HomeMy WebLinkAbout20021758 Ver 1_COMPLETE FILE_20021101GF W A T ?qQG
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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
November 8, 2002
Hyde County
DWQ Project #: 02-1758
APPROVAL of 401 Water Quality Certification with ADDITIONAL CONDITIONS
Robert and Holly Newsome
Post Office Box 36
Scranton, NC 27875
Dear Mr. & Ms. Newsome:
You have our approval, in accordance with the attached conditions, to impact 0.16 acres of
forested wetlands for the purpose of a residential road crossing adjacent to Slades Creek as you
described in your application dated October 28, 2002. After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification Number 3375, which may be
viewed on our website at http://h2o.enr.state.nc.us/ncwetlands. This certification allows you to use
General Permit Number 14 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 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.
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.
2. 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).
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)
(919) 733-1786 (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands
3. In order to insure that roadside wetlands are not inadvertently drained, you may not install
roadside ditches along the driveway/entrance road.
4. To insure that wetland impacts do not exceed impacts as proposed in your application the
construction of the driveway may not include new excavation of spoil from adjacent wetlands
or existing ditches. Also, road frontage ditches (that may be located along Sladesville Credle
Road) may not be connected to any existing ditches within the tract.
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 Dorney at 919-733-1786 or Deborah
Sawyer at our Washington Regional Office at 252-946-9215.
Sincerely,
Alan W. Klimek, P.E., Director
Attachments
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File copy
Central Files
file:///Untitled
4. To insure that wetland impacts do not exceed impacts as proposed in your application the
construction of the driveway may not include new excavation of spoil from adjacent wetlands or
existing ditches. Also, road frontage ditches (that may be located along Sladesville Credle Road) may not
be connected to any existing ditches within the tract.
I of I 1 1/21/02 4:47 PM
OF W AT?9 Michael F. Easley, Governor
?a O William G. Ross Jr., Secretary
?O ?Gy North Carolina Department of Environment and Natural Resources
? r
Alan W. Klimek, P.E., Director
p Y Division of Water Quality
r November 8, 2002
Hyde County
DWQ Project #: 02-1758
APPROVAL of 401 Water Quality Certification with ADDI'T'IONAL CONDITIONS
Robert and Holly Newsome
~ Post Office Box 36
Scranton, NC 27875
Dear Mr. & Ms. Newsome:
You have our approval, in accordance with the attached conditions, to impact 0.16 acres of
v. forested wetlands for the purpose of a residential road crossing adjacent to Slades Creek as you
described in your application dated October 28, 2002. After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification Number 3375, which may be
viewed on our website at http://h2o.enr.state.nc.us/ncwetlands. This certification allows you to use
General Permit Number 14 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)
A 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.
J
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
l? Certification and approval letter and is thereby responsible for complying with all conditions. If total
v? 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 O h 6 O and O7 . This approval shall expire when the
corresponding Nationwide Permit expires or as otherwise provided in the General Certification. For
j this approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
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.
1 2. 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
c. in place within 30 days of the date of this letter or the issuance of the 404 Permit (whichever is
later).
3. You may not install a roadside ditch.
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)
(919) 733-1786 (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands
In/ 1 I
You may not c ect existing d' to other ditch n road side ditches
-=
5. Y ay not uses . rom wetlands t iId up.roacl- --
If you do not accept any of the conditions of this certification, you may ask for an ad judicatory
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. 276 1 1-7447. 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 Dorney at 919-733-1786 or Deborah
Sawyer at our Washington Regional Office at 252-946-9215.
Sincerely,
Alan W. Klimek, P.E., Director
Attachments
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File copy
Central Files
Robert and Holly Newsome
PO Box 36 '
Scranton, NC 27875
262-926-9137 ?.
October 28, 2002
NC Division of Water Quality
(401 Wetlands Unit)
1650 Mail Service Center
Raleigh, NC 27699-1650
Dear Sirs:
We propose to construct a single-family residential dwelling on property located off of State Road
1143, adjacent to Slades Creek, in the community of Sladesville, Hyde County, North Carolina.
The proposed residence will be pile-supported over uplands, with a permitted septic system, also
located in uplands.
In order to access the upland portion of the property, we must construct an access road through
Department of the Army jurisdictional wetlands. The road will be approximately 1400 feet long
by 16 feet wide (toe-to-toe.) The travel surface of the road will be 12 feet wide. Through
coordination with the Corps of Engineers and the NC Division of Coastal Management, we have
selected the least damaging alternative for the construction of our road. We plan on utilizing an
existing 12 foot wide spoil berm to construct the majority or our road. We will only need to fill
an additional 4 foot wide area adjacent to the spoil berm to accommodate our proposed road
width. The existing spoil berm is approximately 1250 feet long. We will need to construct
approximately 150 foot of the road through wetlands without the spoil berm.
