20030169 Ver 1_COMPLETE FILE_20030214

Michael F. Easley, Governor
Q ?t?9 William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
DWQ Project No.: 03 016 9 County:' RAA1 L
Applicant: JAMES ? - ? M1?R.Y A. S?AF?T' VVERA 1401 GAO p
Project Name: BDAT 14025 ..JUN 1 l 2003
Date of Issuance of 4.01 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and . any
subsequent modifications, the applicant is required to return this certificate to the 461/Wetlands Unit, North Carolina
Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This. form may be returned to DWQ
by the. applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from
all of these.
Applicant's Cert4fication
I, JA ME 5 ?S . "514A F6_9 ; hereby state that, to the best. of my abilities, due care and diligence
was used in the observation of the construction • such that the construction was observed to be built within substantial.
compliance and intent of the.401 Water Quality Certification and Buffer Rules, the approved plans and. specifications,
and other supporting materials.
P
Signature: s Date: JUNE : 6,2n2
Agent's Certification
hereby state that, to the best of my abilities, -due care and diligence
was used in -the observation of the construction such that the construction was observed to. be built -within, substantial
compliance-and intent of the,-401,Water Quality, CertificatioiY and-Buffer Rules; the--approved-plans-?hd.specibcations,:.
and other supporting materials:
Signature:
Date:
If this project was designed by a Certifiers Professional
r
I; as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc) in the State of North Carolina, having been authorized to observe (periodically;
weekly, full time) the construction of the project, for, the Pext&ttee hereby state that, to the best of my abilities, due
care and diligence was used in the observation of the construction such that the construction was observed-to be built
within substantial.. compliance and intent oftlie 401 Water Quality Certification and Buffer Rules, the approved plans
and specifications, and other supporting materials.
Signature: Registration No. Date
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NO 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NO 27604-2260 (Location)
[phone] (phone), 919.733.6893 (fax), (http:t/h2o.enr.itate.ne.us/now&Uand,s
??? SAT ARP
?0
>
Alan W. Klimek, P.E., Director
Division of Water Quality
May 9, 2003
James R. & Mary A. Shafer
5117 Linksland Drive
Holly Springs, NC 27540
Subject Property: Lot 2111-R, Lake Royale, Bunn, NC
Lake Royale [03-03-01, 28-31-(1), B NSW (nutrient sensitive)]
DWQ Project No. 03-0169
County: Franklin
Page 1 of 2
APPROVAL of 401 Water Quality Certification and AUTHORIZATION CERTIFICATE per the Tar-Pamlico River
Buffer Protection Rules (15A NCAC 2B .0259) with ADDITIONAL CONDITIONS
Dear Mr. & Mrs. Shafer:
You have our approval, in accordance with the attached conditions and those listed below, to place fill within or
otherwise impact 14 feet of lake shoreline and approximately 140 square feet (ft) of protected riparian buffers for the
purpose of constructing the 140 fe boathouse and 500 fe temporary construction access at the subject property as
described within your application dated March 9, 2003. After reviewing your application, we have decided that the
impacts are covered by the N.C. Division of Water Quality (DWQ) General Water Quality Certification Number(s) 3399
(GC3399). The Certification(s) allows you to use General (Regional) Permit 197800080 when issued by the US Army
Corps of Engineers (USACE). This letter shall also act as your approved Authorization Certificate for impacts to the
protected riparian buffers per 15A NCAC 2B .0259. In addition, you should obtain or otherwise comply with any other
required federal, state or local permits before you go ahead with your project including (but not limited to) Erosion and
Sediment Control. Also, this approval will expire when the accompanying 404 permit expires unless otherwise specified
in the General Certifications.
This approval is only valid for the purpose and design that you described in your application. 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 fills for this project (now or in the future) exceed one acre of wetland or 150 linear feet of stream, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the
conditions listed in the attached certification and any additional conditions listed below.
Conditions:
1. Diffuse Flow
An additional condition is that all stormwater shall be directed as diffuse flow at non-erosive velocities through the
protected stream buffers and will not re-concentrate before discharging into the stream as identified within 15A
NCAC 2B .0259(5). No direct discharge (e.g., piping or ditching) of stormwater through the buffer and to the lake
shall occur.
2. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return the attached certificate of completion to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
North Carolina Division of Water Quality, WETLANDS 1401 UNIT
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Page 2 of 2
3. Buffer Establishment around Basins
New boat basins (such as the one you are proposing to construct) are considered by the DWQ as a modification of
the existing shoreline. As such, a 50-foot buffer that meets the requirements of Sections (4) and (5) of 15A NCAC
02B .0259 must be established around the newly created shoreline. You are required to establish a new buffer
around the shoreline of the basin. All associated upland development (such as parking lots, buildings, etc.) and any
