20030659 Ver 1_COMPLETE FILE_20030602

o?0F waT ?RQ
July 2, 2003
DWQ# 03-0659
Mecklenburg County
Mr. Jarrod Karl
City of Charlotte Storm Water Services
600 East Fourth Street
Charlotte, NC, 28202
APPROVAL of 401 Water Quality Certification with Additional Condition
Dear Mr. Karl:
You have our approval, in accordance with the attached conditions, to place fill in 217 linear feet of intermittent streams in order to
construct the 1514 Lasalle Street Maintenance Project in Mecklenburg County, as described in your application received by the Division
of Water Quality on June 3, 2003. After reviewing your application, we have determined that this fill is covered by General Water Quality
Certification Number 3402, which can be downloaded from our web site at htto:Hh2o.enr.state. nc.us . This Certification allows you to use
Nationwide Permit Number 39 when issued by the U.S. Army Corps of Engineers. 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, Non-Discharge and Water
Supply Watershed regulations. You should send an application to the Division of Land Resources for their review of your project under
dam safety rules as well as erosion and sediment control. Also this approval will expire when the accompanying 404 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. If you change your project, you
must notify us in writing and you may be required to send us a new application for a new certification. If the property is sold, the new
owner must be given a copy of the 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). For this approval to be valid, you must follow the conditions listed in the attached certification and the additional condition
listed below:
1. You are required to return the attached Certification of Completion form to notify DWQ when all work included in the 401
Certification has been completed.
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 1506 of the North Carolina
General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. 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 Alan Johnson in the DWQ Mooresville Regional Office at 704-663-1699 or Cyndi Karoly in Raleigh at 919-
733-9721.
Sincerely,
Alan W. Klimek, P.E.
AW K/cbk
Attachments
cc: Corps of Engineers Asheville Regulatory Field Office
Mooresville DWQ Regional Office
Central Files
File Copy
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)
s)
[phone] (phone), 919-733-6893 (fax), (htip://h2o.enr.state,nc.us/ncwetland
Customer Service #: 1-877-623-6748
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
Coleen H. Sullins, Deputy Director
Division of Water Quality
030659
MEMORANDUM
TO: John Dorney Regional Contact:
Non-Discharge Branch WO Supervisor:
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name 1514 Lasalle St. Maintenance Project County Mecklenburg
Project Number 03 0659 County2
Recvd From APP Region Mooresville
Received Date 6/3/03 Recvd By Region 6/12/2003
Project Type stormwater flood prevention
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req. ME
39 Stream O Y O N 11-137-1 F c - 30,834. 217.00 217.00
r ?
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: 0 Issue 0 Issue/fond 0 Deny
Provided by Region: Latitude (ddmmss) 351544 Longitude (ddmmss) -805049
cc: Regional Office
Central Office Page Number 1
Charlofte-Necklenherp
STORM
WHER
June 2, 2003
Mr. Steve Chapin
U.S. Army Corps of Engineers
151 Patton Ave., Room 143
Asheville, North Carolina 28801-5006
Subject: Pre-Construction Notification Pursuant to a Nationwide
Permit No. 39
City of Charlotte Storm Water Services
1514 Lasalle Street Maintenance Project
Charlotte, North Carolina
Dear Mr. Chapin:
City of Charlotte Storm Water Services (CSWS) is submitting a Pre-Construction
Notification pursuant to Nationwide Permit No. 39 for the 1514 Lasalle Street
Maintenance Project in Charlotte, North Carolina. The project is located in located
in Charlotte, North Carolina, approximately 1 /3 mile west of the Interstate 77 -
Lasalle Street interchange. Unavoidable impacts associated with this project total
approximately 217 linear feet of Unimportant Intermittent Stream A. We are sending
you one copy of this submittal in accordance with the notification requirements for
NWP No. 39, effective March 18, 2002.
If you have any questions concerning this project, don't hesitate to contact me at
[e-mail] or [phone]. Thank you for your attention to this
matter.
Sincerely,
t ?'JE T I_A NN /11101 GROUP
JUN 0 3 M133
Jarrod J. Karl
Wetland Scientist
M, ; ()r'.P! iYOSECTION
Charlotte Storm Water Services - 600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone [phone] FAX [phone]
To report dramaur r,roblems: 336-RAIN

Charlotte-Mecklenburg
STORM
WATER
Services
June 2, 2003
Mr. John Domey
North Carolina Division of Water Quality
Wetlands/401 Unit
2321 Crabtree Blvd., Suite 250
Raleigh, NC 27604
Subject: Pre-Construction Notification Pursuant to a Nationwide
Permit No. 39
City of Charlotte Storm Water Services
1514 Lasalle Street Maintenance Project
Charlotte, North Carolina
Dear Mr. Domey:
City of Charlotte Storm Water Services (CSWS) is submitting a Pre-Construction
Notification pursuant to Nationwide Permit No. 39 for the 1514 Lasalle Street
Maintenance Project in Charlotte, North Carolina. The project is located in located
in Charlotte, North Carolina, approximately 1/3 mile west of the Interstate 77 -
Lasalle Street interchange. Unavoidable impacts associated with this project total
approximately 217 linear feet of Unimportant Intermittent Stream A. We are sending
you seven copies of this submittal in accordance with the notification requirements
for NWP No. 39, effective March 18, 2002.
If you have any questions concerning this project, don't hesitate to contact me at
[e-mail] or [phone]. Thank you for your attention to this
matter.
Sincerely,
?Jarffrod. Karl
Wetland Scientist
Charlotte Storm Water Services - 600 East Fourth Street, Charlotte, North Carolina 28202-2844
Telephone [phone] FAX [phone]
To revorl drainaae r;roblems: 336-RAIN
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Carolina Wetland Services
Pre-Construction Notification Pursuant to
Nationwide Permit No. 39
1514 Lasalle Street Maintenance Project
Charlotte, North Carolina
Carolina Wetland Services Project No. 2003-0381
June 2, 2003
Prepared For:
Ms. Mary C. Murray, P.W.S.
Mr. Jarrod J. Karl
The City of Charlotte Storm Water Services
600 East Fourth Street
Charlotte, North Carolina 28202
[phone]
Prepared By:
Mr. Gregory C. Antemann, P.W.S.
Mr. Isaac J. Hinson
Carolina Wetland Services, Inc.
5000 Nations Crossing Road, Suite 230
Charlotte, North Carolina 28217
[phone]
I'I
5000 Nations Crossing Road, Suite 230 • Charlotte, NC 28217 (704) 527-1 177 Office • (704) 527-1 133 Fax
??l www.carolinawetiandscrvices.coni
1514 Lasalle Street Maintenance Project June 2, 2003
Nationwide Permit No. 39 Application Project No. 2003-0381
1
Table of Contents
Executive Summary .............................................................................................................................. I
Existing Conditions .............................................................................................................................. 2
Current Land Use .............................................................................................................................. 2
Jurisdictional Delineation ................................................................................................................. 2
Purpose and Need for the Project ......................................................................................................... 4
' Avoidance and Minimization ...............................................................................................................
Proposed Impacts to Jurisdictional Waters ........................................................................................... 4
4
Compensatory Mitigation ..................................................................................................................... 4

