20051691 Ver 2_More Info Received_20060126

d
STAI~TCIL c~ ASSOCIATES,
Professional Land Surveyor, P. A.
98 >C. Depot Street, P. O. Box 730
Angier, N. C. 27501
Telephone [phone] ~ FAX [phone]
DATE: January 20, 2006
TO: N.C.Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
Attn: Ms. Cyndi Karoly, Supervisor
REF: The Village of Charleston DWQ Application
Dear Ms. Karoly,
Enclosed is the required forms and application for The Village of Charleston.
If I can be of further assistance, please call.
Lester Stanch, P.L.S.
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Vcllage of Charleston DWQ Application
Table of Cotttettts
General Permit (Regional and Natiomvide) Verification 1
DWO Application
Tax Map and Owner Information
S
13
General Location tivith Latitude and Longitude 1 ~
Site Location piradrangle Map
15
Impacted and Predevelopment Wetlands Areas I6
Routine Wetland Determination Data Form
Impervious Area Breakdown Data Sheet
17
19

U.S. ARMY CORPS OF ENGINEERS
' WILMINGTON DISTRICT
Action ID(s): 200521332
County: Wake
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner: Stephenson & Ward Realty & Development Co., Inc./The Village at Charleston
200521332
Mailing Address: Attn: Mr. Lawrence Ward, Post Office Box 1108
Fuquay-Varina, NC 27526-1108
Telephone No.: 919-552-1157
Authorized Agent: Stanch & Associates
AIr. Lester Stanch
Mailing Address: Post Office Box 730
Angier, NC 27501
Telephone No.: 919-639-2133
Location of property (road name/number, town, etc.): On 18.204 acres located on the east side of US Highway 401, south of
SR 2768, southeast ofFuquay-Varina, North Carolina.
Site Coordinates: 35.5797°~1 78.7991°W USGS Quad: Fuquay-Varina
Waterway: K-emtis Creek River Basin HUC: 03020201
Description of projects area and activity (see page 2 for a summary of authorized impacts): 1<Iechanized landclearing and
filling of 0.01 acre of jurisdictional wetlands and 401inear feet of an unnamed tributary to Kennis Creek associated with
road construction for the The Village at Charleston single family residential subdivision, in accordance with the
drawings submitted on 8 Aug 2005.
Applicable Law: ®Section 404 (Clean Water Act, 33 USC 1344)
^ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Nationwide or Regional General Permit Number(s): 39
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 is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs are scheduled to be modified,
reissued, or revoked prior to March 18, 2007. It is incumbent upon you to remain informed of changes to the NWPs. We will issue a public
notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity before the date that the
relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the modification or revocation of the
NWP to complete the activity under the present terms and conditions of this nationwide permit. 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 new and/or modified terms and conditions. The District Engineer may, at any time, exercise lus
discretionary authority to modify, suspend, or revoke a case specific activity's authorization under any NWP.
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.
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 Jean Manuele at telephone [phone], ext 24.
Corps Regulatory Officia~~.~(3 .~~~„ ~ „ Date: 17 Sep 2005 Verification Expiration Date: 18 Mar 2007
Copy Furnished: Stanch & Associates

Determination of Jurisdiction:
I preliminary information, there appear to be waters of the US includuig wetlands within the above described project area. This
pre iminary 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 maybe 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 the
jurisdictional determination issued on
Basis of Jurisdictional Determnation: The impact area 40 linear feet of stream channel of an unnamed tributary to Kennis Creek and
0.01 acre of its adjacent wetlands, which flow into the Neuse River.
Corps Regulatory Official~.,,_p . ,~„_,_s0 ^, Date: 17 Sep 2005 Determination Expiration Date:
Summary of Authorized Impacts and Required Mitir<atinn
Action )D NWP / GP O en Water ac Wetland ac Unim ortant Steam 1 Im ortant Stream 1
# # Temporary Permanent Temporary Permanent Temporary Permanent Temporary Pernanent
200521332 39 0.01 40

Im act Totals 0 0 0 0.01 0 0 0 40
Total Loss of Waters of the U.S. ac 0 Total Loss of Waters of the U.S. (1 0
Re uired Wetland Miti ation ac Re uired Stream Miti ation 1
Additional Remarks and/or Special Permit Conditions:
No compensatory stream/wetland mitigation is required. *(If EEP, add to RANTS keywords).

