20060273 Ver 2_Complete File_20060707

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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
July 7, 2006
DWQ Project # 06-0273
Nash County
Mr. Wilbur Jackson
3970 U.S. 64-A
Nashville, NC 27856
Subject Property: Hinton Plantation
UT to Little Sapony Creek & Little Sapony Creek
[030302,28-55-6-(0.6), WSIV, NSW]
Approval of 401 Water Quality Certification and Authorization Certificate per the Tar-
Pamlico River Buffer Protection Rules (15A NCAC 2B.0259) with Additional Conditions -
MODIFICATION
Dear Mr. Jackson:
You have our approval, in accordance with the attached conditions and those listed below, to
place fill within or otherwise impact 136 linear feet of perennial stream, and 3,000 square feet
(ft2) of protected Zone 1 Tar-Pamlico River basin riparian buffer and 2,000 square feet (ft) of
protected Zone 2 Tar-Pamlico River basin riparian buffer as described in your application dated
February 8, 2006, and received by the Division of Water Quality (DWQ) on February 21, 2006,
with additional correspondence received March 1, 2006, April 18, 2006, and May 15, 2006, for
the purpose of constructing the proposed residential subdivision at the site. After reviewing your
application, we have decided that the impacts are covered by General Water Quality Certification
Number(s) 3402 (GC3402). The Certification(s) allows you to use Nationwide Permit(s) NW39
when issued by the US Army Corps of Engineers (USACE). This letter shall also act as your
approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC
213 .0233. This Certification replaces the Certification issued to you on May 16, 2006. 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. Also, this approval to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application shall
expire upon expiration of the 404 or CAMA Permit.
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 the
property is sold, the new owner must be given a copy of this Certification and approval letter and
is thereby responsible for complying with all conditions. 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.
ftarolina
401 Oversight/Express Review Permitting Unit !'ll??l,
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
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/ 10% Post Consumer Paper

Mr. Wilbur Jackson
Page 2 of 5
July 7, 2006
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and
general conditions of this Certification (or Isolated Wetland Permit) are met. No other
impacts are approved including incidental impacts:
Amount Approved nits Plan Location or Reference
Stream - perennial 136 linear feet PCN page 8 of 13
Buffer -Zone 1 3,000 (square ft. PCN page 11 of 13
Buffer - Zone 2 2,000 (square ft. PCN page 11 of 13
2. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas
beyond the footprint of the impacts depicted in the Pre-Construction Notification. All
construction activities, including the design, installation, operation, and maintenance of
sediment and erosion control Best Management Practices, shall be performed so that no
violations of state water quality standards, statutes, or rules occur.
3. 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.
4. Sediment and Erosion Control Measures
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;
L'
Mr. Wilbur Jackson
Page 3 of 5
July 7, 2006
5. 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 15A NCAC 2B .0233 and GC 3404;
6. 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 disequilibrium 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.
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 the §401
Certification 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.
Mr. Wilbur Jackson
Page 4 of 5
July 7, 2006
7. Diffuse Flow (No Review)
All constructed stormwater conveyance outlets shall be directed and maintained as diffuse
flow at non-erosive velocities through the protected stream buffers such that it will not re-
concentrate before discharging into a stream as identified within 15A NCAC 2B .0233 (5). If
this is not possible, it may be necessary to provide stormwater facilities that are considered to
remove nitrogen. This may require additional approval from this Office.
Miti ag tion:
8. Deed Notifications
Deed notifications or similar mechanisms shall be placed on all retained jurisdictional
wetlands, waters and protective buffers in order to assure compliance for future wetland,
water and buffer impact. These mechanisms shall be put in place prior to impacting any
wetlands, waters and/or buffers approved for impact under this Certification Approval and
Authorization Certificate. A sample deed notification can be downloaded from the
401/Wetlands Unit web site at http://li2o.enr.state.nc.us/ncwetiands. The text of the sample
deed notification may be modified as appropriate to suit to this project;
9. Construction Stormwater Permit NCGO10000
Upon the approval of an Erosion and Sedimentation Control Plan issued by the Division of
Land Resources (DLR) or a DLR delegated local erosion and sedimentation control program,
an NPDES General stormwater permit (NCGO10000) administered by DWQ is automatically
issued to the project. This General Permit allows stormwater to be discharged during land
disturbing construction activities as stipulated by conditions in the permit. If your project is
covered by this permit [applicable to construction projects that disturb one (1) or more acres],
full compliance with permit conditions including the sedimentation control plan, self-
monitoring, record keeping and reporting requirements are required. A copy of this permit
and monitoring report forms may be found at
htW: //h2o. enr. state. nc. us/su/Forms Documents. htm.;
10. 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
the attached certificate of completion to the 401 Oversight/Express Review Permitting Unit,
North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-
1650.
Violations of any condition herein set forth may result in revocation of this Certification and may
result in criminal and/or civil penalties. The authorization to proceed with your proposed
impacts or to conduct impacts to waters as depicted in your application and as authorized by this
Certification, shall expire upon expiration of the 404 or CAMA Permit.
Mr. Wilbur Jackson
Page 5 of 5
July 7, 2006
If you do not accept any of the conditions of this Certification (associated with the approved
wetland or stream 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 certification and its
conditions are final and binding unless you ask for a hearing.
Any disputes over determinations regarding this Authorization Certificate (associated with the
approved buffer impacts) shall be referred in writing to the Director for a decision. The
Director's decision is subject to review as provided in Articles 3 and 4 of G.S. 150B.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act and the Tar-Pamlico River riparian buffer protection rule as described within 15A
NCAC 2B .0259. If you have any questions, please telephone Cyndi Karoly or Ian McMillan at
919-733-1786.
AWK/Um
Enclosures: GC3402
Certificate of Completion
cc: USACE Raleigh Regulatory Field Office
Eric Kulz, DWQ Raleigh Regional Office
DLR Raleigh Regional Office
File Copy
Central Files
Sin erel
Alan W. Klimek, P.E.
Filename: SA2006 Correspondence\060273HintonPlantation(Nash)101 TPBR MOD.doc
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May 16, 2006
Mr. Wilbur Jackson
3970 U.S. 64-A
Nashville, NC 27856
Subject Property:
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-0273
Nash County
Hinton Plantation
Ut to Little Sapony Creek & Little Sapony Creek [030302, 28-55-6-(0.6), WSIV, NSW]
Approval of 401 Water Quality Certification and Authorization Certificate per the Tar-Pamlico
River Buffer Protection Rules (15A NCAC 2B.0259) with Additional Conditions
Dear Mr. Jackson:
You have our approval in accordance with the attached conditions and those listed below, to place fill
l3 'S °o itfiin of o'Ifi?TTv Impac inear feet of perennial stream, and 3,000 square feet (ft) of protected Zone
t,e, r 1 Tar-Pamlico River basin riparian buffer and 2,000 square feet (ft) of protected Zone 2 Tar-Pamlico
Few f- River basin riparian buffer as described in your application dated February 8, 2006, and received by the
Division of Water Quality (DWQ) on February 21, 2006, with additional correspondence received March
1, 2006, April 18, 2006, and May 15, 2006, for the purpose of constructing the proposed residential
subdivision at the site. After reviewing your application, we have decided that the impacts are covered by
General Water Quality Certification Number(s) 3402 (GC3402). The Certification(s) allows you to use
Nationwide Permit(s) NW39 when issued by the US Army Corps of Engineers (USACE). This letter
shall also act as your approved Authorization Certificate for impacts to the protected riparian buffers per
15A NCAC 213 .0233. 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. Also, this approval to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application shall expire upon
expiration of the 404 or CAMA Permit.
is
E
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 the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. 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 attaches ( (? R 0 W 19 D
certification and any additional conditions listed below. U \ / LS
The Additional Conditions of the Certification are:
JUN 1 4 2006
UENR -WATER QUALITY
1. Impacts Approved WETLANDS AND STORMWATER BRANC
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
o Carolina
401 Oversight/Express Review Permitting Unit ?VahlCU!!y
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: h"p://h2o.enT.statc.nc.us/ncwetlands
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
r y
Mr. Wilbur Jackson
Page 2 of 6
May 16, 2006
Amount A roved Units Plan Location or Reference
Stream - perennial 70 linear feet PCN page 8 of 13
Buffer -Zone 1 3,000 (square ft. PCN page 11 of 13
Buffer - Zone 2 2,000 s uare ft. PCN a e 11 of 13
2. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the Pre-Construction Notification. All construction
activities, including the design, installation, operation, and maintenance of sediment and erosion
control Best Management Practices, shall be performed so that no violations of state water quality
standards, statutes, or rules occur.
3. 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:
r?
?.J
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.
4. Sediment and Erosion Control Measures
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;
5. 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 15A
NCAC 2B .0233 and GC 3404;
6. 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
Mr. Wilbur Jackson
Page 3 of 6
May 16, 2006
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
disequilibrium 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.
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 the §401 Certification 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. Diffuse Flow (No Review)
All constructed stormwater conveyance outlets shall be directed and maintained as diffuse flow at
non-erosive velocities through the protected stream buffers such that it will not re-concentrate
before discharging into a stream as identified within 15A NCAC 2B .0233 (5). If this is not
possible, it may be necessary to provide stormwater facilities that are considered to remove
nitrogen. This may require additional approval from this Office.
Mitigation:
8. Deed Notifications
Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands,
waters and protective buffers in order to assure compliance for future wetland, water and buffer
impact. These mechanisms shall be put in place prior to impacting any wetlands, waters and/or
buffers approved for impact under this Certification Approval and Authorization Certificate. A
sample deed notification can be downloaded from the 401/Wetlands Unit web site at
http://h2o.enr.state.nc.us/newetlands. The text of the sample deed notification may be modified
as appropriate to suit to this project; 0
Mr. Wilbur Jackson
Page 4 of 6
May 16, 2006
9. Construction Stormwater Permit NCGO10000
Upon the approval of an Erosion and Sedimentation Control Plan issued by the Division of Land
Resources (DLR) or a DLR delegated local erosion and sedimentation control program, an
NPDES General stormwater permit (NCGO10000) administered by DWQ is automatically issued
to the project. This General Permit allows stormwater to be discharged during land disturbing
construction activities as stipulated by conditions in the permit. If your project is covered by this
permit [applicable to construction projects that disturb one (1) or more acres], full compliance
with permit conditions including the sedimentation control plan, self-monitoring, record keeping
and reporting requirements are required. A copy of this permit and monitoring report forms may
be found at httn://h2o.enr.state.nc.us/su/Forms Documents htm.;
10. 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 the attached
certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification, shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream 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 certification and its conditions are final and binding unless you ask for a
hearing.
Any disputes over determinations regarding this Authorization Certificate (associated with the approved
buffer impacts) shall be referred in writing to the Director for a decision. The Director's decision is
subject to review as provided in Articles 3 and 4 of G.S. 150B.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act and the Tar-Pamlico River riparian buffer protection rule as described within 15A NCAC 2B .0259.
If you have any questions, please telephone Cyndi Karoly or Ian McMillan at 919-733-1786.
AWK/ym
Enclosures: GC3402
Certificate of Completion
cc: USACE Raleigh Regulatory Field Office
Sincerely,
? /414
Al W. Klimek, P.E.
•
Eric Kulz, DWQ Raleigh Regional Office
DLR Raleigh Regional Office
File Copy
Central Files
Mr. Wilbur Jackson
Page 5 of 6
May 16, 2006
Filename: 060273HintonPlantation(Nash)401_TPBR
•
•
•
.,& ification of Compk on
DWQ Project No.:
County:
Applicant:
Project Name:
Date of Issuance of Wetland Permit:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification and. 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
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 Permittee 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

