20020584 Ver 1_COMPLETE FILE_20020416

? wA 7-F iwicnaet r. casiey, uuvemui
0 9 William G. Ross Jr., Secretary
\OC? QG North Carolina Department of Environment and Natural Resources
2 Alan W. Klimek, P.E. Director
> Division of Water Quality
o ?
June 19, 2002
DW Q# 02-0584
Wake County
Mr. Freddie Stancil
Stancil Builders
446 Stancil Road
Angier, NC, 27501
APPROVAL of 401 Wa r Quality Certification with Additional Conditions, Wetland Restoration Program
Dear Mr. Stancil:
You have our approval, in accordance with the attached conditions, to place permanent fill in 100 linear feet of streams
and 0.394 acre of riparian wetlands in order to construct road crossings at the Holland Downs Subdivision in Wake County,
as described in your re% ised application received by the Division of Water Quality on April 29, 2002. After reviewing your
application, we have d termined that this fill is covered by General Water Quality Certification Number 3375. This
Certification allows you to use Nationwide Permit Number 14 when it is issued by the U.S. Army Corps of Engineers. In
addition, you should gel any other federal, state or local permits before you go ahead with your project including (but not
limited to) Sediment an Erosion Control, Non-Discharge and Water Supply Watershed regulations. Also this approval will
expire when the accom anying 404 permit expires unless otherwise specified in the General Certification.
This approval is on valid for the purpose and design that you described in your application. If you change your
project, you must notify is in writing and you may be required to send us a new application for a new certification. If the
property is sold, the ne owner must be given a copy of the Certification and approval letter and is thereby responsible for
complying with all condi ions. If total wetland fills for this project (now or in the future) exceed one acre, compensatory
mitigation may be requi d as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the
conditions listed in the a ached certification and the additional conditions listed below:
We understand that you have chosen to contribute to the Wetland Restoration Program in order to compensate for the
impacts to wetlands In accordance with 15A NCAC 2R .0402 and 15A NCAC 2B.0242(7), this contribution will satisfy
our compensatory itigation requirements under 15A NCAC 2H .0506(h) and 15A NCAC 2B.0233(10). Until the
Wetland Restoratio Program receives and clears your check (made payable to: DENR - Wetlands Restoration
Program), wetland nd stream impacts (including fill) shall not occur. Mr. Ron Ferrell should be contacted at (919)733-
5208 if you have an 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 0.394 acre of riparian
wetlands and 100 li ear feet of streams in the Cape Fear River Basin, Cataloging Unit 03030002, and 0.788 acre of
riparian wetland mitigation is required. Please be aware that the Wetland Restoration Program (WRP) rules require
rounding of wetland impacts to the nearest quarter acre (15A NCAC 211 .0503(b))."
2. Deed notifications o similar mechanisms shall be placed on all lots with remaining jurisdictional wetlands and waters or
areas within 50 feet of all streams and ponds. These mechanisms shall be put in place within 30 days of the date of this
letter or the issuanc of the 404 Permit (whichever is later). A sample deed notification format can be downloaded from
the 401/Wetlands U it web site at http://h2o.enr.state.nc.us/ncwetlands ;
3. The following condi on applies unless you can demonstrate to the Division that the anticipated buildout impervious area
is less than 30%: A final, written stormwater management plan shall be approved in writing by this Office before the
impacts specified in this Certification occur. The stormwater management plan must include plans and specifications for
stormwater management facilities designed to remove 85% TSS according to the most recent version of the NC DENR
Stormwater Best Management Practices Manual. Also, before any permanent building is occupied at the subject site,
the facilities, as app oved by this Office, shall be constructed and operational, and the stormwater management plan, as
approved by this O ice, shall be implemented. The structural stormwater practices and well as drainage patterns must
be maintained in pe petuity. No changes to the structural stormwater practices shall be made without written
authorization from t e Division of Water Quality.
GbEe4?t
N. C. Division of Water Qual' 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1 800 623-7748
I ?
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 in our Raleigh Regional Office at 919-5,71-4700 or Cyndi Karoly in Raleigh
at 919-733-9721.
Sincerely,
imek,
AW K/cbk
Attachments
cc: Corps of Engineers Raleigh Regulatory Field Office
Raleigh DWQ Regional Office
Central Files
File Copy
020584
NORTH CAROLINA-DIVISON OF WATER QUALITY
401 WATER QUALITY CERTIFICATION
OF PERMITTED IMPACTS AND MITIGATION REQUIREMENTS
In accordance wit 15A NCAC 2 H .0500, Mr. Freddie Stancil of Stancil Builders has permision as outlined below to
fill 100 linear feet of str ams and .394 acre of riparian wetlands in order to construct the Holland Downs subdivision in
