20011131 Ver 1_COMPLETE FILE_20010725

State of North Carolina
DC-partment of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
4 00
Awmft% 0001% WPM
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
October 4, 2001
Madison County
DWQ Project No. 01-1131
APPROVAL OF 401 Water Quality Certification
Kenneth S. Porche, Jr.
1530 Puncheon Fork Road
Mars Hill, NC 28754
Dear Mr. Porche:
You have our approval in accordance with the attached conditions, to impact 16 linear feet of Puncheon
Fork Creek for the purpose of installing two 8' by 16' culverts to provide acess to the property D.B.
217/130 Parcel B D.B. 3/587 in Madison County. The project should be constructed in accordance with
your complete application received 18 September 2001. After reviewing your application, we have decided
that this activity is covered by General Water Quality Certification Number 3289. This certification
corresponds to the Nationwide Permit Number 14 issued by the US Army Corps of Engineers (USACE). In
addition, you should acquire any other federal, state or localpermits before you proceed with your project
including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed
regulations. This approval will expire when the accompanying 404 permit expires unless otherwise
specified in the General Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ in writing and submit a new application. If
the property is sold, the new owner must be given a copy of this Certification and approval letter, and is
thereby responsible for complying with all the conditions. If total wetland fills for this project (now or in
the future) exceed one acre, or if total impacts to streams (now or in the future) exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). This
approval shall expire with the corresponding Nationwide Permit expires or as otherwise provided in the
General Certification. For this approval to be valid, you must follow the conditions listed in the attached
certification and the additional conditions listed below.
1. Instream work and land disturbance within the 25-foot wide buffer zone are prohibited during the
brown and brook trout spawning season of October 15 through March 31, or as other wise
determined by the North Carolina Wildlife Resources Commission, to protect the egg and fry
stages of trout from off-site sedimentation during construction.
2. Disturbance of the stream channel must be limited to only what is necessary to install the culvert.
Heavy equipment should be operated from the bank rather than-in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
3. The installation and addition of pipes should insure that the water flows without freefalling or damming on
either end during low flow conditions. Pipes 36" or larger should be buried approximately 1 foot
into the streambed. Smaller pipes should be buried up to 20% of their size. The dimensions,
pattern, and profile of the stream above and below the pipe should not be modified by widening
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1650
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
A74 00
Michael F. Easley, Governor NCDENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
4. High Quality Waters BMP's must be utilized on this project.
5. Stormwater should be directed to buffer areas or retention basins and should not be routed directly
into streams.
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, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. 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 contact Todd St. John at 919-733-1786, or Jennifer Frye in the
Winston-Salem Regional Office at 336-771-4600.
Attachment
cc: USACE Raleigh Field Office
Winston-Salem DWQ Regional Office
File Copy
Central Files
Sincerely,
Gregory J. Thorpe, Ph.D.
Acting Director
01-1131
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1650
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
10, Describe;he purpose of the proposed work: '-IN > 'T4LL am- 9, 1,da-/ lecxA
11. List the type of equipment to be used to construct the project: 7n1&'K_ my.E _ L ? 2G<
12. Describe the land use in the vicinity of this project: A?fof INIV. 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.
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 o the exclysion of this work from the current
application: &d /U J, 4Z4 A&,5z , ,,cd--
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 reap all impacts to
-wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VIJ 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.
Page 5 of 12
1, Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-yearFloodplain**
(es/no) Distance to
Nearest Sueam
(linear feet)
Type of Wetland***

* 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 last impacts due to both structure and flooding.
100-Year floodplains are identified through the Federal Emergency Management Agency's (FL-MA) Flood insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FGMA Map Sctvice Center at 1-800-358-9616, or
online at htto://www.fema.zov.
*** 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 propose
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma
Typo of Impact's Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Im act Perennial or
Intermittent?
(casespecify)

'7-List each impact separately and identify temporary impacts. lmpaets include, but arc not limited to: culverts and associated np-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 wail, gabions, etc.), excavation, ditching/straightening, etc. lf'stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
nearest
s* Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tribn6
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-35 nline at
www.yk +,)v. Several interner sites also allow direct download and prin(ing of USGS maps (cen m,
www.maVguest.Cotn, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
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* ea of
Impact
(acres) Name of Waterbod
(if applicable) y Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