WQC #3402
GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE
FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBERS 18 (MINOR DISCHARGES)
39 (RESIDENTIAL. COMMERCIAL AND INSTITUTIONAL DEVELOPMENTS)
41 (RESHAPING EXISTING DRAINAGE DITCHES) 42 (RECREATIONAL FACILITIES)
43_(STORMWATER MANAGEMENT FACILITIES) AND 44 (MINING ACTIVIT18S)
AND RIPARIAN AREA PROTECTION RULES (BUFFER RULES)
This General Certification is issued in conformity with the requirements of Section 401,
Public Laws 92-500 and 95-217 of the'United States and subject to the North Carolina Division of
Water Quality (DWQ) Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B .0200 for
the discharge of fill material to waters and adjacent wetland areas or to wetland areas that are not
a part of the surface tributary system to interstate waters or navigable waters of the United States
(i.e., isolated wetlands) as described in 33 CFR 330 Appendix A (B) (18, 39, 41, 42, 43 and 44) of
the Corps of Engineers regulations (i.e., Nationwide Permit No. 39) and for the Riparian Area
Protection Rules (Buffer Rules) in 15A NCAC 26 .0200. This Certification replaces Water Quality
Certification Numbers 3106 and 3108 issued on February 11, 1997, and Water Quality
Certification Number 3287 issued on June 1, 2000 and Water Quality Certification Number 3362
issued March 18, 2002. This WQC is rescinded when the Corps of Engineers re-authorizes
Nationwide Permits 18, 39, 41, 42, 43 or 44 or when deemed appropriate by the Director of DWQ.
. The State of North Carolina certifies that the specified category of activity will not violate
applicable portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217
if conducted in accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Enumerating and Reporting of Impacts:
• Streams - Impacts to streams as determined by the Division of Water Quality shall be
measured as length of the centerline of the normal flow channel. Permanent and/or
temporary stream impacts shall be enumerated on the entire project for all impacts
regardless of which 404 Nationwide Permits are used. Stream relocations and
stream bed and/or bank hardening are considered to be permanent stream impacts.
Any activity that results in a loss of use of stream functions including but not limited to
filling, relocating, flooding, excavation, dredging and complete shading shall be
considered stream impacts. Enumeration of impacts to streams shall include streams
enclosed by bottomless culverts, bottomless arches or other spanning structures
when a 404 Permit is used anywhere in a project unless the entire structure
(including construction impacts) spans the entire bed and both banks of the stream,
is only used for a road, driveway or path crossing, and is not mitered to follow the
stream pattern. Impacts for dam footprints and flooding will count toward the
threshold for stream impacts, but flooding upstream of the dam will not (as long as no
filling, excavation, relocation or other modification of the existing stream dimension,
pattern or profile occurs) count towards mitigation requirements. Any filling,
excavation, relocation or other modification of the existing stream (other than
flooding) must re-establish the same dimensions, patterns and profiles of the existing
channel (or those of a stable reference reach if the existing channel is unstable) to
the maximum extent practical.
• Wetlands - Impacts to wetlands as determined by the Division of Water Quality shall
be measured as area. Permanent and/or temporary wetland impacts shall be
enumerated on the entire project for all impacts regardless of which 404 Nationwide
Permits are used. Any activity that results in a loss of use of wetland functions
including but not limited to filling, excavating, draining, and flooding shall be
considered wetland impacts. Enumeration of impacts to wetlands shall include
activities that change the hydrology of a wetland when a 404 Permit is used
anywhere in a project.
WQC #3402
Lakes and Ponds - Impacts to waters other than streams and wetlands as
• determined by the Division of Water Quality shall be measured as area. Permanent
and/or temporary water impacts shall be enumerated on the entire project for all
impacts proposed regardless of which 404 Nationwide Permits are used. Any activity
that results in a loss of use of aquatic functions including but not limited to filling and
dredging shall be considered waters impacts.
Application Thresholds - Stream, wetland and water impacts that exceed any of the
thresholds below require a complete application and written concurrence to use this
Certification:
• Total stream impacts of greater or equal to 150 cumulative feet of stream length for
the entire project require written notification to and approval by the Division of Water
Quality, and/or
• Impacts to waters of equal to or greater than 113 of an acre require written notification .
to and approval by the Division of Water Quality, and/or
• Wetland impacts of greater or equal to 1/3 of an acre east of 1-95 and 1/10 of an acre
west of 1-95 require written notification to and approval by the Division of Water
Quality except as specified below. Any impacts to wetlands adjacent to waters
designated as ORW, SA, WS-l, WS-II or Trout or are designated as a North Carolina
or National Wild and Scenic River and wetlands classified as SWL and/or UWL as
well as wetlands described.in 15A NCAC 2H.0506 (e) require a complete application
and written concurrence from the Division of Water Quality to use this Certification.
These thresholds apply for the entire project regardless of the number of Nationwide
Permits applicable to the Certification that are issued by the USACE for the project;
• Written notification to DWQ is required for all applications that propose to use
Nationwide Permit 18. This notification requirement will be satisfied by providing two
(2) copies of the PCN form-to DWQ at the same time that the PCN form is sent to the
US Army Corps of Engineers. A formal application and fee is not required unless
DWQ decides that an Individual Certification will be required for the project. In this
case, the applicant will be noted in writing from DWQ within 30 days of the receipt
of the written notification.
• Proposed fill or substantial modification of any amount of wetlands classified in
accordance with 15A NCAC 2B.0101(e)(7) as Unique Wetlands (UWL) shall require
written concurrence from the Division of Water Quality;
2. Impacts to any stream length in the Neuse, Tar-Pamlico or Randleman River Basins (or
any other major river basins with Riparian Area Protection Rules [Buffer Rules] in effect at
the time of application) requires written concurrence for this Certification from DWQ in
accordance with 15A NCAC 2B.0200. Activities listed as "exempt" from these rules do not
need to apply for written concurrence under this Certification. New development activities
located in the protected 50-foot wide riparian areas (whether jurisdictional wetlands or not)
within the Neuse and Tar-Pamlico River Basins shall be limited to "uses" identified within
and constructed in accordance with 15A NCAC 2B .0200. All new development shall be
located, designed, constructed, and maintained to have minimal disturbance to protect
water quality to the maximum extent practicable through the use of best management
practices;
3. Irrespective of other application thresholds in this General Certification, all impacts to
perennial waters and their associated buffers require written approval from DWQ since
such impacts are allowable as provided in 15A NCAC 2B. 0212 (WS-1), 26 .0213 (WS-II),
2B.0214 (WS-III) and 2B.0215 (WS-IV). Only water dependent activities, public projects
and structures with diminimus increases in impervious surfaces will be allowed as outlined
in those rules. All other activities require a variance from the delegated local government
and/or the NC Environmental Management Commission before the 401 Water Quality
Certification can be processed. In addition, a 30 foot wide vegetative buffer for low
density development or a 100 foot wide vegetative buffer for high density development
WQC #3402
must be maintained adjacent to all perennial waters except for allowances as provided
under the Water Supply Watershed Protection Rules. For the purposes of this condition,
perennial waters are defined as those shown as perennial waters on the most recent
USGS 1:24,000 topographic map or as otherwise determined by local government
studies;
4. Additional site-specific stormwater management requirements may be added to this
Certification at DWQ's discretion on a case by case basis for projects that have or are
anticipated to have impervious cover of greater than 30 percent. Site-specific stormwater
management shall be designed to remove 85% TSS according to the latest version of
DWQ's Stormwater Best Management Practices manual at a minimum.
Additionally, in watersheds within one mile and draining to 303(d) listed waters, as well as
watersheds that are classified as nutrient sensitive waters (NSW), water supply waters
(WS), trout waters (Tr), high quality waters (HQW), and outstanding resource waters
(ORW), the Division shall require that extended detention wetlands, bio-retention areas,
and ponds followed by forested filter strips (designed according to latest version of the NC
DENR Stormwater Best Management Practices Manual) be constructed as part of the
stormwater management plan when a site-speck stormwater management plan is
required.
For streams classified as Water Supply, High Quality Waters and Outstanding Resource
Waters, post-construction, on-site stormwater management shall be required as
appropriate and as outlined in 15A NCAC 2B .0104(m) and 2H .1000 to .1007,
respectively, in addition to that required in this General Certification.
Alternative designs maybe requested by the applicant and will be reviewed on a case-by-
case basis by the Division of Water Quality.
Approval of stormwater management plans by the Division of Water Quality's other
existing state stormwater programs including appropriate local programs are sufficient to
satisfy this Condition as long as the stormwater management plans meet or exceed the
design requirements specified in this condition. This condition applies unless more
stringent requirements are in effect from other state water quality programs.
• Unless specked otherwise in the approval letter, the final, written stormwater
management plan shall be approved in writing by the Division of Water Quality's
Wetlands Unit before the impacts specified in this Certification occur.
• The facilities must be designed to treat the runoff from the entire project, unless
otherwise explicitly approved by the Division of Water Quality.
• Also, before any permanent building or other structure is occupied at the subject site,
the facilities (as approved by the Wetlands Unit) shall be constructed and operational,
and the stormwater management plan (as approved by the Wetlands Unit) shall be
implemented.
• The structural stormwater practices as approved by the Wetlands Unit as well as
drainage patterns must be maintained in perpetuity.
• No changes to the structural stormwater practices shall be made without written
authorization from the Division of Water Quality.
5. Compensatory stream mitigation shall be required at a 1:1 ratio for not only perennial but
also intermittent stream impacts that require application to DWQ in watersheds classified
as ORW, HQW, Tr, WS-1 and WS-11 unless the project is a linear, publicly-funded
transportation project, which has a 150-foot per-stream impact allowance;
6. In accordance with North Carolina General Statute Section 143-215.3D(e), any
application for a 401 Water Quality Certification must include the appropriate fee. If a
WQC #3402
project also requires a CAMA Permit, one payment to both agencies shall be submitted
and will be the higher of the two fees;
7. In accordance with 15A NCAC 2H .0506 (h) compensatory mitigation may be
required for impacts to 150 linear feet or more of streams and/or one acre or more of
wetlands for an entire project. For linear public transportation projects, impacts equal to
or exceeding 150 feet per stream may require mitigation. In addition, buffer mitigation
may be required for any project with Riparian Area Protection Rules (Buffer Rules) in
effect at the time of application for buffer impacts resulting from activities classified as
"allowable with mitigation" within the "Table of Uses" section of the Buffer Rules or require
a variance under the Buffer Rules. A determination of buffer, wetland and stream
mitigation requirements shall be made for any Certification for this Nationwide Permit.
The most current design and monitoring protocols from DWQ shall be followed and written
plans submitted for DWQ approval as required in those protocols. When compensatory
mitigation is required for a project, the mitigation plans must be approved by DWQ in
writing before the impacts approved by the Certification occur, unless otherwise specified
in the approval letter. The mitigation plan must be implemented and/or constructed before
any permanent building or structure on site is occupied. In the case of public road
projects, the mitigation plan must be implemented before the road is opened to the
travelling public. Please note that if a stream relocation is conducted as a stream
restoration as defined in The Infernal Technical Guide for Stream Work in North Carolina,
April 2001, the restored length can be used as compensatory mitigation for the impacts
resulting from the relocation;
8. For any project involving re-alignment of streams, a stream relocation plan must be
included with the 401 application for written DWQ approval. Relocated stream designs
should include the same dimensions, patterns and profiles as the existing channel (or a
stable reference reach if the existing channel is unstable), to the maximum extent
practical. The new channel should be constructed in the dry and water shall not be turned
into the new channel until the banks are stabilized. Vegetation used for bank stabilization
shall be limited to native woody species, and should include establishment of a 30 foot
wide wooded and an adjacent 20 foot wide vegetated buffer on both sides of the relocated
channel to the maximum extent practical. A transitional phase incorporating coir fiber and
seedling establishment is allowable. Also, rip-rap, A-Jacks, concrete, gabions or other
hard structures may be allowed if it is necessary to maintain the physical integrity of the
stream, but the applicant must provide written justification and any calculations used to
determine the extent of rip-rap coverage requested. If suitable stream mitigation is not
practical on-site, then stream impact will need to be mitigated elsewhere. Please note
that if a stream relocation is conducted as a stream restoration as defined in The Internal
Technical Guide for Stream Work in North Carolina, April 2001, the restored length can
be used as compensatory mitigation for the impacts resulting from the relocation;
9. Placement of culverts and other structures in waters, streams, and wetlands must be
placed below the elevation of the streambed to allow low flow passage of water and
aquatic life unless it can be shown to DWQ that providing passage would be impractical.
Design and placement of culverts including open bottom or bottomless arch culverts and
other structures including temporary erosion control measures shall not be conducted in a
manner that may result in aggradation, degradation or significant changes in hydrology of
wetlands or stream beds 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 to do so in writing by DWQ. Additionally, when roadways,
causeways or other fill projects are constructed across FEMA-designated floodways or
wetlands, openings such as culverts or bridges must be provided to maintain the natural
hydrology of the system as well as prevent constriction of the floodway that may result in
aggradation, degradation or significant changes in hydrology of streams or wetlands;
WQC #3402
10. That appropriate sediment and erosion control practices which equal or exceed those
outlined in the most recent version of the "North Carolina Sediment and Erosion Control
Planning and Design Manual" or the "North Carolina Surface Mining Manual" whichever is
more appropriate (available from the Division of Land Resources (DLR) in the DENR
Regional or Central Offices) shall be in full compliance with all; specifications governing
the proper design, installation and operation and maintenance of such Best Management
Practices in order to assure compliance with the appropriate turbidity water quality
standard;
11. All sediment and erosion control measures placed in wetlands and waters shall be
removed and the original grade restored within two months after the Division of Land
Resources has released the project;
12. That additional site-specific conditions may be added to projects proposed under this
Certification in order to ensure compliance with all applicable water quality and effluent
standards;
13. Measures shall be taken to prevent live or fresh concrete from coming into contact
with waters of the state until the concrete has hardened;
14. If an environmental document is required, this Certification is not valid until a Finding of
No Significant Impact (FONSI) &r Record of Decision (ROD) is issued by the State
Clearinghouse;
15. If this Certification is used to access building sites, all lots owned by the applicant must be
buildable without additional fill beyond that explicitly allowed under other General
Certifications. The applicant is required to provide evidence that the lots are buildable
without requiring additional impacts to wetlands, waters or buffers if required to do so in
writing by DWQ. For road construction purposes, this Certification shall only be utilized
from natural high ground to natural high ground;
16. Deed notifications or similar mechanisms shall be placed on all lots with remaining
jurisdictional wetlands and waters or areas within 50 feet of all streams and ponds. These
mechanisms shall be put in place within 30 days of the date of issuance of the 401
Certification letter or the issuance of the 404 Permit (whichever is later). A sample deed
notification format can be downloaded from the 401/Wetlands Unit web site at
hftp://h2o.enr.state.nc.us/ncwetlands. DWQ shall be sent copies of all deed restrictions
applied to these lots;
17. When written concurrence is required, the applicant is required to use the most recent
version of the Certification of Completion form to notify DWQ when all work included in the
401 Certification has been completed;
18. Concurrence from DWQ that this Certification applies to an individual project shall expire
three years from the date of the cover letter from DWQ or on the same day as the
expiration date of the corresponding Nationwide Permit 18, 39, 41, 42, 43 or 44,
whichever is sooner.
0
WQC #3402
Non-compliance with or violation of the conditions herein set forth by a specific fill project
may result in revocation of this Certification for the project and may also result in criminal and/or
civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a
formal application for Individual Certification for any project in this category of activity that
requires written concurrence under this certification, if it is determined that the project is likely to
have a significant adverse effect upon water quality or degrade the waters so that existing uses of
the wetland or downstream waters are precluded.
a
Public hearings may be held for specific applications or group of applications prior to a
Certification decision if deemed in the public's best interest by the Director of the North Carolina .
Division of Water Quality.
Effective date: March 2003
DIVISION OF WATER QUALITY
By
Alan W. Klimek, P.E.
Director
WQC # 3402
•
0

•
DENt? vVF1li„iiovr+LITY
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WAIF
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000- 1Y
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
•
oki 61 104L
LAO jU?414 2006
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
www.saw.usace.qM.mil/wetlands/Permits.html.
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 www.saw.usace.gM.mil/wetlands/index.html, 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 13
.,..
Coastal Area Management Act (CAMA) 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.
C?
•
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, 67 Fed. Reg. 2090 (Jan. 15, 2002), available at
http://«?rtiv.usace.armv.mil/inet/functions/cw/cecwo/red:/2002nwps.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 p oces ing period 3 _ `^
401 Water Quality Certification or Buffer Rules - All m' formation is required unless otherwise te
?
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 4011Wetlan7mt, 1650 Mail Service Center,g4j '
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 vt,
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.chnr.state.nc.us/newetlands/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 13
N 2 >s
3y I P?

