20031398 Ver 1_COMPLETE FILE_20030115

A
? W rF Michael F. Easley, Governor
RpG
O?O William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Uj 7 Alan W. Klimek, P.E., Director
j Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
December 10, 2003
DWQ# 03-1398
Polk County
Mr. Karim Shihata
Polk County
Post Office Box 308
Columbus, NC, 28722
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Shihata:
You have our approval, in accordance with the attached conditions, to place fill in 80 linear feet of perennial
streams and to re-align 40 linear feet of perennial streams to construct a road crossing associated with the
proposed Community Campus Access Road in Polk County, as described in your application received by the
Division of Water Quality on November 5, 2003, and in additional correspondence received December 5, 2003.
After reviewing your application, we have determined that this fill is covered by General Water Quality
Certification Number 3404, which can be viewed on our web site at http://h2o.enr.state.nc.us/ncwetlands. This
Certification allows you to use Nationwide Permit Number 14 when it is 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. 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 and/or stream fills for this
project (now or in the future) exceed one acre or 150 linear feet of perennial streams, 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, as well as the additional conditions 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;
2. The culverts required for this project shall be installed in such a manner that downstream profiles are not
altered (i.e. the depth of the channel must not be reduced by a widening of the streambed). Existing stream
dimensions (including the pattern and profile) are to be maintained above and below locations of each
culvert. The culverts shall be designed and installed to allow for aquatic life movement as well as to prevent
head cutting of the streams. If any of the existing pipes are or become perched, the appropriate stream
grade shall be re-established or, if the pipes installed in a perched manner, the pipes shall be removed and
re-installed correctly.
The establishment of native, woody vegetation and other soft stream bank stabilization techniques must be
used where practicable instead of rip rap or other bank hardening methods; If rip-rap is necessary, it shall
not be placed in the stream bed, unless specifically approved by the Division of Water Quality.