Wake County, North C rolina. All activities associated with these authorized impacts must be conducted with the
conditions listed in the ttached certification. THIS CERTIFICATION IS NOT VALID WITHOUT THE ATTACHMENTS.
COMPENSATORY MI
WETLAND RESTOR/
LOCATION:
COUNTY:
BASIN/SUBBASIN
Impacts:
100 linear feet of stre?,
0.394 acre of riparian
4TION REQUIREMENT
N PROGRAM
Holland Downs subdivision
Wake
Cape Fear (03-03-00-02)
As required by 5A NCAC 2H .0506, and the conditions of this certification, you are required to compensate for
the above impacts thro h the restoration, creation, enhancement or preservation of wetlands as outlined below prior to
conducting any activities that impact or degrade the waters of the state.
Mitigation:
0.788 acre of riparian
Note: Linear foot i
to the nearest foot
.0503(b).
One of the optior
of a fee to the Wetlands
to the Wetlands Restora
sent to you upon receipt
RECEIVE NOTIFICATIC
PROGRAM..
Signature
by WRP
irements proposed to be mitigated through the Wetland Restoration Program must be rounded
I acreage requirements must be rounded to one-quarter acre increments according to 15 2r
you have available to satisfy the compensatory mitigation requirements is through the payment
:storation Fund per NCAC 2R .0503. If you choose this option, please sign this form and mail it
n Fund at the address listed below. An invoice for the appropriate amount of payment will be
this form. PLEASE NOTE, THE ABOVE IMPACTS ARE NOT AUTHORIZED UNTIL YOU
THAT YOUR PAYMENT HAS BEEN PROCESSED BY THE WETLANDS RESTORATION
Date
WETLANDS RESTORATION PROGRAM
DIVISON OF WATER QUALITY
1619 Mail Service Center
RALEIGH, N.C. 27669-1619
[phone]
o??? W AT ?90
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
May 30, 2002
Mr. Freddie Stan,
Stancil Builders
446 Stancil Road
Angier, North Ca
Subject:
The purl
(NCWRP) is wil
that the decision
payment will be
Wetlands/401 U
to the NCWRP t
This a
the issued 404
compensatory.
amount of mit
The NC`
enhancement or 1
Certification ands
03030002 of the
Memorandum of
the U.S. Army G
If you
733-5208.
0--? - (:5,? ?
27501
Holland Downs
:. Wake
?.? A
5 X02 ; , .
'JUN
;e of this letter is to notify you that the North Carolina Wetlands Restoration Program
g to accept payment for wetland impacts associated with the subject project. Please note
the NCWRP to accept the mitigation requirements of'this project does not assure that this
proved by the U.S. Army Corps of Engineers and the N.C. Division of Water Quality
. It is the responsibility of the applicant to contact these agencies to determine if payment
impacts associated with this project is appropriate.
is valid for six months from the date of this letter. If we have not received a copy of
1 Certification within this time frame, this acceptance will expire.
information supplied by you, the wetland restoration that is necessary to satisfy the
ion requirements for this project is summarized in the following table. The maximum
that the NCWRP will accept for this project is also indicated in this table.
Based on
Stream
(linear feet Wetland
(acres) Riparian Buffer
(ft2)
Im t .788 riparian
Miti ation Maximum 1.576 riparian
ZP will provide mitigation with an approved combination of wetland restoration,
;nervation. The wetland mitigation will be provided as specified in the 401 Water Quality
- Section 404 Permit for impacts associated with the subject project in Cataloging Unit
tpe Fear River Basin. The mitigation will be performed in accordance with the
nderstanding between the N.C. Department of Environment and Natural Resources and
ps of Engineers dated November 4, 1998.
any questions or need additional information, please contact Crystal Braswell at (919)
Sin rely,
onald E. F ell,
Program Manager
cc:
Wetlands/4Q,I, Unit
c, USACOE
RRO
Angie
Steve
Wetlands Restoration rogram 1619 Mail Service Center Raleigh, NC 27699-1619 [phone] Customer Service PA
320 West Jones Street Raleigh, NC 27603 Fax: [phone] 623-7748 TL-0Ef R
Re: Holland Downs Subdivision, )lake Co., 02-0584
Subject: Re: Hol and Downs Subdivision, Wake Co., 02-0584
Date: Tue, 18 un 2002 10:28:04 -0400
From: Steve M tchell <steve.mitchell @ncmail.net>
To: Cyndi roly <[e-mail]>
Fill is a lot blit it is the best spot for minimization atthe crossing.
Since Ronnie wi 1 accept, I am OK if we have stormwater control.
Shoulder gets butter everyday.
Cyndi Karoly write:
> Debbie - just a reminder we're within a little over a week for this one
> to go statutory on June 27. Where did the month go? By the way, we got
> an approval 1 tter from the WRP for this project to use WRP for .788
> acre of riparian impacts. It appears the questions for you guys were 1)
> is WRP ok with you for this project, 2)were wetland and stream impacts
> minimized, 3) is a stormwater plan required? This is not a NBR
> project. Tod has devised a good way for us to get a stormwater
> response out f those too lazy to fill out the info on the PCN - we
> require a sto mwater plan as a condition of the 401 unless they
> otherwise pro ide documentation that it's not warranted.
> Thanks.
> p.s. Mitchell I hope your arm's feeling better.
1 of 1 1 6/18/02 11:15 AM
MEMORANDUM
TO: John
Non-
SUBJECT: WETI
Facility Name Holland Do
Project Number 02 58
Recvd From APP
Received Date 4/16/02
Project Type road cr ssn

