HomeMy WebLinkAbout20100323 Ver 1_401 Application_20100510?o
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Office i 465-8399
Pax 1 465-8962
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PROP1171 LOCITIOI
Physical Street Address
01111!/l131IM: late _
Address I
P.O. Box 389
Newton, NC 28658
Date J ^ 1 C
\%- Wphone _( )
Telephone ( )
State License No. Classification of License
Address
city state lip
SIBC01lt?CTORS - Ilec. Plumb. Nech.
Plans Drawn By Telephone ( 1
Address
City State Sip
TYPI of 9t11CT M (check all that apply)
( ) Single family ( ? Dopler ( ) Apartment ( ) Condoainina ( ? townhouse
( ) Assembly ( ? Business ( ? Iducational ( ? factory I Industrial
( ) Institutional ( ? lazardoas ( ? Nercantlle ( ) Residential ( } }torage
( ) Other !
CLASSUICITI01 of NOR[ ( ) lew ( ? Addition ) Rezodel/Alteration ( ) Other
TYPE Of CONSTRUCTION (circle) III III TV V VI Protected Unprotected
total No. Sq. It. leated It. Unheated ft. (basement, garage, porcbes, etc.)
lo. of Stories lusher Units Building !eight fireplace Openings
Total to. Rooms Bed Rooms Bath Roots family Was
Garage Area Sq. It. Basement Area Sq. ft. (Unfinished) (finished)
Length of Pier Depth of later (Pier)
51111 MI (Check One) ( ) Septic Tank ( ) City Sewer/
Private system laze of System
11Th SIPPLY (Check One) ( ) Nell ( ) Community fell ( ) City
late of system
toils DISTRICT Set Backs: front Sides Bear
The undersigned makes aapppplication for permits and inspection of work described and agrees to comply with all applicable state, county
codes, and laws regal atimg the work and understands that a Certificate of Occupancy is required prior to occupying the premises.
t"M IM f00TIIC, f01111flM. SLY, MEN, MUM, KKTRICIL PIlNIM, 11MIA.C. 31 111 1.
cat, r)
Construction Cost Ownert gestlt? Signature
Permit fee
Improvement Permit i
CAMM 9 CM M
IP11PLICATT101 Pot BIILDIIC PIRIIT
tar lap father 1 /K Ihite-Office Copy Yellow-Applicant Copy
PIYSICAL DIRIC1I01 TO 308 SITI
IBUXT' t1?T-MiG; P1 n1,4.I_s1'
CATAWBA COUNTY
BUILDING INSPECTION DEPARTMENT
P.O. BOX 389 NEWTON, NC 28658
(724) 465-8333 OFFICE #
rmit dumber: 9632209
rmission is hereby given to:
Contractor: SAME AS OWNER
#200
r
Owners HAGER, BETTY
perform the following works
s
465-8962 FAX #
Issue Date; 05/16/96
Phone: 704/ -
Project Desc: DENNIS & BETTY HAGER--OWNER/ PVT SEA WALL W/ ATTACHED
SUNDECK/ ZONING SETBACKS 10 FT FROM PROPERTY LINES
Class of work: NEW Valuations $ 200
the following locations
Tax Map Parcel.: 125-2-44
Pin Numbers PIN 4607-03-14-5076.0000
Addreess 7218 RIGHT ANGLE DRIVE
SHERRILLS FORD, NC 28673
Directions: 150E/ LITTLE MTN. RD/ RT ANGLE ST/ EL HBH1 Q & ON d
be used ass PIER/DOCK - RESIDENTIAL
S s¢itllRR YM SB MIUS 118A it 1Y SIDI
pernit is issued on the express condition that the above work shall conforn in all respects to the statewents certified to in the apelit
Futt pent, and that all work shall be done in accordance with all applicable zoning, building, electrical, plabing and techanical Ord,
to County of Catartka and the State of North Carolina.
.ait Issued for work under this Code shall expire by lieitations sit sonths after the date of issuance if the work authorized (NOTINGS 1
;GNSIbIRED 134 I13d?S 19181 91 COIS4R0101i has not been cowenced. If after ccuencevent the work is discontinued for a period of 1:
is, the pernit therefore shall expire.
