20020401 Ver 1_COMPLETE FILE_20020315

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May 9, 2002
DWQ# 02-0401
Johnston County
Johnston County - Department of Public Utilities
C/o Charles Oates
P.O. Box 2263
Smithfield, NC, 27577
APPROVAL of 401 Water Quality Certification and Neuse River Buffer Rules
Dear Mr. Oates:
You have our approval, in accordance with the attached conditions, for temporary impacts to 1,238 linear feet of
streams in order to construct the Ingrams Water District water line in Johnston County, as you described in your application
received by the Division of Water Quality on March 15, 2002. After reviewing your application, we have decided that this fill
is covered by General Water Quality Certification Number 3374, which can be viewed on our web site at
http://h2o.enr.state.nc.us/ncwetiands. This Certification allows you to use Nationwide Permit Number 12 when the Corps
of Engineers issues it. This approval is also valid for the Neuse River Buffer Rules (15A NCAC 26.0233). 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, Coastal Stormwater, 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 Certification
replaces the one issued to you on March 25, 2002.
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. You must ensure that Standard Conditions 4, 14 and 16 of General
Certification 3374, re-printed below, are followed in the design and construction of this utility corridor:
4. The edge of the construction corridor shall not be installed parallel to and closer than 10 feet (3 meters) to a
stream and 25 feet in waters classified as HQW. Utility lines shall not cross a stream channel at other than a near-
perpendicular direction (i.e., stream channel crossings shall not be at an angle of less than 75 degrees or more
than 105 degrees to the stream bank);
14. The construction corridor (including access roads and stockpiling of materials) is limited to 40 feet (12.2 meters) in
width in wetlands and across stream channels and must be minimized to the maximum extent practicable;
16. An anti-seep collar shall be placed at the downstream (utility line gradient) wetland boundary and every 150 feet
(45.7 meters) up the gradient until the utility exits the wetland for buried utility lines. Anti-seep collars may be
constructed with class B concrete, compacted clay, PVC pipe, or metal collars. Wetland crossings that are
directionally drilled, and perpendicular wetland crossings that are open cut and less than 150 feet (45.7 meters)
long do not require anti-seep collars. The compacted clay shall have a specific discharge of 1 X 10- 5 cm/sec or
less. A section and plan view diagram is attached for the anti-seep collars;
The following specifications shall apply to class B concrete:
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Division of Water Quality
a) Minimum cement content, sacks per cubic yard with rounded course aggregate 5.0
b) Minimum cement content, sacks per cubic yard with angular course aggregate 5.5
c) Maximum water-cement ratio gallons per sack 6.8
d) Slump range 2" to 4"
e) Minimum strength - 28 day psi 2,500
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
165o mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
9'A91 r-rahtree Blvd.. Raleigh, NC 27604-2260 (Location)

