20060349 Ver 1_COMPLETE FILE_20060306

O?O? W A
O ? `C
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
March 22, 2006
Thomas and Judith George
200 Otmoor Lane
Cary, NC 27519
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-0349
Moore County
Subject Property: Thomas and Judith George Property
Lake Auman (Jackson Creek) [030750,14-2-5, WSII, HQW]
Approval of 401 Water Quality Certification with Additional Conditions
Dear Mr. and Mrs. George:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact 0.0039 acres of Wood Lake shoreline to construct an 86-foot bulkhead along
the existing shoreline at the subject propertyi as described within your application dated March 6, 2006
and received by the N.C. Division of Water Quality (DWQ) on March 15, 2006, with more information
received on March 15, 2006. After reviewing your application, we have decided that the impacts are
covered by General Water Quality Certification Number(s) 3495 (GC3495). The Certification(s) allows
you to use Nationwide Permit(s) NW80 when issued by the US Army Corps of Engineers (USACE). In
addition, you should obtain or otherwise comply with any other required federal, state or local permits
before you go ahead with your project including (but not limited to) Erosion and Sediment Control, Non-
discharge, and water supply regulations. Also, this approval to proceed with your proposed impacts
or to conduct impacts to waters as depicted in your application shall expire upon expiration of the
404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. If total fills for this project (now or in the future) exceed one acre of
wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A
NCAC 2H .0506 (h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
I
Amount Approved Units Plan Location or Reference
Waters shoreline Wood Lake) 0.0039 (acres) Attached ma and plan
401 Oversight / Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://112o.enr.state.nc.us/newetlands
Nor` hCarolina
Naturallif
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Thomas and Judith George
Page 2 of 3
March 22, 2006
2. Erosion & Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
c. For borrow pit sites, theerosion and sediment control measures must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Surface Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
3. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the Pre-Construction Notification. All construction
activities, including the design, installation, operation, and maintenance of sediment and erosion
control Best Management Practices, shall be performed so that no violations of state water quality
standards, statutes, or rules occur.
4. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum
extent practicable. If placement of sediment and erosion control devices in wetlands and waters
is unavoidable, they shall be removed and the natural grade restored within six months of the date
that the Division of Land Resources has released the project.
5. Bulkhead Construction
The bulkhead may be no longer than 86 feet in length (along the existing shoreline) and may be
no wider than two feet in width and must follow the existing shoreline geomorphology.
6. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification, shall expire upon
expiration of the 404 or CAMA Permit.
