' l%i'•i -. 1- '•1! t!iliilif ?iiS try ':3?i?,?aiii
;,11)
11)2:
Fav
2:1 i-,-&-l:,nd N:- u' Qc tl ltd
)
x
4 ,..
Pia
I ? rrc!1
14? a} nc
Union
?V It•l,la•,
Y:I nce\
Wilson
. .
.1,
:,nliiiii?,, i%ri'st ,. .ill
1 t,&1 1 I Ui I-
ITS Fish and Wildlife Set-vice i Nati(inal'Marine Fisheries Service
US d { rIvI1:I1.JuI1L Jc'Cc. _ SciZ'ICc US 1S Fish 1. and d {11' vrllJuulu I.C.. S,l'v1CC au Natlw... .la.1u1v ^ Alalllic I"Is-1.uc..
1'+511 and Iics Sclti7cc
Raleis-L Field Ollice Asl,evilie Fieid Milieu Habiiai Cu„se,vzitiuu Divisiuu
Post l!111t ?'::.. J 1{;,i M us spud
gale{gM N K' 77616-1776 A_chrAK, NU 7y WI RCmOo!!, Nf' ?NS16
ON== c?c , ,ncr..,...-,. ..__. r?c•,. -i •,u cnnn
n„n. urc ,.v, .._,. _.. _. ru-
.. -
North Carolina State Agencies
Dhision of i ler (3liaiit-j
401 Wctiands l.inii
1{,N mail i_i:,ii::l
Kaleigh. N( 77699-1650
Telephone- [phone]
Division of Water Q',Llll'i)-
Wetlands Resluuiiimi Piu tam
, ;t1:' i•liiii alli?? t. ?lliti!
Fl;-{Ir{uh. NC 77699-16IQ
Tclenhnne- [phone]
On t9inj 733-:321
State Historic Picscl cation Office
Dep.wit,e,it OfCuitiual Rcsomces

CATNtA and NC Coastal Ciinniie
40 1 % 'I.M1 :,it i i ! . ...C!
Raleigh. NU 77691)-4617
Telenhone" 0191713-4763
715-2671,
Division of Coastal Nlaiiagcmcilt u..alulVli Cho ,,iI 11G/UVIu I Isquotaiu\
1639 i`iad Scivicc Ccidet Re,iic Ciavcn H% du Peuder
:at 1 1.. ri _..,.,-.....i; ?......,..... 1. i.1!i%;:. r,-L:; 1i.... ;'L iai:ili;:a:
11'rlrl?hn{ir !1)191 "7;,:_771); ('f{mrl.=n Il:{rf• f-lncln?? "('jrrrll
NC'v'v'R(' acid tit' Truut Cuuntirs
11,ir.stnrn Pinii.. nn, Pnnion Coordinator
Osa .

i?;ons1.'ily NU 272840181)
i
1'cici?iunlc 769-9 4,51 nu,ict Slim
?.11;y{nl;.{i{{ u.r'uin{{ f'('o!.d!n:{!or ,:lli,rn{y{i IIr_1{rirrcnl{ p(4:
?+183() urea, Smoky MIn Fxpressway Cherokee lackgon Rntherfi)rd
v'r' "iMSAiV 0( . 2066 `, 1:i,_. i '..? mn
T I i ' c: rv'o a 452054o ,.a Madison Tr.a, ''I, aania

S'al.\. U..JJ 506-1754
11.1111 VVU4 ., L ,_ V .
.': il. 11.(:ll1, a,.
14111.1.1
Pago 12 12
-� K n. �".)'• ` z.� gid- � � • �, a �_�. • � s �-,;+`lt�t} .:; �'
s ik
�.• �� ''. �,�^,�F ��' w meq.. ,y; �l a �
t
}�:+ �,�,�. r,- i �!�• .,,1.47 str t N '
�'- � tt �.�'� "A �y►�. _ •*tet �. 'r.n.
M
s-
�t � '`, �• Y ��' i �r
-.z
,;a � • fe f•� q� ate` +` 4i��t!'-¢
-t'''at+ .�„ •..- ;..
�Yy < to pi rY •.} �� �Y
_ y X

133HS SIHL 33S
NOI1Vf1NI1N00 803
Zl-M 004-02 V1S
i
1 / ??d
f ce
1
1
I I
I
III
coo Du
I'Im°,{I J
m n
r I
F0

?z 0 OA rA'1In F•
D A
< N N yy? I
>
N

.103 0
z°:° ?
I
„m z zl
m°
r zn
c I
0
l
?
r
_
I I -I, v1 v1 r
?
to O? - D D
N ___

z > m £ E
N N
n
,
I
I
LlI rz 0D

0
A
I D
r5
I r
0
Ao I
sm
D_ O
ZN L
N I I
A I
N I
(7
O V
sL
vo
2C
a?
--r R
v_U
DD
fn
z
1
IIz

mo I

MBS RD
w A LA

mzrl
"
Db (SR 114
?
0
O
O, Z
1
(A
D i
N 1 >
? ND
b
U
m'm° N+ I
zF mn 1
°?
N zF
I
p
N
?I
II
? I
z I
M 0
A
BELCROSS RD. _?
?
M
moz
m1m

co C
_
T 0>(,,
(SR 1145) oZ
\
N
I I I N
l/13m?D
'[mpNN \?mr? _
m2Dx+ Pf?1Sr4
< o;°° m!
Ar < v,N?xO I
Z,
1 2 °lpZOy I
N
?
M, K A
m
r, A X
p U D
In I E
0
g
N
O
om
me
n 'U
O Q
?A
°
A
D
' O
1
I
1
I
l
m X
I AC)
j C)
I
m$
x
m
? Z
r
1, I
?C
O R-
I A R-
?v
CI r0

r - 1? ?I Ax
.
F
rlm
I ?I
I
im
>0
z? I I D
It3
I

N
N
0
A J
I
OD I
N I ??
I
V ?