OR!r h/1r VIA-
Office Use Only: Form Version March OS
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or 'N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
X Section 404 Permit X Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW 39, and Buffer
Authorization
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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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), c(heec(k here: r-1
II. Applicant Information t; = 0W[P. Do
1. Owner/Applicant Information AN 1 4 2006
Name: Mr. Wilbur Jackson Ut Ni-, - WATER QUALITY
Mailing Address: 3970 US 64 A
Nashville NC 27856
Telephone Number: 2 - 4 - Fax Number:
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 13
III. Project Information 0
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: Wilbur Jackson Property
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 288000696531
4. Location
County: Nash Nearest Town: Momeyer
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): (Parcel address: 3700 US
64A) Site is located Northeast of the intersection of SR 1909 (Old County Home Rd) and US
Hwy 64 Alt. East of Mome er NC
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): UTM 17(WG584/NAD83) 3984597N° 7 7592E°
6. Property size (acres): 62.14 Acres
7. Name of nearest receiving body of water: UT to Little Sapony Creek & Little Sapony Creek
C. NSW, Stream Index- (28-55-640.6)). Sub Basin- 030302
8. River Basin: Tar-Pamlico River Basin
(Note -'this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available atlittp://li2o.enr.state.nc.us/adiniii/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: abandoned sin a family residence surrounded by
agricultural land and woodland and some single family residences
Page 6 of 13
Describe the overall project in detail, including the type of equipment to be used:The overall
proiect is to create a 45-47 lot residential subdivision Average lot size is approx. 1 acre_
There will be a stub out road toward the northwest section of the property for future
residential development. The subdivision will be built using backhoe graders bulldozers
and other equipment used in this We of construction Manual labor will also be used to
minimize and avoid M impacts to streams wetlands and buffers
10. Explain the purpose of the proposed work: create a 45-47 lot residential subdivision
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. Michael Horan of DWQ (Raleigh Regional Office) met on site for a
buffer determination and pre-application meeting on 10110105
V. Future Project Plans 0
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.
Possible future development proposed adjacent to the Northwest section of property (which will
be Phase III of Hinton Plantation) Future development will mimic proposed subdivision stated
in this 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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent .and perennial)
should 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.
Page 7 of 13
1. Provide a written description of the proposed impacts: only impacts on site consist of (1)
stream crossing consisting of 50 linear feet with inlet and outlet protection consisti ng of 20
linear feet (10 ft. of nn ran at each end)
2. Individually list wetland impacts. Types of 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.
Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year Nearest Impact
(indicate on map) herbaceous, bog, etc.) Floodplam Stream (acres)
N/A N/A me
at feet
Bottomland
Hardwood/Riparian 0
Total Wetland Impact (acres) 0
3. List the total acreage (estimated) of all existing wetlands on the property: Phase I= .48 ac
Phase II consists of 10.49 ac of wetlands (not sure on Phase III yet)
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
Stream Name
Type of Impact Perennial or Average
Stream Width Impact
Length Area of
Impact
indicate on ma Intermittent? Before Impact (linear feet acres
Impact #1 UT to Sapony ,Road crossing Perennial 4 ft .016 A,
Creek Permanent
Total Stream Impact (by length and acreage) _gg

49, og,4c.
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number
(if applicable) Type of Impact
Pact
(lake, pond, estuary, sound, bay,
Impact
indicate on ma ocean acres
N/A N/A N/A N/A N/A
Total Open Water Impact (acres) NIA
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): -AA ftc
Wetland Impact acres): 0
Open Water Impact (acres : N/A
0. og de-, 0
Page 8 of 13
Total Impact to Waters of the U.S. (acres) NIA
Total Stream Impact (linear feet):
I ?ln I ?+ , 'FT.
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes X No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
•
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond:
Size of watershed draining to pond: N/A Expected pond surface area: N/A
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: Only one crossing for
proposed subdivision and crossing is less than 150 linear feet Crossing will take place on a
straignt section to minimize stream and buffer impacts A 30 ft buffer will surround all stream
features subiect to the Buffer Rule with the outer 20 ft to be re-vegetated The culvert used for
impact #1 will be buried 12 inches or less than 20% of the diameter of the pipe to provide
aquatic life passage. No curb and gutter will be used only grass swales to provide better nutrient
removal.
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. 0
Page 9 of 13
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to -the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP 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/strmgide.htmi.
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.
Mitigation not required
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at httv://h2o.enr.state.nc.its/M/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No X
Page 10 of 13
2. 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 X
X.
3. 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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico). 15A NCAC 02B .0243 (Catawba) 15A
NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other
(please identify----__-______J? Yes X No ?
2. If "yes", 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 Required
(square feet Multiplier Mitigation
1 3000 sq.8. 3 (2 for Catawba) N/A
2 2000 sq.ft 1.5 N/A
Total 5000 sq.ft N/A
' Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
XI.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A If buffer mitigation is required. the applicant
proposes to either pay into EEP or provide buffer Restoration or Enhancement where buffers do not
exist within the same buffered basin.
Stormwater (required by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations
Page 11 of 13
demonstrating total proposed impervious level: %Impervious for proposed subdivision are as
follows: 2.64 ac (Roads), 1.94 ac (Single Family Dwellings) Minimum Sq. Footage for S/D is
1800 sq. ft. (60 ft. X 30 ft.)..64 ac (concrete driveways), and .345 ac (sheds 16 ft. X 20 ft.)
Total impervious for subdivision is. 8.95% (approx. 9%) All discharge Points for road
drainage will be directed to a level spreader desired as to per DWO Guidelines so that diffuse
flow will be achieved before entering the Tar- Pamlico Buffer.
XH. 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.
All Lots to have well and septic tank
XHL 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. Cumulative Impacts (required by DWQ) 4b
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No X
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/newetlands. If no, please provide a short narrative description:
Understandably pacts for all Phases will be counted cumulative when all Phases are finished
XV. 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).
NIA
•
Page 12 of 13
•
Applicant[Agent's Signature
(Agent's signature is valid only if an a
01
0
letter from the applicant is provided.)
•
•
Page 13 of 13
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IT,
Nash County Property Record Cara
OWNERSHIP 09302005 15079 307 IPROPERT, _6.SCRIPTION ITAX SUBDIVISIONS IMAP NUMBER _ARD NO
JACKSON WILBUR V AC 1H PT 2 J L HINTON ?MANNINGS TWP 1288000696531 1
NUMBER:. 9234
3970 US 64 A G9 3, TRACT 62 3070 14 ACM 2 J L HINTON iMOMEYER FIRE DISTRI I RECORD ROUTE 28800008106
NASHVILLE NC 27856
DEED:2157 540 07152005 186000-9913700 US 64A ILISTER:010620008
I !REVIEW:
i
4
2
4 D- .6..
SNG FAML1
0
2
....28...... 0
i ,
0 C-
ENCPORCH
:28.....34........
i z
6
...16...
A-
SNG FAML 1
6
1
2 6
4 ......24.....
4
@...16... 8
OPNPORCH.... 16...
e- 4
.......32.......
ITOPO ISTREET (UTILITY IZONING 62.14 ACRES NBHO
(LEVEL IHVY TRFCIWELL I

IROLLING I
ISEPTIC I NOTES:HOUSE
BUILT IN 1885 0206
1 I IELECTRICI
I#ILAND CLASS I SIZE IBASERATE*FRNT*DPTH*ADJ=ADJRATE*UNITS-LND-VALUE
11I 40KHOMESITEI
12I42KROADFRNTI 1.OOAC
4.62ACI ff 135001
10500 I I
0.36ACF1 1135001 1.001
1 37801 4
62 13500

13 45KWOODLANDI
14144KOPENLANDI
18.58ACI
10.51AC
5775
7875
0.36ACFi
0.36ACFI .
1
1 2079118.581
2835110
51 17464
38628
29

I5149KWASTELNDI
27.43AC
300.00
0.36ACFI .
1 108.00127.431 796
2962
ILAND VALUE: 102350
I#IOTHER FEAT I SIZE IBASERATE*COND =ADJRATE*UNITS= OFB-VALUE
I1-26 PACK HSEI OI

I2-26 PACK HSEI
Ilf I ?
OI 1 i O
?8190BTOBALOT-128 05* 11 0.001 1 0.001 28051 0
OTHER VALUE: 0
IFNDATIONIXTRFNISHIROOFTYPEIROOFMTRLISIZE/QTYI
IBRICK (FRAME IDBLPITCHIMETAL I
CTWLWALLI I I 11.00STHTI

IWALLFNSHIFLOORS IHEAT&AIRIHEATFUELI I
IDRY WALLISOFTWOODINONE 1 1 3 BDRMI
FIBERBRDI I 1 1 6 ROOM
DWELLING CNVNTINL D 0 POOR CONDITION
DIMENSIONS:A-CU16L4U16R28D12R16D16L24D4L16 B-CU16L8D24R32U4R16U8L24D4L16 C-U16L4U16R12CU10R28UlOR602OL34
D-U16L4u16R12UIOCR28UlOR10U14L38D24H
#ISTRUCTUREISKTCH-SF*STHT= AREA RATE*GRDF+HEAT+EXWL*WL HT=ADJRAT* AREA- RPCN* DEPF*CNDF=STR-VALUE
Al 1DSNG FAML1 1056
1 1.00 BATH I 11.001 10561 32.44
I I I 1 ! 32.44
1 1 1056 1 342571 0101 1 3426

8185 OPNPORCHI 544
1.001 5441 11.17
1 I
1 1 ( 900.00
1 11.171 I I
5441 19001
60761 0.101
0
10 1 190
ORCHI 40 DI81 SNGPFAMLI 8121 1
001 812' 32
441 I 1 1 i
1 1 1 .
1 608
.
. 0.00 32.44 812 26341 0.10 2634
1868HSF, 2812TSF RPCN- 40.23/HSF 75142 VALU- •4.02/HSF 7515
STRUCTURE VALUE: 7515
VALUATION! VALUEIPREV-VAL.IP-N%I SALEIS-N%1 TOTAL VALUE 109865
LAND I I I 102350I 79021I129%I I I 1647LV/AC
OTHERFEATI ( I 01 50041 0%10715200SI I
STRUCTUREI I I 75151 173811 43%12157-5401 1 58TV/HSF
TOTAL 1 I I 1098651 1014061108%1 1860001 59%1 99SP/HSF
APPRAISED-VALUE: 109865
Page 1
is
•
•
Iittp://www.gis-co.nash.nc.us/cgi-bin/nash/CreatePRC 2.pl?recNum=9234 10/19/20051
NOB
R RA
'GB
NRB-
NAC
l
•
NNB
' a
?l.?rrt<z r)1 S(rc;araa Cesc: i;(ran Curr. class 0 ate From. Class Satsin Stream index #
Solomon Pond From source to City WS-IV;NSW, 08/03/92 Tar-Pamlico 28-48
of Rocky Mount CA
Reservoir, Tar River
Big Branch From source to City WS-IV;NSW, 08/03/92 Tar-Pamlico 28-49
of Rocky Mount CA
Reservoir, Tar River
Fishpond Branch From source to City WS-IV;NSW, 08/03/92 Tar-Pamlico 28-50
of Rocky Mount CA
Reservoir, Tar River
Sandy Cross From source to City WS-IV;NSW, 08/03/92 Tar-Pamlico 28-51
Community House of Rocky Mount CA
Branch Reservoir, Tar River
Bakers Spring From source to City WS-IV;NSW, 08/03/92 Tar-Pamlico 28-52
of Rocky Mount CA
Reservoir, Tar River
Holly Branch From source to city WS-IV;NSW 08/03/92 Tar-Pamlico 28-53
of Rocky Mount
Reservoir, Tar River
John Viverette From source to city WS-IV;NSW 08/03/92 Tar-Pamlico 28-54
Branch of Rocky Mount
Reservoir, Tar River
Sapony Creek From source to mouth of C;NSW 01/01/90 Tar-Pamlico 28-55-(1)
Gabe Branch
.Hendricks Creek From source to Sapony C;NSW 01/01/90 Tar-Pamlico 28-55-2
Creek
Bear Branch From source to Sapony C;NSW 01/01/90 Tar-Pamlico 28-55-3
Creek
Rose Branch From source to Sapony
' C;NSW 01/01/90 Tar-Pamlico 28-55-4
Creek
Gabe Branch From source to Sapony C;NSW 01/01/90 Tar-Pamlico 28-55-5
Creek
Henry Branch From source to Gabe C;NSW 01101190 Tar-Pamlico 28-55-5-1
Branch
Sapony Creek "From mouth of Gabe WS-IV;NSW 08/03/92 Tar-Pamlico 28-55-(5.5)
Branch to City of Rocky
Mount Reservoir, Tar
River
Little Sapony From source to a C;NSW 01/01/90 Tar-Pamlico 28-55-6-(0.3)
Creek point 0.6 mile
downstream of U.S. HWY.
64
Little Sapony From a point 0.6 mile WS-IV;NSW 08/03/92 Tar-Pamlico 28-55-6-(0.6)
Creek downstream of U.S. Hwy.
64 to Sapony Creek
Gin Branch From source to Little WS-IV;NSW 08/03/92 Tar-Pamlico 28-55-6-1
Sapony Creek
Peppermint Branch From source to City WS-IV;NSW 08/03/92 Tar-Pamlico 28-56
of Rocky Mount
Reservoir, Tar River

Page 4 of 8
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DISCLAIMER
Data Distribution
Agreement •
Parcel Number:
Parcel Owner: (Last First ex. Smith John)
Parcel Address: (222 W Washington St)
ra?C l ut 1,
7
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This map is prepared for the inventory
of real property found within this
jurisdiction, and is compiled from
recorded deeds, plats and other public
records and data Users of this map ar
hereby notified that the afbmmentionec.
public primary information sources
should be consulted for verification of
-v.gis.co.nash.nc.us/sdx/viewer.htm 10/7/2005
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.o?o? wAT F9QG
P 'c
Mr. Wilbur Jackson
3970 U.S. 64-A
Nashville, NC 27856
Subject Property:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
May 16, 2006
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-0273
Nash County
Hinton Plantation
Ut to Little Sapony Creek & Little Sapony Creek [030302, 28-55-6-(0.6), WSIV, NSW]
Approval of 401 Water Quality Certification and Authorization Certificate per the Tar-Pamlico
River Buffer Protection Rules (15A NCAC 2B.0259) with Additional Conditions
Dear Mr. Jackson:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
wrt In or otherwise impact`* linear feet of perennial stream, and 2,000 square feet (ft) of protected Zone
1 Tar-Pamlico River basin riparian buffer and 2,000 square feet (ft) of protected Zone 2 Tar-Pamlico
River basin riparian buffer as described in your application dated February 8, 2006, and received by the
Fee 4- ' Division of Water Quality (DWQ) on February 21, 2006, with additional correspondence received March
1, 2006, April 18, 2006, and May 15, 2006, for the purpose of constructing the proposed residential
subdivision at the site. After reviewing your application, we have decided that the impacts are covered by
General Water Quality Certification Number(s) 3402 (GC3402). The Certification(s) allows you to use
Nationwide Permit(s) NW39 when issued by the US Army Corps of Engineers (USACE). This letter
shall also act as your approved Authorization Certificate for impacts to the protected riparian buffers per
15A NCAC 2B .0233. 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. Also, this approval to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application shall expire upon
expiration of the 404 or CAMA Permit.
•

