20011436 Ver 1_Complete File_20011001

%- . .,*p .
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
4?
Michael F. Easley, Govemor NCDENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Umctor ENVIRONMEX&- AND NQiURAL RESOURCES
member 3„ 2001
Rdbeson Couniv
DWQ Projem No_ 011436
APPROVAL of 401 Water QoaStlr Can
Mr. Terry Gibson. P.E., Revision Ea>fm=
NCDOT Divisim 6
PO Box 1150
Fayetteville, NC 28302
Dear Mr. Gibscm:
You have our approvals in Accaidan= *fth thr--atm hed confl tiow and thme listed b =b%r, to pla= fill
material in 0.01 acres of smrfa= wamnsIDr dut-I Ucse ofmplacing Bdi?g= Number 17 en NC 710 in
Robeson Couraw The pmjsecl shaH b=nsmu:mB ua accarfame with yDrrapplication gated Sepember 17,
2001- After re-xiiewing yarn Wit: we bzwr &=ided fmirthis fill i r nmered by Cvmmml Wa= Quality
Certification Nazzuber 32:0. Ti& c=dimtkm rnsponcls-.w:d= Gen=al?Zr t Ng-700031 iswi d by the
Corps of Engftr!ers_ In additiaL yanidcuId ae 91fm any mate kderaL or locale pests berme you
proceed with yaw project inch not rkni to) Scaimeat and L Dfmn Cortrral, Non-Dicbxge and
Water Supply Watershed orgi ?**? -1116s; 29prrvma will dire with tf==ompami!=±D 404 permit, unless
otherwise specked in the Wvvmr Qwlm' CiermMimfoaL
This approval ii?waled soWy tar theme and is y wrapphcatia®(mmtess moffmBed
below)_ Should your protect gmr
nam4nafIQ
ffl flte and sa0mita new apgz on_ II AC
property is sol& dhe new' owner miiw?give$rs =ff of ffiik4rknificanimn and appracal letter, amd is thereby
responsible for comply* -wig all tfm s. ?l ttotal vwe:thm d MYSIM-tftis projee= (acaw or im tie future)
exceed one act, or of t3ot atrpaczg sA in t?s nmee) e z a - 1501inffi izt, story
mitigation maybe rt garxe6,zsdesculrla?iit 0A 3 IC 2I3.MSD6 (h) (45,)mm& (7). F=-Ms appmPA tD
remain valid, ym must ahem in motion.`.
1.) Upon com0lr6= of &e p gjecz IIr-NC1?7WAnI md»lumthe crib mi "Certifiemfion of
Completim )Fsu to 6 l wfie 11 mik "b6nW in tlte4M1 Certifi iiis bees 6aWleted.-
The respak partlD comth? s fa?? idte 40I1W?ds iTieoa c? the
Division o[W o er (Nu try ugoa>=npi:* 'tI<sePra L
If you do not SOMP aaiy«' ?tth: tM .vlroe r an i
You must act wift= 60 defier 1 'a henin send as n

ffl?N;WAJ
•
0 0 ft 2 W
Michael F. Easley, Governor NCDENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMIE T AND NATURAL RESOURCES
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
This letter completes the review of the Division of Water Q tality undea Section 401 of the Clean Water
Act. If you have any questions, please telephone John Dorney at 919-73-9646.
Anachment
cc Wilmington District Corps of Engineers
Corps of Engineers Wilmington Feld Of =
DWQ Fayetteville Regional Office
File Copy
Central Files
i ynr =ly,
f
D.,
Director
W--fzx s/401 Link 16211>d Service
Telephone [phone]
An Equal Opportunity Affunst6w Act= Empkxme
Raieigk 3ronh Carolina 27699-1621
1FX 733-9959
50%s n /10% poet consumer paler

d w.ama
'Aa
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
Bridge Maintenance Unit
P. O. Box 1150
Fayetteville, N. C. 28302
September 17, 2001
Division of Environmental Management
John Hennessey, WQ Certification Unit
P. O. Box 29535
Raleigh, N. C. 27626-0535
Dear Mr. Hennessey:
01 1436
Please find seven (7) copies of the Pre-Construction Notification (PCN) application form for Water Quality
Certification Permits for your info. on this project.
If you have any questions or comments, please call me at 910-829-6345.
Thank you for your assistance in this matter.
Sincerely
L. L. Upole, Jr, P.
Division Bridge Maintenance Engineer
Attachments