n cc
I - C
2 pl
I
I vI
II ?
ST 133HS
S
NOIIVONU.NO3 2103
Zl-M 00+ZII VLS
. m
?02 N
Nam Na
00 m
m0z D++
E
0mn mz
m7D o-
L N
r0
I/, j0
=z
O
I N I ?
N N K D
m
O, ? N
? N +
m r4 0
0<0
F
C >
A C N
v,
O
O
0
S
N
-O
O

r-
Z
I?
N
I I Il^i
D D
VI ?)01Nm
mA N
CM "X+
> <D r
z r m N
1
m
m?
rn
mnC ?
-mi g m
mcf '
rnZ ..
0
09 30 ?1;: 133"5 33S
NOI1Vf1 "00 803
Z l m 00+9c; VIS
II
I
I
I I
I I
II II
I l l y l
IA A m N N
Ern
m2>O?O
<C rr
; px+I:
zr?Nll
-AA
Fp I
D I?
r4a
Cm
DO
z
NN
O
A
N I
-U I
' I
II
I
I
III
I
o II
N> 1
J
ND °:N I
?m w0
I I
N L.
ZO
mJ N
ml
N

m? I \
A 0 'J
0>
DA
0
D /
r ?
I-LO''Y
L
gti
N '
ZII
I '
I I
I
m ? n
zlliv
C N
NI
D
? I
?I
?I
1
S?
I
I
I
I
I
I
m
? O ,Tl
00-0
I 0? Nam
[? mmo
>
? m
I Oml1ms>
I >rA
O

N
F-r'?zF960 !fFm Am
mg?"m gq oTmm m `
-"C 5-0 aL0a pz- mr
m;D cq? ?11fJ2,lmi012a o°
p?A?OZm -ICl Q-1 Gz m0
?mzV1Am r?N In°•
MIT T
C AC S> LyL ?' ° 9 0C
?20mmk,21A "`?6 zo
z 00
??<7nLD=yA FC V,C
ADZ Z.c z
CD 0 ? A
SZA'^? (n ?m
oA"y°2Ri, 1 rn oVIf !?
A N0p m rrn ?O
A
0
r p ?°
z $A
ID
N
J
Nm
m O J
z F '^
0 ! m J
N 2
J Of
N
\
\
\\ 2
9 ?2
U'
? 2s >s g 8 ?
N
I I rf', >E °
5 v D r, °
? i z
g : z
K g j z i
H
n¦ u 0Trv+-I¢X
BI B S? B? B Q? 8
y
g? A=
y
°
t ({ ''t SOUTH CAMDEN REVISIONS
Hobbs, Upchurch & Associates, P.A.M SYM. DESCRIPTION DATE
i WATER & SEWER DISTRICT ConsultingEnplneeTs
CAMDEN COUNTY NORTH CAROLINA
O1 W SOUTHERN PINES, NC - MYRTLE BEACH. SC - CHARL077E, NC a?t
o lmil < WATER MAIN EXTENSIONS NAGS HEAD. HC - RALEIGH. NC
01
o ° -1 PLAN 2522 S. 0001011 Hay SWb A Map Hwd. Nash Caollm 27959 0
SIA 56+00 LINE W STA 112+00PAar: [phone] - Fae [phone]

40+00 W-12 m
o
STA 1
CON
FOR
HIS SHEET AN
? z 'U
K
T
SEE
I >
II II <
I
V`
--
I
D l o? -• ?
V1? N I
? D ? a
m +
j? O _I
<D \\?I
I
Zr +?
`
-1 Al N p
A I O
I
A C
Z Z
NO I
Z
I
I
I?j m
2 'V
V ?j I
N
II
8
O
0
N
_O
O

I ? Z
I N
10

m o
i
k
O D
D ]1
I
C <
I <
Ir
I

I
1 II
I
_r I I
L I
I
? ? I Ik
m In
i
x?
aZ
a° I II

I
I

r
I I
I1`
II I

I
z
I V'U
xZ
J I I O~
N
l CAC D_

V
f?1

I
I I
I

II I ? -a1
I x
I
--
v - I I
I I

"U I
C:
nv
z,
N I

I

? I I I I

1
Cl
N
v I
(
?I
I

I

I

V

I I 0-0
N O
? ;° I I x Z

i D
m
I
r
a

C I
i

I ll 0
_1C
1
?
x
D
?R I
t D
` Z
°
D D
~ I I a

? C
; I I
V1 I
Z
-1 ZI I
\ I(
I
k

C- - ?

p m
ax
O D \ A I \ 0 Z
VI N
O C
N I l
`..
F .
.