List each impact separately and identify temporary impacts. Impacts include, but are not limited to_ fill, excavation, dmdsing,
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 a lication_
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.):
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_
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 VSACE 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/ncwetiands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much inforination as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), 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.
tILr
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 hits.Ilh2o.enr.state.nc.us/wm/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?
Yes ? No
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 SEPAA.
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, 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 ?
X. Proposed Impacts on Riparian and Watershed Buffers ODWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. _ The applicant must also provide
justification for these impacts in Section VII 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 buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC. 2B _0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requi a ents), or other (please identify . )?
Yes ? No If you answered "yes", provide the following information:
Page 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

Zone*
(square Impact feet)
Multiplier Re aired
Mid anon
1 3
2 1.5
Total
" Zone I extends out 3U teet perpenatenlar from near aan?c oc ?nunnca; vnc cniouw u.
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 213 .0242 or.0260.
XI. Stormwate>r (IDWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
XH. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
_ _..
XIII. Violations (DWQ Only)
Is this site in violation. of WQ ?Netland Rules (15A NCAC 21-i .0500) or any Buffer Rules?
Yes ? NO
Is this an after-the-fact permit application?
Yes ? No?
Page 10 of 12

XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e-g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

ApWicant/Agent's Signature /L pate
(Agent's signature is valid only if alt ation
letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801.5006 Cabartus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombc Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone. [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office ..
US Army Corps Of Engineers
Post Office Box 1000
Washington, NC 27889-1000
Telephone: [phone]
Fax- [phone]
Wilmington Regulatory Field Office
US Army Corps or Itngtneers
Post Office Box 1890
Wilmington, NC 28402-1890
Telephone! [phone]
Fax: [phone]
Beaufort ..... Currituck _ .-Jones
Bettie Dare Lenoir
Camden Gates Martin
Carteret* Green Pamlico
Chowan . Hertford Pasquotank
Craven Hyde Pefquimans
Anson Duplin Onstow
riladen xlwaott Pendor
Brunswick Hoke Richmond
Carteret Montgomery Robeson
Columbus Moore Sampson-°'-
Cumberland New Hanover Scotland
Union
Watauga
Yancey
Wilson
Yadkin
Pitt
Tyrrell
Washington
Wayne
*Croatan National Forest Only
Page 11 of 12

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13?w) C. North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
p C h' s' _ Acting Director
440 A Division of Water Quality
August 21, 2001
DWQ # 011131
Madison County
Kenneth Porche, Jr.
1530 Puncheon Fork Road
Mars Hill, NC 28754
`:; n y rii
Dear Mr. Porche:
On July 25, 2001 the Division of Water Quality (DWQ) was notified by receipt of your applications regarding your applications
regarding your plan to fill streams for the purpose of crossing a stream for a road in Mars Hills, NC in Madison County. Approval from
DWQ is required to disturb these waters. Please provide seven copies of the following information and refer to the DWQ # listed above
in your reply. In particular as described in 15A NCAC 2B .0502, we will require you to locate all streams and ponds on the property and
provide a map depicting the stream crossing as well as all lots associated with this crossing. Please show these on maps of suitable
scale (for instance 1" =100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H .05W.
Please call me at [phone] if you have any questions or would require copies of our rules or procedural materials. This
project will remain on hold as incomplete in accordance with 15A NCAC 2H.0505(c). The processing time for this application wiltbegin
when this information is received. If we do not hear froi f you by writing within three (3) weeks we will assume you no longer want to
pursue the project and will consider it withdrawn.
Sincerely,
n R. 4Do r n '6Cc: Asheville DWQ Regional Office
Asheville Corps of Engineers
File Copy
Central Files

