HomeMy WebLinkAbout20130252 Ver 1_401 Application_20130313Coulter Jewell Thames, PA 2 0 1 3 0 2 5 2
ENGINEERING LAND SURVEYING LANDSCAPE ARCHITECTURE
LETTER OF TRANSMITTAL
Date: 3/11/2013
To: NCDWQ - WBSCP Unit
Attn: 1650 Mail Service Center Project: Patterson Drive Area
Raleigh, NC 27699 -1650 Sanitary Sewer Extensions
WE TRANSMIT TO YOU HEREWITH:'
# Co ies Sheet No. Date Descnotion
5 Copies of PNC
1 Check for $240.00-1°
2 Full Size Sets of Plans
3 Half Size Sets of Plans
5 Copies of Impact Maps
Remarks:
rrom: caeven tsalley
Daniel A. Jewell, ASLA, RLA Main Office: 111 West Main Street, Durham, NC 27701
James W. Thames, PE Phone: 919 682.0368 Fax: 919.688.5646
Jeffrey P. Williams, PLS Email: sbailey(M- citpa.com
Y'
20130252
of WaTF9
o� Office Use Only:
Corps action ID no.
o < DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the Corps.
® Section 404 Permit ❑ Section 10 Permit
11b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
[] Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑Yes ®No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2. Project Infornation
2a. Name of project:
Sanitary Sewer Extensions - Patterson Drive Area
2b. County:
Person
2c. Nearest municipality / town:
Roxboro
2d. Subdivision name:
N/A
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Barbara Arlene Fox
3b. Deed Book and Page No.
233/681
3c. Responsible Party (for LLC if
applicable):
....,,- ,_,,w`
3d. Street address:
60 Friendly Drive
3e. City, state, zip:
Roxboro, NC 27573 "— ----
3f. Telephone no.:
1 3 2013
3g. Fax no.:
� e 'nwa ALITY
3h. Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009
4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ® Other, specify: City of Roxboro - performing sewer extension
4b. Name:
City of Roxboro
4c. Business name
(if applicable):
4d. Street address:
105 South Lamar Street
4e. City, state, zip:
Roxboro, NC 27573
4f. Telephone no.:
336 - 503 -0489
4g. Fax no.:
336 - 503-0586
4h. Email address:
aoakley @cityofroxboro.com
5. AgentfConsultant Information (if applicable)
5a. Name:
Steven Bailey
5b. Business name
(if applicable):
Coulter Jewell Thames, PA
5c. Street address:
111 West Main Street
5d. City, state, zip:
Durham, NC 27701
5e. Telephone no.:
919 -682 -0368
5f. Fax no.:
919- 688 -5646
5g. Email address:
sbailey @cjtpa.com
Page 2 of 10
B. Project Infonnation and Prior Project History
I. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 090410 -46 -7417
1b. Site coordinates (in decimal degrees): Latitude: 36- 21 -03.0 Longitude: 7 8-59-03.7
1c. Property size: 1.00 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: UT to North Flat River
2b. Water Quality Classification of nearest receiving water: WS III, NSW
2c. River basin: Neuse
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Existing lot is mainly lawn with some forest area. Residential use.
3b. List the total estimated acreage of all existing wetlands on the property: 0.0302 AC
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 197 LF
3d. Explain the purpose of the proposed project:
Install gravity sewer to serve existing development
3e. Describe the overall project in detail, including the type of equipment to be used:
Install 8" gravity sewer with excavator and wheel loader
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ❑Yes No ❑Unknown
project (including all prior phases) in the past? Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency /Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
S. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ❑ Yes ® No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009
C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams — tributaries ® Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on
the site, then complete this question for each wetland area impacted.
2a. 2b.
Wetland impact Type of impact
2c. 2d. 2e. 2f.
Type of wetland Forested Type of jurisdiction Area of
number
Permanent (P) or
Corps (404,10) or impact
Temporary
DWQ (401, other) (acres)
W1 T
Excavation
Unknown
Yes
Corps
0.0025
W2 -
Choose one
Choose one
Yes/No
W3 -
Choose one
Choose one
Yes/No
W4 -
Choose one
Choose one
Yes/No
W5 -
Choose one
Choose one
Yes/No
we -
Choose one
Choose one
Yes/No
-
2g. Total Wetland Impacts: Q, oD -4s
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
3e.
