20060262 Ver 1_COMPLETE FILE_20060217

Office Use Only:
DENR - WATER QUALITY
Mailing
Telephone Number: (336) 508-3a
E-mail Address: ? fie w t4 emn-
1. Owner/
Fax Number:
'? L L9 J ?
FFB 2 8 2006
®ENR - VVA ER QUALITY
Form Version March 05
20060262
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:
FEB 1 7 ZU06
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
r_ ?.
r
1. C4eck all of the approval(s) requested for this project:
© Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: Al WP 29
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), check here: ?
H. Applicant Information
Updated 11/1)2005
Page 5 of 12
s
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant`s discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
-1 ( Gee
1. Name of project:;
2. T.I.P. Project Number or State Project Number (NCDOT Only):
5.
8.
3. Property Identification Number (Tax PIN): _79,29,03117601
4. Location ?nJ ,,ff jj S-
County: /5 oc l?, i? a h?? Nearest Town:
Subdivision name (include phase/lot number): 1wLa cr-re-ks-
Directions to site (include road numbers/names, landmarks, etc.): o Crete., ?o;
d ad j?o? 7 LeR- o...- A!7eF? IV, `v f a 4 S' 22.a /Yle- er-
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
6. Property size (acres): 6/9. 39 Acr-e s
7. Name of nearest receiving body of water: l7©a r4iyS 68?41_k
River Basin: CgVZ=E'_
k?----
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at http://h2o.enr.state.ne.us/admin/maps/.)
The
9. Describe the existing conditions on the site and general land use in the vicinity of the pro ect
at the time of this application: X0 9 fir` ?'«w?rol - {,,, pT rr ?`? :`s nes..1eti
s-I A(1iSio1?
°W
attach a sheet that
updated I1/1(2005
Page 6 of 12
f .

10. Describe the overall project in detail, including the type of equipment to be used:
r- J-
k /koN.
a,,d rackAcw- drz& ..Jn,r &tyi use or Ir-ke
11. Explain the purpose of the proposed work: F1- ?ur'oiS?a..
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 issue for prior segments of the same T.I.P. project, along with
construction schedules. _ 2
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application. VI. Proposed Impacts to Waters of the United States/Waters of the State

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. 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.
ss?:t?
1. Provide a written description of the proposed impacts:
/ / .r .. . / r i E 1 !
Updated 11/1/2005
Page 7 of 12
t .V
f ?
-4
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,
ePn-tely list imnantc due to both structure and flooding.
yµ`
Wetland Impact

Number

(indicate on map)

ype of Impact
Type of Wetland

(e.g., forested, marsh,

herbaceous, bog, etc.) Located within

100-year

Floodplain
es/no Distance to

Nearest
Stream
linear feet Area of

Impact
(acres)

Z

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: --C),
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 he included. To calculate acreage. multiply length X width, then divide by 43,560.
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres

d/ e ?U7

7' e f e o ,

Total Stream Impact (by length and acreage)

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
indicate on ma Name of Waterbody

(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
acres

Total Open Water Impact (acres)
Updated 11/12005
Page 8 of 12
J
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/strmizide.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 offske), affected stream and river basin, type and amount (acreagellinear 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.
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.us/wrp/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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Updated I11V2005
Page 10 of 12

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 F
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 ?
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 )? Yes ? No 9
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* pl Multiplier I R;eyt*
I
2
Total
* Zone 1 extends out 30 feet perpendicu
additional 20 feet from the edge of Zone 1.
3 (2 for Catawba)
1.5
the top of the near bank of channel; Zone 2 extends an
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.
Updated 11/12005
Page 11 of 12
f •
.
,A-
XI. 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
u ecao r - ? `?. ?? 3
demonstrating total proposed impervious level.- 1 cxt& a
I c.1 r»- r FLGC.? ,
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XHI. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No to
Is this an after-the-fact permit application? Yes ? No 0
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No,9
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:
/iti?t ss ??l ? dPuoAon?w?' tu;? ,be n,P m'? '1' /JTb i?---
i
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).

ApplicantlAgent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11112005
Page 12 of 12
IT
.? ?1\V I ?7 \\11 /fin \1\l\ _
. ?. • . ww t :. , r ; . !?$ a a x • ''??' v??yRQ g (O??M Q r
e,
P
1
v ?
I? ? T r
1 1
k `
?o? wdd 3?idd
I
d
w
,44"9
h

r

wl"'?
r
m

••TIMMONS GROUP.':'?• ?I?A°°?,?•
Nb ft"mw m mm"mm IMF -o mm n TOW~
V DATE REVISION DESCRIPTION
TWIN CREEKS SUBDIVISION $m 4p
k" !< HUNTSVILLE TOWNSHIP •ROC?CGHAM CCOUNTY NORTH CAROLINA
I k I MAD
r--? ?
r

rt.
eC y
b.

T -s pi me wN oooooNlM doe momb we 4.1 aokah* PI WO F N 11004 OROW a0 m" W N rops* ow hi oMh w H W and "not N ww 1w
TEXTILE
SS I 81P VATN WOVE 12, 0 X
cl. TNICK NON-
EATN
STREN C NDERN
BRIO
r$NGENDWALL
PIPE INV. J ga-
30 SIRE DERN
ST BRIG ? LOT 12
M 65,655 Sq.Ft.f
t 1.51 Ac.t
? GREEk
bRIVE
40
30
000"
"y= =
22052
„,?,yc???a? moo,, b
+ ? f
21+00 22+00 23+00
FINAL DESIGN- NOT RELEASED FOR CONSTRUCTION
2?p rl- rtt - 12•
STRENRNEATN
UNDE
35 0,.?ENGill UNDER
?Aejc
10, Lot4G
FINISHED ADE
AT CENTS INS

3a MIN. COVER
-' (AT SHOULDER)
'
\ COVER F
3.62 OM

I FINHISHED GRAD E AT CIL /

"
RCP
V
32.15

e
F a.
66" RCP
INV 28.23
e
.
?

co
O
0)
et N

? ?

O ?

? a
Lo
ch
to

VIRGINIA I NOKTMWtOLINA WEST VIRGINIA
off-in TIMMVAom?'- N S A R %Ag 0 jlh' - O O ®o ® ® YOUR VISION ACHIEVED THROUGH OURS.
W SIW Development RoWdaMial I Infrastructure Toonolopy
g TWIN CREEKS SUBDIVISION n $ ; o DATE REVISION DESCRIPTION
?" to HUNTSVILLE TOWNSHIP a ROCKINGHAM COUNTY, NORTH CAROLINA
P A CREEK CROSSING _ s g

s"7 i ,?_I I •
? ?? IZ ? '?OG6
iZQI;:?IIY „rN
o ? ? ti006
MATTI G DO ALA v o??lo5?p,.;
1 D R
STALL EN H N? CREATE RAP TRA GEOTEXTI X
IES oPES 3N 1 ALAS jNl? ? N010 O WA?N16 5m ?yID
E 1r•
Inama pans we c-'ataa aotannantd we ma amid I papa ty 01 1-5 ca,wr and may not a fwadmmaa m mnpa w ti pmt and prom not be umad 1a1
O? W AT
Ot ?RQG
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
March 14, 2006
DWQ# 06-0262
Rockingham County
Mr. Steve Ahern
B&S Development, Inc.
410 Carriage Drive
Stoneville, NC 27048
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Ahern:
You have our approval, in accordance with the attached conditions, to place permanent fill in 96 linear feet of
perennial stream and in 82 linear feet of intermittent stream in order to construct two road crossings for the
Twin Creeks Subdivision located on Price Farm Road, near Stokesdale, in Rockingham County, as described
in your application received by the Division of Water Quality (DWQ) on February 28, 2006. After reviewing
your application, we have determined that this fill is covered by General Water Quality Certification Number
3402, which can be viewed on our web site at http://www.ncwaterquality.org/wetlands.html. This
Certification allows you to use Nationwide Permit Number 39 when it is issued by the U.S. Army Corps of
Engineers. In addition, you should secure any other applicable federal, state or local permits before you
proceed with your project, including (but not limited to) those required by Sediment and Erosion Control,
Non-Discharge, and Water Supply Watershed regulations. Also, this approval will expire when the
accompanying 404 permit expires unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you maybe required to send us a new, application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fill for this
project (now or in the future) exceeds one acre, or total fill to perennial streams equals or exceeds 150 linear
feet, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval
to be valid, you must follow the conditions listed in the attached certification, as well as the additional
conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of this
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Streams 178 linear feet Two unnamed tributaries to Hogans Creek located on Price Farm
Road, near Stokesdale, in Rockingham County, as depicted on the
project location map included with the application