List of Attachments
Attachment A - Figure 1. USGS Site Location Map
Attachment A - Figure 2. NRCS Soil Survey
Attachment A - Figure 3. Approximate Jurisdictional Boundary Field Map
' Attachment B - Routine On-Site Data Forms
Attachment C - NCDWQ Stream Classification Forms
Attachment D - USACE Intermittent Channel Evaluation Forms
' Attachment E - - Request for Jurisdictional Determination Form
Attachment F - Representative Photographs
Attachment G - Figure 4. Proposed Impacts
' Attachment H - Pre-Construction Notification Application - Nationwide Permit No. 39
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' 1514 Lasalle Street Maintenance Project June 2, 2003
Nationwide Permit No. 39 Application Project No. 2003-0381
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Executive Summary
The Lasalle Street Maintenance Project is located in Charlotte, North Carolina, approximately
1/3 mile west of the Interstate 77 - Lasalle Street interchange. The purpose of this project is to
alleviate flooding and loss of property within an existing residential area. Charlotte Storm Water
Services (CSWS) has contracted Carolina Wetland Services, Inc. (CWS) to provide permitting
services for this project.
The results of the on-site field investigation conducted by CWS indicate that there is one
jurisdictional stream channel (Stream A) and one jurisdictional wetland area (Wetland AA)
located within the project limits. CSWS is requesting written verification of the jurisdictional
determination of the on-site jurisdictional features. Unavoidable impacts associated with this
project total approximately 217 linear feet of Unimportant Intermittent Stream A. On behalf of
CSWS, CWS is submitting a Pre-Construction Notification application with attachments in
accordance with Nationwide Permit General Condition No. 13, and pursuant to Nationwide
Permit No. 39 and Water Quality Certification No. 3362. Since construction of this project will
avoid areas that provide important habitat for aquatic biota, no mitigation is being proposed at
this time.
I
1514 Lasalle Street Maintenance Project June 2, 2003
Nationwide Permit No. 39 Application Project No. 2003-0381
Existing Conditions
The Lasalle Street Maintenance Project is located in Charlotte, North Carolina, approximately
1/3 mile west of the Interstate 77 - Lasalle Street interchange (Attachment A - Figures 1 and 2).
The purpose of this project is to alleviate flooding and loss of property within an existing
residential area. Charlotte Storm Water Services (CSWS) has contracted Carolina Wetland
Services, Inc. (CWS) to provide permitting services for this project. The following sections
describe the existing conditions of the project area.
Current Land Use
The current land use for the project area is residential and is generally comprised of maintained
lawns and small wooded areas. Dominant vegetation includes pignut hickory (Carya glabra),
red oak (Quercus rubra), red maple (Ater nrbrum), red mulberry (Morus rubra), poison ivy
(Toxicodendron radicans), catbriar (Smilax rotundifolia), English ivy (Hedera helix), Kentucky
bluegrass (Festuca arundinacea), and wild onion (Allium canadense). According to the Soil
Survey of Mecklenburg County, on-site soils consist of Cecil sandy clay loam, 8 to 15 percent
slopes, eroded (CeD2). This soil type is well drained and exhibits moderate permeability and
medium water capacity
Jurisdictional Delineation
On May 1, 2003, CWS's Isaac Hinson and Ron Johnson investigated on-site jurisdictional waters of
the U.S.' using the U.S. Army Corps of Engineers (USACE) - Routine On-site Determination
Method. This method is defined in the 1987 Corps of Engineers Wetlands Delineation Manual .2
One wetland area (Wetland AA) was identified within the project limits. Routine On-Site Data
Forms representative of Wetland AA and on-site non jurisdictional upland areas have been included
as Attachment B. Jurisdictional waters of the U. S. were classified according to recent North
Carolina Division of Water Quality (NCDWQ)3 and USACE guidance. NCDWQ Stream
Classification and USACE Intermittent Channel Evaluation Forms for Stream A have been included
as Attachments C and D.
1 "Jurisdictional waters of the U.S." includes essentially all surface waters such as: all navigable waters and their tributaries, all
interstate waters and their tributaries, all wetlands adjacent to these waters, and all impoundments of these waters.
2 Environmental Laboratory. "Corps of Engineers Wetlands Delineation Manual," Technical Report Y-87-1, US Army Engineer
Waterways Experiment Station, Vicksburg, Mississippi.
' North Carolina Division of Water Quality Stream Classification Method. Version 2.0. 1999.
2