P. O. Box 1150 - Fayetteville, N. C. 28302 - PHONE: [phone] - FAX: [phone]
1?
1-7
\Ar(/J?
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 40.1
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USAGE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section ,10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented bythe N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://www.saw.usace.anny.mil/wetlands/Perm app htm.
The USAGE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please, go to the
USACE website at hqp://www.saw.usace.army.mil/wetlands/regtour.htm,. or contact one of the field
offices listed at the end of this application. The website also lists the responsible project manager for
each county in North ` Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USAGE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit -w6bsite at
http://h2o.enr..state.nc.us/ncwetlands to read about current requirements for the 441 Water Quality
Certification Program and to determine whether or not Riparian' Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for some General Certifications is not required,
provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the inter net
should contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination Special coordination with the North Carolina Wildlife' Resources
Commission (NGWRC) is also required for projects occurring in any,of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on the last page of this application).
LAMA Coordination If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this. application) the applicant should also contact the North Carolina Division of Coastal
Page 1 of 12
Management {DCM) at [phone]. DCM will determine whether or'notthe project involves a
designated Area of Environmental Concern, in which `case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (LAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits -:Submit one copy of this form, along with supporting narratives, maps, data:forms,
photos, etc: to the applicable USACE Regulatory Field Office (addresses are listed -at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete` as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or -General permits, as` well as
information required for State authorizations, certifications, :and coordination." Fully' providing the
information requested on this ` form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw.usace:army.mil/wetlandslmvnfinalFedRegzpdf.
Processing times vary by permit and begin once the application has been determined to. be complete.
Please contact the appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated `
as optional. Incomplete applications will be returned. Submit seven collated .copies of` 11- USACE
Permit materials to' the Division' of Water Quality, - 401/Wetlands Unit, 1650 Mail: ServiceCenter,
Raleigh, NC, 27699-1650. If written approval is required or , specifically requested for `a 401
Certification, then ,a non-refundable application fee is required' In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts 'to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the projector applicant identified, should be stapled to the front of the application package.: For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetlands/feeshl. The fee `must be
attached with the, application unless the applicant is a federal agency in which case the ;-check, may be
issued from a separate office. In such cases, the project must be identifiable "on,the" US. Tre4wu `check
so that it can be credited to the appropriate project. 'If written approval is sought'-solely. for B?ff&'Rules,
the application fee does not apply,: and the applicant should clearly state (in a , cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a. complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written `e8ponse to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12

Office Use Only: Donn vm;on April 2001
USAGE Action ID No. DWQ No. 0 1 4 3 6
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
F?71] Section 10 Permit
® 401 `Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: ?Fey 6i' Son yPE ` N6 Qo T 1 Drc!
Mailing Address: ' P. 0, o 150
i/ Zir362
Telephone Number: 910 ?- q Y & - P/9-3 Fax Number: I io - Y& -JR-59
E-mail Address:, A_1d y qo7, ,47 -E . Ve- 1-15
d.
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: Sgm a A? Aalf
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 3 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, and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps maybe 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: l l 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: 0 36Co - GE /?7 o F ? J'7-
2. T.I.P. Project Number (NCDOT Only): - 3b30
3. ` Property Identification Number (Tax PIN):
4. Location
County: eo&5oly Nearest Town: LM1890
Subdivision name (include phase/lot number): AM
Directions to site (include road numbers, landmarks, etc.): 7_ 6 m i a w + h o N
N C 7th ritors US 71
5. Site coordinates, if available (UTM or Lat/Long):
(Note If project is linear, such as a,road or utility line, attach a shecYthat separatelylists 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:
7. Property size (acres):_ie sS 7-114,,v l A a
8. Nearest body of water (stream/river/sound/ocean/lake): 13A?1 4?AAW
9. River Basin: 64MA&Z
(Note - this must be one of North Carolina's seventeen designated major rive i,,,basins. The
River Basin map is available at http://h2o.enr.state.ne.us/admin/inatns/:)
10. Describe the purpose of the proposed work: 6 lALt 5'7? ue r u f? A tT
DEL ciiA.?T /Lid. 6 wig .4 Urty 146J?e_
Page 4 of 12