o°C
N Carolina
Aturally
North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone [phone] FAX [phone]
2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet http/t:www.ncwaterouality.org
Customer Service Number: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Mr. Steve Ahern
Page 2, DWQ# 06-0262
March 14, 2006
2. Appropriate sediment and erosion control measures 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 (available from the Division of Land Resources at NCDENR
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
maintained properly to assure compliance at all times with the North Carolina water quality standards
that are applicable to Class C waters as described in 15A NCAC 02B.0211 Fresh Surface Water Quality
Standards For Class C Waters. Such measures must equal or exceed the requirements specified in the
most recent version of the North Carolina Sediment and Erosion Control Manual. These measures must
be maintained on all construction sites, borrow sites, and waste pile (spoil) sites, including contractor
owned and leased borrow pits, which are associated with this project.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
4. No waste, spoils, 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.
5. The culverts required for this project shall be installed in such a manner that the original stream profile
is not altered (i.e. the depth of the channel must not be reduced by a widening of the streambed).
Existing stream dimensions (including the pattern and profile) are to be maintained above and below the
location of each culvert. The culverts shall be designed and installed to prevent head cutting of the
stream. If a culvert becomes perched, the appropriate stream grade shall be re-established or, if a culvert
is installed in a perched manner, the culvert shall be removed and re-installed correctly. The Applicant
must submit a plan and receive written approval from this Office to address any head cutting that will
occur as a result of this project (e.g., use of cross vanes downstream of the culvert).
6. Where riprap is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section must be
maintained. Riprap placed in the stream bottom must be inserted into the bottom matrix to a depth
sufficient to provide the thickness of riprap required for scour protection. The elevation of the stream
bottom must not be increased by the placement of riprap. Placement of riprap must not result in
destabilization of the streambed or banks upstream or downstream of any crossing.
7. All construction activities associated with this project shall minimize built-upon surface area, direct
stormwater runoff away from surface waters, and incorporate best management practices to minimize
water quality impacts. If concrete is used with any fill material, it shall not be allowed to come in
contact with surface waters until it has cured. If any stormwater must be collected for discharge into a
stream channel, it shall not enter the stream as a point source, but shall be slowed and discharged as
sheet flow prior to entering the riparian buffer on either side of the stream.
Mr. Steve Ahern
Page 3, DWQ# 06-0262
March 14, 2006
8. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the Wetlands/401 Certification Unit of the NC Division of Water
Quality at the address listed on the form. Along with the Certificate of Completion, please send
photographs upstream and downstream of the culvert site to document correct installation.
If you do not accept any of the conditions of this certification, 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.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act.
If you have any questions, please telephone Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4959 or Ian McMillan in the Wetlands/401 Central Office in Raleigh at 919-715-4631.
Sincerely,
ye ? e,
Alan W. Klimek, P.E.
AWK/cdl
Attachments
cc: Mr. Todd Tugwell, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
DWQ, Winston-Salem Regional Office
Central Files
Wetlands/401 File Copy
?D
M
_AR 2 12 0 0 6
?A12STTE ITY
6?y
Triage Check List
Date: 3/20/06
Daryl Lamb, Winston-Salem Regional Office
To
Project Name: Twin Creeks SD
DWQ#: 06-0262
County: Watauga
60-day processing time: 3/10/06 - 5/08/06
From: Cyndi Karoly Telephone: [phone]
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
Triage Check List
Date: 3/01/06
Daryl Lamb, Winston-Salem Regional Office
To:
Project Name: Twin Creeks SD
DWQ#: 06-0262
County: Rockingham
60-day processing time: 2/28/06 - 4/28/06
From: Cyndi Karoly Telephone: [phone]
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
B & S DEVELOPMENT, INC.
RE: TWIN CREEKS SUBDIVISION March 8, 2006
ROCKINGHAM COUNTY, NC
PRICE FARM ROAD, STOKESDALE
DWQ,
I am sending this as an addendum to the PCN Application Form which
was originally mailed to you on February 16, 2006. I met Daryl Lamb on
site on Tuesday, March 7, 2006. After the on-site visit, Daryl Lamb
requested that I resubmit pages 8 & 12 of the PCN application with the
changes he suggested. These changes were specifically on page 8 under
number 4 with an explanation of impact length on the perennial stream.
The other change was on page 12 section XI, with a calculation of
impervious area on the project. Also, Daryl Lamb requested a plat of
the proposed subdivision to put in file. Five copies of the above mentioned
information is enclosed, and if any further information is needed, please call
me at 336-508-3870.
B & S Development, Inc.
Steve Aheron, Developer E ' E F, Te -?
L-- 3 a (??re
V
MAR 1 0 2006
DENR - AVER QUA 11Y
r,ETL&111 AND S?C1'i7M Ai ER 8RAF,'_H

XI.
Stormwater (required by DWQ)

XII.
7
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
demonstrating total proposed impervious level. 7"'W gaF 4f-5 = 5-.0
r-? DTo. tCT? .?.?t/J,°sL 3,y rC -?-rF,, t Lvi?.,?,,,W- = 19Grr_r
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.
? ;4a-
XIII. violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No ?
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No Iff
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/ncwetiands. If no, please provide a short narrative description:
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).
D
Applicaut/Agent's S' re Date
(Agent's signature is valid only if an authorization letter from the applicant is provided)
updaWa 1IMAM
Page 12 of 12

?n,?602
L ....Jf ._ e:. l.~•
2. Individually list wetland impacts. Types of unpacts" (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
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)

4Z 4ZI

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:- /,* _
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- multiniv length X width- then divide by 4*_560
-
Stream Impact
Number
indicate on m
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Imp act Impact
Length
(linear feet Area of
Impact
acres
711A Or o C .' l 6? °6. Saab
4 r

he
Total Stream Impact (by length and acreage)
1"
W
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. drainaae. bulkheads. etc.
Open Water Impact
Site Number
indicate on map) Name of Waterbody