Thomas and Judith George
Page 3 of 3
March 22, 2006
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of
the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a
hearing.
Any disputes over determinations regarding this Authorization Certificate (associated with the approved
buffer impacts) shall be referred in writing to the Director for a decision. The Director's decision is
subject to review as provided in Articles 3 and 4 of G.S. 150B.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Cyndi Karoly or Ian McMillan in the Central Office in
Raleigh at 919-733-1786 or Ken Averitte at 910-486-1541.
AWK/Ym
Enclosures: GC3495
Certificate of Completion
cc: USACE Wilmington Regulatory Field Office
Ken Averitte, DWQ Fayetteville Regional Office
DLR Fayetteville Regional Office
File Copy
Central Files
Si erely,,
Alan W. Klimek, P.E.
Fi cname: 060349ThomasandJudithGeorge(Moore)401
It ? ? ? rod ? a - .. __ .-
Office Use Only: ::;1 Form Version March 05
USACE Action ID No. DWQ No. 2 0 0 60 3 4 9
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
0 Section 404 Permit El Riparian or Watershed Buffer Rules
ection 10 Permit ? Isolated Wetland Permit from DWQ
[x401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:
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: ?
II. Applicant Information
1. Owner/A pi2peant Information 1
Name: ' ) Horn q,5 +i- UdA ?eo
Mailing Address: a. 00 Yrt v0 r
Carr M-4 ;Z7--519
Telephone Number: W?-S) - Fax Number:
E-mail Address:- -Y 6 9 D 6 ?5 L C15 GO " Co h,
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if thje?ent has signatory authority for the owner/applicant.)
Name:_- - yrt 1 Gi In Y1 G1^
Company Affiliation: `anrc.r's La4d Veuejcpyn?? 4-wj It inc...
Mailing Address: 3_17 9 firCJ7 it_ g .-
C • x.-17 37
Telephone Number: 910- 693-dg3 2 Fax Number:_ 910- 03- l 1
E-mail Address:
Updated 11/1/2005
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.
'5 J I
1. Name of project: Oha ct5 ee q e
2. T.I.P. Project Number or State Project Number(NCDOT Only):
3. Property Identification Number (Tax PIN):_..) 04,-4" 3099
4. Location rn I
County: (0Oye- Near?est Town: _6 ' gy, ?- C
Subdivision name (include phase/lot number) : SeVe-h -'s
}erections to site gin Jude AA load numbers/names, la dmarks, etc.): a W X. -2J Tag
-Yxom W-a.-< . /t' -e, 'To S- p Pict Pah H ?uv.AII a Sevch ka rs .fake
C17 Il h- 6 fio 5-to S /' 'A -1R J? S SI' -?'aX J ?-'?
-1u r'1, r415M-o Sim»,o VP - o _41' 30 g9 ,s o,% gr c-
5. Site coordinates (For linear projects, such as a road or utility line, attach
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
k
a sheet that
oW
6. Property size (acres): o-P Q GrC
7. Name of nearest receiving body of water: a ke Au YYl q h
8. RiverBasin: _ rYom :'?RG?Soh Creek 70 fe7 e Pe e),VCY
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:/ih2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on thg s. e and general land use n he vicinity of the project
at the ti e of thits applic?i on: od SCt?JIIV15?lD?,
[,lie Por Singh 7-b7i r wel ?hqs.
Updated 11/1/2005
Page 6 of 12
10. Describe the overall roject in detail, i cluding the type of equipment to be used:
all bx/kl,cnd o exrs?' al>? oh eac1, std e GP 14' wt`11 use izwI
e4 cZiierrnen} oh1,y, Su as ?a?nrn ?u»tp ,? e c?,'h saw.
11. Ex
wa-fier erosiPh

