20011877 Ver 1_COMPLETE FILE_20011227

Piver & Associates, P.A.
8009 Creedmoor Road, Suite 200 • Raleigh, North Carolina 27613
August 20, 2002
Mr. Bob Zarzecki
NC Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
Re: Mahlers Creek Outfall
Garner, N.C.
Permit # 01-1877
Dear Mr. Zarzecki:
4- 9
>( AM 9
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We have completed our punch-list inspection on the referenced project and are
preparing to gate portions of the sewer easement. The drought has taken its toll on our
initial seeding and we want to complete any additional work you might require before we
remove the Tree Protection, remaining silt fence and reseed any remaining bare areas.
Therefore, if you have any concerns, please notify us immediately so we can address
them prior to our reseeding
We appreciate your help with us on this project and we look forward to it's
successful conclusion.
Sincerely,
Pi As , P.A.
William C. Piver, P.E.
Tel: 919 / 844-9060 • Fax: 919 / 844-9070 9 E-mail: [e-mail]
Michael F. Easley
Governor
O?O? W A r?RQG
r William G. Ross, Jr., Secretary
>_ y Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
February 18, 2002
DWQ Project # 01-1877
Wake County
Replaces January 2, 2002 Approval
Town of Garner
C/o Mr. Frank H. Powell, Jr., P.E.
PO Box 446
Garner, NC 27529
Re: Mahler's Creek Outfall Wastewater Collection System Improvements, Bainbridge Subdivision to Existing City of
Raleigh Pump Station, Garner, Wake County, NC
Mahler's Creek [03-04-02,27-43-9, C NSW]
APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Neuse River Buffer
Protection Rules (15A NCAC 2B .0233)
Dear Mr. Powell,
You have our approval, in accordance with the attached conditions and those listed below, to impact 0.584 acres of
wetlands, 91.59 feet of stream and 18,532 square feet of riparian buffers to construct the proposed sanitary sewer outfall
as you described within your revised application dated February 12, 2002. After reviewing your application, we have
decided that this fill is covered by the NC Division of Water Quality (DWQ) General Water Quality Certification Number
3288. This Certification allows you to use Nationwide Permit Number 12 when issued by the US Army Corps of
Engineers (USAGE). This letter shall also act as your approved Authorization Certificate for impacts to the protected
riparian buffers as required under,.15A NCAC 2B .0233(8). This approval replaces your January 2, 2002 approval. In
addition, you should get or otherwise comply with any other required federal, state or local permits before you go ahead
with your project including (but not limited to) Sediment and Erosion Control Permit. 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 revised application and construction
plans dated February 12, 2002. If you change your project, you must notify us and you may be required to send us 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 conditions. If total fills for this project (now or in the future) exceed one acre
of wetland, compensatory wetland mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval
to be valid you must folrow.the conditions listed in the DWQ General Certification No. 3288, Neuse Buffer Rules 15A
NCAC 2B .0233 and the additional conditions listed below.
Conditions:
1. The outside buffer, wetland or water boundary and along the construction corridor within these boundaries approved
under this authorization shall be clearly marked by orange fabric fencing for the areas that have been approved to
infringe within the buffer, wetland or water prior to any land disturbing activities to ensure compliance with 15A
NCAC 2B .0233 and GC 3288.
2. Construction of the utility line shall comply with all conditions listed within DWQ General Certification No. 3288.
Including (but not limited to) conditions number 4, 5, 9 and 16.
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)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetiands/
Page 2 of 2
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, NC 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 telephone Mr. Steve Mitchell at 919-571-4700 or Mr. Bob Zarzecki at 919-733-9726.
Sincerely,
n /1
\/l , Acting Director
Cc: William C. Piver, P.E., Piver & Associates, P. 8009 Creedmoor Roa , Suite 200, Raleigh, NC 27613
Steve Mitchell, DWQ Raleigh Regional Office
File Copy
Central Files
DWQ 011877
Piver & Associates, P.A.
8009 Creedmoor Road, Suite 200 * Raleigh, North Carolina 27613
This is a revision to a previously submitted application, therefore no check is
enclosed.
