20060077 Ver 1_Complete File_20060217

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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
February 17, 2006
Mr. Robert VanGraafeiland
Lake Royale Property Owners Association
P.O. Box 265
Bunn, NC 27508
Subject Property: Lake Royale Subdivision
Cypress Creek [TARO 1, 28-31-3, C, NSW]
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-0077
Franklin County
Authorization Certificate per the Tar-Pamlico River Buffer Protection Rules (15A NCAC 2B .0259)
with Additional Conditions
Dear Mr. VanGraafeiland:
You have our approval, in accordance with the conditions listed below, to impact 3,878 square feet (ft) of
protected riparian buffers (3,887 square feet Zone 1) for the purpose of repairing culverts on the subject
property as described within your application dated January 19, 2006 and received by the N.C. Division
of Water Quality (DWQ) on January 24, 2006, with additional information received by the DWQ on
February 15, 2006. After reviewing your application, we have decided to authorize the impacts to the
protected riparian buffers. This letter shall act as your approved Authorization Certificate for impacts to
the protected riparian buffers per 15A NCAC 2B .0259. In addition, you should obtain or otherwise
comply with any other required federal, state or local permits before you go ahead with your project
including (but not limited to) Erosion and Sediment Control, and Non-discharge regulations.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If total fills for this
project (now or in the future) exceed one acre of wetland or 150 linear feet of stream, compensatory
mitigation may be required as described in 15A NCAC 2H.0506 (h). This approval requires you to
follow the conditions listed in the attached certification and any additional conditions listed below.
Conditions of Certification:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Authorization are met. No other impacts are approved including incidental
impacts:
Amount Approved nits Plan Location or Reference
Zone 1 TPBR Buffer Impacts 3,878 (square feet PCN page 11 of 12
401 Oversight/Express Review Permits Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone]/ Internet: htto://h2o.enr.state.nc.us/ncwetlands
z 7
An Equal Opportunity/Affirmative Action Employer- 500% Recyc"10% Post Consumer Paper
Lake Royale Property Owners Association
Page 2 of 3
February 17, 2006
2. Erosion and sediment control practices must be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management Practices in
order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
c. Sufficient materials required for stabilization and/or repair of erosion control measures and
stormwater routing and treatment shall be on site at all times.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
Division of Land Resources has released the project.
4. Protective Fencing - The outside buffer, wetland or water boundary and along the construction corridor
within these boundaries approved under this authorization shall be clearly marked with orange warning
fencing (or similar high visibility material) for the areas that have been approved to infringe within the
buffer, wetland or water prior to any land disturbing activities to ensure compliance with 15 NCAC 2H,
Section.0500.
5. Culvert Installation
Culverts required for this project shall be installed in such a manner that the original stream profiles
are not altered. Existing stream dimensions (including the cross section dimensions, pattern, and
longitudinal profile) must be maintained above and below locations of each culvert. Culverts shall be
designed and installed to allow for aquatic life movement as well as to prevent head cutting of the
streams. If any of the existing pipes are or become perched, the appropriate stream grade shall be re-
established or, if the pipes installed in a perched manner, the pipes shall be removed and re-installed
correctly.
Culvert(s) shall not be installed in such a manner that will cause aggradation or erosion of the stream
up or down stream of the culvert(s). Existing stream dimensions (including the cross section
dimensions, pattern and longitudinal profile) shall be maintained above and below locations of each
culvert.
Placement of culverts and other structures in 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 inches, and 20
percent of the culvert diameter for culverts having a diameter less than 48 inches, to allow low flow
passage of water and aquatic life. Design and placement of culverts and other structures including
temporary erosion control measures shall not be conducted in a manner that may result in dis-
equilibrium of wetlands or streambeds or banks, adjacent to or upstream and down stream of the above
structures. The applicant is required to provide evidence that the equilibrium shall be maintained if
requested in writing by DWQ.
Lake Royale Property Owners Association
Page 3 of 3
February 17, 2006
The establishment of native, woody vegetation and other soft stream bank stabilization techniques
must be used where practicable instead of rip rap or other bank hardening methods. If rip-rap is
necessary, it shall not be placed in the stream bed, unless specifically approved by the Division of
Water Quality.
Installation of culverts in wetlands must ensure continuity of water movement and be designed
to adequately accommodate high water or flood conditions.
Upon completion of the project, the Applicant shall complete and return the enclosed "Certificate of
Completion" form to notify NCDWQ when all work included in this Riparian Buffer Authorization has
been completed. The responsible party shall complete the attached form and return it to the
401 /Wetlands Unit of the NC Division of Water Quality upon completion of the project. Please send
photographs upstream and downstream of each culvert site to document correct installation along with
the Certificate of Completion form.
7. Per the requirements of the Express Review Program, the applicant and/or authorized agent shall
contact the DWQ Express Review Program in writing at the letterhead address within ten (10) days of
the commencement of construction
Violations of any condition herein set forth may result in revocation of this Buffer Authorization and may
result in criminal and/or civil penalties.
If you do not accept any of the conditions of this Authorization Certificate (associated with the approved
buffer impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of
the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This authorization and its conditions are final and binding unless you ask for
a hearing.
This letter completes the review of the Division of Water Quality under the Riparian Area Protection
Rules. If you have any questions, please telephone Cyndi Karoly or Cynthia Van Der Wiele in the
Central Office in Raleigh at 919-733-1786.
AWK/cvdw
Enclosures: Certificate of Completion
cc: Eric Kulz, DWQ Raleigh Regional Office
DLR Raleigh Regional Office
File Copy
Central Files
Sincerely,
Alan W. Klimek, P.E.
Filename: EXP 060077LakeRoyaleSDCulvertRepaiz(Franklin)4TPBR
Michael F. Easley, Governor
of W a rF9 William G. Ross Jr., Secretary
?O? QG North Carolina Department of Environment and Natural Resources
Cq Alan W. Klimek, P.E. Director
> Division of Water Quality
DWQ Project No.: County:
ADDlicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or
the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and specifications, and other supporting materials.
Signature: Date:
Agent's Certification
I, , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and specifications, and other supporting materials.
Signature: Date:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, weekly, full time) the construction of the project, for the Permitee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other
supporting materials.
Signature Registration No. Date

North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), hftp://h2o.enr.state.nc.us/ncwetlands/

Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No. QAP 06 0077
iii any parncuiar item is not appiicaole to tors project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit X Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: GP-13
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 of PCN), 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: Lake Royale Property Owners Association, Inc. jAN -1, 4 7006
Mailing Address: P.O. Box 265, Bunn, NC 27508 , -NK of, 15 -? "MCH
Telephone Number: 252-478-4121 Fax Number: 252-478-3599
E-mail Address: rwvg(&,,lakeroyalepoa.org
Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
Name: Lake Royale Property Owners Association, Inc. - Robert VanGraafeiland
Mailing Address: P.O. Box 265, Bunn, NC 27508
Telephone Number: 252-478-4121 Fax Number: 252-478-3599
E-mail Address: rwvg(rilakeroyalepoa.org
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: Lake Royale Subdivision 2006 Culvert Repair
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): See Vicinity Maps (Roadways w/ in Subdivision)
4. Location
County: Franklin Nearest Town: Bunn
Subdivision name (include phase/lot number): Lake Royale, Road Ways, Right-A-Way
Directions to site (include road numbers, landmarks, etc.): See Attached Map
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): 60' wide Right-A-Ways
7. Nearest body of water (stream/river/sound/ocean/lake):Lake Royale/Cypress Creek/Tar River
River Basin: Tar / Pam
(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.ne.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: Basic culverts running under -20' roads with -4' streams that
have riprap headwalls that need to be re-stabilized and some areas down stream that need to
be stabilized due to overflow of water over the road during HEAVY Rains and/or major flow
through the stream (down stream from the spillway). Deteriations has occurred during some
of the recent heavy rains over the last two years.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: Equipment
to be used will be trucks to deliver rip-rap, excavator and backhoe will be used to move
around rip-rap. Rip-rap and geo-textile material will be hand laid.
11. Explain the purpose of the proposed work: Prevent further erosion and discharge of banks
into the steams. Stabilization.
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 USACE 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.
V. Future 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.
VI. 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
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: N/A
Page 7 of 12
2. Individually list wetland impacts below: N/A
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

