20150788 Ver 1_401 Application_20150815

July 10, 2015
Ms. Karen Higgins
North Carolina Division of Water Quality
Webscape Unit V
P.O. Box 1650 AUG 0 5 p
Raleigh, NC 27699 -1650 „6,._ 2015 l
Subject: Pre - Construction Notification Application
Request for 401 Water Quality Certification
3043 Lawson Court — Kamelot Oakes Subdivision
Randleman, Randolph County, North Carolina
Dear Ms. Higgins:
Please find five copies of the Pre - Construction Notification Application for the above
referenced site. The site is located at 3043 Lawson Court in Randolph County, North
Carolina. The site is part of the Kamelot Oakes Subdivision. The site has been graded
for residential development. During a site visit by the U.S. Army Corps of Engineers
and the NC Division of Water Quality on May 7, 2015, it was determined that an
approximate 0.025 acre wetland was filled during previous grading operations.
On behalf of 7CCC, LLC., I am requesting an after the fact 401 Water Quality
Certification be issued to authorize the impact to 0.025 acres of wetland. Mitigation is
proposed through Ecosystem Enhancement Program credits (acceptance letter
attached). Additional stream and/or wetland impacts are not proposed.
Please feel free to contact me at (336) 854 -8877 if you have any questions concerning
this request or if additional information is required. Thank you in advance for your
timely consideration of this matter.
Sincerel
Anthony D ester, PE, PLS
Vice President
Evans Engineering, Inc.
Attachments: Pre - Construction Notification Application
401 Water Quality Certification Fee - $240.00

1b Specify Nationwide Permit (NWP) number- NWP -29 or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps? I ❑ 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
1e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit
because written approval is not required? Certification:
❑ Yes ® No ❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation ® Yes ❑ No
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
1g.
Is the protect located in any of NC's twenty coastal counties. If yes, answer 1h
❑ Yes ® No
,.,, „ A. I IAlII1 Li ilk.
of W A tF9
Office Use Only.
Is the protect located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2.
Corps action ID no
PAM
Q�
DWQ protect no
3043 Lawson Court (Lot 46)
2b
Form Version 1.3 Dec 10 2008
Randolph
Pre - Construction
Notification (PCN) Form
A. Applicant Information
Randleman -
1. Processing
Subdivision name-
I Kamelot Oakes
v
1a. Type(s) of approval sought from the
®Section 404 Permit
❑Section 10 Permit
Corps
3.
Owner Information
1b Specify Nationwide Permit (NWP) number- NWP -29 or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps? I ❑ 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
1e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit
because written approval is not required? Certification:
❑ Yes ® No ❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation ® Yes ❑ No
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
1g.
Is the protect located in any of NC's twenty coastal counties. If yes, answer 1h
❑ Yes ® No
below.
1h
Is the protect located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2.
Project Information
2a.
Name of project-
3043 Lawson Court (Lot 46)
2b
County:
Randolph
2c.
Nearest municipality / town:
Randleman -
2d
Subdivision name-
I Kamelot Oakes
2e.
NCDOT only, T.I.P or state
protect no
I
a
11{ g an
3.
Owner Information
411r, —((t
(JJj
3a
Name(s) on Recorded Deed.
7CCC, LLC.
LUlS
3b.
Page No.
Deed Book and Pa g
D.B. 2288 PG 633
' DENR
401 8 Rt tr.- _ RESrIt rt;..r t
3c.
Responsible Party (for LLC if
Mr Herb Parks
€R rERMIT'TING
applicable)
3d.
Street address-
7B Corporate Center Court
3e
City, state, zip-
Greensboro, NC 27408
3f
Telephone no.:
1 336- 282 -4127
3g
Fax no.:
3h
Email address:
I hparks @bossofnc.com
Page 1 of 12
PCN Form — Version 1 3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a
Applicant is-
❑ Agent ❑ Other, specify
4b
Name
4c
Business name
(if applicable).
4d
Street address.
4e
City, state, zip.
4f.
Telephone no.-
4g
Fax no.:
4h.
Email address
5.
Agent /Consultant Information (if applicable)
5a
Name:
Anthony Dean Lester
5b.
Business name
(if applicable):
Evans Engineering, Inc
5c
Street address.
4609 Dundas Drive
5d.
City, state, zip.
I
Greensboro, NC 27407
5e
Telephone no.-
336- 854 -8877
5f
Fax no.
1 336- 854 -8876
5g.
Email address-
adl@ evans- eng.com
Page 2 of 12