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1514 Lasalle Street Maintenance Project June 2, 2003
Nationwide Permit No. 39 Application Project No. 2003-0381
The results of the on-site field investigation indicate that there is one jurisdictional stream channel
(Stream A) and one jurisdictional wetland area (Wetland AA) located within the project limits
(Attachment A - Figure 3). Stream A is an unnamed tributary to Irwin Creek. Irwin Creek is part
of the Catawba River basin (HU# 03050103)4 and is classified as "Class C" waters by the
NCDWQ. CSWS is requesting written verification of the jurisdictional determination of the on-site
jurisdictional features (Attachment E).
Stream A begins at the western property boundary of 1514 Lasalle Street and flows east for
approximately 75 linear feet to the property's eastern boundary (Attachment A - Figure 3). This
portion of Stream A is lined with cement and was evaluated to be Unimportant Intermittent. This
segment of Stream A lacks sinuosity, groundwater discharge, and a bankfull bench
(Attachments C and D - SCP1). This portion of Stream A has an average ordinary high water
width of four feet and scored 11 out of a possible 71 points on the NCDWQ Stream
Classification Form. A photograph of the cement-lined portion of Stream A has been included as
Attachment F - Photograph A.
At the 1514 Lasalle Street - 2007 Erie Street property boundary, Stream A transitions from a
cement-lined to a rip rap-lined channel. This portion of Stream A flows southeast across the
2007 Erie Street property for approximately 142 linear feet (Attachment A - Figure 3).. The rip
rap-lined segment of Stream A was also evaluated to be Unimportant Intermittent and lacks
sinuosity and a bankfull bench (Attachments C and D - SCP2). This segment of Stream B
exhibits a one-foot average ordinary high water width and scored 8.5 out of a possible 71 points
on the NCDWQ Stream Classification Form. A photograph of this portion of Stream B has been
included as Attachment F - Photograph B.
Wetland AA is located just west of the 1514 Lasalle Street property boundary
(Attachment A - Figure 3). This wetland is approximately 0.05 acre in size and is contiguous
with Stream A. Dominant vegetation includes red maple (Ater rubrum), sweetgum
(Liquidambar styraciflua), green ash (Fraxinus pennsylvanica), hackberry (Celtis laevigata), and
poison ivy (Toxicodendron radicans). This wetland also exhibits inundation and low-chroma
soils (2.5Y 4/1) (Attachment B - DP 1)
4 "HU#" is the Hydrologic Unit Code. Hydrologic Unit Map, State of North Carolina. U.S. Geological Survey. 1974.
3

11,

1
1514 Lasalle Street Maintenance Project June 2, 2003
Nationwide Permit No. 39 Application Project No. 2003-0381
Purpose and Need for the Project
The purpose of this project is to alleviate flooding and loss of property within an existing
residential area. CSWS has received several complaints from neighborhood residents regarding
structure flooding and property loss.
Avoidance and Minimization
Impacts to on-site jurisdictional waters of the U.S. have been reduced to the maximum extent
practicable. Wetland AA will not be impacted during construction of the project
(Attachment G - Figure 4). The project design has also limited the amount of pipe to the
minimal length necessary to protect properties affected by flooding and property loss. Proper
sediment and erosion control measures will also be used to minimize disturbance to downstream
waters.
Proposed Impacts to jurisdictional Waters
Proposed impacts will total approximately 217 linear feet of Unimportant Intermittent Stream A.
Impacts will result from the installation of a 42-inch Reinforced Concrete Pipes (RCP) with
associated drainage structures and an endwall (Attachment G - Figure 4). The proposed pipe will
tie into the existing storm water drainage system. Additional activities will include non-mechanized
debris removal within a channel located upstream of Wetland AA. Debris will be removed by hand
and will not result in additional impacts to any jurisdictional features. Since debris removal will not
result in discharges to Wetland AA, the boundaries of this wetland area were approximated and not
delineated. On behalf of CSWS, CWS is submitting a Pre-Construction Notification application
with attachments in accordance with Nationwide Permit General Condition No. 13, and pursuant
to Nationwide Permit No. 39 and Water Quality Certification No. 3362 (Attachment H).
Compensatory Mitigation
Since construction of this project will avoid areas that provide important habitat for aquatic
biota, no mitigation is being proposed at this time.
4
.l : XX F •e

