Loading...
HomeMy WebLinkAbout19860039 Ver 1_COMPLETE FILE_198601013!' a N+ State of North Carolina Department of Natural Resources and Community Development Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James G. Martin, Governor R. Paul Wilms S. Thomas Rhodes, Secretary Director July 9, 1986 Mr. Donnie Brewer TB&B, Inc.. 107 E. Second St., Box 929 Greenville, NC 27834 Subject: Certification Pursuant to Section 401 of the Federal Clean Water Act, Proposed Sedimentation Control Basins Donnie Brewer Windsor Forrest Subdivision Tributaries to Simms Creek Wake County Dear Mr. Brewer: Attached hereto are two (2) copies of Certification No. 1937 issued to Mr. Donnie Brewer dated July 9, 1986. If we can be of further assistance, do not hesitate to contact us. Sincerely yours, Original Signed ey William C. Mills For R. Paul Wilms cc: Wilmington District Corps of Engineers Raleigh Regional Office Mr. William Mills Mr. Thomas Howell Pollution Prevention Pays P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone 919-733-7015 An Equal Opportunity Affirmative Action Employer 0 NORTH CAROLINA Wake County CERTIFICATION THIS 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 Environmental Management Regulations in 15 NCAC 2H, Section .0500 to Mr. Donnie Brewer pursuant to an application filed on the 21st day of May, 1986 to construct five sedimentation control facilities for runoff from Windsor Forrest Subdivision. The Application provides adequate assurance that the discharge of fill material into a wetlands area adjacent to the waters of Simms Creek in conjunction with the proposed sedimentation control facilities in Wake County will not result in a violation of applicable Water Quality Standards and discharge guidelines. Therefore, the State of North Carolina certifies that this activity will not violate Sections 301, 302, 303, 306, 307 of PL 92-500 and PL 95-217 if conducted in accordance with the application and conditions hereinafter set forth. Condition(s) of Certification: 1. That the activity be conducted in such a manner as to prevent significant increase in turbidity outside the area of construction or construction related discharge (increases such that the turbidity in the Stream is 50 NTU's or less are not considered significant). 2. That the applicant shall file an Erosion and Sedimentation Control Plan at least thirty days prior to beginning any land-disturbing activities. The plan shall be submitted to the Land Quality Section of this Department or a delegated local program where applicable. Violations of any condition herein set forth shall result in revocation of this Certification. This Certification shall become null and void unless the above conditions are made conditions of the Federal Permit. This the 9th day of July, 1986. DIVISION OF ENVIRONMENTAL MANAGEMENT ar'€nal Signed By 'Mam C. Mills Fir R. Paul Wilms, Director WQC# 1937 ? ?_.. 4TyD?ST?q State of North Carolina Department of Natural Resources and Community Development Division of Environmental Management - 512 North Salisbury Street • Raleigh, North Carolina 27611 James G. Martin, Governor R. Paul Wilms S. Thomas Rhodes, Secretary Director July 9, 1986 Mr. Donnie Brewer TB&B, Inc. 107 E. Second St., Box 929 Greenville, NC 27834 Subject: Certification Pursuant to Section 401 of the Federal Clean Water Act, Proposed Sedimentation Control Basins Donnie Brewer Windsor Forrest Subdivision Tributaries to-Simms Creek Wake County Dear Mr. Brewer: Attached hereto are two (2) copies of Certification No. 1937 issued to Mr. Donnie Brewer dated July 9, 1986. If we can be of further assistance, do not hesitate to contact us. Sincerely yours, Original Signed By William C. Mills For R. Paul Wilms cc: Wilmington District Corps of Engineers Raleigh Regional Office Mr. William Mills Mr. Thomas Howell Pollution Prevention Pays P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone 919.733-7015 An Equal Opportunity Affirmative Action Employer NORTH CAROLINA Wake County CERTIFICATION THIS 