20020416 Ver 1_COMPLETE FILE_20020320

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June 13, 2002
Wake County
DWQ Project #: 02-0416
APPROVAL of 401 Water Quality Certification with ADDITIONAL CONDITIONS,
Wetlands Restoration Program and Neuse River Buffer Rules
John Brown
740 Loch Highlands Drive
Raleigh, NC 27606
Dear Mr. Brown:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
material in 100 feet of streams or 0.01 acres of wetlands and 0.16 acre of stream buffers for purpose of
constructing road crossings at Wyntree subdivision in Wake County, as you described in your application
dated March 20, 2002 with supplemental information dated April 4, 2002 (received April 8, 2002) and June 5,
2002.. After reviewing your application, we have decided that this fill is covered by General Water Quality
Certification Number 3375. This certification allows you to use Nationwide Permit Number 14 when the
Corps of Engineers issues it. This approval is also valid for the Neuse River buffer rules (15A NCAC 2B
.033). 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. This approval will expire when the accompanying 404 or CANIA
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 except
as modified below. If you change your project, you must notify us and you may be required to send us a
new application. If the property is sold, the new owner must be given a copy of this Certification and
approval letter and is thereby responsible for complying with all conditions. If total 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) (6) and (7). This approval shall expire when the corresponding Nationwide
Permit expires or as otherwise provided in the General Certification. For this approval to be valid, you
must follow the conditions listed in the attached certification and any additional conditions listed below.
Deed notifications or similar mechanisms shall be placed on all remaining jurisdictional wetlands and
waters to notify the state in order to assure compliance for future wetland and/or water impact. 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).
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 to notify the state in
order to assure compliance for future wetland and/or water impact. 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).
is, 1VXX
kif 690
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
N. C. 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)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwettands

2. Stormwater shall be directed to flow at non-erosive velocities across the entire protected
stream buffers.
3. Upon completion of the project, the applicant shall complete and return the enclosed
"Certification of Completion Form" to notify DWQ that all the work included in the 401
Certification has been completed. The responsible party shall complete the attached form and
return it to the 401/Wetlands Unit of the Division of Water Quality.
We understand that you have chosen to contribute to the Wetland Restoration Program in order to
compensate for these impacts to wetlands and/or streams. In accordance with 15A NCAC 2R .0402, this
contribution will satisfy our compensatory mitigation requirements under 15A NCAC 2H .0506(h).
According to 15A NCAC 2H.0506(h), feet of restoration will be required. Until the Wetland Restoration
Program receives and clears your check (made payable to: DENR - Wetland Restoration Program),
wetland or stream fill shall not occur. Mr. Ron Ferrell should be contacted at 919-733-5083 ext. 358 if
you have any questions concerning the Wetland Restoration Program. You have one month from the
date of this Certification to make this payment. For accounting purposes, this Certification authorizes
the fill of 100 feet of streams, in 030402 river and subbasin and 100 feet of stream mitigation are
required. Please be aware that the Wetland Restoration Program (WRP) rules require rounding of
acreage amounts to one-quarter acre increments (15A 2R.0503(b)).
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 John Domey at 919-733-1786 or Steve Mitchell
at our Raleigh Regional Office at 919-571-4700.
Sincerely,
Attachment
cc: Corps of Engineers Raleigh Field Office
Raleigh DWQ Regional Office
Ron Ferrell; Wetland Restoration Program
File copy
Central Files
Mike Stewart, Stewart-Proctor. Inc.
T;
i
k, P.E., D' ctor

NORTH CAROLINA-DIVISON OF WATER QUALITY
401 WATER QUALITY CERTIFICATION
SUMMARY OF PERMITTED IMPACTS AND MITIGATION REQUIREMENTS
In accordance with 15A NCAC 2 H.0500, John Brown has permission as outline below for the
purpose(s) of proposed Wyntree subdivision. All activities associated with these authorized impacts
must be conducted with the conditions listed in the attached certification transmittal letter. THIS
CERTIFICATION IS NOT VALID WITHOUT THE ATTACHMENTS.
COMPENSATORY MITIGATION REQUIREMENT WETLAND RESTORATION PROGRAM
LOCATION Wyntree subdivision
COUNTY: Wake
BASIN/SUBBASIN 030402
As required by 15A NCAC 2H .0506, and the conditions of this certification, you are required to
compensate for the above impacts through the restoration, creation, enhancement or preservation of
wetlands and surface waters as outlined below prior to conducting any activities that impact or
degrade the waters of the state.
Note: Acreage requirements proposed to be mitigated through the wetland Restoration Programs
must be rounded to one-quarter acre increments according to 15 2r .0503(b)
acres of Class WL wetlands
acres of riparian wetland
acres of non-riparian wetlands
acres of Class SWL wetlands
100 linear feet of stream buffers
(other)
One of the options you have available to satisfy the compensatory mitigation requirements is
through the payment of a fee to the Wetlands Restoration Fund per NCAC 2R.0503. If you choose
this option, please sign this form and mail it to the Wetlands Restoration Fund at the address listed
below. An invoice for the appropriate amount of payment will be sent to you upon receipt of this
form. PLEASE NOTE, THE ABOVE IMPACTS ARE NOT AUTHORIZED UNTIL YOU
RECEIVED NOTIFICATION THAT YOUR PAYMENT HAS BEEN PROCESSED BY THE
WETLANDS RESTORATION PROGRAM.
Signature
Date
WETLANDS RESTORATION PROGRAM
DIVISON OF WATER QUALITY
1619 Mail Service Center
RALEIGH, N.C. 27669-1619
[phone]
WP
June 5, 2002
Mr. John Dorney
Division of Water Quality
2321'Crabtree- Blvd.
Raleigh, N.C. 27604
Re: DWQ Project. No, 02-0416
Dear -Mr. Dorney,
LV ?

