20020185 Ver 1_COMPLETE FILE_20020206

OOFWAT?9pG
r
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 12, 2002
DWQ# 02-0185
Beaufort County
Beaufort County Water District III - Long Acre East
C/o Albert V. Lewis, Jr.
P.O. Box 1027
Washington, NC, 27889
APPROVAL of 401 Water Quality Certification and Tar-Pamlico River Buffer Rules
Dear Mr. Lewis:
You have our approval, in accordance with the attached conditions, to construct the Contract No. 60 - Water
Distribution County Water District III - Long Acre East utility project in Beaufort County, as described in your application
received by the Division of Water Quality on February 6, 2002. After reviewing your application, we have determined that
this fill is covered by General Water Quality Certification Number 3288, which can be downloaded from our web site at
http://h2o.enr.state.nc.us/ncwetlands . This Certification allows you to use Nationwide Permit Number 12 when it is issued
by the U.S. Army Corps of Engineers. This approval is also valid for the Tar-Pamlico River Buffer Rules (15A NCAC 2B
.0259). 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.
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, P.O. Box 27447, Raleigh, N.C. 27611-
7447. This certification and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you
have any questions, please telephone Deborah Sawyer or Tom Steffens in our Washington Regional Office at 252-946-
6481 or Cyndi Karoly at 919-733-9721.
Sincerely,
Gregory J. Thorpe, Ph.D.
Attachments
cc: Corps of Engineers Washington Regulatory Field Office
Washington DWQ Regional Office
Central Files
File Copy
Albert Lewis, 120 North Main St., Farmville, NC, 27828
020185
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)
-I X77 ,lo, /.. 1... -..., 111 "1 .^-" 1-1-
INC.
McDAVIDAssoCUTES, INC.
Engineers • Planners • Land Surveyors
CORPORATE OFFICE GOLDSBORO OFFICE
[phone] • Fax [phone] [phone] • Fax [phone]
120 N. Main Street • P.O. Drawer 49 109 E. Walnut Street • P.O. Box 1776
Farmville, NC 27828 j Goldsboro, NC 27533
NC Department of Environment
and Natural Resources
Division of Water Quality
P.O. Box 29535
Raleigh, NC 27626
ATTN: John Dorney
Dear Mr. Dorney:
January 30, 2002
4
s-r;-6
SUBJECT: Nationwide Permit Request
Contract No. 60 - Water Distribution
County Water District III-
Long Acre East
Beaufort County
In reference to the subject project, please find enclosed the following:
1. Contract No. 60 - Water Distribution
