20020142 Ver 1_COMPLETE FILE_20020130

W AT F9pG
O '"? "i? I Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
February 1, 2002
DWQ# 02-0142
Wake County
Skip Davis
Braefield Residential Subdivision
20 Squadron Blvd., Suite 201
New City, NY, 10956
APPROVAL of 401 Water Quality Certification and Neuse River Buffer Rules with Additional Conditions
Dear Mr. Davis:
You have our approval, in accordance with the attached conditions, to place fill in 90 linear feet of streams, 0.0579 acre of wetlands and
8,128 square feet of Neuse Buffers in order to construct a road crossing at the Braefield Residential Subdivision in Wake County, as
described in your application received by the Division of Water Quality on January 30, 2002. After reviewing your application, we have
determined that this fill is covered by General Water Quality Certification Number 3289, which can be downloaded from our web site at
http://h2o.enr.state.nc.us/ncwetlands . This Certification allows you to use Nationwide Permit Number 14 when issued by the U.S.
Army Corps of Engineers. This approval is also valid for the Neuse River Buffer Rules (15A NCAC 2B .0233). 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, 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 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 certification as well as the additional conditions
listed below:
1. An additional condition is that stormwater shall be directed to diffuse flow at non-erosive velocities through the protected stream
buffers;
2. Deed notifications or similar mechanisms shall be placed on all remaining jurisdictional wetlands and waters or areas within 50 feet of
all streams and ponds. These mechanisms shall be put in place within 30 days of the date of this letter or the issuance of the 404
Permit (whichever is later). A sample deed notification format can be downloaded from the 401/Wetlands Unit web site at
http://h2o.enr.state.nc.us/ncwetiands .
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 Quay under Section 401 of the Clean Water Act. If you have any
questions, please telephone Steve Mitchell in our Raleigh Regional Office at 919-571-4700 or Cyndi Karoly in the Central Office at 919-
733-9721.
Sincerely
Attachments
cc: Corps of Engineers Raleigh Field Office
Raleigh DWQ Regional Office
Central Files
File Copy
Sean Clark, 11010 Raven Ridge Road, Raleigh, NC, 27614
PPhD. 014
020142
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Maili)g Address)
2321 Crabtree Blvd., Raleigh, NC 276042260 (Location)

January 29, 2002
S&EC Project #01-6454
NCDENR-DWQ US Army Corps of Engineers
Attn: Mr. John Dorney Attn: Ms. Amanda Jones
2321 Crabtree Boulevard 6508 Falls of Neuso Road
Suite 250 Suite 120
Raleigh, NC 27604 Raleigh, NC 27615
RE: Nationwide Permit 14, 401-Water Quality Certification, and Compliance with the
Neuse River Riparian Buffer Rules
Braefield Residential Subdivision
Wake Crossroads, Wake County, North Carolina
(UTM Coordinates: Zone 17, 24""" E, 3974320m N)
Dear Mr. Dorney and Ms. Jones:
On behalf of Skip Davis, (property owner), we hereby request authorization from the US
Army Corps of Engineers to use Nationwide Permit 14 to cover permanent impacts to a
perennial stream channel and a portion of an adjacent wetland. We also request
confirmation from the NC Division of Water Quality (NC-DWQ) that the project
complies with the 401-Water Quality Certification as well as the Neuse River Riparian
Buffer Rules. A Pre-construction Notification Application (PCN) is attached, which
includes an agent authorization form.
The proposed Braefield Subdivision is located east of Forrestville Road (SR 2049)
approximately 0.6 miles south of the intersection of Highway 401 and Forrestville Road.
The site is in Wake County North Carolina near the community of Wake Crossroads. The
attached USGS site vicinity map (Figure 1) and the Wake County Soil Survey site
vicinity map (Figure 2) show the site locations on those maps. The proposed residential
development land was purchased by Skip Davis from Margie and Richard Heath and was
part of a larger tract that extended further east. The Property Pin # for the project site is
1747.02-69-0482.
The property is bisected by a perennial stream channel that parallels Forrestville Road.
The majority of the property is on the far side of the stream channel from Forrestville
Road and is inaccessible without a road crossing over the stream channel. The impacts to
Charlotte Office: Greensboro Office: Hickory Office:
PMB 291, 3020-1 Prosperity Church Road 3817-F. Lawndale Drive 910 Boston Road
Charlotte, NC 28269-7197 Greensboro, NC: 27455 Taylorsville, NC 28681
Phone: [phone] Phone: [phone] Phone [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Environmental Consultants, PA
Road - Raleigh, North Carolina 27614 - Phone: [phone] - Fax: [phone]
January 29, 2002
S&EC Project #01-6454
Page 2
the stream channel have been minimized to 90 linear feet (including rip-rap dissipater).
The proposed road will also impact 2,520 ft2 (0.0579 acre) of an emergent wetland that
is adjacent to the stream channel. The road crossing will be perpendicular to the channel
and will comply with the general conditions of Nationwide Permit 14.
Neuse Buffers were not confirmed by NC-DWQ staff, however, they are as shown on the
Soil Survey map (attached). The perpendicular stream crossing will impact 8,128 ft2
(0.1866 acre) of riparian buffer. DWQ's current policy requires buffer mitigation if
buffer impacts exceed 1/3 acre or 150 linear feet per tributary. Because impacts to the
stream buffers only total 0.1866 acres, S&EC does not believe buffer mitigation should
be required.
Current DWQ policy requires mitigation if stream impacts to a single tributary exceed
150 linear feet. Current USACE pjay require stream mitigation for any
impact to important channels. Because impacts to the stream channel only total 90 linear
feet (i.e. less than 150') and efforts have been made to minimize impacts to the stream,
S&EC does not believe that stream mitigation should be required. If for some reason
stream mitigation is required, our client proposes payment to the NC Wetlands
Restoration Program.
Please call me or email me at SClarkQSandEC.com if you have any questions or if a site
meeting will be required.
Sincerely,
Sean Clark
Environmental Scientist
Attachments:
Pre-construction (PCN) notification form
USGS Site Location Map (Figure 1)
Soil Survey Site Location Map (Figure 2)
Subdivision Map (Figure 3)
Enlarged map of road crossing (Figure 4)
Agent Authorization
$200 check for 401-certification processing