In a letter dated May 18, 2002, your office placed a hold on our project due to the fact that a re-
quired stub-road to an adjacent land-locked parcel would necessitate a second crossing of a stream. We have
had discussions with Wake County about the required stub-road and do not believe we can obtain approval of
our project without the stub-road. At that time, we had discussions with you and Mr. Steve Mitchell and an
option of making a payment for our crossing was worked out. We would like to proceed with the payment
option. You indicated that our fee would be based on the linear feet of stream impact at $125 per foot, and
that no Neuse River Buffer impact fee would be required. Based on our plans we calculate the fee to be 100'
of impact x $125 for a fee of $12,500. Please review this and proceed with approval of this project.
Your time and attention to this matter is greatly appreciated. If you have problems please contact
Mike Stewart at STEWART-PROCTOR, PLLC (779-1855).
Sincerely,
"I---
JBrown
fffNSLOW PROPERTIES
$ff !JSLOW d"ROPERTIES
740 LOCH HIGHLANDS DR Phone: [phone]
RALEIGH, NC 27606 Fax: Fax : [phone]
Q Michael F. Easley
-O Governor
r William G. Ross, Jr., Secretary
r - i Department of Environment and Natural Resources
c=.? Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
May 16, 2002
Wake County
DWQ Project No. 02-0416
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
John E. Brown
740 Loch Highlands Drive
Raleigh, NC, 27606
Dear Mr. Brown:
On April 8, 2002, the NC Division of Water Quality (DWQ) received your revised application for a 401 Water
Quality Certification and Neuse Buffer Rules approval for a road crossing at the proposed Wyntree Subdivision
in Wake County. Insufficient information has been provided in order for us to complete our review. Specifically,
please provide the following materials so that we can complete our review of your application:
• Your site map shows a road entering the subdivision perpendicular to SR 1152 (Holly Springs Road) and
reaching a dead end between the ends of lots 8 and 9. Do you have future plans to extend this road,
thereby crossing Dutchman Branch a second time? If so, this would not qualify as minimization of
impacts. If you have no future extension plans for this road, we suggest that you revise your plans to
divide this property between the two lots, thereby precluding an additional future stream crossing.
Until the information requested in this letter is provided, I will request (by copy of this letter) that the Corps of
Engineers place this project on hold. Also, this project will be placed on hold for our processing due to
incomplete information (15A NCAC 2H .0507(h)).
Thank you for your attention. If you have any questions, please contact Steve Mitchell in our Washington
Regional Office at 919-571-4700 or Cyndi Karoly in our Central Office in Raleigh at [phone].
ncerely
n Dorney
cc: Corps of Engineers Raleigh Regulatory Field Office
Raleigh DWQ Regional Office
File Copy
Central Files
Mike Stewart, 322 Chapanoke Road, Raleigh, NC, 27606
020416
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc_us/ncwettands/
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
Division of Water Quality
Department of Environmental and Natural Resources
Wetlands/401 Unit
Street Address: 2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604-2260
Mailing Address: 1650 Mail Service Center
Raleigh, NC 27699-1650
Contact Information: Phone #: [phone]
Fax #: [phone]
1
Fax To: S 4eA.? Fax #:
Company: Date: lb 2
Number of pages including cover sheet:
Notes or special instructions:

