20170340 Ver 1_Approval Letter_20170707

un
r— A
ATTN: Nancy Jackson
PO Box 537
Scotland Neck, NC 27874
ROY ('001111P
Nfl(HAI] SR1 6AN
S, JAY /1NINIHOIAN
DWR # 17-0340
Halifax County
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL CONDITIONS
Scotland Neck Assisted Living Facility
9111111111 -MIT ME
You have our approval for the impacts listed below for the purpose described in your
application dated March 14, 2017, received by the Division of Water Resources (Division) on
March 22, 2017, with additional information received on May 20, 2017 and July 6, 2017. These
impacts are covered by the attached Water Quality General Certification Number 4086 and the
conditions listed below. This certification is associated with the use of Nationwide Permit
Number 12 once issued to you by the U.S. Army Corps of Engineers. Please note that you
should get any other federal, state or local permits before proceeding with your project,
including those required by (but not limited to) Sediment and Erosion Control, Non -Discharge,
and Water Supply Watershed regulations.
This approval requires you to follow the conditions listed in the enclosed certification (s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved,
I
Type of Impact
Amount Approved (units)Amount
Permanent
Approved (units)
Temporary
STREAM
S1 0 (linear feet)
2 (linear feet)
S2 0 (linear feet) _J_4
(linear feet)
State of North Carolina I Environmental Qua hty I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919 8076300

Scotland Neck Assisted Living Facility
DWR# 17-0340
Page 2 of 3
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the Certification.
If you change your project, you must notify the Division and you may be required to
submit a new application package with the appropriate fee. If the property is sold, the
new owner must be given a copy of this approval letter and General Certifications and is
responsible for complying with all conditions. [15A NCAC 02H .0507(d)(2)]
3. All wetlands, streams, and surface waters located within 50 feet of the construction
area on the project site shall be clearly marked (e.g. orange fabric fencing) prior to any
land disturbing activities and must be maintained on the property until the project
phase is completed. [15A NCAC 02H .0506 (b)(2) and (c)(2) and 15A NCAC 02H .0507 (c)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215,5]
This Certification can be contested as provided in General Statute 150B by filing a written petition
for an administrative hearing to the Office of Administrative Hearings (hereby known as OAH)
within sixty (60) calendar days.
A petition form maybe obtained from the OAH at http://www.ncoah.com or by calling the OAH
Clerk's Office at [phone] for information. A petition is considered filed when the original
and one (1) copy along with any applicable OAH filing fee is received in the OAH during normal
office hours (Monday through Friday between 8:00am and 5:00pm, excluding official state
holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS, FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh, NC 27699-6714 Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to Department of Environmental Quality:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601

Scotland Neck Assisted Living Facility
DWR# 17-0340
Page 3 of 3
This letter completes the review of the Division under section 401 of the Clean Water Act.
Please contact me at karen.hi::,i::1jnsi
ins if you have any questions or concerns.
Sincerely,
� f
Karen Higgins, Supervisor -
401 & Buffer Permitting Branch
cc (w/out enclosures): H. Mack Summey, Jr., Summey Engineering Associates, PLLC (email)
USAGE Raleigh Regulatory Field Office
DWR 401 & Buffer Permitting Branch file
Filename: 17034OScotiandNeckAssistedLiving(Halifax)_401—GC