_ / ?" e' Kc H II? 4t
,
"fir 1
taivlr} e Ill
adt0 Tow71'
-a wet OC)
Approximatc Scalc 1 " 2000'
Reference: USGS 7.5 Minute Topographic Map Series, Derita and Charlotte East quadrangks. North Carolina, dated 1996 and 1991, respectively.
1
Carolina Wetland Services Figure 1. USGS Site Location Map
I 5000 Nations Crossing Road, Suite 230 1514 Lasalle Street Maintenance Project
Charlotte, North Carolina 28217 Charlotte, North Carolina
CWS Project No. 2003-0381
11
PREPARED BY DATE CHECKED BY DATE
S3iA S - Zt ^-O3 & c.,q S • Z% -'07
NA
Approximate Scale 1" 2000'
Reference: NRCS Soil Survey of Mecklenburg County, Sheet Nos. 4 and 7, dated 1980.
Carolina Wetland Services Figure 2. NRCS Soil Survey
I 5000 Nations Crossing Road, Suite 230 1514 Lasalle Street Maintenance Project
Charlotte, North Carolina 28217 Charlotte, North Carolina
1i CWS Project No. 2003-0381
PREPARED BY DATE CHECKED BY DATE
SSH S - 2 (-- 03 c,a S LS •vT
NOTE: JURISDICTIONAL FEATURES WERE INVESTIGATED BY CAROLINA WETLAND SERVICES (CWS) ON MAY I, 2003.
ji
---
--
Wetland AA
-- -
c0i
?V 2007
1514
I-asa//e S 1
t
Unimportant Intermittent Stream A
Approximately 217 linear feet
LEGEND
_ Carolina Wetland Services
JURISDICTIONAL STREAM CHANNEL I 5000 Nations Crossing Road, Suite 230
JURISDICTIONAL WETLAND AREA Charlotte, North Carolina 28217
REFERENCE: GIS LAYERS PROVIDED BY MECKLENBURG COUNTY LAND USE AND
ENVIRONMENTAL SERVICES DATED 2003.
•SCPI STREAM CLASSIFICATION POINT
Figure 3. Approximate Jurisdictional
*DPI DATA POINT Boundary Field Map
PHOTO LOCATION AND DIRECTION 1514 LaSalle Street Maintenance Project
®- Charlotte, North Carolina
CWS Project No. 2003-0381
APPROXIMATE SCALE: I"=40' PREPARED BY DATE CHECKED DATE
?sN S-3a-o3 <ot?/I 4.2.0.
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DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 1514 Lasalle Street Maintenance Pro'ect Date: 05101103
Applicant/Owner: Ci of Charlotte Storm Water Services County: Mecklenburg
I nvestigator(s): Isaac Hinson and Ron Johnson State: NC
Do Normal Circumstances exist on the site? Yes No Community ID: wetland
Is the site significantly disturbed (Atypical Situation)? Yes No Transect ID:
Is the area a potential Problem Area? Yes No Plot ID: DPI
If needed, explain on reverse.
VEGETATION
Dominant Plant Species Stratum Indicator
1. Acer rubrum tree FAC Dominant Plant Species Stratum Indicato
9.
2. Liquidambar styracii lua tree FAC+ 10.
3. Fraxunus pennsylvanica tree FACW 11.
4. Celtis laevigata tree FACW 12.
5. Toxicodendron radicans vine FAC 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW or FAC
100%
Remarks:
All dominant ve etation is FAC or wetter.
HYDROLOGY
Recorded Data (Describe in remarks):
_ Stream, Lake or Tide Gauge
Aerial Photographs
_ Other
X_ No Recorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
X Inundated
X Saturated in Upper 12 Inches
_ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits (on leaves)
Drainage Patterns in Wetlands
Depth of Surface Water: 0-3" (in.) Secondary Indicators (2 or more required):
_ Oxidized Root Channels in Upper 12 Inche
Depth to Free Water in Pit: N/A (in.) X Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: 0" (in.) _ FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
Wetland hydrology indicators are resent.
Routine On-Site Data Forms Page 1 of 2 6/2/2003
SOILS
Map Unit Name
(Series and Phase): Cecil sand y clay loans Drainage Class well drained
Field Observations
Taxonomy (Subgroup): thermic T is Ha lndults Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-6" B 2.5Y 4/1 N/A N/A silt loam
6-12" B 2.5Y 4/2 7.5YR 4/6 prominent clay loam
many
_ Histosol _ Concretions
Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soil
X Sulfidic Odor _ Organic Streaking in Sandy Soils
Aquic Moisture Regime _ Listed on Local Hydric Soils List (Inclusions)
_ Reducing Conditions _ Listed on National Hydric Soils List
X Gleyed or Low-Chrom a Colors _ Other (Explain in Remarks)
Remarks:
H dric soil indicators are resent.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No (Circle
Wetland Hydrology Present? Yes No (Circle)
Hydric Soils Present? Yes No Ils this Sampling Point Within a Wetland? Yes No
Remarks:
ata
Approved by HQUSACE 2/92
Routine On-Site Data Forms Page 2 of 2 6/2/2003
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 1514 Lasalle Street Maintenance Project Date: 05101103
Applicant/Owner: Ci of Charlotte Storm Water Services County: Mecklenbury-
I nvestigator(s): Isaac Hinson and Ron Johnson State: NC
Do Normal Circumstances exist on the site? Yes No Community ID: upland
Is the site significantly disturbed (Atypical Situation)? Yes No Transect ID:
Is the area a potential Problem Area? Yes No Plot ID: DP2
If needed, explain on reverse.
VFr;FTATION
Dominant Plant Species Stratum Indicator
1. Quereus rubra tree NACU Dominant Plant Species Stratum Indicato
9. Allium canadense herb FACU-
2. Carya glabra tree FACU 10.
3. Acer rubrum tree FAC 11.
4. Morus rubra tree FAC 12.
5. Toxicodendron radicans vine FAC 13.
6. Smilax rotundifblia vine FAC 14.
7. Hedera helix vine 15.
8. Festuca arundinacea herb FAC- 16.
Percent of Dominant Species that are OBL, FACW or FAC
50%
Remarks:
50% of dominant ve etation is FAC or wetter.
HYDR(M Or.Y
_ Recorded Data (Describe in remarks):
_ Stream, Lake or Tide Gauge
Aerial Photographs
_ Other
X No Recorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
_ Inundated
_ Saturated in Upper 12 Inches
_ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits (on leaves)
Drainage Patterns in Wetlands
Depth of Surface Water: N/A (in.) Secondary Indicators (2 or more required):
Oxidized Root Channels in Upper 12 Inche
Depth to Free Water in Pit: N/A (in.) _ Water-Stained Leaves
_ Local Soil Survey Data
Depth to Saturated Soil: >12" (in.) _ FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
Wetland hydrology indicators are absent.
Routine On-Site Data Forms Page 1 of 2 6/2/2003
snit s
Map Unit Name
(Series and Phase): Cecil sand y clay loam Drainage Class well drained
Field Observations
Taxonomy (Subgroup): thermic T is Ha ludults Confirm Mapped Type? Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-6" B 7.5YR 4/6 N/A N/A silt loam
6-12" B 2.5YR 4/8 N/A N/A silt loam
_ Histosol _ Concretions
Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soil
Sulfidic Odor _ Organic Streaking in Sandy Soils
Aquic Moisture Regime _ Listed on Local Hydric Soils List (Inclusions)
Reducing Conditions _ Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
Hydric soil indicators are absent.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Circle
Wetland Hydrology Present? Yes No (Circ!N
Hydric Soils Present? Yes No Ils this Sampling Point Within a Wetland? Yes o
Remarks:
al
Approved by HQUSACE 2/92
Routine On-Site Data Forms Page 2 of 2 6/2/2003