new impervious surfaces shall not be located within the newly established buffer or any existing protected buffers.
4. Buffer Replanting
Replanting of vegetation within disturbed areas located within 30 feet of the shoreline or coastal wetland (whichever
is more landward) associated with bulkhead and boathouse installation, repair, replacement and/or maintenance
must be done in an "in kind" manner immediately following construction. (Example: Disturbed areas with pre-
existing grassed lawns must be replanted with grass. Disturbed areas with pre-existing trees or woody vegetation
must be replanted with trees and woody vegetation. Disturbed areas with pre-existing forest vegetation must be
replanted with forest vegetation including at least two different native hardwood tree species at a density sufficient
to provide 320 trees per acre at maturity. This density can usually be achieved by planting approximately 436 (10 x
10 spacing) to 681 (8 x 8 spacing) trees per acre.)
5. Temporary Access Corridors
The proposed access corridor(s) must be the minimum width required to get the construction equipment to the
shoreline and shall not exceed ten (10) feet. The number of access corridors should be limited to the minimum
number required to get the construction equipment to the shoreline (many times only a single corridor is required)
and shall not exceed one (1) corridor(s). The access corridor(s) should cross the buffer as close to perpendicular
as practicable and disturbance to existing vegetation should be minimized.
Violations of any condition herein set forth may result in revocation of this Certification and may result in criminal and/or
civil penalties. This Certification shall become null and void unless the above conditions are made conditions of the
Federal 404 and/or coastal Area Management Act Permit. This Certification shall expire upon expiration of the 404 or
CAMA permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or stream impacts),
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.
Any disputes over determinations regarding this Authorization Certificate (associated with the approved buffer impacts)
shall be referred in writing to the Director for a decision. The Director's decision is subject to review as provided in
Articles 3 and 4 of G.S. 150B.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act and the Tar-
Pamlico riparian buffer protection rule as described within 15A NCAC 213.0259. If you have any questions, please
telephone John Dorney at 919-733-9646 or Bob Zarzecki at 919-733-9726.
Sincerely,
O n W. Klimek, P.E.,
NC DWQ, Director
Attachments: Certificate of Completion
GC 3399
Cc: USACE Raleigh Regulatory Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
DWQ # 03-0169
MEMORANDUM
TO: John Dorney
Non-Discharge Branch
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name James & Mary Shafer
Project Number 03 0169
Recvd From APP
Received Date 2/14/03
Project Type boathouse
Recvd By Region
County Franklin
County2
Regional Contact: Steve Mitchell
WO Supervisor:
Date:
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.
n,BK Buffers 4 O N 28-31-(11 I Nsw 3.3(11. 0.00 F-
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? 0 Y 0 N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? 0 Y O N Recommendation: Q Issue 0 Issue/Cond 0 Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
April 7, 2003
If boat house is the only construction, ISSUE based on water de enp dancy. State Mn letter that to
be build for boating only, Not for playing cards, sleel2ing over, cooking food, etc.
cc: Regional Office Page Number 1
Central Office
Triage Check List
Project Name: (IM51
Date:
V DWQ#: O 0
County:
To: ? . ARO Mike Parker ? WaRO . Tom Steffens
? FRO Ken Averitte ? WiRO Noelle Lutheran
? MRO Mike Parker ? WSRO Cyndi Karoly (Central Office)
RRO Steve Mitchell
From Telephone : (919) 17 V6
The file attached isieing.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
uffer 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:
0?F \ NA T? Michael F. Easley, Governor
0? '"?„,?p? William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
j ? Alan Klimek, P.E., Director Division. of Water Quality
February 21, 2003
DWQ # 03-0169
Franklin County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
James R. Mary A. Shafer
5117 Linksland Drive
Holly Springs, NC 27540
Dear Mr. & Ms. Shafer:
On February 14, 2003 the Division of Water Quality (DWQ) was notified by receipt of your
application regarding your plan to fill waters for the purpose of constructing a boathouse in. Franklin
County. Approval from DWQ is required to disturb these buffers. Please provide 7 copies of the
following information and refer to the DWQ # listed above in your reply. Please show these on maps of
suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects' compliance with
15A NCAC 2H.0500.
1. Please indicate all buffer impacts on the site plan for the boathouse, any path/drive to the
boathouse, and proposed activities in lot that may lie within Zone 2 of the Tar-Pamlico
buffer.
2. Show the proposed area of excavation.
Please telephone John Dorney at 919-733-9646 if you have any questions or would require
copies of our rules or procedural materials. This project will remain on hold as incomplete in
accordance with 15A NCAC 2H .0505(c). The processing time for this application will begin when this
information is received. If we do not hear from you by writing within three (3) weeks we will assume
you no longer want to pursue the project and will consider it withdrawn.
Program
JRD/bs
cc: Raleigh DWQ Regional Office
Raleigh Corps of Engineers
Central Files
File Copy