B. Project Information and Prior Project History
1. Property Identification
1a Property identification no (tax PIN or parcel ID): 7764033264
1 b. Site coordinates (in decimal degrees) Latitude- 35 789692 Longitude: - 79.807793
(DD DDDDDD) ( -DD DDDDDD)
1 c. Property size. 0.33 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc ) to I Deep River
proposed project
2b. Water Quality Classification of nearest receiving water. I Class C
2c. River basin. map is available at I Cape Fear
http: / /h2o enr.state nc us /admen /maps/
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.
The site is a 0 33 acre undeveloped lot within the Kamelot Oakes Subdivision. The lot has been cleared and graded. We
have included a figure showing the lot. Based upon the site visit and inspection by John Thomas (USACE) and Sue
Homewood (NCDWQ) it has been estimated that 0 025 acres of wetlands (90'x 12') have been filled.
3b. List the total estimated acreage of all existing wetlands on the property:
0.05
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
100
3d. Explain the purpose of the proposed project
The purpose of the proposed project was to prepare the lot for residential development.
3e. Describe the overall project in detail, including the type of equipment to be used.
The site has previously been cleared and graded for residential development. Haulers, loaders, excavators and other
heavy equipment were used to clear and grade the site During the process, an estimated 0.025 acre wetland was
filled
0
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4.
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments- Sue Homewood and John Thomas previously
visited the site.
4b
If the Corps made the jurisdictional determination, what type
❑ Preliminary ® Final
of determination was made?
4c
If yes, who delineated the jurisdictional areas?
I Agency /Consultant Company l
Name (if known): John Thomas
Other
4d.
If yes, list the dates of the Corps jurisdictional determinations
or State determinations and attach documentation.
May 7, 2015
5.
Project History
5a.
Have permits or certifications been requested or obtained for
I ❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b.
If yes, explain in detail according to "help file" instructions
6. Future Project Plans 1
6a. Is this a phased project? I ❑ Yes ® No I
6b If yes, explain.
Page 4 of 12

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. 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. 2c 2d 2e 2f.
Wetland impact Type of jurisdiction
number — Type of impact Type of wetland
Forested
(Corps - 404, 10 Area of impact
Permanent (P) or (if known)
❑ INT
DWQ — non -404, other) (acres)
Temporary (T)
❑ PER
W1 ®P ❑ T
Fill - Residential Lot
Non - Riparian
❑ Yes
® No
® Corps
® DWQ
0 025
W2 ❑ P ❑ T
I
I ❑ Yes
I ❑ Corps
❑ INT
❑ DWQ
❑ No
❑ DWQ
❑ Corps
W3 ❑P ❑T
❑ INT
I
❑ DWQ
I
❑ PER
❑ Corps
❑Nos
❑DWQ
❑ DWQ
W4 ❑P ❑T
I
I
El
I
❑ INT
❑ DWQ
❑Nos
F] DWQ
W5 ❑ P ❑ T
I
I
❑ Yes
I ❑ Corps
'
❑ No
❑ DWQ
W6 ❑ P ❑ T I
I
❑ Yes
I ❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.025
2h Comments: When the property was cleared and graded for
residential development, an approximate 0.025 acre wetland
pocket was incidentally filled. The site has been visited by Mr. John Thomas with the U.S. Army Corps of Engineers and Ms.
Sue Homewood with the NCDENR Division of Water Quality This application
is for an after the fact permit.
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 3b. 3c.
3d
3e. 3f 3g.
Stream impact Type of impact Stream name
Perennial
Type of jurisdiction Average Impact
number -
(PER) or
(Corps - 404, 10 stream length
Permanent (P) or
intermittent
DWQ — non -404, width (linear
Temporary (T)
(INT)?
other) (feet) feet)
S1 ❑P ❑T
S2 ❑P ❑T
S3 ❑P ❑T
S4 ❑P ❑T
S5 ❑P ❑T
S6 ❑P ❑T
❑ PER
❑ Corps
❑ INT
❑ DWQ
❑ PER
❑ Corps
❑ INT
❑ DWQ
❑ PER
❑ Corps
❑ INT
❑ DWQ
❑ PER
❑ Corps
❑ INT
❑ DWQ
❑ PER
❑ Corps
❑ INT
❑ DWQ
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments. Streams have not been impacted on the site
Page 5 of 12