m A
I
(n 1,
I\
;O +
} I
N
I I
(1 x o
O y
D
I al
C ?
I I
I
I I I
I xt
DD
r<
I I
III
1
I? I
ki
STA 168+00 W-12
FOR
n
77 APN
SEE SHEEi
,
OF 60
I
N -•
N
0O
+
O,
CU°
F11 F
O I
D
N N
O
D O +
y N
m w
r O
N
Iim
C
N
STA 112+00 W-12
FOR CONTINUATION
SEE SHEET 35 OF 60
I I
VI N ? I
DUO I
ACD
Z
(A
T
mx
;U :j
Vz
I
I
I m?
?0
? I
I I I
I
I
I ? I
i k
I
N ??iND
A f
> mDy0 N
f p m O
<DyT
D N
N
I
I
I I ?
a
I i I N$
x z
?22
o?
I C
I r?7 °
I ?
I ?
IF A I I
D
A? I
ZN
I
I I
I
v
i
I
g
I
I I
I
r ', I
Z I
N I?)
I I
I
I
it
STA 140+00 W-12
FOR CONTINUATION
SEE THIS SHEET
N
f DfIn--- I _m?? 'o 0
F? 0FTcZi
m?o^zz'mz^=Zmro vm
JN Z OC)o QO ,, 07
DmB?NQ1?NOAV'? O
D?1p?ozm°z???zm? m1
p O
?
p Op r r
x Z P D O n
ym ?q wZ-Amon"' XO
Z?c?mPp°vziz?z OZ
?ZOFomDZ?mN?c) .,On
O Onzz12D-C CO
0-d a] -U
m xz2"i voi? im
o 002l z
x? zi?0m
O O_
D0-Ipm?mZ0? I?-
5 ? ,Zmj O fp O A
m Z
11
W troll
u
? r
y y J 1
p GZi pn cf ? o cZi cZi ?
Zm ? A1??11 f? ,II ? E
f•I ZZ > O D )
K ? Ha K
c R m S
x s i
Z ]
q ¦ 41 () r1, 7 v +. j? S
t1 ?S y6 ? ? pA js A A a Y
Z i T 2 y O? (?) Z C OI 2 3
C y '? 09 H 8 z ? ki ? i
;
12 ppKRg?z
A f?l ? p A < ? n
9 y f?l
C
O

} m ' SOUTH CAMDEN REVISIONS

WATER & SEWER DISTRICT Hobbs, Upchurch & Associates, PA. SYAI. DESCNIPTION DAR
-
Consulting Engineers
1qj

' CAMDEN COUNTY
NORTH CAROLINA
E
rn W
O
II , SOUTH
RN PINES. - MYRTLE BEACH. SC - CHARLOTTE, NC My?
w - _? WAIER MAIN EXTENSIONS MACS S HEAD, NC - RALEIGH, NC 02JOYZ
?
° H 2522 S. Qortrn Suer 2A
Map Head
Nm1A CwdIno 27859 C 9f
° STA 112+00_ LINE W-12 PLAN sTA Ise+oo ,
,
: (?q 441-3913 - Fmc [phone] '"`K
APRIPga
Hobbs, Upchurch & Associates, P.A.
Consulting Engineers
2522 S. Croatan Highway • Suite 2A • P.O. Drawer 1929 • Nags Head, North Carolina 27959
April 12, 2001
Henry Wicker
Washington Regulatory Field Office
U.S. Army Corps of Engineers
P.O. Box 1000
Washington, NC 27889
RE: Nationwide Permit # 12 Application
12-inch Water Main_ Serving County Residents
Camden County, North Carolina
HUA No.: CM0003 - Permits
Dear Mr. Wicker:
401 ISSUED
01 0604
Camden County, North Carolina wishes to install a 12-inch water main to serve County
residents. The new water main will need to cross two 20' wide unnamed creeks feeding
Sawyer's creek to the west of U.S. Route 158.
It is important to note that the existing contours of the area in question will be restored to
their present condition upon project completion and all work will take place within the
highway right-of-way.
Please find enclosed the original and one copy of the PCN application form and supporting
plans. Also, as requested, we are sending seven copies of the same to Mr. John Dorney's
office at the Division of Water Quality in Raleigh, North Carolina along with the $200.00
application fee.
If you have questions or if additional information is needed, please do not hesitate to
contact me at any time.
Sincerely,
HOBBS, UPCHURCH & ASSOCIATES, P.A. ;- ,
Eric T. Weatherly, P.E.
Division Manager
Cc: John Dorney, Division of Environmental Management
H.'CAMEN COUN7Y(WM003 COUNTY WAI7iR - PHASE 111300 PER,VMY3'0 PER.1117' API'1.IC'ATIOVS-SUN,IIITT.4L INFOXWT1ONIUSARm
CORPS OP' ENGPINVICKER. ow
Nags Head, NC • Telephone [phone] • Fax [phone] • e-mail: [e-mail]
Southern Pines • Myrtle Beach • Raleigh • Charlotte
aA d1ba
18WV,
??? ? a TF9Q
,o 7
c, r
-=?
© -c
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
htt_p://www.saw.usace.army.mil/wetlands/Perm app.htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http?//www.saw.usace.army.mil/wetiands/regtour.htm, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Page 1 of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw.usace.army.mil/wetlands/nnfina[FedReg.pdf.
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetiands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No. ®1 0 6 0
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: 12-
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
if. Applicant Information
1. Owner/Applicant Information
Name: CAr\DrrJ "vtJTy i C.AfLL C.LA5Se0 CUVPJTY rAPJA(,gfL
Mailing Address: P- o . G oX 110
CAMOEN, NC. 2.19 11
Telephone Number: 25Z- 3'3% - lq 19 Fax Number: 252 - 333- 16o-3
E-mail Address: cw? 1 _c ta.ss e.r p l,,+n,a;1 .cor?.
0
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: ER?L- T, wEA'r?1ERL-f
Company Affiliation: H0005 0Pc.NV2C_N 4- P\5Soc%ArE5
Mailing Address: ?.0. D(4A\,-Eti 192.9
NA(,S 14EA0. NC. 219S9
Telephone Number: 2 52 - `1 \1-3813 Fax Number: 752-441-1\00
E-mail Address: eweattie.rl?hobbs?p?h?rch.??n.
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project
CAt%DerJ CoVNT`l WATER SYSTEM
2. T.I.P. Project Number (NCDOT Only)
NIA
3. Property Identification Number (Tax PIN): PRoPtiriyy i S LocArp WiTHIrJ u.5. R°JW \SS alVJ
4. Location
County: GA M0EO Nearest Town: EL%TA (3eTH C ITy
Subdivision name (include phase/lot number): N) A
Directions to site (include road numbers, landmarks, etc.): FWA c.ArC?eN (i4T of SR 3`13
Aar U.S. A4QTE lS%) 'SAKE y,S R0,J-T1 ISg NoarH- svrf ?1 15 p,PPaox y\oo'
ON L-,FT AT CrZE'tK. c2oS5%r1(r' 6%TE 2 1S APP(Z°)( S0.0, PortrH or
SITE , OrJ LIFT Ar- C(LF'EKK (_a*5sirs(r
SITE 1 . 7?°oqSo' / 36° 20' 1y..
5. Site coordinates, if available (UTM or Lat/Long): S % rt z -.'16 ° o9' 11"/36-2.1' .56"
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
(,RE'EK otoSS%riG - vovisb
7. Property size (acres): .SiTIE 2 = o .2o A c. ; S N -rE 2 s o . k 6 PAC_
8. Nearest body of water (stream/river/sound/ocean/lake): ,SAwyEP4 cRIM-
9. River Basin: PASCZ,,)oTNr4K
(Note - this must be one of North Carolina's seventeen designated major river basins. The
ps/.)
River Basin map is available at htti)://h2o.enr.state.nc.us/admin/ma
Pagc 4 of 12
10. Describe the purpose of the proposed work: To a srALL wA7EtZM1%1 r1 P ? Pi 0 4
C A2ay I O (r T fLF ATE 0 wa rErL To A Es 1 o ENrS
11. List the type of equipment to be used to construct the project: GAc?-Ho E
UTIL%TN V6HIC.LE5
12. Describe the land use in the vicinity of this project: ROADS 10E - va eSE r>
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
NIA
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: N 1 f\-
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
A F4 O
Page 5 of 12
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
NIA