February 12, 2002
NCDENR -DWQ US Army Corps of Engineers
Attn: Mr. John Dorney Attn: Ms. Amanda Jones
Wetlands/401 Unit 6508 Falls of the Neuse Rd., Ste. 120
1621 Mail Service Center Raleigh, N.C. 27615
Raleigh, N.C. 27699-1621
Re: Revision to Nationwide Permit/Buffer Compliance Request
Mahlers Creek Outfall Sewer
Garner, Wake County, N.C.
DWQ Project # 01-1877
Dear Mr. Dorney and Ms. Jones:
On behalf of the Town of Garner (project owner), we hereby request authorization
from the U.S. Army Corps of Engineers to revise our previous request to use Nationwide
Permit 12 for the subject project to cover temporary impact to wetlands and stream
crossings. We also request written concurrence from the N.C. Division of Water Quality
(NC-DWQ) that the revised project complies with the Neuse River Basin buffer rules. A
Pre-Construction Application (PCN) was previously submitted. An agent authorization
form from the Town of Garner was also previously submitted.
The proposed project is a sanitary sewer outfall paralleling the west side of
Mahlers Creek. It extends from an existing City of Raleigh pump station near the
intersection of Highway 50 and Buffalo Road northward approximately 12,000 linear feet
to the Town of Garner's Bainbridge subdivision. The outfall will collect sewage from the
Bainbridge, Forest Landing and South Creek subdivisions and eliminate two pump
stations. Please refer to the USGS topographic map except attached for the location of
the project. This project was originally proposed and designed in 1982 by the Town of
Garner. Although the Town obtained easements along the proposed route from property
owners they never obtained construction permits. In an effort to utilize the existing plans
and easements we requested vesting of the project in a letter dated March 8d`. We have
not received a response to our request for vesting. As time is of the essence with this
PT sec to annexation requirements for the Bainbridge subdivision and we have no
/guarantee o vesting, we decided to walk those portions of the originally proposed outfall
that were fe t to pose potential buffer and/or wetlands permitting problems with Bob
Zarzeki o your office. As a result of his comments, sections of the route were re-aligned
Tel: 919 / 844-9060 • Fax: 919 / 844-9070 • E-mail: [e-mail]
February 12, 2002
Mahlers Creek Outfall
Page 2 of 2
to avoid permitting complications and the cost of mitigation. These changes were
reflected in the construction plans previously submitted with the PCN.
Upon receiving the referenced certification from NC-DWQ the Town reviewed
the project's budget and directed us to revise the route's alignment, if possible, to
eliminate any zone 1 parallel impacts, thereby eliminating the required mitigation costs in
the certification.
As a result of revising the previous alignment, along with the City of Raleigh
allowing a constriction of their standard permanent easement where it would intrude into
the Zone 1 parallel buffer, the total cumulative impact to the buffers by the outfall's route
parallel to Mahlers Creek is now 0.0 s.f in Zone 1 and 8,579.24 s.f in Zone 2. Two
perpendicular stream crossings along the route, limited to 40' in width each, will
temporarily impact 5,248.54 s.f in Zone 1 and 4,704.08 s.f in Zone 2.
Cumulative temporary impacts to wetlands along the route will be .584 Acres and
stream impact at the perpendicular crossing points is a total of 91.59 l.f. Copies of the
relevant construction sheets (# 1-4 & 6-10) are attached.
If we can be of further assistance to you on this matter, please do not hesitate to
contact us.
Sincerely,
Pive & Ass DIP. A.
William C. Piver, P.E.
Cc: Frank Powell
Town of Garner
Attachments:
Construction Plans (11" x 17" showing areas of impact)

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Governor
? T? _ William G. Ross, Jr., Secretary
>_ - I Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
January 2, 2002
DWQ Project # 01-1877
Wake County
Town of Garner
C/o Mr. Frank H. Powell, Jr., P.E.
