HomeMy WebLinkAbout20110260 Ver 1_Approval Letter_20111010 �����
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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H Sullins Dee Freeman
Governor Director Secretary
November 10 2011
University of North Carolma at Chapel Hill
300 South Building
Chapel Hill NC 27599
Re Carolina North Orange County
DWQ#20110260 USACE Act�on ID No SAW 2010 10840
Crow Branch Creek [030606 16 41 I 15 2 2 B NSW]
APPROVAL of 401 Water Qual�ty Certificahon wtth Add�honal Condihons R�VIS�YD
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Dear S�r or Madam
Attached hereto is a copy of Certificat�on No 3870 issued to the Un�vers�ty of North Carolma at Chapel
Hill dated November 10 2011 This letter shall also act as your approved Authonzat�on Cert�ficate for
impacts to the protected r�par�an buffers per 15A NCAC 2B 0267 'i'h�s Cert�fication Approval and
Buffer Author�zat�on reptace the Cerhficahon Approval and Buffer Author�zat�on�ssued October
27,2011 In addrtion you should get any other federal state or local permits before you go ahead with
your proJect mcludmg(but not limited to)Solid Waste Sediment and Erosion Control Stormwater Dam
Safety Non discharge and Water Supply Watershed regulations
If we can be of further assistance do not hesitate to contact us
Smc ely
�
� Coleen H Sullms
CHS/kah/ym
Attachments Cert�ficate of Completion
NCDWQ 401 WQC Summary of Permanent Impacts and Mit�gation Requirements
cc Becky Fox EPA 1307 F�refly Road Whittier NC 28789
Andy Williams USACE Raleigh Regulatory Field Office
Lauren Witherspoon DWQ Raleigh Regional Office
DLR Rale�gh Regional Office
F�le Copy
Ren ivins Orange County Plannmg 200 South Cameron Street P O Box 8181 Hillsborough NC 27278
Sue Burke PE CFM Town of Chapel H�ll 208 N Columb�a Street Chapel Hill NC 27514
Kevm Nunnery Biohabrtats Inc 8218 Creedmoor Road Suite 200 Rale�gh NC 27613
Fdename 110260Carolmallorth(Orange)40l_JBR_IC_Rev�sed
NleUands Buffers Stonrnvaler Compliancz anri Permitt�ng Unit(WeBSCaPe�
1650 Mail Service Center Raleigh Noiih Carolina 27699 1650
Phone 919 807 63001 FAX 919 807 6494
Internet htfp//portal ncdenr org�efebl�vqlU
An Equal Opportunity 1 Atbrmalive Arfion Employei
The Univers�ry of North Carolma at Chapel Hill
Page 2 of 8
November 10 2011
NORTH CAROLINA 401 WATER QUALITY CERTIFICATION
THIS CERTIFICATION is issued m conformrty with the requirements of Section 401 Public Laws 92
500 and 95 217 of the United States and sub�ect to the North Carol�na D�vision of Water Qualrty(DWQ)
Regulations in 15 NCAC 2H Section 0500 and approved authorizat�on for�mpacts to the protected ripar�an
buffers per 15A NCAC 2B 0267 to theUmversity of North Cazolma at Chapel H�II who have perm�ssion
to fill or otherw�se �mpact 2 412 acres of 404/Wetland and 622 Imear feet of stream(378 linear feet of
permanent impact to stream 701inear feet temporary impact to stream and 174 of permanent impact to
ephemeral stream and 23 605 square feet of Zone 1 Jordan Lake protected r�parian buffers and 14 637
square feet of Zone 2 Jordan Lake basm protected npazian buffers to construct the proposed Carolma North
pro�ect(an expans�on of the Un�versity of North Carolma at Chapel Hill campus) which �s located wrthin
the northwest and southwest quadrants of the mtersection of Martm Luther Kmg Jr Boulevard and Estes
Dr�ve m the Towns of Chapel Hill and Canboro Orange County North Carolma pursuant to an
application dated March 18 2011 and received by the DWQ on March 22 2011 and by Public Notice
tssued by the USACE on Apr�18 2011 and received by the DWQ on Aprt18 2011 and by additional
mformation recerved on June 6 2011 June 29 2011 July 1 2011 and September 21 2011
The application and supporting documentation provides adequate assurance that the proposed work w�l(
not result m a violation of applicable Water Qualrty Standards and discharge guidelmes Therefore the
State of North Carolma certifies that this activrty will not violate the applicable portions of Sect�ons 301
302 303 306 307 of PL 92 500 and PL 95 217 if conducted m accordance with the application the
supporting documentation and conditions heremafter set forth
This approval �s for the purpose and design subm�tted m the application materials and as descnbed m the
Public Notice If the proJect is changed pr�or to not�fication a new applicat�on for a new Certificat�on is