142
?S

N. C. 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)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands 44C DENR
MEMORANDUM
TO: John Dorney Regional Contact:
Non-Discharge Branch WQ Supervisor:
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name John Brown County Wake
Project Number 02 0416 County2
Recvd From APP Region Raleigh
Received Date 3/20/02 Recvd By Region
Project Type roadway crossing
Certificates Stream Stream Impacts (ft.)
Class
Permit Wetland Wetland Wetland Stream Acres Feet
Type Type Impact` Score Index Prim. Supp. Basin Req. Req.
F14 ? O ?' O N ? 27-43-4.5 WSIII NSW 30,402. 0.01 F F_ F-
I?TBR F-O Y .O N F__ ??? -X0,402.
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? 0 Y 0 N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? 0 Y O N Recommendation: 0 Issue 0 Issue/fond 0 Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
HOLD
cc: Regional Office
Central Office Page Number 1
Facility Name John Brown County Wake
Project Number 02 0416 Regional Contact: Steve Mitchell
Date:
Comments (continued from page 1):
cc: Regional Office
Central Office Page.Number 2
//}} Triage Check List
Date: _ 11 d
To: RO Steve Mitchell Project Name
?FRO Ken Averitte DWQ Project Number
?WaRO Deborah Sawyer County ?N ??
?WiRO Joanne Steenhuis
?WSRO Jennifer Frye
?ARO Mike Parker .
?MRO Pete Colwell
From:F Telephone (919) 733- ?? 10
The file attached is being forwarded to you for your evaluation. Please call if you need
assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USGW topo maps
? Minimization/avoidance issues
? Buffer Rules (Neuse, Tar-Pamilco, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and orwedand mitication sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concerns
Comments'---7;74
/4t- - I d
•? G ? u ?? ??- _ . ? -2 ? ?°??°? ?I elm
Trans -m ittal
STEWART -PROCTOR PLLC
ENGINEERING & SURVEYING
PHONE.- [phone]
Fax: [phone]..
322 CHAPANOSE ROAD SUITE 100
RALEIGH, NC 27606
Date:
en1??
Attention:
I)t) 00
From:
Number of pages (including this cover):
Comment(s):
Cpl
w ?.?. - -12'7/ J0
Lb rP - o J Q ?'v/3 E
J,90al A ?E r *e Zv e L gEG!`
4.1

t
Reply requested: ? Yes ? No

F ?

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 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
.http://www.saw.usace.armv.mil/wetlands/Perm__app.him. ?
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 http://www.saw.usace.army.mil/wetlands/reZour.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.
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
- httR://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 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).
Page l 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 permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http•//www saw usace.army.mil/wetlands/nwpfinalFedReg.pdf.
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatoryfield office for specific answers to permit processing periods.
• 401 Water Quality Certification or Buffer Rules All information is required unless otherwise tstated
as optional. Incomplete applications will be returned Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlainds Unit; 1650-,Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required,:or ,:specifically requested Jor .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 http://h26.ehnr.state.nc.us/ncwetlands/fees.html.- 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:
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable." or "N/A" rather than
leaving the space blank.
I. Processing
1. Check all of the approval(s) requested for this project:
[3Section 404 Permit
? Section 10 Permit
[x401 Water Quality Certification
[Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:^ J AT1wd J 10 & it I
3. If this notification is solely a cou y copy because written approval for the 401 Certification
JEr
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: ?
Telephone Number. -j--t Q- )t? SS , Fax Number 9- J 4. (.-
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: SrtwAier 4 Aunt-rot Aix-c satiter
Company Affiliation: f 41L),e4ol- JG
Mailing Address: 32Z- 1 NA pA./o lC.C_ a AAQ
QA[.E/G 14 T t).L 7 7G0 C
Telephone Number: -7 7f= /BSS' Fax Number:' -7 -71 i t-L l
E-mail Address: xT6u/A?1? poi
Page !,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: t./W7 F tW5.610131 OJOJ
2. T.I.P. Project Number (NCDOTOnly):- , JJ/A
3. Property Identification Number (Tax PIN): 07(,0 D Z - 88 -4AS' J.
4. Location
5.
6.
7.
8.
9.
County:_ wAK F_ Neafest Town:_- ue;;_ y, spa?a! S
Subdivision name (include phase/lot number): 4?yur2c?
Directions to site (include road numbers, landmarks, etc.):_ ar- Tu -
Site coordinates, if available (UTM or Lat/Long):
(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.)
Describe the existing land use or condition of the site at the time of this application:
_ ' yaan ° ?'y'•ii4 is ?•? - - .
Property size (acres)
Nearest body of water (stream/river/so und/ocean/lake): UJk,vo,,.J re184TaX r no: Js WrO
pO-rcNnh,J paaa?N
River Basin:
(Note - this must be one, of North Carolina's. seventeen designated major. river. basins. The
River Basin map is available at htty://h2o.enrsfate nc us/admin/mans/.)
;Page 4 of 12

10. Describe the purpose of the proposed work: To fe/I_L AAs,jJ AeEA .
DF' P2o?osED eb h D
11. List the type of equipment to be used to construct the project: AuLL De zE
jR?GK?0F
12. Describe the land use in the vicinity of this project: If 15 oE?f?4 - .
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.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
antidipaied work, and provide 'justification for the exclusion of this work from the current
application: OQLM- AJ r,g-„oa f"
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 anaccompanying site
plan., All wetlands and waters, and. all streams (intermittent and perennial) must be shown on 4
delineation map, whether or'n6t impacts are proposed to these systems. ,: Wetland., and stream
evaluation and delineation, forms ' should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the`impact in Section VIII below.. If additional space is needed for
listing or description, please attach a separate sheet.
Page 5 of 12
1. Wetland Impacts