applicable)
(if
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
acres

Total Open Water Impact (acres)
updatrd 1111=5
Page 8 of 12
Certificate of Approval of Certificate of Approval of Required Improvements STATE OF NORTH CAROLINA HM A r Surveyor Certification nN Ne9eYq -caw F w A Vy U- oiolcb t -N
H MN MY pat w bwn aMr RY
Public Streets and Roads A sYry M wNNr 0..Y. "Haw w, mn COUNTY OF ROCIONGRAM 4.."'w ww.d.ar wM r"car wxw.a. L..>w i Ra•Mw Y 20_ we nc•wd
,wrr M W a1aM• cal ?,IM ITxxwb Haa•_? Rx M ?. Haea? aaliWal•A b akYN b M au„ad.
1 I IyWPM?M.w•Lw4 WSW X.1-MHeYNMY 1:1 oo-MelKMl
ww,..- w Rsw.eF r b??- ry?
?w1Wtl? AN?Y7'i. snfN (a
MY,?Mw Mx Mw www wwxN wWwWbp Yww wwMw %I4..x pwwwY M?rMW 1Y1YxM YSIWWYW u 64.7-JewewwM. Mln?,"Y Y"MN AYMW fhY?dy
ww?y MHAe.,N FNwINwM wWMNMWw.
Hwww ww+w 1111.'1 N MrM1M+Mwn ° Mww4 nvwM M Mau Pntlub M F Pa+A Apb°r d aMn
?„?''pw Www'w" Aw a' w y r awLry w1 MY pa, ewlw . wuuMaYi. sir we xMY w 0..w al a RGq M 7 PaN.
nMYb w nn+1Y0w+4 Met Yw M I"Yww px nMbw wHaw al cars Aa96r• ? awa
w e.x.. ama• L-JB21 e•
YlMt deYw WY tW +M 0.M WM y.,M,v WpayMYn an't' ! M aepRy-Awwmr
MY MM OyY
M[Wliw LawU Hwai CwxM • 1w
Certificate of Approval of Sewer Facilities Certificate of Ownership and Oedimtion
IwMr wlro wrWYn wwwMMMw 7',w+ IAYNY MWYMI(M)w rwlwwwipN WARw4 Nxw .x
ewa wwlYHa w w eHwNY yw cal eM 4.wM YYaar. Nw Y YaNM Y W YWAYI A'r•°W' ?eX RN NUMEER 792701050175
L,•,1A RaIIHM M aN"M='SSA MML IMIILq{ LYIY M M I AYaIY aap Y,lw N YxAY'a NwwrM) TA NOW OR FORMERLY OAWD 80WErr
wwl M .axa YaNaM' wNxY N w wwn wrW aHwM• Y•Ywy wwlx MM N IwY nwR 0.8 499 Pa 5 \
ApYpw wHY M•Yw N11W, xrY. .r0. (•4.a n7' carAYMMwwb YR?4 •AMwwwww \
PORRON OF TRACT N6 1
Ad 7HOW47ON ESTATE \
wawYpwn cYRb wxM ow•t•,w1 a o.y °wYTN Aft J Pa 279
aYO rr 9v9®wc ?4y 9ea er[ \
9Y.a 0.' M yyl6A I W
ore a'•eYPY4 WtwY °n0. a- lpt
L W xwWHA w b wAw. w a.waaavuH N45VY49' - 1401 ofd AF
\
Awaaw+ 4.w W eaar wWlw1Y aawl.i ?°
rat a Y 4f a A y87 1 eav, 171121 17500 17300 1 141.90 I4I5/
•" R Moratr
7
= eveser PA ' w /. 8 / TAK PIN ANA(" M20125WM
OBOE
Mw AMw an $ q a i+ + j ; S g 4 \ , TRUSIEr OF
$ YL 1 v ' ? Y ? ?' ?? I0. g W. ar m0. amNNETTETr REwcAa1 IRlar
LOT 12 M LOT 11 LOT lO et LOT9 ?t NT8 i IDT7 0.1 1016 ,A•4
1. NO xcts cavTRa vexwallr lauNO TRACTI
165,6555gR} / 25,000 S0R} 25,00050.0.} 25p005q•R} 754.00 Sq.R} 25,1100 S0.R.} 25,000 Sq.R} ?,R,} , Eta 1142 Pr. 44
PORTION or TRACT ma J
vMN 1000' OF RNs PROPERTY. = A I I I 0.57 AC} I 0.57 AC} I 0.57 AC} I 057 At}
2 IRON PIPES SET AT ALL LOT CORNERS = 1 151 AL} 057 } 051 4.4}
UNLESS HOOD 01NERMSE Al n103/NN ESTATE
50
a uW1ry g $YLV 4.0.} P8 J PG 17B
--116041'__ _-100'__ 'III- _ _-125 __ __ It-_ 16. 0.7755 AC} A `?•ry?
56g n y ?0 ") g?d?ao eoa S"J"""' TWIN CREEKS DRIVE s0. weuc R/9
7lL1J' 134'1 p0' AWS4Y49'-174.44' Std) L073
_ -12&wl- - ?I U ?'?,•1???4
--- ,\ - 00'-- 1 --121 __ -94.44--41 25 }
0S7At} AXE c ??.},?,'M
LOT 33
25,000
$ o.nk,} I \42 I
», LOT 43 I LoT44 I LOT 45
?t5d40 -- I I $25000 560. 751000540. }{ 23,000Sq•R} x 25,00054.0.}= LOT 46 \ r M11 \\ / NS
220 T O57AC.} \\Q 0.57 At} j 057 Ad} m 0.57 Act ? 25,000 51,00LOT SVR} 1 0.57 Iry'P P $ 2Sp00Sq.R} L- O8 n 133 ACS
051 AC} 2 It d
9+ I o 13
M
p6' load' 4149'1 u \ \ q .
N45V119'- 25aO0' y (TOtd) J7300' - S45VY49'W f4. 4 111.29' : ' ? \ \ ti ?\ n
%fA
6 4?& LOT 35$' IOT41? .& vo'
? A?r.} 'Y"2'v M 5*¢ `?.y LOT 3 5p
Z! ,161 Sq.FL* n'$ ?01 I 360 50
0.5B Ac.* R! \'
1 1 577°x¢ t? ° '2'A 1.17 Ac} rAlmIsw,r
n
0
y; x4.54.149'- 257.84' 1 1 26616'- S4541191w 1 LOT4V` /
29,21854.0.} /
\ LOT 40 0
?L v3 .67AC} 8
29993 S6,R} u 1 >d//
Q? LOT 36 \ 0.69 Ac.;k Idf 50 w
$ / F
?„awa 43,78250.0.} 270b47 k}} %- Cl-
W SA1 AC/ 1\ ! 24k13' e? 0./W.
?"?1 'Q 76z..' / P p6r9 Disclosure Statement Certificate for Public Subdivision Roods
yAr AK ': J ` ?/ \ ^T{T'?. / // I?-[4ll {?OT?A?'t 1 rYM QQNa 44NYM Aw MI r M M t
bec apvYnwI. 9---aMYl,wrN MR Mxw WMa
6a 7 910011390.} .G{wRNN V wt :.a:veNS«u..M°r°n. :nb»M
LOT 37 \ 0.78k} , i4r5??1A??PU R.wYIW
.. / SO?6 AAr-A: 'e N `10." olww fW Wy-

CURVE
On TA LUR
RADIUS K FABLE
LENGTH
CHORD
OIRECOON
ry -•.rP?

CI
177'0!'
1061.74'
77.39'
7779'
57141'41•" ?
C1 677'27' 1691.74 W.- 174.99' 517'10'161'1 / .p 4
C! I7U1'OI' 1061.74' 20A00' 70769' S0630711' `
601
C4 551'17' 1081.74' 111.48' 111.43' S007J TAY PIN MIMBEN 7932031x

C5
1101'44'
1061.74'
20917'
207.90'
5090/77 483d}
a 8'0556' 300.00 4241' 4237' M6409'4"M
r
C7 1670'00• 300.00' 9599' 9556' 56177'145W
CAI 177151 3004.7 90.91 90.57 564461 LOT.
C9 1071 J00O0 5411 54.1 5503455 79,1315
070 147'526• 25000' 6274.' 6263' S517754' 1427
CJ) 167637' 250.00 7250 7274' 566'580"
031 20673' 150.00' 9.19' 9.19' S76T9'41'
CSJ 42'05'42 75.00' 1857' 1796 S5620'(11T
C34 79'41'10 5600' 69.55 6401 S750A01'
C35 874427 5000' 59.11' 3577' NJIWS4'
C36 4709'13• 50.00' 41.15 4aOO' x167602'9 TAX Pa MASER 792205136706
C37 605656 5600 70.67 64.9 S8977'19 'W GARY
C38 5645'15• 2500' 11.76 1375' x773056'
EL fWS
4.8 LaIS 91 K 3 676
C39 11'44'17' 200.00' LOA 40.90' N687178
C40 7805'56 10000 6316 6292 N5379O9 W
C41 55741• 75600' 1577' 1571' N484079' LAK TABLE
G2 x7106' 750.00 191.69 784.80 N7336'04' UNE OIRECr 175FANCE
C43 77671• 150.00' 1549 IS 89' 5815606' LI SISYl4A'W 1371'
I R: 1900 - S-y\66984\dwg166984ploLdsp
4.p LOT 38 °'10. , Nx•r
41,787 Sq.F1L} j /
0.96 AC} Mwu
P1eA"v
we "?Y
"
PUT INFORMATION
/ 1
wwo w«wM
p
?
. w-0. PRELIMINARY PLAT
N,RwW !?? i
/ zwRn aslALra MnYY ?,? MN AcA MAJOR SUBDIVISION PLAT SHEET 1 OF 2
-0c w -r nes wWn
HuNa sir eu"xc Lal4 aaA 99ar
n TWIN CREEKS SUBDIVISION
lw
A AaNATA? aaavo Lots ws 9ecr a" °+ BEING TAX PIN NUMBER 792203147601,
II 7 Arson M N c aenw+a 0.w
A AS RECORDED IN D.B. 1192 PG. 1270
SPALL ttM uv AAYA4 `° or.
}
N