Type of
3f.
Average
3g.
Impact
number
Permanent (P) or
intermittent (INT)?
jurisdiction
stream
length
g
Temporary (T)
width
wt
(linear
(feet)
feet)
S1 T
Fill
UT to North Flat River
PER
Corps
11
21
S2 -
Choose one
S3 -
Choose one
S4 -
Choose one
S5 - Choose one
S6 - Choose one
3h. Total stream and tributary Impacts oZ 1
31. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4C.
Type of impact
�
Waterbody
type
�
Area of impact (acres)
01
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
Se,
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require miti ation then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
® Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
B1 P
6c.
Reason for impact
Installation of sewer line
6d.
Stream name
UT to North Flat River
6e.
Buffer
mitigation
required?
No
6f.
Zone 1
impact
(square
feet
1227
Zone 2
impact
( s uare
feet
1300
B2 -
Yes/No
B3 -
Yes/No
B4
Yes/No
65 -
Yes/No
B6 -
Yes/No
6i. Comments: 6h. Total Buffer Impacts: �,?a 7 )30o
Page 5 of 10
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Crossings are to be made as dose to perpendicular as possible. Narrow clearing limits have been used.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction Is spedfied to occur in a time with no precipitation. Specifications are given to work in the dry.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidalj wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Project will be for the installation of a sanitary sewer line only. Existing topography will not be changed
by the construction. No new point discharges are created.
❑ Yes ® No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
N/A %
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
Project is for the installation of a sanitary sewer line only. No new impervious will be created by the project. No new point discharges of storm water
will be created by the project.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
City of Roxboro
® Phase II
3b. Which of the following locally - implemented stormwater management programs
❑ NSW
apply (check all that apply):
USMP
8 Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
[]Yes ® No
attached?
4. DWQ Stormwater Program Review
OCoastal counties
4a. Which of the following state - implemented stormwater management programs apply
❑HRW
(check all that apply):
BORW
Session Law 2006-246
❑Other.
4b. Has the approved Stormwater Management Plan with proof of approval been
Yes No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
® Yes [] No
Page 8 of 10
PCN Form — Version 1.4 January 2009
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
® Yes ❑ No
use of public (federal/state) land?
1b. If you answered 'yes' to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ®No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Weiland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
[]Yes ® No
or Riparian Buffer Rules (15A NCAC 26.0200)?
2b. Is this an after - the -fact permit application?
❑Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
additional development, which could impact nearby downstream water quality?
[]Yes No
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
This project is for the installation of a gravity sewer line only. The sewer line is being installed to serve existing development within the City of
Roxboro.
4. Sewage Disposal (DWQ Requirement)
4a. 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.
This project is for the installation of a gravity sewer line to serve existing development in the City of Roxboro. This project will not generate any new
wastewater. The project will allow existing development that is served by on -site wastewater non-discharge systems to conned to the City of
Roxboro
municipal system.
Page 9 of 10
PCN Form — Version 1.4 January 2009
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat?
® Yes
❑ No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Yes
_
® No
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
US Fish & Wildlife Service, Environmental Conservation On -Line System
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes
® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA - Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
status (e.g., National Historic Trust designation or properties significant in
❑Yes
®No
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NC Department of Cultural Resources - Historic Preservation Office GIS Tool
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain? ❑ Yes
® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
DFIRM Panel 0904J found on NC F000dplain Mapping Information System website
POJ' OtfW
z� /3
Applicant/Agent's Printed Name Applicant/Agent's Signatu
Da
(Agents signature is valid only if an authorization
letter from the a licant Is rovided.
Page 10 of 10
EX.