Dy Regional Contact: Steve Mitchell
arge Branch WQ Supervisor:
Date:
STAFF REPORT AND RECOMMENDATIONS
S/D
Recvd By Region
County Wake
County2
Region Raleigh
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
14 OTH FT -ON F 18-16-1-(1) F C F- 30,607. 0.39 100.00

Mitigation
MitigationType tland
ype Acres Feet
F -1 F-

Is Wetland Rating Sheet A ached? O Y O N Did you request more info? O Y O N
Have Proj t Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? Y ON Recommendation: OQ Issue O Issue/fond 0 Deny
Provided by Region: Latit de (ddmmss) Longitude (ddmmss)
Comments:
cc: Regional Office
Central Office Page Number 1
Triage Check List
Date: "!Sr '
To: O 1 "
Steve Mitchell
Project Name
'
FRO
WaRO Ken Averitte
Deborah Sawyer 4
DWQ project Number e' 0 A
County
WiRO Joanne Steenhuis
WSRO Jennifer Frye
ARO Mike Parker
MRO Pate ('.olwell
From: If~ Telephone 919 733- Olr?
The filel attached is being forwarded to you for your evaluation. Please call if you need
Stream length impacted
Stream determination
Wetland determination and distance to blue-line surface waters on USGW topo maps
Minimizationfavoidance issues .
Buffer Rules (Neuse, Tar-Pamilco, Catawba, Randleman)
Pond fill
Mitigation Ratios
? e the stream and or wetland mitigation sites available and viable?
? heck drawings for accuracy
? s the application consistent with pre-application meetings?
? umulative impact concerns
Co ments---?=t ` . a G61/L