11. List the type of equipment to be used to construct the project: Arin C FAiJ
12. Describe the land use in the vicinity of this project:
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:
Nl?
V. Future Project Plans`
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: NA
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 perennials 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.
1. Wetland Impacts
Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
(indicate on ma acres es/no linear feet
Page 5 of 12
• C
I
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 iloodplains 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 htty://www,fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland;' beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:_
Total area of wetland impact proposed:
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 ma linear feet Before Impact lease !ptify)
* List each impact; separately and identify temporary impacts. - Impacts include, but are not limited to:: culveiU, and associated rip-rap,
dams (separately list impacts clue to both structure and flooding); relocation (include linear feet before "and'4fter, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, ex: 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,usas.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topo'zonc,com,
wwwanapquest.com, etc,).
Cumulative impacts (linear distance in feet) to all streams on site: C
3. -Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact' Area of
Name of Waterbody Type of Waterbody

Site Number
Type of Impact*
Impact ,

(if applicable)
(lake, pond, estuary, sound,
.indicate on ma acres , bay, ocSan ete.

Page 6 of 12
* List each impact eennrately rnd identify temnorarv imnacts. lmnacts include. but are not limited to; fill, excavation. dredQina,
flooding, drainage, bulkheads, eta
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): n uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/
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.
Z W A Z5 Cd S£ P b 'nA?
.7,1E <
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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 ixti!pacts"to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
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
Page 7of12
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 LSACE 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
}fttp_,i!li ?c?.etir_stalc,l?c?us"ncwetl ancls,'shm__-_giclc.htttil..
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.
11"114-
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 4011Iffletlands 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 jitttp_llh2o.eiir.state.nc.us/mn/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):
Page 9 of 12
1 ..
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amountof'Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
C-)
v
C)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes F-iq No ?
If yes, does the project require preparation of' an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No (&
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No
V:J
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 riot 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
(Neese), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules 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 buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* I Impact Multiplier I Required
(sonare feet) Mitigatioi
1 3
---------- ------------------- ----
2 1.5
_ _rot_jl------- ---- -.J L
* Zone I extends out 30 feet perpendicular from near hank of channel. Zone 2 extends an
additional 20 fleet from the edge of Zone I.
Page 9 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 l 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.
X11. 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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), or any Buffer Rules?
Yes ? No
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
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 10 of 12
y R ?
Applicant/Agent's S1901-
nature Date
(Agent's signature is valid only ii'anauthorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue
Room 204
Asheville, NC 28801-5006
Telephone: [phone]
Fax: [phone]
Raleigh Regulatory Field Office
US Army Corfis Of Fngineers
6508 balls of tlic Neuse Road
Suite 120
Raleigh, NC 27615
Telephone: [phone]
Fax: [phone]
Alexander
Avery
Buncombe
Burke
Cabarrus
Caldwell
Catawba
Alamance
Allegheny
Ashe
Caswell
Chatham
David-on
Davie
Iredell
Jackson
Lincoln
Macon
Madison
McDowell
Mecklenburg
Johnston
Lee
Nash
Northampton
Orange
Person
Randolph
Mitchell
Polk
Rowan
Rutherford
Stanley
Swain
Transylvania
Rockingham
Stokes
Surry
Vance
Wake
Warren
Wilkes
Cherokee
Clay
Cleveland
Gaston
Graham
Haywood
Henderson
Durham
Idgecombe
Franklin
Forsyth
Granville
Guilford
Halifax
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Fns_zineers Bladen Harnett Pender
Post Office, Box 1990 Brunswick Iloke Richmond
Wilmington, NC: 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33720
Raleigh, NC 27636-3726
Telephone: [phone]
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
It and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
'T'elephone: (8253) 665-1 195
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
larine Fisheries Service
National Marine Fisheries Service
habitat Conservation Division
Pivers Island
Beaufort, NC 28516
'T'elephone: [phone]
North Carolina State Agencies
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 276994617
Telephone: (919) 7-t-4763
Fax: [phone]
Page 1 I of 12

Y
1
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan IIertford Pasquotank
1638 Mail Service Center I3ertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville. NC 2784-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12
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