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 Environmental Management Regulations in 15 NCAC 2H, Section .0500 to Mr. Donnie Brewer pursuant to an application filed on the 21st day of May, 1986 to construct five sedimentation control facilities for runoff from Windsor Forrest Subdivision. The Application provides adequate assurance that the discharge of fill material into a wetlands area adjacent to the waters of Simms Creek in conjunction with the proposed sedimentation control facilities in Wake County will not result in a violation of applicable Water Quality Standards and discharge guidelines. Therefore, the State of North Carolina certifies that this activity will not violate Sections 301, 302, 303, 306, 307 of PL 92-500 and PL 95-217 if conducted in accordance with the application and conditions hereinafter set forth. Condition(s) of Certification: J. That the activity be conducted in such a manner as to prevent significant increase in turbidity outside-the area of construction or construction related discharge (increases such that the turbidity in the Stream is 50 NTU's or less are not considered significant). 2. That the applicant shall file an Erosion and Sedimentation Control Plan at least thirty days prior to beginning any land-disturbing activities. The plan shall be submitted to the Land Quality Section of this Department or a delegated local program where applicable. Violations of any condition herein set forth shall result in revocation of this Certification. This Certification shall become null and void unless the above conditions are made conditions of the Federal Permit. This the 9th day of July, 1986. DIVISION OF ENVIRONMENTAL MANAGEMENT Original Signed By William I"Wilms, Director WQC# 1937 DEPARTMENT OF THE ARMY WILMINGTON DISTRICT, CORPS OF ENGINEERS P.O. BOX 1890 WILMINGTON, NORTH CAROLINA 28402.1890 May 28, 1986 IN REPLY REFER TO Regulatory Branch SUBJECT: File No. SAWCO86-N-092-0319 R E C E I V E XD MAY 3 a 1986 WATER QUALITY SECTION OPERATIONS BRANCH Mr. William Mills Water Quality Section Division of Environmental Management North Carolina Department of Natural Resources and Community Development Post Office Box 27687 Raleigh, North Carolina 27611-7687 Dear Mr. Mills: Enclosed is the application of Mr. Donnie W. Brewer, Windsor Forest subdivision, represented by Rivers and Associates, Incorporated, for a Department of the Army permit and a State Water Quality Certification to place fill material in wetlands to construct five sediment basins in tributaries of Simms Creek, north of Raleigh, Wake County, North Carolina. Your receipt of this letter verifies your acceptance of a valid request for certification in accordance with Sectiion 325.2(b)(ii) of our administrative regulations. We will not announce this proposal by public notice; therefore, there will not be an opportunity for coordinated advertisement. We are considering authorization of the proposed activity pursuant to Section 404 of the Clean Water Act, and we have determined that a water quality certification may be required under the provisions of Section 401 of the same law. A Department of the Army permit will not be granted until the certification has been obtained or waived. In accordance with our administrative regulations, 60 days after receipt of a request for certification is considered a reasonable time for State action. Therefore, if your office has not acted on the request by July 28, 1986, the District Engineer will deem that waiver has occurred. . ?a -2- Questions or comments may be addressed to Mr. Jeff Richter, telephone (919) 343-4636. Sincerely, ha es W. tilis hief, Regulatory Branch Enclosure Copy Furnished (without enclosure): Mr. John Parker Division of Coastal Management North Carolina Department of Natural Resources and Community Development Post Office Box 27687 Raleigh, North Carolina 27611-7687 Since 1918 G R E E N `d 1 L L E, N O R T H C A R O L I N A May 19; 1986 27834£: Mr. William C. Mills, P.E. N.C. Dept. of Natural R.eso:s_:-es and Community Deveop =nt 512 N. Sali";bur St.' Raleigh, N.C. ^'rll Subject: Windsor gores _ ?u d1 <,; s i rIt; Ralo- : L\7.C_ Dear Mr. Milli:: Enc1...c? ?