20010644 Ver 1_Complete File_20010427

0106 44
S I ATI.Or NORTI,I CAROLINA 4011s(-,
?
I)L?PAIZT'M[;N"I' Oh 'FRANSPORTATION
MICI IAF1, F. I,ASI,I?Y LYNDO TIPPETT
(1()%/l RNOR SP,CRETARY
Ikridge Maintenance I Ink
P. O. Box 1 150
I menevillc, N. C. 29102
March 29, 2001
I ISA('Ol
N11.I)nc Iimry
\\'ilntimJon Regulatory Field 01, ice
I' O. Boy 19011
Wilmino„n. N. C. 29402-1990
Itl l'olunthus ('oonl\ 11ridge Nunther 161 Rrplncenjell( (III' 11-1147)
I ()('A 11( )N: SR-1554 (Tossing Pine LIT S-111111)
D em Mfr. I impv
\\'c arc providing herewith an application package and curies of'N.C. Department of Transportation
I Ivdraulics I Init skelchcs (plan and profile) as a part ol'a project involving the replacement ol'an existing
hridge with a new hridge. the project should he let to contract by .July 01, 2001.
1 o our knocvledg e, no .wilands are involved and total fill in water is expected to he less Ihan 0.01 acre. This pipe is
1101 IoCOIC(l in ? high yuolit' water area.
Please w\ i(.,v this material, and il'additional inl'orntation is needed, please contact our office.
I hank wm for N our cooperation and assistance in This matter.
Sincelcl_v
4.
I.. I .III ole, Jr, 1 ?(
Division Bridge Maintenance 1(119inecr
Allachntrnls
('(' I. R. (ihs0n. PT, 1)ivision I nginccr
John I Icnnesscv I )W0-7 ('opics W'Allnc11111rttls
N1rs. Rcncc Gledhill-I(,u9cv Statr I listorit- Preservation Ollicrr
NJike ('rocker -I IS Fish & Wildlife Servicr
.lint lZCl"ko-Division I:.nvirOnu•ntal ( )fliecr
1'. O. Bus 1 150 - Pavetteville, N. C. ?9102 - PI IONl:: (()1(1),186-1557 - PAX: [phone]

0`106 ii
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE IIATIO14WIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET).
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL
MANAGEMENT (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME : (n t?SoJ - tJ?-?oT / D?,J. (o / o"i - E xc,RZ_
2. MAILING ADDRESS: IFC) PJ.ox 1 \ S'o
SUBDIVISION NAME: t-A/A•
CITY: PROJECT LOCATION ADDRESS,
MAILING ADDRESS ABOVE):
v ?-A S Q• t S S 4-
STATE: tVC- ZIP CODE: Za3oZ
INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
L' otr.Jr-1 P>J S Gc> e,E 34vt
3. TELEPHONE NUMBER (HOME):
(WORK) : °1tC?- 8l0- {t3
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER: E • /s, S Arc 4a
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC 14AP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: c_ r, L?j th Pw -=.. NEAREST TOWN OR CITY: V-J ATE V t t...ua_-
1
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
S?-- %S 54 A,c-¢-oSS Pi4C l-o'nn Sv.sA.M
6. IMPACTED OR NEAREST STREAW RIVER:
RIVER BASIN: \- -jti-l (??-= R-
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW),
WATER SUPPLY (WS-I OR WS-II)? YES [ J NO [X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES[ ] NO X1
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO [X] IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [xJ IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: "It,-
t??,-aE
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT
SITE: c?
2
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: O EXCAVATION: O
FLOODING: (-5:> OTHER: O
DRAINAGE: O
TOTAL ACRES TO BE IMPACTED: O
]Ob. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: 3Co FT AFTER: `Jc> FT
WIDTH BEFORE (based on normal high water contours): 3 S FT
WIDTH AFTER: 3 S FT
AVERAGE DEPTH BEFORE: Ca FT AFTER: (o FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
O'T'HER: Z Spc.n? P?c??c?c?6 'Ac /% SQon? 8c2-?o?-.?
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND? t-a/ t
WHAT IS THE EXPECTED POND SURFACE AREA? N / P-
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY) : 2,Ee-no.iE: Ex.-y car-??? 2 ?Pc? Tyr--ic3ca- S?cS.sT,?
13. PURPOSE OF PROPOSED WORK:
5-r- Q---j .Si --t -k") c
'; --- P- -,6- 'G x%tT%--A L--,
Fz?' CL"v:> L-N q--,
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS): IJk., -
15. YOU--ARE REQU-IR$n ^ T-rvO G N-'nrACT-THE-U.S. FISH-AND WILDLIFE SBRVIGE
- (USEWS- -AND/-eR--NATIC)NAIT- ? R-LNEr-F FlSHE;R-I-ES-&ERVlG9--(-NMFS) (SEE AGE
ADDRESSES-SHEET) EGARDING-THE- PRES£NEE OF ANY FEDES-P Y-IrIS?B-Aik
PRGPOSED-F-0R-IrI-S-T-ING-EP DANGERED-OR-THRENTEN DIES-0R-6°tm?r?-14GATL
HABI-TAI-IN-THE PERMIT-AREA THAT-MA-Y?-$E-AFFEG-TED-B--Y-T-HFPRGPASFTD-PRGJEGT.
DATE--GGN'T'AGTED! ( T'IAGH-RESPGNSES-FRoM rHE&E-AFENG3ES-+
16. Y U-ARE-REQUI ED TO G9I+TAGT-THE STATE HISTOR -C n_cRS&ESCT'?T.r T-1-0"r OFz IGER
-ESHP6"SEE-AGENCY ADDRESSES-SHEET)-REGARDING THE -PRESEIIGS eF- ?uT??PIG
PROP ER-T-TES 4N-THE-PERMIT-AREA-WiIlGH-MrY-BE-AEFEGT-ED-FAY T-HE-PROPOs-ED
PRe-JEGT. DAT-E-GONTAGTED.
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE
OF PUBLIC (STATE) LAND?
YESJ NO ( J (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH
CAROLINA ENVIRONMENTAL POLICY ACT?
YES [ J NO [>Q
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ J NO [ J
IF ANSWER TO 17b IS'YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
e
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES-THE DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21,
26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS
50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPAC'T'ED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?