Triage Check List
To:
5-OLo-vZ
2RO Steve Mitchell
FRO Ken Averitte
NaRO Deborah Sawyer
NiRO Joanne Steenhuis
NSRO Jennifer Frye
NRO Mike Parker
Project NameIA0JJC.Y?.CI AWES S f U
DWQ Proje t Number Ock 06 W y
Countyl?
From
The file
VIRO Pate t'.olwell
CK IBB
Telephone [phone] K?
ed is being forwarded to you for your evaluation. Please call if you need
? tream length impacted
? tream determination
? % etland determination and distance to blue-line surface waters on USGW topo maps
inimization/avoidance issues
? uffer Rules (Neuse, Tar-Pamilco, Catawba, Randleman)
and fill /
? litigation Ratios S j f,M W p,?
? itching ,V
? e the stream and or wetland mitigation sites available and viable?
? heck drawings for accuracy
Q l the application consistent with pre-application meetings?
4umulative impact concerns
_o4ments-A
\o?0F W A?p?
r
>
D Y
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
April 18; 2002
DWQ # 02-0584
Wake County
CERTIFIED MAIL
Stancil Builders
466 Stancil Road
Angier, NC 27501
RECEIPT REQUESTED
Dear To Whom It Mal Concern:
?f
r COPY
r-
On April 16, 002 the Division of Water Quality (DWQ) was notified by receipt of your application
regarding your plan to ill wetlands for the purpose of a road crossing in Wake County. Approval from DWQ is
required to disturb the e areas.
1. Please n to that beginning January 1, 1999, the N.C. General Assembly passed legislation
requiring payment of a fee for all 401 applications, as indicated on page two of the PCN
application form. The fee for applications is $200 for projects impacting less than an acre of
wetlands and less then 150 linear feet of streams. For projects impacting one or more acres of
wetlands or 150 or more feet of streams, the fee is $475. In order to process your request, you
must sen a check in the riate amount made payable to N.C. Division of Wa A
check in he amount =s received on 4/16/02. Please submit the remai ing $275 s he
permittin process can proceed. Oa-
33??? 3I?
Please telephon 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 writi g within three (3) weeks we will assume you no longer want to pursue the project and
will consider it withdra n.

cc:. Raleigh DWQ Rel
Raleigh Corps of ]
Central Files
File Copy
al Office
neers
Y,
oh Dorney
Wa er Quality erti cation Program
North C rolina Division of Water Quality, Wetlands/401 Certification Unit
1650 M I Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Cr btree Blvd., Raleigh, NC 27604-2260 (Location)
Ph: (919 733-1786, Fax: [phone], hftp://h2o.enr.state.nc.us/ncwetlands/

\0 &11 A r,9,
? r
Nii?
O
CERTIFIED MAIL -
Stancil Builders
466 Stancil Road
Angier, NC 27501
Dear To Whom It May
On April 16, 20
regarding your plan to fi
required to disturb these
1. Please no
requiring
applicatiol
wetlands
wetlands (
must send
check in tl
permitting
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
RECEIPT REQUESTED
rn:
April 18, 2002
DWQ # 02-0584
Wake County

