20181273 Ver 1_401 Application_20200922

DWR
Oh4slon of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
September 1, 2020 Ver 3.2
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%2OHelp%2OFile%202018-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:
Wilkes
Is this a NCDMS Project*
Yes No
Click Yes, only if NCDMS is the applicant or co -applicant.
Is this project a public transportation project?*
Yes No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
1a. Type(s) of approval sought from the Corps: *
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard
permits. All required items that are not provided in the E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
1c. Has the NWP or GP number been verified by the Corps?*
Yes No
Nationwide Permit (NWP) Number: 27 - Restoration
NWP Numbers (for multiple NWPS):
List all NW numbers you are applying for not on the drop down list.
1d. Type(s) of approval sought from the DWR:
check all that apply
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual Permit
401 Water Quality Certification - Express
Riparian Buffer Authorization
le. Is this notification solely for the record because written approval is not required?
*
For the record only for DWR 401 Certification: Yes No
For the record only for Corps Permit: Yes No

1f. Is this an after -the -fact permit application?*
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
If so, attach the acceptance letter from mitigation bank or in -lieu fee program.
Yes No
Acceptance Letter Attachment
Click the upload button or drag and drop files here to attach document
FILE TYPE MUST BE PDF
1h. Is the project located in any of NC's twenty coastal counties?"
Yes
No
1j. Is the project located in a designated trout watershed?*
Yes No
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Jeff Keaton
1c. Primary Contact Phone:*
1 b. Primary Contact Email: * (xxx)xxx-xxxx
[e-mail] [phone]
1d. Who is applying for the permit?*
Owner Applicant (other than owner)
(Check all that apply)
1e. Is there an Agent/Consultant for this project?*
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Horace Randle Wood
2b. Deed book and page no.:
Book 1156 Pg 106
2c. Responsible party:
(for Corporations)
2d. Address*
Street Address
PO Box 9
Address Line 2
City
State / Province / Region
Thurmond
North Carolina
Postal / Zip Code
Country
28683
Unites States
2e. Telephone Number: *
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Gaye Swaim

2b. Deed book and page no.:
Book 687 Pg 367
2c. Responsible party:
(for Corporations)
2d. Address*
Street Address
2330 King Billings Road
Address Line 2
City
State / Province / Region
Traphill
North Carolina
Postal / Zip Code
Country
28685
United States
2e. Telephone Number:*
[phone]
2f. Fax Number:
(Xx )x X-xx
2g. Email Address:*
jkeaton@wild landseng.com
2a. Name(s) on recorded deed:
Clyde Cothren
2b. Deed book and page no.:
Not Available
2c. Responsible party:
(for Corporations)
David Cothren (Brother, Clyde is deceased)
2d. Address*
Street Address
2195 King Billings Road
Address Line 2
City
State / Province / Region
Traphill
North Carolina
Postal / Zip Code
Country
28685
United States
2e. Telephone Number:*
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:*
Larry D. Gambill
2b. Deed book and page no.:
Book 1078 Pg 389
2c. Responsible party:
(for Corporations)
2d. Address*
Street Address
5233 Traphill Road
Address Line 2
City
State / Province / Region
Traphill, NC
North Carolina
Postal / Zip Code
Country
28568
United States

2e. Telephone Number:
(xxx)xxx-XXXX
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:*
Lin Xu
3b. Business Name:
(if applicable)
NCDEQ-DMS
3c. Address*
Street Address
217 W. Jones St, Suite 3000A
Address Line 2
City
State / Province / Region
Raleigh
North Carolina
Postal / Zip Code
Country
27603
United States
3d. Telephone Number:*
[phone] 3e. Fax Number:
(XM)MX-Mm (MX)MX-Mx
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:*
Charlie Neaves
4b. Business Name:
(if applicable)
Wildlands Engineering, Inc.
4c. Address
Street Address
312 W Millbrook Rd
Address Line 2
Suite 225
City
State / Province / Region
Raleigh
North Carolina
Postal / Zip Code
Country
27709
United States
4d. Telephone Number:*
[phone] 4e. Fax Number:
(XM)MX-MM (xxx))=-xxrot
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Please provide the Agent Authorization Letter if you are submitting this document.
combined LOAs.pdf
FILE TYPE MUST BE PDF Ir
631.16KB
C. Project Information and Prior Project History