(9�
l KING NEB�1t01
to DT ]
TM: PIN: 0904 -
BARBARA ARLENE FOX
3146 DURHAM RD. 10 ? ' ' 1 / RN . 2
1
]
PIN: 0904 -10 -46 -6899 04
TM: 102 78 �" - / 1
3
/
D8: 155/48 O � � MH # ,
1 RN: 10744 F�
I ILA / / / NESBIT A. KING
N= U PIN. 0904 -11 -56 -0750
/ / TM: 102 6
ZONE 10 E 2 JJ� % DB. 251/93
20 SEWER RN: 13012
1B
H #2' 23'S5p E I ESEMENT (TYP.) 30' 625.r,r,
N l ZONE 1 �i" 29.76
.� NEB KING PR
PIN: 0904
ZONE 2 DISTURBANCE / _ ���/ - TM: 1
/�l DB:
X. MH 4 — _ RN
RIM =- 634:51'0 _
K > _ _ —�— — _525.41 �� INV = 630.40
r< t— RTS STREAM DISTURB _ x 824 TOP OF BANK
_----- - - - - -- _ x- 625.02 -- (TYP.)� I j I ARLENE T. FOX
*25.15 ` -241 - i PIN: 0904 -I1 -56 -0650
f-- - 30 TM- 102 8
y ' DB: 462/703
{ BARBARA ARLENE FOX P N: 112281
ZONE 1 DISTURBANCE— .WFRIENDLY DRIVE
? — _
20 .. PIN: 0904 -10 -46 -854
TM: 102 11
DB: 80/227
RN: 10743 EXISTING SANITARY SEWER
I I (TYP.)
f 0' BARBARA ARLENE FOX NEUSI RIVER STREAM Bf�JFFERS (TYP.) 1
'
.q PIN: 0904 -10 -46 -7417 1
r 20' SEWER TM: 101 CLABORNE EARL FOX
DB- 233/681 Ogd0000Trp�8
i1 3 r EASEMENT (TYP.) RN- 10389 ' N. 0 DURHAM ROAD
r PIN. 0904 -10 -56 -040 ® ®�N C�ROopB�vs
a TM. 102 9 0
p) ! 4 I DB: 137/378 o% Q► ° °00000ee �, O�
=t ' PB. 11/88E m® () o••
RN. 10741'` � �� % °o
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INSTALL DOGHOUSE MANHOLE #1 S°
-� .OVER EX. SANITARY SEWER. EX. MH 3 °m���` �i�� • °���'o ®`�
DETAIL 1/RX -6.1 RIM = 636.10
--� _ — INV = 629.101 EX. MH 3A
' RIM = 636.40
H1i
__ZS�------ - - - - -- - - - - - -- — INV = 630.10
.� FLOW --- - - - - -- — —
ANTI —SEEP
COLLARS
624 -
18_
23.98
I I
AYTON i I I
6 -3538
12 i (I
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INSTALL SEWER. CONTRACTOR TO MAINTAIN
TRAFFIC FLOW DURING CONSTRUCTION
91'' i
r€ i
i J
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PIN: 090 B CLAYT
TM. 4105 1 6-3538
Da RN 822 5
STREAM
DISTURBANCE
LENGTH
ZONE 2
21 LF
AREA
219 SF
EX. MH 2 FRIENDLY DR.
RIM = 628.40 D
INV = 623.10
Q MAR 13 [313 CARLYLE
GO
PIN, BERNARD
TM04-I1-56 0377TON
PC RLYLE B CLAYTON W WRT it'S'1RLd DB. 2402 15
\ \ DB 07 j02 12 _ W� :. — RN. 1 1947
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\ RN 82295
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BUFFER DISTURBANCE
ZONE 1
1227 SF
ZONE 2
1 1300 SF
50 0 50 100 150
Scale 1 " = 50'
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Project
PATTERSON
DRIVE SEWER
EXTENSION
PERSON COUNTY
Job Number 0803
Drawn SPB, JCJ
Checked SPB
Date 02/21/2013
Revisions
ENVFION ENTAL IMPACT
DRAVANM
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FOR OON6ifLJC M
Sheet Title
STREAM
DISTURBANCE
Sheet Number
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I I ►n TM: 100 3
! J DB: 212/726
I •+ ., RN: 9265
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PIN. 0904 -07 -57 -4631
TM: 100 4
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51 RN: 9256
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PIN: 0904 -07 -57 -5670 I
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MORRIS CATES & OTHERS(
DS: 186/267
& OTHERS
PIN: 0904 -07 -57 -5601
RN: 9243
PIN. 0904 -07 -57 -6660
TM: 100 5
TM: 100 7
DB: 62/447
DS: 186/267
RN: 9266
RN: 9257
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+TYP.) r I
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------- - ANTI —SE
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PIN 9990 -01 -16 -2933 itu 1 (TYP.) EX. EDGE OF
PAVEMENT (TYP.)