Wetland impacts associated with this project equals approximately 5000 square feet for the road
construction through the spoil berm area, and 2400 square feet for the road construction through
the area without the spoil berm, for a total of approximately 7400 square feet (0.16 acre.) The
impacted wetland area consists of a pint flatwood, primarily vegetated with loblolly pine, red
maple, sweetgum, and wax myrtle. We plan to provide compensatory mitigation for the proposed
work in the form of a conservation easement of one-half acre.
Thank you for your review of our permit application. Please feel free to contact us if you have
any questions or need additional information.
Sincerel ,
bbl e
Robert and Holly Newsome
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Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit ? Riparian or Watershed Buffer Rules
Section 10 Permit ? Isolated Wetland Permit from DWQ
401 Water Quality Certification ??\\ 11 \\
2. Nationwide, Regional or General Permit Number(s) Requested: W09 00
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ? WN
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ? ts IN
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: ? N (PA
II. Applicant Information
1. Owner/Applicant Information
Name: N icltt Ak
Mailing Address:
Telephone Number: 252-32-(o-91S7 Fax Number: VJ
E-mail Address: wik
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached }'f the Agent has signatory authority for the owner/applicant.)
Name: N I (?.
Company Affilial
Mailing Address:
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: IVe,WSOV`n2. --WuA-
2. T.I.P. Project Number or State Project Number (NCDOT Only): N IK
3. Property Identification Number (Tax PIN): D2e-C? Vo kwi\e 1o1 tQoae- $51
4. Location ! \
County: _??{ Nearest Towr
Subdivision name (include phase/lot number): WIN
Directions to site include road numbers landmarks, etc.):_
5. Site coordinates, if available UTM or Lat/Long): O`ne. \% %Lwn P- 1 3q 2-J l01 N
(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
. 15.5 Nc,'re.
7. Nearest body of water (stream/river/sound/ocean/lake): SA(3AQ-2S Qst&-
8. River Basin:
(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/.)
9. Describe the existing conditions on the site and,general,land use in the vicinity of the project
at the time of this applicatior
Page 6 of 12
10. Describe the overall
11
IV. Prior Project History
If jurisdictional detenninations 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 prioP segments of the same T.I.P. project, along with
construction schedules.
O IN -
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 currgn-t ap licat*on.
t4> rANV\s cA\l?'c 4\,Y1 r \ ChY1e-- sNn(\k-e -k- ? .
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.
in detail including the type of equipment to be used:
Page 7 of 12
N bv.?\c e r 6y, o- dvxtp*AAQ-V.°\PS\?\ )Ce \1 ,-kk
. Exnlain the oumose of the proposed work:
de a written description of the proposed impactsF,%\\4%A 102 Q\Q`? T,Aok we_40.rI s
?de>
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***
O .llo N
1
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
• (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at ham:/hvww.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.) 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: 13 ??reS
Total area of wetland impact proposed: -14CC) 54.Ik• k
3. Individually list all intermittent and perennial stream impacts below: WK
A
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
* 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
www.usgs.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tol2ozone.com,
www.inapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
Page 8 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: ?i IA
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.)
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation o Ik
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 durin construction to reduce im acts. 3l
?naye_
hnnc?c:'?i (1(XXhY?rn??e 1?? -[?IOCI ?n .1-t l to, 0.Cre? . SOt?t? ?nF!Crn ui% \ bC. U0
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 9 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.htmi.
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
y
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
(919) 733-5208 to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/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): I Q
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 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-5083 to review current thresholds for environmental documentation.
Yes ? No ? 1\) I K
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 ? N IA
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
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 DC 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. N I A
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
" Zone 1 extends out 30 teet perpendicular trom near oanK of cnannei; cone L extenas an
additional 20 feet from the edge of Zone I .
Page 11 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 213.0242 or.0260.
XI. Stormwater (required by DWQ)
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.
Nd 2x\s\; nQ ; rr.?eYv ?0 v s O,C` cae- c?? ?S ?m? . 4?rooe?ed rP s!cke v-\ee
w\\\ \r, we_ S&f-1- c e am, cry cQoox%Vy<A s? 20 s a .-fit . Access ?Co?\h
,\a 1? ','yes v?ous svr?ce s .
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the roposed protect or available capacity of the s b.
jec t facility.
A
.r-n.+ e . n . _ .. n • _ . . w w .i /1 ?1 it
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No K
Is this an after-the-fact permit application?
Yes ? No rV
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).
NIA
2
Page 12 of 12
IAppllca lUHgeut S 31gualul C "Mr.
(Agent's signature is valid only if an authorization letter from the applicant is provided.)