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HomeMy WebLinkAbout20010787 Ver 1_COMPLETE FILE_20010608i 1,11 ?Jv Michael F. Easley Governor William G. Ross, Jr., Secretary Department of Environment and Natural Resources Kerr T. Stevens Division of Water Quality June 14, 2001 DWQ# 01-0851 Cabarrus County City of Concord Post Office Box 308 Concord, NC 28026 APPROVAL of 401 Water Quality Certification Dear Sirs: You have our approval, in accordance with the attached conditions, to construct a sewer line across Big Cross Creek in Rutherford County, as described in revised application materials received by the Division of Water Quality on May 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, Kerr T. Stevens Attachment cc: Corps of Engineers Asheville Regulatory Field Office Mooresville 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) r 401 ISSUED 010787 DWQ ID: CORPS ACTION ID: 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'S NAME: City of Concord (UTILITY OWNER) 2. MAILING ADDRESS: P. O. Box 308, Concord, North Carolina 28026-0308 SUBDIVISION NAME: Afton Village Phase 4B Sewer Outfall CITY: STATE: ZIP CODE: Concord, North Carolina 28026 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): Afton Village Phase 4B Sewer Outfall 3. TELEPHONE NUMBER: (HOME) 704-920-5403 (WORK) 704-920-5403 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Cabarrus - NEAREST TOWN: Concord SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) North side of Poplar Tent Road 6. IMPACTED OR NEAREST STREAM/RIVER: RIVER BASIN: Afton Run / Yadkin 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)? NO IF YES, EXPLAIN: N/A (b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? NO (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? PAYMENT r7C,EI lED 8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROJECT? 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? NO IF YES, DESCRIBE ANTICIPATED WORK: 9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: 23.11 ACRES IN TRACT, THERE ARE 0.217 ACRES IN THE UTILITY RIGHT-OF-WAY. (b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: Un-known 10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: EXCAVATION: FLOODING: OTHER : 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 40 AFTER: FT 40 WIDTH BEFORE (based on normal high water contours): FT 8 AVERAGE DEPTH BEFORE: FT 8 AFTER: FT 8 (b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: EXCAVATION FOR INSTALLATION OF 8" SEWER LINE TO BE INSTALLED BENEATH STREAM CHANNEL 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? 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY) Installation of sanitary sewer line by trackhoe 13. PURPOSE OF PROPOSED WORK: Installation of sanitary sewer line 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) No wetlands, stream crossing only. 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: 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMITAREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED. 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC (STATE) LAND? YES (FUNDS ONLY) (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? NO (b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE 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 (919) 733-6369. 