IV. Prior Project History
X
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 pemilts 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 sarr}e.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 providejustification 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.
1. Provi e a written description of the proposed impacts: _/I D P}^OpO-?el? l 1YI J?QC-)L
wa eU'
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,
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)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: /r k
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 Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres

Total Stream Impact (by length and acreage)
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)
JG Yna
a K 3 N. ,la ? ?vvs ,

Total Open Water Impact (acres)

Updated 11/1/2005
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the vroiect:
Stream Impact (acres :
Wetland Impact (acres):
Open Water Impact acres :
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes Q 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
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 onstruction
techniques to be followed during construction to reduce impacts. ?. X,
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.

Updatcd 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:/ih2o.enr.state.nc.us/ncwetiands/strmgide.htmi.
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. )Y, X
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/wm/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 11/1/2005
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/ tte/local) funds or the use of
public (federaUstate) land? Yes ? No 0
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 V 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" I Impact Multiplier I Required
(square feet) Mitigation
2
Total
' Zone 1 extends out 30 feet perpendicular
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 inf ation as identified
within 15A NCAC 2B.0242 or.0244, or.0260. PT.

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. /Y? 12
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.
a Yt -
XIII. Violations (required by DWQ)
Is this site in violation of DW Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No E2' -
Is this an after-the-fact permit application? Yes ? No ?V
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in adddItlI?onal
development, which could impact nearby downstream water quality? Yes ? No f
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://Uo.enr.sta?e.nc.us/n??etia?ds. If no, please provide a short narrativ description:
*4 e05e a - - Paz 1.5 cz, Ohe 1rne PY'0 1 er_ '
XV. Other Circumstances (Optional):
V
3 - J3- D,
Applicant/Agent's Si ature Date
(Agent's signature is galid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005 'G?
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
Thre Wne? pecies, acce ibility protlle s, or others ues outside of ttl??e ap?l'cant' gqntrro1).
?u1 e w111 ?drvm ex,5Mhc? bull oh ?ac1, s?N el07',
Page 12 of 12
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Office Use Only: t • .^ Form Version March 05
2 0 0 60 3 4 9
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit ? Riparian or Watershed Buffer Rules
V4 El ection 10 Permit ? Isolated Wetland Permit from DWQ
Q
01 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:
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: ?
II. Applicant Information
1. Owner/App Pcant Information
Name: ' ) llCM CIS + GtdA ?eol^ e
Mailing Address: a00 M oo N 451
a1^)F M•C. A?-'
Telephone Number:,/-?/?-S) Fax Number:
E-mail Address:_ -T E ?5 D k 6y 9 CjS C- O' CO))) .
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if thje?ent has signatory authority for the owner/applicant.)
Name: '? let 'n G!'-
Company Affiliation: -JanAcr's J_a h uc rr, ?? (? t1 yLL
Mailing Address: 7 r
Telephone Number: 9t0- 623 %?93 .2 Fax Number: W 0 - 73 - /
E-mail Address:
Updated 11/1/2005
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be. included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: ) /10m a5 s nd) T ? &e0
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): ? 04,A- 3 0 p / 9
4. Location
County: 11 tore- Ne
Subdivision name (include phase/lot number):_
}erections to skte to Jude oad nufnbers/ ames,
-l?oYn GleSil . ?-? • -t'o S?P
Town: ?,l)G?S?"Yt? . ?' C
arks, etc.) : a C k
h o"I'all u .Seveh

(47 /)RXFV a6-to S-10P 514A. )CLTw J . citS?PS!'4s, ? -Pgre- left e?, lekau?
?'u rh hl g1.fi o? Sim », o lts Sor . d l o + _tf 3 o g 4 '?s F;, pt -ii d
5. 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
C- _
attach a sheet that
oW
6. Property size (acres): /23 Of CZ C )'C
7. Name of nearest receiving body of water: ? a ke 1ZU YYt a h
8. River Basin:-60 M _-?aGkSOh Creek ?0 f 'e e PCe etVCY
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:/ih2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on thgg si
at the ti e of thq appplie 'on: odeJ
,5e or Sing je q)11 y We
ral land use he vicinity of the project
% h ct 5k 'n ?JI V 15101)

Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, 1cluding the type of equipment to be used:
jtS4a), bx cad ?e iA'r19 a)k?erur!s oh eac}t Sid e of 14. w,11 use AqwI
11. Explain the purpose A)- the,propose wprk: o GOh
5&4 )a1ck al^eus loose -tv De u?I -t-
-he erosjoh Y- lnath k;i
allek .
X
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 sarr}e.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 providejustification for the exclusion of this work from the current application.
A
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. I
1. Provi e a written description of the proposed impacts: _/I D ,F?yOpO-?eU l lY?j?c1d-s
wa rte;
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,
separately list imt)acts 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)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
/Y* J?
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. multinlv leneth 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

Total Stream Impact (by length and acreage)
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
ct c yniz 3 Ca• ?q goo .6q,

Total Open Water Impact (acres)

Updated 11/1/2005
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the ro'ect:
Stream Impact (aaxes):
Wetland Impact (acres):
Open Water Impact acres :
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes M 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
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 onstruction
techniques to be followed during construction to reduce impacts. &. W
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.nc.us/ncwetlands/strmaide.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):

/11
Updated 11/1/2005
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/st?te/local) funds or the use of
public (federal/state) land? Yes ? No V
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 BufferARequirements), or other (please
identify 1? Yes ? No ®'
2. If "yes", identify the square feet and acrea;;e 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.
L Zone* I Impact I Multiplier Required 1
(square feet) Mitigation
1 I 3 (2 for Catawba)
2 - t1- 1.5
Total I I I
* Zone 1 extends out 30 feet perpendicular from tLe 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 appropriate information as identified
within 15A NCAC 2B.0242 or.0244, or.0260. /Y ` f?.