PO Box 446
Garner, NC 27529
Re: Mahler's Creek Outfall Wastewater Collection System Improvements, Bainbridge Subdivision to Existing City of
Raleigh Pump Station, Garner, Wake County, NC
Mahler's Creek [03-04-02, 27-43-9, C NSW]
APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Neuse River Buffer
Protection Rules (15A NCAC 2B .0233)
Dear Mr. Powell,
You have our approval, in accordance with the attached conditions and those listed below, to impact 0.228 acres of
wetlands, 91.59 feet of stream and 28,910.13 square feet of riparian buffers to construct the proposed sanitary sewer
outfall as you described within your application dated December 21, 2001. After reviewing your application, we have
decided that this fill is covered by the NC Division of Water Quality (DWQ) General Water Quality Certification Number
3288. This Certification allows you to use Nationwide Permit Number 12 when issued by the US Army Corps of
Engineers (USACE). This letter shall also act as your approved Aurzation Certificate for impacts to the protected
riparian buffers as required under 15A NCAC 2B -0233(8) In addifim you should get or otherwise comply with any
other required federal, state or local permits before you go ahead with your pmt including (but not limited to) Sediment
and Erosion Control Permit. Also, this approval will expire when tlae accompanying 404 permit expires finless otherwise
specified in the General Certification.
This approval is only valid for the purpose and design that you deed in your application dated December 21, -
2001. If you change your project, you must?notify us and you maybe mquired to send us anew, application. If the
property is sold, the new owner must be given a copy of this Certifkmfion and approval letter and is thereby responsible
for complying with all conditions. If total fills for this project (now cTii>` the future) exceed one acre of wetland,
compensatory wetland mitigation may be required as described in 15ANCAC 211.0506 (h). For this approval to be valid
you must follow the conditions listed in the DWQ General CertificNo_ 3288, Neuse Buffer Rules 15A NCAC 2B
.0233 and the additional conditions listed below.
Conditions:
1. The outside buffer, wetland or water boundary and along the caautimcdon corridor within "these boundaries approved
.under this authorization shall be clearly marked by orange fabric kncing for he areas that have been approved to -
infringe within the buffer, wetland or water prior to any land disurbmg activities to ensure compliance with 15A
NCAC 2B .0233 and GC 3288. r.. A..
2. Construction of the utility line shall comply with all conditions fif&?d within DWQ General Certification No. 3288.
Including (but not limited, to) conditions number 4,`5, 9 and 16_
North Carolina Division of Wader Quality, 4o1 We%-jids Cerufic Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 Wing Ate;
2321 Crabtree Blvd., Raleigh, NC 27604-2250 (Loca fm)
919-733-1786 (phone), 919-733-6893 (fax), MtpJ/h2oxrwztat---=asthc -xW
Page 2 of 2
3. You are required to mitigate for impacts to the protected riparian buffers. The required area of mitigation to
compensate for impacts to the protected riparian buffers is 8,634 square feet as required under this Authorization
Certificate and 15A NCAC 2B .0242.
We understand that you wish to make a payment into the Riparian Buffer Restoration Fund administered by the NC
Wetlands Restoration Program (WRP) to meet this mitigation requirement. This has been determined by the DWQ to
be a suitable method to meet the mitigation requirement. In accordance with 15A NCAC 2B .0242(7), this
contribution will satisfy our compensatory mitigation requirements under 15A NCAC 2B .0233(9)(C). Until the
WRP receives and.clears your check (made payable to: DENR - Wetlands Restoration Program Office), no impacts
specified in this Authorization Certificate shall occur. Mr. Ron Ferrell should be contacted at [phone] if you
have any questions concerning payment into the WRP. You have one month from the date of this approval to make
this payment. For accounting purposes, this Authorization Certificate authorizes payment into the Riparian
Buffer Restoration Fund to compensate for 8,634 fe of required riparian buffer mitigation for impacts to 2,878
fe of protected riparian buffers; 03-04-02 river and subbasin:'
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, NC 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 telephone Ms. Deborah Sawyer at 252-946-6481 or Mr. Bob Zarzecki at 919-733-9726.
Sincerely,
_ egory J. Thorpe, Ph.D.
NC DWQ, Acting Director
Cc: William C Pver; P.E., Piver & Associates; P.A. 8009 Creedmoor Road, Suite 200, Raleigh, NC 27613
Steve Mitchell, DWQ Raleigh Regianal Office '
File Copy
Central Files .,
:. DWQ 011877
L'A
F WAIF
Q Michael F. Easley
N OG Governor
0
pj William G. Ross, Jr, Secretary
j Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
NORTH CAROLINA DIVISION OF WATER QUALITY
Authorization Certificate
SUMMARY OF PERMITTED IMPACTS AND MITIGATION REQUIREMENTS
In accordance-with 15A NCAC 2B.02.33, the Town of Gamer has permission as outlined below and within the
attached authorization certificate to impact buffers for the purpose(s) of constructing the wastewater collection system
project. All activities' associated with these authorized impacts must be conducted with the conditions listed in the
attached authorization certificate- THIS AUTHORIZATION CERTIFICATE IS NOT VALID WITHOUT THE
ATTACHMENTS.` .