:LDING $ 35.00
'AL DUE:
$ 35.00 M
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?7"M- UU ING INSPECTOR
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please a?prOXirmimal Y sketch the forow.g idoringlion on this plan
,? provide dkomnsionsfor each lten, such as 10 IL x 190 ttr
1) AN proposed „ag on dewft (povMe diiioi,siofkd 3) LoLocation cation of r p ? oorr to be e placed babove low the
- Ftd Pond
etaining
4 The location of any propomd structures such as bdMkN M relevation
wallao docks, etc.
5} The location of any excavation or dredgag below the Full Pond
6j Location of construction access corridors.
Oave, 141
DUKE ENERGY LAKE SERVICES
EC12-Q
P O BOX 1006
CHARLOTCM NC 28201-1006
704-382-1567 or TOLL FREE 1-800-443-5193
APPLICATION FOR PERMIT TO STABILIIAB THE SHORELINE IN NORTH CAROLINA
Please type or•print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank. PLEASE
SUBMIT APPLICATION AND APPROPRIATE DUKE ENERGY FILING FEE, PAYABLE TO DUKE ENERGY,
TO ABOVE ADDRESS.
L Applicant Information \ i
A. Nana; J n 11 N V a.' --x C. V1 ?1 t c`
B. Mailing Address 7 ?.. 11 ? ; 4 to 61., 6A er r i 1 IS Ford A1( 2903
c. Telephone: `lOy (d 0 -7 3 2 I -;t?o n e) i s4m j P: er ? 75-7
IL Location of Proposed Project
A. Lake (Uor m-"h
B. Street Address -7)-I X at gl. A lA it e S f
C. County Ck?,wl? D. City, town, community or lark ?, E C C i?? c r
E. Section I f A Lot # Subdivision ?i! f
F. Directions to property by road N t3y w-- / ISO -+v ;-A1, g 4 in g o4d
41-, - !i_ -_ n;_, i A-, i A.. I- --I I
G. Latitude and longitude for the project site :_ZS ° aS' M, IR" N
H. Please submit a map showing the coordinates or a detailed map (USGS quad map, city map, etc,) showing the
exact location of the project site. (NOTE: Latitude/ longitude coordinates can be found on internet site,
www•naRsonus•com. Directions: Don't register, click "Maps", enter address, draw map, select "Map Clicking
Will...", select "LattLong", click map)
in. Description of Project
A. Length of wall Ptftq I ()9
B. Material "T,4br,' c _ 4
C. Distance from property line/shoreline y
IV. Intended Use of Project Area
A. Private L
B. Commercial A
V. Applicant Signature Date ?- ) d ' a O r
PLEASE NOTE THE FOLLOWING:
2 COPIES OF THE "DUKE ENERGY APPLICATION FOR PERMIT TO STABILI2E THE SHORELINE IN NORTH
CAROLINA", PHOTOGRAPHS OF THE SHORELINE TO BE STABEL ZED, AND FIVE (5) COPIES OF THE
COMPLETED "NC DIVISION OF WATER QUALITY PRE-CONSTRUCTION NOTIFICATION APPLICATION"
MUST BE SUBMITTED WITH THE DIVISION OF WATER QUALITY APPLICATION FEE TO:
NC DIVISION OF WATER QUALITY ?LL 9 leg
ATTENTION: CYNDI KAROLY
PARKVIEW BLDG., 2321 CRABTItEEBLVD. klAy 4
RALEIGH, NC2760t
919-733-1786 DENR • WAFER OLIgLITy
0AN0s"YaAfa8WQ4
VAI
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20100323
The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit
GP30. This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting information as well as a /
non,refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of leis than 1 acre and $475A for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
16M Mail Service Center
Raleigh, NC 27699-1650
S PAID
L Applicant Information
1. OwnedApplicant
Mailing
Telephone Number:? - (O -, Z4 Fax Num '
Email Address: C?f?t1V? uchCl tntc?F'('?f"-?e?', rle--
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:
II. 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. You may use the diagram below to make a hand sketch of
r ?.
,?::
your project. Also, we the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
1.
Locadon.
