20021212 Ver 1_COMPLETE FILE_20020801

MEMORANDUM
TO: John Dorney
Non-Discharge Branch
Regional Contact: Jennifer Frye
WQ Supervisor: Steve Mauney
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name James Russell County Davidson
Project Number 02 1212 County2
Recvd From APP Region Winston-Salem
Received Date 8/1/02 Recvd By Region 8/9/2002
Project Type excavation
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres' Feet -
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
19 Waters O Y O N F_ 12-(l l4) Wsiv F B 30.75T 6.05F - F-
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? 0 Y 10 N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? 0 Y 0 N Recommendation: 0 Issue 0 Issue/fond 0 Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
WO Certification #3362 issued by WSRO on August 16, 2002,
cc: Regional Office
Central Office Page Number 1
Triage Check List
Date: t?) - S - OL. Project Name: °l'^ gjjssel? Jr.
DWQ#: OZl Z 1 Z_
County: f)00 45AA-
To: ? ARO Mike Parker
? FRO Ken Averitte
? MRO Mike Parker
? RRO Steve Mitchell
? WaRO. Deborah Sawyer
? WiRO Joanne Steenhuis
WSRO Jennifer Frye
From: 806 sar ytiey
Telephone : (919) (186
The file attached is being forwarded to your for your evaluation.
. Please call if you need assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps
.Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments: W A,,VI ?0 NGa4/X& ckol?

Office Use Only: Form Version May 2002
USAGE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or;'i
I.
II.
Processing
1. Check all of the approval(s) requested for this project:
P1 Section 404 Permit ?
? Section 10 Permit ?
? 401 Water Quality Certification
L
1 2002
Riparian or Watershed' Bu fe Sul s "N
Isolated Wetland Permta from:DWQ_.
2. Nationwide, Regional or General Permit Number(s) Requested: "
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NC)YRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
Applicant Information
Owner/Applicant Information
Name: 37a me.,, '8G h; e) j?u s s e 1
Mailing Address: ?2 1$.S AI-,ore I,*,,%e ??.
Telephone Number & 69 N71'3 3.? - eo Fax Number: 3 - ?/71?-30 ?o
E-mail Address: ZLbRrhS[4IF, A'&
Company liati
Mailing Address:_
2. Agent/Consultant 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:n. A
Telephone Number: Fax Number:
E-mail Address:
Page 5 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:
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County:_ Oa ?t ?Sor, Nearest Town: k i .1 ton
Subdivision name (include phase/lot number): 'Ta/4.w,:t_,d 6e(, a 2,& /
Directions to site (include road numbers, landmarks, etc.): Fro.r LC ky., T" N,' tAouy
aEnnf? &. 7& Ql,:?w<f 01, fly --
5. Site coordinates, if available (UTM or Lat/Long): Y'?/A
(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. Property size (acres):k_Aa,,,,k 41-eK , S k- s ow ZC0 o ss Ft .
7. Nearest body of water (stream/river/sound/ocean/lake): N , !'? h ?oLk t.k,
8. River Basin: M/6'r - ?e-e Dee
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at )
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: 1 fie. SctJ ure_t. to be-
Page
6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: 1?a
k77w' Y b4 W K, In WtaF6- I'S kOA-11 A. 4 ". FP-, -IA f- L ,c A96 'A - L???.? 1 ? .Cl ,/,. v n:l
tSf ? 2 ferYly • ?«, !??-a 5[7i `f li?/c??,' <i Cl? G?rP ,L?C? ?'g C `l2tif ? 1LO /`1'? y
11. Explain the purpose of the proposed work: I-kz n,,;Oa,-se A e , 41j,,,
A 4,1? pet'
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.
l1/I'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.
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.
Page 7 of 12
1. Provide a written description of the proposed impacts: :17 Ae l,-c
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* 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
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed: aid a
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)

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
Several internet sites also allow direct download and printing of USGS maps (e.g.,
, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
Page 8 of 12
Survey for,
DAMES Ro?,\\\.\ RUSSELL SR, AND
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