a1x.
ALSO BEING A PORTION OF TRACT NO. I OF THE A.].
Ruv z?Mw,nwrowMwer
y THORNTONESTATE, ASRECORDED INP.8.36PG.218
? AaWAaNaoeAwownwsb"¢7
?r Al .x.M. Yr ow AaAt! HUNTSVILLE TOWNSHIP, ROCKINGHAM COUNTY,
l NORTH CAROLINA
Certificate of Approval for Recording, Major Subdivision MARCH 2nd, 2006 1"=100'
A l MxY,?'6' M W YIrM W N.,an Mw M N? YwI Y.NY
PWJMIrw ATVM bbwiwxn M4NST bMNNM GRAPHIC SrALE
AYI Ar Ica wwawY w•wro Y w pwMw y wAwN N cap
Yee.IIbY M pN N M nwwl x w 0.W N W ANM• ? ealw
Oa/LRS/OfHIOPEA$ O 50 100 200 JOO
/
•0.Y As M M M AwM+I 8 9 S DEVELOPMENT, INC.
CA
RI
D
1 : e
RIVVE
R
IA
4
0 11NNONS GROUP

oab STOVEVILLE. NC 27049 4gw.r°Y6M,walf4°wwwwcWY
1lN4iall/M63WRA9e
I
pwwunw?Mw r
wYM4 x- ('9'161 509-.7870 ww?Aw
C;)
•
Certlnuts of Al of Certificate of Approval of Required rmpI9NMYnb STATE OF NORTH CAROLOb1 surveyor CelbncaLan
Public Sbeeb and Roede
Y:.YY arYrrwr rrra COUNTY OF ROCIaNGHAM

I wWarrrlyr Wq
_.M?MM_.M:-.earLrMk
?rr
wl W. re .. ?r..lY
.wrYUlgmo.
wry Y1lwi!!iv""AIY??""? w1" r:llw waYryYYn rrtYY ll.rlYl YYw?YYY ?yYY?YwIr YrYYrYI r
,.?Yn ,
:
YlYetlr-.Yr rr:Yt NYw :nv Yawl NeYM .vrYWW^
Ywr NW4.r YIY.a wllr IMAwr WIN WA.r MrYA.. rMMy YYi.r.rNra WrMr
?.4MYrYMMr. rNlrr I? MYa Nr Yrr AYrMIW rIN1Iw wYw r•
a N.YYYILIr M r. NNI:Yw wl IlNNw rrrY M YM
eYK! WYVN m I OeYwYil?mMnl:1 M m I OLM
Certrecote of joprowl of Sewer facilities \
I Mfr rlr/M ww ww. wwMA4w
NMlw A slrN Y0. W ANaw it r Arr
r eNw 6NIr r eNrNAIA.• MA AG1C rLttlb
Yal . rw aY.Yar r r r w Yrw r M
fry.. Mr,wlYr rrr IYYY
rwar MNa NWY oYNl:IYI[ m \
L r YwrINA Lr. Y N4rA w.lr.wl \
ywiNL M w etler M W lelb OwY4 Y
W MYWMA
41w rYN m s
TAX PIN NUTAEP 79220.005159
V NDEROXF MORTGAGE a FINANCE
0.a 1487 pa 809
LOT J2 A1A' 1
FOREST MANOR. SEC77ON MACE
.a P.D. JS PG )/
00
STONE WITH
BRO EN W F
/
L17T is
mAOI SqR
OX ACA
Lar 19
sgauq,
0aArA '$
rAr pAlw ?,?„ L-JB21
NylL1. rrYMM. INrY
YM Nrr .m
M,LYr:Yn awa LIYr rinYu
1. No NLYS CONTROL MOAAEl4r FO NO
18MN 1000' O' no mmrr.
2 9ON PEES SFr Ar ALL LOr CORMOM
LOAM NOTED OMERNSE
Y /AnIM4 6Y ntl b.9&&W. N r'
20 Yw YNtl 1
4 Cw~ b C 211148 sooK- W°
PYr9L14 M 1 A4K nvbw f a.tr ,
A4yYr M aNS INV M 6 !MA
b
DEPU^"OSSUNT N 6wn.L596wr A
P
Tv PN &AN" mmo507n
NOw 0.R PCNYFAL7 OA MO BENNETI
as 4a9 PG 5
PORNO! Or ARACr Na
Ad MOWRAY ESTATE
AB, J M a7B
N45VJ' 9'E - 77d2r TM"I
F 7500 12100 121 12100 M&27 1

rl 1 °.• +
I ?

LLR17 '1
LOT 16
14
Nr1S 14
WT 14 48 13
1O
A.

1

m Sq *

Mk
I
ffp
j
p57 AL* 9AOACM: 937AGA 9371st 8 I

Y 1 L I
9^14
r 8
A _ __ __ _______ A -
{ (TOW 5118' - S45W -
TWIN CR EEKS DRIVE s9' R/' '
4
N431T49E =40
2114
3S,009SgJL6 16 7EA 50. `
am AG3 /
1te . /Q'rsn'Nw
1Or31 \ ??'? , ? c?a<
37,674S4R! Lora $
0.64 Ark tie 150,973SgR!
?y4
J3670 ' ?\ C A 0.71 ACA
3DI'E'
101]2 /
35,{955gJtt z ,E74 LOr24
Ul AG!
-1oaAS?-g--nzss-
//'/'' --1
$ wu rAmr
Q`
I I
d
`i9 p
r/
r
`Yy
LOT 32 ,
ogL
/??o
G
Y ?II LOT 31
LOT p
r
B 20
!
26305 Sg
R 15198
9S9Rf
?
OM ACA

/rfy
036 A
.*
.
.
20,178 SpR.
• \ 9.60 Ac.* = OA5Aat = 0.59AC ?

O
1
IA/
,
(
zi

?
E
}68'S43'4J108'W
'
?
I
I /
I

A
YA7MNr At7ls 51686' "N
Ioa10
h I

p

s
2ne
}`??? 7 otdl
1 6

I

I
,
e \
i.r, 1 v\ ny ; I TAX P91 F? 793203147601 ,MI

/

L LOT 17
u? 2p11S
AA
wra g
a.aAa
m,MSVtk
CA ACA Laren
armor. mOA9 Aar ,.
Disclosure Statement CerGBcote for Public SubdUsion Roods ?Yry
_
rYY w w
r NN mom aYrYr AYr 7J?7
v
1(.A M Wrw(d
WM
NUS
. r
Nl ``?
L
rrrN,N rLO
w
YN pwLV
r
ayY1rM r nnNYYOY rYY w I.1 Y M tNe0f0 fYrYYn
M AY,M rLLr wYA 1 A::). AW WY(19 NIYt .,r r,rrr.
,+YLNY
o.r.. M-K)
TAX IN NUNUN 79220313&06
GARY a ELLIS
kwW LOS K ELLIS
O.B. Ns Pa 826
Atr4
.l! 0.Y
Lr
l PUTINFY7RNATa7N
Certificate of Ownership and Dedication AYar
IW.0. rgwlfNw(YVwrNIW rwNMbrrwr ZONING mawcle NiNW ytra'VNY
AYYI rMl rW YMAw Y M IWM AIIeLw rR- ww
NNa•r MllYrr Hal Y,lNYrYWr IA Nr Nyw ntl W!
AcmDum N 6 Vol MRi
wLlK rY1Y AllM. rleNrr 0.r r rl4rb r b4 rp
.r0. 9LW r.6+w rwrwY YrY IAwYw.ww
Melnu 0.r elAlfeM LOU wf aAn NfifimYyy
AQKW N NNpYO LOU M N6r N.N W!
m rYYLU AGOUa' N nNLC alD M N0.
0'" 4dYAN Aet" 6L LOF life.