1. Project Information
1a. Name of project:*
Bug Headwaters Mitigation Site
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Traphill, NC
2. Project Identification
2a. Property Identification Number:
(tax PIN or parcel ID)
2b. Property size:
1902517, 1902520, 4914-31-4177,
(in acres)
1900344, 1903195
22.77
2c. Project Address
Street Address
8600 Austin Traphill Rd
Address Line 2
City
State / Province / Region
Traphill
NC
Postal / Zip Code
Country
28685
United States
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as appropriate, based
on how the location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after
the decimal place.)
Latitude: * Longitude: *
36.320698-80.984329
ex: 34.208504-77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Big Bugaboo Creek
3b. Water Resources Classification of nearest receiving water:*
C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.*
030401010601
River Basin Lookup
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: *
The site is located in a rural watershed and land surrounding the project is used for grazing cattle and row crop production. Cattle access to surface waters has
led to stream incision, erosion, and reduced habitat quality. Riparian buffers are sparse or absent.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
Yes No Unknown

4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Click the upload button or drag and drop files here to attach document
USGS_Topo.pdf 1.3MB
File type must be pdf
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Click the upload button or drag and drop files here to attach document
Soils Map.pdf 652.01KB
File type must be pdf
4f. List the total estimated acreage of all existing wetlands on the property:
6.61
4g. List the total estimated linear feet of all existing streams on the property:
(intermittent and perennial)
7953.23
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to provide stream mitigation credits in the Yadkin River 03040101 service area. Mitigation practices will include stream
restoration, stream enhancement I, stream enhancement II, and riparian buffer planting.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Stream restoration will involve excavation of a new channel that is designed to be functional and stable. Stream dimension, pattern, and profile have been
designed to allow frequent overbank flows, a stable bed with variable bed forms using in -stream structures, well vegetated bank slopes, a well connected
floodplain, and improvements to aquatic habitat. Enhancement I treatment entails adding structure to the channel bed, localized reshaping of channel
dimensions, and cutting floodplain benches to provide energy relief. Enhancement II reaches are generally stable and activities will consist of riparian planting,
livestock exclusion, and localized bank repairs. The project area will be placed in a conservation easement to protect to project in perpetuity. Native trees and
herbaceous plants will be planted on the stream banks and floodplain. Excavators and bulldozers will be used for channel excavation/filling and floodplain
grading. Off road dump trucks will be used for hauling soil.
4j. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach document
ImpactFigures.pdf 1.88MB
File type must be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
Example: SAW-2017-99999
SAW-2018-01788
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Charlie Neaves
Agency/Consultant Company: Wildlands Engineering, Inc.
Other:
Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR.
USACE PJD 6/21/2020
5d1. Jurisdictional determination upload
Click the upload button or drag and drop files here to attach document
SAW-2018-01788_NCDMS-BugHeadwaters MitSite_PJD.pdf 2.64MB
File type must be PDF
6. Future Project Plans
6a. Is this a phased project?*
Yes No

Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related
activity? This includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre -
construction notification.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
E Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
Site #* M 112a1 Reason* M
aul Road,
oodplain
rading
hannel
elocation
aul Road,
oodplain
location, Pond
moval
W6
Haul Road,
Floodplain
Grading
W7
Channel
Relocation
Impact type* (') 2c. Type of W. 2d. W. name* 2e. Forested* 2f. Type of 112g. Impact
Jurisdicition * M area*
Headwater For Wetland A Yes Both 0.060
(acres)
Headwater Forest Wetland A Yes Both F(a
rscres)
Forest Wetland B No Both 10.022
acres)
Forest Wetland B No Both F(acrl�ls)
P Headwater Forest I Wetland C No Both 0.099
(acres)
T Headwater Forest Wetland C F
Both 0.114
(acres)
P IlHeadwater Forest Metland D
(acres)

