20080788 Ver 2_401 Application_20110611

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08- DI $ 8
May 31, 2011
THE Mr. Josh Pelletier
US Army Corps of Engineers
W 0 OT E N Washington Field Office
PO Box 1000
COMPANY Washington, NC 27889
E N G I N E E R I N G Re: Pre-Construction Notification Application - Revision
Tyrrell County Water and Sewer Districts 1 &2
PLANNING Pressure Sewer System
ARCHITECTURE Tyrrell/Washington County, North Carolina
TWC No. 2876-B
Mr. Pelletier:
We originally submitted a PCN for the above referenced project to Tom Steffens in the
Washington Field Office on behalf of Tyrrell County in May 2008. After submitting we
received approval from the USACE as well as NCDWQ in 2008. Unfortunately funding
issues delayed the project's anticipated construction schedule, however the project is now
progressing forward. Due to the project being delayed, the 404 Permit received expired
on August 28, 2010. On behalf of Tyrrell County we would like to request that this
permit be renewed. Please note that no design changes have been made for the project.
Also, no permanent impacts are proposed for this project and the preconstruction grades
of the streams will be reestablished after disturbance.
While reviewing the permit documents we also realized that we inadvertently left a
stream out of the impact table. For ease of review please find attached a copy of the PCN
originally submitted in May 2008 with only the Stream Impact Table and Cumulative
Impact Table updated on sheets 9 and 10 respectively. The additional crossing has been
highlighted on Plan Sheet 5 in Appendix A. A USGS Quad Map has also been included
with the additional stream crossing shown.
For your reference a copy of the original permit issued by USACE as well as the
NCDWQ 401 Certification is attached.
We trust this information is sufficient for your review; however, if you should have any
questions or require additional information, please do not hesitate to contact us. We will
get you any information or clarification needed immediately.
Sincerely,
120 Nod Boylan Avenue THE WOOTEN COMPANY
Q??a
Raleigh NC 27603-1423
JUN 2 2011
919.828.0531 John A. Core ?ENR . dYA
fax [phone]?dt.? .
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THE
WOOTEN
COMPANY
E N G I N E E R I N G
P L A N N I N G
ARCHITECTURE
120 North Boylan Avenue
Raleigh NC 27603-1423
919.828.0531
fax [phone]
Mr. Josh Pelletier
May 31, 2011
Page 2
Enclosures: As stated.
cc: Cyndi Karoly - NCDWQ Wetlands & Stormwater Branch Chief
TWC File
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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
JUN 2 5 2008 Chuck Wakild, P.E., Deputy Director
Division of Water Quality
June 20, 2008
DWQ 08-0788
Washington and
Tyrrell Counties
W. Mack Carawan, Jr.
PO Box 449
Columbia, NC 27925
Subject Property: Tyrrell County Water and Sewer District 1&2
NO WRITTEN CONCURRENCE NEEDED
Dear Mr. Carawan:
You have our approval, in accordance with the attached conditions, to impact 0.0069 acres of wetlands
and 0.0575 acres of streams for the purpose of installing water and sewer lines as you described in your
application dated March 20, 2008. After reviewing your application, we have decided this fill is below
the threshold for written authorization as long as all conditions of General Water Quality Certification
Number 3699 are met, which may be viewed on our website at http://h2o.enr.state.nc.us/ncwetlands.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us and you may be required to send us a
new application. If the property is sold, the new owner must be given a copy of this Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fills for
this project (now or in the future) exceed one acre, compensatory mitigation may be required as
described in 15A NCAC 2H .0506 (h) (6) and (7). This approval shall expire when the corresponding
Nationwide Permit expires or as otherwise provided in the General Certification. For this approval to
be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.
Conditions of Certification:
Upon completion of the project, the applicant shall complete and return the enclosed
"Certification of Completion Form" to notify DWQ that all the work included in the 401
Certification has been completed. The responsible party shall complete the attached form and
return it to the 401/Wetlands Unit of the Division of Water Quality.
Violations of any condition herein set forth may result in revocation of this Certification and may result
in criminal and/or civil penalties. This Certification shall become null and void unless the above
conditions are made conditions of the Federal 404 and/or coastal Area Management Act Permit.
North Carolina Division of Water Quality Internet: h2o.enr.state.nc.us
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] NofthCarohna
An r--i n.,.,,,,+-i+„ iee;.,,, C- e..+{- rnoL 0--1-4MOOG one+D.- X17h1r/71111
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition, which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you
have any questions, please telephone Kyle Barnes of the Washington Regional Office at 252-948-3917 or Ian
McMillan of the 401 Oversight/Express Unit at 919-715-4631.
Sincerely,
Al Hodge/Supervisor
Division of Water Quality
Surface Water Protection
Washington Regional Office
Enclosures: Certificate of Completion
GC 3699