County ??1??`- Nearest Town: S*P?S L?
subdivision name or site address (include phamU mm?ba):._ ki.. at
Direc tions to site please include road numbers, landmarks, etc.t(ice is not
necessary if an ~ vicinity snap isiacluded): AALj jC,h-{? U A&
- - , - & - -,L
2. Describe the esis land use or condition of the site at the time of this
app??; ri?St*??iMtRk. - t^P11r tcl1? of ? ? •
3. Property size (acres): 7
4. Nearest body of water (stream/river/sound/oceanl BW: LAk-& 14 O? non
5. Describe the purpose of the proposed woric SVW1f I tr1, *A.W(Za4 "tt/
6. Lishe of equipment to be used to construct the project: 4 W Wtekr h? Cc
_L 7. Amount of impact (including all excavation, backfili, rip rap, retaining walls,
etc.) below the normal pool lake level in square feet or acres: r-I P O U t Da x 5461-deW
8. a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above the normal pool lake level and 50 feet laird-ward in
square feet or acres: (D wV-b S l f' I _I QR
b. Please describe vegetation above the normal pool lake level and 50 feet land-
ward to be impacted. (number of trees for instance):, CY[?5?
I IF F, -
Appli 's signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Office Use Only:
Version March 08
Form
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit Riparian or Watershed Buffer
Rules
Section 10 Permit
DWQ
401 Water Quality Certification
Certification
Isolated Wetland Permit from
Express 401 Water Quality
22. 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 Ecosystem Enhancement Program
(NCEEP) is proposed for mitigation of impacts, attach the acceptance letter
from NCEEP, complete section VIII, and check here:
5. If your project is located in any of North Carolina's twenty coastal counties
(listed on page 4), and the project is within a North Carolina Division of
Coastal Management Area of Environmental Concern (see the top of page 2
for further details), check here:
II. Applicant Information
1. Owner/Applic Information
Name: "n (d a&
Mailin A dress:
5+-
kG 7e-1
CD-AO11Ca4-H 4hVl" New
ke_z S-4,'.,y P;u -t'-5 # KM
Telephone Number:7 -- b07-- ?r' 5Z(p Fax Number:
E-mail Address: 3"q6 w bal to t c. (2 c iDr4ar. hef-
2. Agent/Consultant 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:
M. Project Information
Attach a vicinity map clearly showing the location of the properly 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 MRCS 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: tr re.?tacown4 uof
rnL45K1?Q- buhW9W
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): -?, r c e I I D y 60 7 O3 115 117
TAJ ACto,,y4 -* 1313 Gam{
4. Location C _ , A i «S
County: .ww' Nearest Town:
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): .
Ri "4 150 4V Ut f. MoMtlm UadWh,P•rl thz Mete,
on 10pon '-tgh}- ANie. &?rer+ 3rA-homy on tef- Arr?ha -
5. Site coordinates (Lat/Long or decimal degrees):-
(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.)
7. 9 n! g`iD W 149. ;Z9 w
?6 (3? 0 7
6. Property
7. Name of nearest receiving body of water: It?? f'1'1QIt
8. River Basin:. U WbA. QWCr &Sin
(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/mal?s/.)
9. Describe the existing conditions on the site and general land use in the vicinity
of the project at the time of this application: CeS i df,04 a L
- rMC f (o pd-+t j Itne,
10. Describe the overall project in detail, including the type of equipment to be
used: r,P =i&- AecHee ltd! i dsrf behlAcL cf to Crete
- a = l slopes 5 atfz*te. -(tr'' 6prest,p sFa.,4,i laH.Ow
11. Explain the purpose of the proposed work: ?7lC1. ?.??n?Y1 W&tl
-ro ptw?oe avdvps? b? use, Serb
- tnft the lajk-f. 4ha? C?441-
6n.fp h{,cmai,s f w?ldlrTt?•
IV. Prior Project to
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.
5??1niS Se+4y 4,e,;nctldfd
W?Cn-Fhb vvutl., ?5 ?:tS-? ?0?5-?,+x.Yec? gin. ?Qf??lTht ?atl SP-Ins Gcro55 _7X18' 7111 , r,?d W,r4 of -7208 kli? 'w, Anyi? srV. Future Project Plans cos seta e, rec.t (n-4. ,-c vdfd ,
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.
Each impact must be listed separately in the tables below (e.g., culvert installation
should be listed separately from riprap dissipater pads). Be sure to indicate if an
impact is temporary. All proposed impacts, permanent and temporary, must be
listed, and must be labeled and clearly identifiable on an accompanying site plan.
All wetlands and waters, and all streams (intermittent and perennial) should 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. Provide a written description of the proposed impacts:Akae-
2. Individually list wetland impacts. Types of 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
,._a n--A;-- 011 n
culu ii
Wetland Impact
Site Number
(indicate on map) w?aau /
Type of Impact
Type of Wetland
?'Pe
(e.g., forested, marsh,
herbaceous, bog, etc.)