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 MANAG MEN PROGRAM, / 9-V/ , f4 OWNER'S/AGENT'S SIGNATURE DATE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED). ly I I II Iy ,I I Iy I I I y Irzl i y I Rr I I ?y I NI I ? y I NI Iii I I L y y I I II I I I I I I I I I I IOQ I QO 1 II II II I I, PERMANENT BANK 5TABILIZATI 60 TONS LA55 II RIP- PROPERTY OWNER: NTY OF GONGORD 5E= R MAIN AT GREEK OR0551NO 5HALL BE ENGA5ED IN A BED OF GLA55 B RIP-RAP Plea of 8" ?R'r_p w 0 Ohm Tg? ro S6Sti' Pipe 101 135.00' of b" y I 15TH. 0+00 (55N I I <RT 268°23'08" y I III ii I y , I , >i I I y I ? / I ? I I I I I O: I y I ?I I II I ? CI I y I I I C I ?1 i i I I I , y ZII II y ? . I ; ?I I II °O -p z D O c10p. N? O?O STA. 242.80' (5E <RT 180°00'00" PROPERTY OWNER: MAYFIELD LAKELAND, LLG alley, williams, carmen, & king, inc. CONSULTING ENGINEERS 207 SOUTH MAIN STREET P.O. BOX 1248 KANNAPOUS, NC 28082 704/938-1513 sCmL' I" = 50' 10B "°•: no545 \\O?-\' FESS/p • O /? -.7 8 +9 = 13311 'O 4-24 /Vo '''?1111?11111?\\ SEWER MAIN CREEK CROSSING AFTON RUN BRANCH CITY OF CONCORD (O V 11 (ZI1?12S I '9 ) Oki ' 9 ,-" 'W?N y1S ( H(,4 21d) ill' bS 'N I /?P11 SS ? (1 332iL5 1 b +b '`d15 ? • (b HW Zld) b9' b5 - - - -- _-- - F- . - ' / ? - --I -I- - - d - -- : - - -- - oN F±W h ?1 I I I lnd? All is brskls I -I o/, , l L -- - -- L --?- 1 '?? C114- i I I I i I I I ( ? I I -I I • ? \ i II I j 09'01 ':,S ;NI N I - - j -- --- ?yl -- - o - ff - - - - -- ?- I? ObG lln - - I i- NI - I -- i I I i I I I i I w I 1?1 - - --- I j l --- - I ?- I I I ---I I I ?? I I I I p (3 f , I I I I I I i J U) ? O ? I I I i ? u c4 ? ? I I - I J?? IY- I I ' I I - I -- I CIO i IL -- - ?Lj I I I I ? ? - - - j I \i j I I I ' I I I i I I-I Zb'?? 9` I dbS n ?W I 9?' I %? I_I Imo' ?N `? _I i 21?? ?7 4_(Td I 1 ? S /m i I I '191X: I I I I I i z - I I I I I I ' , l i I I I I ? l I I I N ? w alley, wllirams, carmen, do king, Inc. CONSULTING ENGINEERS S EWER MAIN CREEK CROSSING 207 SOUTH "M STREET F.0. 80x 12" KANNAPOIJS, NC 28082 704/938-1515 AFTON RUN BRANCH CITY 0 F CONCORD 'E sc LF Joe Nom' 00545 ? ;d vt • +l ,? f 441 o i:_. ln?•:x,•v 1._ , f; '? • + ' J I "` ?r "I^ k ^ 6'f f ? It i 4 .... _ '? ei r ??' 1 y f h . rt Y If I _ 1 ,?..i I ?~ • . _ "wsN.?. 4 Y ." , ? .. } a x . + u + F ? 1L { I k 4 1 A? X? L? ?f{ '? -( ??•' ? ? ` ?4 % ryJ 1 ? ` L' t • ?. „?'° '1 ? y4 74 11 4 ., 1 '15 i i T . ?? J '^..:3 ? ? '. _ ,, ?+_ , i . 4y ?.. ,?? ..^_ .-. 35°-25. i ?'• ?' ? 4: I-.t-,------- l ?. _.._ . t k `41 r. r, yam, ffY X{{?_yff''?? Ile" yyyllllll y f 4 ;, t M 1 1 Y^?ry r .r .' -N35 4-75 ' j 4:' - -?-- Ike EXISTING 18" OUTFAL ''^i ` ?'' ks ? I - a rr + ? . l y I . y AI RUN 1? I ` POPLAR TENT ROAD Jrl? ?• • r 4 r Yf f 4 ? ODDLECREEK f , ,. ??,r rr ,.r` _ ? ''? of ' ? '? { ,v j % PROPOSED 8" SEWER LINE M? + 44.r/'rJ ? 1' N35 24•.. •,.?,..r-. '. _ - y.?..c__ d VL 4 ? I y1 'T rs,? T % I ? ? .??t'' 1 ' 1' .. J ' Y'r 4 1 rFf }? i..d ,r -,??Y-. ? • ___ ,w- t 51'• i'r I? 4 I I Y. ?. J?4 I ? ` ? •.? P N35 24.25 -?