Wetland Impact
Site Number
(indicate on ma)
Type of Impact*
s Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Neaiest Steam
(linear feet
Type of Wetland***
,ol FJ p JOp 119-41Z ' --. w aAdD

s
Last 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 httRJ/www.fema.itov.
*** List a wetland type that best describes wetland to be impacted (eg.; freshwater/saltwater marsh,'forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0.19 A-L.
Total area of wetland impact propgsed: .,0/ Az-.
2 Stream Impacts, Including all interm cent and Pgrennial streams
Stream Impact
SiteNumber
indicate on ma
Type of Impact* Length of
Impact
'near feet
Stream Name** Average,Width
of Stream
Before Impact 3 r ..Perennial or
Intermittent?
. lease specify)
P 1141 D Ufi 70 ft/Jt? P999AurAt,

-
7
7777

"QL ca.u IMPa:t bcf)N'diCty and Iuenury 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 Hnear?feei before and after, and net loss/on),
I 1- stabilization activities (cement' wall, rip-rap, ' ` edli wall, gabions,"etc.),'excavation, ditching/sttaightenmg; 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 hai no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it d6ik'-US GS maps °are available through the USGS at 1400-358-9616, or online at
www.usgs•eov. Several internet sites `also - allow direct download and printing of USGS ' maps . to g , 'www•topozone.com,
www.mpouest.com, etc)
T
Cumulative impacts (linear distance in feet) to all streams on site: ;
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 Iui act*
p Area of
Impact
(acres)
Name of ody
(if applicablecable) Type of Waterbody
lake, pond,
( Po estuary, sound,
bay, ean, etc.)

List each impact separately and. identify temporary impacts. Impacts include,, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts `should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated `on any maps-included With* this application.
Pond to be created in (check all th at apply): D uplands stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):`
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.)
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project.. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed: If applicable, discuss construction
techniques to be followed during construction.to reduce impacts.:... _
RIV' TQ A 96CeM A -i to .-5 P n Ti /-f A0 D GQ a.5.4/./ 6
/_?lAJA1 FI _ V a C. 2FOOMD To .444E6-S' 1+14A GPOOOD
TO r>>.?in 7-F_ 4APA4J- i/10sJA-14 t.>A..5 sCT A-7
A . 90 ? 4 F.
Page 7 of 12

.VIII.';:.Mitigation.._........ , r i f _ ` ,;; :::. •,?c, 1ku s1 :. El
c•? z ris r,^ci f: a :_x' ?. f •? ??' rt ?rS:
DWQ - In accordance with 15A NCAC 2H .0500, mitigation, may be required by the NC
-
Divis-ion of: Water.Quality for.piojec'ts;+}evolving greater than or equal fo 76n6,-4 cre: of impacts 'to
freshwater wetlands orsgreater thanan};or equal to., 150 linearJeet' 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 2000, mitigation will be required when
necessary to ensure that "adverse effects'to the aquatic environment-`are- minimal "` "Facto"rs
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,rnay`be appropriate-and.practicable-include;
but` are "not- limited' to` reducing thg size`of ttie -project;- establishing, and znaintaiinng 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.,tti}s?projg,ct,,a copy of :the,mitigation plan gust be attached in order
for USACE. ,or DWQ to consider the application: complete for processing._.,; Any; application
.,lacking a; required?,mitigatign, plank or?NlbwRP;?'concurrence, shall be placed; on hold as
incomplete. An applicant may also. choose to review, the: current guideLnes for stream restoration
in DWQ's Draft Techiucaf Guide for ,Stream Work in North `Carolina, available at
m1:
htt7Ai2+o enratate nc.us ncwetlands/strm 'del
1,11ti+?'4
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,..!c 40on; or, preservation), a plan view,
preservation mechanism (e g;' deed `restrictions, conservation easement, etc.), and a
on. Please attach
description of the current zisite;conditions and proposed;method of constructi
.
_.a.separate. sheet-, more•space is needed. ',
• .. _ ,_. ... _.... ;•...r.• .... i`• t?... _?•.• w. c! v r: F Slt?:r,f it _:J ! t :it..:},ii
.Yi4iAfY.+ CIS ?A.% ? i•.-ZS.. !1 •.{ i(- ? _ -. 27.`: •-,?MTF<i?k ..-- rY '• .. .'f't, . rk r, ,'r, - i fi' ,?,'G_R»'_?i__-•:'•. :„i•:: •{l.^ . 1 :? - ....
Q?TMI'
}
_::........... . _ _._._ ... .. _ w•^< a*Y+.tYS+•?+`?a ?`'?•• i . '.•-Yep: ,,"T?? F .'.y. Yi i''.'_s^^"u • .
_ •_ .'. .. •u?..•[*.. :.,.6.
- `p. •''i J..t i`.: -(.? ?iC+' S?yG`?' •%.. _ '4YJ Wi.. l -.i%1.? t^•y+i???Mf? '!1 ' /a`>ii:N'• .. ... -`+.
.77.157
'.t?•h7 ti{/fi
gage:8 of 12
r
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 httR://h2o.enr.state.nc-us/wmrindex.htm. 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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ? No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National. or North- Carolina ,Enyironmental Policy Act ,(NEPA/SEPA)?
Note: If you are not sure whether- a `NEPA/SEPA document is arequired; . call the SEPA
coordinator at [phone] to review current thresholds for environmental'documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter. -
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers .associated:with the.project. _ The. applicant must also provide .
justification for these impacts in Section VII above. ? All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence .'from the DWQ
Regional Office may be included as appropriate. Photographs may also .be'included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 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.
.. .... ? ... .. ,. .. ... ... .rd ii: + „t.?rSt t'1 ,ra ;'t ,?.? i`i. {?fl.• ? t:.
Identify the square feet and ; acreage,, f: impact Jo each zone of the :riparian buffers: If buffer
mitigation is: requiredrigalculate..the arequired :amount of mitigation by .applying the buffer
:multipliers:
Zone* Impact:•; ,li
s [rare feet r Multiplier- . ,.Required
~ Miti on