' NCDWO Stream Classification Form SCPI - Unimportant Intermittent Stream A
Project Name: 1514 Lasalle Street Maintenance Project River Basin: Catawba County: Mecklenburg Evaluator(s): IJ1-1 and RGJ
DWQ Project Number: Nearest Named Stream: Irwin Creek Signature(s): X J'q (q'T
Date: 5/1/03 USGS QUAD: Derita, NC Longitude: W80° 50' 49" Latitude: N35° 15' 44"
' Location/Directions: From Charlotte take Interstate 77 to Exit 12 (Lasalle Street). Travel west on Lasalle Street for approximately 0.3 mile to Erie
Street The site is located just beyond this intersection behind the house located at 1514 Lasalle Street.
*PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Also, if in the hest profec.cional judgement of the evaluator, the
feature is a man-made ditch and not a modified natural sirtam-this rating system should not he used,
' Primary Field Indicators: (Circle One Number Per Line)
1. e m r h Io Abs nt Weak Moderate .iron
I) Is There A Riffle-Pool Seauence? I 2 3

2) Is The USDA Texture In Streambed
5) Is There An Active (Or Relic)

' (*NOTE' If Bed & Bank Caused By Ditching And WITHOUT Sinuosity The Score=0')
10) Is A 2"" Order Or Greater Channel (As Indicated
On Tooo Man And/Or In Field) Present? Yes=3 NoA
PRIMARY GEOMORPHOLOGY INDICATOR POINTS: 2
' II. Hydrology Absent Weak Moderate Strone -
1) Is There A Groundwater
Flow/Discharge Present? ® I 2 1
PRIMARY HYDROLOGY INDICATOR POINTS. 0

III. nininov Absent Weak Moderate Strone
I) Are Fibrous Roots Present In Streambed? 3 2 _ 1 _ 0 _
2) Are Rooted Plants Present In Streambed? 3 2 1 0
3) Is Periiphvton Present? I 2 1
4) Are Bivalves Present? 1 2 3
PRIMARY BIOLOGY INDICATOR POINTS: 4
Secondary Field Indicators: (Circle One Number Per Line)
3) Does Topography Indicate A
SECONDARY GEOMORPHOLOGY INDICATOR POINTS: 2
'
II. Hvdroloey Absent Weak Moderate Strong
1) Is This Year's (Or Last's) Leaflitter
Present In Streambed? 1.5 1 0
2) Is Sediment On Plants (Or Debris) Present'? 0 1 1.5
3) Are Wrack Lines Present? 0 0.5 1Q 1.5
4) Is Water In Channel And >48 Hrs. Since 0 KN I L5
Last Known Rain? *NOTE, l Ditch Indicated In 09 Above Ski This Step Anrl N5 Relow'
5) Is There Water In Channel During Dry 0.5 1 1.5
Conditions Or In Growing Season)?
6) Are Hvdric Soils Present In Sides Ot'Channel (Or In lieadcut )? Yes= 1.5 _N
SECONDARY HYDROLOGY INDICATOR POINTS: Z5

1• Are Fish Present'? 0. y I V I5
V
Arc Amphibians Pre sent? 0.5 1 1,5
3) Are AquaticTurtles Present? 0.5 I 1.5
4) Arc Crayfish Present? 0.5 1 1.5
Are Macr bench s Present? 0.5 1 1.5
6 Are Iron Oxidizing B cteria/Fun u Present? 0.5 1 1.5
7 Is Filamentous Algae Present'? 0.5 1 1.5
8) Are Wetland Plants In Streambed? SAV Mostly OBI, Mostly FACW Mostly FAC Mostly FACU Mostly UPI.
(* NOTE. IJ'T'otal Absence OjAll Plants In Streambed 2 1 0.75 0 0
As Noted Above Skin This Sten UNLESS SAV Present*). -
SECONDARY BIOLOGY INDICATOR POINTS: 0.5
"TOTAL POINTS (Primary + Secondary)= 11 Greater Than Or Equal To 19 Points The Stream Is At Least Intermittent)

11
I
I

I
r
NCDWO Stream Classification Form SCP2 - Unimportant Intermittent Stream A
Project Name: 1514 Lasalle Street Maintenance Project River Basin: Catawba County: Mecklenburg Evaluator(s): 1.111 and RGJ
DWQ Project Number: Nearest Named Stream: Irwin Creek Signature(s): =?4( ees
Date: 5/1/03 USGS QUAD: Derita, NC Longitude: W80° 50' 49" Latitude: N35° 15' 44"
Location/Directions: From Charlotte, take Interstate 77 to Exit 12 (Lasalle Street). Travel west on Lasalle Street for approximately 0.3 mile to Erie
Street. The site is located iust beyond this intersection behind the house located at 1514 Lasalle Street.
*PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Also, if in the best professional judgement of the evaluator, the
feature is a man-made ditch and not a modified natural stream-this rating system should not be used'
Primary Field Indicators: (Circle One Number Per Line)
1. GeQuiorpholoey Ab ent Weak Moderate Strom!
1) Is There A Riffle-Pool Semuence? I 2 )
2) Is The USDA Texture In Streambed
5) is There An Active (Or Relic)