?0J W A TF?Q
Gy
? r-
p ?
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This fonn should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http-//w?vw__saw.usace.armv_mil/wetlarid_s/Perm af?p.htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at httfl://www.saw.usace.arrny.niiI/wetlands/reLtour.litni, or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://l12o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
Pale I of 12
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate
the 404/401 Permits.
USAGE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General pennits, as well as
information required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at littp://www.saw.usace.arl-ny.mil/wetlands/nwpfinalFedRef,,.pdt.
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USAGE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at littp://Ii2o.chnr.state.nc.us/ncwctlands/fees.htm1. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
Office Use Only: Form Version April 2001
USAGE Action ID No.
DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14
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
Owner/Applicant Information
Name: Skip Davis
Mailing Address: 20 Squadron Blvd.
New City NY 10956
Telephone Number: [phone] Fax 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.)
Narne: Sean Clark
Company Affiliation: Soil & Environmental Consultants, Inc.
Mailing Address: 11010 Raven Ridge Road
Raleigh NC 27614
Telephone Number: [phone] Fax Number: [phone]
E-amail Address: SClark(cbSandEC.com
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Braefield Residential Subdivision
2. T.I.P. Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 1747.02-69-0482
4. Location
County: Wake Nearest Town: Wake Crossroads
Subdivision name (include phase/lot number): Braefield
Directions to site (include road numbers, landmarks, etc.): The proposed Braefield
Subdivision is located east of Forrestville Road (SR 2049) approximately 0.6 miles south of
the intersection of Highway 401 and Forrestville Road.
5. Site coordinates, if available (UTM or Lat/Long): Zone 17, 724950m E 3974320m N
(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: The site
is currently wooded.
7. Property size (acres):
8. Nearest body of water (stream/river/sound/ocean/lake)
UT to the Neuse River
9. River Basin: Neuse River Basin
(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/mans/.)
Page 4 of 12
10. Describe the purpose of the proposed work: The proposed project will provide a single
family housing development for the Wake Crossroads area. A road crossing of a
jurisdictional and buffered channel will be required to access the majority of the property.
11. List the type of equipment to be used to construct the project: Equipment used for the
construction of this project will include heavy machinery typically used for land clearing and
the installation of roads utility lines etc.
12. Describe the land use in the vicinity of this project: Land is this area is mostly forested or
in agriculture and has some residential subdivisions.
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 pen-nits issued for prior segments of the same T.I.P. project, along with
construction schedules.
This site has no other previously issued pen-nits.
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: No other permits are known to be required on the 1747.02-69-0482 property.
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 fonns should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 5 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year
Floodplain**
es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
l fill 0.0579 ac no 0 emergent

* 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 tloodplains 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.fcma.oy.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beavar pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: less than 0.1 acres
Total area of wetland impact proposed: 0.0579 _
2. Stream Impacts, including all intennittent 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'?
leasespecify)
1 Pipe/fill 90 LF UT to Neuse River + 4.5' perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated riprap,
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.uses.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., w?\w.to?ozone_i,oin,
wN'N'_Illa C UCSI. CIgTI, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 90 linear feet
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number