EX. UG
TELEPHONE ' — "— li BORE AND JAdK 60 LF OF 18° DIA.
(TYP.) I PROPOSED BORE STEEL ENCASEMENT PIPE, 0.250° THICK.
PIT LOCATION RESTRAINED JOINT PIPE REQUIRED
_ `I z INSIDE ENCASEMENT PIPE.
=� M' #15 /
6+00 SOMERSET MILLS LLC
_ I / OLD DURHAM ROAD
° E J PIN: 0904 -11 -57 -6110
O ✓ , 4a1 34 �/ .__ I TM: 101 30
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PROPOSED 8'
SEWER
WETLAND DISTURBANCE
AREA SF
108
AREA AC
0.0025
—BORE AND JACK 185 LF OF 24° DIA.
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RESTRAINED JOINT PIPE REQUIRED
I INSIDE ENCASEMENT PIPE.
PROPOSED BORE
PR LOCATION
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Date 02/21/2013
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Mr. Neal C. Hamlett
Hamlett- Jennings & Associates, P.A.
P.O. Box 1266
Roxboro, NC 27573
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
November 2, 2006
BASIN:
Neuse X Tar - Pamlico
(15A NCAC 2B .0233) (15A NCAC 2B .0259)
NOV
Project Name: Somerset Baptist Church — Roxboro
Alan W. Klimek, P.E. Director
Division of Water Quality
NBRRO 06 -254
County: Person
Buffer Determination X
Location/Directions: Site is located at the northwest comer of Somerset Church Lane and Old Durham road in
southern Roxboro.
Subject Stream: UT to North Flat River
Date of Determination: 10/11/06
Feature
Start Buffer
GPS Points (if provided)
End Buffer
Stream
Form
Appeal
Call
Located
on Soil
Survey
Located on
USGS
Topographic
A
Not Subject
15
X
This on -site determination shall expire five (5) years from the date of this letter. Landowners or affected pardes
that dispute a determination made by the DWQ or Delegated Local Authority that a surface water a fists and that
it Is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shag be referred to the Director In writing clo Cyndl Naroly, , DWQ Wetands/401 Unit, 2321 Crabtree
Blvd, Raleigh, NC 27604 -2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearbeg You must
act within 60 days of the date that you receive this letter. Appltcanta are hereby nodited that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification In order to be certain that third
party appeals are made Ina timely manner. To ask for a hearing, send a written petition, which conforms to
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection
Internet h2o.enr stata.nc us 1628 Mail Service Center Raleigh, NC 27699 -I628
An Equal Opportunity /Affirmative Action Employer — 50% Recycled110% Post Consumer Paper
Phone (919) 791 -4200 Customer Service
FAX (919) 5714718 1- 877 -623 -6748
1�°Eta=;
Q
11/2/2006
Page 2 of 2
Chapter 150E of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699 -6714. This determination is final and binding unless you ask for a hearing
within 60 days.
The (owner /future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject properly (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Qjrce) at (919)- 733 -1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Qfj'ice) at (919)-876 -8441.
CC: RRO /SWP Files
Central Files
DWQ Wetlands and Stornrwater Branch
Paula Murphy — Person County
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection
Intemet h2o.enrst3te.nc us 1628 Mail Service Center Raleigh, NC 27699 -1628
An Equal Opportunity /Affirmative Action Employer— 50% Recydedl10% Post Consumer Paper
Phone (919) 791.4200 Customer Service
FAX (919) 571 -4718 1- 877 - 623 -6748
,�
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