cc: Corps of Engineers Washington Field Office
DWQ 401 Oversight/Express Unit
CAMA, Morehead Office
File copy
Central Files
Brian Johnson, P.E., The Wooten Company
120 N. Boylan Ave., Raleigh NC 27603
Filename: 08-0788
401 Oversight/Express Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://l 2o.enr.state.ue.ushreNvetlands
None Carolina
NturalltY
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/] 0"o Post Consumer Paper
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
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Li C ug,
Action ID. 2008-02281 County: Tyrrell USGS Quad: Columbia West
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: W. Mack Carawan Jr.
Address: Post Office Box 449
Columbia, North Carolina
27925
Telephone No.: 252-796-1371
Size and location of property (water body, road name/number, town, etc.): Linear project in NCDOT ROW and
Tyrrell County sewer easement..
Description of projects area and activity: Construction of new regional water and sewer system; impacts total 0.006
acres of wetlands and 0.05 acres of streams.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
® Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: NW 12
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,:
.,uspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For, activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal;
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Tom Steffens at 252-975-1616 ext.25.
X
O C
Corps Regulatory Official 414 i ) Z? A/ Date: 08/28/2008
Expiration Date of Verification: 08/28/2010
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the Customer Satisfaction Survey located at our website at http://regulatory.usacesuivey.com/ to complete the survey
online.
Page 1 of 2
I,
I
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area,
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
( Reference 33 CFR Part 331).
? There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
® There are waters of the US and/or wetlands within the above described project area subject to the permit requirements of Section
404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
? The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued . Action ID
Basis of Jurisdictional Determination: These sites exhibit wetland criteria as described in the 1987 Corps Wetland Delineation
Manual and abut or are adiacent to unnamed tributaries of or directly to the Scuppernong River Albemarle Sound and the
Alligator River; all traditionally navigable waters
Appeals Information (This information applies only to approved jurisdictional determinations.)
Attached to this verification is an approved jurisdictional determination. If you are not in agreement with that approved jurisdictional
determination, you can make an administrative appeal under 33 CFR 331. Enclosed you will find a Notification of Appeal Process
(NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you must submit a completed RFA
form to the following address:
District Engineer, Wilmington Regulatory Division
Attn:Tom Steffens, Project Manager,
Washington Regulatory Field Office
Post Office Box 1000
Washington, North Carolina 27889
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the District Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by 10/28/2008.
**It is not necessary to submit an fo to the District Office if you do not object to the determination in this correspondence.**
Corps Regulatory Official: /lam G G '? l 5-,
Date 08/28/2008 Expiration Date 08/28/2013
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Copy Furnished:
W. Brian Johnson, PE
The Wooten Company
120 North Boylan Avenue
Raleigh, North Carolina
27603
Page 2 of 2
Action ID Number:2008-02281 County:Tyrrell
Permittee: Tyrrell County
Date Verification Issued: 08/28/2008
Project Manager: Tom Steffens
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
WASHINGTON REGULATORY FIELD OFFICE
POST OFFICE BOX 1000
WASHINGTON, NORTH CAROLINA 27889
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. If you fail to comply with this permit you are subject to permit suspension,
modification, or revocation.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date
CESAW-RG-W DATE: 08/28/2008
MEMORANDUM FOR RECORD
SUBJECT: Consideration of Compensatory Mitigation and Potential Impacts to Endangered Species, Cultural Resources
and Essential Fish Habitat.
1. Action ID. 2008-02281
2. Project Name and Location: Tyrrell Countv Water and Sewer Districts 1&2
3. Mitigation [Section 404(b)(1) Guidelines].
a. Has applicant avoided and minimized impacts to the maximum practicable extent? YES
If NO, Explain:
b. Is compensatory mitigation necessary? NO
Explain: Avoidance and minimization utilized to Lyreatest extent possible
4. Endangered Species (Section 7 of the ESA).
a. Will any threatened or endangered species or their critical habitats be affected by this project? NO
If YES, describe steps taken to address concerns:
5. Cultural Resources (Section 106 of the NHPA).
a. Will any Cultural Resources be impacted by this project? NO
b. If YES, describe steps taken to address concerns:
6. Essential Fish Habitat (50 CFR Part 600, Magnuson-Stevens Act).
a. Is this a project that "may adversely affect essential fish habitat"? NO
b. If YES, describe steps taken to address concerns:
Corps Regulatory Official: ?,/F???'? ! i? j%C??i