12 the Division of Water Quality (DWQ) was notified by receipt of your application
1 wetlands for the purpose of a road crossing in Wake County. Approval from DWQ is
Treas.
that beginning January 1, 1999, the N.C. General Assembly passed legislation
)ayment of a fee for all 401 applications, as indicated on page two of the PCN
form. The fee for applications is $200 for projects impacting less than an acre of
id less then 150 linear feet of streams. For projects impacting one or more acres of
r 150 or more feet of streams, the fee is $475. In.order to process your request, you
t check in the appropriate amount made payable to N.C. Division of Water Quality. A
e amount of $200 was received on 4/16/02. Please submit the remaining $275 so the
process can proceed.
Please telephone e 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 processin 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,
L)JL4
Dorney
r Quality erti cation Program
cc: Raleigh DWQ Regi
Raleigh Corps of EI
Central Files
File Copy
>nal Office
gineers
,l ?M
ANCDENR
North Ca lina Division of Water Quality, Wetlands/401 Certification Unit
1650 Mai Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Cra tree Blvd., Raleigh, NC 27604-2260 (Location)
Ph: (919) 33-1786, Fax: [phone], http://h2o.enr.state.nc.us/ncwetland:J
Nov 13 01 02:3Gp
John Kim
13367670010
p.2
Q f f jee Use Only: Form Version April 2001
USACE Action ID o. DWQ No. ." r-
If Tiny particular ite is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space bl nk.
1. Processing '
1. Ch al of the approval(s) requested for this project: APR Q?
Secti n 404 Permit Y
?ecti n 10 Permit y, 6
,' ,r7lR'-?S vijP
401 ater Quality Certification oli,,-L ;tom, tit
? Rip an or Watershed Buffer Rules
2. Nationy-ri e, Regional or General Permit Number(s) Requested: Y
3. If this n ification is solely a courtesy copy because written approval for the 401 Certification
is not re aired, check here: ?
4. If payme it into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigati of impacts (see section VIII- Mitigation), check here: [V?
H. Applicant I formation
1. Owner! pplicant Information
?u (dom. ?S , - w
Ac I ?
Name: 5
Mailing ddress:_ `fW &
r. .. i S5
Telepho a Number:
E-mail ddress:.
2. Agent formation (A signed and dated copy of the"Agent Authorization letter must be
attached- if the-Agent has signatory authority for the owneriapplicant_)
Name:
Compan Affiliation:
Mailing ddress:
TeIepho a Number: Fax Number.
E-mail Address-
Page 3 of 12
Nov 13 01 02:13p John Kim
13367610( P-5
APR 1 6 2002
TTI• Project forma L= lion ......_'_:..._.: ?. _._ ---._ ..___
Attach a vicinity map clearly
landmark such as tow showing the location of the pro
boundarie s riv ers, and roads. Also provide a detailed site plan Showing
t olortal
and development plans in relation to "Oundin
and site p an must include a scale and no g Properties Both the p y
imperviou surfaces, or other facilities must
rth be included. possible th vicinity map
The specific footprints of all buildings,
include th appropriate USGS To
If , boundaries outlined. PoiaPhic Quad Ma the maps and plans should
Plan drawings, or other Y with
maps may be included at the applicant'
o
so long as the property is clearly defined For administrative and distribution purposes, the property
USACE weve re wires information to be submitted on sheets no s discretion,
however, WQ may acre t larger than 11 b -inch f r the
drawings P Paperwork of any size. DW Y 17-inch format;
her than a sequential sheet version full
of the full-size plans,
reduced to small scale such that the final version is illegi ? Prefers -sine construction _
the p Tf full-size
project is been placed on hold until decipherable mps ar provided plans are
11 ' pppicant will be informed that
I • Name o roject:
TTvc.c..4?rp Lbw
449 yr
2 T.I.P. Pr. 'ect Number ?,n,,;
(NCDOT Only)-
3. Property entification Number (Tax p IN): vf- off; -£377
4. Location
County: lj.J? l2,
Subdivisi name Nearest Town: _
(include phasellot number :
Direction o site (include road numbers, landmarks, etc.) J
-t r d?
IGCf SG(/? (?/Il, a,V x?1Ti TZ(/11J ?i?{? !f?(
S• Site coord tes, if available H ? - `?
(Note - If r each crossing NTM or Lat/Long);
such as a road or f a distinct wautility line, attach a sheet that separately lists the
coordinate o terbody.}
6. Describe a existing land USe or condition of the site at the time of this a
CLkt_ cx Ei PPlication:
Property si a acres
8. Nearest
9- River Basin
(Note - thi;
River Basin
water (stream/river/.sound/oceawlake): N£r?
iV?us
t be one of North Carolinas seventeen designated major river basins. The
is available at htt J/h2o.enr.state.nc.us/admin/ma S/.)
Page 4 of 12
Nov 13
Ii `iI II
IV.
V.
VI_
O1 02:3
t t p John Kim
13367670010
?
M De !; a the purpose of the proposed work:_ o PxQ;l,P ?. A- as'&V C : ?r4c
Ss o (L% "tom

11. List the type of equipment to be used to construct the project:l22?6c40< ,
t ut? ? 24-
12. Descri the land use in the vicinity of this project:.- RTES( V£ry-u," 1 A6'At CLu-TyA,
Prior Proj ect History
If jurisdict
project (in
the USACI
cestificatio
certificatio
buffer impa
list and d
constructio ional determinations and/or permits have j been requested and/or obtained for this
luding all prior phases of the same subdivision) in. the past, please explain. Include
71 Action ID Number, DWQ Project Number, application date, and date permits and
is were issued or withdrawn. Provide photocopies of previously issued permits,
is or other useful information. Describe previously approved wetland, stream and
cts, along with associated mitigation (where applicable). If this is a NCDOT project,
scribe permits issued for prior segments of the same T.I.P. project, along with
n schedules.

Future Pr ject Plans
Are any a
anticipated
application tional permit requests anticipated for this project in the future'? If so, describe the
work, and provide justification for the exclusion of this work from the current
AID

Proposed I mpacts to Waters of the United States/Waters of the State
It is the ap
wetlands, o
provide jus
and tempo
plan. All
delineation
evaluation
included at
mitigation,
listing or d plicant's (or agent's) responsibility to determine, delineate andl map all impacts to
en water, and stream channels associated with the project. The applicant must also
'fication for these impacts in Section VII below. All proposed impacts, permanent
, must be listed herein, and must be clearly identifiable on an accompanying site
etlands and waters, and all streams (intermittent and perennial) must be shown on a
map, whether or not impacts are proposed to these systems. Wetland and stream
and delineation forms should be included as appropriate. Photographs may be
the applicant's discretion. If this proposed impact is strictly for wetland or stream
"st and describe the impact in Section VIII. below. If additional space is needed for
cription, please attach a separate sheet.
Page 5 of 12
0,.3.•

rtov 13 01 02:4 p John Kim
1. Wetl' nd Impacts
Wetland Impact

site Number

('indicate on ma )