2 1.5
Total .

- cone i exrenas our w reef perpenai ar tram near uanK of channel; Zone 2 extends an
additional 10 feet from the edgq of Zone 1
.. .... w.•?r •7 .lql ?..•?.t t7!)l.?` t?i7?; f? i': f;lir5 •r't+ /',•.'?' rt ,?c n
If buffer mitigation is required, please discuss, wat type of mitigation is proposed '(i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoradon %,Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund).' Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260
XI. Stormwater (DWQ Only) y
:.c, t l .? ...'(,.Yf. :..:s. ...rl•t:..ttl.tl:t :?JSY T Cl.:fi J?1.,.f'.`1.t..
Describe impervious, acreage?t(lioth, existing! and proposed) versus total acreage on the site.
Discuss` stormwater controls .:proposed iii,, order.;yto ;protect,: surface waters and wetlands
downstream from the property.`: r._
XIL Sewage Disposal (DWQ Only)
- 43.
Clearly detail the* ultimate treatment
wastewater generated from the propog
S ? 1
XIII. Violations (DWQ
Is this site in violation of DW Wetland Rul
_,,Yes o Is this an after-the-fact permit plicadon? ,
Yes
ethods and disposition (non-discharie.or discharge) of J
project, or available capacity of the subject facility.' .

?I`y?"?F `?,t?j?'??Y.? ; , ? '' t , t f ' `5 `• r' ?-`°,?'` t3±t `t,,;i3'if °?`. -.
, tr n r Win.
05A NCAC 2H 0500) or any Buffer Rules?. `
???r???3'"•'',?.?i,`.? ? i+t??- v -+?•?Lti h`.z?`?`V4 r 'i- ,Y?ie ,S,q'"1? r f 'v z _-
r fi'r' -3-t .?'•? r.i?.•, ti- rit 7,tN .? "X i t; -
?t ySf:rY' 1:+
,[ r
FS.?txjuibli CiT? '1` , i 1 •ce-. i r - ? ++ r- -t`?r ? ..,rs ;y?l? 4 2 ?
tge• l0 of 12
, * • •
It is the applicants responsibility to subnY tithe application sufficiently in ,advancef;of.,desired
construction dates to A'low rocessin arise fogeSelpermits... However`
;S ' a??applitiiar<„y
_. ....,_ ice' p g,J, 1 . 1 ..G1a4 •
'? li r::ei..?4 ..
choose to list cp}istraints. associated with consjruepo{} ,, Aequencing that m r;}mpose luiu}s,?Qi .
work schedules .(e.g. draw-down schedules::foraakesiedates associated with- dangeredi-and
Threatened Species;. accessibility probte'hi : or. other issues outside of the app'licarit's'control) ts19 ?'
?:2?i:SII'3?.??i ?rY£.'.i'.;..fi:?il,`1T,r..?,,?:m'?..e'i40'i •
i ....,, i`at
=... ,_ !. _:.: .. .....: ... ... :.:._.._. r.:y:, ?.,L. - :?r.?W. ?l '1. 1 6ii:lkJil..1/1 .u,i rib.r:a Tt 6JJ1!.iJ?VY ?,
Att ? U
:...; .?:,:: _ ;.!.[ ? Cll),• rt!J1SIJ:?•s'1;V13i? Fis;4?.ti ?:??! _ . ?iyine.??.?at?ieZ7iti('vi4?;jF
. ? , ? ? .,. ?' : ?d9Fmf?4YuC? J1; .d8is:i:H f)t?F L?NOF?. "?irl?til,'ra(r.5i;
AVpficant/Agent's Signature iii ?t>?? I a3F>.s; `'1. Date
(Agents signature is valid only if an authonzation letter from the applicant is provided)
,l11c>:;':.r•'•': ?',>iT?:Jl? tdFrid'."?fi? •`?"lt?iUlE:??+ )f:?yt•?,5'rRR1??'+?FiAf2s??at?}1{7!::??]VrL
i_ ?7C". lF I.R.k.! = Ii7?r ^[ 3tfyJ 9DiV °rT' tliN 13e
US Army Corps 0£Engineers Fiel&Offices and County Coverage a 's '??? .iii rnlc -
t _. 1? )iitti{? ;{J.?f$r'J CSS,t ..
£Cti l) .SGt:3?E ..
Asheville Regulatory Field'Office' Alexarider . Cherokee? . Iredell Mitchell dMort 'lti 1 ?)
US Army Corps of Engineers AveryClay ... Jackson..- : Polk Watauga
151 Patton Avenue uouihet` Clev_e1aAd;lI,iiirdln 'Rowan Yancey .
Room 208 Burke Gaston Macon Rutherford ., .
Asheville, NC 28801-5006,; a :CAbarrus 90ham Madison ? ,;? i;Stanleym, I'm
oii t: , ? tlrt ?t?5ttd'
Telephone: [phone] r,•,,(,.?r°;r
Ga14yveg • Haywood,
McDowell
Swam ,rs ;
tei; E, ;(1 ?;i?r::
Fax: [phone] Catawba Henderson Mecklenburg Transylvania c ?} <s, •.;Ttn:?: i

Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham. ' Wilson
US Army Corps Of Engineers a(Alieghany :.:Edgecombe Lee Stokes_;rt>v cs.;Yadkin
6508 Falls of the Neuse Road-:?-,:ji Ashe?g{ : Franklinf_-) Nash . Fvr:S { 7,j r _ .1
arty ?:t
v? , t

Suite 12 ; -
0
Caswell Forsyth--:,:, .
_
Northampton Vance ?'t 3 fir,;
Raleigh, NC 27615 ,,.,:..:; ly>..?; s. Ch'atham Granyiile : Orange Wake,; ,`ri'; (i SN)
Telephone: [phone] rt Davidson : Guilfor4.;•A Person Warren ;.Lrl`?r_
Fax: [phone] Davie Halifax Randolph Wilkes
1
W
u
e
;r
ashington Reg
latory Fi
ld Office -Beaufort j
-f. -Jones - Pitt" - - - -
US Army Corps Of Engineers "Bettie ;' Dare Lenoir -- .:
Tyrrell`
Post Office Box 1000 .. - Camden ?; • '.Gates .
Martin =Washington

Washington, NC 27889-1000 - ;Carteret* :; : ` ;:Green z
Pamlico Wayne
Telephone: [phone] Chowan rHertford
? : Pasquotank
Fax: [phone] r _ Craven
? F Hyde
v ± T t Per_quimans *Croatan National Forest Only
Wilmington Regulatory Field Office ; Anson
US Army Corps Of Engineers *' $laden °'
Post Office Box 1890 ~t ,?«`Bruriswick

Wilmington, NC 28402-1890 Y?..
`, Carteret ;?I
Telephone: [phone] ' Columbus .:* f''I
Fax: [phone] Cumberland . sI
iplin Onslow "
_ . _ .._._. f. .H;,? .

RlClimOad n ca ?.{'a+
tgomery Robeson Y? }
re • Sampson ? ?

Hanover
Scotland .
.
? s

' YP'agg'
i?of?12

US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Office Box 33726 160 Zillicoa Street Pivers Island
Raleigh, NC 27636-3726 Asheville, NC 28801 :. Beaufort, NC 28516 -
Telephone: [phone]_ Telephone: [phone]. Telephone: [phone]
North Carolina State Agencies
Division of Water Quality Division of Water Quality- State Historic Preservation Office
401 Wetlands Unit Wetlands Restoration Program Department Of Cultural Resources
1650 Mail Service Center 1619 Mail Service Center 4617 Mail Service Center
Raleigh, NC 27699-1650 Raleigh, NC 27699-1619 Raleigh, NC 27699-4617
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Fax: [phone] Fax: [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
C... .IV I.. ..-mow. .. Yancey
.. - .. _ .• -. .- .-

Page 12 of 12
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)NSERVATION OF NATURAL AREA
PER SECTION (3-4-3-E-2-A-2) /
3.77 acres
NEUSE RIVER RIPARIAN BUFFE \
EASURED 50' FROM CREEK
K ON BOTH SIDES.
PERMANENT OPEN SPACE
PASSIVE RECREATION
PER SECTION (3-4-3-E-2-A-4)
0.29 \
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29,029 sf