----- 3-D TopoQuads Copyright © 1999 DeLorme Yarmouth, ME 04096 Source Data: USGS 1 250 ft Scale: I : 7,200 Detail: 14-7 Datum: NAD27 KANNAPOLIS QUADRANGLE 010787 401 ISSUED DWQ ID: CORPS ACTION ID: 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'S NAME: City of Concord (UTILITY OWNER) 2. MAILING ADDRESS: P. O. Box 308, Concord, North Carolina 28026-0308 SUBDIVISION NAME: Afton Village Phase 4B Sewer Outfall CITY: STATE: ZIP CODE: Concord, North Carolina 28026 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): Afton Village Phase 4B Sewer Outfall 3. TELEPHONE NUMBER: (HOME) 704-920-5403 (WORK) 704-920-5403 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Cabarrus - NEAREST TOWN: Concord SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) North side of Poplar Tent Road 6. IMPACTED OR NEAREST STREAM/RIVER: RIVER BASIN: Afton Run / Yadkin 7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA), HIGH QUALITY WATERS (HOW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? NO IF YES, EXPLAIN: N/A (b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? NO (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? RECCivEu 8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROJECT? 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? NO IF YES, DESCRIBE ANTICIPATED WORK: 9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: 23.11 ACRES IN TRACT THERE ARE 0.217 ACRES IN THE UTILITY RIGHT-OF-WAY. (b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: Un-known 10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: EXCAVATION: FLOODING: OTHER : 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 40 AFTER: FT 40 WIDTH BEFORE (based on normal high water contours): FT 8 AVERAGE DEPTH BEFORE: FT 8 AFTER: FT 8 (b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: -X CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: EXCAVATION FOR INSTALLATION OF 8" SEWER LINE TO BE INSTALLED BENEATH STREAM CHANNEL 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? 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY) Installation of sanitary sewer line by trackhoe 13. PURPOSE OF PROPOSED WORK: Installation of sanitary sewer line 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) No wetlands, stream crossing only. 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: 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMITAREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED. 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC (STATE) LAND? YES (FUNDS ONLY) (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? NO (b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE 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 (919) 733-6369. 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? (o 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 MANAG MEN PROGRAM, f?? W7 f 4 ?/ OWNER'S/AGENT'S SIGNATURE DATE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED). liI y I I I i ti I ?n I I I ? -N- I ? ti l I I O i I PROPERTY OWNER: O I i I CITY OF GONGORD IF f ? L y I ? Z Q p PERMANENT BANK I 5TABILIZATION ti I 60 TONS OF GLA55 11 p rn Sys '? I I RIP-RAP O xl m S N y ' r I-_ I I G5ENER ROSSINGIS ALL BEEK rn g m , xxI z f W H I I ENGA5ED IN A BED OF ° o I , GLA55 B RIP-RAP ' S6Sb c' _ y Plpe 100 242.go' of 8 I I _ " RGP ti I - - _ _ Plpe 101 135.00' of 8" P EXIST MH I I I I I I STA. 0+00 (5EWER) <RT 268°23'08" 4' I I I I ' ! ?0 K) 1 MH No. IA ?j O I I I I STA. 242.80 (SEWER) I H <RT 180°00'00" O A Oro < O I - ?0 III I ?p N I ^I I ??p?0? 