W17
Haul Road,
T
Headwater Forest
Wetland I
No
Both
0.074
Floodplain
1
::1
acres)
Grading
W18
Floodplain
T
Headwater Forest
Wetland J
No
Both
0.016
Grading
(acres)
W19
Channel
P
Headwater Forest
Wetland K
No
Both
0.008
Relocation
� 1
j
(acres)
W20
Haul Road,
T
Headwater Forest
Wetland K
No
Both
0.033
Floodplain
(acres)
Grading
W21
Channel
P
Headwater Forest
Wetland L
Yes
Both
0.004
Reloacation
(acres)
W22
Floodplain
T
Headwater Forest
Wetland L�Yes
Both
0.004
Grading
(acres)
W23
Chanel
P
Headwater Forest
Wetland M
Yes
Both
0.001
Relocation
(acres)
W24
Floodplain
T
Headwater Forest
Wetland M
Yes
Both
0.004
Grading
(acres)
W25
Pond Removal
P
Headwater Forest
Wetland N
Yes
Both
0.307
(acres)
W26
Channel
P
Bottomland Hardwood
Wetland O
Yes
Both
0.004
Relocation
Forest
(acres)
W27
Haul Road,
T
Bottomland Hardwood
Wetland O
Yes
Both
0.085
Floodplain
Forest
(acres)
Grading
W28
Channel
P
Headwater Forest
Wetland Q
No
Both
0.006
Relocation
(acres)
W29
Floodplain
_J
T
Headwater Forest
Wetland Q
No
Both
0.022
Grading
(acres)
2g. Total Temporary Wetland Impact
1.238
2g. Total Permanent Wetland Impact
1.050
2g. Total Wetland Impact
2.288
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all
stream sites impacted.
"S." will be used in the table below to represent the word "stream".
❑3a.
Reason for impact*
M
3b.lmpact
type*
3c. Type of impact*
3d. S. name*
3e. Stream
Type*(')
3f. Type of
Jurisdiction*
3g. S.
width*
3h. Impact
length*
S1
Restoration/Enhance
Permanent
Other
Big Bugaboo Creek
Perennial
Both
11
2,846
ment
Average (feet)
(linear feet)
S2
Restoration
Permanent
Relocation
UT1
Intermittent
Both
12
380
Average (feet)
Qinear feet)
S3
Restoration/Enhance
Permanent
Other
UT2
Perennial
Both
1,326
ment
Average (feet)
Qinear feet)
S4
Temporary Crossing71
Temporary
Other
UT2
Perennial
Both
17
Average (feet)
(linear feet)

S5
Restoration
Permanent
Relocation
UT2A
Intermittent
Both
�466
Average (feet)
(linear feet)
S6
Enhancement
Permanent
Bank Stabilization
UT213
Perennial
Both
�41
Average (feet)
Qinear feet)
S7
Restoration
Permanent
Relocation
UT3
Perennial
Both
843
Average (feet)
(linear feet)
S8
Enhancement
Permanent
Other
UT4
Perennial
Both
Average (feet)
Qinear feet)
S9
Restoration
Permanent
Other
UT5
Intermittent
Both
15
Average (feet)
(linear feet)
FO
Restoration
Permanent
Other
UT6
Intermittent
Both
79
__J
Average (feet)
(linear feet)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
6,004
3i. Total temporary stream impacts:
17
3i. Total stream and ditch impacts:
1852
3j. Comments:
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of the U.S. then
individually list all open water impacts below.
4a1. Impact Reason
4b. Impact type* (?)
4c. Name of waterbody (?)
4d. Activity type*
4e. Waterbody type*
4f. Impact
area
01
Stream
P
Pond A
Dewatering
Pond
2.97
Restoration
(acres)
02
Stream
Stream
Pond BDewatering
Pond B
PondRestoration
T
(acres)
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
5.13
4g. Total open water impacts:
5.13
4h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project: *
Stream restoration activities will introduce fill to existing stream channels but are designed to have an overall positive impact.
Stream impacts will be avoided and minimized to protect reaches that exhibit less instability and incision. These reaches are
generally proposed for enhancement II. Stream alignments for restoration and enhancement I reaches were designed to avoid
existing wetlands as much as possible. Unavoidable impacts to wetlands are due to floodplain grading or conversion of wetland to
stream channel.

1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Restoration will involve construction of offline channel sections which will minimize sedimentation to aquatic systems during
construction. Newly constructed channel banks will be stabilized using biodegradable coir fiber matting and seeded and planted
with native riparian vegetation. Temporary construction crossings will be minimized. Construction practices will follow guidelines
from the NC Erosion and Sediment Control Planning and Design Manual.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Projects authorized under NWP 27 are exempt from compensatory mitigation.
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
The Yadkin 03040101 basin is not regulated by NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
To look up low density requirement click here 15A NCAC 02H .1003(2).
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? *
Yes No
1b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State
(North Carolina) Environmental Policy Act (NEPA/SEPA)?*
Yes No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House? (If so, attach a copy of the NEPA or SEPA final
approval letter.) *
Yes No
NEPA or SEPA Final Approval Letter
Click the upload button or drag and drop files here to attach document
FILE TYPE MUST BE PDF
2. Violations (DWR Requirement)