A., 1); 1#4 1
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands
`bWQ 4 o--o1ck'?9
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Name of Waterbody

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

n

* 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
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.
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. WETLANDS/ 401 GROUP
Page 9 of 12 MAR 1 0 2003
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WATER QUALITY SECTION
NOTES i3EWG LOT 2111 OF LAKE ROYALE, $`?
MAP 11.
NOM E=TM GROUND CONTROL DOES NOT
mATCN RECORDED MAP. SURVEY DANE
ACCORDING TO EXISTING GROUND CONTROL. LEGIM
NOTE' PRELUNARY PLAT NO7' FOft RECORDATION • EXISTING IRON FVE
CONVEYANCE* OR SALE'S. ,
50 25 0 50 100 190 200 1 "= 5 D f
FS 960&948 SCALE IN FEET
t .}
ry f
Office Use Only: Form Ver,io'ni bruary 2002
"`7j
J'
l 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.
1. Processing
1. Check all of the approval(s) requested for this project:
0 Section 404 Perini t
F-1 Section 10 Permit
--f 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
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 (NCWRP) is proposed for
mitigation of impacts (see section VIII -- .Mitigation), check here: []
11, Applicant Information
1. Owner/Applicant Information
Mailing Address:
.[1Z1?1?K1.??JD
L'1 L, /-
Telephone Number:--Z52---
E-mail Address: M.9.?'Y?J
Fax Number: 9J9- -06b
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.)
Naive: ?_ - -- -
Company Affiliation:
Mailing Address: --- _• ?-
Telephone Number:
E--mail Address: _-
Fax Number:

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 I 1 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): NIA
3. Property Identification Number (Tax PIN): t ? i ??? r> _?-sC Gam` it
icl
4. Location -F County: t- r (k_r-))(- l i x-,N Nearest Town:
1.,? r? ?-i
Subdivision name (include phase/lot number): t e VC.C,fie Lg , LC;t t 1 r1
Directions to site (include road numbers, landmarks, etc.):
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. Property size (acres): G
7. Nearest body of water (stream/river/sound/ocean/lake): i Ge _&e_
8. River Basin: '-M_r - PC,L.,rr,
(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 application: !c E??--
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
J-0 ho- ?C`c q(-<Ar-4C tC e f=7?C vG?fi
(.c..-Y e
11. Explain the purpose of the proposed work: i ?:,
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any 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.
N11 i -A
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:
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***