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. 012-6
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.
0)4 Ic
XIII. Violations (required by DWQ)
Is this site in violation.of DW Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No [Vl
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additi?onal
development, which could impact nearby downstream water quality? Yes ? No ?
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.sta?e.ne.us/n??etiapds. If no, please provide a short narrativ?t description:
6 F'05? u ta=a Is a ohe t?k rnP PY'c? ecT'
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
Thre teneJpeci?s, acce iility prof lep or other ues outside of t e apl'cant'to1){w111 30 YOM ex?S?i'h$ bin' s o?, ?ac? s??e of- 10
Applicant/Agent's Sw ature Date
(Agent's signature is I+plid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005 ?
'
a-)3-0,
Page 12 of 12
r _
LOSA71ON MAF
2xbGAP
F- FINISH GRADE
lill\ 4 x 6 P.T. WHALERS
6 X 6 P.T. POSTS
E 6-0" O.G. MAX.
MATER LINE 5/8" d x 10'-0" LONG
ZING THREADED ROD
o EACH POST

FILTER FABRIC,
2X 5T S6VERT.
PANEL5 W/ V-GROOVES
6 x 6 P.T. DEADMAN -
© i6'-O" O.G.
NOTE:
ALL UMBER TO BE PRESSURE
TREATED SOUTHERN YELLOW PINE.
5ULKHEA17 IDF-TAIL
SCALE: 1" = V-O"

4-0060349
L-CISA ON MA%fz'
2x8CAP
F- FINISH GRADE
IN ? 4 x 6 P.T. YNHALERS
6 x 6 P.T. POSTS
6'-0- O.G. MAX.
P ATrR LINE
518" 4 x 10'-0" LONG
ZING THREADED ROD
© EACH POST
<- FILTER FABRIC
2X 8T4GVERT.
PANEL5 W/ V-GROOVES
6 x 6 P.T. DEADMAN -
9 ±6-0" O.G.
NOTE:
ALL LUMBER TO BE PRESSURE
TREATED SOUTHERN YELLOW PINE.
2 5ULKHEAI:? IDETAIL
Al ) SCALE: 1 " = V-O"

Mar-09-2006 01:39prn From- T-069 P.002 F-M
?(DN "y North Catolina Department of Enwonment and Natural RCSOU(CCS
G Alen W. Klimek. P,E„ DircctOr
r p division of Water Quality
r
? Colcrn it Sullins, Dqury Director
Division of Watcr Qualiry
March 7, 2006
Moore County
DWQ # 06-0349
C)?RTIFIED MAIL
Thomas & Judith George
200 Otmoor Lane
Cary, NC 27519 ,
Subject: George Property; Lot 3099
_ Dear MrJWs. George:-
On March 6, 2006 the Wetlands/401 Unit of the Division of Water Quality received your paperwork pertaining to
the property at Lake Auman/Jackson Creck. Your project has been place on hold for the following reasons:
1. DWQ requires 5 application sets; please submit four (3) more complete application copies
2. Include the appropriate fee
1 3. Indicate the Nationwide, Regional or General Perrnit number sought (Processing I. 2)
Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a
fee for all 401 applications. The fee for applications is X200 for projects impacting less than an acre of wetland
and less than 15D linear feet of streams. For projects impacting one or more acres of wetland or 150 or more feet
of streams, the fee is $475. In order for DWQ to begin review and process your request, you must send the
application sets and a check in the appropriate amount made payable to the N.C. Division of Water Quality.
Please reference the DWQ # noted above on all future correspondence.
If you have any questions regarding this letter please do not hesitate to call Ian McMillan or me at (919)
733-1786.
V641 A&A-el Sincerely,
rr ? y
QCyn;dizKarol
I? 4 Wetlands/401 Unit
q ?
N W -1 `6 t r C a C?4A ? '4a r) f1G ' 14 OZ&`
cswUd 41P,i-Foj &4V5 cc: Tim Tanner, Tanner's Land Development & Works, Inc., 379 Archie Road, West End, NC 27376
File copy
Central Files
060349 TGeorge (Moore) Permit type topic fee
N. C. Division of Water Quality, 401 Wetland Certifie2tion Unit,
1650 Mail Service Center, IL 16gh, NC 27699-1650 (Meiling Address)
2321 Crabtree Blvd.. Ralcibh, NC 27604-2260 (Location)
[phone] (phone), 919.733-6893 (fax), flin2-1(h2n cnr.atole.oc uv weannds)
Cunomcr Service M: 1-877-623-6748
CE)