-_ app__cation for I 10 i n, P - for the subiect proj==:_ .,_;,,:c with the applicable t,lar. for the detention pond we last week. By cony -,i_ : - .. --? - -w forwarding this same into- mai_i on to Jeff Richter of the corps of Engineers for a 404 perv.i.r_ application. As I mentic,i-r:-ri i r. ,O` Conversation :st `nt ; _ became aware of _.-_ zequire.,ilent for this permit- Sifi;._==Lour project is ready to go to construction immediately, we would appreciate your help in expediting this permit as much as possible. If you h.=uc any questions, please give a call. Very truly yours, Thomas C. Howell, III: P.En Vice President TCH;"vb Enclosure _??Jeff. Richter 107 EAST SECOND STRFE-1 POSt OFF]([ BOX 92'; e 1ELEPHG.'I 91'?/752.4135 APPLICATION FOR PERMIT To EXCAVATE AND/OR FILL WATER QUALITY _CERTIFICATIONAr? EASEMENT IN LANDS COVERED BY WATER CAMA PERMIT FOR MAJOR DEVELOPMENT Department of Administration State of North Cantina Departt??t?,t t A (GS 146-12) Department of Natural Resources and Community Development Corps ailyiB e y 6 (GS 113-229,143-215.3(a)(1), 143-215.3(c), 113A-118 (33 CFR 209.320-32 Ir W- Olstrlc Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank. 1. Applicant Information A. Name Brewer Donnie W, Last First Middle B. Address T B & B 107 E. Second St. Box 929 Street, P. O. Box or Route Greenville, n N.C. 27834 919-752-4135 City or Town State Zip Code Phone 11. Location of Proposed Project; A. County Wake B 1. City, town, community or landmark Raleigh 2 Is proposed work within cit-.. limits? Yes, No X To be annexed C Creek, river; sound or bay upon which project „located or nearest named body of water to project Adjacent to Simms Branch III Description of Project A i. Maintenance of existing project 2. New work Construct silt basins at 5 B Purpose of excavation or fill site-9 I Access channel Iengt;;_ --depth 2 Boat basin _ length- width depth 3 f i!! area -S i l t Basin length 20 t -40 'Width --5 ' depth 2 r -4 4 Other length __ width depth C I, Bulkhead length NZA- Average disLince waterward of MHW (shoreline)- 2. Type of bulkhead construction (material) D. Excavated material (total for project) 1. Cubtcyards 640 Cy(120 c in 2. fypeofmaterial clay & riprap E Fill material to be placed beI%e see also V1. A) 1. Cubic yards N/A 2 Type of material _ N/A IV Land Type, Disposal Area, and Construction Equipment. A. Does the area to be excavated include any marshland, swamps or other wetland? Yes No B Does the disposal area include any marshland, swamps or other wetland? Yes X No C. Disposal Area Gull - fill for sediment basin 1. Location 2 Do you claim title to disposal area? es D. Fill material source if fill is to be trucked in -_N/A E How will excavated material be entrapped and erosion controlled? Erosion & sedimentation control plan submitted to City of Raleigh f Type of equipment to be used Loader & baekhoe G Will marshland be crossed in transporting equipment to project site? If yes, explain No will cross gully designated-as wetland for 51± width s Intended Use of Project Area (Describe) A. 1. Private 2. Commercial 3. Housing Development or Industrial Sedimentation & detention pond 4. Other 1. Lot size(s) 4 acre 2. Elevation of lot(s) above mean high water NA 3. Soil type and texture Clay 4. Type of building facilities or structures _ sediment pond S. Sewage disposal and/or waste water treatment A. Existing NA Planned NA B. Describe 6. !Land Classification'(circle one) DEVELOPED TRANSITIONAL COMMUNITY RURAL CONSERVATION OTHER R6 (See CAMA Local Land Use Plan Synopsi Vi. Pertaining to Fill and Water Quality: A. Does the proposed project involve the placentent of fill materials below mean high water? y es _X__ No B 1. Will any runoff or discharge enter adjacent waters as a result of project activity or planned use of the area following project completion? Yes--No X 2. Type ofdischarge Pipe and