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 the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. 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. V@120WIMP
The Additional Conditions of the Certification are:
JUN 1 4 coos
Impacts Approved UENN • WATER QUALITY
fflen S MO STORMWATF,R 11RMcli
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
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
one
N Carolina
Naturally
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
f
Mr. Wilbur Jackson
Page 2 of 6
May 16, 2006
Amount Approved Units Plan Location or Reference
Stream- perennial 70 linear feet PCN page 8 of 13
Buffer -Zone 1 3,000 (square ft. PCN page 1 I of 13
Buffer - Zone 2 2,000 (square ft. PCN page I 1 of 13
2. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the Pre-Construction Notification. All construction
activities, including the design, installation, operation, and maintenance of sediment and erosion
control Best Management Practices, shall be performed so that no violations of state water quality
standards, statutes, or rules occur.
3. 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.
4. Sediment and Erosion Control Measures
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;
5. 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 15A
NCAC 213.0233 and GC 3404;
6. 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
Mr. Wilbur Jackson
Page 3 of 6
May 16, 2006
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
disequilibrium 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.
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 the §401 Certification 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. Diffuse Flow (No Review)
All constructed stormwater conveyance outlets shall be directed and maintained as diffuse flow at
non-erosive velocities through the protected stream buffers such that it will not re-concentrate
before discharging into a stream as identified within 15A NCAC 2B .0233 (5). If this is not
possible, it may be necessary to provide stormwater facilities that are considered to remove
nitrogen. This may require additional approval from this Office.
Mitigation:
8. Deed Notifications
Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands,
waters and protective buffers in order to assure compliance for future wetland, water and buffer
impact. These mechanisms shall be put in place prior to impacting any wetlands, waters and/or
buffers approved for impact under this Certification Approval and Authorization Certificate. A
sample deed notification can be downloaded from the 401/Wetlands Unit web site at
http://h2o.enr.state.nc.us/ncwetlands. The text of the sample deed notification may be modified
as appropriate to suit to this project;
Mr. Wilbur Jackson
Page 4 of 6
May 16, 2006
9. Construction Stormwater Permit NCGO10000
Upon the approval of an Erosion and Sedimentation Control Plan issued by the Division of Land
Resources (DLR) or a DLR delegated local erosion and sedimentation control program, an
NPDES General stormwater permit (NCGO10000) administered by DWQ is automatically issued
to the project. This General Permit allows stormwater to be discharged during land disturbing
construction activities as stipulated by conditions in the permit. If your project is covered by this
permit [applicable to construction projects that disturb one (1) or more acres], full compliance
with permit conditions including the sedimentation control plan, self-monitoring, record keeping
and reporting requirements are required. A copy of this permit and monitoring report forms may
be found at http: //h2o. enr. state. nc. us/su/Forms Documents htm.;
10. 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 the attached
certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification, shall expire upon
expiration of the 404 or CAMA Permit.
•
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream 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 certification and its conditions are final and binding unless you ask for a
hearing.
Any disputes over determinations regarding this Authorization Certificate (associated with the approved
buffer impacts) shall be referred in writing to the Director for a decision. The Director's decision is
subject to review as provided in Articles 3 and 4 of G.S. I SOB.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act and the Tar-Pamlico River riparian buffer protection rule as described within 15A NCAC 2B .0259.
If you have any questions, please telephone Cyndi Karoly or Ian McMillan at 919-733-1786.
AWK/Um
Sincerely,
Al W. Klimek, P.E.
Enclosures: GC3402
Certificate of Completion
cc: USACE Raleigh Regulatory Field Office
Eric Kulz, DWQ Raleigh Regional Office
DLR Raleigh Regional Office
File Copy
Central Files
Mr. Wilbur Jackson
Page 5 of 6
May 16, 2006
Filename: 060273HintonPlantation(Nash)101 TPBR
1]
•
E
,,,&dfication of Comph on
DWQ Project No.:
County.
Applicant:
Project Name:
Date of Issuance of Wetland Permit:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification and. 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
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: .
Agent's Certification
Date:
I, hereby state that, to the best of my abilities, due taro 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 ArclAtect, Surveyor, etc.) -in the State of North Carolina, having been authorized to observe (periodically,
weekly, full time) the construction of the project, for the Permittee 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
WQC #3402
GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE •
FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBERS 18 (MINOR DISCHARGES)
39 (RESIDENTIAL. COMMERCIAL AND INSTITUTIONAL DEVELOPMENTS)
41 (RESHAPING EXISTING DRAINAGE DITCHES) 42 (RECREATIONAL FACILITIES)43 (STORMWATER MANAGEMENT FACILITIES) AND 44 (MINING ACTIVITILS)
AND RIPARIAN AREA PROTECTION RULES (BUFFER RULES)
This General Certification is issued in conformity with the requirements of Section 401,
Public Laws 92-500 and 95-217 of the'United States and subject to the North Carolina Division of
Water Quality (DWQ) Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B.0200 for
the discharge of fill material to waters and adjacent wetland areas or to wetland areas that are not
a part of the surface tributary system to interstate waters or navigable waters of the United States
(i.e., isolated wetlands) as described in 33 CFR 330 Appendix A (B) (18, 39, 41, 42, 43 and 44) of
the Corps of Engineers regulations (i.e., Nationwide Permit No. 39) and for the Riparian Area
Protection Rules (Buffer Rules) in 15A NCAC 213 .0200. This Certification replaces Water Quality
Certification Numbers 3106 and 3108 issued on February 11, 1997, and Water Quality
Certification Number 3287 issued on June 1, 2000 and Water Quality Certification Number 3362
issued March 18, 2002. This WQC is rescinded when the Corps of Engineers re-authorizes
Nationwide Permits 18, 39, 41, 42, 43 or 44 or when deemed appropriate by the Director of DWQ.
The State of North Carolina certifies that the specified category of activity will not violate
applicable portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217
if conducted in accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Enumerating and Reporting of Impacts:
• Streams - Impacts to streams as determined by the Division of Water Quality shall be
measured as length of the centerline of the normal flow channel. Permanent and/or
temporary stream impacts shall be enumerated on the entire project for all impacts
regardless of which 404 Nationwide Permits are used. Stream relocations and
stream bed and/or bank hardening are considered to be permanent stream impacts.
Any activity that results in a loss of use of stream functions including but not limited to
filling, relocating, flooding, excavation, dredging and complete shading shall be
considered stream impacts. Enumeration of impacts to streams shall include streams
enclosed by bottomless culverts, bottomless arches or other spanning structures
when a 404 Permit is used anywhere in a project unless the entire structure
(including construction impacts) spans the entire bed and both banks of the stream,
is only used for a road, driveway or path crossing, and is not mitered to follow the
stream pattern. Impacts for dam footprints and flooding will count toward the
threshold for stream impacts, but flooding upstream of the dam will not (as long as no
filling, excavation, relocation or other modification of the existing stream dimension,
pattern or profile occurs) count towards mitigation requirements. Any filling,
excavation, relocation or other modification of the existing stream (other than
flooding) must re-establish the same dimensions, patterns and profiles of the existing
channel (or those of a stable reference reach if the existing channel is unstable) to
the maximum extent practical.
• Wetlands - Impacts to wetlands as determined by the Division of Water Quality shall
be measured as area. Permanent and/or temporary wetland impacts shall be
enumerated on the entire project for all impacts regardless of which 404 Nationwide
Permits are used. Any activity that results in a loss of use of wetland functions
including but not limited to filling, excavating, draining, and flooding shall be
considered wetland impacts. Enumeration of impacts to wetlands shall include
activities that change the hydrology of a wetland when a 404 Permit is used
anywhere in a project.
WQC #3402
• Lakes and Ponds - Impacts to waters other than streams and wetlands as
determined by the Division of Water Quality shall be measured as area. Permanent
and/or temporary water impacts shall be enumerated on the entire project for all
impacts proposed regardless of which 404 Nationwide Permits are used. Any activity
that results in a loss of use of aquatic functions including but not limited to filling and
dredging shall be considered waters impacts.
Application Thresholds - Stream, wetland and water impacts that exceed any of the
thresholds below require a complete application and written concurrence to use this
Certification:
• Total stream impacts of greater or equal to 150 cumulative feet of stream length for
the entire project require written notification to and approval by the Division of Water
Quality, and/or
• Impacts to waters of equal to or greater than 1/3 of an acre require written notification
to and approval by the Division of Water Quality, and/or
• Wetland impacts of greater or equal to 1/3 of an acre east of 1-95 and 1/10 of an acre
west of 1-95 require written notification to and approval by the Division of Water
Quality except as specified below. Any impacts to wetlands adjacent to waters
designated as ORW, SA, WS-I, WS-11 or Trout or are designated as a North Carolina
or National Wild and Scenic River and wetlands classified as SWL and/or UWL as
well as wetlands described. in 15A NCAC 2H.0506 (e) require a complete application
and written concurrence from the Division of Water Quality to use this Certification.
These thresholds apply for the entire project regardless of the number of Nationwide
Permits applicable to the Certification that are issued by the USACE for the project;
• Written notification to DWQ is required for all applications that propose to use
Nationwide Permit 18. This notification requirement will be satisfied by providing two
(2) copies of the PCN form-to DWQ at the same time that the PCN form is sent to the
US Army Corps of Engineers. A formal application and fee is not required unless
DWQ decides that an Individual Certification will be required for the project. In this
case, the applicant will be notified in writing from DWQ within 30 days of the receipt
of the written notification.
• Proposed fill or substantial modification of any amount of wetlands classified in
accordance with 15A NCAC 2B.0101(e)(7) as Unique Wetlands (UWL) shall require
written concurrence from the Division of Water Quality;
2. Impacts to any stream length in the Neuse, Tar-Pamlico or Randleman River Basins (or
any other major river basins with Riparian Area Protection Rules [Buffer Rules] in effect at
the time of application) requires written concurrence for this Certification from DWQ in
accordance with 15A NCAC 213.0200. Activities listed as'exempt" from these rules do not
need to apply for written concurrence under this Certification. New development activities
located in the protected 50-foot wide riparian areas (whether jurisdictional wetlands or not)
within the Neuse and Tar-Pamlico River Basins shall be limited to "uses' identified within
and constructed in accordance with 15A NCAC 2B .0200. All new development shall be'
located, designed, constructed, and maintained to have minimal disturbance to protect
water quality to the maximum extent practicable through the use of best management
practices;
3. Irrespective of other application thresholds in this General Certification, all impacts to
perennial waters and their associated buffers require written approval from DWQ since
such impacts are allowable as provided in 15A NCAC 2B. 0212 (WS-1), 2B.0213 (WS-II),
2B.0214 (WS-III) and 213.0215 (WS-IV). Only water dependent activities, public projects
and structures with diminimus increases in impervious surfaces will be allowed as outlined
in those rules. All other activities require a variance from the delegated local government
and/or the NC Environmental Management Commission before the 401 Water Quality
Certification can be processed. In addition, a 30 foot wide vegetative buffer for low
density development or a 100 foot wide vegetative buffer for high density development
WQC #3402
must be maintained adjacent to all perennial waters except for allowances as provided
under the Water Supply Watershed Protection Rules. For the purposes of this condition,
perennial waters are defined as those shown as perennial waters on the most recent
USGS 1:24,000 topographic map or as otherwise determined by local government
studies;
4. Additional site-specific stormwater management requirements may be added to this
Certification at DWQ's discretion on a case by case basis for projects that have or are
anticipated to have impervious cover of greater than 30 percent. Site-specific stormwater
management shall be designed to remove 85% TSS according to the latest version of
DWQ's Stormwater Best Management Practices manual at a minimum.
Additionally, in watersheds within one mile and draining to 303(d) listed waters, as well as
watersheds that are classified as nutrient sensitive waters (NSW), water supply waters
(WS), trout waters (Tr), high quality waters (HQW), and outstanding resource waters
(ORW), the Division shall require that extended detention wetlands, bio-retention areas,
and ponds followed by forested filter strips (designed according to latest version of the NC
DENR Stormwater Best Management Practices Manual) be constructed as part of the
stormwater management plan when a site-specific stormwater management plan is
required.
For streams classified as Water Supply, High Quality Waters and Outstanding Resource
Waters, post-construction, on-site stormwater management shall be required as
appropriate and as outlined in 15A NCAC 2B .0104(m) and 2H.1 000 to .1007,
respectively, in addition to that required in this General Certification.
Alternative designs may be requested by the applicant and will be reviewed on a case-by-
case basis by the Division of Water Quality.
Approval of stormwater management plans by the Division of Water Quality's other
existing state stormwater programs including appropriate local programs are sufficient to
satisfy this Condition as long as the stormwater management plans meet or exceed the
design requirements specified in this condition. This condition applies unless more
stringent requirements are in effect from other state water quality programs.
• Unless specked otherwise in the approval letter, the final, written stormwater
management plan shall be approved in writing by the Division of Water Quality's
Wetlands Unit before the impacts specified in this Certification occur.
• The facilities must be designed to treat the runoff from the entire project, unless
otherwise explicitly approved by the Division of Water Quality.
• Also, before any permanent building or other structure is occupied at the subject site,
the facilities (as approved by the Wetlands Unit) shall be constructed and operational,
and the stormwater management plan (as approved by the Wetlands Unit) shall be
implemented.
• The structural stormwater practices as approved by the Wetlands Unit as well as
drainage patterns must be maintained in perpetuity.
• No changes to the structural stormwater practices shall be made without written
authorization from the Division of Water Quality.
5. Compensatory stream mitigation shall be required at a 1:1 ratio for not only perennial but
also intermittent stream impacts that require application to DWQ in watersheds classified
as ORW, HQW, Tr, WS-1 and WS-II unless the project is a linear, publicly-funded
transportation project, which has a 150-foot per-stream impact allowance;
6. In accordance with North Carolina General Statute Section 143-215.3D(e), any
application for a 401 Water Quality Certification must include the appropriate fee. If a
WQC #3402 .
project also requires a CAMA Permit, one payment to both agencies shall be submitted
and will be the higher of the two fees;
7. In accordance with 15A NCAC 2H .0506 (h) compensatory mitigation may be
required for impacts to 150 linear feet or more of streams and/or one acre or more of
wetlands for an entire project. For linear public transportation projects, impacts equal to
or exceeding 150 feet per stream may require mitigation. In addition, buffer mitigation
may be required for any project with Riparian Area Protection Rules (Buffer Rules) in
effect at the time of application for buffer impacts resulting from activities classified as
"allowable with mitigation" within the "Table of Uses" section of the Buffer Rules or require
a variance under the Buffer Rules. A determination of buffer, wetland and stream
mitigation requirements shall be made for any Certification for this Nationwide Permit.
The most current design and monitoring protocols from DWQ shall be followed and written
plans submitted for DWQ approval as required in those protocols. When compensatory
mitigation is required for a project, the mitigation plans must be approved by DWQ in
writing before the impacts approved by the Certification occur, unless otherwise specified
in the approval letter. The mitigation plan must be implemented and/or constructed before
any permanent building or structure on site is occupied. In the case of public road
projects, the mitigation plan must be implemented before the road is opened to the
travelling public. Please note that if a stream relocation is conducted as a stream
restoration as defined in The /nfema/ Technical Guide for Stream Work in North Carolina,
April 2001, the restored length can be used as compensatory mitigation for the impacts
resulting from the relocation;
8. For any project involving re-alignment of streams, a stream relocation plan must be
included with the 401 application for written DWQ approval. Relocated stream designs
should include the same dimensions, patterns and profiles as the existing channel (or a
stable reference reach if the existing channel is unstable), to the maximum extent
practical. The new channel should be constructed in the dry and water shall not be turned
into the new channel until the banks are stabilized. Vegetation Used for bank stabilization
shall be limited to native woody species, and should include establishment of a 30 foot
wide wooded and an adjacent 20 foot wide vegetated buffer on both sides of the relocated
channel to the maximum extent practical. A transitional phase incorporating coir fiber and
seedling establishment is allowable. Also, rip-rap, A-Jacks, concrete, gabions or other
hard structures may be allowed if it is necessary to maintain the physical integrity of the
stream, but the applicant must provide written justification and any calculations used to
determine the extent of rip-rap coverage requested. If suitable stream mitigation is not
practical on-site, then stream impact will need to be mitigated elsewhere. Please note
that if a stream relocation is conducted as a stream restoration as defined in The Internal
Technical Guide for Stream Work in North Carolina, April 2001, the restored length can
be used as compensatory mitigation for the impacts resulting from the relocation;
9. Placement of culverts and other structures in waters, streams, and wetlands must be
placed below the elevation of the streambed to allow low flow passage of water and
aquatic life unless it can be shown to DWQ that providing passage would be impractical.
Design and placement of culverts including open bottom or bottomless arch culverts and
other structures including temporary erosion control measures shall not be conducted in a
manner that may result in aggradation, degradation or significant changes in hydrology of
wetlands or stream beds 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 to do so in writing by DWQ. Additionally, when roadways,
causeways or other fill projects are constructed across FEMA-designated floodways or
wetlands, openings such as culverts or bridges must be provided to maintain the natural
hydrology of the system as well as prevent constriction of the floodway that may result in
aggradation, degradation or significant changes in hydrology of streams or wetlands;
WQC #3402
10. That appropriate sediment and erosion control practices which equal or exceed those
outlined in the most recent version of the "North Carolina Sediment and Erosion Control
Planning and Design Manual" or the "North Carolina Surface Mining Manual" whichever is
more appropriate (available from the Division of Land Resources (DLR) in the DENR
Regional or Central Offices) shall be in full compliance with all.specifications governing
the proper design, installation and operation and maintenance of such Best Management
Practices in order to assure compliance with the appropriate turbidity water quality
standard;
11. All sediment and erosion control measures placed in wetlands and waters shall be
removed and the original grade restored within two months after the Division of Land
Resources has released the project;
12. That additional site-specific conditions may be added to projects proposed under this
Certification in order to ensure compliance with all applicable water quality and effluent
standards;
13. Measures shall betaken to prevent live or fresh concrete from coming into contact
with waters of the state until the concrete has hardened;
14. If an environmental document is required, this Certification is not valid until a Finding of
No Significant Impact (FONSI) Err Record of Decision (ROD) is issued by the State
Clearinghouse;
15. If this Certification is used to access building sites, all lots owned by the applicant must be
buildable without additional fill beyond that explicitly allowed under other General
Certifications. The applicant is required to provide evidence that the lots are buildable
without requiring additional impacts to wetlands, waters or buffers if required to do so in
writing by DWQ. For road construction purposes, this Certification shall only be utilized
from natural high ground to natural high ground;
16. Deed notifications or similar mechanisms shall be placed on all lots with remaining
jurisdictional wetlands and waters or areas within 50 feet of all streams and ponds. These
mechanisms shall be put in place within 30 days of the date of issuance of the 401
Certification letter or the issuance of the 404 Permit (whichever is later). A sample deed
notification format can be downloaded from the 401/Wetlands Unit web site at
hftp://h2o.enr.state.nc.us/ncwetlands. DWQ shall be sent copies of all deed restrictions
applied to these lots;
17. When written concurrence is required, the applicant is required to use the most recent
version of the Certification of Completion form to notify DWQ when all work included in the
401 Certification has been completed;
18. Concurrence from DWQ that this Certification applies to an individual project shall expire
three years from the date of the cover letter from DWQ or on the same day as the
expiration date of the corresponding Nationwide Permit 18, 39, 41, 42, 43 or 44,
whichever is sooner.