I
III Rini.....,
' 11. Hvdroloev Absent Weak Moderate Strong
1) Is There A Groundwater
Flow/Discharge Present? 0 0 2 3
PRIMARY HYDROLOGY INDICATOR POINTS: I
i
i
i
At,.,-.t W-1, Mndrratr Rtrnnm
1 Are Fibrous Roots Present In Streambed? 3 2 1
2) Are Rooted Plants Present In Streambed? 3 2 1
3 Is Peri h ton Present? I 2 3
4 Are Bivalves Present? I 2 3
PRIMARY BIOLOGY INDICATOR POINTS: 0
Secondary Field Indicators: (Circle One Number Per Line)
3) Does Topography Indicate A
Natural Drainage Way? 0 - I 1.5
SECONDARY GEOMORPHOLOGY INDICATOR POINTS: 0.5
11. Hvdroloev Absent Weak Moderate Strome
1) is This Year's (Or Last's) Leatlitter _
4) Is Water In Channel And >48 Hrs. Since 0 0.5 U 1.5
Last Known Rain? *NOTE: l Ditch Indicated In 119 Above ,Ski This Stet And #5 Below:
5) Is There Water In Channel During Dry 0 1 1.5
Conditions Or In Growing Seasony?
6) Are Hvdric Soils Present In Sides Of Channel (Or In Headcut)? Yes-L5 No=
SECONDARY HYDROLOGY INDICATOR POINTS: 4
I) Are Fish Present'? 0.5Y I I
2 Are Amphibians Present? .5 I I.
Are AguaticTurtles Present? 0,5 1 1.5
4 Are Cmvfish Present? .5 1 1.
8) Are Wetland Plants In Streambed? SAV Mostly OBI, Mostly FACW Mostly FAC Mostly FACU Mostly UPL
(* NOTE: 11T61a1 Absence O1All Plants In Streambed 2 1 0.75 0 0
' As Noted Above Skip This Step UNLESS SAV Present*)
SECONDARY BIOLOGY INDICATOR POINTS: 1
TOTAL POINTS (Primary + Secondary)= 8.5 (If Greater Than Or Equal To 19 Points The .Stream Is At Least Intermittent)
(*NOTE: If Bed & Bank Caused By Ditching And WITHOUT Sinuosity Then Scored)*)
10) Is A 2" Order Or Greater Channel (As Indicated
On Topo Mau And/Or In Field) Present? Yes=3 No=fi
PRIMARY GEOMORPHOLOGY INDICATOR POINTS: l

9
INTERMITTENT CHANNEL
EVALUATION FORM SCP1 - Unimportant Intermittent
ACTION ID: APPLICANT NAME: City of Charlotte Storm Water Services DATE: 5/l/03
PROPOSED CHANNEL WORK (i.e., culvert, relocation, etc.): piping
WATERBODY/RIVER BASIN: Unnamed trib to Irwin Creek/Catawba River basin COUNTY/CITY: MecklenburkJCharlotte
RECENT WEATHER CONDITIONS: 80 degrees and sunny
P SP NP Observation Comments or Description
X Fish/Shellfish/Crustaceans Present
X Benthic Macro Invertebrates
X Amphibians Present/Breeding
X Algae And/Or Fun us water quality function
X Wildlife Channel Use i.e. tracks, feces, shells, others
X Federally Protected Species Present Discontinue
X Rife/Pool Structure
X Stable Streambanks Channel is lined with cement

X Channel Substrate
i.e. ravel, cobble, rock, coarse sand)
Cement substrate with some sand
X Riparian Canopy Present SP =/> 50% closure Located in maintained and
X Undercut Banks/ In-stream Habitat Structure
X Flow In Channel Four-foot average ordinary high water width
X Wetlands Adjacent to/Conti uous with Channel (Discontinue) Upstream
N/A Persistent Pools/Saturated Bottom June thru Sept.)
N/A See s/Groundwater Discharge June thin Sept.)
X Adjacent Flood lain Present
X Wrack Material or Drift Lines
X H dro h tic Vegetation in/ad acent to channel
Important To Domestic Water Supply? Y /
Does Channel Appear On A Quad Or Soils Map? Y /
Determination:
Approx. Drainage Area: Approximately 20 Acres
? Perennial Channel (stop) ? Important Channel: LF PROJECT MGR. Initials G Gq
® Intermittent Channel (proceed) ® Unimportant Channel: 75 LF
? Ephemeral Channel (no .id) (attach map indicating location of important/unimportant channel)
? Ditch Through Upland (nojd) Evaluator's Signature:
P=Present SP=Strongly Present NP=Not Present Isaac J. Hinson
A
1

1

INTERMITTENT CHANNEL
EVALUATION FORM SCP2 - Unimportant Intermittent S
ACTION ID: APPLICANT NAME: City of Charlotte Storm Water Services DATE: 5/1/03
PROPOSED CHANNEL WORK (i.e., culvert, relocation, etc.): piping
WATERBODY/RIVER BASIN: Unnamed trib to Irwin Creek/Catawba River basin COUNTY/CITY: Mecklenburg/Charlotte
RECENT WEATHER CONDITIONS: 80 degrees and sunny
P SP NP Observation Comments or Descri tion
X Fish/Shellfish/Crustaceans Present
X Benthic Macro Invertebrates Aquatic worms
X Amphibians Present/Breeding
X Algae And/Or Fungus water quality function
X Wildlife Channel Use i.e. tracks, feces, shells, others
X Federal) Protected Species Present (Discontinue)
X Riffle/Pool Structure
X Stable Streambanks Vegetated

X Channel Substrate
i.e. ravel, cobble, rock, coarse sand)
Channel is lined with ri -ra

X
Riparian Canopy Present SP =/> 50% closure Monts rubra, Carya glabra, Quercus rubra,
Acer rubrurn
X Undercut Banks/ In-stream Habitat Structure
X Flow In Channel One-Foot average ordinary high water width
X Wetlands Adjacent to/Contiguous with Channel (Discontinue)
N/A Persistent Pools/Saturated Bottom (June thru Sept.)
N/A See s/Groundwater Discharge June thru Sept.)
X Ad'acent Flood lain Present
X Wrack Material or Drift Lines
X fldro h tic Vegetation in/ad acent to channel
Important To Domestic Water Supply? Y /
Does Channel Appear On A Quad Or Soils Map? Y / NO
Determination:
Approx. Drainage Area: Approximately 20 Acres
? Perennial Channel (stop) ? Important Channel: LF PROJECT MGR. Initials4c,&
® Intermittent Channel (proceed) ® Unimportant Channel: 142 LF
' ? Ephemeral Channel (no jd) (attach map indicating location of important/ur: rtant channel)
? Ditch Through Upland (nojd) Evaluator's Signature: --Dp4L?Q
P=Present SP=Strongly Present NP=Not Present Isaac J. Hinson
A