0 K) I I QUO I I CI IHI? -\N ' ti I .......... III /? ?••FE ° • _ i ti I ?I I PROPERTY OWNER: 13311 _ to I I MAYFIELD LAKELAND, LLG ?{-24.0? I I %,FR Y D. alley, williams, carmen, & king, Inc. CONSULTING ENGINEERS SEWER MAIN CREEK CROSSING 207 SOUTH MAIN STREET P.O. BOX 1248 AFT ON RUN BRANCH KANNAPOUS, NC 28082 704/938-1515 CITY OF CONCORD TE SCALE` " _ JOB No.: (21?N 1?3S 1 ?9 ) Oh' 9 `Vls (i HI?I 2!d) ill' bGi `N ' I /V,11 Ss (1 ?2 ils L b +b 'Vl5 CN F+W ? ? (b Hhl ZIP 19 b5 ' w-Gk S =1(Id I Ss ? I 1 - s I ? ? i I i ? I I l i l - I ?-- ; - I ! u V1, L - - - - - i -1 I I i I •• l ??, I l 09 'O b5 ' NI N I I dl 'ON H j 01 !.oi ?S NI I ? I ? ? ! i I I ? I I ? I ? I ? I I I I - i I I s? ? I I I i ? I ? i ? FL 4 La I I `o 1? I --I I I i I I ?Lb'BbS ''WI I I i ° ry - - - - I - - - ? -- an? - a? - s I?w 'J__ I I -- - - - L - 1 1 - - I - L --? - ? I I I I I I i ? !" alley, williams, carmen, do king, Inc. CONSULTING ENGINEERS 207 SOUM "N STREET P.O. BOX 1248 SEWER MAIN CREEK CROSSING AFTON RUN BRANCH KANNAPOLUS, NC 28082 704/938-1515 CITY OF CONCORD 'E wA Joe No-: 00545 Y• ?.F J < • ? ? - 1. « ? J ??? ?N `? ' .... 1 ? ei? I ? G `y?.,, ? - p ?r?1 ?? - 11 /•' r? ? 1• ?i • ?? y r (T ? !? «t R.'._'Ir k ? r (l? y 'tea t ? ? - ? _ IJ I+_?. ?? U .- ? '??" ? ` f fr r •,' d ? ? 1 ? 4 ' ? I . ? +.°"`.'?. J? 4 - - < rte"` ', _"wr... r x -25 +?' ,f °,. !- 1' • _......• ? '? ...: . . 4 1 ,? ? +? Y-.,? _ ~?•1 ? ? r _._+" ? ? r ?'' ,,?: ? ??'+.,?'? "'?,'?+?' ?lF tr4 f fir" 6 '' F ?r rrl ? fir.. , Y J ,r- ?,.1-. y '• Y ?Y -N35 4. 7 , EXISTING 18" OUTFALL • r ° Ohs"? a ?k I' t AFTON RUN } _ ,. • ti. r' y y 4 POPLAR TENT ROA I f1 i,? `--, ODDLE CREEK F ?'?• , / ?, M. .,..f"-'''+? II JI y.JFJ ++ . * 0r r j i t tI K i' , }y PROPOSED 8" SEWER LIN I t I /' r ? v t ?' ? ? 4 r« I r? ? , hhh -•. ' - .. ' . 4- -N35 2 I ? , rrr. 4 w-i f r n s r` l rj, d 11 - " a i 11 i ?.,,? `.•? f? ? ___ ..s0. y? f' _ ,, -•t"I,y. L ? s'-- -N35"24-2 3-D TopoQuads Copyright © 1999 DeLorme Yarmouth, ME 04096 Source Data: USGS 1 -1250 ft Scale: I : 7,200 Detail: 14-7 Datum: NAD27 KANNAPOLIS QUADRANGLE 401 ISSUED DWQ ID: _O 1078 7 CORPS ACTION ID: 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'S NAME: City of Concord (UTILITY OWNER) 2. MAILING ADDRESS: P. O. Box 308, Concord, North Carolina 28026-0308 SUBDIVISION NAME: Afton Village Phase 4B Sewer Outfall CITY: STATE: ZIP CODE: Concord, North Carolina 28026 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): Afton Village Phase 4B Sewer Outfall 3. TELEPHONE NUMBER: (HOME) 704-920-5403 (WORK) 704-920-5403 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Cabarrus - NEAREST TOWN: Concord SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) North side of Poplar Tent Road 6. IMPACTED OR NEAREST STREAM/RIVER: RIVER BASIN: Afton Run / Yadkin (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)? NO IF YES, EXPLAIN: N/A (b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? NO (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? owll'l RECEIVED 8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROJECT? 