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
" 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.femg.g_ov.
List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease s cifv)
1 EN o Atiy
E CA?AT1oN ???LL Li l0' UT To .SpwYEti
S tR$X
20 t
PEKE N0 t AL.
2 ?. 350 ? y ?

" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps arc available through the USGS at 1-800-358-9616, or online at
wuw.us¢s.sov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 19o'
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bav. ocean. etc.)
r'IA

t,tst each impact separatery anti mentlry temporary impacts. Impacts include, t)ut are not imutea to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam embankment, excavation, installation of
draw-down valve or spillway, etc.):N 1 A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VI 1. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
IT IS tJ* - PE'ASASLE To INtTA?L -THE r1Ev.J wATEQN`AtnJ Ajo'JE Co-
-R<- ?`?cISTIr?Cr LyIJE(ZTS ouE Tt) IP?j T'Ea- FEaE0C,E NXOSLEMs o2
_MEC,HArtI(.AL L%tAITnT1oNs IT IS TViVLE:Fo/LE UNA4ot0A3LE To 1t4 ST'ALL
THE PlPlac? APPRo)( IS-2o' F'RorA THE E04-E or- PAJtitN`ENT PArtA%.t-EL
To THE ROAD Irt r. r1 oPEN TA.EW-H Nf MaX V DEEP X 5'w% 0e THE TREnICH
wt`u Se (,vr wITN A, GAc.vLHoE oW r+ATS ArrO AFTE(L P?PIr1(_ IN1rALt.ATia,%)
14Azt%JE rnpi-rcRtAL wit-\- 13E uSEO To FILL- Ar?O oRtC?tr+A? CrAoyr?JD
C.o r-i T u v IL s (ZE SToRE C)
Page 7 of 12
Vlll. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.htmi.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if of}site), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
M?T1C.-PRTtOnJ $Hov%-O NoT by REaLviaEp S???E THE SATES WIIL
BE RESTo/2Fp To THEi(L c)a%6-1pi AL S'rr?,rF UPori C.or^PLBrior-J
Page 8 of 12
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet).
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres) __
IX
Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land`s
Yes ® No ?
X.
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA!SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No K
If yes, has the document reviexv been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
Proposed Impacts on Riparian and Watershed Rnffers (DWQ Only)
It is the applicant's (tip a,Verlt's) responsibility to determine, delineate and map all impacts to
required state and local butters associated with the project. The applicant must also provide
justification for these impacts in Section VII above... All proposed impacts must he listed herein,
and must be clearly identifiable on the accompanying site plan. All butters must be shown on a
map, v"llether or riot impacts are proposed to tile. bUllers. Correspondence f o?n tile D\VQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
r c? U sir j rr y?ni au??rercu yZS pm-"iue tr1Z NrlnJwirre uuurrr nuvrr
Will the, project impart pre.itected riparian bUllers identified
(Neese), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 2
Water Supply Buffer Requirements), or other (please identify
witlvn 15A NCAC 213 0233
P• 0250 (Randleman Rules and
)?
Page 9 of 12
Identify the square feet and acreage of impact to each zone of' the. riparian bUtTers_ If buffer
mitigation is required caicuiate the required amount or mitigation by applying the boner
I„ttftiplierti.
Itnnnct I I Kedutrcrf
Z.one* I Mnlliplier
' (squire feet) I Mitigation
! i I - I
1.
T?tai I I I
" Zone 1 extends out 30 feet petpcutliculm limn new bunk of channel; Zone 2 exMids an
additional 20 teet Boni the edse of/one 1.
If Buller mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration i Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
liieniiiied within I5A TJt rai, GI) l/L'YG or ll26%1
iJIA

