20011745 Ver 1_COMPLETE FILE_20011128

?OF W aTFRO Michael F. Easley, Governor
William G. Ross Jr., Secretary
`? G North Carolina Department of Environment and Natural Resources
r Gregory J. Thorpe, Ph.D.
--i Acting Director
4 Division of Water Quality
December 27, 2001
Town of Morehead City
Mr. Randy Martin, City Manager
P.O. Drawer M JAN 8
Morehead City, NC 28557
SUBJECT: Approval of Certificate of Coverage for Isolated
wetland fill
Blair Farm Park
DWQ Project # 011745
Carteret County
Dear Mr. Martin:
You have our approval, in accordance with the attached conditions of the temporary isolated wetland/waters permitting
rules (15A NCAC 2H.1300) to conduct the following activity at Blair Farm Park, in Carteret County. This approval allows
you to:
1) Fill 0.64 acre of isolated wetlands located on subject property.
The cumulative wetland impacts for this project is 0.64 ac for this site.
This approval is only valid for the purpose and design that you described in your Pre-Construction Notification (PCN)
application received by the Division of Water Quality (DWQ) dated November 24, 2001and additional information dated
received on December 17, 2001. After reviewing your application; we have determined that the temporary isolated
wetland/waters permitting rules (15A NCAC 2H.1300) covers this activity. Please keep in mind that there may be
additional Federal, State or Local regulations applicable to your project, such as (but not limited to) Sediment and Erosion
Control, Non-Discharge and Water Supply Watershed regulations and Coastal Stormwater.
This approval is only valid for the purpose and design that you described in your PCN dated November 24, 200 land
additional information dated received on December 17, 2001. If you change or modify your project, you must notify the
Division (DWQ) in writing 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 rule and the additional conditions listed below.
1). Any remaining wetlands and waters within the subject property needs to be placed in a deed notification or
similar mechanism to notify the state in order to assure compliance for future wetlands and/or waters impacts.
These mechanisms shall be put in place within 30 days of the date of this letter. A sample deed notification can be
downloaded from the 401/Wetlands Unit web site at http://h2o.enr.state.nc.us/ncwetiands. provide this
Office a copy of the recorded plat(s).
2). The attached Certificate of Completion (COC) must be submitted to the Division upon final construction
of the site.
Ex127 Cardinal Drive t., Wilmington, NC 28405-3845 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer
E
Page Two
Mr. Randy Martin, City Manager
December 27, 2001
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 conforming 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 DWQ Permit # 011745. If you have any questions, please telephone Joanne
Steenhuis or Rick Shiver at 910-395-3900.
Sincerely,