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? NO IF YES, DESCRIBE ANTICIPATED WORK: 9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: 23.11 ACRES IN TRACT THERE ARE 0.217 ACRES IN THE UTILITY RIGHT-OF-WAY. (b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: Un-known 10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: EXCAVATION: FLOODING: OTHER : 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 40 AFTER: FT _ WIDTH BEFORE (based on normal high water contours): AVERAGE DEPTH BEFORE: FT 8 AFTER: FT 8 FT 8 (b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: EXCAVATION FOR INSTALLATION OF 8" SEWER LINE TO BE INSTALLED BENEATH STREAM CHANNEL 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? 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY) Installation of sanitary sewer line by trackhoe 13. PURPOSE OF PROPOSED WORK: Installation of sanitag sewer line 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) No wetlands, stream crossing only. 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: 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE 40 PERMITAREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED. 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC (STATE) LAND? YES (FUNDS ONLY) (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? NO (b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE 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 (919) 733-6369. 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 MANAG MEN PROGRAM, OWNER'S/AGENT'S SIGNATURE DATE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED). I y I I I I I y I I ?T I -1 ?l I I y I I I y I Z I ? y I ? I I 1JL y I ? y I ? I Iwi I I I I L y I I I I I I I I I y I I I I I y I I i I I y I I I y I I , ? rn I I I I I I I I , f y I I I I I II I I I I I i I I I I I I I I. 0 Q Q PE (? ST 1?1QQ 6 RI Ir41-? I Z 1 i I zl MH No. IA 5TA. 242.80' (5E <RT 150°00'00" -n u) O20 rn n rn m D-4 ro 101 135.00 Po g 00 0? O? OHO ???11111111//// 1 •OFESS/p • C•?i7? 8 6_1+9= 13311 r? ®_ O 4-24-01 - '? ?;,?<",?•?.?;? I NEB 00?.\?? ' ''?/FRY D ?•? ??`? rTf PROPERTY OWNER: MAYFIELD LAKELAND, LL, alley, williams, carmen, & king, inc. CONSULTING ENGINEERS 207 SOUTH MAIN STREET P.O. BOX 1248 KANNAPOUS, NC 28082 704/938-1515 SEWER MAIN CREEK CROSSING AFTON RUN BRANCH CITY OF CONCORD /Z1 -i O ?n J 11 PROPERTY OWNER: CITY OF GONGORD RMANENT BANK ABILIZATION O TON5 OF GLA55 II :'-RAP 5ENER MAIN AT GREEK GRO551 NG 5HALL BE w ENGA5ED IN A BED OF GLA55 B RIP-RAP Pipe 100 242.g0' of 8" RGP 15TA. 0+00 (5EH <RT 268°23'05" CI z. rnrnI I W; ?I I zI ?I I T (2t3N1?5) Ob' 'V ?S 2!?) ill ( HA ' bS;'N I 111NI G IS (13 2iLS?L £ b +t? 'V IS ? . ZIP) (b Hhl b9 b6 I A S -- -- - - - F 'C N IO W %? , _ b?l'SbG i 'nc5 I SS I I I i ? l i ? i I i I i i I I I ' 09O S %NI N (?! ) S 0 b Z b+ l ? ? I` i 'ON HW 0}': 01 )5 '1f1 0 NI - -i l ? ? ! I I ? ? I ? ? I I I i i I ! I ?I I C I I . I I ? I i i ? I s? I _i I ? I I I ?a _ b L4 ?? I l I -? ? •` _ J? bra - - - -- -- --I - L \?° - ;- - Zb QbS °WI _' g dJ ul U) ? 212A-1?9 Q2- A 3-3/M ? HW SIX ( I ! I l J -- _ _ - - I 1I -- --- - ? -- I - - I - - I ? I - i ?' - I --- i_ - I - ? I - ? alley, wilircros, carmen, do king, Inc. CONSULTING ENGINEERS SEWER MAIN CREEK CROSSING 207 SOUTH "N STREET P.O. BOX 1248 KANNAPOUS, NC 28082 704/938-1515 AFTON RUN BRANCH CITY OF CONCORD SCAE. - doe No.: 00545 f ? t! ??. 