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 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary (T)
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f. Total open water impacts
4g. Comments. Open waters have not been impacted on the site
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a 5b. 5c. 5d. 5e
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g Comments: Ponds have not been constructed on the site.
5h. Is a dam high hazard permit required?
❑ Yes 0 N If yes, permit ID no.
51. Expected pond surface area (acres).
5. 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 mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse El Tar-Pamlico El Other.
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b 6c. 6d 6e. 6f. 6g
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary (T) impact required?
B1 ❑P ❑T ❑Yes
❑ No
B2 ❑P ❑T ❑Yes
❑ No
B3 ❑P ❑T ❑Yes
❑ No
6h. Total buffer impacts
6i. Comments: Buffers have not been impacted on the site
Page 6 of 12

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
An approximate 0.025 acre wetland was impacted while preparing the site for residential development. To the best of our
knowledge other jurisdictional areas were not impacted by the development.
b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Best management practices were used during site grading operations to prevent sediment from running off -site and
impacting off -site jurisdictional areas.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U.S or Waters of the State?
2b. If yes, mitigation is required by (check all that apply)
2c. If yes, which mitigation option will be used for this
project?
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
3c. Comments-
4. Complete if Making a Payment to In -lieu Fee Program
® Yes ❑ No
❑ DWQ ® Corps
❑ Mitigation bank
® Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
Type
Quantity
4a Approval letter from in -lieu fee program is attached ® Yes
4b. Stream mitigation requested linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only)- square feet
4e. Riparian wetland mitigation requested: I acres
4f. Non - riparian wetland mitigation requested: 0.025 acres
4g Coastal (tidal) wetland mitigation requested. I acres
4h. Comments. The EEP acceptance letter (included as an attachment) indicates that 0.025 acres of mitigation credits are
available to compensate for the impacts to the non - riparian wetland.
Page 7 of 12
PCN Form — Version 1 3 December 10, 2008 Version

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
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 ❑ Yes ® No
buffer mitigation? If ves, you will have to fill out this entire form — please
contact the State for more information
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
6c 6d. 6e
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 I 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 8 of 12

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified ❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes 0 N
Comments: Buffers are not being impacted by the proposed project.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 23%
2b. Does this project require a Stormwater Management Plan? ❑ Yes ® No
2c If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan.
Based on our understanding, stormwater management was not required
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 protect9
3b. Which of the following locally - implemented stormwater management programs
apply (check all that apply).
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
4. DWQ Stormwater Program Review
❑ Certified Local Government
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
Town of Randleman
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other:
❑ Yes N/A ❑ No
❑ Coastal counties
❑ HQW
4a. Which of the following state - implemented stormwater management programs apply ❑ ORW
(check all that apply): ❑ Session Law 2006 -246
❑ Other:
4b Has the approved Stormwater Management Plan with proof of approval been
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
5b Have all of the 401 Unit submittal requirements been met?
❑ Yes N/A ❑ No
❑ Yes NIA ❑ No
❑ Yes NIA ❑ No
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal /state /local) funds or the ❑ Yes ® No
use of public (federal /state) land?
1 b 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
❑ Yes No
letter.) ®
Comments: A NEPA or SEPA are not required or proposed for this project.
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ® Yes ❑ No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after - the -fact permit application? I ® Yes ❑ No
2c If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): When the property
was cleared and graded for residential development, an approximate 0.025 acre wetland pocket was incidentally filled. The
site has been visited by Mr. John Thomas with the U S. Army Corps of Engineers and Ms. Sue Homewood with the NCDENR
Division of Water Quality (May 7, 2015). This application is for an after the fact permit. Due to the required setbacks
(specifically the side yard setback along Homeplace Drive) The wetlands had to be filled in order to make this -a buildable lot
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ❑ Yes ® No
additional development, which could impact nearby downstream water quality?
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.
The remaining lots of the subdivision have been graded and there are no additional impacts anticipated at this time
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
Wastewater generated from the proposed development will be discharged into existing city /county sanitary sewer lines.
Additional sewer lines are not proposed that will impact jurisdictional areas
Page 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this protect occur in or near an area with federally protected species or I El Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act I ❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Evans Engineering, Inc. consulted the Natural Heritage Program Website to determine if Federally Protected Endangered
or Threatened species inhabit the Randleman, NC Quadrangle (quadrangle that includes the site) There are no federally
protected endangered or threatened species that have been identified on the site quadrangle Based on our knowledge of
the site, the project will not impact endangered species or designated critical habitat.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? I ❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Streams and potential habitat for fish species have not been and are not anticipated to be impacted by the project Best
management practices are being used to prevent sediment from entering down the gradient waterbodies that may be
inhabited by fish species. Based on our knowledge of the site, the project does not occur in our near an area designated as
essential fish habitat.
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 ❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Evans Engineering, Inc. does not have knowledge of structures located on the site that could be considered for historical
preservation status. Evans Engineering, Inc. reviewed the on -line map maintained by the State Historic Preservation
Office. The map did not identify properties that have been designated as having historic or cultural preservation status To
the best of our knowledge, the site and adjoining properties are not designated as having historic or cultural preservation
status.
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? FEMA Map Panels 3710774400J & 3710776400J
Herbert Parks July 8, 2015
Applicant/Agent's Printed Name Appant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided )
Page 11 of 12

