20021633 Ver 1_COMPLETE FILE_20021009

ENGINEERING CONSULTING SERVICES, LTD.
Geotechnical • Construction Materials • Environmental
October 8, 2002
Mr. John Dorney _
Division of Water Quality t
401 Wetlands Unit 1650 Mail Service Center
Raleigh, North Carolina 27699-1650 U 63 i' m
U
Subject: Pre-Construction Notification Application S' b
Gibsonville-U.S. 70 Sanitary Sewer Outfall. OCT 9'
Highway 70
Gibsonville, Guilford County, North Carolina
t1P
ECS Project G-6317A WA lTY SECTION
Dear Mr. Dorney:
Please find seven copies of the Pre-Construction Notification Application for the above referenced site.
The site is the proposed Gibsonville-U.S. Sanitary Sewer Outfall located north of Highway 70 along
Back Creek (Figure 1). The outfall is approximately one-half mile long.'
As shown on the attached drawings prepared by Alley, Williams, Carmen & King, the outfall will cross
Back Creek (#3), a tributary to Back Creek (#1) and a small wetland pocket. The outfall will impact
approximately 20 linear feet of stream channel and 34 square feet of wetland. The crossing at #1 will
consist of 8" and 10" restrained joint ductile iron pipes that will be buried approximately 30 inches below
the bottom of the channel. Approximately ten feet of stream channel will be impacted at this crossing.
The angle of the crossing is 80°. The crossing at #2 will impact` approximately 34 square feet of
wetlands. The crossing at #3 will consist of an 8" ductile iron pipe placed in a steel encasement pipe.
The pipe will be buried approximately 18 inches below the bottom of the stream channel. The angle of
the crossing is 82°.
The construction . corridor for the sewer line will be limited to a 40 foot, width. The maintenance
easement will be limited to a ten foot width. On behalf of the Town of Gibsonville, I am requesting that
a Water Quality Certification be issued to authorize the impacts associated with the Gibsonville-U.S. 70
Sanitary Sewer Outfall. .
Please feel free to contact me at [phone] if you have any questions concerning this request or if
additional information is required. Thank you in advance for your timely consideration of this matter.
Sincerely,
ENGINEERING CONSULTING SERVICES, LTD.
f
erase . Poulos, LSS
Principal Scientist
Attachment: Pre-Construction Notification Application
$200.00 Water Quality.Certification Fee
6909 International Drive, Suite 103 • Greensboro, NC 27409 • [phone] • Fax [phone]
Offices: Aberdeen, MD • Atlanta, GA • Austin, TX Baltimore, MD Chantilly, VA • Charlotte, NC • Chicago, IL • Cornelia, GA • Dallas, TX
Danville, VA • Frederick, MD • Fredericksburg, VA • Greensboro, NC Greenville, SC • Norfolk, VA • Raleigh, NC Richmond, VA
Roanoke, VA • San Antonio, TX • Williamsburg, VA • Wilmington, NC r Winchester, VA
TOWN OF SIBSONVILLE
129 WEST MAIN STREET
GiBSONVILLE, ',N. C. 27245
OFFICE OF THE TOWN MANAGER PHONE [phone]
May 14, 2002 M r
W 9
Ms. Denise Poulos Off 9 2002
Engineering Consulting Services, Ltd.
6909 International Drive, Suite 103 V T! 15311 ma c; ?`
Greensboro, NC 27409 ATi; W I I S ?F 1. F
Re: Gibsonville - U.S. 70 Sanitary Sewer Outfall
Gibsonville, North Carolina
AWCK Project No. 01105
Dear Denise:
Please act on behalf of the Town of Gibsonville in obtaining necessary permitting for the
referenced project. Should there be any questions'you can contact myself (449-4144) or
Franz Holt, P.E. (226-5534).
Sincerely,
TOWN OF GIBSONVILLE
Deleno Flynn, Town Manager
DF/tw
`o?0F wAr?RQ?
r
o ?
October 16, 2002
Guilford County
DWQ Project #: 02-1633
APPROVAL OF 401Quality Certification with ADDITIONAL CONDITIONS
Town of Gibsonville
Attn: MR. Deleno Flynn, Town Manager
129 West Main Street
Gibsonville, NC 27249
Dear Mr. Flynn:
You have our approval, in accordance with the attached conditions, to impact 0.00078 acres of
wetlands or waters for the proposed Gibsonville-US sanitary sewer outfall located north of Highway 70
along Back Creek as you described in your application dated October 8, 2002. After reviewing your
application, we have decided that this fill is covered by General Water Quality Certification Number
3374, which may be viewed on our website at http://h2o.enr.state.nc.us/ncwetlands. This certification
allows you to use General Permit Number 12 when the Corps of Engineers issues it. 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 CAMA 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 211.0506 (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.
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
1. 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.
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.