Approved: 19 August 2002
OMB No.: 0710-0012
Ex fires: 31 Au ust 2005
The Public reporting burden for this collection of information is estimated to averagely minutes per response, including time for reviewing instructions, searching existing
data sources. gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services,
Directorate for Information Operations and Reports (0710-0012), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware
that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a
currently valid OMB control number. PLEASE DO NOT RETURN YOUR APPLICATION TO THE ABOVE ADDRESS. RETURN COMPLETED APPLICATION TO THE
ADDRESS SHOWN ON THE APPLICATION INSTRUCTION SHEET.
U.S. ARMY CORPS OF ENGINEERS
CUSTOMER SERVICE SURVEY -REGULATORY PROGRAM
We at the U.S. Army Corps of Engineers Regulatory Branch are committed to improving service to our customers and would like to know how well
we have been doing. Who are our customers? YOU are OUr customers if you submitted a permit application, requested a jurisdictional determination or wetland
delineation, or scheduled apre-application meeting with us. Other customers include those of you who receive our Public Notice and/or commented on a particular
project or our work in general, because of your interest in the Regulatory Program. To identify how we can better serve you, we need your help. Please take the time to
fill out this brief survey and mail it back to us. Your honest opinions will help us determine areas in which we need to improve. For each question, please indicate the
level of service you received by marking the appropriate number on a scale from 1-5, with 1 being low (dissatisfied) and 5 being high (very satisfied). If the question does
not apply to you, simply mark N/A. Thank you for your time and comments! Response to this survey is VOLUNTARY. If you choose not to respond, it will not affect any
LOW H/GH
/. FOR APPLICANTS & OTHERS REQUIRING AUTHOR/ZATIONS SAT/SFACT/ON SATISFACT/ON
1. Do you think you received your Corps permit decision in a 1 2 3 4 5 NA
reasonable amount of time?
2. Do you think you received your Corps jurisdictional determination in 1 2 3 4 5 NA
a reasonable amount of time?
3. If we recommended/required project changes/modifications to 1 2 3 4 5 NA
reduce im acts, did we clear) ex lain the reasons wh ?
4. If we recommendedlrequiredprojoct changes/modifications t 2 3 4 5 NA
to reduce im acts, did the than es seem reasonable to ou7
1 2 3 4 5 NA
5. If we denied our ermit, did we clear) ex lain the reasons wh ?
6. For enforcement cases, did our office clearly and professionally
explain the basis for the enforcement action (etc ., what work we 1 2 3 4 5 NA
7
1 2 3 4 5 NA
7. For enforcement cases, did our office include options for resolution?
O F(JR "n TNFR" Cl/CTn MFRC
1- For permitted actions, was the permit effective in achieving ~ 2 3 4 5 NA
appropriate protection/mitigation for impacts to aquatic resources?
2. For enforcement actions, did the Corps require appropriate 1 2 3 4 5 NA
tom ensation/restoration for im acts to a vatic resources?
I l/l. FOR APPL/CANTS & "OTHER" CUSTOMERS I
1. Did the Corps representative act professionally and treat you with ~ 2 3 4 5 NA
courtesy?
2. Did the Corps provide sufficient information to allow you to complete
an application form, comment on a public notice, or otherwise evaluate ~ 2 3 4 5 NA
our work?

3. Did we respond to your letters and telephone calls in a reasonable ~ 2 3 4 5 NA
amount of time?

4. Did the Corps representative answer your questions clearly, giving ~ 2 3 4 5 NA
you accurate information about our Re ulato Pro ram?

5. What is your OVERALL rating of the level of service provided by the 1 2 3 4 5 NA
Corps of Engineers Regulatory Program?
Note: DATA FROM THIS QUESTIONNAIRE WILL BE USED, BY. THE DISTRICT TO IMPROVE SERVICE: ALSO; INFORMATION WILL BE
TABULATED NATIONALLY BY SERVICE AREA. RESPONDENTS WILL NOT BE IDENTIFIED BY NAME OR ORGANIZATION FOR ANY REPORT
DERIVED FROfv1 THIS SURVEY.
ENG FORM 5065, Feb 97 (proponent: CECW-OR)
3

PLEASE COMPLETE THE FOLLOWING QUESTIONS BY GIVING US
ANY COMMENTS OR SUGGESTIONS FOR HOW WE CAfJ IMPROVE.
Please indicate the nature of your business (If applicable, check more than one):
- Property developer
- Public Agency Applicant
. Civic or Trade Organization
_ Member of Legislature
- Federal/State/Local
- Conservation Organization
- Other !describe!:
. Flood/Water Control District
- Consultant
- Farming/Ranching
- Public Agency
- Personal/Private Project
- Adjacent Property Owner
What Service(s) Did You Seek From the Corps? /l1 app/icab/e, check more than one!:
- Sand & Gravel
- Law Office
- Silviculture
Mining
- Media
- Native American
- Jurisdictional/wetland determination
. General Information
- Resolution of
- Pre-application Consultation -Regulatory Program presentation
- Nationwide general permit
- Regional or programmatic general permit - Commented on Public Notice/permit application
- Standard Individual permit -. Other /describe!:
- Letter of Permission
Which Corps office /District, Division, Headquarters, other! did you deal With?
Name of person you contacted in our office (options/1:
Do you have any comments or suggestions on the Regulatory Program?
Information about you !options/1:
Name/Title:
Address:
Telephone /inc/ude area code!:
May we contact you? YES _
NO _
PRIVACY ACT STATEMENT
Authorities: The government Performance and Results Act of 1993 and Executive Order (EO) 12862, "Setting Customer Service Standards",
dated September 11, .1993.. Purpose; To determine the quality of services our customers expect, as well as their satisfaction with USACE's - ~ .. .
...-
existing services. Information provided on this form will be used in evaluating the performance of the Corps Regulatory Program. Routine Uses:
This information may be shared with the Office of Managemerit and Budget, 'members of Congress; and other federal; state; and local govemment'
(Reverse of Eng Form 5065)
4 ~ _