T List each impact separately and identity temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at htW://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
I Rip-Rap Bank/headwall 70' Cypress Creek 20' Perennial
6 Rip-Rap Bank/headwall 40' Cypress Creek 4' Perennial
7 Rip-Rap Bank/headwall 40' Cypress Creek 4' Perennial

List each impact separately and identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: -150'
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: N/A
Page 8 of 12
Open Water Impact
Site Number

(indicate on ma)
Type of Impact* Area of
Impact

(acres)
(if Name p Waterbody
applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.)

i.ist earn impact separateiy and identity temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation: (N/A)
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.):
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. Impact 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.
There will not be immediate or future soil impacts to create disturbance The goal is to reduce
future erosion.
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
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
Page 9 of 12
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/newetlands/strmgide.html.
1. 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.
All Maps Attached
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 http://h2o.enr.state.ne.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information: N/A
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Page 10 of 12
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No X
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 213 .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes X 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.
Zone* Impact
s uare feet) Multiplier Required
Mitigation
1 X3,878 3 11,634
2 0 1.5 0
Total -11,634
cone i extends out 3u reet perpenuicutar from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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
Page 11 of 12
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.
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.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
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).

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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STATE OF NORTH CAROLINA
Department of the Secretary of State
STATEMENT OF CHANGE OF REGISTERED
OFFICE AND/OR REGISTERED AGENT
Pursuant to §55-5-02, §55A-5-02, §55-15-08, and §55A-15-08 of the General Statutes of North Carolina, the undersigned
corporation submits the following for the purpose of changing its registered office and/or registered agent in the State of North
Carolina.
The name of the corporation is:
The street address and county of the corporation's registered office currently on file is:
Number and Street: (CA C?\ y ever cA
City, State, Zip Code: t\) C- Z 7S-q I County:
address if different from the street ddress of the registered office currently on file is:
?nZ 020. S t.,n n . NC- 17508
The name of the current registered agent is:
1. The street address and county of the new registered office of the corporation is: L
(complete this item only if the address of the registered office is being changed)
Number and Street:
City, State, Zip Code:
County:
2. The mailing address if different from the street address of the new registered office is:
(complete this item only if the address of the registered office is being changed) L7s&vv\ e J
3. The name of the new registered agent and the new agent's consent to appointment appears below:
(complete this item only if the name of the registered agent is bein j'
Rkerl uck-r v\ P? ?n c r-
Type or Print Name of New Agent * gnature & Title
4. The address of the corporation's registered office and the address of the business office of its registered agent, as changed,
will be identical.
5. This statement will be effective upon filing, unless a date and/or time is specified:
This is the l day of
20 bq_.
c\o It,
rR6 1 h
oration Name
F -' Signature
Type or Print Name and Title
Notes: 1. Filing fee is $5.00. This document and one exact or conformed copy must be filed with the Secretary of State.
Revised January 2000 Form BN-06
CORPORATIONS DIVISION P. O. BOX 29622 RALEIGH. NC 27626-0622
POLICE DEPARTMENT - 478- 3170 - SWIMMING POOL - 478-9910
POA OFFICE 478-4121- GUARD GATE 478-3028 - MAINTENANCE DEPARTMENT - 4784376

Yahoo! Maps - Louisburg, NC 27549-9149
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UNITED STATES
DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
78015'00" 78° 12'30" 78010'00"
7 yq 79n 75i 769 753 754 155 756 757
2. Individually list wetland impacts below: N/A
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gnv.
*** List a wetland type that best describes wetland to be impacted (e,g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please secif )

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usts.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: N/A
Page 8 of 12
[Fwd: Re: Today at Lake Royale]
Subject: [Fwd: Re: Today at Lake Royale]
From: Amy Chapman <amy. chapman@ncmail. net>
Date: Tue, 14 Feb 2006 11:53:47 -0500
To: Cynthia Vanderwiele <[e-mail]>, Eric Kulz <[e-mail]>
I'll spare Mike the review on this one.
I emailed Robert to have him resubmit page 8. (He still needs to remove the
cumulative impact amount on the blank below the stream impact table). I'm also
checking with Cyndi on the app fee question he had.
Enjoy!
Subject: RE: Today at Lake Royale
From: "Robert W. VanGraafeiland" <[e-mail]>
Date: Tue, 14 Feb 2006 11:42:38 -0500
To: "Amy Chapman" <amy. chapman@ncmail. net>
Please find the new map for the Sagamore/Spillway location and revised page 8. Thank you and
hopefully this will be the last change. If you need anything else please let me know.
Will we get $2,000 back on the application fee?
Thank You
Robert VanGraafeiland, General Manager
Lake Royale POA
P.O. Box 265, Bunn, NC 27508
252-478-4121 (phone)
252-478-3599 (fax)
[e-mail]
www.Irpoa.com
-----Original Message-----
From: Amy Chapman [mailto:[e-mail]]
Sent: Tuesday, February 07, 2006 7:42 AM
1 of 6 2/14/2006 12:06 PM
RE: Today at Lake Royale
40
Subject: RE: Today at Lake Royale
From: "Robert W. VanGraafeiland" <[e-mail]>
Date: Tue, 14 Feb 2006 11:42:38 -0500
To: "Amy Chapman" <amy. chapman@ncmail. net>
Please find the new map for the Sagamore/Spillway location and revised page 8. Thank you and
hopefully this will be the last change. If you need anything else please let me know.
Will we get $2,000 back on the application fee?
Thank You
Robert VanGraafeiland, General Manager
Lake Royale POA
P.O. Box 265, Bunn, NC 27508
252-478-4121 (phone)
252-478-3599 (fax)
[e-mail]
www.Irpoa.com
-----Original Message-----
From: Amy Chapman [mailto:[e-mail]]
Sent: Tuesday, February 07, 2006 7:42 AM
To: [e-mail]
Subject: Re: Today at Lake Royale
Thank you Robert. I have it scheduled for l Oam on the 13th.
Have a good week.
-Amy
Robert W. VanGraafeiland wrote:
1 of 6 2/14/2006 12:05 PM
t
2. Individually list wetland impacts below: NIA
Wetland Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, gruding, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www,&-ma.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)

List each impact separately anti identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usas,aov. Several internet sites also allow direct download and printing or USGS maps (e.g., www.topozonc.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 110'
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: N/A
Page 8 of 12
A?