DRAINAGE
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?QF W ATF9o Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
j r- Gregory J. Thorpe, Ph.D.
p r Acting Director
Division of Water Quality
April 1, 2002
DWQ # 02-0416
Wake County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
John E. Brown
740 Loch Highlands Drive
Raleigh, NC 27606
Dear Mr. Brown:
On March 20, 2002 the Division of Water Quality (DWQ) was notified by receipt of your application
regarding your plan to fill wetland for the purpose of a road crossing in Wake County. Approval from DWQ is
required to disturb these areas. Please provide us with seven copies of the following information and refer to
the DWQ# listed above in your reply. In particular as described in 15A NCAC 2B .0502, we will require you to
locate all streams and ponds on the property. Please show these on maps of suitable scale (for instance 1" = 100
feet) so we can begin to determine your projects' compliance with 15A NCAC 2H .0500.
1. An authorization letter from your agent should be signed and dated
2. Site Plan must show plans for the proposed project
3. Impacts need to be specified
Please telephone me at 919-733-1786 if you have any questions or would require copies of our rules or
procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H
.0505(c). The processing time for this application will begin when this information is received. If we do not
hear from you by writing within three (3) weeks we will assume you no longer want to pursue the project and
will consider it withdrawn.
Y,
WateriQuality Cert.Tficati& Program
cc: Raleigh DWQ Regional Office
Raleigh Corps of Engineers
Stewart Proctor PLLC, Engineering Surveying
Central Files
File Copy
N76 ERR
N. C. 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)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetiands
Tran'sin ittal
STEWART PROCTOR PLLC
ENGINEERING & SURVMVI 0
FHONE., [phone]
Fax: [phone]...
822 CHAPANOSE ROAD SUITE 100
RALEIGH, NC 27606
Date:
Attention:
Sa, TEE L
From:
Number of pages (including this cover):
Comment(s):
02C4-1s
# MAR 2 2002
WETLAWS GIM )
VM7E??UACITY SFCTI
P2