riprag i ri d sp i 1 1 war. 3 Location of discharge glans included VI I Present rate of shoreline erosion (if known): NA Vlll List permit numbers and issue dates of previous Department of Army Corps of Engineers or State permit; fog work in project area, if applicable: _ NA IX Length of time required to complete project: 3 months X In addition to the completed application form, the following items must be provided A Attach a copy of the deed (with State application only) or other instrument under which apphcaW claims title to the affected property OR if applicant is not claiming to be the owner of said property then forward a copy of the decd or other instrument under which the owner claims title plus written: permission from the owner to carry out the project on his land B. Attach an accurate work plat drawn to scale on 8% X 11" white paper (see instruction booklr• for details). Note: Original drawings preferred only high quality copies accepted C. A copy of the application and plat must be served upon adjacent riparian landowners by registered or certified mail or by publication (G.S. 113-229 (d))Enter date served NA U List names and complete addresses of the riparian landowners with property adjoining applicant's Such owners have 30 days in which to submit comments to agencies listed below. All owned by proiect XI Certification requirement: I certify that to th- best of my knowledge, the proposed activity complies with the State of North Carolina's approved r oastal management program and will be conducted in a manner consistent with such program XII. Any permit issued pursuant to this application will allow only the development described in this appli- cation and plat. Applicants should therefore describe in the application and plat all anticipated devel opment activities, including construction, excavation, filling, and land clearing DAH 5/19/86 %/ -- Applicant's Signature Filled out by Tom Howell (919)'752-4135 ?r APPLICATION FOR A DEPARTMENT OF THE ARMY PERMIT fur use of iiiia form. see EP 1146-2-1 c:._...A r: The Department of the Army permit program Is authorized by Section 10 of the River and Harbor Act of 1899, Section 404 of P. L. 02. 1,00 .rid SOLllun 1U3 0 P. L. 92-632. Those laws require pennies authorizing structures and work in u1 alle,:Ung navigable water. of u.u uo,u,d Slaleb, 11141 dibchaige of dredged or fill material into waters of the Unhlud Status, and ilia Ir Unb11o11,114On of dredilud le./lerial for the purpube of dumping it into ocean waters. Infumlalion provided in ENG Funn 434b will bu ublo4 Iu evaluating ublic record through Ibbutionce of apt} Ijg r ticf O llcatlon is made if matter of f atiun in the il I p q,p n uun . the appIlL.JIlUn fur a purm cate w h die' d t o o conununh er DlbLlustuu of the ulfurnhdtion ruyuubtud is voluntary; however, the data fequestod are neeeseery on Or alyllicant arhd to evaluate Ilia punnit application, it necessary ullonnatiun it. not provided, the purmil egfplicatiun cwlnol be pru- Luobod nul Lwl a punnit bo obsuud. One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached lu 11115 eppllLdtiOrl (see supple drawinub and chOLkllst) and be submitted to the District Efhunluur having julisdlction over Ihu tocanun of ilia prupubod activity. An application that is not completed in lull will be leturrtud. - - 1. Application number (To hn assigned by Corps) 2. Date For (turps use only. 1 Day Mo. Yr. 4. Nalnu and address of applicarit. 