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WA2
?0F N NA TF9O Michael F. Easley, Governor
C. William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
January 25, 2006
DWQ EXP No. 06-0077
Franklin County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Lake Royale Property Owners Association, Inc.
Attn: Mr. Robert W. VanGraafeiland
PO Box 265
Bunn, NC 27508
Project Name: Lake Royale Subdivision 2006 Culvert Repair
REQUEST FOR MORE INFORMATION-EXPRESS REVIEW PROGRAM
Dear Mr. VanGraafeiland:
On January 23, 2006, the Division of Water Quality (DWQ) received your application to impact
approximately 150 linear feet of streams and 3,878 square feet (ft) of Zone 1 of the riparian buffers at the
above referenced site. The DWQ has determined that the application will require additional information
in order to review and provide an approval to impact the above resources. Unless we receive the
additional information requested below, we will have to move toward denial of your application as
required by 15A NCAC 2H .0506 and will place this project on hold as incomplete until we receive this
additional information.
Please provide the following information so that we may continue to review your project:
1. Please show all stream impacts for each culvert site including all fill slopes, dissipaters and bank
stabilization on the site plan;
2. Please indicate all buffer impacts on the site plan;
3. Please show any stormwater or sediment and erosion control devices on the plan sheet. Ensure you
also provide a detail sheet for each device that is used;
4. On page 8 of your PCN, it shows an approximate cumulative impact of the stream length and page
11 of your PCN shows an approximate buffer area impact. You must resubmit these two pages of
your PCN to show an absolute impact total and not an approximation; and
(i? -NPlease submit electronic CAD files showing each of the nine culverts that are to be repaired.
Please respond within five (5) days of the date of this letter by sending five (5) sets of this information to
me in writing. The Express Review Program is a process that requires all parties to participate in a timely
manner. If the DWQ feels the Express Review Program is the incorrect review program for your project,
then we may have to return your application and have it reviewed through our regular 401 Water Quality
Certification Program.
401 Oversight/ Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: htto://h2o.enr.state.nc.us/ncwetlands
None hCaro ina
Naturallly
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/l0% Post Consumer Paper
Lake Royale Subdivision Culvert Repair
Page 2 of 2
January 25, 2006
This letter only addresses the application review and does not authorize any impacts to wetlands, waters
or protected buffers. Please be aware that any impacts requested within your application are not
authorized (at this time) by the DWQ. Please call Amy Chapman at [phone] or Cynthia Van Der
Wiele at [phone] if you have any questions regarding or would like to set up a meeting to discuss
this matter.
Sincerely,
A4've7", J6?n
Cyndi Karoly,
401 Oversight/Express Review Permitting Unit
CBK/asc%vdw
cc: USACE Raleigh Field Office
Mike Horan, DWQ Raleigh Regional Office
File Copy
Central Files
Filename: 060077Lake RoyaleSubdivisionCulvertRepair(Franklin)EXP + HOLD
2 -I
.-;fill t Gu=1-, I 1 : 21- FkrIP I: CIII-I-HEi-L_FiPIU -I P-1
EXP. . 06 0077
January .l 1, 2006
11: 'A c-.,y_i c'
Micbaci F'. Easley, (-kvernor
WJDlarr G. Kim Jr., scuy&taYy
North CAtolirai I) y,ur st ent of Environmt;rt and Natural Resoutets
Alan W. KhInd -, PX. Thrcctor
Divi:>im pf voter Quality
F-TariAbi County
J@%V11
fake R-oyal° Property Owners Association, Inc.
Attn., Mr. Robert ,V, VanGraafedand JAN,.
PO Box 215>
Bunn, NC 27548 ? W 10000
Fax #: [phone]
Project ,,I?n _ r. Lake- Royale Subdivision 2006 Culvert Repair
On Jan=-
y 05, 2006, the 401 Clversight/E) press Permitting Unit of the Division of Water Quality received a
request from Robert W. VanGraafeilmid, Lal to Royale Property Owners Association, regarding a project known
as " Lake Royale Subdivision 2006 Culvert Repair " for acceptance into the Express Review Program.. This letter
advises you that your, project will be accepted into the Express Review )Program once the following items are
received: '
V-) The application fee of $4,000.00 f for 401 Water Quality C'crtification and Riparian Buffer Approval
services, rtande payable to the North Carolina Division of Water Quality];
Five; (S) complete and collated copies of the PCN Application;
Onc (1) copy of the Addendum;
t4) Fivc. (5) copies of all site plan information pertaining to this project (please refer to the Addendur
11 ;/IhZo.cnr.state ne.u,s/newetiands/anpadd D-,
Thank you for yotu attention to this matter, Please keep in mind that the clock for this project will not start until
rcc4t of the completed, application package and required fee are reccive-d. If the impacts are greatff than
Wicated on the initial uiterest form and/or the services are different, you may be required to ternit an additional
fee.
If you have may questions or wish to discuss hese matters further please do not hesitate to call Array C-11hapman at
919-733-95M or Cynthia ?'an Der Wiel , at 919-'715-34'73.
AWCbIC asr
cr..; DM7Q lRa2 &iE;h Regional Office
File cony
C.cntrn 11cs
US ACOE, Raleigh Office
Sincerely,
C'yndi KaToly, Manager
401/E'xpress Review Oversize Unit
401 WCfslght/EYpre?s Rerlew Pennitting Unit
1650 MR)1,%mV1cr CfAutor, Flalegh, North Carolina 27699.1650
2321 Crabtree 60uki11ard, quite 2-1)0, Raleigh, North CarolOa 27604
Phono: 919-733•t706; FAX[phone]/Irdemet,.?ttp:;rluo.enr.sratcns c(Ircv-etltmds
Owe
hCarolina
An EgUril Opportunliy'AiYlrmiWi, A Inn Employo r - 50% necycledl10a• Pose Consume{ PHpe,

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2. Individually list wetland impacts below: N/A
Wetland Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
(acres) Located within
I00-year Floodplain**
(es/no) Distance to
Nearest Stream
linear feet)
Type of Wetland***

Usi each impact separately and identity temporary impacts. impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httn://www.fema.gov.
*** List a wetland type that bust describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate-on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact perennial or
Intermittent?
lease specify)
wall '
ress

.k 1 .L
"IM 4'iIO11 HL11JUGL Sllparately anu tdennry temporary impacts. impacts include, but Ore not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/struightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both die original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., Nnyw.tooozone.eom,
www.lgapquest.cum, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 110'
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: N/A

Page 8 of 12
Does the project involve an expenditure. of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No X
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 213 .0233
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify- )?
Yes X 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.
Zone* Impact
(square feet Multiplier Required
Miti ation
1 3,878 3
2 0 1.5
Total 3,878
Gone i extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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 213 .0242 or.0260.
N/A
Page 1 I of 12

EXP

06 4077
PEOROW19
JAN x 4 2006
DENR • WATER QUALITY
WETLAMM AND ITDI MATI A BRAWN
D
r,F W A 7-&,

Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://www.saw.usace.anny.mil/wetlands/Perm_app htm.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://www.saw.usace.army.mil/wetlands/index.htm, or contact one of the field
offices listed on page 3 of this application. The website also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401 /Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for General Certifications is not required, provided
that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Page 1 of 12
V
Coastal Area Management Act (LAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of
Coastal Management (DCM). DCM will determine whether or not the project is within a designated
Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such
cases, DCM will require a CAMA Permit and will coordinate the 404/401 Permits.
The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure
that the proposed project will have no impact upon any endangered or threatened species or critical
habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office, North
Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon
any properties listed or eligible for listing on the National Register of Historic Places. Compliance with
these regulations is required to be eligible for any Department of the Army permit. The addresses for
both agencies are listed on page 3 of this application.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office. Upon receipt of an application, the
USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This
PCN form is designed for the convenience of the applicant to address information needs for all USACE
Nationwide, Regional or General permits, as well as information required for State authorizations,
certifications, and coordination. Fully providing the information requested on this form will result in a
complete application for any of the USACE Nationwide, Regional or General permits. To review the
minimum amount of information that must be provided for a complete PCN for each USACE
Nationwide permit, see Condition 13, 65 Fed. Reg. 12893 (March 9, 2000), available at
http://www.saw.usace.anny.mil/wetlands/nwpfinalFedReg.pdf. Processing times vary by permit and
begin once the application has been determined to be complete. Please contact the appropriate
regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401 /Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/newetiands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg
151 Patton Avenue Ashe Cherokee Iredell Mitchell
Room 208 Avery Clay Jackson Polk
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office
US Army Corps Of Engineers
Post Office Box 1890
Wilmington, NC 28402-1890
Telephone: [phone]
Fax: [phone]
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Anson Duplin Onslow
Bladen Harnett Pender
Brunswick Hoke Richmond
Carteret Montgomery Robeson
Columbus Moore Sampson
Cumberland New Hanover Scotland
North Carolina State Agencies
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
Pitt
Tyrrell
Washington
Wayne
Swain
Transylvania
Union
Watauga
Yancey
*Croatan National Forest Only
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Office Box 33726 160 Zillicoa Street Pivers Island
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Page 3 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1- 4.
Page 4 of 12
Office Use Only:
USACE Action I No.
(If any artici
1. Processing
2.
3.
4.
5.
II. Ap
1.
Form Version May 2002
DWQ No. FXp [I_A_
item is not applicable to this project, please enter "Not Applicable" or "N/
Check all of the approval(s) requested for this project:
? SecOon 404 Permit X Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification
Nationv ide, Regional or General Permit Number(s) Requested: GP-13
If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
If paym ent into the North Carolina Wetlands Restoration Program (NCWRP) is proposed fot
mitigati
section n of impacts (verify availability with NCWRP prior to submittal of PCN), complete
III and check here: ?
If your
4), and
Environ project is located in any of North Carolina's twenty coastal counties (listed on page
the project is within a North Carolina Division of Coastal Management Area of
mental Concern (see the top of page 2 for further details) p?
plicant I nformation D
JAN ?006
Owner/
Name: R pplicant Information
ake Royale Property Owners Association, Inc. I
Mailing Address: P.O. Box 265, Bunn, NC 27508