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, 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 Steve Mitchell or Debbie Edwards in our Raleigh Regional Office at 919-571-4700 or Cyndi
Karoly in our Central Office at 919-733-9721.
Sincerely,
?A
regory J. Thorpe, Ph.D.
Attachments
cc: Corps of Engineers Raleigh Regulatory Field Office
Raleigh DWQ Regional Office
Central Files
File Copy
Charles Oates, 2411 Oak Street, Suite 108, Myrtle Beach, SC, 29577
020401r
4
t 2411, Oak Street, Suite 108
WIESI[ Myrtle Beach, South Carolina 29577
843.448.2009, Fax: [phone]
WEMAND & ENVIRONMENTAL SERVICES, INC. WWWwetlandenvironmental.com
April 12, 2002
Division of Water Quality, 401 /Wetlands U
1650 Mail Service Center
{
Raleigh, NC 0 APR 1 6 ,2
Re: D Q#Q2-040 CO ,, ^ iAtasp,ota?
M h 25 2 ?? tErt u;?t1Y
Johns on County
Dear Dr. Thorpe,
I apologize for any inconvenience that these changes may cause. The NCDOT recently
requested that all water mains installed within NCDO 'ght-of-ways should be installed
underneath culverts. The five additional crossings are,to eep to directional bore, therefore
the impacts are unavoidable. 1 L'? G+
0
Please find the following changes. to4he Pre-Construction Notification request that your
office certified under DWQ#02-0401. The project is located south of the Four Oaks area, in
the Ingram Water District of Johnston County:
The proposed waterline will be installed within the limits of the existing highway right-of-
ways. The approximate wetland locations shown on the attached map are where the
pipeline must leave the high^ a gh?o w y based on N an ohnston County
Regulations:
Again, I apologize for the inconvenience. Thank you for your cooperation. If you have any
questions, or require additional information, please do not hesitate to call.
tSinely,
Charles Oates
Environmental Scientist
Cc: John Thomas (USACE Raleigh District)
Cc: Mr: Joe Langston (Dewberry & Davis, Inc.)
Specialized Consulting and Research
O `C
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Division of Water Quality
March 25, 2002
DWQ# 02-0401
Johnston County
Johnston County - Department of Public Utilities
C/o Charles Oates
P.O. Box 2263
Smithfield, NC, 27577
APPROVAL of 401 Water (duality Certification and Neuse River Buffer Rules
Dear Mr. Oates: .
You have our approval, in accordance with the attached conditions, for temporary impacts to 1,190 linear feet of
streams in order to construct the Ingrams Water District water line in Johnston County, as you described in your application
received by the Division of Water Quality on March 15, 2002. After reviewing your application, we have decided that this fill
is covered by General Water Quality Certification Number 3374, which can be viewed on our web site at
hftp://h2o.enr.state.ne.us/ncwetiands. This Certification allows you to use Nationwide Permit Number 12 when the Corps
of Engineers issues it. 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, Coastal Stormwater, 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 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 Quality under Section 401 of the Clean Water Act. If you have
any questions, please telephone Steve Mitchell or Debbie Edwards in our Raleigh Regional Office at 919-571-4700 or Cyndi
Karoly in our Central Office at 919-733-9721.
Attachments
cc: Corps of Engineers Raleigh Regulatory Field Office
Raleigh DWQ Regional Office
Central Files
File Copy
Charles Oates, 2411 Oak Street, Suite 108, Myrtle Beach, SC, 29577
020401
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)
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4 Ni? `C
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Division of Water Quality
March 25, 2002
DW Q# 02-0401
Johnston County
Johnston County - Department of Public Utilities
C/o Charles Oates
P.O. Box 2263
Smithfield, NC, 27577
APPROVAL of 401 Water Quality Certification and Neuse River Buffer Rules
Dear Mr. Oates:
You have our approval, in accordance with the attached conditions, for temporary impacts to 1,190 linear feet of
streams in order to construct the Ingrams Water District water line in Johnston County, as you described in your application
received by the Division of Water Quality on March 15, 2002. After reviewing your application, we have decided that this fill
is covered by General Water Quality Certification Number 3374, which can be viewed on our web site at
hftp://h2o.enr.state.nc.us/ncwetlands. This Certification allows you to use Nationwide Permit Number 12 when the Corps
of Engineers issues it. This approval is also valid for the Neuse River Buffer Rules (15A NCAC 213 .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, Coastal Stormwater, 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 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 Quality under Section 401 of the Clean Water Act. If you have
any questions, please telephone Steve Mitchell or Debbie Edwards in our Raleigh Regional Office at 919-571-4700 or Cyndi
Karoly in our Central Office at 919-733-9721
Attachments
cc: Corps of Engineers Raleigh Regulatory Field Office
Raleigh DWQ Regional Office
Central Files
File Copy
Charles Oates, 2411 Oak Street, Suite 108, Myrtle Beach, SC, 29577
I.D.
020401
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)
nin - 4700 /-&----N f14n'77 COn7 /G....\ L.a...//L..l......-,.a.. _ __ .... ......al..-_ /
2411 Oak Street, Suite 108.
WIESS-1[ Myrtle Beach, South Carolina 29577
843.448.2009, Fax`. 843.626.0193
WEr[.ANn & ENVIItoNMENTAL SERVICES, INC. www.wetlandenvironmental.com
F
March 13'2002
US Army "Corps of Engineers
6508 Falls of the Neuse Rd., Suite 120
Raleigh, NC 276,15 I U°
Re:-Ingrams Water District PCN/NW Permit #12
Dear John Thomas,
Please find the following Pre-Construction Notification Application request for an
approximately 60-mile long waterline right-of-way located South of the Four Oaks area, in
the Ingram Water District of Johnston County.
The proposed waterline will be within the limits of the existing highway right-of-ways. The
approximate wetland locations shown on the attached map are where the pipeline must
leave the highway right-of-way based on Johnston County regulations concerning bridges
and culverts.
Thank you for your cooperation. If you have any questions, or require additional
information, please do not hesitate to call.
Sin r ly, 6 4 L
Lkharjles Oates M
Environmental Scientist" 5 ; .
u?LITY
Cc: Division of Water Quality (7 copies)
Cc: Mr. Joe Langston,' Dewberry & Davis, Inc:
Specialized Consulting and Research
PRE-CONSTRUCTION NOTIFICATION APPLICATION
' OF THE
1 INGRAMS WATER DISTRICT PROJECT
JOHNSTON COUNTY, NORTH CA 1
5
MAR 1 5 2002
FILE COPY
+„
' Prepared for: ' Johnston County - Department of Public Utilities
1 Post Office Bog 2263
Smithfield, North Carolina 27577
a
1
04 March 2002
Prepared by:
Charles Oates
Wetland & Environmental Services, I ic.
Founders Centre
2411 Oak Street, Suite 108
Myrtle Beach, South Carolina 29577
843448-2009
Fag 843-626-0193