1 Ea. 24"x36" Index Map (Sheet 2 MAI B-1438 Green)
1 Ea. 8'/2"x11" Creek Crossing Plan Drawings from sheets No. 7.
2. 1 Ea. Standard Drawing (SD 041002) which depicts a typical Culvert Crossing
section view.
3. Seven (7) copies of signed permit forms.
4. Copy of letter to US Army Corps of Engineers.
This project consists 13.7± miles of water line. All water lines will be constructed within
DOT right-of-way, private road right-of-way, or acquired easements and will be installed on the road
shoulder as much as possible. We are not aware of any wetlands that will be affected by this project.
Please find enclosed Check No. 15620 in the amount of $200.00 for Nationwide DEM 401
Permit. Request DEM 401 Permit or permit waiver at your earliest convenience.
D405BCG02 1 1:55pm
BCWD-III-CN60-401-NATIONWD-PERM-DORNEY.LTR;4 020130
J„ - -..
Please advise if I may further assist.
Sincerely,
McDAVID ASSOCIATES, INC.
AMA -C Z&??
'FO's
Albert V. Lewis, Jr., P.E.
Farmville Office
AVL/BCG:kak
Enclosures
cc: Don Davenport
Curtis Jett
D405BCG02
BCWD-III-CN60-401-NATIONWD-PERM-DORNEY.LTR;4
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20000810
SD041002
GROUND LEVEL
CENTERED
CENTERED
0'-36" MIN.
X PROPOSED MAIN I
MAIN TO BE CENTERED OVER DRAIN. O`
c° z
NO PIPE JOINT SHALL BE INSTALLED I g EXISTING STORM
OVER DRAIN. ° SEWER DRAIN
GROUND LEVEL
PIPE JOINT
0'-18" MIN.
N PROPOSED MAIN I
10 LF MIN. STEEL CASING INCLUDED
IN UNIT PRICE OF PIPE. O
cD
I Z'
STEEL CASING TO BE CENTERED OVER DRAIN. Z'
0
NO PIPE JOINT SHALL BE INSTALLED INSIDE CASING. EXISTING STORM
SEWER DRAIN
TRANSITION TO 36" COVER WITHIN 50'
ON EACH SIDE OF STORM SEWER.
GROUND LEVEL
MAIN TO BE CENTERED UNDER DRAIN.
NO PIPE JOINT SHALL BE INSTALLED
UNDER DRAIN.
PIPE JOINT
EXISTING STORM
SEWER DRAIN
24"
MIN.
PROPOSED MAIN
CENTERED
WHERE UNCASED BORES ARE NOT POSSIBLE OR WHERE
DURING INSTALLATION THE BEDDING BENEATH THE
EXISTING STORM DRAIN IS DISTURBED, THE FOLLOWING
ACTION IS REQUIRED:
A. THE EXISTING STORM DRAIN SHALL BE REMOVED
AND #57 STONE BEDDING SHALL BE USED
BETWEEN THE WATERLINE AND THE CENTERLINE
OF THE STORM DRAIN, OR
CENTERED
PIPE JOINT
PIPE JOINT
B. THE EXISTING STORM DRAIN SHALL BE
SUPPORTED IN PLACE AND FLOWABLE FILL
(CEMENT GROUT) SHALL BE USED AS
BEDDING BETWEEN THE WATER LINE AND THE
CENTERLINE OF THE STORM DRAIN.
THE COST OF BEDDING, #57 STONE, FLOWABLE FILL,
ETC. SHALL BE INCLUDED IN THE UNIT PRICE OF THE
WATER LINE.
WATER MAIN CROSSING STORM SEWER