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
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 Dorney at 919-733-1786 or Jennifer Frye
at our Winston-Salem Regional Office at 336-771-4600.
Sincerely,
JRD/bs
Attachments
cc: Corps of Engineers Raleigh Field Office
Winston-Salem DWQ Regional Office
File copy
Central Files
Denise Poulos, ECS, LTD
Office Use Only: Form Version February 2002
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: C!?" r
X Section 404 Permit
? Section 10 Permit
X 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 12
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
IL Applicant Information
1. Owner/Applicant Information
Name: Town of Gibsonville
Mailing Address: 129 West Main Street
Gibsonville NC 27249
Attn: Mr. Deleno Flynn, Town Manager
Telephone Number: 336-449-4144 Fax Number:
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: Denise M. Poulos
Company Affiliation: ECS, Ltd.
Mailing Address: 6909 International Drive, Suite 103
Greensboro NC 27409
Telephone Number: 336-856-7150 Fax Number: 336-856-7160
E-mail Address:[e-mail]
Page Break
III. Project Information
Page 1 of 12
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: Gibsonville-U.S. 70 Sanitary Sewer Outfall
2. T.I.P. Project Number or State Project Number (NCDOT Only
3. Property Identification Number (Tax PIN):
4. Location
County: Alamance Nearest Town: Gibsonville
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From Greensboro: I-85/40
east to Hwy 61; north on Hwy 61 to Hwv 70, east on Hwy 70 The site is on the left
across from Frisell Drive.
5. 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.)
6. Describe the existing land use or condition of the site at the time of this application: The
site is the Proposed sanitary sewer line corridor. The corridor is undeveloped
7. Property size (acres): NA
8. Nearest body of water (stream/river/sound/ocean/lake): Back Creek
9. River Basin: Haw/Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at bLtR:Hh2o.enr.state.nc.us/admin/mQs/.)
10. Describe the purpose of the proposed work: The purpose of the work is to construct a
Page 2 of 12
sanitary sewer line outfall.
11. List the type of equipment to be used to construct the project: Trackhoes, trucks,
loaders, pans, etc. will be used to construct the proiect
12. Describe the land use in the vicinity of this project: Residential
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
There have been no Jurisdictional determinations or permits requested or obtained for this
Project.
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.
We do not anticipate that there will be future permit requests for this proiect
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Provide a brief written description of the proposed impacts: The sewer line will cross
Page 3 of 12
Back Creek, a tributary to Back Creek and a small wetland pocket
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
#2 fill 0.00078 30 feet forested

-- -- ====F...,. -F-Ij MILL IU0JILXLY Mcuipu=:uy iii,paub. tatpactS mciuue, out are not umitea to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) -
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:_ 34 square feet (0.00078 acres)
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of _
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
#1 rip-rap 10 If UT to Back Creek 3-5 feet perennial
#3 rip-rap 101f Back Creek 12-18 feet perennial

7k i .L
- - - .... F- ??r» »•?_, ••••w =.......... wi,=Fviaty „upaub. iuipaua ,nctuue, out are not nmitea 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
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.ma guest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 20 if
Page 4 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: NA
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