6. Name, address and title of authwizod .:gent, Marvin L. Raines, Jr. 1307 S G Glenburnie Road ??? ?p ?? N?eTbp Il Ufle-ntr. "h1?v fnT -M. hours Telephone no, during txfsiness hours A/C ( 1 A/C 1 1 A/C A/C ( 1 6, DobLUba in detail the prupubad uctrvity, its purlwse and intended use (private, public, cununelcial or ulhaf) including duscrip- UOJI of ilia type of blrUWhaub, it wry to be aluLled on fills, or pile or flual-supported plalfonns, ilia type, compusiuun laid qua11111y of nlaler1als to bu dlsLhurued of dumped and mewis of cunvoynnus, and this euuice of dlachuhua of loll mulanal. If add1I10llal bp4Lb Ib neududr li4o Block 14, Public Commercial ). Ilaniob, addrobbeb and lelophune numbers of adjoining properly owners, lessees, etc„ whose property also adjoins the waterway, George Zaytoun 2421 Tram Road New Bern, N.C. 28560 George Eastman Eastman's Carpets 4181 Hwy. 17 S. New Bern, N.C. B. LULatiun M1111e plopubad tl(,llvlly U14101. of will occur, Address: Tall Assessors Description: III known) U.S. 17 South N/A Sticef, IOdd of 011101 dabcnpllve location Map No. Shlbdiv. No. Lot No. New Bern - In Of local city or tovm sec, Twp. Rua. Craven North Carolina .285fio County Stale Zip Code 9. Nana of waterway at locullon of the activity. cir Vt/i/so •` Gru_k-- f 6vJwr Tr y . ey Q? a ^^I! ENG tuna 4346. 1 Ot,I ll Edition of 1 Apr 74 Is obsolete. 10. Do 'Inclivily Is proposed to conxnence. ?b Jay after (ect-oyIng rsrmit Dale activity Is expected to be completed 60 days after commencing activities 11. Is a,ny portion of the activity for which sutho?Itatlon Is sought now complete? M YES K] NO if answer Is "Yee" give reasons In the remark sacllon; Month and year the activity was completed N/A • Indicate the existing work on the drawings. 12. List all approvals or certifications required by other federal, Interstate, slate or local agencies lur any structures, cunstruc- l.on, (1nschorges, deposits or ollrer activities described in Ulls application. Issuing Agency Type Approval Identification No. Date of Application Date of Approval 13. ties any agency denied approval for the activity described herein or for any activity directly related to the activity described herein? n yes Q No (If "Yes" explain In remarks) 14. Remarks (Checklist, Appendix H for additional information required for certain activities). This activity was approved ( no permit required )by your former permit officer, Bob Johnson. The watershed that is drained by the southernmost box culvert indicated on the map attached did not have sufficient flow to be under your jurisdiction. Yoour file on this matter will disclose this fact. 15. Application is hereby made for a permit or permits to authorize the activities described heroin, I certify that I am familiar with the information contained In this application, old that to the.bast of my knowledge and belief such information is true. complete, and accurate. I further certify that t possess the authority to undertake the proposed acti es, r -WIII'LUJC*? -?A- , , Signature of Applicant or Authorized Agent The application must be signed by the applicant; however. It may be signed by a duly authorized agent (named in Item 5) if this form is accompanied by a statement by the applicant designating the agent and agreeing to furnish upon request, supplemental information in support of the application. 18 U. S. C. Section 1001 provides that; Whoever, In any manner within the jurisdiction of any department or agency of The United States knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or device a materiel fact or makes any false, fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false fictitious or fraudulent statement or entry, shell be fined not nerve than 910.000 or unpr,s,uned not more thrvn live years, or both. Do not send a permit processing fee with this application. The appropriate lee will ba assenbod when a permit Is Issued. W. 18.6 114ITE VICINITY SKETCH --- ?/ ? it/// / /,/•/?,/ .,0 j• r / r i ?o If i Irl? /! ? iJ ? 