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): 08/28/2008
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:CESAW-RGW, Tyrrell County Water and Sewer Districts 1&2, SAW-2008-02281
C. PROJECT LOCATION AND BACKGROUND INFORMATION: New regional sewer and water pipeline project in NCDOT ROW and
Tyrrell County sewer easements, throughout Tyrrell and Washington Counties.
State:NC County/parish borough: Tyrrell City: Columbia
Center coordinates of site (lat/long in degree decimal format): Lat. 35.918660°N, Long. -76.246242° W.
Universal Transverse Mercator:
Name of nearest waterbody: Scuppernong River
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Scuppernong River
Name of watershed or Hydrologic Unit Code (HUC): 03010205
® Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
? Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded on a different JD
form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date: 08/28/2008
Field Determination. Date(s):
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Are "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the review area.
[Required]
Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain: Scuppernong, Alligator Rivers and Albemarle Sound are all TNWS.
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Are "waters of the US." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply):'
TNWs, including territorial seas
? Wetlands adjacent to TNWs
? Relatively permanent waters: (RPWs) that flow directly or indirectly into TNWs
? Non-RPWs that flow directly or indirectly into TNWs
? Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
? Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
? Impoundments of jurisdictional waters
? Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: linear feet: width (ft) and/or 20,000+ acres.
Wetlands: 50,000+ acres.
c. Limits (boundaries) of jurisdiction based on: 1987 Delineation Manual
Elevation of established OHWM (if known):
2. Non-regulated waters/wetlands (check if applicable):3
Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
` Boxes checked below shall be supported by completing the appropriate sections in Section III below.
Z For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally" (e.g.,
typically 3 months).
3 Supporting documentation is presented in Section III.F.
SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete Section
III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections HI.A.1 and 2 and Section
III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW: Albemarle Sound, Scuppernong and Alligator Rivers.
Summarize rationale supporting determination: All three receiving waters are traditionally navigable waters.
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent": wetlands are adjacent to the TNWs above.
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TN)N) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps determine
whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are "relatively permanent waters"
(RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3 months). A wetland
that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round (perennial) flow, skip to
Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow, skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and EPA
regions will include in the record any available information that documents the existence of a significant nexus between a relatively
permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even though a significant
nexus finding is not required as a matter of law.
If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must consider
the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for analytical purposes,
the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is the tributary, or its adjacent
wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for the tributary, Section HI.B.2 for any
onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite and offsite. The determination whether a
significant nexus exists is determined in Section III.C below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: Pick List
Drainage area: Pick List
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
? Tributary flows directly into TNW.
? Tributary flows through Pick List tributaries before entering TNW.
Project waters are Pick List river miles from TNW.
Project waters are Pick List river miles from RPW.
Project waters are Pick List aerial (straight) miles from TNW.
Project waters are Pick List aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNW5:
Tributary stream order, if known:
(b) General Tributary Characteristics (check all thatUply):
4 Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and West.
5 Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.
Tributary is: ? Natural
? Artificial (man-made). Explain:
? Manipulated (man-altered). Explain:
Tributary properties with respect to top of bank (estimate):
Average width: feet
Average depth: feet
Average side slopes: Pick List.
Primary tributary substrate composition (check all that apply):
? Silts ? Sands ? Concrete
? Cobbles ? Gravel ? Muck
? Bedrock ? Vegetation. Type/% cover:
? Other. Explain:
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence of run/riffle/pool complexes. Explain:
Tributary geometry: Pick List
Tributary gradient (approximate average slope): %
(c) Flow:
Tributary provides for: Pick List
Estimate average number of flow events in review area/year: Pick List
Describe flow regime:
Other information on duration and volume:
Surface flow is: Pick List. Characteristics:
Subsurface flow: Pick List. Explain findings:
? Dye (or other) test performed:
Tributary has (check all that apply):
? Bed and banks
? OHWM6 (check all indicators that apply):
? clear, natural line impressed on the bank ?
? changes in the character of soil ?
? shelving ?
? vegetation matted down, bent, or absent ?
? leaf litter disturbed or washed away ?
? sediment deposition ?
? water staining ?
? other (list):
? Discontinuous OHWM.' Explain:
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
? High Tide Line indicated by: ?' Mean High Water Mark indicated by:
? oil or scum line along shore objects ? survey to available datum;
? fine shell or debris deposits (foreshore) ? physical markings;
? physical markings/characteristics ? vegetation lines/changes in vegetation types.
? tidal gauges
? other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.). Explain:
Identify specific pollutants, if known:
(iv) Biological Characteristics. Channel supports (check all that apply):
? Riparian corridor. Characteristics (type, average width):
6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where the
OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow regime (e.g., flow
over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
7 Ibid.
? Wetland fringe. Characteristics:
? Habitat for:
? Federally Listed species. Explain findings:
? Fish/spawn areas. Explain findings:
? Other environmentally-sensitive species. Explain findings:
? Aquatic/wildlife diversity. Explain findings:
2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. Explain:
Wetland quality. Explain:
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non-TNW:
Flow is: Pick List. Explain:
Surface flow is: Pick List
Characteristics:
Subsurface flow: Pick List. Explain findings:
? Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non-TNW:
? Directly abutting
? Not directly abutting
? Discrete wetland hydrologic connection. Explain:
? Ecological connection. Explain:
? Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are Pick List river miles from TNW.
Project waters are Pick List aerial (straight) miles from TNW.
Flow is from: Pick List.
Estimate approximate location of wetland as within the Pick List floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed characteristics;
etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
? Riparian buffer. Characteristics (type, average width):
? Vegetation type/percent cover. Explain:
? Habitat for:
? Federally Listed species. Explain findings:
? Fish/spawn areas. Explain findings:
? Other environmentally-sensitive species. Explain findings:
? Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary
(if any
All wetland(s) being considered in the cumulative analysis: Pick List
Approximately ( ) acres in total are being considered in the cumulative analysis.
For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed by any
wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity of a TNW.
For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent wetlands, has more
than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW. Considerations when
evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow of water in the tributary and