i.tst eacn impact separately ana taenttty temporary impacts. Impacts include, but are not limited to:_ rill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
.Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The proposed sewer line outfall is approxmaltev 2,000 feet long. The outfall has been
planned to avoid streams and wetlands to the maximum extent possible. Approximately 20
If of stream channel and 0.00078 acres (34 square feet) of wetlands will be impacted by the
sewer line.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed.. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.htm].
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Due to the unavoidable and minimal nature of the proposed impacts, mitigation
should not be required and none is proposed.
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 htto://h2o.enr.state.nc.us/=/index.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):
Page 6 of 12
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No X
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
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
(Neuse), 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:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
m Gone 1 emenas our .SU reef perpenalcular trom near bank of channel; Gone Z extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Applicant/Agent's Signature ate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 12
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SOURCE:
s SITE LOCATION MAP
USGS TOPOGRAPHIC MAP, SLTD GIBSONVILLE-U.S. 70
GIBSONVILLE, NC QUADRANGLE SANITARY SEWER OUTFALL
DATED 1970 AND REVISED 1994 GIBSONVILLE, NC
SCALE: I" = 2,000' ECS PROJECT G-6317A
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TOWN OF GIBSONVILLE
129 WEST MAIN STREET
GIBSONVILLE,..N. C. 27249
OFFICE OF THE TOWN MANAGER - 2 PHONE [phone]
C
May 14, 2002
a?
Ms. Denise Poulos
Engineering Consulting Services, Ltd. OCT 9 2002
'
6909 International Drive, Suite 103 WErlA - `
Greensboro, NC 27409 - ATER ?U,I?yQer ptir
Re: Gibsonville - U.S. 70 Sanitary Sewer Outfall
Gibsonville, North Carolina
AWCK Project No. 01105
Dear Denise:
Please act on behalf of the Town of Gibsonville in obtaining necessary permitting for the
referenced project. Should there be any questions' you can contact myself (449-4144) or
Franz Holt, P.E. (226-5534).
Sincerely,
TOWN OF GIBSONVILLE
Deleno Flynn, Town Manager
DF/tw
Office Use Only: Form Version February 2002
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.
L Processing
1. Check all of the approval(s) requested for this project:
X Section 404 Permit
? Section 10 Permit
X 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 12
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Town of Gibsonville
Mailing Address: 129 West Main Street
Gibsonville NC 27249
Attn: Mr. Deleno Flynn. Town Manager
Telephone Number: 336449-4144 Fax Number:
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: Denise M. Poulos
Company Affiliation: ECS, Ltd.
Mailing Address: 6909 International Drive Suite 103
Greensboro NC 27409
Telephone Number: 336-856-7150 Fax Number: 336-856-7160
E-mail Address:[e-mail]
Page Break
III. Project Information
Page 1 of 12
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:- Gibsonville-U.S. 70 Sanitary Sewer Outfall
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Alamance Nearest Town: Gibsonville
Subdivision name (include phase/lot number):
Directions to site (include roadnumbers, landmarks, etc.): From Greensboro: I-85/40
east to Hwy 61; north on Hwy 61 to Hwv 70, east on Hwy 70 The site is on the left
across from Frisell Drive.
5. 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.)
6. Describe the existing land use or condition of the site at the time of this application: The
site is the proposed sanitary sewer line corridor. The corridor is undeveloped
7. Property size (acres): NA
8. Nearest body of water (stream/river/sound/ocean/lake): Back Creek
9. River Basin: Haw/Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.}
10. Describe the purpose of the proposed work: The purpose of the work is to construct a
Page 2 of 12
sanitary sewer line outfall.
11. List the type of equipment to be used to construct the project: Trackhoes, trucks,
loaders, pans; etc. will be used to construct the project.
12. Describe the land use in the vicinity of this project: Residential
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
There have been no Jurisdictional determinations or permits requested or obtained for this
Project.
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.
We do not anticipate that there will be future permit requests for this project.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Provide a brief written description of the proposed impacts: The sewer line will cross
Page 3 of 12
Back Creek, a tributary to Back Creek and a small wetland pocket
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
#2 fill 0.00078 30 feet forested

a. 3L -a I 111FM A bCPtUatcty auu iucuuiy Wntpvrary Impacts. impacts mciuae, dut are not ttmttea to: mecuanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:- 34 square feet (0.00078 acres)
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please secif )
#1 rip-rap 10 If UT to Back Creek 3-5 feet perennial
#3 rip-rap 10 If Back Creek 12-18 feet perennial

-pat ocyalMciy allu ,ucuuiy Lcillpuialy irnpacts. impacts mciuae, cut are not innltea to: culverts and associated np-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
www.uses.eov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.tol2ozone.com,
www:mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 20 If
Page 4 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: NA
Open Water Impact

Site Number
(indicate on ma)

Type of Impact* Area of

Impact
(acres) Name of Waterbody

(if applicable)
Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

--l -.-y..... -F--.7 - -.-o--u-y «111l,v,u,y i,uPacw. iiiipacw inciuue, ouL are nOC imuteu to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII, Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It maybe useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible.' Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The proposed sewer line outfall is approxmaltev 2,000 feet long The outfall has been
planned to avoid streams and wetlands to the maximum extent possible Approximately 20
If of stream channel and 0.00078 acres (34 square feet) of wetlands will be impacted by the
sewer line.
VIII. Mitigation
DWQ In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse. effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the .application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetiands/strmp-ide.htm].
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Due to the unavoidable and minimal nature of the proposed impacts, mitigation
should not be required and none is proposed
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wEp/index.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):
Page 6 of 12
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No X
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
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
(Neuse), 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:
Identify the square feet and acreage.of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
feet
(square )
Multiplier
Required
Mitigation
1 3
2 1.5
Total
-uric , exterrus our .3u reel peipenaicuiar from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 7 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
XIL Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment. methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XIII. Violations (DWQ Only)`
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
? l
Applicant/Agent's Signature ate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 12
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DETACH AND RETAIN THIS STATEMENT
THE ATTACHED CHECK IS IN PAYME"LT OF ITEM5 DESCRIBED BELOW. IF NOT CORRECT PLEASE NOTIFY US PROMPTLY- NO RECEIPT DESIRED.
Engineering Consulting Services LTD.
DATE ACCOUNT DESCRIPTION AMOUNT

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