* L' h
at eac impact separately and idenuty 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
(FRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online athtip://www.fema.go .
*** 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: N LA
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)

?_ •_ ¦_¦¦ --Pma¦ ly and ?uenttry 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, ditchingtstraightening, 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 intemet sites also allow direct download and printing of USGS maps (e.g., www.top2zone.com,
www.m%nuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: A
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:
Open Water Impact
Site Number
(indicate on map)
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
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.
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.html.
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.
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
[phone] 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.uL/,LA/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 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 [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 (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 El 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
* Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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, Presentation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
X1. Stormwater (DIVNIQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss storm.water controls proposed in order to protect surface waters and wetlands
downstream From the property.
X11. Se` iige 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.
a , I A
XII1. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules?
Yes [] No J
Is this an after-the-fact permit application?
Yes ? No N
MY. 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).
9-
---- --------- ---- ----
Applicant/A nt's Signature Date
(Agent's signature is valid only if an authorization letter fi•orn the applicant is provided.)
Pno'. 17 of V)
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FAX NO. :
Feb. 10 20W3 05.'07PM P3
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LOT W4

LOT 2113

Lor 2112
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NOTE, SEING LOT 2111 OF LAKE ROYAL,E,
MAP 11.
NOM EXIST1NV GRoum CONTROL DOES NOT l`a
MATCH RECORDED TO EXISTING GROUND CONTROL. ' LEGEND
NO.TE$ PRELAWARY PLAT NOT FOR RECORl.A770N, 0 EXISTING IRON PIPE
CONVEYANCE, OR SAL.1:'3.
50 25 0 50
100 790 200
4.1 1
Triage On-Hold Letter 2.0 ° Staff Contact vate
:?,rQ# ---- - .
6$) Plan Detail Incomplete
? Please provide a location map for the project.
? Please show all stream impacts including all fill slopes, dissipators, and bank stabilization on the site plan.
? Please show all wetland impacts including fill slopes on the site plan.
"? S? t sraf •?? -
jif Please indicate all buffer impacts on the site plan. t '^ a,
? Please indicate proposed lot layout as overlays on the site plan.
? ' Please indicate the location of the protected buffers as overlays on the site plan.
? Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan.
? Please provide cross section details showing the provisions for aquatic life passage.
?a Please locate any planned sewer lines on the site plan.
? Please provide the location of any proposed stormwater management practices as required by GC
? Please provide detail for the stormwater management practices as required by GC
C t Please specify the percent of project imperviousness area based on the estimated built-out conditions.
? Please indicate all stormwater outfalls on the site plan-
13 Please indicate the diffuse flow provision measures on the site plan. .
? Please indicate whether or not the proposed impacts already been conducted.
$) Avoidance and/or Mlydmization Not Provided
0 The. on the plans does not appear to be necessary. Please eliminate the or provide additional information as to why
It is necessary .for this project
? This Office believes that the labeled on the plans as can be moved or reconfigured to avoid the impacts to the Please
revise the plans to avoid the impacts,
This Office believes that the iabefasf on the plans ar can be moved or reconfigured to minimize the impacts to the Please
revise the plans to minimize the impacts
? ` The stormwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because . Please
ons to show that diffuse flow will be achieved through the. entire buffer. If it Is not possible. to achieve diffuse
revise the plans and provide ca?trlati
flow through the entire buffer then, it may be necessary to provide stormwater management practices that remove nutrients before the stommwater