Mfr UeAe /wrrw Iewslown M Gen rae V!
AONAQN &MINL111M 0./I 6N lQr Ltl W!
• N rYr4. by NO
I I I I>c
M
I ? ? ?sl
1 ""0 om
AN
CLR LE TABLE
CURVE DELTA RADIUS IENOTH OMRO MECIION
CIO 0'-20 9 300.00 J101 1 JID 545%
C11 24101'07* JOa00 170.25 12&75 S1210r4
C17 Ion 30a00 7392 7315 SIJ2343
CIJ 410917 30000 2511 2125 SOJSSJ
-
-
214 4871 J 21 W 7i-w 20.11 353607
cm ww'ss Sa00 49.66 47.66 5914
C16 455511 5aoo 40.04 3198, S3076 07T
C17 6871 5a00 77.11' 69.70 x671219
Cie 8511143 sao0 N.m' 67.66 N04IMJ0
Cie 481173 7500 21.03 20.41 N277440
C20 461123 2500 71.03 2041' 564231
C21 5715D9 50.40 49.96 47.81 5685510
62 60170 5aoo 5256 30.07 x377 5
C7J 60250 sado' 5236, 30.00 M7'3245
C24 471)9'23' WOO 41.75 4aoo NOID
C75 F27o54 50. 3681 3598 57412 5 w
C26 810 sago, 654 657 S481J1
C77 4ev7 25.00 7153 70.41 5672s2o N
c76 45705 230.00 189.82 16.579 N2J76
CM 0'4755 75500 110 JIO N4577J7
lOTR I U!E I LINE w"c'Trm LRSTNNCE
352,664S9?R.* I I I L7 N0171I 12.61
L10 .k
I I
I ? I
I I I I lY
CerttRcots of AWmvd for RecorNnp: Major Subdivision
. ?w 6 wl"?'rw? r ? M?'.a rL?a.ro"'rr rYr
r 4Y1lY1w Nwrw aYrN Y M NrwN M YNNA r W,.
WArLY Y INI M Y WYY Y Y eIYM M:aLllw ref
YY C Aw r w 4Nl.
prWrlrMwa m
r Nrra Lwrllw
PRELIMINARY PLAT
MAIOR SUBDIVISION PLAT SHEET 2 OF 2
TWIN CREEKS SUBDIVISION
BEING TAX PIN NUMBER 792203147601,
AS RECORDED IN D.B. 1192 PG. 1270
ALa13 BEING A PORTION OF TRACT N0. A OF I he . A.
THORNTON ESTATE, AS RECORDED IN P.B. 36 PG. 27B
a-
R HUNTSVILLE TOWNSHIP, ROCKINGHAM COUNTY,
P NORTH CAROLINA
MARCH 2nd, 2006 1"=100'
DANEAXNEL•GPERS QIA119CSFA
0 50 100 20
100 500
B B S DEM04"r. INC

410 CARRIAGE DIVE
sroww C NC 77048 Tu"som *"up 4

508-YJO
(3!6)
NaaNNNtlLRrLNewLwsw
AaLMMb/AFNYOaO
OAar•?
R. 1800 -
t
f°
JLuJ 20000
2 2
XI. Stormwater (required by DWQ) r > _
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
demonstrating total proposed impervious level. ? ./ 9.,, ifs ?a
o a
1 ATa ..htd .?iri0?3L:ov5 6 -rl" aY LAQ..,,4- = 4_4i ?r rr r
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.
MM Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No M
Is this an after-the-fact permit application? Yes ? No ?
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No in
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
littp://h2o.enr.state.nc.us/ncNvetiands. If no, please provide a short narrative description:
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).
?-vr Tim .-3/7/06
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided,)
Updated I111rA0s
Page 12 of 12
2.
J'
W
!4 J
20602G
Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
senarately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e-g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no) Distance to
Nearest
Stream
feet Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
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
indicate on map)
Stream Name
Type of Impact Perennial or

Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet Area of
Impact
acres
7I o C?k e?h ' l G d ` "A26
71 127-- A? t spa ,007

C? 7'0r e>541, ; / /111' ?:
be
Total Stream Impact (by length and acreage)
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
indicate on ma Name of Waterbody

(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
acres

Total Open Water Impact (acres)
Updated 1 UIMO
Page 8 of 12
Certificate of Approval of
Public Struts and Roede
rp.?r Mrrr rrrlrs
eAre rwrrn br Arr
•wr?i Ar p+ww?
MrrAn
p,1eYlralr
Certificate of Approval N Rawked brp-ts STATE OF NORTH CAROLINA
ryy COUNTY OF ROCNINGHAM
war 4+rrrnr erw lYW Alebr wrYwr4w / _
AaeoA rrNrrereAr lIe
wl rra.r brr rrtr i"ir+.lew?b .grr.?nllrb r rr r
5n!
AY?rYMYwrrAAa rrrNrbAArnlr rl?rR
p??1 pAr rAr
eWle Mrllw? "' , ?"Y re
Certificate of Approval of Sever Facilities
I arYreyrlrwrMwwwrr ar
rrwh rwelrrets WaY
rrls" 1
..r p.w,r r ? rrb w"w
ewleee pry 0enlenl TAW r1n
A.rewrn arV nlvn eenr,n?w, ab
ierr A'emm a, A,-0-ft
wrbuArA
a-Anew Gb
I. No NOS CCN1120. NLMRENT FWW
Ras PROFERi1:
RRRE 2000 CF
1. am PIPES SET AT P LOT CORERS
IRRESS NOIE10 OTERRSE
1p°'
p LOT 22
P .2SAW SQP-*
a97ACA
_
_
rsniNa-iraOC? n 1!
" ` LOT 34 0-
25AOOSgJtA C C
CM ACA
n
?a ;-q
?4 NMYl4RT-lsaar _
g Lmss Sal
a
tatf $ 25,161 S4RA1
736 ACt
N'
?= N4SOYNT - m.R1'
N;
A
Y Lm 36
436M SQJU
1.01 ACA

/ 10737
/ s'
,

CUR IE TABIf
WIN
CINKO
DEECOLN
CURIE
C DELTA
I7r0.1' RADNIS
laer.)4 U
77.56
27.39
SVW'411v h
CI 6Jr1 1061.74 12506 12469 SllvO
C5
C4 IMF I
534 1061.71
1061.71 206
111.16 101.66
111.47 $0631 1
SOO7J A Y [TAX FIN
NAM
C5 11101 N 1011.74 10611 10760 S091r4 7E
C6 6105 500.00 41.41 425 M94 1"'48'W
I
2
C7
U 1e70
177137 JOa00
JOI100 R56s
Ia91 w
603 $eYJ
661106 e
co 1071 507.00 51.74 '51.1 5'.03179
CM 1475 13000 6276 67.65 S5177754T
Cll
I6'J6
23000
60
77
7811
566E
JJE
C51 1106 2=00 Rr R.r S76194
C55 428341 25.00 I6J 17.66' 56670
C34 7610110 S0. 6156 640 5)510e01
CJS 67104I9 Sa00 H.I 65.7 NJI10e
CSe 4706: SaOa 41.1s #a N1eM0t TAX PRl MA61M YO
C57 60'ue 3600 760 04 Seel M A E 016
L
CSe W*45 5 1500 24 76 2176 N7r50 916 K 6791
D.
C-V III" 70100 166 4a A6e11
CIO Ie10S 701200 651 6212 NS51R

CII
53711
15000
2571
1571
x1ev0 1ANF
C41 NSrOJ 251200 Pt 0-9 1 p.60 N7536 LIVE 017ECDCN OSiNNE
C4J r39 256 Is" ISe6 Sd136 (I suw16 1171
Cerfircote of OeneraMp and Oed'ca6'on
laelrr rrr Rr I feAl r (wl r s..fU r wPee.arr W
wr?l rarnlArn erne Ter Aar ,r rr rr
rawwew.rr?Nbrw rPrr rr
a rrW
br s
YRac PA vrrr
LOT 12
e a 165 SlOtA /
= f: ACA
d /
+ L?t42 I LOr43 1!' LOTM LOr45 25,D37 000 25,000 Sp.R.l25,007 Sq- 25,o0O 54?Ipr46
Awh ' 0MAc•&,
057ACt 037 Act 037 u
I ? _ i 737w<:,
? 11 1 LOT 10 II IS,000MSgJtt ll nAW S4Ftt IOT9 dl 7SAODSgALt 25,OODSq.R.>:II25OM5pA•t/t1LW32 prJtt
o371gct 031Aw I OM AL& OAACt OM, : 1t?Il osT Aa / OsSA_&
r-Jar- r
2QNr " TWIN CREEKS DRIVE arPwwRA ?/
ff- M&MrWT - 47441' (TOW) C41- \
IMUM-7H1
Z
Lar51
79,131 SgJtt
1A2 ACA
? Trey Art ab Wl w even unlr rY
r rev WrY ewle urn rY erlwr NrriAn,..r b
wl w nu. r b Torpor wl w WI .. nrnr
--w'rr ?1iAnx r .nwr rvr nr •Nbr releen rawer
1? wl pb llN rWrarlNrr NYM rM r..e N•
y r eenberAY Yr M r MNrwe Net re4rebe r"w N Ina
(-3721
wWe
rrllr r11MMr I?r
Yw MN '19
AereNeen Cents Yrr firM
TAX PN miesm 7R27o1O07S
AM OR FEE YMUD HIRER 4119 5
POR1A71 OF MWT Na I
AA, NIORIRN LSTAIE
PA J PO am
LOT41 y
apAat r

nN weaA1N 'Nk I Rr w rpwoYn I
n rr,IAAre L
b
Ik-- bra r`r`6
w
_
b PLAT rra' FINE
A
aab 1r F P" R,66w r Geer
TAq F. 6 Pre.
RApaw ef Orr
' 0e1AIlM f95rAIR b' oulurr-Assts AT (r

m?a w ., ,.
seep"
SRXE
N1.64
Air
8
0' q
q' W FN ANOM 761120I296W
N HRT HIIETI, $NriYEE ?
AIWDA9E 1RU57 `'...
. -?
3
l E lER/HNER
q
6 ,
~.