requ�red if the property is sold the new owner must be given a copy of the Cert�ficat�on and approval
letter and is thereby responsible for complymg w�th all condrtions of this Certification Any new owner
must notify the Div�sion and request the Cert�fication be issued m their name Should wetland or stream
fill be requested in the future addit�onal compensatory mrtigation may be required as descnbed m 15A
NCAC 2H 0506(h)(6)and(7) If any plan revisions from the approved site plan result m a change m
stream or wetland impact or an mcrease m impervious surfaces the DWQ shall be not�fied m wntmg and
a new application for 401 Certification may be required For this approval to be val�d compliance wrth
the conditions listed below is required
Cond�hons of Cerhficahon `
1 Impacts Approved
The followmg impacts are hereby approved as long as all of the other spec�fic and general
conditions of this Certificat�on(or Isolated Wetland Permrt)are met No other impacts to
wetlands streams and/or buffers are approved �ncludmg mcidental �mpacts
T e of Wetland Amount A roved n�ts Plan Locat�on or Reference
Phase#1
404/Wetlands—n anan 0 005(acres) A lication
Stream 41 [(lmear feet)31 lmeaz feet Application
permanent impact and 10 lmear feet ,
tem o un act]
Buffers Zone I 0 00(s uare feet) A lication
Buffers Zone II 0 00(s uare feet) A I�cation
Phase#2
404/Wetlands—ri ar�an 2 407(acres) A l�cation
The Univers�ty of North Carolma at Chapel Hill
Page 3 of 8
November 10 2011
Stream 581 [(lmear feet)3741mear feet Appltcation
permanent stream impact 60 lu►ear
feet temporary stream impact and 174
lmear permanent ephemeral stream
im act]
Buffers Zone I 23 605(s uare feet) A lication
Buffers Zone II 14 637(s uare feet) A hcahon �
Sediment and Erosion Control
2 Eros�on and sediment control practices must be m full compltance with all specifications
governmg the proper design mstallatton and operat�on and mamtenance of such Best
Management Practices in order to protect surface waters standards
a The erosion and sediment control measures for the pro�ect must be designed �nstalled
operated and mamtamed m accordance wrth the most recent version of the North Carolrna
Sedrment and Erosion Control Plannrng and Desrgn Manual
b The design mstallat�on operation and mamtenance of the sediment and erosion control
measures must be such that they equal or exceed the requirements specified m the most
recent version of the North Carolina Sediment and Erosion Control Manual The devices
shall be maintamed on all construction s�tes borrow sites and waste pile(spoil)pro�ects
mcludmg contractor owned or leased borrow prts associated with the pro�ect
c Sufficient materials requ�red for stabilizat�on and/or repair of erosion control measures and
stormwater routmg and treatment shall be on site at all times
3 No waste spoil solids or fill of any kmd shall occur u►wetlands waters or r�parian areas beyond
the footpnnt of the impacts depicted m the 404/401 Pertnrt Application All construction activities
mcludmg the design mstallation operation and mamtenance of sediment and erosion control Best
Management Practices shall be performed so that no v�olations of state water qualrty standards
statutes or rules occur
4 Sediment and erosion control measures shall not be placed m wetlands or waters without prior
approval from the Division If placement of sediment and erosion control devices m wetlands and
waters �s unavoidable design and placement of temporary erosion control measures shall not be
conducted m a manner that may result in dis equ�librium of wetlands or stream beds or banks
ad�acent to or upstream and down stream of the above structures All sediment and erosion control
devices shall be removed and the natural grade restored wrthin two(2)months of the date that the
Div�s�on of Land Resources or locally delegated progam has released the pro�ect
5 Protective Fencmg The outside buffer wetland or water boundary and along the construction
corridor wrthm these boundaries approved under this authorization shall be clearly marked with
orange warning fencing(or similar high v�sibil�ty material)for the areas that have been approved to
mfrmge w�thm the buffer wetland or water prior to any land disturbmg act�vrties
Contmum�Compliance