(indicate on ma)
Type of Impact* Area of
Impact

(acres)

Name of Wat
(ifapplicabblele) ) Type of Waterbody

lake, pond, estuary' sound,
(
bay, ocean, etc.)
N/A N/A N/A N/A N/A

* List each impact separately and identify tuuporary 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
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.
As Der conversations with the project enmineer, Mac McIntyre (McIntyre & Assocs), the
property was purchased from Margie and Richard Heath by Skip Davis. In order to access the
property and intersect with Forrestville Road a buffered stream channel will need to be crossed.
The channel is being crossed at a perpendicular angle in order to minimize the disturbance.
Without the road crossing the majority of the property would be inaccessible.
Page 7 of 12
VIII. Mitigation
DWQ - In accordance with 15A NCAC 211 .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/ncwetIancis/stiint-,ide.html.
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.
Because the stream is being crossed perpendicularly and the impacts have been
minimized to only 90 linear feet of stream channel, S&EC does not believe that stream
mitigation should be required.
Page 8 of' 12
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWIZP) 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 htq,_/i_12o__cnr stttcxu .us/wip/index.htrn 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): N/A _
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
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 arc 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 213 .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Butter 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* Impact
(square feet Multiplier Required
Mitigation
1 5,617 3 N/A
2 2,511 1.5 N/A
Total 8,128 N/A
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone I.
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. 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.
Currently there is no impervious surface on site. The proposed impervious surface will total
29.3% after construction has been completed. Sediment and Erosion control devices typically
used on construction sites will be employed on this site.
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.
The wastewater from the site will tie into an existing sewer line.
XI1I. 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).

2002
Applicant/Agent's Signature Date
(Agent's signature is valid only 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 Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
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 Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
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 Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
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
Page 1 I of 12
Fax: [phone]
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
Cumberland New Hanover Scotland
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
larine 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]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
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
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Wake Forest, NC
(USGS Topographical Quad)
Project 8: Scale:
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ure 1 - USGS
Project
Mgr.: SC Date:
01108102 g
graefield Subdivision
McIntyre & Associates
Wake Crossroads, Wake

County, NC
Soil & Environmental Consultants, PA
11010 Raven Ridge Rd. - Raleigh, NC 27614
[phone] • [phone]
Web Page: www.SandEC.com
Project Scale:
014454 1" =1320'
Project Date:
Mgr.: SC 01108102
Figure 2 - Wake County
Soil Survey
Braefield Subdivision
McIntyre & Associates
Wake Crossroads, Wake
County, NC
Soil & Environmental Consultants, PA
11010 Raven Ridge Rd. - Raleigh, NC 27614
[phone] - [phone]
Web Page: www.SandEC.com
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` Soil & Environmental Consultants, PA
11010 Raven Ridge Road • Raleigh. North Carolina 27614 • Phone: [phone] Faz: [phone]
www'SandF-C cum
AGENT AUTHORIZATION FORM
All Blanks To Be Filled In By The Current Landowner
Name: --
Address:
Phone:
Project Name/ Description: T j % ? ?+ i•?'1 y t 'E? r y 0
Date:
The Department of the Arony
U.S. Army Corps of Engineers, Wilmington District
P.O. Box 1890
Wilmington, NC 28402
Attn: Amanda Jones
Field Office: Raleigh
Re: Wetlands Related Consulting and Permitting
To Whom It May Concern:
1, the current pro a owner, hereby designate and authorize Soil & Environmental Consultants, PA to
act in my behalf as my agent in the processing of permit applications, to furnish upon r nest
suppl mental information in support of applications, etc. from this day forward. The ., day of
/.?? J A-1tic-1
This notification supersedes any previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for
government officials to enter the property when accompanied by,?&EC staff. You should call S&EC
to arr mge a site meeting prior to visiting the site. ??
Print Property Owner's Name
s Signature
cc: Mr. John Dorlney
NCDENR -- DWQ
2321 Crabtree Boulevard
Raleigh, NC 27604
cc: Mr. Peter jelenevsky
Soil do Environmental Consultants, PA
bl4 * agent auth fortmdoc
C'hulotte 1kL Greensboro Office: Hickory Office:
PMB 291.302P-1 Prosperity Church Road 3817-8 Lawndale Dnve 910 Boston Road
Charlotte, NC 28269-7197 Greensboro- NC 27455 Taylorsville. NC 28681
Phone: [phone] Phone: [phone] Phone [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
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