2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or
Wetland Standards or Riparian Buffer Rules (15A NCAC 2B .0200)? *
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water
quality?*
Yes No
3b. If you answered "no," provide a short narrative description.
Development is explicitly prohibited in within the conservation easement, and the project is not expected to encourage nor
facilitate future development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
Yes No
5e. Is this a DOT project located within Division's 1-8?*
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?*
Yes No
5g. Does this project involve bridge maintenance or removal?*
Yes No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?'*
Yes No
Unknown
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile
drivers, etc.?*
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? *
USFWS and NC Natural Heritage Program databases were utilized. Correspondence is included in the Categorical Exclusion.
Approximately 1.1 acres of grading will occur in currently forested areas. Some tree removal will be required for grading but
impacts to trees will be minimized.
Consultation Documentation Upload
Click the upload button or drag and drop files here to attach document
File type must be PDF

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper was utilized. USFWS and NCWRC were contacted regarding fish and wildlife issues
associated with the proposed project. No concerns were identified regarding essential fish habitat. Correspondence is included in
the Categorical Exclusion.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http_//gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status (e.g.,
National Historic Trust designation or properties significant in North Carolina history and archaeology)?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCSHOP was contacted regarding presence of historical properties or cultural resources within the project area. SHPO
commented that they were aware of no historic or cultural resources that would be affected by the project. Correspondence is
included in the Categorical Exclusion.
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach document
File must be PDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https:Hmsc.fema.gov//portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c. What source(s) did you use to make the floodplain determination?*
FIRM panel 3710490400J and 3710490200J
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach document
File must be PDF or KMZ
Signature
*
By checking the box and signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:*
Jeff Keaton
Signature*
DMS Full Name: Lin Xu
Signature
L- ,*v Xw

Date
9/22/2020

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TIM BAUMGARTNER
Director
NORTH CAROLINA
Environmental Quality
September 22, 2020
Erin Davis, Stream / Wetland Mitigation Specialist
Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
Re: Permit Application- Bug Headwaters Mitigation Site Mitigation Project, Wilkes
County (DMS Full Delivery Project)
Dear Ms. Davis:
Attached for your review is 404/401 permit application package for the subject project. A
memo for the permit application fee is also included in the package. Per agreement between
DMS and DWR, the hard copy of the final mitigation plan is not included in the submittal.
However, the electronic copy of the final mitigation plan along with all other electronic files
(uploaded along with the ePCN for the project) have been uploaded to NC DWR's file system.
Please feel free to contact me with any questions regarding this plan (919-707-8319).
Thank you very much for your assistance.
Sincerely
L IL+ X w
Lin Xu
Attachment: 404/401 Permit Application Package
Permit Application Fee Memo
NORTHCAROLINAD_E Q�I
Deparhnent of Environmental Quality
North Carolina Department of Environmental Quality I Division of Mitigation Services
217 W. Jones Street 1 1652 Mail Service Center I Raleigh, North Carolina 27699-1652
919.707.8976

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TIM BAUMGARTNER
Director
MEMORANDUM:
TO:
FROM:
SUBJECT:
DATE:
NORTH CAROLINA
Environmental Quality
Debby Davis
Lin Xu Lx
Payment of Permit Fee
401 Permit Application
September 22, 2020
The Division of Mitigation Services (DMS) is implementing a mitigation project
for Bug Headwaters Mitigation Site Mitigation Project in Wilkes County (DMS IMS #
100084). The activities associated with this restoration project involve stream
restoration related temporary stream and wetland impact. To conduct these
activities, the DMS must submit a Pre -construction Notification (PCN) Form to the
Division of Water Resources (DWR) for review and approval. The DWR assesses a
fee of $570.00 for this review.
Please transfer $570.00 from DMS Fund # 2984, Account # 535120 to DWR
as payment for this review. If you have any questions concerning this matter I can
be reached at 919-707-8319. Thanks for your assistance.
cc: Erin Davis, DWR
NORTHCAROLINAD_E Q�I
Deparhnent of Environmental Quality
North Carolina Department of Environmental Quality I Division of Mitigation Services
217 W. Jones Street 1 1652 Mail Service Center I Raleigh, North Carolina 27699-1652
919.707.8976