Type of Impact* Area of
Located
Impact 10O year Flc
!
rt u (acres) (es/

? -
Fru- /v,

0. 3q Arc
List each impact
excavation.floot
I00-Year floodp
(FIRM). or FEM,
online at http://w
*;* List a wetland n
Carolina Bay, bo(
List t]
Total
2- Strear
Stream Impact
Site Number
(indicate on map)
3
* list each impact se;
dame (separately list
stabilization activitie
pruposcd, plans and
*Y Stream names can b
downstream named
wvnu jjsg= mv. Se
wv w.ma uest.eoin,
13367670010
Distance to
Nearest Stream
(lin--mot)
< 1001
Type of Wetland***
i s mrr t?3 r• . .
p.4
aarery and identify temporary impacts Impacts include; but are not limited to: me
ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding clcanng' grading, fill,
s are identified through the Federal Emergency Management b
Proved local floodpIaia maps. Maps are available thmu Agency's (FEMA) fqood insurance Rate. Maps
ema env. gh the FEMA Map Serv ice Center at 1-800-358-9616, or
that best describes wetland to be impacted (e.g., fzeshwated/saltwater marsh, forested wetland, beaver pond,
tai acreage (estimated) of existing Wetlands on the t?roperty:`
of wetland impact Proposed:' 0, 3 q f'
pacts,.including all intermittent and perennial stream
s
Length of
pe of Im act* j Average Width
P Impact Stream Name** of Stream
(linear feet I Before T act
so uT ?? (?.? ' -7 r
so T? 3 t
Perennial or
Intermittent?
( leases ci )
nQa`" n
rely and i dentify tempo rary . Impacts include but am not limited to: culverts and associated rip-rap.
t ly due to both structure andimpactsflooding), relocation (include linear fen before and
cement wall, rip-rap, crib wall, gabions, etc.), excavation, dueh after, and net to atg?),
files showing the linear footprint ed streams aigl must etc. if stream relocation is
nand an USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
-am into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
al imermet sites also allow direct download and printing of USGS maps (e g., www.tooozone corn, impacts (linear distance in feet) to all streams on site:
Page 6 of 12
Nov 13 01 02:3;p John Kim
II III I I 13367670I310
P.4.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Athintic Ocean and any
other later of the U.S. I
I
Opcn Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
acres Name 'f Waterbody

(if a plicable) Type of Waterbody
(lake, pond, estuary, sound,

bay, occan, etc.)

i
i
,.,I.o... T I-i -1u aucuuay w111pVI41y uapacu. IIIipar-rs IIICIUtle, out are not UnUtea to: IW, excavation, dredging,
flooding, draulagc, ulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and strearn impacts should be
includ d 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 t be created in (check all that apply): ? uplands [l stream ? wetlands
Describe the method of construction (e.g., "embankment, excavation, installation of
draw-d wn valve or spillway, etc.)-
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local s rmwater requirement, etc.):
Size o watershed draining to pond: .Expected pond surface area:
VII. Impact Ju tification (Avoidance and Minimization)
Specificalldescribe 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 layou , and explain why these design options were not feasible. Also discuss how impacts
were mini 'zed once the desired site plan was developed: If applicable, discuss construction
techniques to be followed during construction to reduce.impacts. _
at iN 1c- S?icz -(H If
T£G i
ciL??r?,?rr <iT? c->45 terms CJs r i RrA'j'•r
Dl 4c TlcAt. Sr'r w,,T(> Tlf L5 -7- 1AS l/?l!'4c?/.