Telepho e Number: 252-478-4121 Fax Number: 252-478-3599
E-mail A ddress: rwvg(a),lakeroyalepoa.org
Agent/ C onsultant Information (A signed and dated copy of the Agent Authorization letter
Name: R ake Royale Property Owners Association, Inc. - Robert VanGraafeiland
Mailing Address: P.O. Box 265, Bunn, NC 27508

Telepho e Number: 252-478-4121 Fax Number: 252-478-3599
E-mail A ddress: rwvgQ,)Iakeroy lepoa.org
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: Lake Royale Subdivision 2006 Culvert Repair
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): See Vicinity Maps (Roadways w/ in Subdivision)
4. Location
County: Franklin Nearest Town: Bunn
Subdivision name (include phase/lot number): Lake Royale, Road Ways, Right-A-Way
Directions to site (include road numbers, landmarks, etc.): See Attached Map
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): 60' wide Right-A-Ways
7. Nearest body of water (stream/river/sound/ocean/lake):Lake Royale/Cypress Creek/Tar River
8. River Basin: Tar / Pam
(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: Basic culverts running under -20' roads with -4' streams that
have riprap headwalls that need to be re-stabilized and some areas down stream that need to
be stabilized due to overflow of water over the road during HEAVY Rains and/or major flow
through the stream (down stream from the spillway). Deteriations has occurred during some
of the recent heavy rains over the last two years.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: Equipment
to be used will be trucks to deliver rip-rap, excavator and backhoe will be used to move
around rip-rap. Rip-rap and geo-textile material will be hand laid.
11. Explain the purpose of the proposed work: Prevent further erosion and discharge of banks
into the steams. Stabilization.
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 USACE 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
V. Future 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.
VI. 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
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: N/A
Page 7 of 12
2. Individually list wetland impacts below: N/A
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet
Type of Wetland***

*
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
I Rip-Rap Bank/headwall 70' Cypress Creek 20' Perennial
6 Rip-Rap Bank/headwall 40' Cypress Creek 4' Perennial
7 Rip-Rap Bank/headwall 40' Cypress Creek 4' Perennial

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: -150'
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: N/A
Page 8 of 12
Open Water Impact
Site Number

(indicate on ma)
Type of Impact* Area of
Impact

(acres)
(if Name p Waterbody
applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.)