VLil 6
020185,
WA'
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Pre-Construction Notification (PCB 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 form 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
httr)://www.saw.usace.gmy.rniVwetlands/perm atop 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 httn://www.saw.usace.mny.mil/wetiands/regtour.htm, 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.
'Ibe 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/We lands Unit website at
httn://h2o.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 fir 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).
Page 1 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.
USACE 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 permits, 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 pemlit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw.usace.army.rniYwedands/nvmfinalFedReg.pdf
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 USACE
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 cumWative 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 http://b2o.ehnr.state.nc.us/ncwetlands/fees.htrrd. 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:
USACE Action ID No.
No.
Form Version April 2001
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:
?x Section 404 Permit
? Section 10 Permit
R 401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: 12
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 Proomm is proposed for
mitigation of impacts (see section VIII - Mitigation), check here:
H. Applicant Information
1. Owner/Applicant Information
Name: County Water District III-Long Acre East
Mailing Address: P.O. Box 1027
Washington, NC 27889
Telephone Number: [phone] Fax Number: [phone]
&mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Albert V. Lewis, Jr., P.E.
C nipanyAffi iatlorr McDavid Associates, Inc.
MailingAddress• P.O. Drawer 49
Farmville, NC 27828
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: Mcdavid@greenvillenc. 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 ofproject: Beaufort County Water District III - 1999 Water System Improvement
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Beaufort Nearest Town: Pinetown
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.):
Long Acre Township (see plans)
5. Site coordinates, if available (UTM or Lat/Long): See attached sheet
(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:
DOT Right of Way
7. Property size (acres): Less than 1 acre
8. Nearest bod?a (stteam/river/sound/ocean/lake):
9. Riv tB Tar-Pamlico
(Nois must be ong_a orth Carolina's seventeen designated major river basins. The
Rivis availa ble at http://h?o.enr.state.nc.us/admin/niaps/.)
Page 4 of 12
10. Describe the purpose of the proposed work: Work is necessary in order to provide
potable water supply to local residents.
11. List the type of equipment to be used to construct the project: Trencher or backhoe.
12. Descnbe the land use in the vicinity of this project _DOT Right o f Way
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 USAGE 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 firture7 If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: No additional permits are anticipated
VL Proposed Impacts to Waters of the United States/Waters of the State
It is the applicants. (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 foams 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
I . Wetland Impacts
Wetland Impact Area of
Site Number Type of Impact* Impact
'indicate on ma (acres)
Located within Distance to
100-year Floodplain** Nearest Stream Type of Wetland***
None
vavu ui,pac[ separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, 1111,
excavation, flooding, ditching/drainage, etc. For dams, separately lis t 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 lhttn://www fema Lvov.
* * * 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. Stmm Impacts, including all intermittent and perennial streams
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
ndicate on ma linear feet T?}7? Before Impact leases eci
. I cavation over 5 ? Tribut rv to r ungo rrp,-k 7 n ? _ "
L,(3[ eacn 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 1-800358-9616, or online at
www u-- s Lv ov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.tonozone.coni-
www.ma a si i etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 5 ?
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 Area of
Site Number Type of Impact* Impact Name of Waterbody Type of Waterbody
indicate on ma acres (if applicable) (lake, pond, estuary, sound,
bay, ocean etc.
None
VII.
?•• ....Nam. aoparateiy ana laentity temporary impacts. Impacts include, but are not limit
,
flooding drainage, bulkheads, etc. ed to: fill, excavation, dredging,
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.):
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:
Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related tb 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.
••??n 1s necessary in order to provide potable water supply to rural residpnts.
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, nitigation 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 pig 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 CWde for Stream Work in North Carolina, available at
httah2o.enr.state.nc.us/ncwedands/stnn dQi e.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 regazding the application
process for the NCWRP, check the NCWRP website at httn:a- enr state di ,?/wro/index ca
am If
use of the NCWRP is proposed, please check the appropriate box on page three and pro
vide
the following information:
Amount of stream mitigation requested (linear feet): N/A
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/swrAocal)
land?
Yes ?x 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 919) 733-5083 to review current thresholds for environmental documentation.
Yes [? No ?x
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 ?
K Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicants (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
applicants discretion.
V1H the. project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .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" Impact
(square feet Multiplier Required
Miti ation
1 400 3 N/A
2 200 1.5 N/A
Total 600
Zone 1 extends out 30 feet perpendicular from 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.
N/A
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.
X1I. 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.
Xm- Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No ?
Is this an after-the-fact permit application?
Yes ? No ?
Page 10 of 12
NW. 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).
? i
Applicant/Agen Signature
ent'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
US Army Corps of Engineers Alexander Cherokee Iredell Mitchell Union