WQC #3402
Non-compliance with or violation of the conditions herein set forth by a specific till project
may result in revocation of this Certification for the project and may also result in criminal and/or
civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a
formal application for Individual Certification for any project in this category of activity that
requires written concurrence under this certification, if it is determined that the project is likely to
have a significant adverse effect upon water quality or degrade the waters so that existing uses of
the wetland or downstream waters are precluded.
a
Public hearings may be held for specific applications or group of applications prior to a
Certification decision if deemed in the public's best interest by the Director of the North Carolina .
Division of Water Quality.
Effective date: March 2003
DIVISION OF WATER QUALITY
By
Alan W. Klimek, P.E.
Director
WQC # 3402
•
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JUN 1 4 2006
O
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WATF?9
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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
www.saw.usace.army.mil/wetlands/Permits.html.
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 www.saw.usace.anM.mil/wetlands/index.html, 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 13

Coastal Area Management Act (CAMA) 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, 67 Fed. Reg. 2090 (Jan. 15, 2002), available at
http://iv,Nvtiv.usace.army.mil/inet/functions/cw/cecwo/rep,/2002nwps.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 p ces ing periods.
?$ 9V4
401 Water Quality Certification or Buffer Rules - All information is re aired unless otherwise e?
q ?
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlanc`s Tnit, 1650 Mail Service Center,Rp?
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 p t,
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 1
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/ncwctlands/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.
2?S
Page 2 of 13 6y I eci
d RTA/51, nAa I
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
X Section 404 Permit X Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW 39, and Buffer
Authorization
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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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 f
Environmental Concern (see the top of page 2 for further details), chec]
II. Applicant Information JUN 1 4 2006
1. Owner/Applicant Information rvclLUENR -iO TER QUAR BRANCH
Name: Mr. Wilbur Jackson
Mailing Address: 3970 US 64 A
Nashville NC 27856
Telephone Number: Z - 0 _ Fax Number:
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 13
J-

III. Project Information i
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: Wilbur Jackson Properly
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 288000696531
4. Location
County: Nash Nearest Town:_Momeyer
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): (Parcel address: 3700 US
64A) Site is located Northeast of the intersection of SR 1909 (Old County Home Rd) and US
Hwv 64 Alt. East of Momeyer. NC
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): UTM 17(WGS84/NAD83) 3984597NO 76759 2
6. Property size (acres): 62.14 Acres
7. Name of nearest receiving body of water: UT to Little Saponv Creek & Little Saponv Creek
C, NSW, Stream Index- (28-55-640.6)), Sub Basin- 030302
8. River Basin: Tar-Pamlico River Basin
(Note -'this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available atlittv://h2o.enr.state.nc.us/admiii/niaps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: abandoned single family residence surrounded by
agricultural land and woodland and some single family residences
Page 6 of 13
.?-
Describe the overall project in detail including the
type of equipment to be used:The overall
proiect is to create a 45-47 lot residential subdivision Average lot size is approx. 1 acreThere will be a stub out road toward the northwest section of the property for future
residential development. The subdivision will be built using backhoe graders bulldozers
and other equipment used in this tune of construction Manual labor will also be used to
minimize and avoid any impacts to streams wetlands and buffers
10. Explain the purpose of the proposed work: create a 45-47 lot residential subdivision
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. Michael Horan of DWO (Raleigh Regional Office) met on site for a
buffer determination and pre-application meeting on 10110105
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.
Possible future development proposed adjacent to the Northwest section of property (which will
be Phase III of Hinton Plantation) Future development will mimic proposed subdivision stated
in this 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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
Page 7 of 13
J.ti
1. Provide a written description of the proposed impacts: only impacts on site consist of MN Is
stream crossing consisting of 50 linear feet with inlet and outlet protection consisting of 20
linear feet (10 ft. of rip rap at each end)
2. Individually list wetland impacts. Types of 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.

Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year Nearest impact
(indicate on map) herbaceous, bog, etc.) Floodplain Stream (acres)

N/A
N/A es/no linear feet
Bottomland
Hardwood/Riparian 0
Total Wetland Impact (acres) 0
3. List the total acreage (estimated) of all existing wetlands on the property: Phase I= .48 ac
Phase 11 consists of 10.49 ac of wetlands (not sure on Phase III yet
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
Stream Name
a of Impact
?
Perennial or
I Average

Stream Width Impact

Length Area of

Impact
indicate on ma ntermittent? Before Impact ear feet acres
Impact #1 UT to Sapony Road crossing Perennial 4 ft t i, AeAf
Creek Permanent
Total Stream Impact (by length and acreage)

O.og.Ac
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
Name of Waterbody a of Waterbo
n'P dy
Area of

indicate on ma (if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
ocean, acres
N/A N/A N/A N/A N/A
Total Open Water Impact (acres) N/A
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): -66ftc
Wetland Impact acres): 0
Open Water Impact acres : N/A

Page 8 of 13
Total Impact to waters of the U.S.-(acres) N/A
Total Stream Impact (linear feet):
I ?!? l
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes X No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond:
Size of watershed draining to pond: N/A Expected pond surface area: N/A
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: Only one crossing for
proposed subdivision and crossing is less than 150 linear feet. Crossing will take lace on a
straient section to minimize stream and buffer impacts A 30 ft. buffer will surround all stream
features subject to the Buffer Rule with the outer 20 ft to be re-vegetated The culvert used for
impact #1 will be buried 12 inches or less than 20% of the diameter of the pipe to provide
aquatic life passage. No curb and gutter will be used only grass swales to provide better nutrient
removal.
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.
Page 9 of 13
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP 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/strmgide.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.
Mitigation not required
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http:/!h2o.enr.state.nc.tishvrp/index htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No X
. : 0
Page 10 of 13
2. 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 X
X.
3. 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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse). 15A NCAC 2B .0259 (Tar-Pamlico). 15A NCAC 02B .0243 (Catawba) 15A
NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other
(please identify----________J? Yes X No ?
2. If "yes", 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*
( feet) s Im eact Multiplier Required
1 3000 sq.ft. 3 (2 for Catawba) N/A
2 2000 sq.ft 1.5 N/A
Total 5000 sq.ft N/A
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
XI.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. NIA If buffer mitigation is required the applicant
proposes to either pay into EEP or provide buffer Restoration or Enhancement where buffers do not
exist within the same buffered basin.
Stormwater (required by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations
Page 11 of 13
demonstrating total proposed impervious level: %Impervious for proposed subdivision are as
follows: 2.64 ac (Roads), 1.94 ac (Single Family Dwellings) Minimum Sq Footage for S/D is
1800 sa. ft. (60 ft. X 30 ft.), .64 ac (concrete driveways) and .345 ac (sheds 16 ft X 20 ft.)
Total impervious for subdivision is. 8.95% (approx. 9%) All discharge points for road
drainage will be directed to a level spreader designed as to per DWO Guidelines so that diffuse
flow will be achieved before entering the Tar- Pamlico Buffer.
MI. 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.
All Lots to have well and septic tank
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. Cumulative Impacts (required by DWQ) i
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No X
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
Understandably impacts for all Phases will be counted cumulative when all Phases are finished
XV. 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).
N/A
•
Page 12 of 13

App?icantfAgent's Signature
(Agent's signature is valid only if an a

letter from the applicant is provided.)
L _J

Page 13 of 13
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Nash County Property Record Cara
OWNERSHIP 09302005 15079 307 1PROPERT, _ESCRIPTION ITAX SUBDIVISIONS IMAP NUMBER BARD NO Page 1
JACKSON WILBUR V AC 1H PT 2 J L HINTON IMANNINGS TWP
12880696531

3970 US 64 A
NASHVILLE NC 278 i

56 TRACT 3070
G9
4
3, 62 14 ACM 2 J L HINTON 1MOMEYER FIRE DISTRI II OUTTED28800008106923

DEED:2157 540 07152005
186000-991
3700 US 64A - ILISTER:010620006
(REVIEW:
" ••••..•38....... •. ITOPO (ST
REET (UTILITY IZONING 62
14 ACRES
. NBHD
ILEVEL IIHVY TRFCI
WELL I
l
ISEPTIC
4 1 1 (ELECTRIC( NOTES;HOUSE

BUILT IN 1885
0206
2 1#ILAND CLASS I SIZE IBASERATE*FRNT*DPTH*ADJ=ADJRATE*UNITS=
LND-VALUE
4 D- 6••
SNG FAML1 • I1I40KHOMESITEI 1.OOAC

12142KROADFRNTI 4.62AC 13500

1 10500
1 1-1-
0
36ACFI
1135001 1.001
1 378
13500

0 :
' : 2
13 45KWOODLANDI 18.58AC1
4144KOPENLANDI 10
51
5775 .
0.36ACF1 01 4.621
1 2079118.581 17464
38628

.•••..28.....: 0
1 .
.AC1
15149KWASTELNDI 27.43AC 7875
300.00 0.36ACF1
0:36ACFI 2835110.51
10 1
8
00127
4 29796
.
.
3 2962
0 C- ILAND VALUE:
102350
ENCPORCH 1#10THER FEAT I SIZE (BASERATE*COND =ADJRATE*UNITS=OFB-VALUE
•....:28.....34........ 1-26 PACK HSE1 01 -
- -

1
2-26 PACK HSE1 01
1 1 1
1
I I 0

i 2 0
6
....16...
A
SNG FAML 1 8190BTOBALOT-12805* 11 0.001 1
OT 0.001 28051 0
HER VALUE:
0
6 IFNDATIONIXTRFNISHIROOFTYPEIROOFMTRLISIZE/QTYI

4
2 6
......24....: BRICK
ICTWLWALLI FRAME DBLPITCHf METAL
?1.00STHTI
I
4 IWALLFNSHIFLOORS IHEAT&AIRIHEATFUELI I
@...16..: 8
OPNPORCH.
16
: IDRY WALLISOFTWOODINONE
...
..
4 1FIBERBRDI I 1 1 6 RO M

32 1

DWELLING CNVNTINL D 0 POOR CONDITION
DIMENSIONS:A-CU16L4U16R28D12R16D16L24D4L16 B-CU16L8D24R32U4R16U8L24D4L16 C-U16L4U16R12CUlOR2871OR6D2004
D-U16L4U16R12UIOCR28UlOR10U14L38D24H
#ISTRUCTUREISKTCH-SF*STHT= AREA RATE*GRDF
HE
*
+
AT+EXWL
WLHT=ADJRAT* AREA- RPCN* DEPF*CNDF-STR-V