List each impact separately and identity temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation: (N/A)
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.):
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. Impact 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.
There will not be immediate or future soil impacts to create disturbance The goal is to reduce
future erosion.
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
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
Page 9 of 12
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/stn-np,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.
All Maps Attached
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 http://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: N/A
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Page 10 of 12
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No X
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 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes X 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.
Zone* Impact
s uare feet
Multiplier
Required
Mitigation
1 3,878 3 11,634
2 0 1.5 0
Total -11,634
c.v„c , eaici,us out av im perpenoicuiar rrom near bank 01 channel; Gone 2 extends an
additional 20 feet from the edge of Zone 1.
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.
Page 11 of 12
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.
N/A
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.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application?
Yes ? No X
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).
None
l
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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i
STATE OF NORTH CAROLINA
Department of the Secretary of State
STATEMENT OF CHANGE OF REGISTERED
OFFICE AND/OR REGISTERED AGENT
Pursuant to §55-5-02, §55A-5-02, §55-15-08, and §55A-15-08 of the General Statutes of North Carolina, the undersigned
corporation submits the following for the purpose of changing its registered office and/or registered agent in the State of North
Carolina.
The name of the corporation is:
The street address and county of the corporation's registered office currently on file is:
Number and Street: ((D\ C? y ?hy1 I (A V t°
City, State, Zip Code: Lo\, ` ,\nk c. W C- Z T;-q I County: 7-1 itCAp, 1
`J Ili
?I
mailin address if different from the street- ?{ddress of the registered office currently on file is:
nQ lC J(n? , ?,,.i i _ N C- 27 S?) R
The name of the current registered agent is:
1. The street address and county of the new registered office of the corporation is: L
(complete this item only if the address of the registered office is being changed)
Number and Street:
City, State, Zip Code:
County:
2. The mailing address if different from the street address of the new registered office is:
(complete this item only if the address of the registered office is being changed) ?s&VV\ e J
3. The name of the new registered agent and the new agent's consent to appointment appears below:
(complete this item only if the name of the registered agent is be' j
Type or Print Name of New Agent * Signature & Title
4. The address of the corporation's registered office and the address of the business office of its registered agent, as changed,
will be identical.
5. This statement will be effective upon filing, unless a date and/or time is specified:
This is the ` day ofFr?apyoj-y , 200q
Xj 6L, 10 ?0 A, I,,
oration Name
Signature
Type or Print Name and Title
Notes: 1. Filing fee is $5.00. This document and one exact or conformed copy must be filed with the Secretary of State.
Revised January 2000 Form BN-06
CORPORATIONS DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
POLICE DEPARTMENT - 478- 3170 - SWIMMING POOL - 478-9910
POA OFFICE 478-4121= GUARD GATE 478-3028 - MAINTENANCE DEPARTMENT - 478-4376
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Addendum to the Pre-Construction Notification and "Buffer Rules" Application Required for
Projects Submitted Under the
"Express Review Program"
North Carolina Division of Water Quality Version 4.0
September 2, 2004
Email Address: [e-mail] f°' ® 007 7
Purpose: To provide a detailed explanation of the information required by the Division of Water Quality
in order to expedite the review of applications for 401 General Water Quality Certifications, Isolated
Wetland Permits, Stream and Wetland Mitigation Plans and Riparian Buffer Approvals (Please Note: do
not leave any questions unanswered or use terms such as "N/A" without an explanation).
Fees:
401 Water Quality Certifications
Riparian Buffer Approval:
Isolated Wetland Permit:
Wetland & Stream Mitigation Plan:
Major (>/= 150' stream or >/= 1 acre wetlands) PP
Minor (< 150' stream or < 1 acre nds) $1,0 (exclusively or "in addition" to) 2,000.0
General $1,000.00
Major w/buffers (>/= 150' stream or >/= 1 acre wetlands) $4,000.00
Major w/o buffers (>/= 150' stream or >/= 1 acre wetlands) $3,000.00
Minor/buffers only $2,000.00
Please read the entire document before attempting to determine the proper fee. Fees are additive for
particular projects.
Things to keep in mind when filling out the application:
A specific answer must be provided for each question. For instance, if a numerical answer is requested
then a numerical answer must be provided along with the supporting information necessary for DWQ staff
to verify that the number is accurate. Likewise, if explanations are presented to justify certain responses,
the explanations must be completely supported by documentation. DWQ staff cannot assume that
unsupported or undocumented information is accurate. "N/A" is not an acceptable answer for any
question since the DWQ Staff reviewing the application must have an opportunity to determine whether or
not any requested information is pertinent.
All forms, guidance, worksheets, applications, etc. used must be the current versions as posted on our
web site at http: h2o.enr.state.nc.us/ncwetlands. There will soon be a web site specifically for the
express review program. Please note that it will be the applicant's or applicant's consultant's
responsibility to verify that the current versions are used. The versions posted on our web site will be
considered to be the current versions.
You are a very important part of the success of this program, if you have suggestions or clarifications
please send your comments to the Wetlands/401 Unit of the DWQ (via email at
401 [e-mail]).
Filling Out the Pre-Construction Notification Application:
The Corps of Engineers (USACE)/DWQ official, joint Pre-Construction Notification (PCN) Application
must be used as a basis for the expedited review process. The completed application should be
presented first and the supporting information tabbed and collated in the same order. Using a custom
format is not recommended. The open squares 0) are checklist items. The following items correspond to
the numbering system on the Pre-Construction Notification Form (PCN):
USE CHECK BOXES TO TRACK PROJECT INFORMATION
SECTION I. PROCESSING
1 & 2.The USACE determines which Nationwide, Regional, or General Permit is
required. If you have verified with the USACE which permit they intend to use for
your project or if you already have written approval from the USACE, please
indicate by adding "verified" or "verified, attached", respectively, in the blank next
to the Permit number requested.
Attach the USACE Approval if you have it.
It is not anticipated that the expedited process will be requested for this situation.
4. If you propose to impact 150 feet or more of perennial stream or 1 acre or more
of wetland and onsite mitigation is not proposed, it is recommended that you
either locate an acceptable private bank with available credits (with
documentation to show that the bank can and shall provide the credits needed)
or obtain approval from the EEP for the entire amount of stream and or wetland
as DWQ will make the final determination as to whether or not mitigation applies.
Please note that the USACE may have different mitigation requirements and
thresholds.
5. State whether your project will require a CAMA Minor, Major or General Permit
and give the status of the permit.
SECTION II - APPLICATION INFORMATION
1. 15 NCAC 2H.502(o reads as follows: "Who Must Sign Applications. The application
shall be considered a "valid application" only if the application bears the signature of a
responsible officer of the company, municipal official, partner or owner. This signature
certifies that the applicant has title to the property, has been authorized by the owner to
apply for certification or is a public entity and has the power of eminent domain. Said
official in signing the application shall also certify that all information contained therein
or in support thereof is true and correct to the best of his knowledge."
Please indicate how the applicant meets the above definition and provide
4 `II supporting documentation.
5k/ Please provide all of the requested contact information including a fax
number and email address.
2. If the application is not signed by the applicant, please attach the agent authorization.
The applicant must sign the agent authorization letter. The applicant's name and
position must also be spelled out as many signatures are difficult to read.
3. 4 Please provide all of the requested contact information including a fax number and
email address.
SECTION III - PROJECT INFORMATION
The following is the most critical of all the information that you must provide. The quality and detail of the
information will often determine the expeditiousness of the review. The following is a checklist of the
types of pertinent information required at a minimum:
Maps and Plans:
The most recent version of the 1:24,000 USGS Topographic Map- Please cleanly
1??< delineate the site boundaries, etc. on the map. If the delineation obscures any of the
3.6features, it is recommended that a clean copy be provided. Please indicate the
V7 quadrangle name. You can go to the USGS web site (http://mac.usgs.gov/maplists/) to
verify the most recent version.
The most recent version of the NRCS Soil Survey Map - (required for projects within
the Neuse River Basin, Tar-Pamlico River Basin, Randleman Lake Watershed and the
Catawba River Basin, also recommended for all projects) - Please cleanly delineate the
site boundaries, etc. on the map. If the delineation obscures any of the features, it is
recommended that a clean copy be provided. Please indicate the page or map number
from which the copy of the map was made. Copies of the current soil survey and/or soil
survey map sheets can be obtained from the local NRCS County Office
(http://www.nc.nrcs.usda.gov/).
Vicinity map - Please clearly mark the location and approximate boundaries of the
property and project on the map. Please indicate north and scale. Please include
applicable road names or State Road numbers.
The Site Plan - The most critical map to be provided is the site plan. You must provide