f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
T-j Al
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR
TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE 77fLWTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
-1--. v.. 6,, soe-1 ,;e.,?. L"-'?q' '-9
I
OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
o41iiijo
--- DATE
5
AGENCY ADDRESSES
ENDANGERED SPECIES:
U.. FI.^.ll AND WILDLIFE SERVICE NATIONAL MARINE FISHERIES SERVICE U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE HABITAT CONSERVATIOIJ DIVISION) ASHEVILLE FIELD OFFICE
P.O. BOY, 337%.6 PIVERS ISLAND 160 ZILLICOA STREET
RAL,F,TG11, ilC 27636-3726 BEAUFORT, NC 28516 ASHEVILLE, NC 20801
TELEPHONH; [phone] TELEPHONE [phone] TELEP14014E(704)665-1195
HISTORIC RESOURCES:
:?TATE HISTORIC PRESERVATIO11 OFE'ICE
II.C. ULVISION OF ARCHIVES IVID HISTORY
109 EAST JONES STREET
RALEIGH, fir' 27601
TELF.1110NE (919) '733-4763
STATE REGULATORY AGENCIES:
MR. JOAN DORNhY
DIVISIOI OF' 1:11VIRONMENTAL 11ANAGEMEtJT
NORTH CAR01,I71A DEPARTMENT OF
EIJVIR0IJMF:LJT, HEALTH, A14D NATURAL
RESOURCES
4401 REEDY CREEK, ROAD
RALEIGH, NOR'III CAROLINA 21607
TELEPHONF. [phone]
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
US ARMY CORP.. OF EN(7111FERS
6508 FALLS OF THE NEUSE ROAD,
SUITE; 120
RALEI(;H, NC 27615
TELEPHONE, (91)) 876-0441
MR. STEVE BEtJTON
DIVISION OF COASTAL MANAGEMENT
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT, HEALTH, AND NATURAL
RESOURCES
POST OFFICE. BOX 27687
RALEIGH, NORTH CAROLINA 27611-7687
TELEPIIOtJ6 [phone]
FAX [phone]
ASHEVILLE REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS
151 PATTON AVENUE, ROOM 143
ASHEVILLE, NC 20801-5006
TELEPHONE [phone]
WASHItMTON REGULATORY FIELD OFFICE WILMINGTON REGULATORY FIELD OFFICE
US ARMY CORPS OF ENGINEERS US ARMY CORPS OF ENGINEERS
POST OFFICE POX 1000 POST OFFICE BOX 1890
WASHINGTON, NC 2'7889-1000 WILMINGTON, NC 28402-1890
TELEPHONE (919) 9'15-1616 TELEPHONE [phone]

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STATF Or Nowrl I CAROLINA
D-'I)AIZ'I'MI N'1' O1?-'I'IZANSI]IOR'f'A'I'ION
[?IlrlF'I,1'. FASLI;Y LYNDO'I'IPI'L7"t
6:.0 6VERNOR SGCRFITARY
III idge Maintenance IInit
11. O. Box 1150
PavcOcville, N. C. 28302
March 28. 2001
Dig ision ol'I.nvironmental Management
John I Icnnesse?, WO Certificalion Ilnit
P- (). Box 29535
Raleigh. N. C. 27626-0535

Dcar Mr. I lenncsscv:
Please find sewn (7) copies of an application firm and attached check in the amount Of $ 200.00 for Watcr Quality
('crtification Permits and fbr %our review of this proicct.
11'cou hmc an), questions or comments, please call me at 910-829-6315.
1 hank Non hn Nour assistance in this matter.
sincerch
V 1,?
I,. L. t Ipof`, .Ir, .
Division 14ridge Maintenance Engineer
tlaclnncnis
Fr1?'I';ILP
RECEIVED
1'. O. Box 1 150 - Fayetteville, N. C. 28302 - PI IONE: (910),186-1557 - FAX: [phone]