Page 7 of 12
„ov 13 01 oz:
8p John Kim
13367670010
P-3
VUL A itiga n '
DWQ - In accordance with 15A NCAC 2H .OSOp
Division of Water Quality h
for projects involving
freshwa '
r wetlands orgation
greater than or equal to may be required by the NC
greater than or equal to 150 linear feet of total one acre. t impacts
pacts to perennial
USACE In accordance with
Permits, ublished in the Federal the Re iser onuM of Issuar'Ce and Modification of
necessary to ensure that adverse e g arch 9, 2000 Nationwide
gation will be required when
ffects to the aquatic = miti
including size and type of ro environment are
p posed impac
aquatic r ource will be considered in determining
deter and function and relative value of mthe impacted
mitigation as proposed. Examples of o acceptability of appropriate
but are n mitigation that may be a and practicable
limited to: reducing the size of the ro'ect a PPropriate and practicable include,
and/or up] d vegetated buffers to protect open waters such as streamsd
aquatic re urce functions and values by creating g maintaining wetland
funct
losses of
d vaT
ions , restoring, enhancing, and rr preserving sim iJar
lues, preferable in the same watershed.,
.
If mitigati is required for this project, a co
for USA or DW PY of the mitigation plan must be attached in
Q to consider the application complete for processing. An a order
g a egturedugation plan or N Y application
lacicinincomplete. An applicant may C?? incurrence shall be in DW Y also choose to review placed on hold as
Q s Draft Technical Guide for Stream the current guidelines for stream restoration
hg ://h2o.e r.state.nc.us/ncwetlandsls Work
in North -Carolina, available at
trm?ide.html.- -
1• Provide brief description of the proposed mitigation plan- The description should provide
as much nformation as possible including
and/or m d> but not limited to: site location (attach directions
p, if offsite), affected stream and river basin type nd amount of mitig •on proposed (restoration, enhancement, creation, or preservtaion a
preserva an mechanism ge/]inear feet)
Preen ti(e•g•, deed restrictions, conservation easement, et plan slew,
P of the current site conditions and proposed method of construction. Please attach separate i sheet if more.,space is needed. ), and a
i
i
? r
It
f "
i
i
i '
Page 8 of 12
Nov 13 01 02:
II 1 II I 1
2: lit
Prol
you
revi
will
NC'
pro(
use
the
IX. Errvirom
Does the
land?
Y
If yes, d
requirem
Note: I
coordinat
Y
If yes, ha
copy of t]
Y
X. Propose(
It is the
required
justificati
and must
map, wh
Regional
/P John Kim 13367670010
P.5,
i
I
I
tion may also be made by payment into !the North Carolina 'Wetlands Restoration
m (NCWRP) with the NCWRP's written agreement. Check the box indicating that
ould like to pay into the NCWRP. Please note that payment into the NCWRP must be
ted and approved before it can be used to satisfy mitigation requirements. Applicants
notified early in the review process by the 401JWetlands Unit if payment into the
2P is available as an option. For additional information regarding the application
s for the NCWRP, check the NCWRP website at httn://hlu.enr.stat4-.nc.us/wrp/index.htm. If
the NCWRP is proposed, please check the appropriate box on page three and provide
lowing information:
i
nount of stream mitigation requested (linear, feet):
nount of buffer mitigation requested (square feet): _
nount of Riparian wetland mitigation requeptC40cres): 7?6-3 . 2
nount of Non-riparian wetland mitigation requested (acres):
nount of Coastal wetland mitigation requested (acres):
rental Documentation (DWQ Only)
i
project involve an expenditure of public funds or the use of public (federal/statellocal)
? No ?
es the project require preparation of an environmental document pursuant to the
its of the National or North. Carolina Environmental Policy Act (NEPA/SEPA)?
you are not sure whether a NEPA/SEPA document is required, call the SEPA
r at [phone] to review current thresholds for environmental documentation.
? No ?
the document review been finalized by the. State Clearinghouse? If so, please attach a
NEPA or SEPA final approval letter.
? No ?
Impacts on Riparian and Watershed Buffers (DWQ Only)
applicant's (or agent's) responsibility to determine, delineate and map all impacts to
,tale .and local buffers associated.with the ;project. The Applicant must also.provide
Dn for these impacts in Section VII above. All proposed impacts must be listed herein,
be clearly identifiable on the accompanying site plan. All buffets must be shown on a
:t:her or not impacts are proposed to the buffers. Correspondence from. the DWQ
Office may be included as appropriate. Photographs may also be included at the
discretion.
Will the project impact protected riparian buffets' identified within 13A NCAC 2B .0233
(Neese), 15A NCAC `2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 O2andleman Rules and
Water Supply Buffer Requirements), or other (please identify . )?
YFs ? No ? If you answered "yes", provide the following information:
Page 9 of 12
Nov 13 01 02:46P John Kim 13367670010
P•2
j
j
Identify ; square feet and acreage of impact to eacih zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multiplier,
Zone* Impact
retJ
(s uaarfeet MultipI?ier Re Requaired
Miti
1 3
2 1.5
Total
ne i extends out 30 feet perpendicular from near bank o channel; Zone 2 extends an
additional 20 feet from the edge of Zone i.
If buffer Ligation is required, please discuss what type of mitigation is proposed (Le., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment in o the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified 'thin 15A NCAC 2B .0242 or .0260.
XI. Stormwat (DWQ Only)
Describe i ervious acreage (both existing 'and- proposed) versus total acreage on the site_
Discuss st water controls
downstream proposed in order to protect surface waters and wetlands
rom the property.
Xn.. Sewage Dis al (DWQ Only)
Clearly detail the ultimate treatment methods and
wastewater nerated from the proposed project, or
MR. Violations (I
Is this site in violatio
Yes
Is this an after-the-fa
Yes ?
tion (non-discharge or discharge) of
e capacity of the subject facility.
I
vV Q Only)
of DWQ Wetland Rules (15A NCAC 2H'.0500) or any Buffer Rules?
No ?
i
pem it application?
No ?
i
Page 10 of 12
Nov 13 01 02:37p John Kim
?? I I I 13367670010
• i p.6
I
XIV. Other Circumstances (Optional);
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construe 'on dates to allow processing time for these permits. However, an applicant may
choose t? list constraints associated with construction or sequencing that may impose limits on
work schedules e. draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control),
• i
Aplilic Agent's Signature Date
(Agent' signature is valid only if an authorization letter from the applicant is provided.)
JS Army Corps Of Engineers Field Offices and County Covenage
Asheville Regulatory; Field Office Alexander Cherokee
US Army Corps of E ngineers Avery Clay
151 Patton Avenue i
Room 208 Buncombe Cleveland