Page 12 of 12

MINIMUM YARD R
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3043 LAWSON COURT
OWNER
NAME & ADDRESS
N/F KERBER, WILLIAM M. I
KERBER, SUSAN W,
7CCC, LLC
7B CORPORATE CENTER COURT
3031 LAWSON COURT
RANDLEMAN, N.C. 27317
GREENSBORO, NC 27408
PLAT BOOK 60
PHONE: 336 - 282 -4127
PAGE 30
,5' 30' 45 75' ,05' WETLAND FILL MAP
.
PROPOSED DEVELOPMENT PLAN FOR
%CiCiCi, LLCi
SUBDIVISION
KAMELOT SUBDMSION
CITY / TOWNSHIP
COUNTY
ASHEBORO TOWNSHIP
RANDOLPH
LOT N0. SECTION / PHASE NO
46 I
SECTION 3
PLAT BOOK
PAGE
60
30
RANDOLPH COUNTY, N.C. REGISTRY
,_
4609 Dundas Drive
�
` ans,
Greensb
DATE
I - - a
+E ngineermg, Inc.
North Carolina 27407
Fax 336 - 854.8876
06 -08 -2015
—Since 1974 —
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Engineers Surveyors Planners
Firm License No.: C -0168
1 " :30'
PLAT REF. DATE
DATE REV. NO.
DESCRIPTION
6 -16 -1999
DRAWN BY
I TTS

PA.
ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Herb Parks
7B Corporate Center Ct
Greensboro, NC 27408
Project: 3043 Lawson Court
Division of Mitigation Services Donald R. van der Vaart
Secretary
July 8, 2015
Expiration of Acceptance: January 8, 2016
County: Randolph
The purpose of this letter is to notify you that the NCDENR Division of Mitigation Services (DMS) is willing to accept payment for
compensatory mitigation for impacts associated with the above referenced project as indicated in the table below. Please note that this
decision does not assure that participation in the DMS in -lieu fee mitigation program will be approved by the permit issuing agencies
as mitigation for project impacts. It is the responsibility of the applicant to contact permitting agencies to determine if payment to the
DMS will be approved. You must also comply with all other state, federal or local government permits, regulations or authorizations
associated with the proposed activity including G.S. § 143- 214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not received a copy of the
issued 404 Permit/401 Certification /CAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies of the permits to DMS. Once DMS receives a copy of the permit(s) an invoice will be issued based on
the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the in -lieu
fee to be paid by an applicant is calculated based upon the Fee Schedule and policies listed at www.nceep.net.
Based on the inforniation supplied by you in your request to use the DMS, the impacts that may require compensatory mitigation are
summarized in the following table. The amount of mitigation required and assigned to DMS for this impact is determined by
permitting agencies and may exceed the impact amounts shown below.
CU I Stream (feet) I Wetlands (acres) I Buffer I Buffer II
River Basin Location (Sq Ft.) (Sq. Ft.)
Cold I Cool I Warm I Riparian I Non - Riparian I Coastal Marsh
Impact Cape Fear 03030003 I 0 1 0 I 0 I 0.025 1 0 1 0 1 0
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The mitigation will be performed
in accordance with the In -Lieu Fee Program instrument dated July 28, 2010.
Thank you for your interest in the DMS in -lieu fee mitigation program If you have any questions or need additional information;
please contact Kelly Williams at (919) 707 -8915
Sincerely,
Jayne Stanfill
Asset Management Supervisor
cc: John Thomas, USACE - Raleigh
Anthony Lester, PE- agent
1652 Mall Service Center, Raleigh, North Carolina 27699 -1652
Phone. 919 - 707 -89761 Internet: www,nceep,net
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