151 Patton Avenue Avery
Buncombe Clay
Cleveland Jackson
Li
l Polk Watauga

Room 208
Asheville
NC 28801-5006
Burke
Gaston nco
n
Macon Rowan
Rutherford Yancey
,
Telephone: [phone] Cabarrus Graham Madison Stanley

Fax: [phone] Caldwell Haywood McDowell Swain
Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office
US Army Corps Of Engineers Alamance Durham Johnston Rockingham Wilson

6508 Falls of the Neuse Road Alleghany
A
h Edgecombe Lee Stokes Yadkin

Suite 120 s
e Franklin Nash Surry

Raleigh
NC 27615 Caswell Forsyth Northampton Vance
,
Telephone: [phone] Chatham Granville Orange Wake

Fax: [phone] Davidson Guilford Person Warren
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
Washington
NC 27889-1000 Camden
* Gates Martin Washington
,
Telephone: [phone] Carteret
Cho Green Pamlico Wayne

Fax: [phone] wan Hertford Pasquotank
Craven Hyde Perquimans *Croatan Natio nal Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890
Wilmington
NC 28402-1890 Brunswick Hoke Richmond
,
Telephone: [phone] Carteret Montgomery Robeson

Fax [phone] Columbus Moore Sampson
Cumberland New Hanover Scotland
Page 11 of 12
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service
Raleigh Field Office US Fish and Wildlife Service National Marine Fisheries Service

Post Office Box 33726 Asheville Field Office
160 Zillicoa Street Habitat Conservation Division

Raleigh, NC 27636-3726
Telephone: [phone]
Asheville, NC 28801 Pivers Island
Beaufort, NC 28516
Telephone: [phone] 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 276994617
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
Division of Coastal Management
1638 Mail Service Center Beaufort Chowan Hertford Pasquotank

Raleigh, NC 27699-1638
Telephone: [phone] Bertie.
Brunswick Craven
Currituck Hyde
New Hanover Pender .
Perquimans

Fax: [phone] Camden Dare Onslow Tyrrell
Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road
Kernersville
NC 27284-9180 Ashe Mitchell Wilkes
,
Telephone: [phone] Avery
Burke Stokes
Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone]
Fax: [phone] Graham Madison Transylvania
Haywood McDowell Yancey
Page 12 of 12
1 ...
M McDAVIDAssOCUTES, INC.
INC. Engineers - Planners - Land Surveyors
CORPORATE OFFICE GOLDSBORO OFFICE
[phone] - Fax [phone] [phone] - Fax [phone]
120 N. Main Street - P.O. Drawer 49 109 E. Walnut Street - P.O. Box 1776
Farmville, NC 27828 Goldsboro, NC 27533
t
February 1, 2002
r' i; - 6
US Army Corps of Engineers
Washington Regulatory Field Office
P.O. Box 1000
Washington, NC 27889
ATTN: Bill Biddlecome
Dear Mr. Biddlecome:

SUBJECT: Nationwide Permit Request
Contract No. 60 - Water Distribution
County Water District III-Long Acre East
Beaufort County
In reference to the subject project, please find enclosed the following:
1. Contract No. 60 Water Distribution and Booster Pump Station
1 Ea. 24"x36" Index Map (Sheet 2 MAI B-1438 Green)
1 Ea. 11"x17" Index Map (Sheet 2 MAI B-1438 Green)
1 Ea. 81h"x11" Creek Crossing Plan Drawings from sheet No. 7.
2. 1 Ea. Standard Drawing (SD 041002) which depicts a typical Culvert Crossing
section view.
3. Two (2) copies of signed permit forms.
This project consists 13.7± miles of water line. All water lines will be constructed within
DOT right-of-way, private road right-of-way, or acquired easements and will be installed on the road
shoulder as much as possible. We are not aware of any wetlands that will be affected by this project.
D405BCG02 1
BCWD-III-CN60-PANT-TWP-404-NATONWD-ARMY. LTR;2
9:12am
020201
(. .
Request nationwide permit or permit waiver at your earliest convenience. Please advise if
we may further assist.
Sincerely,
McDAVID ASSOCIATES, INC.
fi,ji, c '411/x' co T
Albert V. Lewis, Jr., P. E.
Farmville Office
AVL/BCG:Iba
Enclosures
cc: Don Davenport
Curtis Jett
John Dorney
D405BCG02 2
BC WD-III-CN60-PANT-TWP-404-NATON WD-ARMY. LTR;2
°`ilk- tam
020201
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~ PAI~JCO • ~ PLANTATION
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COUNTY WATER DISTRICT III-LONG ACRE EAST

2001 CLEAN WATER PROJECT FOR WATF~16YSTEM IMPROVEMENTS
C~ CONTRACT N0.60 • WATER ~TRIBUTION
a ~ ~ ~
Y' .C BEAUFORT COUNTY NORTH CAROLINA
" SE P1 McDAVID ASSOCIATES IW
m
a
n m INC.
4 4 Engineers • Planners* Land Surveyors 0
h C INC, Formville, N.C. • Goldsboro, N.C.
m E DWG. BY KWB/CC SCALE NTS DATE AUGUST 151 2001 SHEET 2 0 F 24
m U
B -1438 GREEN