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)
Mr. Karim Shihata
December 10, 2003
3. Heavy equipment shall be operated from the bank rather than in the stream channel in order to minimize
sedimentation and reduce the likelihood of introducing other pollutants into the stream;
4. Erosion and sediment control practices must be in full compliance with all specifications governing the proper
design, installation and operation and maintenance of such Best Management Practices in order to protect
surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated,
and maintained in accordance with the most recent version of the North Carolina Sediment and
Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures
must be such that they equal, or exceed, the requirements specified in the most recent version of
the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all
construction sites, borrow sites, and waste pile (spoil) projects, including contractor-owned or
leased borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina Surface
Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in accordance
with the requirements of the Sedimentation Pollution Control Act.
5. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre-construction Notice Application. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control Best
Management Practices, shall be performed so that no violations of state water quality standards, statutes,
or rules occur;
6. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable,
they shall be removed and the natural grade restored within six months of the date that the Division of Land
Resources has released the project;
7. Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands, waters and
protective buffers in order to assure compliance for future wetland, water and buffer impact. These
mechanisms shall be put in place prior to impacting any wetlands, waters and/or buffers approved for impact
under this Certification Approval and Authorization Certificate. A sample deed notification can be downloaded
from the 401/Wetlands Unit web site at http://h2o.enr.state.nc.us/ncwetiands.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition
which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings,
Mail Service Center 6714, 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 Kevin Barnett in the DWQ's Asheville Regional Office at 828-251-
6208 or Cyndi Karoly in the Central Office in Raleigh 919-733-9721.
Sincerely,
Alan W. Klimek, P.E.
Mr. Karim Shihata
December 10, 2003
AW K/cbk
Attachments
cc: Corps of Engineers Asheville Regulatory Field Office
Kevin Barnette, Asheville DWQ Regional Office
Central Files
File Copy
Michael Clark, McGill Associates, P.O. Box 2259, Asheville, NC, 28802
031398
MEMORANDUM
TO: John Dorney Regional Contact: Barnett, Kevin
Non-Discharge Branch WO Supervisor: Forrest Westall
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Communitv Campus Road
Project Number 03 1398
Recvd From APP
Received Date 1115103 Recvd By Region
Project Type access road
County Polk
County2
Region Asheville
Certificates Stream
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
F14 Stream O YO N F-- 9-29-46-1 ?? ??.,; - 30,802. ?- 120.00
O Y N -9-29-42 I ,I' n 30,802.
-[5Y _0N
Mitigation Wetland
MitigationType Type Acres Feet
I F_ F F_
Stream Impacts (ft.)
F__ I
Is Wetland Rating Sheet Attached? O Y (0 N Did you request more Info? Q Y O N
Have Project Changes/Conditions Been Discussed With Applicant? Q Y O N
Is Mitigation required? O Y 0 N Recommendation: O Issue *Issue/fond O Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
Issue as requested
cc: Regional Office
Central Office Page Number 1
RE: Community Campus Road - Polk County
Subject: RE: Community Campus Road - Polk County
Date: Fri, 5 Dec 2003 10:55:10 -0500
From: "Bill Roark" <[e-mail]>
Organization: McGill Associates
To: "'Kevin Barnett"' <[e-mail]>
CC: "'Cyndi Karoly"' <[e-mail]?-
"Dale Pennell " <[e-mail]>
Kevin,
After our telephone conversation, we have reviewed the creek relocation
associated with the arch pipe installation for the Polk County Community
Campus Access Road.
The existing creek channel area to be realigned is erratic and has
potential for continued erosion. We are proposing the realignment to
improve flow through the arch culvert and minimize future erosion in
this area.
Because of the irregular nature of the existing channel it would not be
possible to extend the proposed arch culvert without either realigning
the stream or using mitered sections of arch pipe.
We belive that realigmmnet of of the creek as depicted on the plans will
provide a more stable long term installation.
If you should have any additonal questions concerning this project
please feel fee to contact either Dale Pennel of our office or myself.
Thank you,
Bill Roark, P.E.
McGill Associates, P.A.
55 Broad Street
Asheville, NC 28801
Ph: 828-252-0575
Fax: [phone]
-----Original Message-----
From: Kevin Barnett [mailto:[e-mail]]
Sent: Monday, November 24, 2003 1:18 PM
To: Bill Roark
Cc: Cyndi Karoly
Subject: Community Campus Road - Polk County
Mr. Roark:
After review of the submitted application, I have several questions in
regards to the arched culvert crossing.
If the arched culvert is slightly longer, will the project not have to
re-align the creek?
There is no discussion in regards to the stability associated with the
re-aligmmnet of the creek.
As long as the increase in the length of the culvert does not push this
project over the mitigation threshold (150 linear feet of stream
impact), this office would like McGill to look at an installation which
would not require a stream re-alignment.
Best regards,
1 of 2 12/10/03 10:26 AM
RE: Community Campus Road - Polk County
Kevin
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2 of 2 12/10/03 10:26 AM
Community Campus Road - Polk County
Subject: Community Campus Road - Polk County
Date: Mon, 24 Nov 2003 13:17:38 -0500
From: Kevin Barnett <Kevin.Barnett@ncmaiLnet>
Organization: NC DENR - Asheville Regional Office
To: Bill Roark <[e-mail]>
CC: Cyndi Karoly <Cyndi.Karol y@NCMaiLNet>
Mr. Roark:
After review of the submitted application, I have several questions in
regards to the arched culvert crossing.
If the arched culvert is slightly longer, will the project not have to
re-align the creek?
There is no discussion in regards to the stability associated with the
re-aligmmnet of the creek.
As long as the increase in the length of the culvert does not push this
project over the mitigation threshold (150 linear feet of stream
impact), this office would like McGill to look at an installation which
would not require a stream re-alignment.
Best regards,
Kevin
1 of I 1 1/24/03 2:50 PM
Date:
I I /G /0 3
Triage Check List
FILL P.
Project Name: Gu,???h-fir G1mp.J Rs
DWQ#:
03 13W
County: WK
TO: 9? ARO Mike Parker
? FRO Ken Averitte
? MRO Alan Johnson
? RRO Steve Mitchell
From: Larrz Ea"zk,
El WaRO Tom Steffens
? WiRO Noelle Lutheran
? WSRO Daryl Lamb
Telephone : (919) -71s'--3q71
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
0 Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps
® Minimization/avoidance issues
? Buffer Rules (Neuse, 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
f h IrNY?' S?Ov ?M f ??vn? ?nc
Comments: VG a 11 yh V?l 4! 44
?? ?o o-* I f? r'aJ «?7 f ? ? a 1 f Est ?n ?h f 7 CI'I SGt/ie ? !?N-IQ Wort f [/YJyv??? .l?l/LQL?Yi
C"(/71?P ( L Je