Asheville, NC 28801
-5006 Burke
Cabarrus Gaston
Graham
Telephone: (828) 27i
Fax: [phone] Caldwell Haywood
Catawba Henderson
Raleigh Regulatory Field Office
US Army Corps Of Engineers
6508 Falls of the Neuse Road
Suite 120 1
Raleigh, NC 27615
Telephone: [phone]
Fax: [phone]
Washington Regulatory Field Office -
US Army Corps Of Engineers
Post Office Box 1000,
Washington, NC 27889-1000
Telephone: (252) 975=1616
Fwc: [phone] i
Wilmington Regulatory Field Office
US Army Corps Of Engineers
Post Office Box 1890;
Wilmington, NC 28402-1890
Telephone: [phone]
Fax: [phone] -j
Alamance Durham
Alleghany Edgecombe
Ashe Franklin
Caswell Forsyth
Chatham Granville
Davidson Guilford
Davie Halifax
Iredell Mitchell: Union
Jackson Polk Watauga
Lincoln
* 'Rowan Yancey
Macon Rutherford
Madison Stanley
McDowell Swain
Mecklenburg Transylvania
Johnston Rockingham . Wilson
Lee Stokes Yadkin
Nash Surry
Northampton Vance
Orange Wake _
-Person Warren
Randolph Wilkes
Beaufort Currituck I Jones
Bertie Dare Lenoir
Camden Crates Martin
Carteret* Green i Pamlico
Chowan Hertford Pasquotank
Craven Hyde Perquimans
Anson Duplin •- Onslow
Bladen Harnett Fender
Brunswick Hoke - Richmond
Carteret Montgomery Robeson
Columbus Moore Sampson
Cumberland New Hanover Scotland
- Pitt
Tyrrell
Washington
Wayne
*Croatar. National Forest Only
Page 11 of 12
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Division of Water Quality
Work in Proce :Holland Road Property Water Quality
VA
4/12/2002
APR 1 62o02
f Ei?
3361
200.00
First Federal SJvings 200.00
JIMIYVIL uuiI ILnJ, IIY V.
Division of N
Work in Process
02
ter Quality
olland Road Property
Water Quality
N
O Q7
Cr_I

4/25/2002
3419
275.00
First Federal Savings 275.00