Describe IniperViOUS aCrca,VC (both cyi.stin,L; ind prOpOSed) I.Vi'SUS total acicli,gc. on. tho site.
Discuss siormwater controis proposed in order to protect surface waters and wetlands
downstream from the property.
No 1MPE2vlous AREA To SE- ADDED , wET-LANOJ A2E TD l3E 9(2oTEC-TED
f 9,o (A RuNoPF QY A IEMPo2AXY 51\.T f?E rJLf 2u r1r11N(r ALonl(r T1-4E 4+65'r
S1 DE of THE P(tu:Y Ecr_
%+v;iJE ,41sr,;;sal (.::`.'il
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater uerneratedi tron, th11 e proposed t'roiec ., or ava.iiduic Cri.ilRCl%"v iii the suu?ei.i. tn?.nity.
NIA
XHL Violations (DWQ Only)
Is this site in violation of DWQ'Aletland Rules (I 5A NCAC 2H .0500) or any Butler Rules'
-7- n
l ..., -.
Ic thic an atter_th?_ta?t permit anniir-aiinn'
1 Cs L_j No ?l
V iir. ".1-- g".
iiiiLiiSi:,tii?.i.S
11 Lt '1.'I'L to - 1.application RL1 l,. i -
1L iS u1C i(lij?liCGiiit:i rCS?viiSiiy L,u? ;ii?vullL the, application SiiLiii:ii•iltt in ?.CUEiLGSIrCil
construction elates to aiiow processing time ror these permits. However, an applicant may
t .t / 1 It h ' 11 . L t 4-
L104
chol --I-C: to l:st constraints as.sociato i V it liil i.iti Liiiii ?% ?ii ill ii i L1'GIL rlviy 1JliF \iJ 1IYilI' . fill
work scheduies (e.y , draw-clown scheduies for lakes, dates associated with Encianvered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
NIA
y,/Z- Z-0,v l
Applicant!Azent's Signature Date
.=
U L_L c1rili} i0I"t;.-J Of i.i3giiiftl 5 Hi,d 0l11ccs .tlitl C3iii:ty CC;i#=i".^.gi
Ashes ille Re:;ulatorc Field Office Alexander Cherokee Iredell Mitchell
i -N Brim ornc n( 1!nuttp?Crc li\;cr; `im jack-col? i%niL,
1 i I Fallon Avetme Huncon?he Cleveland I.nlcoln Row-M
Room Z!! k1irkc Liston r?,lacon xuincriora
A,0io ilic N(.' 283(11- 006 (.'aharrns Graham Madison st;anlCN•
Telephone. [phone] Cald%%ell HaN%%ood N-IcDoaelI S?raiu
i aX: 1`-1-N 4X71 x t IilVa 1ICnn_rcnn ?.IC_?_l. nnllru ?r:?nsNn3n?3
Raleieh Reeuhlon Field Office Alamancc Durham Johnston RockinLlhan?
.,
i ,. r....f` r r c.,..:....
_ Allll _l•1 L.i?.?l LSI?111\\i ?? \ n....l.....,.
?\ILI G'.IlLifl\ c.l...,.. 7...
LIL?Il.tififl!L 1
L\? ?•r..t.,,.,
•.!l\..R\_
6513 Falls of tho 1`;cllsc Road Ash;- Franklin N:1sh Surr)
Sliite 120 (a;.hell ForstiIl? Nonhaninton Vance
n.. t..:.. 1. ??r ?-;; 1 .
1\.Itl i'..l L- .. ? 1 x •1...41......
.. L[Ir_l[(ff L1 r... n.,
._JL Llrt\ILL_ n...,.....,
'1 :l Lt?l 1411..1.
•GLRI
Telephone: [phone] Davidson Guilford Person `'Warren
Fax: 11919? K?,:_;71{? Dal is l lalilax Randolph WiIkcs
Washington P.c?!:'.aton Ficld Of:'i-- Hcanfort Cnrrituck Jones
[iC 4rnt1 !'prnc (1r> Mincers HCrt?C U:!rc Lc?lir
t Jl _ Isl.
W:IS11II1?iCll. - - - x341-1 -.t ?•lll
Cilrt`=rctI _ .,.
Grccn •..
P:LI?11_C
Tclerhonc (2?2197?-16.16, Chm.lan H rfford PaL;n.nminnk
fl-f L:• l-Z Lltl
F v ( ,_--, x'..... ... 1 .. 7..
hull I), L C.....i.:Ii..iI.......
rL7?mv-;
??rllilllnllj(,n t?t"`ittt1?11nn" I-14?1?i 1 t1t1Cc
... An?nl? 1 ±llrlln t m dmn
+
: i. ,... _..
r. _.. ! - F 11_..L
i "• f-, 6.i , ..1?;•. .. L7 _
rv?rr
11...7.,

..4, nl?ii
t 1.. -...d.