klMcGill
C November 4, 2003

Mr. John Dorney
Division of Water Quality
401 /Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Dear Mr. Domey:
FILE COPY
Q Cg WETLANDS/ 401 GROUP
NOV o,5 ?_003
WATER QUALITY SECTION
RE: Preconstruction Notification
Proposed Community Campus Access Road
Polk County, North Carolina
Please find enclosed a submittal package including seven (7) copies of the executed
Preconstruction Application, location map, plan and details and $200 application fee for the subject
project.
As part of the project we will be installing 120 LF of Arch Pipe, which will not impact the
stream channel, and installing 80 LF of 60" BCCMP in the stream bed. The project will also be
removing 20 LF of existing storm drain pipe. We are proposing to realign the creek for
approximately 40 LF adjacent to the Arch Pipe to provide better flow characteristics. The total
impact to the existing streams will be 1001£
If you should have any questions or comments regarding this application, do not hesitate to
call me or Bill Roark.
Sincerely,
McGILL ASSOCIATES, P.A.
ne C?)
MICHAEL CLARK
cc. Steve Chapin
Karim Shihata
Dale Pennell
F , n i n e e r i n g • P l a n n i n" • F i n a n c e
11, Gill ?I i'll"N. P.A. • P0. Rn? ShcI'iIIc' iVC _"N.N P_ • SS Rwod .111""1, :Lchrrillr. NC' .'.-ti'- M
S"N-_')_'-l0 7S • FIA S2S 25' 'SIR
. +
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No. `a
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:
Section 404 Permit
Section 10 Permit
401 Water Quality Certification
Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Karim Shihata. Polk Count
Mailing Address: Polk County
Post Office Box 308
Columbus, North Carolina 28722
Telephone Number: 828-894-3301 Ext. 8
E-mail Address:
Fax Number:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
QUALITY SECTION
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Proposed Community Campus Access Road
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): D.B. 255 PG. 936, Map P-71 Lot 94
4. Location
County: Polk
Nearest Town: Columbus / Mill Spring
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc: From I-26E to US 74E, Take exit
36 toward Columbus. Merge onto 74E then take NC 108 exit # 136 towards Columbus / Mill
Spring. Turn left onto hwy 108. Site is just before Stonecutter Factory.
5. Site coordinates, if available (UTM or Lat/Long): N/A
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Undeveloped
7. Property size (acres): 149 Acres
8. Nearest body of water (stream/river/sound/ocean/lake): South Branch Little White Oak
Creek and Silver Creek.
9. River Basin: Broad River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp:Hh2o.enr.state.nc.us/admin/tnaps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: To construct a new access road to serve future
school and community campus.
11. List the type of equipment to be used to construct the project: Backhoe, Bulldozer,
Road grader, Frontend Loader, Dump Trucks
12. Describe the land use in the vicinity of this project: Residential, Commercial, Farming and
industrial.
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.
N.A.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet
Type of Wetland***
N.A.

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.f,ov.
*** 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: 0
Total area of wetland impact proposed: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please secif
1
Culvert
80' South Branch White
Oak
6'
Perennial

2 Stream
Realignment
40' * South Branch White
Oak
8
Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.kov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.coni,
www.inapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 100'
* 20 LF of 36 " CMP Pipe to be removed and stream bed restored. 20 LF of impact omitted from above
total impacts due to restoration.
Page 8 of 12
Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbod
(if applicable) y Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
0

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. 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.
To the greatest extent possible, crossings have been minimized. Culverts are as short as
possible and stream revisions are only proposed as seen necessary to provide stable channel
adjacent to the proposed road embankment.
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.iic.us/ncwctlands/stmigide.litmi.
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.
N.A.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.tis/wip/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):
Page 10 of 12
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes X 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 K
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ;K 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 1 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, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
2.5 acres impervious versus 149 acres pervious. Erosion control measures will be installed
and maintained. Vegetation will be established as soon as practical.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
OJAI
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No 7L
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
reatened Species, accessibility problems, or other issues outside of the applicant's control).
U/ Ar?_q
ILLZ
C'U P. ? 0 C?, 1U i?C>>
C, ?0 /,?:b/ C)
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
VICINITY MAP
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ROAD CLASSIFICATION
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,dot _•'1 -'?t ;` \ MILL SPRING, N. C. yk
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1982
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ENGINEERING- PLANNING- FINANCE
55 BROAD STREET • ASHEVILLE. NC • PH. (7Q4) 252-0575
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55 BROAD STREET - ASHEVILLE. NC - PH. [phone]
HEIGHT
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ENGINEERING • PLANNING • FINANCE
55 BROAD STREET • ASHEVILLE. NC • PH. [phone]
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WETLAND 1401 GROUP Al D NOV 5 Z0tl3
()313 9 WATER QU ITY SECTION
CK. NQ
DATE ?_........?..----•-
DATE GR DISCOUNT CHECK AMOUNT
f. 0::i 1 / 03!00.00 00 200 „ 00