AI 1DSNG FAML1 1056
1 1.00 BATH I
11.001
I
1056
1 32.44
1 I I I 132.441 10561 342571
FlOI 1 ALUE
3426

8185 OPNPORCHI 544
1.001
544
11.171 I I 1 1900.001
I 1 1 11
171 544 19001
1
9
0
0
1 O.lOI I
0-1
0
1 190

0186 ENCPORCHJ 8001
1.001
812
32
44
1 .
16.42 400
1 1
1 1
1
1 6
0
7
6
1
6568 0
1
01
0.10
? 608

657
. 0.00
32.44
812 26341
1 0.101 2634
1868HSF, 2812TSF RPCN- 40.23/HSF 75142 VALU- •4.02/HSF 7515
STRUCTURE VALUE: 7515
VALUATION( VALUEIPREV-VAL.IP-N%i SALEIS-N%1
TOTAL VALUE 109865
LAND 1 I I 1023501 790211129%I
OTHERFEATI 1 1 16471V/AC
I I of 50041 0%1071520051 I
STRUCTURE(
TOTAL 1 1 I 75151 173811 43%12157-5401 1 58TV/HSF
I 1098651 1014061108%1 1860001 59%1 99SP/HSF
APPRAISED-VALUE: 109
•
Iittp://www.gis.co.nash.nc.us/cgi-bin/nash/CreatePRC 2.pl?recNum=9234 10/19/2005

RA
•

t
r
. x;'177:+? •:t SilY;3l17 ?it1S(.:i'J7JttQ11 Curr. Class Date prop. Glass B".1sin Stfoam t11ltG':C
Solomon Pond From source to city WS-IV;NSW, 08/03/92
Tar-Pamlico
28-98
of Rocky Mount CA
Reservoir, Tar River
Big Branch From source to City WS-IV;NSW, 08/03/92 Tar-Pamlico 28-49
of Rocky Mount CA
Reservoir, Tar River
Fishpond Branch From source to city WS-IV;NSW, 08/03/92 Tar-Pamlico 28-50
of Rocky Mount CA
Reservoir, Tar River
Sandy Cross From source to city WS-IV;NSW, 08/03/92 Tar-Pamlico 28-51
Community House of Rocky Mount CA
Branch Reservoir, Tar River
Bakers Spring From source to city WS-IV;NSW, 08/03/92 Tar-Pamlico 28-52
of Rocky Mount CA
Reservoir, Tar River
Holly Branch From source to city WS-IV;NSW 08/03/92 Tar-Pamlico 28-53
of Rocky Mount
Reservoir, Tar River
John Viverette From source to city WS-IV;N5W 08/03/92 Tar-Pamlico 28-54
Branch of Rocky Mount
Reservoir, Tar River
Sapony Creek From source to mouth of C;NSW 01/01/90 Tar-Pamlico 28-55-(1)
Gabe Branch
Hendricks Creek From source to Sapony C;NSW 01/01/90 Tar-Pamlico 28-55-2
Creek
Bear Branch From source to Sapony C;NSW 01/01/90 Tar-Pamlico 28-55-3
Creek
Rose Branch From source to Sapony C;NSW 01/01/90 Tar-Pamlico 28-55-4
Creek
Gabe Branch From source to Sapony C;NSW 01/01/90 Tar-Pamlico 28-55-5
Creek
Henry Branch From source to Gabe C;NSW 01/01/90 Tar-Pamlico 28-55-5-1
Branch
Sapony Creek 'From mouth of Gabe WS-IV;NSW 08/03/92 Tar-Pamlico 28-55-(5.5)
Branch to City of Rocky
Mount Reservoir, Tar
River
Little Sapony From source to a C;NSW 01/01/90 Tar-Pamlico 28-55-6-(0.3)
Creek point 0.6 mile
downstream of U.S. Hwy.
64
Little Sapony From a point 0.6 mile WS-IV;NSW 08/03/92 Tar-Pamlico 28-55-6-(0.6)
Creek downstream of U.S. Hwy.
64 to Sapony Creek
Gin Branch From source to Little WS-IV;NSW 08/03/92 Tar-Pamlico 28-55-6-1
Sapony Creek
Peppermint Branch From source to City WS-IV;NSW 08/03/92 Tar-Pamlico 28-56
of Rocky Mount
Reservoir, Tar River

Page 4 of 8
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Parcel Number.
Parcel Owner: (Last First ex Smith John)
Parcel Address: (222 W Washington St)
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-?"" :ti..-'_ •. 1
1 Public Inquiry System
DISCLAIMER
Data Distribution
Agreement