'F Ix f • l) •/ i` e•.' '' 111 '+''' OY.? r Y ; i'" i •• J ( ` ??f_ -e???s ? N ?ti.+. e i - F ` N I ` , .•- I ? 1 ,p 5 y '^ a? . Jr. T• .v.'Ie' • f , i _._. I -'+iy' .- Ili. + 1'v '•E? ??h, ,_ " 'tia % , M1 ,? .. -„'?,.. ? ,, ' ''. ?? r y ~ ' - + 4 r mt- 11 t! ? y,r ? ?.? f j•..- _ f J a+4N ??? J ? ' r'• 1 ? <. r + AttY e' ?. + } N35 .4-715 4 It EXISTING 18" OUTFACE •"'t Y ? ty ? 'x x. + I 1 i N r AFTON RUN 4 POPLAR TENT ROA 7 it tr -.. k r ( ? s+ i ' 1 x ti+, CODDLE CREEK_ , ,..1 tt' y f u c ? it ?' I ? ? "" •_J I, ' ,y PROPOSED 8" SEWER LINE I T- ? I r ` I ? ?r I' Y r I #,r •_t r i? 75 24. % JAL ? f .-• ? 9 fix . ?r ?, .;,?- ? ? 1 ?. - ? , _• _. .?. . ? - ?? _ .?. „ ? _1 y ?5r`«. --- `, • . y. ?'?.-. Itf?xr.,, err. ,? ?_ .? _._ .y '?'. ,_,'?' a\'L?, lie ? N35 24-25 - Y ' ? -- -`--? --- t 3-D TopoQuads Copyright © 1999 DeLorme Yarmouth, ME 04096 Source Data: USGS---1250 ft Scale: 1 : 7,200 Detail: 14-7 Datum: NAD27 KANNAPOLIS QUADRANGLE State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael Easley, Governor Bill Ross, Secretary Kerr T. Stevens, Director City of Concord Engineering PO Box 308 Concord, NC 28026-0308 Dear Sir or Madam: LTWAA 4 0 • IT boom NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES May 25, 2001 DWQ # 010787 On May 25, 2001, your application for 401 Water Quality for the Afton Village Sewer Outfall project in Cabarrus County was received by the N.C. Division of Water Quality. Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a fee for all 401 applications. Your application is being placed on hold since no payment was received with the package. The fee for applications is $200 for projects impacting less than an acre of wetland and less than 150 linear feet of streams. For projects impacting one or more acres of wetland or 150 or more feet of streams, the fee is $475. In order for DWQ to review and process your request, you must send a check in the appropriate amount made payable to the N.C. Division of Water Quality. Please note that if you meet the basic conditions and requirements for NWP 12, for which you are applying, you would not need written concurrence from DWQ. Please see the conditions for NWP 12 on our website to see if this is the case: http://h2o.enr.state.nc.us/ncwetlands . If you believe that you will not require written concurrence then an application fee will not be required and we ask you send us written notification to this effect and include the above DWQ number on any material regarding this project. Please call Robert Ridings or Cyndi Karoly at 919-733-1786 or visit our web site at http://h2o.enr.state.nc.us/ncwetlands if you have any questions. in er , not Dorney t,t cc: Central Files File Copy Wetlands/401 Unit 2321 Crabtree Blvd. Suite 250 Raleigh. North Carolina 27604 Telephone 919-733-1786 FAX # 733-6893 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper MAYFIELD LAKELAND, LLC NC Department of Natural Resources 6230 • Licenses and Permits Application fee pAyM?-N? 22g? 6/5/2001 200.00 11? Cash Bank - General Sewer Permit-Island 200.00