6 The University of North Carolma at Chapel Hill shall conduct construction activities m a manner
consistent with State water qualrty standards(mcluding any requtrements resultmg from
compliance w�th sect�on 303(d)of the Clean Water Act}and any other appropriate requirements of
State law and federal law If the Div�s�on determmes that such standards or laws are not being met
(mcludmg the fa�lure to sustam a des�gnated or achieved use)or that State or federal law�s be�ng
v�olated or that further condrtions are necessary to assure compliance the Div�sion may reevaluate
The Un�verstty of North Carolma at Chapel Hill
Page 4 of 8
November 10 2011
and mod�fy this Cert�ficat�on to mclude condit�ons appropr�ate to assure compl�ance with such
standards and requirements m accordance w�th 15A NCAC 2H 0507(d) Before modifymg the
Certificat�on the Div�s�on shall notify the Umversity of North Carol�na at Chapel Hill and the US
Army Corps of Eng�neers provide publ�c not�ce m accordance w�th 15A NCAC 2H 0503 and
provide opportunity for publ�c hearing in accordance with I SA NCAC 2H 0504 Any new or
rev�sed condrtions shali be provided to the Un�vers�ty of North Carolma at Chapei Hill m wrrtmg
shall be provided to the Un�ted States Army Corps of Engmeers for reference m any Permit issued
pursuant to Sect�on 404 of the Clean Water Act and shall also become conditions of the 404
Permit for the pro�ect
Mrti ahon
7 Compensatory Mitigation Usmg the Ecosystem Enhancement Program(EEP)
M�t�gat�on must be provided for the proposed impacts as spec�fied m the table below We
understand that you w�sh to make a payment to the Wetlands Restoration Fund administered by
the NC Ecosystem Enhancement Program(EEP)to meet this mitigat�on requtrement This has
been determmed by the DWQ to be a su�table method to meet the mitigation requ�rement Until
the EEP rece�ves and clears your check(made payable to DENR—Ecosystem Enhancement
Program Office) no �mpacts spec�fied m this Authorizat�on Cert�ficate shall occur The EEP
should be contacted at(919) 716 1921 if you have any questtons concernmg payment mto a
restoration fund The m�hgat�on wdl be phased as shown in the table below
T e of Wetland Com ensato M�t� at�on Re uired River and Sub basm Number
Phase#1
404/Wetlands—n arian 0 005(acres) Ca e Fear/03030002
Stream( erenn�al) 31 (lmear feet) Ca e Fear/03030002
Buffers Zone I 0 00(s uare feet) Ca e Fear/03030002
Buffers Zone II 0 00(s uaze feet) Ca e Fear/03030002
Phase#2
404/Wetlands—n anan 2 407(acres) Ca e Fear/03030002
Stream( erenmal) 347(lmear feet) Ca e Fear/03030002
Buffers Zone I 70 815(s uare feet) Ca e Fear/03030002
Buffers Zone II 21 956(s uare feet) Ca e Feaz/03030002
8 Construchon Stormwater Permrt NCGO 10000
Upon the approval of an Eros�on and Sedimentation Control Plan issued by the D�vis�on of Land
Resources(DLR)or a DLR delegated local erosion and sed�mentation control program an
NPDES General stormwater permrt(NCGO10000)admmistered by DWQ is automatically issued
to the pro�ect This General Permrt allows stormwater to be discharged durmg land disturbing
construction activities as stipulated by condrtions m the perm�t If your pro�ect is covered by this
perm�t [app(icable to construct�on pro�ects that d�sturb one(1)or more acres] full compliance
with permit cond�tions mcluding the sedimentation control plan self monitormg record keepmg
and reportmg requ�rements are requtred A copy of this permit and monitormg report forms may
be found at htt�//portal ncdenr org/c/document l�brar,�/,�et file�uuid=dl Se7ee8 cb50 443f
9dcf 049b001337ac&groupld=38364 �
The Umversity of North Carolma at Chapel Htll
Page 5 of 8
November 10 2011
9 Culvert Installation
All work m or ad�acent to stream waters shall be conducted m a dry work area Approved BMP
measures from the most current version of NCDOT Construction and Mamtenance Act�v�t�es manual
(http//www ncdot or doh/operat�onsBMP manuaUdownload/BMP Manual pd�
such as sandbags rock berms cofferdams and other diversion structures shall be used to prevent
excavation m flowmg water �
Culverts required for this pro�ect shall be mstalled in such a manner that the original stream profiles
are not altered Existmg stream dimensions(mcludmg the cross section dimensions pattern and
longitudmal profile)must be mamtamed above and below locat�ons of each culvert Culverts shall