1i.n •._ii
n
6.L`.. .7,...

L uuv
Post Office Hc: Hninsnick Hoke !'.:c':n1oI11
1Vilrnin-i(,n N11 Ix i71 i_Ixt-11 ( 1r?.,r.,t tTnnl *6,m?n Pr?h, cnn
i lr?l,in „? 4 __?• i- '• i
' v?iii77iiS ,. ?,a:irC "i ir!?i?ii
F.1...
,l)14„ S?ct1 ;d
. .,, ,
Pitt
1 ` rrl 11
..,v /.
t;nion
it"fin-?ills
l ancev
1Vilson
1 LI LLRIIL
x6.1
......,.. _. ?:...... _...1 C........ ,..
\_tvnian :•auL•: 6..v L vL??i ( Ill,
!'t1?; 1. 1 1 of 12
ITS FCisb and Wildlife Set-vice i National l 11aritte ritibf'ries Set-vice
1 r`-` J ,1 r JI' C-__.:__ I SC1 l1J "is11 and 1V lllllll and 1fr:IJI:O..c S,..-..' Jcllil'.?, 1,f 1v1e1i 1IIC 1`iJ1l.1c1- .i'.J Jci`_
f'IJII and YY i.lUllfe JVI ?1l.V U lvatuVllil1I'111'.c
vJ
R:; Goi Fieili OR& Asheville Fieili Olice Haitiiai Cunse,vatiun Division
i.?. l,.ii•.:•:; ail`. t:,::r,. --.Ii:;v loss Noul
kal_loia, N(' 77(>3f>-3776 A.shcv!Iie. N(' ?991)1 Hen"Qjn, NU 78516
'r,, __f... _... n„n, urc nc?n r..r,._t. ra ? sic , ,nr •r_r.._t.__... r•tc•t, -r •tu coon
t
Division vi % atcr Qualitc
401 "wetlands Unit
i0 !! a•!ail J 't l:;L l.titil
Raietgh. isi(' 77(,i)t)_1(,5O
Telenhnne- (919) DU N%
Fax, m19) 733-994,
*ioiih Carolilia State Agencies
Division of % atcr Qu.111it
fvveti:unls Resiwaiiun i•ict?,:+ni
N.?!leioh. NC 77r,0 9-1/,1u
-telephone' (919) 73_;08
Fax! [phone]
St;110 jiiSWiC PrCSC -AiOll Ofi!CC
Depa,inteut Oi Ci ltiual Resuu,ces
41_1 1 Lill ?t t : lt: l.l:lii•.:!
Raleigh. N(' 77(,QQ_4617
Telephone' [phone]
Fax: [phone]
CANNA and NC Coasial,Coiiniies

cIllCilt
Division ut???V15i;li ."ef;lii;l?
fiC;iilfivii ,-°"
c,-ll.ul °
flCiuurlf
11;iSiCl!Ot;ulk
,
16 in klad .ic,vice Cenle, Nettie C rivcu Hvde Feuder
KAI•.;i' . int. ....,..-...-•ii hit...-....:!•. . P:•...,
lr_iCl?hnrte (l)li)17;':_7_7t);
r•..... n,fn'. -,?-- , Inc (';anWen
.•..... ,.__. lbrr_
?•....... (1n w",
,,..__,:
N('v'v'R(-' will NC' Trotd Comitie
Wt
st,! rm Picd n?nnf Dn .imi (?n?r?i niat n:•
/111?`.h gyn.
(``il?.,, r•11
lxi iltn,rml
Ono ....... hu Rom!
., .....
......,......
:S i...?'
l`.CClir'rSy!He NC 27294-9011 At,i n lir,L c
leicnitunc (1-,6) 769-945, nntke :iutt\
\.lnittfl;a!!! u.;_utn!! ('onr;tn..ttor F?ti!! o!!!ip_ Hr_Ilrirrcon Polk
?ukln Gre:it Stnnkv Mtn Fxpresrn•:iy Cherokee i:n keon Rutheriord
e'r'r li iii: "i1'iiii:. i'Jl. _ .. .. (_32i i ''vl3•?i?i! Ji'v'ain
Tc'c hone: (08) 452 -2546 Grahann N1 adisc.r, TrIva,i ill

1 .l.\. (NA) 506-1754 I1
l l.ll -;l VUIJl
.':1-..LU11 G11
1 1111. C. i
1 t o ' !
.iit`g't. ... to 1 _
• ':+?i 't '+W� z �,yy11 �9 .• • fJ i:r X s-:e y i�-§ ,:
,•� �-{.�°' , •; � per,, j7 �' �. i ." ,�,�
Grove
stings Co
.-1 ? +�•. �� � .r.,, ,''• r� ar � X15 � � <
M�z, a.
a� C ,h a
•; _ •>. "tx,�iY�"p!z _ �k {'t •iii/� '•i' ,.' + �� �r mai' ��
•'�.�, T y;�7 r� �_ � Vii:' � -_ t� i3� ti�Tc_�
•. � y,,er, �„ '� �Y" . � � - 1. 2.ixES�%, �
-'+�� � 1.� / r�a � _ ate• ,� .
i'L. •. !�/9i• err• ��� ,`+' :{:.
-.7,,? ,!�,i�)"j1,F'•"�!'�a�v'� ,.���v- „1 �,. .:s �s,"'�'Si aim.. `' � .
"�, � � l,itiC-.� u�`'n�` s J iii-�+;,•ro' ''.
-��� � _� ... -.esti- a►',�J I f ? y
•tom � r I / a' ���`.-. . �' - 3 %
�+ � • yF'+1-71� Yi} � e►1.-�y,,�y/"ter
_ • a 4^ye,f.Y^.'T'-,' , i - '`��. � .157 . =
J gyp[
+nom .-Y�;-1 'iY��r.r"•� � i ,,.
� �? ,� •S,�'•,`\ � 1�. �:"' �;, ' + �a ams �.
�,� 1�`" ,) elf � : yy+�i��(��,.... �f . - ,��r`• �=:.
�I � is P: -�.. �•.r L iR '"�•.r' w. :t?'