L

1

REQUEST FOR JURISDICTIONAL DETERMINATION
DATE: June 2, 2003
COUNTY Mecklenburg County, North Carolina TOTAL ACREAGE OF TRACT N/A linear project
PROJECT NAME (if applicable) 1514 Lasalle Street Maintenance Project
PROPERTY OWNER/APPLICANT (name, address and phone):
Charlotte Storm Water Services
POC: Mr. Jarrod J. Karl at [phone]
600 East Fourth Street
Charlotte, North Carolina 28202-2844
NAME OF CONSULTANT, ENGINEER, DEVELOPER (if applicable):
Carolina Wetland Services, Inc.
POC: Gregory C. Antemann, PWS at [phone]
5000 Nations Crossing Road, Suite 230
Charlotte, North Carolina 28217
STATUS OF PROJECT (check one):
( ) On-going site work for development purposes
( X) Project in planning stages
(Type of project: piping
( ) No specific development planned at present
( ) Project already completed
(Type of project: )
ADDITIONAL INFORMATION REQUIRED:
Check items submitted - forward as much information as is available. At a minimum, the following first two items must be
forwarded.
(X ) USGS Site Location Map (Attachment A -Figure 1)
(X ) MRCS Soil Survey (Attachment A - Figure 2)
(X ) Approximate Jurisdictional Boundary Field Map (Attachment A -- Figure 3)
(X ) Routine On-Site Data Forms (Attachment B)
(X) NCDWQ Stream Classification Forms (Attachment C)
(X) USACE Intermittent Channel Evaluation Forms (Attachment D)
(X) Representative Photographs (Attachment F)
(X) Proposed Impacts (Attachment G - Figure 4)
(X) Pre-Construction Notification Application -- Nationwide Permit No. 39 (Attachment H)

Signature of roperty Owner or
Authorized Agent
Mr. Jarrod J. Karl
I
1S14 Lasalle Street Maintenance Project June 2, 2003
NatiowN ide Permit No. 39 Application Project No. 2003-0381

MW`
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Photograph A. View of cement-lined portion of Unimportant Intermittent Stream A
.yam 2 Lr . rte.. ? y ??
A
VA
Ft?

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ev ti if;

`?'?• 1;:,fs-j? ?.? y?'`?ic'?t.?.?S rR•. _°'??td;`',' ? ?i ?:? ?.-`? ?~ .y?

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'_._sP'?.r' 4RR"•.. y.:i ? T• ?l
f .,',T^rF. _?f3+' 1 ?`? ?.. ,- ?'_ / ?_ r-? `? _
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' lam,.. .•? ? i+ti- .ti,? ? :
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ri
_tph B. Vi ??\ o; I1P rlp-1II1?Ci P')Idoll of L'11111wk,II'tIIt jlllClGIIII IIi >;tiCill::?
i
NOTE: JURISDICTIONAL FEATURES WERE INVI?STIGATED 13Y CAROLINA WETLAND SERVICES (CWS) ON MAY I, 2003.
Wetland AA to be Avoided
A
End all
?asa//e S
t

LEGEND
® JURISDICTIONAL WETLAND AREA
- PROPOSED REINFORCED
CONCRETE PIPE (RCP)
APPROXIMATE SCALF: I"=40'
ige, Structure vj
of
2007
E isting Draii
?.
Unimportant Intermittent Stream A
ADoroximately 217 linear feet Impacted

W
- W
A -

k °"V
x ;
7y7
bii
' Carolina Wetland Servi eS
5000 Nations Crossing Road, Suite
19 230
Charlotte, North Carolina 2821
REFERENCE: OIS LAYERS PROVIDED BY MECKLENBURG COUNTY LAN USE AND
ENVIRONMENTAL SERVICES DATED 2003
Figure 4. Proposed Impacts
1514 Lasalle Street Maintenance Projec t
Charlotte, North Carolina
CWS Proiect No. 2003-0381
PREPARED BY DATE CHECKED DATE
L- I STN 5 -30 -b3 G<-,f

6.2
1

r

/ I
Office Use Only 0 Form Version April 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather han
leaving the space blank.
1. Processing
II.
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
? 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) R
Nntinnwic1P Permit Nn '10
3. If this notification is solely a courtesy copy because written approval for the 401 Certificz
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is propose(
mitigation of impacts (see section VIII - Mitigation), check here: ?
Applicant Information
1. Owner/Applicant Information
Name: Citv of Charlotte Storm Water Services, Contact: Mr. Jarrod J. Karl
Mailing Address: 600 East Fourth Street
CllnrlnttP Nnrth Cgrnlinn 7RWY)
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jkarl(abci.charlotte.nc.us
2. Consultant Information (A signed and dated copy of the Agent Authorization letter
attached if the Agent has signatory authority for the owner/applicant.)
Name: Gregory C. Antemann, PWS
Company Affiliation: Carolina Wetland Services, Inc.
Mailing Address: 5000 Nations Crossing Road, Suite 230
ClinrlnttP Nnrth Cnrnlinn ?R? 17
Telephone Number: 704-527-1177 Fax Number: 704-527-
E-mail Address: I?reRiz(a),carolinawetlandservices.com
or
be
Page I of 7
i
III. Pr,
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
12.
)ject Information
Name of project: 1514 Lasalle Street Maintenance Project
T.I.P. Project Number (NCDOT Only): N/A
Property Identification Number (Tax PIN): 07504407, 07504435 and 07504406
Location
County: Mecklenburg Nearest Town: Charlotte
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Charlotte take Intersta e 77
to Exit 12 Lasalle Street). Travel west on Lasalle Street forapproximately 0.3 mile to Erie
Street. The site is located lust beyond-this intersection behind the house located at 514
Lasalle Street.
Site coordinates, if available (UTM or Lat/Long): N35° 15' 44" - W80° 50' 49"
(Note - If project is linear, such as a road or utility line, attach a sheet that separately list
coordinates for each crossing ofa distinct waterbody.)
Describe the existing land use or condition of the site at the time of this application: The
existing ro'ect area is comprised mostly of single-family residences with maintained law the

ns.
Property size (acres): three parcels total approximately 0.69 acre
Nearest body of water (stream/river/sound/ocean/lake): Irwin Creek
River Basin: Catawba River
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Describe the purpose of the proposed work: The u ose of this project is to allev he

iate
flooding and loss of property an existing residential area. Charlotte Storm W ater
Services has received several complaints from neighborhood residents regarding struc ure
flooding and property loss.
List the type of equipment to be used to construct the project: A trackhoe and typ ical
excavation equipment will be used for this ro'ect.
Describe the land use in the vicinity of this project: The land use surrounding the projec t is
mainly residential.
Page 2 of 7