i?
Wsttands/401 Unit 1650 Mail Service Center Raleigh, NC 27699.1650 Ph: [phone] Fax; [phone] Customer Service
1 600 623-7748
r
??0? V V n r ?RQG
micnaei r. tasiey, uovernor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
> Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
August 21, 2001
DWQ # 011131
Madison County
Kenneth Porche, Jr.
1530 Puncheon Fork Road
Mars Hill, NC 28754
Dear Mr. Porche:
On July 25, 2001 the Division of Water Quality (DWQ) was notified by receipt of your applications regarding your applications
regarding your plan to fill streams for the purpose of crossing a stream for a road in Mars Hills, NC in Madison County. Approval from
DWQ is required to disturb these waters. Please provide seven copies of the following information and refer to the DWQ # listed above
in your reply. In particular as described in 15A NCAC 2B .0502, we will require you to locate all streams and ponds on the property and
provide a map depicting the stream crossing as well as all lots associated with this crossing. Please show these on maps of suitable
scale (for instance 1"= 100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H.0500.
Please call me at [phone] if you have any questions or would require copies of our rules or procedural materials. This
project will remain on hold as incomplete in accordance with 15A NCAC 2H .0505(c). The processing time for this application will begin
when this information is received. If we do not hear from you by writing within three (3) weeks we will assume you no longer want to
pursue the project and will consider it withdrawn.
F ly,
rney
Cc: Asheville DWQ Regional Office
Asheville Corps of Engineers
File Copy
Central Files
Wetlands/401 Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Ph: [phone] Fax: [phone]
Customer Service
1 800 623-7748
` .s• ? s .g,T
' Michael F. Easley
?. _ . Governor
William G. Ross,Jr.Secretary
- Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
DW 01113 A
County
1? 0 1? v.c eeY\ ?I c3?? ?
?afy'
Cf
Dear Mr.
On Z? the Z'of r Quality (DWwas notified by rec Sipt f your
applications regarding your plan to fill urpos of in MW?
County. Approval from DWQ is required to disturb these 5 Please provide seven copies
of the following information and refer to the DWQ # listed above in your reply. In particular as described in
15A NCAC 2B .0502, we will require you to locate all streams and ponds on the property,) Please show
these on maps of suitable scale (for instance V = 100 feet) so we can begin to determin your projects'
compliance with 15A NCAC 2H.0500.
Please call me at [phone] if you have any questions or would require
procedural materials. This project will remain on hold as incomplete in accordance
.0505(c). The proces4g time for this application will begin when this information is r
hear from you by writing within three (3) weeks we will assume you no longer want to p
will consider it withdrawn.
Sincerely,
T,
> of our rules or
15A NCAC 2H
;d. If we do not
the project and
`d
V1
V,111V, ??Q?t \ `
John R. Dorney
U
Cc: DWQ Regional Office A .S G?1
Corps of Engineers _
File Copy
Central Files
9539®R
Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands1401 Unit [phone]
Fax: [phone]
WHItK UUHLlIY rLHNN1NO hd?; yly-flb-SbJf

t ffice I
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If an? `
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Jul b 'Ui 14.0Y? r.vo/iL
ISSUED
Form Version April 2001
01 1131
ID No.
No.
;ular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
space blank.
1. f; 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: 1
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: ?
II. Applicant Information
1. Owner/AP 1' atrt Infornn ' on / r ?7 ;
,Name: Ut1 X1 L J ?9 .2 c /C if J C
Mailing Address:
-IM Fax Number: C , Z 9 - 7 °
Telephone Number:
E-mail Address:
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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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 reaps and plans should
include the appropriate USGS Topographic Quad Map and MRCS 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. D W'Q 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:
2. T.I.F. Project Number (NCDOT Only)-
3. Property Identification Number (Tax PIN): f 1 13c, zl!u L ? ?-N
4. Location
County: LAP DZ Nearest Town: fL6 /I
Subdivision name (include phaseflot number):
Directions to site (include road numbers, landmarks, etc.: Tyr,
5_ Site coordinates, if available (UTM or Lat/Long):
(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. DAscribp the existing land use or condition of the site at the time of this application:-Allaa
9.
7. Property size (acres): --tot
"
8. Nearest body of water (strearn/river/sound/oceanllake):
i
River Bas.in:_ - .A, .f` Q cL 1X.i_1 vl
(Note - this must be one of North Carolinas seventeen designated major river basins.
River Basin map is available at http h2o enr.state.nc_us/admin/mapsl.)
The
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