its proximity to a TNW, and the functions performed by the tributary and all its adjacent wetlands. It is not appropriate to determine
significant nexus based solely on any specific threshold of distance (e.g. between a tributary and its adjacent wetland or between a
tributary and the TNW). Similarly, the fact an adjacent wetland lies within or outside of a floodplain is not solely determinative of
significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and discussed in
the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to TNWs, or to
reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and other
species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or biological
integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented below:
1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain findings.
of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into TNWs.
Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands,
then go to Section III.D:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of presence or
absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to Section III.D:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL THAT
APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
? TNWs: linear feet width (ft), Or, 20,000+acres.
?' Wetlands adjacent to TNWs: 50,000+acres.
2. RPWs that flow directly or indirectly into TNWs.
?' Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that tributary
is perennial:
?' Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are jurisdictional.
Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows seasonally:
Provide estimates for jurisdictional waters in the review area (check all that apply):
? Tributary waters: linear feet width (ft).
Other non-wetland waters: acres.
Identify type(s) of waters:
3. Non-RPWs8 that flow directly or indirectly into TNWs.
?' Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a TNW is
jurisdictional. Data supporting this conclusion is provided at Section III.C.
8See Footnote # 3.
Provide. estimates for jurisdictional waters within the review area (check all that apply):
? Tributary waters: linear feet width (ft).
? Other non-wetland waters: acres.
Identify type(s) of waters:
4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
? Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
? Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW:
Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section 111.13 and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly abutting an
RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
? Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent and with
similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this conclusion is
provided at Section III.C.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
6. Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and with
similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this conclusion is
provided at Section III.C.
Provide estimates for jurisdictional wetlands in the review area: acres.
7. Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
? Demonstrate that impoundment was created from "waters of the U.S.," or
?' Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE, DEGRADATION
OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY SUCH WATERS (CHECK
ALL THAT APPLY):lo
? which are or could be used by interstate or foreign travelers for recreational or other purposes.
? from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
which are or could be used for industrial purposes by industries in interstate commerce.
? Interstate isolated waters. Explain:
Other factors. Explain:
Identify water body and summarize rationale supporting determination:
Provide estimates for jurisdictional waters in the review area (check all that apply):
? Tributary waters: linear feet width (ft).
? Other non-wetland waters: acres.
Identify type(s) of waters:
? Wetlands: acres.
F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
9 To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for review
consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.
Q If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers Wetland
Delineation Manual and/or appropriate Regional Supplements.
Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
? Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
? Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
Q Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR factors (i.e.,
presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional judgment (check all
that apply):
? Non-wetland waters (i.e., rivers, streams): linear feet width (ft).
? Lakes/ponds: acres.
? Other non-wetland waters: acres. List type of aquatic resource:
? Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such a
finding is required for jurisdiction (check all that apply):
? Non-wetland waters (i.e., rivers, streams): linear feet, width (ft).
? Lakes/ponds: acres.
? Other non-wetland waters: acres. List type of aquatic resource:
? Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked and
requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:The Wooten Co.
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
® Office concurs with data sheets/delineation report.
? Office does not concur with data sheets/delineation report.
Data sheets prepared by the Corps:
? Corps navigable waters' study:
0 U.S. Geological Survey Hydrologic Atlas:
? USGS NHD data.
® USGS 8 and 12 digit HUC maps.
0 U.S. Geological Survey map(s). Cite scale & quad name:Columbia West and East.
® USDA Natural Resources Conservation Service Soil Survey. Citation: Tyrrell County.
? National wetlands inventory map(s). Cite name:
? State/Local wetland inventory map(s):
? FEMA/FIRM maps:
100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
? Photographs: ? Aerial (Name & Date):
or ? Other (Name & Date):
? Previous determination(s). File no. and date of response letter:
Applicable/supporting case law:
Q Applicable/supporting scientific literature:
? Other information (please specify):
B. ADDITIONAL COMMENTS TO SUPPORT JD:
Ni_i1I1'1C_?11C?> C?I -%1INIS IP--DTI\'E :APPEAL OPTIONS AN-D PROCESS AXD
I I- LS"I 1 OI: 2 \ I ' P I AI
Applicant: Tyrrell County, C/O W. Mack File Number: SAW-2008- Date: 08/28/2008
Carawan Jr. 02281
Attached is:NW 12 See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of
permission) A
PROFFERED PERMIT (Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I - Tlie following identifies your rights and options regarding an administrative appeal of the above
decision. Additional infonnation may be found at http://wNvw,usace.amiy.mil/inet/functions/c'Af/cecwo/reg or
Coils regulations at 33 CFR Part 331
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the I
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form'
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer
within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the district engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved
JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new
information for further consideration by the Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional information to clarify
the location of information that is already in the administrative record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision If you only have questions regarding the appeal process you
and/or the appeal process you may contact: may also contact:
'JS Army Corps of Engineers Mr. Mike Bell, Administrative Appeal Review Officer
Attn: Tom Steffens CESAD-ET-CO-R
Post Office Box 1000 U.S. Army Corps of Engineers, South Atlantic Division
Washington, NC 27889 % 60 Forsyth Street, Room 9M15
252-975-1616 ext. 25 Atlanta, Georgia 30303-8801
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any
government consultants, to conduct investigations of the project site during the course of the appeal process. You
will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site
investigations.
Date: Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits and approved Jurisdictional Determinations send this form to:
District Engineer, Wilmington Regulatory Division, Attn:Tom Steffens, Project Manager, Washington
Regulatory Field Office, Post Office Box 1000 , Washington, North Carolina 27889
For Permit denials and Proffered Permits send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Mike Bell,
Administrative Appeal Officer, CESAD-ET-CO-R, 60 Forsyth Street, Room 9M15, Atlanta, Georgia
30303-8801
?8- x'188
?a
d?
JUN 2 2011
PRE-CONSTRUCTION NOTIFICATION
SUBMITTAL
FOR
TYRRELL COUNTY WATER AND SEWER DISTRICTS 1 & 2
PRESSURE SEWER SYSTEM
2876-B
APRIL 2008
REVISED - MAY 2011
IML-W
rIff
THE WOOTEN COMPANY
E NC I N F ERIN P L A N N I N G A H C H I F E C T U RC
120 North Boylan Avenue Haugh NC 27603-1423
919.828.0531 fax [phone]