I

r
IV. Prior Project History
Storm drainage infrastructure was previously installed in this area. This project ro os s to
replace the existing cement and rin ran-lined oven channel with a 42" Reinforced Concrete iDe.
V. Future Project Plans
for this site.
VI. Proposed Impacts to Waters of the United States/Waters of the State
1. Wetland Imnacts

Wetland Impact

Area of Impact Located within

100-year
Distance to
Site Number Type of Impact*
(acres) **
Floodplain Nearest Stream Type of Wetland*
(indicate on map)
( es/no) (linear feet)
N/A

* List each impact separately and identity temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till,
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.iZov.
*** 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 existing wetlands on the property:
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
(indicate on map) (linear feet) Before Impact (please secif
Stream A Pipe 217 If Unnamed Tributary to
Irwin Creek 14' Unimportant
Intermittent

* List each impact separately and identity temporary impacts. Impacts include, but are not limited to: culverts and associated -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 reloca ion 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 earest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or on 'ne at
www.usl;s.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.to ozon .com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 217 linear feet
Page 3 of 7
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean an any
other Water of the U.S. N/A
Open Water Impact Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact* Impact (if applicable) (lake, pond, estuary, so nd,
(indicate on ma) (acres) bay, ocean, etc.
N/A
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts show be
included above in the wetland and stream impact sections. Also, the proposed ponds ould
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetl nds
Describe the method of construction (e.g., dam/embankment, excavation, installati n of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout ond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A
Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
ictional waters of the U.S. have been reduced to the maximum e
G
- Figure 4). The project design has also limited the amount of pipe to the minimal 1 n th
necessary to protect properties affected b flooding and property Proper sedimen and
erosion control measures will also be used to minimize disturbance to downstream waters.
Page 4 of 7

VIII. Mitigation
Since construction of this project will avoid areas that provide important habitat foraquatic biota n
mitigation is being proposed at this time.
1. Mitigation may also be made by payment into the North Carolina Wetlands Resto tion
Program (NCWRP) with the NCWRP's written agreement. Check the box mdicatin that
you would like to pay into the NCWRP. Please note that payment into the NCWRP m st be
reviewed and approved before it can be used to satisfy mitigation requirements. Appli ants
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 applic tion
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wn2/index.htin. 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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres):_
Amount of Coastal wetland mitigation requested (acres): N/A
IX.
Environmental Documentation (DWQ Only)
N/A
Does the project involve an expenditure of public funds or the use of public (federal/state/1 cal)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant t the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SE A)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the PA
coordinator at [phone] to review current thresholds for environmental documentatio .
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please
copy of the NEPA or SEPA final approval letter.
Yes ? No ?

I
a
Page 5 of 7

I
It is the applicant's (or agent's) responsibility to determine, delineate and map all imf
required state and local buffers associated with the project. The applicant must also 1
justification for these impacts in Section VII above. All proposed impacts must be listed
and must be clearly identifiable on the accompanying site plan. All buffers must be shov
map, whether or not impacts are proposed to the buffers. Correspondence from the
Regional Office may be included as appropriate. Photographs may also be included
applicant's discretion.
to
on a
WQ
the
Will the project impact protected riparian buffers identified within 15A NCAC 213 . 233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rule 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
mitigation is required calculate the required amount of mitigation by applying the
multipliers. N/A
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out :30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
I XI.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Prese
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate infol
identified within 15A NCAC 2B .0242 or.0260.
Stormwater (DWQ Only)
Describe impervious acreage
Discuss stormwater controls
downstream from the property.
Sources of nearbv impervious
or
as
(both existing and proposed) versus total acreage on the site.
proposed in order to protect surface waters and wetlands
s Droiectl will
not cause an increase in the impervious coveraue of the proiect area. I
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
Page 6 of 7
'I-1

XII.
XII1.
Is this
Is this
i
XIV.
? C
App c,
(Agerif

Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharg e) of
wastewater generated from the proposed project, or available capacity of the subject facility
N/A

Violations (DWQ Only)
;ite in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
in after-the-fact permit application?
Yes ? No
Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance ofd sired
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 limi ts 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' .
Construction is scheduled to be in immediate) following recei t of the a ro riate permits,

tJ a3
?
I
gent's Signature Date
s signature is valid only if an authorization letter from the applicant is provided.)
Page 7 of 7
Triage Check List
Project Name: ) Sl 1 C?'ll I-A 00_a
'ate:
DWQ#: o
County: P/yl
To: ? ARO Mike Parker ? WaRO Tom Steffens
? FRO Ken Averitte ? WiRO Noelle Lutheran
MRO Alan Johnson ? WSRO Cyndi Karoly (Central Office)
RRO Steve Mitchell
From:
Telephone : (919) ? 3 3 90,Z,
The ille attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
?tream determination r 5 ?? V ?Q i
??
4ty
? Wetland determination and distance to blue- ' surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? 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
:omments:

?..ri IvL-J[In rrr- I LMNU JtKV II Lb, INL;.
3031
NC Division of Watcr Quality 6/2/2003
Filing Fees
475.00
ATIM0S1401 GROUP
.IUM r4 ,°? lUU3
u??;TER QUALITY SECTION
South Trust New 1514 Lasalle Street 475.00