This map is prepared for the inventory
Submit Parcel Query of real property found within this
jurisdiction, and is compiled from
recorded deeds, plats and other public
records and data Users of this map ar
hereby notified that the aforcmentioner.
Advanced Query public primary information sources
should be consulted for verification of
10/7/2005
;I Il-E T NUNIGER 7
i,ASH GOUNI'?r, -NORM CAROLINA
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7
DWQ# 0( -o 7- 3 - i/2
Plan Detail7ncomplete
Date
Who Reviewed: V.
? Please provide a location map for the project.
? Please show all stream impacts including all fill slopes, dissipaters, and bank stabilization on the site plan.
? . Please show all wetland impacts including fill slopes on the site plan.
Please indicate all buffer impacts on the site plan.
? Please indicate proposed lot layout as overlays on the site plan.
? Please indicate the location of the protected buffers as overlays on the site plan.
? Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan.
? Please provide cross section details showing the provisions for aquatic life passage.
? Please locate any planned-sewer lines on the site plan.
? Please provide the location of any proposed stormwater management practices as required by GC
? Please provide detail for the stormwater management practices as required by GC
? Please specify the percent of project imperviousness area based on the estimated built-out condidons:
? Please indicate all stormwate?outfalls on the site phut.
Please indicate the diffuse flow provision measures on the site plan.
? Please indicate whether or not the proposed impacts already been conducted
Avoidance.and/or Minimization Not Provided
? The labeled as on the plans does not appear to be necessary. Please eliminate the . or provide additional
information as to why it is necessary for this project
• ? This Office believes that the labeled on the plans as can be moved. or reconfigured to avoid the impacts to the
Please revise the plans to avoid the impacts.
?. This Office believes that the .labeled on the plans as can be moved or reconfigured to minimize the impacts to the
Please revise the plans to minimize the impacts.
? The stormwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because
Please revise the plans and provide calculations to show that diffuse flow will be achieved through the entirobuffer. If it
is not possible to achieve diffuse flow through the entire buffer then it may be necessary to provide stormwater management
practices that remove nutrients before the stormwater can be discharged through the buffer. .
Other
? . The application fee was insufficient because over 150 feet of stream and/drover I acre of wetland' impacts were requested Please
provide $ This additional fee must be received before your application can be reviewed.
? Please complete Section(s) on the application.
? Please provide a signed copy of the application.
? Please provide copies of the application, . copies of the site plans and other supporting information:
? Please submit electronic CAD files showing, via 'email to [e-mail] and CD.
Mitigation
? of compensatory mitigation is required for this project Tlease provide a compensatory mitigation plan. The
plan must conform to the requirements in 15 A NCAC 2H'.0500 and must be appropriate to the type of impacts proposed.
% 1
? Please indicate which 404 Permit the USACE would use to authorize this project.
1.FSa~I2
ISS • IRON STAKE SE7
EIS • EXISTING IRON STAKE __1 P.B, 33 PG. 50 ~ ~ I PKS ~ PK NAIL SE7 PRRLIMINARY Pl A7 APPROVAL
EPK ® EXISTING PK NAIL N
PP ~0,, POWER POLE I HEREBY CERTIFY THAT THE HINTON PLANTATION SUBDIVISION WAS APPROVED ON THE _____~_C R/W RIGHT OF WAY O ^i O
RR5 • RAILROAD SPIKE SET AS THE PRELIMINARY PLAN OF THE SUBDIVISION AS SHOWN ON THIS PLAT, PR LIMI aE _____~_DAY OF ~ N
E ERR • EX.RAILROAD SPIKE 18 MONTHS FROM NLS ~ NAIL SET THE ABOVE DATE OR AS E57ABLISHED UNDER 741E VESTED RIGHTS PROCEDURES .AT, PRELIMINARY APPR A ~ OV L IS VALID FOR A PERIOD OF ~ C ~ 0) ~
OHE OVERHEAD ELECTRIC PROCEDURES, IF APPLICABLE.
CP >n COMPUTED POINT r~~/~ ~ V1 ~ D n
MOH, o GRID MONUMENT N i. j: C lr7
CMP CORRUGATED METAL PIPE 0 N
PED a PRONE PEDIS7AL MAYOR TOWN OF MOM EVER v
rvwrr~ WOOD LINE A77ES7~ r 'j
'II
NaC SOIL TYPE
TOWN CLERK ~ N
_ • . ~ • . _ SOIL DIVISION LINE p1 I- ~ C W ~
PROPOSED EDGE OF PAVEMENT ly - W ~ C ~
PROPOSED RIGHT-OF-WAY ~ ~ Q ~ _ ~ U
BUILDING SE7 BACK WILBUR V. JACKSON r°f' F a Z
r: 2 ~ r~ ~ ~ Q
- . _ .CREEK D.B. 2130 PG. 208 L07 B P~'~ - Z W
~ WETLAND BOUNDARY P.B, 32 PG, 2ql 4. m O
22+/- ACRES REMAINS 23' LD _ PROPOSED CENTER LINE A~ ,f WILBUR V LOT 28 ~ ~ ~fi~~~: > _ L (n WILBUR V. JACKSQN ~
~0~ D.B. 213 D.B. 2130 2~"' V1 W ~
i p ~ 1 . _ _ EXISTING RIGHT-OF-WAY WILBUR V. JACKSON , p W - LO' Z LOT B
6'222 ~ P,B. 3; D,B, 2130 PG, 208 M , ~ ADJOINING PROPERTY LINE G ~ 22+/- ACF LOT B P,B. 32 PG. 2ql N ~ O Q. 22+/- ACRES Ri MAIN: t0 ~
P B , . 32 PG, 2ql `A'1 . ~ ~
- ~ ~ I 'I I ~
- ~ ~ OT - ~ u®.
_ q L07 21 ~ 11 ~q M ~Q5°W~ crorbht®, zoos ~11pt'~~/ CIVILIEN ASSDdAlES, P.A,
- - 3 ~ r a I ~ ~ - ~ Q.75 Acres i 1 ti 1`~~/ln(~e Ail Rlghte Reserved. Reproduction a up 1~ \ of lha oantent of thle document, a
- - ZACHARY H f ~ ~ ` ~ ' gib' _ . HINTON ~t ~ ~ ~ q•~6~ /A(q~9~ ? addltlone or dNNlom to thh document, ,11%j In while a In port, wlthoul written can- ~1a sue, 'f sent of gVILffK ASSOGATES, P,A„ h
_ D.B. 615 PG. 41 ~ ~ - t5) ° G _ _ - D.B. 615 PG. ISq ,~A ~ a o ~ s 10• 105 \ \ ~j PROFNBIIED. \ \ \
_ - LOT ~ - \ \ \ TEMP.
_ P.B. 32 PG. 2qi ~ ~ ~ 6' S ° 2 2 / tis CUL- ~ \ \ ~ \ DE-SAQ \ a
\ ~ a~ \ LOT 27 6, si,
71E LINE 70 PK I 30" CMP ` a a. %a tis 38,830 sq, ft ~
_ _ I LO'i ~ ~ NAIL SET IN INTERSECTION _ - A _ I 104,244 , fi , ' I ~ ~ ~ U,S. 64 ALT. ~ S,R, IgOq. _ T EXI 4 ~ PHASE III `~i, Si, , tl
I I STING ` 2.3q A,cr~s _ _ ~ ~ LOT 23 _ I I FARM PATH ~ . ~ ~ ~ ~ < ~ ~ ~ 1 NOI3242 W
_ - I I , I ~ i ~ 43,824 sq, ft. t I s ~ - ~ ~ ~ ~ 1 , ~ ` v / 470 i S \ \ ,,~1 r P
I ZACHARY H HI I t ~ ~ - NTON ~ ~ ~ ~ ~ ~ vv . u~\ OT ~ ' ~ ~ '15'00 E - ~ ~ ~ ~
i D.B, 615 PG. 41 ~ 6~ ~ ' ~ '"Y~ ~ \ S I D.B. 615 PG. 18q ~ ~ ~ ~ . 13 , 1 ~ L 2b G 50°1 ~ _ _ ( ~ ~ l: ~ $ ' 46, 813 sa f t , 36q ~ ~ ~
cP, 4 ZACHARY HIN70N I A , LO7 A ~ i ` ~ g2 ~ ~ . ~ 3 ~ D.B. 615 PG. 41 I P,B 3 hq ~ ~ ~ ~ ~ i ) ~ ~ ~ ~ ' \ ~ II 1.07 Acres ~ ~ 1 ~ ~ G
I 2 PG, 2ql ~ ~ ~ , cW D,B. 615 PG. 18q I n e~ - ~ ` ` ~ ~ ~ ~ \ \ i 1 ~ ~ ~ I ~ ~ ~ , ~ ~ ~ ~y , ~
L07 A-I I ~~0 } J ~ ~ LOT 24 ~ ~ ~ ~ ~
P.B. 3 P I . 6 ~ ~ 07 Iq i , r / ~ 36 356 2 G. 2ql I ~ ~ 1 45,831 sq, ft. r / WOOD LINE ~ , < , sq, ft. ft. 4 , . ~ .1'15 LOT 2q t ~ c~
NAG i , ~ L~ r ~ ~~,i ~ ~ 0.83 Ac~° i ~ r ~ i ~ ~ a Wh ~ \ fl ~ a ~ ~ ~ 254,703 _q, ft. PHASE III ~
• , i ~ ~ CULVERT r ~ ~ ~ ~ ~ . Al ` ~ _
m Ig7 i i PHASE II ~ ~ No, I r ~ y~ ' ~ I 5 ~ i ~ ~ 2 L,F. 12 GA, ~ , ,
~ ~ ,-.---'146 I I ~ , LO7 18 ~ v, ~ ~ ~ ~ ~ d 10 ---,I ~ ~ I ~ 32 q'~8 ~ CORRUGATED - ~ ~ ~ ~i ~ , > ~ ~ 4oq ~ ~
~ - ~ I i ~ ~ y , ~ ft. 9 ALUM. ~ ~ ~~9,~ ~ ? ~b L07 25 I i I i ~ Q7 A ~Y~ ~ ~ ~ 46,672 sq, ft. Lor 25 ~ ~ ~ ' ' o ~ ~ i ~ r ~ ~ 6,672 sq, ft. \ ~
~ w ~ ~ ~ b~ A~V1 , LOT 5'I ~ ~ C l.QZ~CS~ 1.07 Acres ~~C o . v v ' ~ v ~ ~ Q 0
N LOT 17 W N ~ ~ 2 q 14q,03q sq, ft, / 'P • ~ lY s \ Y i ~ ~ . >J ro ~ 32,878 sq, ft. ' ~ ~6 ~ / 2~ , 3.42 Acr ,i .r~~G ~
LOT 15 w L07 16 ~ A ~ ~ ~ , ' ` \ LOT 30 ) ~ C`~.. ~ i ~ i \ \ ~ N , 3. ~
I 31,780 sq, ft. W ~ 31,780 sq, ft. ~ ~ , ~ ~ ~ ~ ~ 0.72 AcC~,2 ~ i ~ P~ ~~V~ ~ ~ ~ ` 24" RCP 0.72 Acres , ~ , G , , C QJ , \ 135,573 sq, ft. X43, ' ! v I 4 ~ RCP ~ ~ ~ \ ~ ~ , 4b , ~ ~ [ ~
g I , I , 0~~ ~ I i ~ (CLASS IV) , I ~ , ~ ~ ~ ° ~ ~ •A~ ~ ~ ~ 48 L.F. , ~ ~
I SIGN EASEMENT' ~ , ~ P A ~ 10 MAINT NANCE ~ ~ ~ ~ ~ ~ , ~I A ~ ' ~ ~ ~ ~0 ' ~ CONSTR GTI ~ ~ ~ 6~ ' ~ ..F. ~ \ ` WETLAND ~~v ~ , \ ` ~ ~ ' ~ / ~
_ ~ TO BE OUTSIDE I / ~ ~ ~ ~ ~ C2 ~ I I EASEMENT ~ ~ ~ ~ I IGHT TRIANGLE. , I I , ~ C ~ BOUNDARY Y ~ i ~ \
I I 137 I I ~ ~ ~ J' ~ ~
I 113' ~ _ - ~ ~ - ~ ~A ~i , 1 ~ LOT 31 17a r---- W \
- - ~ ~ WETLAND ' - ~ ~ ° ~ ~ ~ ' ' _ _ - - " _ BOUNDARY ~ i' LOT 38 ~ ~ i ^ ~ ~ 70 768 s f t, 3 ~ ~ \ i' ' \ \ LOT ~ \ ~ a \ I ~ ~
r' LOT 14 I . ~ . 173 ~ti ~ ~ ~ B RN ~ AR ~ ~ ~ 52q ft, i ~ , 37,421 ft, ` ~ sG, A ~b , q0 , ~ ~ ~ ~ V ~ti ~ ~ , \ 49,269 sq, t. ~ ~ \ \ \ i
22A I 0.85 r g I \ Wh ~.g$-~"~ t;~ ~ i / ~
I OAK~___D_---- - ~ I I I \ h~ ~ ~ GoA V~ OJ ~6 i' ~ T 33 \ \ \ i t ~ i
I m I I I I ` ~y1 ~ \ ~ \ H ~ ~ PA 46,12 o C` 46 12 \ \ 1 ~ ~ - J ~
LOT 5 cv - I I AS ~ P ASE III 'C > ' \ \ 1 vv ~ A I ~ ~Ut ~ \ 1.05 Acres \ ~ \ 2 1 ~ ~ ~
~ N07E: I 32,148 sq, ft, o ~ I I ,-1Jti 6A' \ ~ ;'~0 ! F BER OPTIC CABLE r` I I co ~ i ~ ~ o V~\ ~ ~n ~~~``11 i k \ ~1
I ~ N \ ~ < ~ ~ ~ i ~ ~ ~ ~ L07 34 RUNS ALONG R/W ~ L-____-- ~ 132,00q sq, ft,i ~ / l e ~ ~ ~ ~ Z`i i
S TE. BEFORE I ~2, , " I 0.73 Acr4~ I _I ~ LOT 13 \ 9' ~ \ r ` I r ` .16 Acres DIGGING, CALL 5537 W I I o i Nr8 46,838 ft. \ ` \ ~ ~ ~ Acres • ~ 9S/ U/q / Y. ~ ~ ~ i ~ ~
ULOCO I-800-632- N 20T , I I -I I I sG, \ \ ~ I ~ ~ ~ , a - -I - 32r---~ ~ I 1.07 A r.a \ ~ 'A ~ I I ~ ! ~ ~ Sn6'e \ \ \ ~
4g4q, I ~ I I I' I ~ 6 • F ~ ~ I ~ ~ ~ I I m N02' ' w ~ Ig I ~ F~\ i ~ r1 ~ i 5537E ~ ~ L \ \ ~ / \ \ \ ~ /
PHASE I I , I~ i ~ ~ \ \ ~ rr ~ ~ OT 35 ~ . ~ ,7hv \ ` ' ~ ~ ~ ~ \~i' ~ 1 /
I I Iq2 L_----------- N040201 \ ~ ~i ~ ~ 65,gg3 sq, ft. ~ I I~ I I I I tY~~ ~ ----a- \o \ ~ 1.51~A rem ~
I I I~ I I I I ' 410 \ \ I I ~ ~ ~ tiF C - I LOT 4 ~ 3 j I I iU ~ A~ I I ' A 9
~ 40,533 sq, ft. I N I I ~ I \ v A II Ir ~ ~ I I _ L07 7 ~ ~ , I I ~ ~ ~ ~v ~v ~ ~ ~ I
~ 0•q3 ACfCg I '~t U~ ~ _ I ~ , ~I y LOT 36 ~ ~9 A I I I p s I 32r~ ~ ft. I ~ ZI Im I / 130,810 sq, ft. ~ ` ~Y \
I I_ I ~ ~ , I ~ \ ~ I I ~ 0.73 Acres I- Q~ ~ i / 3 1 ~ ~ D I ro I ~ z ~ I . ~ 3.Q0 Acres ~
~ i I , z i I ~ i ~e~s, , , L07 37 ~ \ ~ - I I I i LOT 12 ` ~ ' 130 810 s ft. ~ ' ` ~ ~ ~ I
I C I r I I I I I~ 148 04q \ , a m~ ~ \ S02 55 37 W ~ _ _ _ ;3.3q Acres . , ~ ~ ~ I ~ ~ "L10-. ~
E z ~ i ~ 200 _ i I r' ~`~t r\ \ n j, ~ g'. ' ~ ) i i ~
~ ~ lq2 _ a.. ~ S ' R~
I a. ` F i ~ iC Wh ; / 0~
~ I I ~ I ~ I ~ 01 i 3 I _ 24 RGP \ ~ - ~ i ~ I I EYiSTIr n7 I I I ~ I CLA ~ ~ ~ ~ it u ~ i / ~ AQ i / ~
- I J I-_ N _ I LOT 8 I ~ I( SS IV) -aQa A ~ vl II A i (1 N r \ ~ ~ ~ Q \ ~ I i T - i 42 L.F. I a I
I I ~ '~t ~ i 31,660 sq, ft. I ~ ~ ~ ~ / \ I ~ i ~1 Im ~ 3q,G75 sa, Ft ~ O - I 7 ~ ~ I ~/~i30'~ ~ I jl ~ ~ __.J ~ / ~ 0 ~ ~ 'c3
I~ 1= I O ql Acr-~s i t I 0. 2 Acres I I ~ I I ~p. ~ ~ 21_6 II~ ~r ~ ~ ~ I 1 1 I 4. ~ ~ T I ~ I I I 4 x \ \ v' 1 W .I IIW ~ I~ ~ ~ ~ ~ ~ ~
~..I I z I I I i O I II I~ PHASE I ~ ) ~ ~ ~ uA ~ ` ~ ~ ~
I i / I 'ta i a Ut II ~ - ~ ~ ~ ~ it.~ \ ~ I ry I ~ . ~ r I ~~a_ L7S,~ -J ~ GENERAL NOTE
I i N ~ 4t. \ Na I . 02 55 37 / I I E I ~ZZ ~ I II- ~ ! I _ 10 I I, ALL CONSTRUCTION "0 BE IN ACCORDANCE WITH N+;DOT AND
r--- 17 i i I I I i i 02 55 37 - LOT II °t, ~ ~ r _ lJ I ~ l ~ IIN I - J I I I 283 130 ft. p ~ 50' TAR/ PAM I ~ TOWN OF MOMEYER SUBDIVISION ORDINAN CE. v ::,~~.1
i r--- «~0' ~ ~ I i ~ i I~ ~ l¢•4q Acres fit, s ~ \ ,.--____BUFFER /J 2, MR. WI CFA LBUR JACKSON ~ -,~~1~,,,,~Q~~
3970 U,S. 64-A F Sip •~q ti, '9 0 ti
F18ER OPTIC I ~ ~ 3/• 5a! I LINES RUN i / ~~y „ PHASE II \ i / / 9 ~ ~ I NASI-IVILLEr N,C. 27856 ~ ~ y ~ ~ PNONE:252-459-2664 ~ ~ s
ALON ~ Lxl~ri~l~ ~~~Y ~ 3 f , F V , , ~ I ~T I m I LOT q ~1 ~ ~ A 1 i' ~1. I r^ ~ ~ L-~~/6 3
R/W. ~ ~ ~ _ ~ w ~ ~ Wh ~ N ~ ~ --v~~ I L` ~ ~ 4U,00I s:~ Ft. I 45,808 sq, ft. ~ ~ ~ t ~ ( \ ~ 7, ALL DISTANCES SHO:~IN ARE HORIZONTAL ~ 9' Ol • a J,