be designed and mstalled to allow for aquatic life movement as well as to prevent head cutting of
the streams If any of the existmg ptpes are or become perched the appropriate stream grade shall
be re established or if the pipes installed �n a perched manner the pipes shall be removed and re
mstalled correctly
Culvert(s)shall not be msta.11ed m such a manner that will cause aggadation or eros�on of the
stream up or down stream of the culvert(s) Existmg stream dimensions(mcludmg the cross sectton
dimensions pattern and longitudmal profile)shall be maintamed above and below locations of each
culvert
Placement of any new culverts as opposed to extensions of existing culverts and other structures m '
waters streams and wetlands must be placed below the elevation of the streambed by one foot for
all culverts with a diameter greater than 48 mches and 20 percent of the culvert diameter for
culverts havmg a d�ameter less than 48 mches to allow low flow passage of water and aquatic
life Design and placement of culverts and other structures mcludmg temporary erosion control
measures shall not be conducted m a manner that may result m dis equilibrium of wetlands or
streambeds or banks ad�acent to or upstream and down stream of the above structures The
appl�cant�s required to provide evidence that the equilibnum shall be mamtamed if requested m
wrrtrng by DWQ
The establishment of native woody vegetation and other soft stream bank stabilization techniques
must be used where practicable mstead of rip rap or other bank hardemng methods If rip rap is
necessary it shall not be placed m the stream bed unless specifically approved by the Division of
Water Quahty
Installation of culverts m wetlands must ensure continuity of water movement and be designed to
adequately accommodate htgh water or flood condrtions
Upon completion of the pro�ect the Applicant shall complete and return the enclosed Certificate of
Completion form to notify NCDWQ when all work mcluded in the §401 Certification has been
completed The responsible party shall complete the attached form and return �t to the
401/Wetlands Unrt of the NC Division of Water Qualrty upon completion of the pro�ect Please
send photographs upstream and downstream of each culvert site to document correct installation
along wrth the Certrficate of Compdetion form
10 Deed Notifications
Deed notificat�ons or s�m�lar mechanisms shall be placed on all retamed�urisdictional wetlands
waters and protective buffers m order to assure compliance for future wetland water and buffer
�mpact These mechan�sms shall be put m place at the time of recordmg of the property or of
mdividual lots whichever�s appropriate A sample deed nottfication can be downloaded from
the Wetlands Buffers Stormwater Compliance and Permittmg Unit(WeBSCaPe)web site at
The Un�versity of North Carolma at Chapel Hill
Page 6 of 8
November 10 2011
http//portal ncdenr or�/c/document library/�et file�uu►d=ef84d0e1 Sfc9 4183 87b5
2�d7eb152e0&groupId=38364 The text of the sample deed notificat�on may be modified as
appropriate to surt to this pro�ect
11 Stormwater Management Plan(SMP)Approval Required and Stormwater Approval Phasmg
Before the impacts specified m th�s Certification may occur the appl�cant must meet all of the
provtsions set forth m the document Protocol for Stormwater Management Plaa (SMP)
Approval and Implemeutat�on,available at
http//portal ncdenr org/c/document l�brar�get file�uuid=0c509d61 6dd6 4da8 9342
7079fe478688& roupld=38364
SMP approval and implementat�on procedures shall be as follows
• The SMP must be approved m wr�tmg by to the Wetlands Buffers Stormwater Compltance
and Permittmg(WeBSCaPe) Umt or if the pro�ect�s sub�ect to another state stormwater
program or may be revtewed by a certified local government a copy of the approval letter
and approved SMP must be submitted before any�mpacts author�zed m th�s certification
occur If a development �s phased then the SMP for each future phase must approved by the
Wetlands Buffers Stormwater Compliance and Permittmg(WeBSCaPe)Unit or �f the
proJect is sub�ect to another state stormwater program or a cert�fied local government a copy
of the approval letter and approved SMP must be submitted before any impacts associated
wrth that phase may occur
• The approved SMP must be constructed and operational before any permanent buildmg or