Gregory J. Thorpe, Ph.D.
Acting Director, Division of Water Quality
Attachments: Temporary rules Pages 5-7
Certificate of Completion
cc: Corps of Engineers Wilmington Field Office - Mickey Sugg
WiRO- Joanne Steenhuis ..
Central Files
i PC
F W A TF Michael F. Easley, Governor
`O?? RQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
fib 7 Gregory J. Thorpe, Ph.D.
> y Acting Director
4 .? Division of Water Quality
December 27, 2001
Town of Morehead City
Mr. Randy Martin, City Manager
P.O. Drawer M
Morehead City, NC 28557
-?o
SUBJECT: Approval of Certificate of Coverage for Isolated
wetland fill
Blair Farm Park
DWQ Project # 011745
Carteret County
Dear Mr. Martin:
You have our approval, in accordance with the attached conditions of the temporary isolated wetland/waters permitting
rules (15A NCAC 2H.1300) to conduct the following activity at Blair Farm Park, in Carteret County. This approval allows
you to:
1) Fill 0.64 acre of isolated wetlands located on subject property.
The cumulative wetland impacts for this project is 0.64 ac for this site.
This approval is only valid for the purpose and design that you described in your Pre-Construction Notification (PCN)
application received by the Division of Water Quality (DWQ) dated November 24, 2001and additional information dated
received on December 17, 2001. After reviewing your application, we have determined that the temporary isolated
wetland/waters permitting rules (15A NCAC 2H.1300) covers this activity. Please keep in mind that there may be
additional Federal, State or Local regulations applicable to your project, such as (but not limited to) Sediment and Erosion
Control, Non-Discharge and Water Supply Watershed regulations and Coastal Stormwater.
This approval is only valid for the purpose and design that you described in your PCN dated November 24, 2001and
additional information dated received on December 17, 2001. If you change or modify your project, you must notify the
Division (DWQ) in writing 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 rule and the additional conditions listed below.
1). Any remaining wetlands and waters within the subject property needs to be placed in a deed notification or
similar mechanism to notify the state in order to assure compliance for future wetlands and/or waters impacts.
These mechanisms shall be put in place within 30 days of the date of this letter. A sample deed notification can be
downloaded from the 401/Wetlands Unit web site at http://h2o.enr.state.nc.us/ncwetlands. Please provide this
Office a copy of the recorded plat(s).
2). The attached Certificate of Completion (COC) must be submitted to the Division upon final construction
of the site.
IN
Ex127 Cardinal Drive t., Wilmington, NC 28405-3845 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer
Page Two
Mr. Randy Martin, City Manager
December 27, 2001
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 conforming 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 DWQ Permit # 011745. If you have any questions, please telephone Joanne
Steenhuis or Rick Shiver at 910-395-3900.
Sincerely,
Gregory J. Thorpe, Ph.D.
Acting Director, Division of Water Quality
Attachments: Temporary rules Pages 5-7
Certificate of Completion
cc: Corps of Engineers Wilmington Field Office - Mickey Sugg
WiRO- Joanne Steenhuis
401/Wetland Unit, Central Office - Cyndi Karoly
Central Files
INAT, i Michael F. Easley, Governor
OG William G. Ross Jr., Secretary
v North Carolina Department of Environment and Natural Resources
r
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
December 13, 2001
DWQ #01-1745
Carteret County
Randy Martin, Town Manager
Town of Morehead City
PO Drawer M
Morehead City, NC 28557
Dear Mr. Martin:
- , On November 29 2001, the Division c i Water Qsait*y (DWQ) -Ass notified by receipt of your application regarding
your plans to fill 0.64 acres of isolated ends for t-e parpcs of perk development in Carteret County. Approval
from DWQ is required to disturb these wailands. Pf--se- p--?)&e sawn copies of the following information and refer to
the DWQ number listed above in your rrpfy. Pig p7ur& a st e plan, which describes why wetland fill is
unavoidable. Please address this issue cn diem VII (page 7) of tte mofication. Also, please be aware that DWQ will
need to publish a Public Notice for this p-,Jjed and review c as desv-ced in 15A NCAC 2H.1300.
Please call me at [phone] it )au have any ques ns or would require copies of our rules or procedural
materials. This project will remain cn wdd as ecompiei~ in aac=rdance with 15 A NCAN 2H .0505 (c). The
processing time for this application WE bsgin when this i-tirrr?tbn ?s received. If we do not hear from you within
three (3) weeks of the receipt of this late , we will pure thz: yvj no longer want to pursue this project and will
consider it withdrawn.
f
Cc, Wilmington DWQ Regional Office
Wilmington Corps of Engineers
Central Files
File Copy
Wetlands/401 Unit 1650 Mail Service Cer4er Rafeigk Ihf VMIw aE G -P'¢ [phone] Fax: [phone]
NCDEA
Customer Service
1 800 623-7748
?`? '?• DIG. Qloiw