full sized plans. The following is the minimum list of plans that are typically needed.
Pre-construction/Pre-existing conditions - This sheet must be scaled and
include all jurisdictional and non-jurisdictional wetland, ?trPam water fPature?
§tate regulated buffers tgoocirgohic contours with elevations, approximate extent
and nature of forest, field, landscaped, or other-cover. Any existing structures and
impervious area must be shown. ExLatbq utility lines and easements must be
shown. in roads, culverts, and other er m t e?`atu`res must hQwn. North
arrow and the sca a mus e s own. ease note that the impact boundaries on the
maps should correspond to the flagged impact boundaries in the field.
Proposed conditions - These sheets must be scaled and show all existing
jurisdictional and non-jurisdictional wetland, stream, water features, and State
regulated buffers must be underlain on the site plan(s). The plans must show all
built-out structures and impervious cover. The plans must include the final grading
contours with elevations. The plans must indicate all utilities and easements. It is
likely that several versions of the final built-out site plans will be necessary. The
following is a list of layers:
Drainage Plans - Final drainage plans must be included. The plans should include
the locations and pertinent elevations and sizes of the collection system and
drainage ways. All inlets and outlets must also be shown with pertinent elevations.
Scaled stormwater BMPs must also be indicated as required by DWQ rules and
policies. In certain cases, final stormwater management plans must also be
provided, but that will be addressed later in this document.
Plats - The plans must show the location and layout of all sub-divided parcels with
lot identifications. Platted parcels must be developable without further impacts to
jurisdictional and non-jurisdictional wetlands, streams, water features, and State
regulated buffers.
Proposed Impacts - All impacts to jurisdictional and non-jurisdictional wetland,
stream, water features, and State regulated buffers must be shown and labeled on
the site plans. All excavation, fill, flooding, stabilization, and other impacts that will
be conducted in or near jurisdictional and non-jurisdictional wetland, stream, water
features, and State regulated buffers must be indicated.
4
Wetland Impacts (on the site plan):
Precise grading and final elevation contours must be provided. Existing vegetation and
any clearing must be specified.
All subsurface utility lines must indicate the location of anti-seep collars. Construction
detail for anti-seep collars must be provided.
Roadway or other crossings of riparian wetlands may require floodway culverts to
maintain existing hydrological conditions.
When surface drainage features or groundwater recharge areas that feed or would
reasonably feed wetlands that are not to be filled are made impervious, it may be
necessary to direct some stormwater runoff to those areas in order to maintain hydrology.
You must identify these areas and address them. Supporting explanations and discharge
information must be provided to show that the wetland would not be eroded or receive
too much or too little hydrology. In many cases this could help satisfy part of a
stormwater management plan.
Flooding
Draining
Stream Impacts:
Stream impacts must be clearly shown on the plans. The centerline as well as the banks
of the stream must be surveyed or located by GPS for the portion of the stream to be
impacted.
Culverting:
The inlet and the outlet of the culvert should be aligned with the stream as much as
possible. Inlet and outlet elevations and stream bed elevations should be indicated.
Any widening of the stream must be shown with elevations.
The extent of and plan details for all dissipation or grade control devices should be shown
with pertinent elevations.
For shorter culvert sections, such as for road crossings, a longitudinal cross section that
shows the stream bed invert at the inlet and outlet, the existing stream bank elevations
and the invert of the inlet and outlet of the pipe(s) must be provided.
For shorter culvert sections, such as for road crossings, a vertical cross section must be
provided that shows the stream cross section at the inlet and outlet overlain with the
culvert and fill cross section.
For bottomless culverts or other spans, a vertical cross section should be provided that
shows the minimum distance from each span to each stream bank, the stream cross
section, the height of the span above the stream and the minimum distance from the
edge of each footer to each stream bank.
For bottomless culverts or other spans, a plan view must be provided that shows the
location of the spans and the stream banks.
For longer culverts or culverts that will pass beneath substantial impervious cover, it will
be necessary to provide adequate plan detail to show that discharge velocity/energy will
be adequately dissipated.
Aquatic life passage through culverts is typically achieved by placing the invert of the
culvert below the existing bed of the stream per the USACE or North Carolina Wildlife
Resource Commission guidelines. Other methods such as baffles may also be used.
Please be aware that such placement may require the use of grade/velocity control
measures up or down stream of culverts on steeper streams to prevent head-cuts or
stream bed erosion. The culvert placement relative to the stream bed can be indicated
on the longitudinal profile. Grade and velocity control measures must be indicated on the
plan view and typical designs should be provided.
Multiple culverts, wide culverts or sectioned box culverts typically require the use of sills,
off-setting or other means to match the cross section of the existing stream (in order to
maintain stream stability and provide aquatic life passage). A vertical cross section of the
culverts should be shown overlain with the up and downstream stream cross section
including the stream flood-prone area.
Impacts associated with dam construction must indicate and enumerate all fill associated
with the dam foot print, spillway and any bank stream bank stabilization. The length of
stream impounded must also be indicated and enumerated.
Stream Relocations:
Stream relocations must be conducted as specified in General Certification numbers
3402 and 3404 (available on the Wetlands Unit web site). Stream relocation plans must
include:
Morphological measurements (see Appendix B of the Internal Technical Guide for Stream
Work in North Carolina available on the Wetlands Unit web site) - not all of the
measurements are applicable in every instance.
Typical stream cross sections - Typically, a riffle cross section and a pool cross section
that includes the entire flood prone area. The bankfull and flood prove area elevations
should be indicated. Similarly, a riffle cross section of the reference stream(s) should be
provided.
Plan view - Provide scaled plans that show the location of the proposed (preferably with
stationing) and the existing stream. In most instances, the bankfull contours and flood
prone area contours, in stream structures, bank revetments/stabilization, channel plugs,
planting plan, vegetation conditions, stormwater outlets, grade controls, bridges, culverts,
sewer lines, roads, fencing, and easement lines should also be provided.
Longitudinal Stream Profile - A scaled profile that indicates the thalweg, bankfull, and top
of bank elevations should be provided for the design and reference streams. In many
cases, it will also be necessary to show the existing land elevations for the design
stream.
Planting Plan - A planting and/or vegetation management plan should also be provided
that makes use of appropriate native vegetation. The plan should indicate the extent,
density, and species of plants to be provided.
In-stream structure, bank revetment/stabilization, and stormwater outlet typicals -
Detailed, typical plans should be provided for all in stream structures, bank revetments or
stabilization, and stormwater outlets. The typicals should include materials and
specifications as well as relative lengths, positions, and angles.
Sediment transport analysis - A sediment transport analysis should be provided based
on the current, relevant, accepted practices. The sediment transport analysis should be
relevant to the stream bed load type and should predict bed load transport equilibrium.
Permanent conservation easement or similar means of protection must also be provided
Other Information:
1. The project should always be referred to by this name in all correspondence as well
as the DWQ # once it is provided.
2. This only applies to DOT projects, which are not expected to utilize the Express
Review Program.
3. This should be the size of the project as identified by the USACE for 404 Permits or
by the Division of Water Quality for Buffer Approvals and Isolated Wetland Permits.
4. Please provide the name (as depicted on the USGS topographic map and DWQ
Stream Classification Lists) of the nearest water body(ies) to which your project is a
tributary to (e.g. "Neuse River (Falls Lake below normal pool elevation)"). (Do not
simple state "stream", "river", "ocean", "sound" or "lake".) Please provide the "stream
index number" of the named water body or water body section (e.g. "27-(1)"). Also,
please provide the full water quality classification (e.g. "WS-IV NSW CA") of the water
body. This information can be obtained from the DWQ web site
http://h2o.enr.state.nc.us/bims/Reports/reportsWB.htm1.
5. Please state which river basin and sub-basin that your project is in (e.g. "Neuse River
Basin, NEU01"). This information can be obtained from the DWQ web site
http://h2o.enr.state.nc.us/bims/Reports/reportsWB.htm1.
6. Conditions should also be indicated on the existing site plan where applicable.
Photos (including aerial photos) can be helpful in describing the existing conditions.
7. You must provide an attachment that explicitly describes what the proposed project
will entail from the planning stage to final construction.
8. This can be a simple explanation, but it is critically important because the purpose
dictates how the no practical alternatives are reviewed.
SECTION IV - PRIOR PROJECT HISTORY
Please include copies of all 401 Water Quality Certifications, Isolated Wetland
Permits, Buffer Approvals, USACE Permits, CAMA Permits for the site as well as a
copy of the final approved, site plan.
SECTION V - FUTURE PROJECT PLANS
For projects utilizing the express review process, all impacts both present and
potential future must be indicated. For instance, the location or configuration of
platted lots sometimes suggests that future impacts will be necessary to build,
access, or otherwise develop such lots. Failure to account for such potential impacts
could delay or disqualify a project from the rapid review process. If you believe that
the lot can be developed without impacts, but you anticipate that your assertion may
be questioned, it is recommended that you provide a potential building foot print