other structure is occupied at the srte If a development is phased then the approved SMP for
each future phase must be constructed and operational before any permanent bu�ldmg or other
structure assoc�ated w�th that phase is occupied
• The approved SMP as well as dramage patterns must be mamtamed �n perpeturty
• The SMP may not be modified wrthout pnor written authorizat�on from the SMP approval
authorrty If the SMP falls under another state stormwater program then a copy of the
approval letter and the modified SMP must be submitted to the 401 Oversight/Express Un�t
prior to the commencement of the modifications
A final written stormwater management plan for each phase of this proJect shall be subm�tted to
for rev�ew and approval No land dtsturbance assoc�ated w�th any phase may be conducted until
a stormwater management plan for that phase has been submitted to and approved by the DWQ
another State stormwater program or a certified local government No bu�ldmgs associated w�th
any phase may be occupied unt�l the stormwater management plan is constructed and operational
for that phase
If submittmg your plan to DWQ the stormwater management plan submittal must mclude a BMP
Supplement Form with all required items The BMPs must be designed to treat runoff from all
impervious surfaces mcludmg the road and must comply wrth the version of the NC DENR
Stormwater BMP Manual that is in effect on the date of the submittal of the stormwater
management plan (SMP) The SMP must meet the requ�rements m the version of SMP
Regulations for non DOT in effect at the time of submittal
The University of North Carolma at Chapel Hill
Page 7 of 8
Navember 10 2011
12 Diffuse Flow
All constructed stormwater conveyance outlets shall be directed and maintamed as diffuse flow at
non erosive velocities through the protected stream buffers such that it will not re concentrate
before dtschargmg mto a stream as identified withm 15A NCAC 2B 0267(5) If this is not
possible �t may be necessary to provide stormwater fac�lrties that are considered to remove
n�trogen(and phosphorus if m the Tar Paml�co River Basm) This may requ�re addittonal approval
from this Office
Re o ener Clause
13 Mr Richard Mann and University of North Carolma at Chapel Hill and �ts authorized agents shall
conduct its act�vit�es m a manner consistent with State water qualrty standards(includmg any
requirements resultmg from compliance with section 303(d)of the Clean Water Act)and any other
appropriate requirements of State law and federal law Mr Richard Mann and University of North _
Carolina at Chapel Hill shall require rts contractors(and/or agents)to comply wrth all of the terms
of this Cert�fication and shall prov�de each of�ts contractors(and/or agents)a copy of this
Certificatton A copy of this Cert�fication shall be mcluded m the construct�on contract and
available on the�ob srte at all times If DWQ determmes that such standards or laws are not being
met(mcludmg the fatlure to sustatn a designated or achieved use)or that State or federal law is
bemg v�olated or that further condrtions are necessary to assure compliance DWQ may reevaluate
and modify th�s certification to include condit�ons appropr�ate to assure compliance w�th such
standards and requirements m accordance wrth 15A NCAC 02H 0507(d) Before modifymg the
certification DWQ shall notify Mr R�chard Mann and Umversity of North Carolma at Chapel
Hill and the US Army Corps of Engmeers prov�de public notice m accordance wrth 15A NCAC
02H 0503 and prov�de opportun�ty for public heanng m accordance with 15A NCAC 02H 0504
Any new or revised condrt�ons shall be provided to Mr Richard Mann and Universrty of North
Carolina at Chapel Hill m wrrtmg shall be provided to the United States Army Corps of
Engtneers for reference m any permit issued pursuant to Section 404 of the Clean Water Act and
sha[I also become conditions of the 404 Permtt for the pro�ect
14 Cerhficate of Completion
�
Upon complet�on of all work approved w�thm the 401 Water Quality Certification or applicable
Buffer Rules and any subsequent modifications the applicant is required to return the attached
certificate of completion to the Wetlands Buffers Stormwater Compliance and Permitting Umt
(WeBSCaPe) North Carolma Division of Water Qualrty 1650 Ma�l Service Center Raleigh NC