Office Use Only:
USACE Action ID No.
DWQ No.
any particular item is not applicable to this project, please enter "Not
I. Processing
Form Version May 2002
" or "N/A".)
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
2. Nationwide, Regional or General Permit Number(s) Requested: 39
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 Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal ofPCN), 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: Stephenson & Ward Realty & Development Co Inc
Mailing Address. P. O. Box 1108
Fu ua -Varina NC 27526-1108
Telephone Number: 919-552-1157 Fax Number:
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12

III. 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: The Village of Charleston
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIl~: 0666.03-02-1879
4. Location
County: WAKE Nearest Town: Fuquax Varina
Subdivision name (include phase/lot number):- The Village of Charleston
Directions to site (include road numbers, landmarks, etc.): TAKE US 401 SOUTH FROM
NC 42 IN THE TOWN OF FUQUAY-VARINA LEFT ON BUCK JOHNSON STREET
LEFT ON AWARD STREET APPROX. 150 FEET FROM INTERSECTION TO SITE
5. Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 18.204 ACRES
7. Nearest body of water (stream/river/sound/ocean/lake): K:ENIVIS CREEK
8. River Basin: NEUSE
(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/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: EXISTING CONDITIONS: FARMLAND AND
WOODSLAND; GENERAL VICINITY: RESIDENTIAL FARMLAND AND
WOODSLAND
Page 6 of 12

10. Describe the overall project in detail, including the type of equipment to be used:
RESIDENTIAL SUBDIVISION ROAD• TRACK HOE• DOZER PANS AND DUMP
TRUCKS FOR ROAD CONSTRUCTION.
11. Explain the purpose of the proposed work: SEE ABOVE
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-USAGE 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.
N/A
V. Tuture 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.
NO
VL 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. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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
Page 7 of 12

Cumulative impacts (linear distance in feet) to all streams on site: 40
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U. S.) below:
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbod
~. ltca y
~ app ~ ble) Type of Waterbody
(lake, pond, estuary, sound,
ba ,ocean, etc.)
N/A

' List each impact separately and identify temporary impacts. Impacts include, but are not linuted to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. 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.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Lnpact 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.
EXISTING ROADWAY UPGRADE DESIGNED TO CROSS WETLANDS WITH MINIMAL
IMPACT TO WETLANDS.
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
Page 9 of 12

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 March 9, 2000, 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 NCWRP 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/strm~ide. htmL
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.
N/A
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at }ittp://h2o.enr.state.nc.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three 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
Amount ofNon-riparian wetland mitigation requested (acres): N/A
Page 10 of 12

Amount of Coastal wetland mitigation requested (acres): NIA
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds or the use of public
(federaUstate) land?
Yes ^ No
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 ^
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 ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ^ No ® If you answered "yes", provide the following information:
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.
Zonc* ~ uare feet) Multiplier ~ aired

Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
Page 11 of 12

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration /Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
N/A
XI. Stormwater (required by DWQ)
Describe impervious acreage (both 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.
TOTAL IMPERVIOUS AREA FOR ENTIRE TRACT = 5.459 Ac (29 99%)
TOTAL TRACT AREA = 18.204 Ac.
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.
PUBLIC SEPTIC SYSTEMS
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. 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).
1 Z-/a
Applicant/Agent's Signature Da e
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

Page 1 of 1
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CCHINTY 1
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REID: 0273888
STEPHENSON 8 WARD
REALTY
OWNERI: &DEVELOPMENT CO
INC
ADDR1: PO BOX 1108
FUQUAY VARINA NC
ADDR2: 27526-1108
ADDR3:
DEED BOOK: 10792
DEED PAGE: 1535
DEED DATE: 4/292004
DEED ACRES: 8.14
MIS BLDG VAL: 0
LAND VAL: 111968
BILLING CLASS: CORPORATE LISTING
GR PT KATHLEEN T
DESCRIPTION: JONES PROP 00-1624
TR2
MAP NAME: 088803
PIN NUM: 0868021878
PIN EXT: 000
CITY: FUQ
PLAN JURIS: FV
TOWNSHIP:
YEAR BUILT: MIDDLE CREEK
0
SALEPRICE: 0
SALEDATE:
ate, TYPE USE: Vacant
DESIGN STYLE:
UNITS: 0
LAND CLASS: VACANT
~` ZONING: R4
OLD PARCEL NUMBER: 125-00000-0000
ADDRESS
ST NUM:
0
ST M ISC:
DIR PREFIX:
ST NAME: AWARD
ST TYPE: ST
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