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TABLE OF CONTENTS
Title Pages
Pre-Construction Notification Application ........................................................................ 5-14
APPENDICES
Appendix A - Vicinity Maps & Site Plans ........................................................................ 1-38
Appendix B - Site Coordinates .......................................................................................... 1-1
Appendix C - Soils Maps & USGS Maps of Project Area ................................................1-8

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Office Use Only: Form Version March 05
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 ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW 12
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/Applicant Information
' Name: W. Mack Carawan. Jr.
Mailing Address: P.O. Box 449
' Columbia. NC 27925
' Telephone Number: 252-796-1371 Fax Number: 252-796-1188
E-mail Address: wmcarawan(a-)tyrrellcounty.net
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: W. Brian Johnson, P.E.
Company Affiliation: The Wooten Company
Mailing Address: 120 N. Boylan Avenue, Raleigh NC 27603
Telephone Number: 919-828-0531 Fax Number: 919-834-3589
E-mail Address: biohnson(a,thewootencompany.com

Page 5 of 14

1 II
I. Project Information
' Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
' boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
' include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
' USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
' reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Tyrrell County Water and Sewer District 1 & 2 - Pressure Sewer System
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): N/A (Linear project in NCDOT R/W and Tyrrell
County Sewer Easement)
4. Location
County: Tyrrell/Washington Nearest Town: Creswell
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From the intersection of
Old NC Hwy 94 and Alligood Road (SR 1200) extending; northeast to the intersection of US
' Hwy 64 and Old Columbia R'bad (SR 1110)
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
' separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum):
WI: 35° 51'54" ON 76° 23' 18" °W
W2: 35°55' 38" ON 76° 21' 35" °W
W3: 35°55' 39" ON 76° 19' 44" °W
W4: 35° 55' 42" ON 76° 19' 9" °W

6. Property size (acres): 47 acres
7. Name of nearest receiving body of water: Scuppernong River/Bulls Bay
8. River Basin: Pasauotank
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)

Page 6 of 14

9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Existinz Residential and Commercial establishments
' 10. Describe the overall project in detail, including the type of equipment to be used: The
project will involve the installation of a new water and sewer system. Equipment used will
include track hoes, and rubber tire back hoes.
11. Explain the purpose of the proposed work: To replace failing septic systems with a sewer
system to meet the needs of Tyrrell County.
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.
None
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
None
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.
Page 7 of 14
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1. Provide a written description of the proposed impacts: Wetlands will be impacted by
construction as outlined below.
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,
se aratel list impacts due to both structure and floodin .
Located within Distance
Wetland Impact Type of Wetland 100-year to Nearest Area of
Site Number Type of Impact (e.g., forested, marsh,
F Stream Impact (acres)
(indicate on map) herbaceous, bog, etc.) (yes/no) )
(yes/n (linear
feet
W1 Temporary Forested Yes adjacent 0.0069
Permanent None
W2 * Temporary Forested Yes adjacent None
Permanent None
W3 * Temporary Forested Yes adjacent None
Permanent None
W4* Temporary Forested Yes adjacent None
Permanent None

Total Wetland Impact (acres) Temp: 0.0069
Perm: O
*These wetlands will be Directionally Drilled.
3. List the total acreage (estimated) of all existing wetlands on the property: Linear
Corridor - Total wetland acreage (within construction corridor)quals total disturbed.