27699 1650
The University of North Carolma at Chapel Hill
Page 8 of 8
November 10 2011
Also,th�s approval to proceed with your proposed impacts or to couduct�mpacts to waters as
dep�cted m your applicat�on shall expire upon exp�ration of the 404 or CAMA Permit
If this Certificat�on is unacceptable to you you have the right to an ad�udicatory hearmg upon wr�tten
request wrthin sixty(60)days followmg rece�pt of th�s Cert�fication This request must be m the form of a
written petrtion conforrnmg to Chapter 150B of the North Carolina General Statutes and filed with the
Office of Admmistrative Hearmgs 6714 Mail Service Center Raleigh N C 27699 6714 If
modifications are made to an origmal Certification you have the right to an ad�udicatory hearing on the
mod�fications upon wr�tten request w�thm sixty(60)days following receipt of the Cert�fication Unless
such demands are made th�s Certification shall be final and bmdmg
Thts the 10�'day of Novemb 2011
DNIS N OF W LITY
�
oleen H Sullms
3870
CHS/kah/i�m
���►�
�D N�
North Carolma Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H Sullms Dee Freeman
Governor Director Secretary
North Carolina Divis�on of Water Quality
401 Water Qual�ty Cert�ficat�on
Summary of Perm�tted Impacts and M�tigat�on Requirements
In accordance w�th 15A NCAC 2H 0500 Mr R�chard Mann and Untversity of North Carolina at Chapel Hill who have
permtssion to fill or otherw�se�mpact 2 412 acres of 404/Wetland and 622 Imear feet of stream(378 Imear feet
permanent impact to stream 70 Imear feet temporary impact to stream and 174 lmear feet permanent�mpact to
ephemeral stream)and 23 605 square feet of Zone 1 Jordan Lake protected riparian buffers and 14 637 square feet of
Zone 2 Jordan Lake basm protected r�par�an buffers to construct the proposed Carolma North pro�ect(an expans�on of the
Unrvers�ty of North Carolma at Chapel H�II campus) which�s located w�thm the northwest and southwest quadrants of
the mtersect�on of Martm Luther Ktng Jr Boulevazd and Estes Drrve m the Towns of Chapel H�II and Carrboro Orange
County North Carolma All activ�t�es associated wtth these authorized�mpacts must be conducted w�th the conditions
I�sted m the attached Permit transmittal letter THIS CERTIF[CATION IS NOT VALID WITHOUT THE
ATTACHMENTS
COMPENSATORY MITIGATION REQU[REMENTS ECOSYSTEM ENHANCEMENT PROGRAM
DWQ PROJECT# 20110260
NC EEP NAME Carohna North
LOCATION Chapel H►ll
COLlNTY Orange
BASIN/SUB BASIN Cape Fear/03020002
As requ�red by i 5A NCAC 2H 0500 and the condrtions of th�s Cert�ficat�on you are requ�red to compensate for the
above m�tigable�mpacts through the restorat�on creat�on enhancement or preservation of wetlands surface waters and
npartan buffers as outlined below pnor to conductmg any act�vit�es that impact or degrade the waters of the state
Note Acreage requ�rements proposed to be mit�gated through the Ecosystem Enhancement Program must be rounded
to one quarter acre mcrements and lmear foot requirements must be rounded up to the nearest foot accordmg to
15 2R 0503(b)
Im acts M�t� at�on
2 412 Acres Ri ariari Wetlands 2 412 Acres Ri arian Wetlands
378 Lmear Feet of Stream 378 Lmear Feet of Stream
23 605 S uare Feet of Buffer 70 815 S uare Feet of Buffer
14 637 S uaze Feet of Buffer 21 956 S uaze Feet of Buffer
One of the opt�ons you have available to satisfy the compensatory m�t�gat�on requ�rement�s through the payment of a fee
to the Wetlands Restorat�on Fund per NCAC 2R 0503 If you choose thts opt�on please stgn this form and mail the form
along with a copy of your 401 Certificat�on or Buffer Approval to the Ecosystem Enhancement Program at the address
below An�nvo�ce for the appropr�ate amount of payment w�ll be sent to you upon rece�pt of th�s form PLEASE NOTE
THE ABOVE IMPACTS ARE NOT AUTHORIZED UNTIL YOU RECEIVE NOTIF[CATION THAT YOUR
PAYMENT HAS BEEN PROCESSED BY THE ECOSYTEM ENHANCMENT PROGRAM
S�gnature Date
ECOSYSTEM ENHANCEMENT PROGRAM
1652 Mail Serv�ce Center
RALEIGH N C 27699 1652
(919)715 2219
Fdename 110260Carolmallorth(Orange)401_JBR_IC_EEP
fetlantls Buffers Stormwater Compliance antl Permitting Unil(WeBSCaPe)
�50 Mail Service Center Raleigh North Carolina 27699 1650
hone 919 807 6300 1 FAX 919 807 6494
�lernet http l/porfal ncdenr org�weblwqlws
n Equal Opportunity 1 Affirmaiive Action Employer