133HS SIHI 33S
NORM OO+N B VPS
'
X.
I ?
1 I ?
1
I I
I
I I
A I
0 > m l+ n ?'
DA WAl i I
C < ? D viI
A
0U z?C ;
fn 1/1 D7 Z ZI
mp
r Z ('I
1 !I
• II 1/1
1
Dim •,?D
DV 711
Nrlmmmrn
<> o?8E
1 m f
10
M?
N m N D 3-1
-1
_
m r m 0 L4
o>CC IFF
1 ( N
II I
E -U
Do
AO 1
r m
> 0
z z I
I
vl
A I
NI
o-u
s
M C.)
Uc
x?
a
ri R
T -0
DD
-A
Irri
tV
°
-o
N
0

m LAMBS RD
X 0c:
mgz
m
o > 1 (gR 114 ^
I
I
I
I

,
!1
1 m mrr
i
nn o
C? x0 ,2,?
1,
AZ ;-<
I rIn °j

~ 0
A 1
I
I r
mp
BELCROSS RD. m?Z
mom
(SR 1145) ,o
a7
O
O 1
m z _._- -( 11 I __
_1I
nil
N> D I m
i
Pm N ?7?
m0 u;+ p°
z£ m° 1 ?. ;jA
0 1 Z E I 0
N 0 I A
<D<
N I 0
O
I 1 -
N?.
? I 1
1 1 'm
Iy
I I
D D __ N
N p N E O A
f) Z
T^ m ° £\m v
m-2<>xp AT'mx? ....5 I O
-C (yr 00 mNnnv t'
A>
2 >?f '0 I
?A Zp O? I_ -
A N NV:;U
GO O
A A
zn > m°
X -0
U Mm
1 - I 0C
1 C?
R
1 D
I CI ry
p=
I (n I A
Ff I = r5
A
1
AO I q DI
_D O I 4I
Z N N I
OD I
p
A I
N I
I ?
I f
C)
E? O I
I I
?I
I I I
I I
09 !0 GC 133HS S
NouvnNI1NOO 2103
ZI-M OO+ZII V1S
09 30 VC 133HS 33S
NOLLVf1N00+95 VOS
I ? I
I I
I I
I
I I
I I $
I I
I I
I
u! I I
zII I
I I
I I I
N z
v 0
F-U 1110F DlamEv Amour "'
?Fm
mg A.?Er OmmM Z
mpomr+I=1- -x,, Mm m0 0
oF'OVI ? mr°o
Dr. N°?Cl?° z?
0 ZM'y gmyZ mooN
C2m99rr70 rm? 2 0Z: px
00
v?o Vli£Z?Z `VI0 ZZ0Eni
A???r^?r-1mi?^??c mAr?1-1
Ulm O A° m-r z_ cipAm
mo °n--;i,z v Zoo
t7
mP=Zaim Z l°il V-I
V m Zir ??
Om
°'O y yll •I
A a ZrRy??l y Z0 0%
i
?2m 004", 01 ?ZD ?.z°i
In Z
I I 1? 1 I ? NA;~

IV I/
;O I

I
I t? C

z
": x Ll m0
;m
pX+p
D AZ -
/mA
?
VI
yy OrO
m-2-((
<
m
CI °
=A
?
p
£
z>rmNl NI W
-'? I I =I

I ?t
I NI
00
I
I'
t ;0
I
I
0
E i I
° I
A I
o
cm
D V
z
N I
A
N I
i
I Iz <
<
I
CC
C I
N I I
I
I

D D II I
I C)
C.w In N ;D
-
;m
+ I f=*I iC ? -' m
po
?m

Ui >

N a X
Co x ( Dyym°°
<ril
lyn
> I
I o?
A
i
Nr.m
m
°Z
m?0 N
t+n+ O
F
DD
m N

11 ?O1 I ; mO
Z
D'IO

r
?r N ND ?N
m m l^ I
> In
m x
°m In x
om> z E
° .- -- mE I
° i
r"
I N
OrA>
r N
_ J
N I
m I rA
>
?
MD? E
o? ( >
00 In
xZ. N X
=(A
1 D
`I
I° N V