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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 divide by 43,560.

Stream Impact
Number
(indicate on map)

Stream Name

Type of Impact

Perennial or
Intermittent? Average
Stream
Width
Before
Impact
Impact
Length
(linear feet)
Area of
Impact
(acres)
1-3 UT of Scuppernong River Utility crossing Perennial 2 30 0.0014
2-4 UT of Scuppernong River Utility crossing Perennial 2 30 0.0014
3-5 UT of Scuppernong River Utility crossing Perennial 2 20 0.0009
4-6 UT of Scuppernong River Utility crossing Perennial 8 30 0.0055
5-8 UT of Scuppernong River Utility crossing Perennial 3 20 0.0014
6-10 UT of Scuppernong River Utility crossing Perennial 2 10 0.0005
7-13 UT of Scuppernong River Utility crossing Perennial 10 10 0.0023
8-14 UT of Scuppernong River Utility crossing Perennial 20 10 0.0046
9-16 UT of Scuppernong River Utility crossing Perennial 3 15 0.0010
Page 8 of 14

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10-19 UT of Scuppernong River Utility crossing Perennial 8 10 0.0018
11-20 UT of Scuppernong River Utility crossing Perennial 2 15 0.0007
12-22 UT of Scuppernong River Utility crossing Perennial 8 10 0.0018
13-23 UT of Bunton Creek Utility crossing Perennial 12 10 0.0028
14-24 UT of Bunton Creek Utility crossing Perennial 12 10 0.0028
15-25 UT of Bunton Creek Utility crossing Perennial 4 15 0.0014
16-27 UT of Bunton Creek Utility crossing Perennial 3 10 0.0007
17-28 UT of Scuppernong River Utility crossing Perennial 3 15 0.0010
18-30 UT of Scuppernong River Utility crossing Perennial 8 10 0.0018
19-31 UT of Scuppernong River Utility crossing Perennial 6 60 0.0083
20-32 UT of Scuppernong River Utility crossing Perennial 5 25 0.0029
21-33 UT of Scuppernong River Utility crossing Perennial 7 25 0.0040
22-34 UT of Scuppernong River Utility crossing Perennial 3 50 0.0034
23-36 UT of Scuppernong River Utility crossing Perennial 3 30 0.0021
24-37 UT of Scuppernong River Utility crossing Perennial 10 10 0.0023
25-40 UT of Scuppernong River Utility crossing Perennial 3 10 0.0007
26-1 * UT of Scuppernong River Utility crossing Perennial 4 0 0
27-7* UT of Scuppernong River Utility crossing Perennial 25 0 0
28-9* UT of Scuppernong River Utility crossing Perennial 30 0 0
29-18* UT of Scuppernong River Utility crossing Perennial 30 0 0
30-46* UT of Scuppernong River Utility crossing Perennial 5 0 0
31-47* UT of Bunton Creek Utility crossing Perennial 20 0 0
32-48* UT of Bunton Creek Utility crossing Perennial 25 0 0
33** UT Scuppernong River Utility crossing Perennial 20 10 0.0046
Total Stream Impact (by length and acreage) 500 0.0621
*These streams will be Directionally Drilled.
**Stream missed in original submittal - resubmitted May 2011
5. Individually list all open water impacts (including lakes, ponds, estuaries, 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.

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Open Water Impact
Site Number
indicate on ma
(? Name of Waterbody

(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,

ocean, etc.) Area of
Impact

(acres)
None

Total Open Water Impact (acres)
Page 9 of 14

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6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0621
Wetland Impact (acres): Temp. 0.0069 and Perm. None 0.0069
Open Water Impact (acres): None
Total Impact to Waters of the U.S. (acres) None
Total Stream Impact (linear feet): 500
* * There are no permanent impacts other than the conversion of forested
wetlands to herbaceous wetlands within the 10' maintenance corridor centered
over the pipe alignment. No fill will be placed within jurisdictional wetlands.
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (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.
N/A
' 8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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.
The sewer force main has been located 5 feet from the edge ofpavement to minimize impact.
Larne wetlands, as well as streams that are larger than 12 feet, will be directionally drilled. The
sewer force main has been located to minimize the disturbance to wetlands and where possible,
the sewer was routed around the wetlands.