can be discharged through the buffer.
>) Other
? The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland impact was requested. Please provide $
This additional fee must be received before your application can be reviewed:
? Please complete Sectfon(s) on the application.
a please provide a signed copy of the appfication.
? Please provide copies of the application, copies of the site plans and other supporting information.
Mitigafton
? of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The plan must conform
to the requirements in 15 A NCAC 21-1.0500 and must be appropriate to the type of impacts proposed.
? Please indicate which 404 Permit the USACE would use to authorize this project.
¦ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can'return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: U 3 _ U (o
Fro-r, UitnCoon+c( I
James R. & Mary A. Shafer
5117 Linksland Drive
Holly Springs, NC 27540
DWQ# 03-0169
A. Signature
X ?,Agent
dre
Br J?qc*ed by (r Wd?Nam C. Dat('of Deli
D. Is delivery adlress differs fr m item 1? Yet
if YES, enter delivery address below: No_
3. Service Type
Certified Mail ? Express Mail
? Registered' cs®
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7002 2410 0003 0275 0812
(Transfer from service lat e,,
PS Form 3811, August 2001 Domestic Return Receipt 2ACPR'
UNITED STATES POSTAL SERVICE First-Class Mail
Postage & Fees
LISPS Paid
' Permit No. G-10
• Sender: Please print your name e 1Wts box •
?, ?, B 2 °? 2003
N?
DES, ?`
2 2, on"SI 011'- SI0I1 O j?t t r t
RaleigCrab c? vc ? T nu ll
604 t , Suite 2SO
DWQ## a7 j 6 jb.1 Triage On-Hold Letter 2•.0 Staff Contact L)b,,C Date-
plan
$$) Detail Incomplete i
? Please provide a location map for the project.
? Please show all stream impacts including all fill sloes, dissipators, and bank stabilization on the site plan.
? Please show all wetland impacts including fill slopes on the site plan.`
I0'lA? i
Please indicate all buffer impacts on the site plan' 0 I t I O ESQ
? Please indicate proposed lot layout as overlays on the site plan. 6A Pf 0rOSPc, CL j t f` t 1 >`S?
? Please indicate the location of the protected buffers as overlays on the site plan. i ?ti O YK ay t -0__ P,(_
? Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan. /
-Zofn?a 4-?
? Please provide cross section details showing the provisions for aquatic life passage.
? Please locate any planned sewer lines on the site plan.
? Please provide the location of any proposed stormwater management practices as required by GC p
? Please provide detail for the stormwater management practices as required by GC
? Please specify the percent of project imperviousness area based on the estimated built-out conditions.
? Please indicate all stormwater outfalis on the site plan-
E3 Please Indicate the diffuse flow provision measures on the site plan. .
? Please Indicate whether or not the proposed impacts already been conducted.
$$) Avoidance and/or Minimization Not Provided
tj The. on the plans does not appear to be necessary. Please eliminate the or provide additional information as to why
It is necessary .for this project
? This Office believes that the labeled on the plans as can be moved or reconfigured to avoid the impacts to the Please
revise the plans to avoid the impacts..
This Office be that the • iaeslaaFon the plans ai can be moved or reconfigured to minimize the impacts to the Please
revise the plans to minimize the impacts.
? The stormwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because . Please
revise the plans and provide calculations to show that diffuse flow will be achieved through the entire buffer. If it is not possible to achieve diffuse
flow through the entire buffer then. it maybe necessary to provide stormwater management practices that remove nutrients before the stomtwater
can be discharged through the buffer.
$$) Other
? The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland impact was requested. Please provide $
This additional fee must be received before your application can be reviewed:
? Please complete Section(s) on the application.
.Q Please provide a signed copy of the application.
? Please provide copies of the application, copies of the site plans and other supporting information.
$$) Mitigation
0 of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The plan must conform
to the requirements in 15 A NCAC 2H .0500 and must be appropriate to the type of impacts proposed.
? Please indicate which 404 Permit the USACE would use to authorize this project.
www.lakeroyalerealty.com
I?oya.?e I?ea.?ty
Dana Faison Mayberry
SALES ASSOCIATE
TELEPHONE
OFFICE [phone] HOME [phone]
39 LAKE ROYALE FAX [phone]
LOUISBURG, NC 27549 MOBILE [phone]