COMPENSATORY MITIGATION REQUIREMENT WETLAND RESTORATION PROGRAM (WRP)
DWQ Project No. - 011877
LOCATION: GARNER
COUNTY: WAKE
BASIN/SUBBASIN: 03-04-02
As required by 15A NCAC 2B..0233 and the conditions,of the authorization certificate, you are required to
compensate for the above impacts through the restoration or enhancement of buffers as outlined below prior to
conducting any activities that impact or degrade the waters of the state.
0.0 acres of Class WL wetlands
0.0 acres of riparian wetland
0.0 acres of non-riparian wetland
0 feet of stream channel
8,634 square feet of riparian buffers
One of the options you have available to satisfy the compensatory mitigation requirements is through the payment
of a fee to the Riparian Buffer Restoration Fund per 15A NCAC 2B.0242. If you choose this option, please sign this form
and mail it to the WRP at the address listed below. An invoice for the appropriate amount of payment will be sent to you
upon receipt of this form. PLEASE NOTE, THE ABOVE IMPACTS ARE NOT AUTHORIZED UNTIL YOU HAVE
RECEIVED NOTIFICATION THAT YOUR PAYMENT HAS BEEN PROCESSED BY THE WRP.
Signature
WETLANDS RESTORATION PROGRAM (WRP)
NC DIVISION OF WATER QUALITY
1619 Mail Service Center
Raleigh, NC 27699-1619
[phone]
Date
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)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetiands/
Piver & Associates, P.A.
8009 Creedmoor Road, Suite 200 • Raleigh, North Carolina 27613
o? e, 'i, ?
NCDENR - DWQ
Attn: Mr. John Dorney
Wetlands/401 Unit
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Re: Application for Mahlers Creek Outfall Sewer
Garner, N.C.
December 21, 2001 ol 187T
US Army Corps of Engineers i
Attn: Ms. Amanda Jones"' -?
6508 Falls of the Neuse Rd., Ste. 120 C'r
Raleigh, N.C. 27615
copy
Dear Mr. Dorney and Ms. Jones:
...
On behalf of the Town of Garner (project owner), we hereby request authorization
from the U.S. Army Corps of Engineers to use Nationwide Permit 12 for the subject
project to cover temporary impact to wetlands and stream crossings. We also request
written concurrence from the N.C. Division of Water Quality (NC-DWQ) that the project
complies with the Neuse River Basin buffer rules. A Pre-Construction Application (PCN)
is attached. An agent authorization form from the Town of Garner is attached. A check in
the amount of $200.00 is attached in payment of the application fee.
The proposed project is a sanitary sewer outfall paralleling the west side of
Mahlers Creek. It extends from an existing City of Raleigh pump station near the
intersection of Highway 50 and Buffalo Road northward approximately 12,000 linear feet
to the Town of Garner's Bainbridge subdivision. The outfall will collect sewage from the
Bainbridge, Forest Landing and South Creek subdivisions, and eliminate two pump
stations. Please refer to the USGS topographic map except attached for the location of
the project. This project was originally proposed and designed in 1982 by the Town of
Garner. Although the Town obtained easements along the proposed route from property
owners they never obtained construction permits. In an effort to utilize the existing plans
and easements we requested vesting of the project in a letter dated March 8"'. We have
not received a response to our request for vesting. As time is of the essence with this
project due to annexation requirements for the Bainbridge subdivision and we have no
guarantee of vesting, we decided to walk those portions of the originally proposed outfall
that were felt to pose potential buffer and/or wetlands permitting problems with Bob
Zarzeki of your office. As a result of his comments, sections of the route were re-aligned
to avoid permitting complications and the cost of mitigation. These changes are reflected
in the attached construction plans being submitted with the PCN.