" `v g m LOT 10 / / ) ~ , ~ Air°` o I ' ` ` ` _ I ~ ~ I ~ - I i ~ ~ • 4,02 sq, ft. ~ / I , AREA COMPUTED BY GORDINATE METHOD; ? R~~;.' NO NGGS MONUMENT FOUND ``v .SU.,,.
EXISTING I ~ N , ~ z I ° ~ z / , ~ ~ ~ ~ WITHIN 2000' S Q`~ ~,,~o 8. PROPOSED USE F ~ NO r~~`~ r 0 THIS PROPERTY IS RE5IDENTIAL. ,r~„+~+~
36" RCP I PHASE I I , r , ~ ~ , ) }
I I ~ A ~ ~ I r~/ I L_____-____ J N - 50 TAR/ l i SITE INFORMATION: AREA OF SUBDIVISION ~ 66.73 ACRES
_ /1 i I - I _ PAM BUFFER ~ ` / ~;n-,~~,;~~ „~~I,~ ~ ~ r----~ 280 ~ ~ ~ REMAINING AREA ¦ 22+/- Drawn b . Y'
ss I <<_--- 200' - 62' N01'16 10 E 1 TOTAL NUMBER OF LOTS ¦ 3q ~ LINEAR FEET OF STREETS ¦ 4,241.49
(TOTAL 435.63') ~ RON , I ~ I i ' NrB I FOUND ~ AREA OF STREET RIGHT OF WAY ¦ 4.49 ACRES Approved b ,
I I I I I CONTROL r' I xis ip,r ~ ~ _ I ~ ~ ZONE ¦ RA-E ~ ~ TAX IDENTIFICATION # 2880696531 ~
~ E ~7 l~ i I 3~ NnB ~ CORNER , _ L: 1 ~ _ o ERIC ALAN BA7GHELDER \ ~ EXISTING LAND U5E RESIDENTIAL, MOSTLY VACANT FARM LAND s
I- o; 52,036 ~-q, ft. _ ~ ' 8 NANCY R, JOHNSON N ~S $rl - $ ~ ~ I TED S. HOPKINS P MINIMUM BUILDING SETBACKS. , SIT Date: PROFESSIONAL LAND SURVEYOR, FRONT: 30 FEET
/ 1 ~ ~ , ROFESSIONA INpI re5 i NN D.B. 1383 PG. 542 $ • _ ~ ~ WETLAND \ ~ LICENSE # L-3876 SA ~I . ~ P.B. 15 PG. 71 ni AREA ~ ~ I IS D Y THAT THE V ~ 6-13-2006 SAY THAT THE BOUNDARY SOURCE SIDEr 12 FEET o,
~ ~ PHASE I Q ~ N , EED BOOK 2157 PAGE 540 NA z~ ~ ~ - / RE I I I za rn IRON i / GSTER OF DEEDS. PAGE 540 NASNI COUNTY REAR: 25 FEET ~ Job name:
I ' I - - J ~ I FOUND / / ~ 1~ r ~ SIDE CORNERS 22 FEET ~r<ti WILBERJACKLAST.DWG MINIMUM LOT WIDTH ¦ l00 FEET AT BUILDING SETBACK o ~t4P
I i CONTROL / I i ~ AVERAGE LOT SIZE 1,59 ACRES m ~~ti
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wRir R N01'16111"E - f---J L NAME DA PHASE OF SUBDIVISION N' v 5 Scale:
248.61' N01'17 43nE L 7 1 we'll DATE PHASE I - LOTS I-19 PHASE II - LOTS 20-3q 1"=100' (H)
120 WIDE ACCESS N01.12121nE 312.87i I EASEMENT P.B, 15 PG. 71
LESLIE R. BASS JR. o SR IG10 (v) STREET NAME LENTH IN LINEAR FEET
5 D.B. 1206 PG, . 77 LESLIE R. BASS JR, BAR GRAPI BA e HINTON LANE • 1,600.00 L.F. R GRAPH I -100 (Y
D.B. 1206 PG. ~77 Z'tl ~@ yy0 t00 o 50 100 NANCY COURT 580.31 L.F. ~ HUNTER RIDGE COURT 5N.01 L.F. Sheet No.
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ISS • IRON STAKE 5ET EIS o EXISTING IRON STAKE _`J P.B. 33 PG. 50
PKS ~ PK NAIL SET CERTIFICATE OF PERLIMINeQY pi AT eppnnv~i EPK ®EX1571NG PK NAIL
PP R'~,, POWER POLE I HEREB O
R/W RIGHT OF WAY Y CERTIFY THAT THE HINTON PLANTATION SUBDIVISION WAS APPROVED ON THE O :D ON THE ________DAY OF N
RRS • RAILROAD SPIKE SET AS THE PRELIMINARY PLAN OF THE SUBDIVISION A 5 SHOWN ON THIS PLAT, ERR c EX,RAILROAD SPIKE THIS PLAT, PRELIMINARY APPRO AL I , ` V S VALID FOR A PERIOD OF ~ ~
NLS ~ NAIL 5ET 18 MONTHS FROM THE ABOVE DATE OR AS ESTABLISHED UNDER THE VESTED RI H G TS PROC RIGHTS PROCEDURES IF APPLIC ~ ~ ABLE.
OHE OVERHEAD ELECTRIC CP ~ COMPUTED POINT ~n ~ 77~~ ~
MOH, a GRID MONUMENT lJl O
CMP CORRUGATED METAL PIPE N C ~
PED ®PHONE PEDISTAL MAYOR ~j Q N u
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n-~rvw~ WOOD LINE ATTEST=
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PROPOSED EDGE OF PAVEMENT ~C N ~ ~
PROPOSED RIGNT-OF-WAY ~ p t•'
BUILDING SET BACK WILBUR V JACKSON 2 Z
- . - . -CREEK D.B. 2130 PG. 208 m ~ C Q W
LOT B - ~ -WETLAND BOUNDARY P.B. 32 PG. 291 J. Z (L
22+/- ACRES REMAINS ~ LOT 28 > F- ~
- - - PROPOSED CENTER LINE 3 H L (n WILBUR V, JACKSON ~ Q
'C01 A1" . _ _ ~ EXISTING RIGHT-OF-WAY WILBUR V. JACKSON ~ ~ ~ ti10 1, ~ ~ D.B. 2130 PG. 209 ~ W (7 LOTH Z
D.B,2134P '220 ' ADJOINING PR G. 208 N\62 1 P,B. 32 PG. 2qi N ~
OPERTY LINE LOT B G~' I - 22 P,B. 32 PG. 291 w O Q. 22+/- ACRES REMAINS ~ N
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_ qfp • q ~ 33, 010 sq, ft. I I ~ h \3 ~ ~ ~ I t ~ ~ 0.75 ria I I I a~~1~ CINLTEK ASSOdAIE$ P.A.
_ '(P ~ ~ ~ ZACHARY H. HINTON 0 ~ ~ I I ~ ~ ~2~ ~ ~ ~ ~ ~ ~ r of thehcanteni oldth a do cumtent, a uee ' ` additlone or delellone to thh document,
D.B, 615 PG. 41 ~ ~ ~ t In while or In port, withal written ton-. Bent of g11LTE!( ASSOCIA7E5, P,A, M
' - - b.B. 615 PG. 189 D `~o I I ' - LOT ~ I I ~ ~ \ \
- P.B. 32 PG. 291 ~ ~ \ 2; TEMP.
~ ~ / ' ~ - - ~ - ~ ~ ~ ~ A \ \ ,
- 'm EXISTING ~ ~ TIE LINE TO PK - I ' ~ r ~ LOT 27 ;n ~ v S 38,830 sn
I OT 20 ~ NAIL SET IN INTERSECTION _ I 10! 244 ft ~ 0.8q AGE ~ ~
r I ~ U,S, 64 ALT, ~ S,R, IgOq, - I EXISTIN 2.~ - - I G ~ 39 Acres LOT 23 ~~s ~ PHASE III % ~ ~O
I I FA M ~ t i ~ - - I I R PATH ~ .I ~ ~ , ~ ~ 43,924 sa ft. ! ~ \ N01'32'42"W , ft, \ ~ ~ _
I ZAC~IARY N HI I ! I NTON ~ ~ , ~ - \ \ ~ 470 ~ , is \ \ , ' ~ ~ ~ ,v, \ \ \ \00, ~ n -
I D,B. 615 PG. 41 I b1 ~ I ~ i ~ aY~ 1 / ~ 3 a \ \ > i i ~ .15'00 E - ~ ~ ~ ~ ~ ~ ~ ; LUT 26 v v ~ C 50°1 , ( ~
1 I D.B. 615 PG. 189 ~ ~ ~ , Z CHARY H, HINTON I LOT A p I i ~ ~ ~ fo ~ ~ , g2 ~ o, , . ~ 3 .Z ~ - ti ' ' . ~ 46, 813 sq, f t. ~ v ~ 36 ~ ~ r 3 ~ 1.07 Ar,~e~ v / ~ ~
~ D.B. 615 PG. AI I P.B. 32 I yq. ~ I ~ ~q ~ / , \ ~ ~ ~ 30 cO~ D,B, 615 PG. 189 I PG, 29 \ - I ` \ \ ~ ~ 1
I ~ ~ , LOT A-I I LOT 19 i ~ ~ , ` LOT 24 ~ ~ ~ \ tt 'c~ LOT 24 ~ ' J ~ ' ~ ~ 'd ~
P.B, 32 PG. 291 II ' r0 ` ~ 45 8 1 ' ~ i / ~ i' ` ~ 3b 356 s ft. ~b,356 sq, ft. ~ ~ 6 q ,
I 0 ~ r 3 sq, ft. , / / WOOD LINE ~ ~ r a NaC I ~ ~ 1.05 Acres ' ~ ~ dy~,~ ` 0~3 Acres ' ~ / ' , ~ ~ LOT 2Ga ~ ~ ~ ~ 0~3 Acres ~ ~ • 254 703 s Wh ~ ~ ~ , q, ft. PHASE III ~ ~
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~ ~ N ~ 32,978 sq, ft. ' s ~ vAb ~ x.42 Acres ` `Y~G~p LOT I5 W LOT 16 - 7 ~ .i ~ ~ ~ ~ / , \ LOT 30 \H3 , ~ C`~ ~
I 3i, 790 sq, ft. _ ~ 31,790 sq, ft. ~ V~ ~ ~ ~ ~ \ i ) ~v , Q." v v 135, 573 sq, ft, q , , \ W ~
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A I T i ~ ~ V0 1,., I ~ CONSTR DTI ,i 0 ~ ~ 8 , 0 BE OUTSIDE I ~ I I ON ~ ~ / 6 ,}r ~ 11 i IGHT TRIANGLE.-"--- , C2, i i ~ EASEMENT ~ ~ ~ C ~ BOUNDARY ~ ~ l ~ ti v, ~ ~ ~ 9 ~ . ~ ~ p
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- ~ LOT 14 j BOUNDARY J i LOT 38 ~ , ~ ' .v - - B RN A , I ~ 173 529 ~ _ ~ ~ R 37 421 ft, ~ i ~ ~ ~ ft, P ~ c- / ~ ~ i\ ~ vv 4q,26q sa t. ~ !.(P2 Acres v v t ' v \
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~ 224 ~ I y~~ ca i ~ Wh .q8 ~r g (y , , \ ~ r--
c, r 33 ~ ~ v `v v„ ~ 5 ~ 46,12 \ ~ \ \ ~ ~
i I LOT 5 cv - i ! i ~A'~ ~ ~ PHASE III / ` ~ 148 'v v i i I Vq'V~0 , ~ r \ " SAG
3 s ~ NOTE= I 2, 9, ft, p - i i a 0q \ ~ ~ J0 ~ FI ' 0.73 Acres i LOT 6 j J 2 \ ` \ \ Z \ \ ~ ~
BER I ~ A~ ,~4 ~ OPT C CABLE i ~ . i ~ s ~ ~ cv \ < ~ / h~ ~ ` ~ ~ ~ LOT 34 RUNS ALONG R/W _ ~ , 32,009 scy ft. ~ ~ ~ 1 LOT 34 ` sa. 3
\ ~ A~' ~ \ / \ 50,580 sq, ON SITE, BEFORE ' - -'----`-J ' 0~ , _ ~ , ~ " ~ _ LOT 13 \ ~ 9 ~ \ i ~ ~ 502 55 37 W i I of ~ NrB 4b 838 ` ' ~ ~ 50,580 ft`\~ ' ~ ~ SO. ~ a~ i~ ~ ~A~ \ ,~y~6 Acres VA S~ /b / ti
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4949. i ~ L _ _ i I- i ~ B • F ~ ~ I ~ , ~
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I 192 ~ L------------ NOA 02 01 - ~ \ ~ i ~f ~ ~ 65,993 sq, ft, ` ft, \ \ F\\ \ v ~ ` ( ~ \ ~ \ \ ^ t ~ \ `7
I ~ 410 ` ~ \ , ~ ~ I,5 Acres ~ c - i LOT 4 i 3 ' I I ~ \ ' ~ i I ~ ~9, tip ~ J><\ ~1 ~ \ 1 I 9• `
I 40 533 ft ~ m ~ ~ I ~q ~ ` ~I i " `
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A ( i ~ , ~ zi m i ~ ~ , II 130,810 sW ft. ~ ~p~ 3 ~ ~ ~ I 0.7~ Acres ~ - Z, 0 I= , ~ I ~
D ~ i i ~ ~ ~ ~ ~ ~ ~ ~ i i z I I ~ i ~?S~ ~ LOT 37 ~ - ~ ~ -I ! i i I ~ LOT 12 ~ 130 810 s ft, - m ~ 1\\ ~
I ' ~ ~ ' i I 148 049 f \ ~ ~ a _ ~ ~ -J \ ~ ~ ~
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r ~ I ~ r i ~ I Exisri L, r m CLAS ~ ~ ~ 5 IV ~ I -.a - ~ ) ~ v ~ i LOT 8 a ~ I I ~ ~ I \ N_ c , N n~ ~ I I I i 31,660 ft. i 42 L.F. °Qa A ~ ~ I U ~ i i / ti~ ~ , \fi ~
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~ I ~ i 1 I ~Fe` ~ , ~'I p ~ ~ i PHASE I ~ i J ~ az ~ ~ pL.1 ~ r `
i ~ ,t.,a, ...J GENERAL NOTES= t i ,
I I ~ ~ t`•a ~ I ~ I~ ~ r i . ~ N02'55'37"E ` ~ t. \ / r ' N~ r ~ z ~ t I_ ~ i i I I. ALL CONSTRUCTION "`O BE IN
_ ~ I ;n 171' ~ I A / ~ qO ~ 1 ~ i - ~ ~ t LOT I I ~ ~ p N ~ i ~x ~ ~ ACCORDANCE WITH NCDOT AND ~ I ~x
I ~ _ _ i ~ 283 130 ft ~ ~ ~ ~ I ~ 50' TAR/ ~ I I ' - _ I ~ ~ s9, ~ v' I ~ PAM , i ~ ~ ` , 1 ~ ~ , ~ ~ t,, ~ ,,_____~BUFFER , I i TOWN OF MOMEYER SUBDIVISION ORDINANCE. ~,~~..9~~'~`'~:.~~,,,;r J 2, MR. WILBUR JACKSON ,~,"~~1~CA~Q~'~'~~
N ~ ~ ~ f ~ a i Ir i i t ~ ~ I ~ i ~ I i Q ~ 3g70 U.S ~N~ y . 64-A ~ ~n ~ .~F S/pti.~9
• ) V FIBER OPTIC ~ / ~`r ~ 5 LINES RUN ~ ~ p PHASE II \ _ _ ~ ~ NAS~IVILLE, N,C. 27Pf,6 .2
i ~ ~ I 9 ALONG I ~ ~ T ~ I~~ 3 , ~ F V ~ ~ ~ ~ , ~ ~ . ~ ~ \ i ~ :Q PHONE:252-45q-2664 r~ - i A
R/W, ~ I_oT ~ m LOT 9 r'' ~ N ~ ~ ~ ~ V " I I ( ~ Ott ' ~ ' ~ 45 908 ft. ~ Wh 40, aCl i sa ~ ~ ~ ~ i L. L-~~D76 ~ ~ 7. ALL DISTANCES SHOWN ARE HORI 0 T
g , m i LOT 10 / ~ I I j ~ ~ a~ a. o N I~ N_ 41 1 s l A Z N AL ,y REA COMPUTED BY CORDINATE METHOD " 0~
i 02 t ~ ~ 0 u~ Z l ~ EXISTING ~ N z ~ -r Q.99 Acres ~ / I NO NCGS MONUMEN ~ ' •.SUft,. ` ~ T FOUND WITHIN 2 \ 000 S, HOp`~,,.
, PHASE I ~r , ~ ) RCP ~ ~ I ) ~ 8. PROPOSED USE OF T'HI ~ re+~` S PROPERTY IS RESIDENTIAL. «trun~+'
~ ~ ~ SITE INFORMATION:
~ I _ - 50 TAR/ I ~ N ~ 1 I Ll`~ - - - ~_s--- , PAM BUFFER I / AREA OF SUBDIVISION ~n 66,73 ACRES ~ ~ ~ cf, REMAINING AREA ¦ 22+/_ Drawn b .
` 280 ~ - ~ N01'I6 I $5~ TOTAL NUMBER OF LOTS ¦ 3q ~
` 62 T TA 0 E ' IRON I (0 L 435.63) LINEAR FEET OF STREETS ¦ 4 241,4q ~ AREA OF STREET RICH"i' OF WAY ¦ 4.4q ACRES ~ A rov
I I Nr8 I FOUND / I ~ i CONTROL ~ zoNE - RA-E I PP ed by: ,
_ _ - ~ I CORNS 3' ' ~o ERIC ALA Nn8 R ~ TAX IDENTIFICATION # 28806865 I ~ 3 EXISTING LAND USE ¦ RESIDENTIAL MOSTLY VACA
N BATCNELDER \ I I ~ ~ ~ ~ NANCY 1 _ ~ _ ~g R. JOHNSON fv ~ I MINIMUM BUILDING SE7`BAC S= ' NT FARM LAND S ~ ~ Date.
r. ~ - I$ _ NN D.B. 1393 PG. 542 p ,TED S. NOPKINS PROF (VII - 8 / ~ 1 r _ v ~ WETLAND \ ~ LICENSE # L-3976 SAY T4 OPKINS P FRONT= K SITE ~ ~ _ _ ROFESSIONAL LAND SURVEYOR 30 FEET ~ a 6 13 2006
~ ~ . ~ P.B. 15 PG. 71 ~ N AREA ~ ~ I IS D EED BOOK 2157 PAGE N i REGISTER OF DEEDS, -3876 SAY THAT THE BOUNDARY ~ SIDES 12 FEET ~o SOURCE SIC 2157 PAGE 540 HASH COON REAR: 25 FEET 'i Job name:
z. PHASE I Q _ I ~ ~ zl- rn IRON / 1 F DEEDS, ~ 51DE CORNER= ~ 4~~ 22 FEET ~ ~ ~E tMLBERJACKLAST.DWG
I I ' - - ~ O I / 1 " / / I ~ i FOUND / ~ I ~ I i CONTROL I, ~ l Q d~ MINIMUM LOT WIDTH 100 FEET AT BUILDING SETBACK o ~~A K. Q ~ AVERAGE LOT SIZE 1.5q ACRES ~ ~ ~~~ti
L.601 ORNER ' AME Jp I a/ PHASE OF UBDIV15ION:
AC - f ~ _ N01'17'43"E + 248,61' 5 1 DATE PHASE I LOTS I-19 Scale:
i 120' WIDE ACCESS N01.12'21"E 312.87' PHASE II LOTS - 1 =100 20 39
I EASEMENT P.B. 15 PG. 71 I LESLIE R. BASS, JR. ~V H SR Ig10 o ) STREET NAME f ENTN IN LINEAR FFFr. Nor
D.B. 1206 PG. 477 LESLIE R. BASS JR. C'z' w°y BAI BA HINTON LANE - 1,000.00 L.F. R GRAPH I".100 NANCY COURT - 590.31 L.F.
D.B. 1206 PG. ~77 ~Y t o
a~ yy° 100 a so HUNTER RIDGE COURT 150q.01 L,F. 0 50 100 200 Sheet No, NORTH FALLING LEAVES 7+66.01
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~i I ~ I I - ~ I Date:
~ ~ ~ ~ .o ~ ~r o 6-13-2006 ~ - ^m
~ ~ N C ~9 ~9 ~ ~ ~ o ~ ~ m o ~o mm ~
1~ ~ l.~ ~ ~ m ~ m ~ m ~ ~ r • ~ Job name: N • `d" N 1~ ~ . C~ ~ ~
m o ~ N N N N N O N C~! O O • IBURJACKSON2 ~ . m ~ •
N o N N N 6~ N N N N N NI.-- r ~ ~ ~ ~ ~ ~ ~ N ~ ~ ~
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IIINTON LANE BASED ON FIEI__F) L.OCAT -win I Sheet No.
OCATED ELEVATIONS
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