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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 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
http://h2o.enr.state.nc.us/ncwetlands/stnngide.html.
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/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.
Mitizatinz throuzh avoidance and minimization.
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
[phone] 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
wbsite at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Page 11 of 14
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1
1 X.
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1
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/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 [phone] to review current thresholds for environmental documentation.
Yes ® No ?
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
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
(Neuse), 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
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 mitigation by applying the
buffer multipliers.
Zone Impact Multiplier Required
(square feet Mitigation
N/A
3. 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. N/A
Page 12 of 14
1
1
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. N/A (linear project)
1
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.
Wastewater collected by this project will enter the existing Town of Creswell sewer system and
be treated at the Town of Creswell Wastewater Plant.
XIII. 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 ? No
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 ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
' the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
The nroiect area is an existing rural communitv with failing septic svstems and the svstem is
being installed to get service to these homes.
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).
N/A
1
1
1
Page 13 of 14

1
3 -?o o f-
' Applicant/Agent's Signature ate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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Page 14 of 14

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Appendix A
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Appendix B
Site Coordinates
7

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Stream Coordinates
County Stream # Stream Name Latitude Longitude
Washington Co. 1-3 UT of Scuppernong River N 35° 52.830' W 76° 22.574'
Washington Co. 2-4 UT of Scuppernong River N 35° 53.000' W 76° 22.192'
Tyrrell Co. 3-5 UT of Scuppernong River N 35° 53.273' W 76° 21.624'
Tyrrell Co. 4-6 UT of Scuppernong River N 35° 53.444' W 76° 21.303'
Tyrrell Co. 5-8 UT of Scuppernong River N 35° 53.428' W 76° 20.604'
Tyrrell Co. 6-10 UT of Scuppernong River N 35° 53.855' W 76° 19.638'
Tyrrell Co. 7-13 UT of Scuppernong River N 35° 54.411' W 76° 17.630'
Tyrrell Co. 8-14 UT of Scuppernong River N 35° 54.173' W 76° 17.349'
Tyrrell Co. 9-16 UT of Scuppernong River N 35° 54.182' W 76° 16.976'
Tyrrell Co. 10-19 UT of Scuppernong River N 35° 55.982' W 76° 19.787'
Tyrrell Co. 11-20 UT of Scuppernong River N 35° 55.006' W 76° 20.084'
Tyrrell Co. 12-22 UT of Scuppernong River N 35° 55.894' W 76° 21.086'
Tyrrell Co. 13-23 UT of Bunton Creek N 35° 55.760' W 76° 21.656'
Tyrrell Co. 14-24 UT of Bunton Creek N 35° 55.138' W 76° 21.712'
Tyrrell Co. 15-25 UT of Bunton Creek N 35° 55.050' W 76° 21.959'
Tyrrell Co. 16-27 UT of Bunton Creek N 35° 54.528' W 76° 22.385'
Tyrrell Co. 17-28 UT of Scuppernong River N 35° 52.543' W 76° 21.592'
Tyrrell Co. 18-30 UT of Scuppernong River N 35° 53.933' W 76° 19.859'
Washington Co. 19-31 UT of Scuppernong River N 35° 52.655' W 76° 24.365'
Tyrrell Co. 20-32 UT of Scuppernong River N 35° 54.001' W 76° 20.260'
Tyrrell Co. 21-33 UT of Scuppernong River N 35° 54.131' W 76° 19.861'
Tyrrell Co. 22-34 UT of Scuppernong River N 35° 54.433' W 76° 19.409'
Tyrrell Co. 23-36 UT of Scuppernong River N 35° 54.405' W 76° 18.506'
Tyrrell Co. 24-37 UT of Scuppernong River N 35° 56.284' W 76° 20.622'
Tyrrell Co. 25-40 UT of Scuppernong River N 35° 52.641' W 76° 21.484'
Washington Co. 26-1* UT of Scuppernong River N 35° 52.234' W 76° 22.722'
Tyrrell Co. 27-7* UT of Scuppernong River N 35° 53.155' W 76° 20.746'
Tyrrell Co. 28-9* UT of Scuppernong River N 35° 56.859' W 76° 19.861'
Tyrrell Co. 29-18* UT of Scuppernong River N 35° 55.554' W 76° 19.555'
Tyrrell Co. 30-46* UT of Scuppernong River N 35° 55.663' W 76° 19.746'
Tyrrell Co. 31-47* UT of Bunton Creek N 35° 55.644' W 76° 21.603'
Washington Co. 32-48* UT of Bunton Creek N 35654.125' W 76 22.722'
Streams to be directional! drilled

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Appendix C
SOILS MAPS & USGS MAPS OF
PROJECT AREA