N
11
P
D8
Qb ?4

.:.
A0E ?
TRACT NO J
PoRIM OF
SqJL*
\
^/
a79ArA \ r \ G

`O s 25,010 so ft
\
6
031A

RTrq
CA
\

y
\ a W172
N
\ 57ANSOR! \
131 Ac.* C-
G)
RIW.
LOT47
Salle
SqJL*
L17 Ac.*
L71TO N'
(1.27,216 SO L&

LDr4o u -a DAI/AGS k 1 -n
29,3S3SgJLt LOT s7 '$w al"
O39AcA 127,1157 Sq.Ft a C=bd
ACA
aAav AQ Ayp Disclosure Statement Certificate for Public Subdivision Roads
,p,? ?? ?O S Irµ wwrw{rrAr waa a.e+r,.rY.nb rtw
` "Jlfi.. ? .?rY? wrrr rYb 1110aaRYAw IwMYM M1?YUlw
^'? pg ? 4 N1?NNM bAa ernrwlNMwYw Nwr WNr rr Mrwet
LOT 35 •'p,??/ /?/ 1 ply 4ebrlNwMrw rrwnWA1r1a61I AiIArrY
1G ?I wwr var. wrelAYrw+wfJ xvt rerl.r wer.wr
33,SOlSq.R.t
0.76 Act i
LOT 36
41,767 SO.R * /
0.96 ACA
M 11rM N wr
"T ei+'0MA"
PLAT 1NFORHA
/ TR)N
A PRELIMINARY PLAT
7NAw Darns now pftwon Ar-o MA30R SUBDIVISION PLAT SHEET 1 OF 2
Aa1rAir w mcr ass PST neat TWIN CREEKS SUBDIVISION
w?l OF aa6r LOTS Rr MW a dftAM
AarAOTrRueNLOTS NrMUT =r" BEING TAX PIN NUMBER 792203147601,
vx v0. AS RECORDED IN D.B.1192 PG. 1270
,Lacs r P Uewr
'A0L CO1e11 M1"c a- LO. W r ALSO BEING A PORTION OF TRACT NO.1 OF THE A.].
rAMTr uorsrala wr l IY1 V f
AS RECORDED IN P.B. 36 PG. 27B
THORNTON ESTATE
?y
AO" QrNam =A/1rArMW ,
ROCICINGHAMCOUNTY,
HUNTSVILLETOWNSHIP
,
NORTH CAROLINA
Ceralkote or Approval for Recording, Major Subdivision MARCH 2nd, 2006 1'=100'
{ aerl eNp M r u1Ar AM rr. 0..l M Ir rr Y rrrY f0lAP16C SEALS
rA r arra A1Pwr rrwrr or1A Rua wwa er M D W 100 106 700
M Ill W M• e4re1 rrrN b w/rrr r wr rrN.

rpR,rw AAar rOw
A?rMW

1?:LaYENS
a 6N
-J` 0M.
1Nr T ar rPelr M111
e t s $ DEHILPYENT. R!C AWROW
ANR
0
To"Now GROW
AGE DRIVE
41
C
SwwwUE NC 27049 awawrRAaeruA46.6Aacw
seRiralNR/IaORO
arr.rl N PreNN o'b
N wreNY Nrrtlw (JJ6) wit-5610
_

my
1
f
4t a

C)? 1?a

1 N
>
' o
r
m
C7

C")
Surveyor CeINNUtlm
Certificate of p""al of b
Certificate of Approval of 0.ag1dre0 Mproveman STATE OF NORTH CAROLINA , ?, YY ..NM1 NN w p.! .. A.. w. v
Public SCeWtad Roads
Waq
?, yr artNr. Yaerrr
"' n I
?`
?'
'
a COUNTY OF 0.0CONGIAM

1 Na
ar+NnM. wa .4• TI a.•.n•' prolY l.!!WI n
0u4? ? n.?rw r?? •.I.?? •
? uraar« Nw nn r! r r.•..
r r?Niirrl?,?r,M`Ni

Y Wa1. MINA rid.
w r
iYrrn N
i
w.
rr,.r.N rrpYS.r..wr+iAYr Y..r•Y
Nr?.4NNwYMrr rNlY .
?r ..•NYw rrraw
¦wiYlM••nYYr.w/ .0y1..Yw .a ?s...r4 N.. v•lM++•+Yw .Mwl.

N..•N.N
a.,
y
??ArrlrwrnY
I.•N,wwWl •.1.. r•r.Mre wY wr.Ma
w n. rNr+. w r.NYr N.Y M YN
D ' a..- Dw I lN..r. r.. o..
Certi icafe of Approval of $*N Facilities
IYayrN,wrYbN.wrIL-
rrN 1 rNl1. w r wwa L. w N!N
r INlw a.wis w y id.' psi aWC Nx.ND
is- A,
alNnN. Mfiiia, r•rYNY
N..Naw oi. Y•n e.van.l qY
! r.r.Nw w Y waA.. rr.4rl
Mw11•a Y I=aTY Y a.N a.? Y
W MYW WA
Nr Ar. pY
STONE WW
EIRMON RF