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.
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: Nationwide #12
' 3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ? N/A
1 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ? N/A
II. Applicant Information
' 1. Owner/Applicant Information
Name: ,Johnston County - Department of Public Utilities
Mailing Address: P.O. Box 2263
Smithfield, NC 27577
Telephone Number: [phone] Fax Number: [phone]
E-mail Address:
' 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Wetland & Environmental Services, Inc. (WESI) Attn: Charles Oates
' Company Affiliation: Environmental Consultants
Mailing Address: 2411 Oak Street, Suite 108
' Myrtle Beach, SC 29577
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]

Page 5 of 12

M. 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
t the project has been placed on hold until decipherable maps are provided.
' 1. Name of project: Ingrams Water District
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): N/A
4. Location Ingrams Water District, SE of I-95 and NE of I-40, Johnston County, NC
County: Johnston Nearest Town: Four Oaks
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): See attached maps.
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:
The pipeline will be placed in the existing, maintained shoulder of the roads.
7. Property size (acres): N/A (Linear project)
8. Nearest body of water (stream/river/sound/ocean/lake): Hannah Creek, Neuse River
' 9. River Basin: Neuse River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
s/.)
t River Basin map is available at http://h2o.enr.state.nc.us/admin/map
10. Describe the purpose of the proposed work: Installation of approximately 60 miles of
water mains to a rural portion of Johnston County that is not currently available.
Page 6 of 12

1
List the type of equipment to be used to construct the project: Trenchers, ramax, graders,
backhoes, front end loader, dump trucks, etc.
11. Describe the land use in the vicinity of this project: Rural/farmland/residential

IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any 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:
N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed.impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) ' Located within
100 year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
N/A

1

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http:/hvwvv.fema.aov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
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?
leasespecify)
See attached
sheet.

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
vvvvvv.LNS.cov. Several internet sites also allow direct download and printing of USGS maps (e.g., vvvvsv.topozoncxa
vvvvvv.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on sit . 1,1909
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Soun tic 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 Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 8 of 12

4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
' 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.
The entire route of the pipeline is to be placed within the limits of the existing highway
right-of-way. Wetland impacts have been reduced from 47 crossings to 20 crossings. Due
' to regulations the proposed impacts are unavoidable.

11

VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
Page 9 of 12

If mitigation is required for this project, a copy of the mitigation plan must be attached in order
' for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
' in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.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.
Based on a conversation with Mr. Bob Zarzeki on February 26, 2002, the width and
' length of the temporary impact to wetland ecosystems will not require mitigation (see
individual crossing drawings at the end of the report).
' 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
' you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://112o.eni-.state.nc.Lis/wrp/index.htni. 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
Page 10 of 12
i
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
Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It, is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, Whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify V
Yes ? No 0 If you answered "yes", provide the following information:
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
s uare feet Multiplier Required
Mitigation
1 3
2 1:5
Total
* 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.
/I L/ J V_
The construction corridor for this project will be a maximum width of 10' and all crossings
will be between 75 and 105 degrees to the run of the creek. As per a conversation with Mr.
Bob Zarzeki, the wetland impacts are exempt from mitigation.
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.
N/A
Page 11 of 12
1

L'

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.
N/A
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.
N/A
XIII. 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
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Applicant/ gent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

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