and/or grading plan to show that future impacts could be avoided.
SECTION VI - PROPOSED IMPACTS TO WATER OF THE US
It is recommended that the individual impacts be described if there are special things
to note about the impacts. Typically the most important thing is to have detailed
accurate site plans as described above. Please make sure they are clearly labeled.
Please include all proposed temporary impacts.
Also, a current, signed delineation map from the USACE should be provided (if
available) and a map locating the stream origins signed by the appropriate DWQ
Staff must be provided if applicable.
Each impact to a wetland must be clearly labeled and identified on the site plan. The
type of impact must be clearly stated. If the impact is temporary, a specific plan must
be described or shown as to how the wetland will be restored. Keep in mind that the
USACE delineates some features as wetlands that DWQ calls streams. Please list
any impacts in this table that DWQ would identify as a stream. If there is any doubt,
it is recommended that the impacts be listed as streams. Please follow current DWQ
policy with respect to whether a stream is perennial or not. It is recommended that
you assume that a stream is perennial (unless you are positive that it is not) so if
mitigation is required then the appropriate amount of mitigation would be anticipated
or requested from the EEP or private bank. If the EEP or private bank has pre-
approved too short of an amount of stream or if inadequate mitigation is proposed,
then that situation will result in delays.
3. Sometimes it is difficult to determine whether a feature is a modified natural channel
or a ditch, especially in the eastern part of the State. Soils, drainage features,
topography, and similar factors, all are important for making that determination.
4. Other items to address not specifically requested in the application include
downstream sediment starvation, thermal pollution, low flow releases from dams, and
aquatic life passage. Other important considerations are buffer reestablishment or
mitigation around ponds on buffered streams. The site plan should include the
precise elevation contour of the normal pool as well as the dam foot-print. Mitigation
is required for wetland flooding of an acre or greater and for stream fill (if over the
150 foot threshold) under the dam foot-print and any outlet stabilization.
SECTION VII - AVOIDANCE AND MINIMIZATION
Avoidance and minimization are critical aspects of an application particularly if you desire the application
to be processed expeditiously. The following is a check-list of avoidance and minimization questions that
DWQ Staff often look for in applications.
Are there any stream crossings at angles less than 75° or greater than 105°?
Are there any stream crossings that cross two streams above or at the confluence of those
streams?
Are there any stream, wetland, water, and/or buffer impacts other than perpendicular road
crossing near the edges of the property?
Can the stream be relocated as a natural channel design as opposed to culverted or
otherwise filled?
Is any single stream crossed more than once?
Can property access routes be moved or reduced to avoid stream, wetland, water, and
buffer impacts?
Can a building, parking lot, etc. be realigned to avoid impacts?
Can the site layout be reconfigured to avoid impacts?
Can headwalls or steeper side slopes be used to avoid/minimize impacts?
Can a retaining wall be used to avoid/minimize impacts?
8
Can cul de sacs be used in place of a crossing?
Can lots be reshaped or have shared driveways to avoid impacts?
If based solely on the practicable physical possibility, the answer is "yes" to any of the above questions
then you must have to provide substantial and convincing justification as to why the impacts are
necessary. If the impacts are required by a local government or other agency, the claim must be
supported with appropriate written documentation from the local government or other agency. Most
projects typically involve the need to justify avoidance and minimization. If this information is not readily
available, then the express review process may not be the appropriate venue to use. Providing
alternative plans (such as plans that avoid the impact, minimize the impact and the preferred plan, similar
to those used in environmental assessments) and explanations as to why the preferred plan is needed
and why the alternative plans won't work are many times helpful in the no practical alternatives review.
SECTION VIII - MITIGATION
Mitigation for the Express Review Program, final mitigation plans must be presented up front. The final
plans (except for plans that propose payment into the Ecosystem Enhancement Program (EEP), Riparian
Buffer Restoration Fund, private mitigation banks, or similar banking instruments) must contain detailed
plans, specifications, calculations and other supporting data that show that the appropriate mitigation will
be achieved at the ratios required. The design plans must be developed to at least the "90%" level.
Monitoring plans must be final and specific. Any means of permanent protection, such as a permanent
conservation easement must be provided. If you elect to use the EEP or a private mitigation bank, it is
recommended that you request the maximum possible mitigation amount that DWQ may require so that
you will not have to get further approval from them on short notice. The EEP and private banks are not
part of the expedited review process and cannot be expected to meet any such deadlines. There will be
no conditional expedited approvals that require final plans at a later date. It is not recommended that
innovative mitigation techniques or greater than 10% preservation be requested as part of an expedited
process.
SECTION IX
If your project requires the preparation of an environmental document under NEPA or SEPA and an
approval letter has not been issued by the State Clearinghouse, then you cannot apply under the
expedited review process. I t is your responsibility to find out if such documentation is required.
SECTION X
There are many aspects of the Buffer Rules that must be addressed in every application, if applicable.
The first and most important thing to keep in mind is that allowable activities that require written Approval
from DWQ triggers a review of the entire project for compliance with the Buffer Rules.
Diffuse Flow & Stormwater Management:
The most common issues that arise involve the requirement for diffuse flow of stormwater
through riparian buffers. Basically one of three things must be indicated in regards to all
"new" stormwater that is collected and subsequently discharged. First, provisions for
diffuse flow through the protected buffer must be made. This usually involves the use of
level spreading devices designed to the latest DWQ guidance on level spreader design,
which is available on our web site. Please keep in mind that it does not matter how far a
discharge point is from a buffer. The stormwater must be flowing in a diffuse manner at
whatever point it eventually reaches the buffer. If the stormwater will not be flowing in a
diffuse manner through the protected buffer at the point it reaches the buffer, then one of
the following options may be allowed:
You may provide a nitrogen removing measure such as a forested filter strip,
grassed swale, stormwater wetland, etc. The measure employed should be
designed according to the NC DENR Stormwater Best Management Practices
Manual or other DWQ Guidance available at http:
//h2o.ehnr.state.nc.us/ncwetlands/mitresto.html. After the nitrogen is treated, the
stormwater can be directly conveyed through the buffer with written DWQ approval.
You may discharge the stormwater to an existing man-made conveyance that
currently conveys stormwater through the protected buffer (assuming the
conveyance was not constructed in violation of the Rules) as long as that
conveyance does not need to be altered to convey the flow. Please remember that
there are no other choices. The following checklist is intended to help insure that
your application will not be deemed incomplete as a result of improper stormwater
design.
Stormwater Management (for Buffer Rules compliance only - Also, see Section XI):
All stormwater out-falls must be clearly shown and labeled on the site plan for projects in
Buffered watersheds. List each out-fall as labeled:
Option 1: Level spreading devices designed to the latest DWQ Guidance, and
devices that merely control velocity but do not provide diffuse flow such as rip rap
dissipators are not proposed. List each of these out-falls as labeled on the site
plan and provide a DWQ worksheet available at
http://h2o.ehnr.state.nc.us/ncwetlands/mitresto.htm1:
Option 2: Nitrogen removing measures designed to DWQ Standards are
proposed for discharges for which diffuse flow through a protected Buffer cannot be
met. List each of these out-falls as labeled on the site plan and provide a DWQ
worksheet available at hftp://h2o.ehnr.state.nc.us/ncwetlands/mitresto.htm1:
Option 3: The stormwater will be discharged to an existing man-made (not
including modified natural channels) conveyance that carries the stormwater
through the Buffer. The conveyance was not constructed in violation of the Buffer
Rules. List each out-fall as labeled:
All stormwater out-fall must meet one of the options above. (Note: if you cannot check this
box your application will likely not be accepted into the express review process.)
Site Plans:
All applications on properties with DWQ protected buffers must clearly depict the buffers
and any impacts to the buffers on the site plans. The impact maps should clearly depict
both zones of the protected buffers and the proposed impact areas (provided in square
feet).
Surface Water S Buffer Delineations:
Any surface waters subject to DWQ protected buffers must be field located and accurately
depicted on the site plans and impact maps. The width, dimensions and pattern of the
surface water must be delineated. The surface water location must not be taken simply
from a USGS map, soil survey or local municipality's map. The buffers must be measured
from the surface water as required within the applicable buffer protection rule (e.g., all
buffers along streams subject to the Neuse Buffer Rule must be measured from the "top-of-
bank" of the stream and not the centerline of the stream). All streams must be surveyed or
located by GPS and shown precisely on the site plans.
Impact Table:
Please provide additional impact tables that clearly state the area of impact for each
corresponding impact site.
10
Variances:
Projects that require a Minor, Major and/or "General" Variance will not be eligible for the
use of the Express Review Program.
Mitigation:
As opposed to applications that are submitted under our regular process, final mitigation
plans must be presented up front (see requirements for Section VIII above). The mitigation
plans must comply with the applicable buffer mitigation rule.
SECTION XI - STORMWATER