TAX PIN NUMBER 79700035459
YANoMx r NORT6Aac N PWANCE
OR II17 Pa 809
LOT 32
FOREST MANOR SECOW RMT
P.1 33 PO 71
Disclosure Statement CarDRcofe far Public Subdivision Roads
aANYYr I•!y!1!Y w Y
164 r r.Ytd a NN 01000
N1IA11.II.Y N NM (1?.1 WAIN Iva Iva • V Y.W WY
YNC NN•I..1 / A..•MYr.1l11a44 N rl nN w. r NL
Nplrl M oa1N•Nr 111 r rr N NN DIAa aAWr Y
Y NAY OwN.wa l AN....•Al NW{ r+/ n. wn•w
0-0 -
-tar
A"r rprrn?.l •v r.
CeMttcate of OWIWebip and Dedication
I Awrlily w IMd r 6Ntl Y..arNNrP.•yMN
r.orA- NN Y Y.Y4 N YYINY pYrr NAlrM..
rrWr• NY ro y7 N
N.y N AI r., ..NI Y,I.
Ara I
R. 4900 -
rrerr.N.YNy .
NrN olYr ?„ L-Ja1t
ewYa.r 1u.a•
or a.Nw
rr IrY >AN
Yrl... IY.U x•w r.!•
1. NO NOS CONTROL :01NAUlr FORA
WPM 2000' OF On PROERTr.
7 ANON PROS SFr Ar ALL LOT CORNERS
IARYSS NOTED OOW4NSE
TAX PW N SEER 70=12"'75
NOW OR FORUMY DA NO BE12Orr
OB. 40D Pa 5
PORTION OF TRACT Na I
Ad WORNRN LSTAR:
P.& J P. 270
TAX PIN NLNBEN 79220.RJ5r06
GARY W E LIS
LOS N. ELLIS
as 915 PO a%
PUT INFORMATION
Numa wracm a-Nta°A1r w-w
AOWAay N MALT idle A w no YA
. Y r.a. or olio
*^-. N laarnl r.
W eta. nMY.
IA• hN1eYI NNe1r laid Air rWWWL n N .4
w N Nemr
Nj, JNM,j L N PLAT NIY IIYL- i?
Arr A. F pwd N9rr Y DW
FWy I / M1t6 .,
I'!! W a.rN
DOVrf-AWIOw by 6LMY.l1$INII 4
9
CLR I£ TABLE
DELTA RAOOS LENGTH CHORD ONECRON
0'3329 00.00 JI0' 310 S45%
24,41 311300 129.25 12a25SI2,4 4
TIC 301100 7192' 7173' S1323'43
E
4,4912 30000 2521 2523 SDJ55J
11712! YS07 21.03 2041 S25Ja
567555 S0. 4861 47.66 52171
45!711 50. 40.04 3196 S3070ro
6671 50. 7771 69.70 Ne2,4T 9
CNI 65714) 3100 74.35 6768 11044130
C19 Ia71 J 2500 YI.O1 2011 N77.H10
C0 1811 J 2500 21.07 2141' %175
C21 5775 3600 /9.96 4791 5695510
C22 6000ro0 51100 5236 511
S
N527 1
r
C23 6000 5000 3236 311
-00
NOTJ245
CN 4709 SaW 41.15, 4100 NeIC
C25 471031 50.00 J6.81 3598 5717 %
C26 9,4 Saba. 154 1S3 51813
C27 M1 J 25.00 2T.0O 20.41 56775 W
C% 43' I 750. lag.- 16529 112176
829 0,4235 751 310 JIO' N45 SY
I
c?
i?
R LAVE TABLE
ONE ORECfAW DISTANCE
L2 NO1J1 1 12.61
PRELIMINARY PLAT
MAIOR SUBDIVISION PLAT SHEET 2 OF 2
TWIN CREEKS SUBDIVISION
BEING TAX PIN NUMBER 792203147601,
AS RECORDED IN D.B. 1192 PG. 1270
ALSO BEING A PORTION OF TRACT NO.1 OF THE A.I.
THORNTON ESTATE, AS RECORDED IN P.B. 36 PG. 27B
HUNTSVILLE TOWNSHIP, ROCKINGHAM COUNTY,
NORTH CAROLINA
MARCH 2nd, 2006 1'=100'
0 ?Y5N0Y?N/aWW "?o?a?119 200 700
MWNWNrILNYyWNtlaaCAW
nal?wlTNa=uWAa
a?N
.lNr Mar. Yr. wr ar r 4WY r.1.lk WM N baA. w
a r rrr r rwr N N4N. liar r. r4. Nt4lcl v oteYN Lon aW Nm Certificate or Approval for Recording, Raja Subdivision
M
A6FAW N MWW 1012 RR KliT N.AYe LrN.-'* Y-4W NYn YIr =.= .Y YOrr a.-.=c ap AX141OgpS
N.n c..•LV AGNICAME NM11 ?w rNMYN NAP'" aYYr~Owoew r a a S Jima-OIr, ALO
IAIA LWMN AVAIL Net !Oc X Ma !w 204UYw a.'.N c/o SIE4E' AMRLN
410 CARRIAGE Yw7 LNTAAQIN WY aNWN RW l?1 WV! NUE
AadWNeNDIANR/I N2`117 SRE
ttl Ye (!!6)509-.270
FEB 1 7 ZU06 ! FED 2 s 2006
} nFwp -WATER QUALITY LSE N -1,N Xi R QUALITY
v NVETLANDS M1D STORMWATER BRANCH
Office Use Only: Form Version March 05
2 0 Q 60 2 G
USACE Action ID No. DWQ No.
(if anv particular item is not applicable to this project, please enter "Not Applicable" or "NW%)
1.
Processing

II.
1. C }l eck all of the approval(s) requested for this project:
Q Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: IV WP 29
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), check here: ?
Applicant Information
1. Owner/App scant Information L
Name: Ups Derv=lop?nQnT, Sc>
Mailing Address: q10 C' rri? ?r?r?
Telephone Number: 0% 508 7o Fax Number: 1336) ya 7- a f9y
E-mail Address: 5-fe G?-_ t ! e mn? a v a/i "nx_
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:
Updated i 1/M005
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
t
??:? gees sw o?%?? s?f?n
1. Name of project:
2. T.I.P. Project Number or State Project Number (NCDOT Only):
5.
8.
3. Property Identification Number (Tax PIN): '79,2 a o3 I l -76ol
4. Location
County: ch'nQh?? Nearest Town: S-/b /e
Subdivision name (include phase/lot number): r e Ks
Direction's?1to site (include road numbers/names, landmarks, etC.): o,?, oCree„s6oro
,gd ?oT Le F-,n, AW, ; vs t ?a55 rod ZZO /yleJ-ger
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
6. Property size (acres): 61'3. 39 /` cT-' S
7. Name of nearest receiving body of water: L03 441VS 6-8e
River Basin:
(Note - this must be one of North C rolina's seventeen designated major river basins.
River Basin map is available at http://h2o.enr.state.nc.us/admin/1naps/.)
The
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application:_ ?JC') ,,, P orc> <<??f i`S rP s i ??? tag/
OW
attach a sheet that
Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be
11. Explain the purpose of the proposed work:
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
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. '1114
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.
1. Provide a written description of the proposed impacts: ?n?ssrit? 02 5
Updated 11/1/2005
Page 7 of 12
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,
?o-af,-h, 1;ct ;mnnntc rlnP to tenth stntcture and flooding.
Jv kl4

Wetland Impact
Site Number
(indicate on map) 4Vl

Type of Impact
Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.)
Located within
100-year
Floodplain
es/no
Distance to
Nearest
Stream
linear feet
Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
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, multi 1 length X width, then divide b 43,560.
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact
Intermittent. Perennial Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres

Of 6
?y'

i ??
12
(
I c E' Qr
Pl??*?xr

Total Stream Impact (by length and acreage)

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
indicate on ma Name of Waterbody

(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
acres

Total Open Water Impact (acres)
Updated 11/1/2005
Page 8 of 12
6. List th
t t all Waters of the U S. resulting from the ro.ect:
e cumulative un ac o
ct (acres):
® 45 2A
act acres):
Wetland
W
Im act acres :
to Waters of the U.S. acres -?
Total ctYPam Impact (linear feet): ?$
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes (B 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.
8. Pond Creation 7711,4
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project: The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts ;
i s, i
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.
Updated 11/1/2005
Page 9 of 12
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.ne.us/ncwetlands/striiigide.htilil.
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. 2l,?L
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 littp://h2o.enr.state.nc.us/Nvrp/iiidex.hti-n. 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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Updated 1111/2005
Page 10 of 12
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 F
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 ?
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 )? Yes ? No Eg
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
(square feet
Multiplier Required
Mitigation
1 3 (2 for Catawba)
2 1.5
Total
* 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.
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 ap?rgpriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
Updated 11/1/2005
Page 11 of 12
XI. 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
demonstrating total proposed impervious level. 4? to Z? p :
°
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
°
U
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No 0
Is this an after-the-fact permit application? Yes ? No 0
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No R
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.ust/ncwetlands. If no, please provide a short narrative description:
C P 'on
/itit A a /? t?r??an 'T?aY" tut1 .UP 1110,
i
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).
/0,/.
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/1/2006
Page 12 of 12
bl Pwn p lau IpM Puo 1? 4 ,e ?pW 4 P.a.goidu M lou Aow Puo dfg1YJ 5/gI11'ILL Ie ?
ddw sosn
VNI ad? HiVON /.1Nno:) WVHEJNINJ021 . dIHSNM01 311
'W NOISIAIGens S>19B d0 N
31Y0
Pr NMO an
.,??mmomwft ?. •' dnomo SN4
n .uop .?VL
b ? ry
WWII