Tel: [phone] i, Fax: [phone] E-mail: [e-mail]
t
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Uva

?O?N OF GA?F?A
Town of Garner
Post Office Box 446 • Garner, North Carolina 27529
Phone [phone] • FAX [phone]
0
?H9RTERE9 ?? b
December 20, 2001
December 21, 2001
Mahlers Creek Outfall
Page 2 of 2
As a result of the realignment the total cumulative impact to the buffers by the
outfall's route parallel to Mahlers Creek will be only 2,877.82 s.f in Zone 1 and
13,121.52 s.f in Zone 2. Two perpendicular stream crossings along the route, limited to
40' in width each, will temporarily impact 6,416.93 s.f in Zone 1 and 6493.86 s.f in
Zone 2.
Cumulative temporary impacts to wetlands along the route will be .228 Acres and
stream impact at the perpendicular crossing points is a total of 91.59 l.f. Copies of the
relevant construction sheets (#1-4 & 6-11) are attached.
Because the cumulative impacts are so low, and temporary in nature, we believe
that wetland, stream channel or buffer mitigation should not be required by DWQ.
If we can be of further assistance to you on this matter, please do not hesitate to
contact us.
Sincerely,
Piver & Asso ' tes, P.A.
William C. Piver, P.E.
Cc: Frank Powell
Town of Garner
Attachments:
Pre-Construction (PCN) notification form
Letter of Authorization
Project Location Map
Construction Plans (11" x 17" showing areas of impact)
Application Fee ($200.00 - check # 2427)
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit
? Section 10 Permit
Q 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: ? ri 1A
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ? nl /A
H. Applicant Information
1. Owner/Applicant Information /?
Name: Z f L7 c rr ,l .4
Mailing Address: H 4 (a
n _ .. ?r P 7?c'ac
Telephone Number: Ci 1 W /77? - U G YY Fax Number:
E-mail Address: II
..
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: f ' C E,
Company Affiliation: ' d s
Mailing Address: yo-3 9
Telephone Number:-
E-mail Address:
Fax Number:
Page 5 of 12
M. Project Information
4.
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and - distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: `S C AAalk NVA zAt.wA Y ???ScC?I?YI
`i s EYY\ S mpt uvtinioN S
2. T.I.P. Project Number or State Project Number (NCDOT Only): N
3. Property Identification Number (Tax PIN): nl JA
Location
County: 1.5 ( d?CE Nearest Town: C?, rr\ir
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): 5 e,w z,z _ow
5J
5.
6. Describe the a istin land u e or
J,A74.0kI."td IL
wn of the site at tjk time of this
7. Property size (acres): I (e . w 40-
8. Nearest body of water (stream/river/sound/ocean/lake): T?)A\ki f S o Y u Ek
9. River Basin: ti UA s 9
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at hM://h2o.enr.state.nc.us/admin/maps/.)
Page 6 of 12
Site coordinates, if available (UTM or Lat/Long): n1 /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.)
10. Describe the purpose of the proposed
11. List the tY}?e of equipment to
Q.4 N
'\k. .
{ I VY`
used to construct the project: A o.clc 9,9k -?- Lo- ,le.c?
12. Describe the land use_ in the vicinity of this
Ilk
IV.
V.
Prior Project History
s
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.
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
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 7 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***

Z?J ., GJL1 1 N

List each impact separately and identity temporary impacts. impacts mciuue, out an not umncu tu. luccnatuccu c.cMu,g, g.au„Is, ,...,
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 htpJ/www.fema.gov.
•** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
(linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease specify)

44
t o
qql 0
oT
,?
?L.Cfnrt ?. r
1' 9da.t 117 -19 '' c

* List each impact separately and identity temporary impacts. impacts mcmuc, out we nut tutumu tu. Gwvv lw ...... a?.,..a..., ..?...r,
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.eov. Several interact sites also allow direct download and printing of USGS maps (e.g., www.tomozone.o=
www.mamduest.cotn, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 91 . S e
Page 8 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: rill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation l
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.):
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
techniqueslo be followed during cgnsptuStion to reduce impacts. t __L
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.
Page 9 of 12
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Division of Water Quality 12/21/2001
Additional Charges-Applications & Permits

200.00
SouthTrust Bank Mahlers Creek Outfall application fee 200.00