Please provide the following information in regards to potential stormwater requirements:
The total acreage of the site. (acres)
The total built-out impervious acreage (acres)
The total area that will be disturbed < (acres)
If the total area exceeds 20% imperviousness, the development on the site is uniform in
density, and you claim that the total impervious area is less than 30%, you must provide a
complete, detailed breakdown of the assumed built-out conditions. The breakdown must
be detailed enough to show that all potential impervious areas are accounted for.
If there are concentrated areas of development such as multi-family, commercial, cluster,
club houses, etc. that exceed 30% imperviousness and the total imperviousness for the site
does not exceed 30%, a stormwater management plan will likely be required for those
areas that exceed 30% imperviousness.
Stormwater management plans must be complete with a final design and an executed
Operation and Maintenance Agreement. There will be no conditional stormwater approvals
for the express review process that allow for approval of the final plans at a later date.
Worksheets must be provided that are available at
http://h2o.ehnr.state.nc.us/ncwetlands/mitresto.htm1.
SECTION XII - SEWAGE DISPOSAL
Response must be clear and detailed. Any disposal method that suggests further impacts
may be required other than those shown must be clearly addressed on the site plans.
SECTION XIII
Answering yes to either of these responses automatically precludes you from the express
review process.
SECTION XIV - SIGNATURE
The name, position and/or title of the applicant must be in type or long hand script here with
the signature. It should be the same person as described in Part II.
If you have any questions about these requirements, please email the Express Review Program at
[e-mail] and include your question and phone number and the appropriate staff will
respond as soon as possible.
OF W A TF
9
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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
EXPRESS PERMIT REVIEW PROGRAM
Division of Water Quality
Department of Environmental and Natural Resources
401 Oversight/Express Review Permitting Unit
Street Address: 2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604-2260
Mailing Address: 1650 Mail Service Center
Raleigh, NC 27699-1650
Contact Information: Phone #:
Fax #:
919-733-0203
919-733-6893
Fax To: Robert VanGraafeiland
Subject: Lake Royal POA
Number of pages including cover sheet: 5
Notes or special instructions:
Fax #: [phone]
Date: February 17, 2006
The original will be sent in the mail. If you have questions please call Cynthia Van Der Wiele @ 715.3473.
401 Oversight / Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.tis/iicwctiands
N r hCarolina
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DATE JAN-12-2006 THU 11:22
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401 Oversight/Express Review, Program Development and
Transportation Permitting Units
Street Address: 2321 Crabtree Houle"Id, tiaitc 2tr0
Rnicieh, NC 27604-2260
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January 11, 2006
EXPRESS REVIEW ACCEPTANCE LETTER
Lake Royale Property Owners Association, Inc.
Attn: Mr. Robert W. VanGraafeiland
PO Box 265
Bunn, NC 27508
Fax #: [phone]
Project Name: Lake Royale Subdivision 2006 Culvert Repair
Alan W. Klimek, P.E. Director
Division of Water Quality
Franklin County
On January 05, 2006, the 401 Oversight/Express Permitting Unit of the Division of Water Quality received a
request from Robert W. VanGraafeiland, Lake Royale Property Owners Association, regarding a project known
as " Lake Royale Subdivision 2006 Culvert Repair " for acceptance into the Express Review Program. This letter
advises you that your project will be accepted into the Express Review Program once the following items are
received:
1) The application fee of $4,000.00 [for 401 Water Quality Certification and Riparian Buffer Approval
services, made payable to the North Carolina Division of Water Quality];
2) Five (5) complete and collated copies of the PCN Application;
3) One (1) copy of the Addendum;
4) Five (5) copies of all site plan information pertaining to this project (please refer to the Addendum
http://h2o.enr.state.nc.us/ncwetlands/appadd5.pdD;
Thank you for your attention to this matter. Please keep in mind that the clock for this project will not start until
receipt of the completed application package and required fee are received. If the impacts are greater than
indicated on the initial interest form and/or the services are different, you may be required to remit an additional
fee.
If you have any questions or wish to discuss these matters further please do not hesitate to call Amy Chapman at
919-733-9502 or Cynthia Van Der Wiele at 919-715-3473.
Sincerely,
Cyndi Karoly, Manager
401/Express Review Oversite Unit
AWKIcbklasc
cc: DWQ Raleigh Regional Office
File copy
Central Files
USACOE, Raleigh Office
401 Oversight/ Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
One
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INITIAL INTEREST IN PARTICIPATION IN THE EXPRESS REVIEW PROGRAM
WITHIN THE 401 OVERSITE/EXPRESS PERMITTING UNIT
11 ? September 1, 2004
`fie Version 3 O
Applicant Name: Lake Royale Property Owners Association, Inc.
Applicant Address: PO Box 285, Bunn NC 27508
Applicant's phone number. 252-478-4121 Office, 252-813-8295 Cell
Fax number: 252-478-3599
Applicant's email address: rwvq=akerovalepoa.orQ
Consultant Name (if applicable):
N/A
Consultant address (if applicable): N/A
Consultant's phone number: N/A
Fax number. N/A
Consultant's email address: N/A
Type of action requested under the Express Review Program (check all that apply):
'N 401 Water Quality Certification ? Stream Origin Determination
? Isolated Wetland Permit
Riparian Buffer Approval
? Stormwater Management Plan
# of Determinations Requested
? Intermittent/Perennial Determination
# of Determinations Requested
? Mitigation Plan
? stream ? Wetland 19 Buffers (check all appropriate)
Name of Project: Lake Royale Subdivision 2006 Culvert Repair County: Franklin
Total project acreage: l2 (acres) Total built out impervious area: (acres)
Nearest named stream (from USGS topo map): Cypress Creek then Tar River
Please provide a brief description of this project (attach site plan If available):
Nine locations of culverts (one down stream of the dam cypress creek: eight feeding streams to cypress creek/Lake
Royale) to be repaired to/or better than the original state all culverts run under subdivision roads See Page 3 for
more details.
Please attach a map of site location using USGS 1:24,000 map and county soil survey.
Location of project site - please include reference to the county, nearest name town and highway number.
Lake Royale Subdivision, Franklin County, closest town Bunn. NC. Nearest main highway is Htn? 39
Proposed impacts:
Acres of 404 wetlands:
Acres of isolated wetlands:
Linear feet of streams: - 100 + 14 00
Linear feet of isolated streams: -;=F,
Square feet of protected stream buffers: 2,000
Has consultant or applicant attended any DWQ-sponsored training sessions in the past two years? If so, please list
which ones. Yes, specific trainings to Lake Royale property owners
Has any DWQ staff visited the site? Noif yes, please provide DWQ staff name, and
date of visit:
Which other environmental permits from other agencies will be needed for this project? Please list the permits and
issuing agencies below:
N/A
Does this project require approval under the State Environmental Policy Act or National Environmental Policy Act?
No
Is this project an After-the-fact application or has this project received a previous Notice of Violation from DWQ?
No
Does this project require approval of a Variance from the NC Environmental Management Commission?
Are you aware of any local controversy concerning this project? If so, please describe the controversy and any
measures that have been taken with respect to public involvement.
N/A
This form must be submitted via email (c/o 401expressOncmall.net), faxed (919-733-6893) or hand-delivered to the Parkview Building, 2321
Crabtree Blvd., Raleigh, NC 27604. Applicants who are selected to participate in the Express Review Program will be notified via email or fax
within 2 days. Successful applicants will then be instructed regarding detailed procedures for full application (Please Note: Submittals of the review
packages on Friday after 1200 pm will be stamped as received on the next business day).
Please contact Cynthia Van Der Wlele at 919-7153473 If you have any questions regarding this form.
2
Culvert Repair
The work covered will consist of dredging any up-stream or down-stream (with-in 25') areas to allow clean, steady, regular flow
through culvert Non-Woven 10 ounce Geo Textile to be installed from the roadside to culvert pipe at least 6" below soils and/or
rock. Surfaces shall be compacted (90%) to the satisfaction of the Supervisor. Flow able fill around culvert pipe, up-stream and
down-stream. Installation, large 4001b.+ boulders (as needed), class 2 riprap, key in with smaller stone and 57 stone (more needed on
the down-stream side).
Reconstruction of should down-stream 100' as needed. Non-Woven 10 ounce Geo Textile to be installed from the roadside down the
shoulder, at least 6" below soils and/or rock. Install class B stone to secure shoulder as needed All to be level with pavement on the
roadside.
All soil erosion control materials to be properly installed and seed and straw after completion.
The Contractor shall furnish all earth material necessary for the culvert repairs. The material will meet the approval of the Supervisor
and no testing will be necessary. Any excess material generated by the shoulder reconstruction will be disposed of by the Contractor
in an approved disposal site.
Sagamore (Spillway) repair to consist of repairing one culvert pipe, stabilize the entire outlet area with large riprap with Geo Textile
fabric and flow able 511 around the repaired culvert.
3E'
UNITED STATES
DEPARTMENT OF AGRICULTURE
NATURAL RESOURCES CONSERVATION SERVICE
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7 R° t n' on"
LAKE ROYALE - P.O.A. 15552
TOPS 1 1/98
! ¦ Complete Items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Lake Royale Property Owners Assoc
Attn; Mr. Robert W. VanGraafeiland
P.O. Box 265
Bunn,NC 27508
DWQ# 06-0077-Franklin
A. Signa re?
?
07Agent
? Addressee
B. Received (Printed ly e) C. Date of Delivery
D % -;, 7-
D. Is delivery address different from Item 1? ? Yes
If YES, enter delivery address below: ? No
t
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f
3. 16 Certified Type
Iu Certified Mall ? Express Mail
? Registered Return Receipt for Merchandise 1
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
i
2. Article Number
(f}ansfei from service la 7005 116[1 0000 9954 8812
+ FS Form 3811, February Domestic Return Receipt 102595-02-M-1540 i
i
UNITED STATES POSTAL SERVICE

• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
C G U :