Reply requested: ? Yes ? No
JUL 08 '99 01: 46R'l
P.2
DWQ ID: CORPS ACTION M:
NATIONWIDE PERMIT REQUESTLD (PROVIDE NATIONWIDE PERMIT #)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
I) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFCATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND TIM ORIGINAL, ANb (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATI
FIELD OFFICE OF THE COMPS OF ENGINEERS (SEE AGENCY ADDRESSES SIMET). SEVEN
-7) COPIES MUST BE SENT TO THE NC DTVISION Off' WATE>F;
/li T AT Trl"17 • nTmTAT_ rf%rr. • - - -- -
2. MAILLNG ADDp.HSS: _ :Z40 Lo .CH ! ,NI Aar
SUBDIVISION NAME _y?L_Y1J T? E _
CITY: QAL15J4N STATE: 1). C ` ZIP CODE; 7-71,01,
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFTERI-INT FROM
MAIL,LNG ADDRESS ABOVE): R& 7S 141-11 1 v eQO,. Ti & _ ^
2ALEl?(?? til L. z7(?o?
3. TELEPHONE NUMBER: (IiOME) (WORK) 91 f - 7 7 1 -/g Ls
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
_ 322 LHgPA?JOKE QnA QAL «u ? ? ?i O?
R 1 S- ? 7 f-/Bs.? _
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRA WIC
MAP OR AERIAL PHOTOGRAPHY %7M SCALE):
COUNTY: W A V F_ NEAREST TOWN: it A L E
IkoLLY SPV,??GS 2nAC1
I . OWNER'S NAME: MatA j E i3eo VAI
JUL 08 1 99 01: 46PM
P.9
SPECIFIC LOCATION (INCLUDE• ROA DNMMSPS, LANDMARKS, ECT.)
.SrE f5 J41-0660 GA S ?
6. 1MPAC-11MORNEAREST STREAM/RjVP.ILUwuJOviJ T01.60TARY DRAI04
TO p,jtcNNu lytlaltt)
r
RIVER BASIN:. .__&JI: uSE
7a. IS PROJECT LOCATED IVE,AR WATER CLASSIFIED AS TROUT. TIDAL SALTWATER, (SA),
IUUH 0-"l-lTy WATERS (HQ)W), OUTSTAND)NG RESOURSE WATERS (ORW), WATER
SUPPLY (WS-1 OR WS-II)? YES {?() NO ( ) IF Y'8.q. E? AYN;
?v f G ?
7b. IS THE PROJECT LOCATED WPI'HLN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OIL ENVIROMENTAL CONCERN (AEC)? YES ( ) No ( X )
7c. IF TAP PROJECT M LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN UP) DESIGNA i ION?
N
8a. HAVE ANY SECTION 404 P'M%4.vTS BEEN PREVTOUSI, REQUESTED FOR USE ON 'I'I31S
PROJECT? YES ( ) NO (X ; IF YBS, pROVLDE ACTION 1•.D. NUMBER OF PREVIOWS
PERMIT AND ANY ADDITIONAL: JNFORMAnON (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EJCPECJE,D FOR THIS PROPERTY W THE
FUTURE? YES ( ) NO (X ) IT YES, DESCME ANTICIPATED WORK:
9a. ESTIMATED TOTAL NMaBRS OF ACRES IN TRACT OI; LAND: - Z 9 . Q 4
9b- ES' MATM TOTAL NUMBER OF ACM OP WETLANDS LOCATED ON PROJECT S," M:
IQa. NUMBER OF.ACRES OF WEtLAXDS IMPACTED BY TH£ PROPOSED PROJECT BY:
JUL 63 "39 'E 1:4bkl
Fl7 IJNC: D +'© I +c-, EXCAVATION:
P.4
FLOODING: OTHER :
DRAINAGE : TOTAL ACM TO BE LWAC ED; . © Ae,
IOb. (1) MEAM CILe-INr1. TO BE IMPACTED BY THB PROPOSED PROJECT (TF
RELOCAT91), PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: _ 4 c? FI' AF rm: 30 _FT
WMTH BMR.E (bused on normal liigh water contours): Fr
AVERAGE DW-ri BEFORE: 1.4",'_ FT AFTER- 3. ?' - -FT
(2) STREAM CHANNEL IMPACTS Wa. RESULT PROM: (CHECK ALL THAT APPL-i')
OPEN CHANNEL RELOCATION: PLAT OF PIPE IN CHANh7E,.:
CHANNEL EXCAVATION: COONSTRUCTION OF A DAMIF'LOODIIvG: _
OTE3ER• ,.,?,,,,,,r
11. IF CONSTRUCTTUN OF A POND IS PROPOSED, WHAT 1S THE SIZE OF THE WATERSHED
DRAINING TO TEM POND? WHAT IS THE SXP£ W-MD
i
POND SURFACE AREA?
12. DISCTEMON OF PROPOSED WORK INCLUDING DISCUSS1014 OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 8112 BY i T DRAWINGS ONLY)
ROAD !-eQ.Qi T fAO 9,E- 12 0ty -
iMnI?rl YY Y +. i?l?
13, PURPOSE OF PROPOSED WORK: J v 0 QBdIS/otil ,- -
14, STATE REASONS WHY IT IS B&MVED THAT TINS ACTIVITY MUST BE CARRIED CUT IN
werLANDS (IN[L[JDE ANY MF.ASURm TAKEN TO MINIMIZE WETL NTH NPACTs:)
Roar 42o s1 & IAPR Ts To hAEvF THE U913Q 14rioaAL
GHAVNEGS lof_A rcn orrl irJ Toe P¢oPosEO 6u8014SJOP ARE.
2EQ0lZCD TO A4(-C-5-6 )41(-1# 6RouA)D, Z'r%PAf-r To <.NAAJ"6L APO
t,rE,fi.l?ao.S iocAYEO LJiTW1d T"E S?BOJ11?s?o?J HAI*E 4-'Ei?
btiolDEU TIiR606N tRtATA14 S/Ilt PcA&J 0fVfcoPnc'N7^ ArJO
RDME2??c? TO OfJ6E gl?ER 0A.S11J APO ??A-reC.50" 60ele, 'a
-- --_ - - Jul 06 '99 01:47F1`l -.
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND wILDLIFE SERVICE AND/OR
- NA71ONAL MARINE; FISHERIES SERIVE REGARDING THE PRESENCE OF ANY FEDERALy
" LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: ??}_?
16. YOU ARE REQUIRED TO CONTACT TIM STATE HISTORIC PRESERVATION OFMCER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMI r ARIA
WHICH)M
AY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
IA, I
17. DOES THE PROJECT INVOLVE AN E.KE'ENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO ()() (IF NO, GO TO 16)
a. IF YES, DOES THE PROJECT REQUIRE P?XPERATION OF AN ENVT ONMENTAL
DOCUMENT PURUANT TO THE REQUMEMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES( ) NO( )
b. IF YES, HAS THE DOCUMENT BEEN REFI'EWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ( ) NO ( )
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATTONFROM THE ST;ITE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING TPX STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE aEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION. 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEMONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION 7 PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL, INTO
wETt.AxDS:
a. WETLAND.PaLINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29,
AND 38). ALL STREAM (INTERMITTENT AND PERMANEN'T') ON Jim PROPERTY
MUST BE SHOWN ON TIC MAP. MAP SCALES SHOULD 13E 1 INCH EQUALS 50 F ;ET
OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE LN4?AC7.7ED
BY PRODUCT,
c. IF DF.I„MATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUM'm
e. WHAT 1S LAND USE OF SURROUNDING PROPOERTY?
QCSIn _.JT?q? l fA _
P.S
JUL 08 '99 01: 4 7'PM P. b
e
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
CEP jIL
g, SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WTLANDS OR WATER$ OF THE US MAY NOT BE INWACTED PRIOR TO:
I) ISSUANCE OF A SECTION 404 CORPS OF ENOL14EERS PERMIT.
2) EI'T'HER THE ISSUANCE OR WAIVER OF A 401 DnTISION OF WATER QUALITY
CERTIFICATION. AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A L8=R FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTNlTY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM,
Z2 ZA> ?- --
OWNER' !AGENT' SIGNATURE DATE
(AGENT'S SIGNATURE VALIA ONLY
IF AUTHORIZATION LETTER FROM.
THE OWNER IS PROVIDED).
s
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