11 Row Q P 4? / / ?tl t Q' r "K ell NV. 18.9 2'-0- $A _ All DITCH SECTION 1 TYPICAL 1 NOTE: ALL ELEVATIONS BASED ON SEA LEVEL DATUM. PROPOSED DRAINAGE RELOCATION NO. 8 TOWNSHIP CRAVEN COUNTY._ N.C EASTERN ENGINEERING $ ASSOCIATES I OF 1 0 50 100 200 NEW BERN, N.C. GRAPWC SCALE 4 - 7 - 86 IN REPLY REFER TO Regulatory Branch DEPARTMENT OF THE ARMY WILMINGTON DISTRICT, CORPS OF ENGINEERS P.O. BOX 1890 WILMINGTON, NORTH CAROLINA 28402.1890 May 14, 1986 R EC E IV ED 4ICY 19 1986 WAiLK t;.l.?j;;., i 1 .)tt;(lOltii OPERATIONS BRANCH Mr. Thomas C. Howell III, P.E., RLS Vice President Rivers and Associates, Incorporated Post Office Box 929 Greenville, North Carolina 27834 Dear Mr. Howell: On May 7, 1986, you met with Mr. Jeff Richter of my staff concerning the construction of five sediment basins, each in a small tributary off of Simms Creek in the proposed Windsor Forest subdivision north of Raleigh in Wake County, North Carolina. Your plans call for each basin to involve a dam placed in the channel of each tributary and then riprapping the channel to control erosion. A Department of the Army permit, pursuant to Section 404 of the Clean Water Act, must be obtained prior to the placement of any excavated or fill material in wetlands. Before submitting an application to us for this Federal authorization, you must apply for and obtain a Section 401, Clean Water Act, Water Quality Certification from the North Carolina Department of Natural Resources and Community Development, Division of Environmental Management. A copy of your State Water Quality Certification must be submitted with your application for Federal authorization. Mr. William Mills, telephone (919) 733-5083, should be contacted regarding this required State authorization. Questions regarding the Corps of .Engineers' regulatory program may be addressed to Mr. Richter, Regulatory Branch, telephone (919) 343-4636. Sincerely, Charles W. Hollis Chief, Regulatory Branch P- -2- Copies Furnished: Mr. William Mills Water Quality Section Division of Environmental Management North Carolina Department of Natural Resources and Community Development Post Office Box 27687 Raleigh, North Carolina 27611-7687 Mr. John Parker Division of Coastal Management North Carolina Department of Natural Resources and Community Development Post Office Box 27687 Raleigh, North Carolina 28557 R I V E R S A N D A S S O C I A T E S, I N C. E N G I N E E R S/ P L A N N E R S/ S U R V E Y O R S G R E E N V I L L E, N O R T H C A R O L I N A 2 7 8 3 4 'N . May 19, 1986 Mr. William C. Mills, P.E. N.C. Dept. of Natural Resources and Community Development 512 N. Salisbury St. Raleigh, N.C. 27611 Subject: Windsor Forest Subdivision . Raleigh, N.C. Dear Mr. Mills: 1#4 SAY 1586 'GERM/TS & EIV61 l tER1/Vd Enclosed is a copy of the application for a 401 permit for the subject project along with the applicable plans for the detention pond we discussed last week. By copy of this letter I am forwarding this same information to Jeff Richter of the Corps of Engineers for a 404 permit application. As I mentioned in our phone conversation we just recently became aware of the requirement for this permit. Since our project is ready to go to construction immediately, we would appreciate your help in expediting this permit as much as possible. If you have any questions, please give us a call. Very truly yours, Thomas C. Howell, III, P.E. Vice President TCH/vb Enclosure cc: Jeff Richter 107 EAST SECOND STREET 0 POST OFFICE BOX 929 0 TELEPHONE 919/752-4135 t t - APPLICATION FOR MAY';: y 198 + 11 PERMIT TO EXCAVATE AND/OR FILL WATERQUAfYr T ON_' EASEMENT IN LANDS COVERED BY WATER CAMA PERMIT FOR MAJOR OEVE., Department of Administration State of North Carolina Department of the Arm (GS 14612) Department of Natural Resources and Community Development Y (GS 113.229,143-215.3(a)(1), 143-215.3(c), 113A-118 Corps of EnglneeK, Wilmington District (33 CFR 209:320•329) Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank- 1. Applicant Information A. Name Brewer Donnie W. Last First Middle B. Address T B & B 107 E. Second St. Box 929 Street, P. O. Box or Route Greenville, N.C. 27834 919-752-4155 City or Town State Zip Code Phone 11. Location of Proposed Project: A. County Wake B. 1. City, town, community or landmark Raleigh 2. Is proposed work within city limits? Yes No X_ To be annexed C. Creek, river, sound or bay upon which project is located or nearest named body of water to project Adjacent to Simms Branch Ili. Description of Project A. I Maintenance of existing project 2. Newwork Construct silt basins at 5 8. Purpose of excavation or fill s tez 1. Access