H
1
LEGEND
2" FORCE MAIN
3/i FORCE MAIN s-
4" FORCE MAIN f`
6" FORCE MAIN 0 5- i ..(a;
8" FORCE MAIN
7
6" WATER LINE f -" tre m'27,at • 16-2
l'-s(trea m'Tp)at' --STREAM IMPACTS
•• STREAMS TO BE DIRECTIONALLY DRILLED 'is_'+.:,.. • / `'-` ;•
..?? COUNTY LINE. r (Stye m °`T 'q s--
? ? t
I i.1 'X
/f _ r':,- S J I; t3 P P E? N Q, N f Y? dr ?'.,
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?i (Stteam,.4
)
u
r. / J y
if
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K\ (Stream 3
'\\ • 6M 1i?
\\ ic,
' • '? tream ImpDpct • 19-31
..? (Stream 3? )Pct
'J•
a if
,adz`
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High Ge- Ch
y Y'J "
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=a`
i LEGEND
j 2" FORCE MAIN
3" FORCE MAIN
4" FORCE MAIN ?I
- 6 FORCE MAIN
8" FORCE MAIN
6" WATER LINE rStream
Imp)act • STREAM IMPACTS - ?
rt?\ •• STREAMS TO BE DIRECTIONALLY DRILLED 1
°2`...¦? COUNTY LINE
o? I
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Mi
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... • FQtSl........ .?, -S eam ImQQact 24-37 Al,
( $am 37) - .
- -
3trearq'd ct • 10-19
(Strea
rr:,l
Strea Impact • 11-20 ?' r / ?`=- - +•-I-- -
(Stream 20) '•' °6- f
JCS aaqq?? mp
(Sttre% Imp)ct • 12-2
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IV a
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3
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47 act • 29-18
??eam kn • 14-24 Y l ) r? 11? (9tre 1B)=•
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ll sr? Stream Im act • 1545 % ° ?•. [ , ?
?• t (Stream 2) . r
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icaaase?ersvs ayn a:, zone en as nM -

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LEGEND
2" FORCE MAIN
3" FORCE MAIN
-?-- 4" FORCE MAIN
-- - 6" FORCE MAIN
! 8" FORCE MAIN
M 6" WATER LINE
-?-- ---- / (Streeam Imp)a' --STREAM IMPACTS
•• STREAMS TO BE DIRECTIONALLY DRILLED
•?,11tfi ?¦ COUNTY LINE
ti
p J
p ?????: l' Str am'•' pact 22-34
?•t"??cSt am ?4).
Stream IfZAg,a • 21-33
e is Garden
Stream Illm act * 0-.3 2 •'j
BM (E
(llll I//
13 pact • 18-30--?
00 Stream Im ae
(Stream ,8> "
act • 28-9 - SR?&
e?au
t 5 _
.i : /I - t 9 \ 1\ • t C}?Ab L HILCROAO SIN
Ro?D
SRI,
00 r, L-_
S am Impact • 4-6? -.t---
(S eam 6) -- 1 .,w, - -
? t-
1 1 Stream Impact • 5- „-
?- (Stream 8) `?•? - -'- Stream 5f act CStream pact • 3
f
--
Stream.. I oct • 277
6a (Stream" ?'?.... .??- - - / - --. -.-
't - _ ?---`f ?__?j1 •_.,• Ste' -f-._ - - _-.?r-.? ?. ? 'l -i-
c:ao.x?Ahn nog a?izrzaoa a lo,• <u
!.? - ?? yam`s
iy Stre m Im qet • 25-40 _ -rc- y _ d
Fenm Imp ac -
2 t!
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oily
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-?- _ ? Cross

LEGEND Neer?k"l w
2" FORCE MAIN
pn?nil 3" FORCE MAIN
?-4-
4" FORCE MAIN
?-- 6" FORCE MAIN -- ==
--- 8" FORCE MAIN !<«--
t
6" WATER LINE
u xJ
r.
treom Imp>••
?(Stre -
act • --STREAM IMPACTS - ?,''
•• STREAMS TO BE DIRECTIONALLY DRILLED ` - fl . ?_ \, IIfI l??'
' - COUNTY LINE pfrinB
,fis,
Bak AS
Landing
10
Hand 4 - W4=• pi
?-
/?
41
its.: a?- ?_ ` ? ?--? - -
(S m 136)dt - (Stre°fiJ1?3) c!?-?
64
'(" Stream !mbpact • 9 16
g ?- --S"1
(Stream t) (11LU) , F r l -
• `f? _ - vS - Stream Impo,gc,,• 6-14
Tower / (Stream 14)X
c --
i--?.
,,{{ • (1113} ;F6/= F1 I `,..? i « • r-L•".fEl" SR 7770 ?O • -
dk-
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LEGEND
All.
2"
FORCE
MAIN
s 3" FORCE MAIN
`r 4" FORCE MAIN
6" FORCE MAIN
Y 8" FORCE MAIN
6" WATER LINE

' COUNTY LINE