V
v i N

N

II
Oo J
J
\

??_..._
.._

_.. \ m E
z

p I
N
? +
.
m
M
m J
pii ui

U

1

1
\
\ N

Fn
'
oA T
D A E n E >
?1
•
• ? > C
-
N -
VI CA ?/ > m ?
, r,1
x N
Or I T 4
D Fi T
'A0
p
m > f m 9o
? M
A 1 v
1
VOC7 ?
? y
O1= f
=yo
- o c t E v FI FJ p 8 M v
4 ` R v
g g m M <
-i
N CI
-O
O
K , ,; ? x x SOUTH CAMDEN REVISIONS
Hobbs, Upchurch & Associates, RA. N SYN. DESCRIPTION DATE BY
WATER & SEWER DISTRICT Consulting Engineers
m W 1.? CAMDEN COUNTY, NORTH CAROLINA SOUTHERN PINES, NC - MYRTLE BEACH, SC - CMKOTTE, NC --
° Ln II t ul < WATER MAIN EXTENSIONS 1qj NAGS HIM NC - R41LIEM. NC fFAL -_
o ° LINE W-1 PLAN 2522 S. Croalan WA 2A, Nw HaW, Morin C=W 27959 ?c w?
STA 56+00 STA 112+00 (25 441-3913 - Fmc [phone] -
0012-11+ (Zgz) -! - rm-l1+ LSZ) :-W 00+H91 v1s 00+Ztt vls
--- --- 096tz ?O V1?N 'PON WWN Vd ars ?q -S LLSZ NVId Z l -M 3NIl U
- Y N O
000 >' m
z ON 'H013M1 - ON 'OV3H SOMV SNOISN31X3 NIVW H31VM
a c 1.1 u ? .°a
----- ON 3llO7HYHO - OS 'HOV319 3UWA - ON 'SAId NM3H1/IOS VNI]ONVO H1HON 'ldNf10O N3ONVO 2 q, m
siesuldu3 Oulilmoo an uva- -- Noudln?s? nAS H ljl8iSlC] 83M3S V 831VM :A '
yd `sajapossd V y?jnyodll sggoH
'
SNOISIn3H N3aWV3 Hinos r w
u
a
W? ? u
u 4 3 g a i
u u?? u?? u u u u
W W a??? ff W W? 8

z
W XX n L f? e n
'
^
V
W
J
z
IJ b
i ?
m

J IN
IN W ' O
Z

I
1i1 i u
?
F
z
u
F

u u rs
F F
p
F F ?
?
g w w? ? w w a?i
8 u
r
r

I
?o ea ?
HO
11
Z n W
?Qn mm o < w a
(7, NF ?Z O o? p
V w z w Q???? w ?_ 2 Y W
m0 Z- a-am
ao aam0 m' 9
o?
oozy ?Jaw3????
U Z ?? w ; w; O w? U VI
c~i3 ZZ zln ?rSZVlZ 3aln?v?a
ZIT 7U OUF? Fzfilj,wwuio
0 oa p z
U A Q 1? W
OJ<w o I C, "'a UwFw v6 Z J
Oz w,wwQf(nzmr zwU
oo? il 6o,°44ZOZIwa
c? w 3
uooo oZOooow30w
w~wz vwimwuKLo miMmifi?m
z N
133HS SIH1 33S
NOIJ.YnNUN00 H03
Zl-M 00+011 VlS
II
I
I II
I
I
I I
I
I
I I
I
z
III In
I 'J
I t
II
C,
I
I
U^
ti
a ?-
01
<F I
H 0
P,
w 2
0 V<I I
L
.-I
I
I
?I
I
I
I
I
I I
Y
!A 2
Oa
I
I I
I
N
fI I r
I J 3
W
N Z

1- J
N ?<? _
J
I
3 a Z <

I U
I N X U
< N IO r ?
? I I I I
I 1?
I

I
I
I9
I
I
O
z I
F?
W-
I
0 - I
?
=m
n, I
H? 1
VI
0
?b
m
2
Y<
Z,
I Z
I N
II[LrIr,,??I ;;gym
t 033
I I i
09 30 Sf 133HS 33S
N01VIlNI1NOO H03
Z1-M 00+Z11 V1S
N
I O Q
3 w ?
n MW
N
+oa
G m O
N N
?o
3w
?m
Oo
+ m
N
a
N I

U
<o
O
jW I
S
U Q .
Z V \
`0 \I
W N
I
Fp^pr I
aG I
O
1- °
U ` I
w I
0 a
a
T--I-
I
I
r- ^
Aprpr
av
o?
<¢
U a I
z= I
wa
av I
o<
3?S
0N01VON11 N0
0 80
Zl-M 00+991 V15
I
J i?l
I II
?I
I
I II
II
?I
N
I to
?
3
w vl
..J
N m V °
?W
m? J
rc
<
N O <
F-
I Vryw ?<
w1 ,
3 < O
0y
03 w
I
T ?
3I A
I Ii z
' z
a<
_ l as
?I J
I ?x
II _z z
I °< wwr
I ? O ? O N
z?
q In
a
1 w3
>
II a
3) m
II 0
I
i 0
0
a<
I
II
?I I
II
#I
fl
I? J
I F
a
I?? Z
Z=
I ow
I WE
I
I
I II
I
?I
aI I
a
V Uw
I
<
I ?mF
a
a ail I Za
W1
1
F- ? I I
N N
?-y1
`1 U
K
III;
0 ?c > F-
>m
9

Z? I
1,51
I HP,
.
n6 2
:r x oWw
V J a
< O w<
I- , X 7
W V ?- I I I

'
II
a I I
u I
133HS SIH1 335
a
ONI1N
o

O1t d
m N011V
°
s
°a y Zt-M 00
1? w
F U
K
n
o-
0
0
(V
W
Z
J