channel length width depth 2. Boat basin length width depth 3 Fill area Silt Basin length 20'-40width 5' depth 21-4' 4. Other length width depth C. 1. Bulkhead length N/A Average distance waterward of MHW (shoreline) 2. Type of bulkhead construction (material) D. Excavated material (total for project) 1. Cubic yards 640 cy( 120 c in 2. Typeof material clay & riprap E. Fill material to be placed below see also VI. A) 1. Cubic yards N/A 2.. Type of material N/A IV. Land Type, Disposal Area, and Construction Equipment: A Does the area to be excavated include any marshland, swamps or other wetland? Yes No W B Does the disposal area include any marshland, swamps or other wetland? Yes X No C. Disposal Area Gull y -- fill for sediment basin 1. Location --- 2. Do you claim title to disposal area? yes O. Fill material source if fill is to be trucked in N/A E How will excavated material be entrapped and erosion controlled? Erosion & sedimentation control plan submitted to City of Raleigh F_ Type of equipment to be used Loader & backhoe G Will marshland be crossed in transporting equipment to project site? If yes, explain No will cross gully designated as wetland for 51+ width 7& F-B 1 w V. Intended Use:of.Pro)ect Area(Describe) A. 1. Private 2. Commercial 3. Housing Development or Industrial Sedimentation & detention pond 4. Other 8. 1. Lot size(s) a acre 2. Elevation of lot(s) above mean high water NA _ 3. Soil type and texture C 1 ay 4. Type of building facilities or structures sediment pond 5. Sewage disposal and/or waste water treatment A. Existing NA Planned NA B. Describe 6. 1Land Classification' (circle ore) DEVELOPED TRANSITIONAL COMMUNITY RURAL CONSERVATION OTHER }26 (See CAMA Loca! Land Use Plan Synopsis VI. Pertaining to Fill and Water Quality: A. Does the proposed project involve the placement of fill materials below mean high water? Yes.... •`vo B. 1. Will any runoff or discharge enter adjacent waters as a result of project activity or planned use of the VIII List permit numbers and issue dates of previous Department of Army Corps of Engineers or State permits for work in project area, if applicable: area following project completion? Yes-No X 2. Type of discharge Pipe and riDrap 1 i ned sapi 1 1 way 3. Location of discharge plans included V11. Present rate of shoreline erosion (if known): NA IX. Length of time required to complete project: _... 3 months " X. In addition to the completed application form, the following items must be provided: A, Attach a copy of the deed (with State application only) or other instrument under which applicant claims title to the affected property. OR if applicant is not claiming to be the owner of said property, then forward a copy of the deed or other instrument under which the owner claims title plus written permission from the owner to carry out the project on his land. B. Attach an accurate work plat drawn to scale on 8%, X 11" white paper (see instruction booklet for details). Note: Original drawings preferred only high quality copies accepted. C: A copy of the application and plat must be served upon adjacent riparian landowners by registered or certified mail or by publication (G.S. 113229 (d))Enter date served - NA D. List names and complete addresses of the riparian landowners with property adjoining applicant's. Such owners have 30 days in which to submit comments to agencies listed below. All owned by project XI Certification requirement: i certify that to the best of my knowledge, the proposed activity complies with the State of North Carolina's approved coastal management program and wilt be conducted in a manner consistent with such program XI1. Any permit issued pursuant to this application will allow only the development described in this appli- cation and plat. Applicants should therefore describe in the application and plat all anticipated devel- opment activities, including construction, excavation, filling, and land clearing DATE 5/19/86 Filled out by Tom Howell (919)752-4135 Applicant's Signature