?6co 61?
a -s DW
# n I-- 117y5
County

1 A5_574
- - - --Dear Mr.`
C Aa,&2-:Di On the ' ton of Water Quality (DWQ as notified by receipt of yo r
applications regarding your plan to fill etiands for the purpose o in
County. Approval from DWQ is required to disturb these . 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 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 ac ordance with 15A NCAC 2H
.0505(c). The processing time for this application will begin when this infor ation is received. If we do not
hear from you by writing within three (3) weeks we will assume you no Ion r want to pursue the project and
will consider it withdrawn.
Michael F. Easley
Governor
William G. Ross,Jr.Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
_O A
Sincerely, I ' U
G 5 ''Q
John R. Dorney
I 60 Iz?!'
Cc: ` DWQ Regional Office t5
I wa Corps of Engineers
55 T"
File C.
Central Files
0,?
1,v V
600
Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit [phone] J?Ctr-/
Fax: [phone] `L) P
Office Use Only: .. Form Version April 2001
USACE Action ID No. DWQ No. 0 11745 .
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
? a
1. Processing
R
1. Check all of the approval(s) requested for this project: N / A
? fi
Section 404 Permit
? Section 10 Permit
? 401 Water Quality Certification
? Riparian or Watershed Buffer Rules w r
2. Nationwide, Regional or General Permit Number(s) Requested: N/A
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: M
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII -Mitigation), check here: ?N / A
H. Applicant Information
1. Owner/Applicant Information
Name: Town of Morehead City
Mailing Address: P.O. Drawer M
Morehead City, Nc 28557
Telephone Number: 252-726-6848 Fax Number:2 5 2 - 7 2 6 - 2 2 6 7
E-mail Address: [e-mail]
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: Randy Martin
Company Affiliation: C i t y M a n a g e r
Mailing Address: P.0-Drawer M
Morehead City. NC 28557
Telephone Number: 252-726-6848 Fax Number: 252-726-2267
E-mail Address: [e-mail]
Page 3 of 12
xp:
311
III. Project Information
Attach a vicinity map clearly showing the location of the properly 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: Blair Farm Park
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 6 3 8 6 0 9 0 6 9 9 8 0 0 0 0
4. Location
County: Carteret Nearest Town: Morehead City
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): Hwy. 70 to Bridges St. ext.
to N. 20th St-.,.(SR #1176) to Mayberry Loop Rd. (SR #1179)
5. Site coordinates, if available (UTM or Lat/Long): N/A
(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:
Overgrown farm land
7. Property size (acres): 13 + A c r
8. Nearest body of water (stream/river/sound/ocean/lake): Newport River
9. River Basin: White Oak
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mVs/.)
Page 4 of 12
10. Describe the purpose of the proposed work: Construct soccer fields basketball
courts, walking trail, playground, restrooms, parking lot, and
entrance road.
1 1 . List the type of equipment to be used to construct t h e project: D o z a r , motor grader,
and dumptrucks
12. Describe the land use in the vicinity of this project: Residential
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.
N/A
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/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.
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***

C
clearing
.10
NO
1,218.76' isolated forest
wptland
C fill .10 NO 1,218.76'
B clearing .54 NO 1,327.78'
B fill .54 NO 1,327.78'

?d

* 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.fema.aov.
*** 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: .99 acres
Total area of wetland impact proposed: .64 acres
2. Stream Impacts, including all intermittent and perennial streams N/A
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 specify)

* 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
www.usgs.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.tQpozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: N/A
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S. N/A
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,
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include; but are not limited to: fill, 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/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation,. aesthetic, trout pond,
local stormwater requirement, etc.): N/A
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 USACE 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/strmngide. html.
1. 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 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.
N/A
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.usiv?m/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information: N/A
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 SEPA
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 (DWQ 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
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), 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* hnpact
uarfeet) Multiplier ? u io
Miton
1 3
2 1.5
Total
Zone t extends out 3U teet perpendicular t=om near bank of channel; Zone 2 extends an
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 2B.0242 or.0260.
XI. Stormwater (DWQ 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.
XII. 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.
XHL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .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).

Applicant/Agent's Signa ` E$ate
(Agent's signature is valionly if an authorization 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 Cabarrus 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 Edgecombe 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 Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
h and Wildlife Service / National M
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
[arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12
Triage Check List FILE COPY
Date: C 2q ' of 6&1 1_alt? n
To: ?RRO Steve Mitchell Project Name /1 (Y c- O -?
[]FRO Ken Averitte DWQ Project Number
?WaRO Deborah Sawyer County nn
`?.WiRO Joanne Steenhuis
//?WSRO Jennifer Frye
L ARO Mike Parker
?MRO Pate Colwell
From: sq• gA44?__ a?2i-f4.r/t WX&6eTelephone (919) 733-.../
The file attached is being forwarded to you for your evaluation. Please call if you need
assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USGW topo maps
? Minimization/avoidance issues
? Buffer Rules (Neuse, Tar-Pamilco, Catawba, Randleman)
?"Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concerns
!?'??
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