Located within
100-year
Floodplar
(yes/no)
Distance to
Nearest
Stream
(linear feet)
Area o
Impact
(acres)
Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:-A(A,
4. Individually list all intermittent and perennial stream impacts. Be sure to
identify temporary impacts. Stream impacts include, but are not limited to
placement of fill or culverts, dam construction, flooding, relocation,
stabilization activities (e.g., cement walls, rip-rap, crib walls, 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. To calculate acreage, multiply length X width, then
d'v'de b Al 560 MA ,
ii
Stream Impact
Number
(indicate on map) ,
Stream Name
ype of Impact
Perennial or
Intermittent?
Average
Stream Width
Before Impact
Impact
Length
(linear feet)
Area of
impact
(acres)
Total Stream impact (by length and acreage)
sounds, Atlantic Ocean and any other water of the U.S.). Open water impacts
include, but are not limited to fill, excavation, dredging, flooding, drainage,
bulkheads etc GL'
Open Water Impact
Site Number
(indicate on map) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)
Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project. "Z e _
Stream Impact acres :
Wetland Impact acres :
Open Water Impact acres :
Total impact to Waters of the U.S. acres
Total Stream hn t linear feet :
7. Isolated Waters
Do any isolated waters exist on the property? Yes I')
gowDater k,
Describe all impacts to isolated waters, and include the typ(wetland
or stream) and the size of the proposed impact (acres or linear feet). Please
note that this section only applies to waters that have specifically been
determined to be isolated by the USACE.
8. Pond Creation nlG-?
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.):
Current land use in the vicinity of the pond:
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.
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.
USACE - In accordance with the Final Notice of Issuance and Modification of
Nationwide Permits, published in the Federal Register on January 15, 2002,
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 NCEEP
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
littp://h2o.enr.state.nc.us/ncwetlands/strmgide.htm1.
1. 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/Imear 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.
-4/ae
2. Mitigation may also be made by payment into the North Carolina Ecosystem
Enhancement Program (NCEEP). Please note it is the applicant's
responsibility to contact the NCEEP at (919) 715-0476 to determine
availability, and written approval from the NCEEP indicating that they are
will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP,
check the NCEEP website at http://h2o.enr.state.nc.us/wEp/index.htm. If use
of the NCEEP is proposed, please check the appropriate box on page three and
provide the following information: /
Amount of stream mitigation requested (linear feet): nco`'
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):_
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):_
I. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (fede te/local) funds or
the use of public (federal/state) land? Yes No
2. 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 (919) 733-5083 to review
current thresholds for environmental documentation.
Yes No hta-,
3. 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 ht?-
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
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.
1. Will the project impact protected riparian buffers identified within 15A
NCAC 2B .0233 (Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC
02B.0243 (Catawba) 15A NCAC 2B.0250 (Randleman Rules and Water
Supply Buffer Requirements), or other (please identify? Yes
No a/&,
2.
If "Yes", 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 miti 'on b applying the buffer multi 'ers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3 (2 for Catawba)
2 1.5
Total
* Zone I extends out 30 feet perpendicular from the top of the near mK of cnannei; c.onC z
extends an
additional 20 feet from the edge of Zone 1.
L If buffer mitigation is required, please discuss what type of mitigation is
proposed (i.e., Donation of Property, Riparian Buffer Restoration /
Enhancement, or Payment into the Riparian Buffer Restoration Fund). Please
attach all appropriate information as identified within 15A NCAC 2B .0242 or
.0244, or .0260. - ?h
XI. Stormwater (required by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds
20%, please provide calculations demonstrating total proposed impervious level.-
ill6k-
XII. Sewage Disposal (required by DWQ)
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.
n10-
I. Violations (required by DWQ)
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 N(?o?
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result
in additional development which could impact nearby downstream water quality?
Yes
0
If yes, please submit a qualitative or quantitative cumulative impact ana ysis in
accordance with the most recent North Carolina Division of Water Quality policy
posted on our website at httL://h2o.enr.state.nc.us/ncwetlands. If no, please
provide a short narrative description:-
XV. 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).
if-- is Veiq un s-ablc,, SeeaMa Aed-,powes
(61 ? *,Z?- to
Applicant/Agent's Signature " - Date
(Agent's signature is valid only if an authorization letter from the applicant is
provided.)