16h.
J
Y
y

?o
w
F N
w
y
V
" h
.
- - - -------------
-MAO
tit
!IR
IL or I _lk
PRICE ARM 0?0. -?-
J?l?•rrNMY?ri? i 1 r ,
t,
wn
M
„J+' R
.
v??p P
M.
t
,,,' ?? VMWb9xSQ,;da0
? 9a31 dlVa'F "
o ` 9002 ° 4 MkO4,-.,.g .
R
v
_l
FCC i v 2006 ?? ?? ?"J
ICH
,.,.ill0 ?
ATTING Of Att- ?
I M TN R
AO
NStALU ENGTN AND YGREAtE RAP XTRA RE ?t?at
I EN pR S 30. II RIP ?tH E?O?N . j tc•?p0
E TNIGK NON- Ajtil?!
l-E SHOP C
el?
AP TRA OtEXti 3p" NGTH ERNE
' I RIPR TN Ex BEN GE WIDE A _ STRERIC UNO LOT 12
65,655 Sq.Ft.f
CUB. 1141 i NONNEAIN 12 I ( ON
1.51 Ac.f
51 ReNG UNOE ITT ENDWALL 2 SILT GE
FA ? )NGENDWALL FENCE PIPE INV. 27.2 FE
16Q PIPE INV. 2 TOP ENDWALL 37
ST 6
0<711
ST-5
?n \
W yy ? • /?[l-? < ?r
21+0 -o 2 t 00 5 PUB IC R+'/W 23 EP 2 00 45 437
N W STA. 7? 51 i- ?- I - I&IT LP J9. r a' EP
r- > < r r <T C R??k
\ 'O N
?? 5IL GE ?j?IVE
ST-8 N
Y EASSEMENT_ <TD_<I- -FEN
±- - M>-TD> 1010 - Ta- --STi _ _
HEADWALL 1 ST-9 HEADWALL 2
PIPE INV 33.10 PIPE INV 28.70
t UI4A?ENl TOP HEADWALL 40.1RA NG SILNGE / I TOP HEAD WALL 38R2 jEXtil-X
?O EO I RIPR TN EXFAgRIC 10 IA I / II RIPR M EXT?EN GC, WIDE 1
CHAS TNI FITL00. WIOE X / GLASS IGK W?ON,WO H 16• G 12 StREERNEATM / STRENG UN ERN Et
UNO / A, LONG
40
30
,???ru?uitr
O .Af', A
O
Q AL a
22052
GI
•a•;°t?Q ``fit I S ?o b
?466
A. s?
21+00 22+00 23+00 _
FINAL DESIGN- NOT RELEASED FOR CONSTRUCTION
FINISHED ADE
AT TER I INE

17
3' MIN. COVER
(A T SHOULDER)
'
COVER F
3.62 OM

I FINHISHED GRAD E AT C/L
X /

I J `ry .,?G
48" RCP e F'
INV 32.15
0
F a.
66" RCP
INV 28.23

w9
?Q
47
O a ? ? 4? 0
? CO N ?
v - r.i Oi

M MONS o p 0 0® ® roux vuwN AauEVm nu+a" ouu
TIU" R 0 ou" P
:Ito Development Realdentlal I Infrastructure Technology
_ g TWIN CREEKS SUBDIVISION n $ ; o DATE REVISION DESCRIPTION
0 o HUNTSVILLE TOWNSHIP' ROCKINGHAM COUNTY, NORTH CAROLINA 4 c ?, o o\ R
a CREEK CROSSING °: ° a

L i4
DENR - WATER QUALITY
WETLANDS AND STORMWATER BRAN121
Office Use Only: Form Version March 05
200602(3 2
USACE Action ID No. DWQ No.
of anv narticular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. C4eck all of the approval(s) requested for this project:
Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: N WP aq
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment int- 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), check here: ?
II. Applicant Information
1. Owner/Applcicant Information
Name- L-f s heavloA/hc
Mailing Address:.
8"7o Fax Number:
02- 3
Telephone Number: (3?6) ,5
E-mail Address: , to ??e ?ti era, ea ygA aa- cor?,
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:
Updated 11/112005
Page 5 of 12
III. Project Information
8.
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: C ne,--? S?
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): -79,2d.03117601
4. Location f?
County: ?SD'?' ?Qh4 - Nearest Town: Sees',
Subdivision name (include asph e/lot number): w OKs
Directions to site (in ude road numbers/names, landmarks, etc.): .?, 6r en boro
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): ON °W
6. Property size (acres): ySa 3? lqcr--- S
7. Name of nearest receiving body of water:
River Basin: real-
(Note - this must be one of North Carolina's seventeen designated major river basins.
River Basin map is available at hqp:Hh2o.enr.state.nc.us/admin/mqps/.)
ne
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: -Qo g
Updated IIM2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be
I --V &e/A D,i? cxJ RbcKof kaY,,Lw. i,,`A uses
??'°'s
11. Explain the purpose of the proposed work: r !? >4,? <-
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 issue for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application. -k
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.
1. Provide a written description of the proposed impacts: ?sssl:t4 02 S-5
Updated 11/1/2005
Page 7 of 12
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,
..,+oty 1;- -pacts ri„a to both etrneturP and flooding-
JV Ql Ct

Wetland Impact
Site Number
(indicate on map) FVl 11JY 1111

Type of Impact ?? - ??- -- -
Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.)
Located within
100-year
Floodplain
es/no
Distance to
Nearest
Stream
linear feet
Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
4. Individually lid all inteimittent 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
mus
Stream Impact
Number
indicate on map)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before impact Impact
Length
(linear feet Area of
Impact
acres
.067

Total Stream Impact (by length and acreage) t be included To calculate acrea a multi 1 len X width, then divide b 43,560.
4A_
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
C.11 xcavation dyed in floodin drains a bulkheads etc.
Open Water Impact
Site Number
indicate on ma Name of Waterbody

(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc, Area of
Impact
acres

Total Open Water Impact (acres)
Updated 11/1/2005
Page 8 of 12
List the cumulative impact to all Waters of the U.S. resulting from the ro'ect:
Stream Impact acres : d
Wetland Impact acres :
Open Water Impact acres): -? -
Total Impact to Waters of the U.S. acres -d
Total Stream Impact linear feet): 1-75?
°
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes [ 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.
8. Pond Creation 7?/,4
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 a lication.
Pond to be created in (check all that apply): ? uplands stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project: The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
-ter
techniques to be followed during construction to reduce impacts. I%e a..s 4 rti- /,A
e
41 7-y' j q9a.,+' Th+ ?.'?aS S .,?.ui . S 4 u a sL.. o ^r44
S`'WT`J •_JL•f !? .t, .4e# 4_A- r V1.41Ui
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.
Updated 11/1/2005
Page 9 of 12
L , , J
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.
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.
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.us/wrp/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):-
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Updated 11/12005
Page 10 of 12
IX.
X.
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 F
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 ?
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 E] No ?
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 V Yes ? 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.
I Zone* i Impact I Multiplier I Required I
fr,,-,. - r -A
- -
I 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendict
additional 20 feet from the edge of Zone 1.
the top of the near bank of channel; Zan-e--2 extends an
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 apprgpriate information as identified
within 15A NCAC 2B .0242 or.0244, or .0260.
Updated 11/12005
Page 11 of 12
. S . J
XI. 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
demonstrating total proposed impervious level.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the, proposed project, or available capacity of the subject facility.
X1II. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules 05A NCAC 2H.0500) or any Buffer Rules?
Yes ? No 0
Is this an after-the-fact permit application? Yes ? No 0
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No pj?
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:
Ae ?i? n Yh4T J[/L I? Dc° CYlJl1 O!1 I /?baiC ?
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).
/10
ApplicanVAgent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005
Page 12 of 12
O?0 W AT FQQG
r
o -c
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
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
B&S Development, Inc.
Attn: Steve Aheron
410 Carriage Drive
Stoneville, NC 27048
Subject Property: Twin Creeks Subdivision
Dear Mr. Aheron:
February 20, 2006
Rockingham County
DWQ 06-0262
On February 17, 2005 the Wetlands/401 Unit of the Division of Water Quality received your application for a 401 Water
Quality Certification in Alamance County, North Carolina. Your project has been placed on hold for the following reason:
1. Incomplete application information. Item III. 7. and VI. 4. requires name of nearest body of water of which you will
be impacting.
2. DWQ requires five (5) full and complete application sets.
Your project will remain on hold until all the permit criteria are met. Please reference the above DWQ number when
responding. If you have any questions, please contact Ian McMillan or me in the Central Office in Raleigh at (919) 733-
1786.
S' cerely,
Cyndl Karoly
Enclosure: Application package returned
Check # 1016 for $475.
cc: File Copy.
Central Files
06-0262 Twin Oak SD(Rockingham)_Incomplete Appl
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (htta://h2o.enr.state.nc.us/ncwetlands)
Customer Service #: 1-877-623-6748
U%,