X2-1
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 200600217 County: Moore U.S.G.S. Quad: Zion Grove
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Thomas and Judith George
Address: 200 Otmoor Lane
Cary, NC 27519
Telephone No.:
I Property description:
Size (acres) 0.49 Nearest Town West End
Nearest Waterway Lake Auman River Basin Lower Pee Dee
USGS HUC 03040203 Coordinates N 35.2517 W 79.6074
Location description Lot 3099 is located along Simmons Drive off Teague Drive, adjacent to Lake Auinn, in the
Seven Lakes residential community, in West End, North Carolina,
Indicate Which of the Following Apply:
Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331).
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the U.S. on the above described property subject to the permit requirements of Section 404 of the
Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
X The waters of the U.S. on your property have been delineated and the delineation has been verified by the Corps. We
strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the
Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to
exceed five years. .
_ The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described property which are subject to t}1e
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
ou s ou con ac a rviston o oasta anagement m i gton, , at
their requirements. to etermine

Page 1 of 2
Action ID: boa !c 0 o,;113'
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Jennifer Frye at 910-2514923.
Basis For Determination: This Property extends into a waterbody (Lake Auman) that exhibits an Ordinary High Water
Mark as indicated by changes in soil characteristics lack of terrestrial vegetation, presence of shoreline, and is
tributary to an unnamed tributary to Jackson Creek, a tributary to Drowning Creek, which flows to the Lumber River
and the Pee Dee River. This determination is'based on a site visit by Jennifer Frye on 11/17/2005. Mr. Tim Tanner
(Tanner's Land Development & Works Inc.) and Mr. Ken Averitte (NC Division of Water Quality) also present..
Remarks: copy furnished:
Ken Averitte NCDENR-DWO Fayetteville Regional Office 225 Green St., Suite 714/Svstel ME!, Fayetteville, NC
28301
P of rs Land Development & Works Inc , 379 Archie Road West Fnd NC 27376
Corps Regulatory Official:
Date 11/27/2005 Expiration Date 11/27/2010
FOR OFFICE USE ONLY:
• A plat or sketch of the property and the wetland data form must be attached to the file copy of this form.
• A copy of the "Notification Of Administrative Appeal Options And Process And Request For Appeal" form must be
transmitted with the property owner/agent copy of this form
• If the property contains isolated wetlands/waters, please indicate in "Remarks" section and attach the
"Isolated Determination Information Sheet" to the file copy of this form.

Page 2 of 2
Mar-09-2006 01:39pm From- T-068 P.002 F-289
r ?O` "NQ Noah Carolina Dcpattmrnt of Eovtronmunt and Natural Raourca
Q 6 Al- W. Mimak P.P.., Director
Uj
Uia) 7 Division of Water Qlt 14
j r ? Coleen K Sullins, Drury Director
O Division of Watcr Quality
March 7, 2006
Moore County
DWQ # 06-0349
CERTITTED MAIL
Thomas & Judith George
200 Otmoor Lane
Cary, NC 27519
Subject! George Property; Lot 3099
-- Dear MrJMrs.-George:-
On March 6, 2006 the Wetlands/401 Unit of the Division of Water Quality received your paperwork pertaining to
the property at Lake Auman/Jackson Creek. Your project has been place on hold for the following reasons:
1. DWQ requires 5 application sets; please submit four (3) more complete application copies
2. Include the appropriate fee
r 3. Indicate the Nationwide, Regional or General Permit number sought (Processing I. 2)
Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a
fee for all 401 applications. The fee for applications is $200 for projects impacting less than an acre of wetland
and less than 150 linear feet of streams. For projects impacting one or more acres of wetland or 150 or more feet
of streams, the fee is $475. In order for DWQ to begin review and process your request, you must send the
application sets and a check in the appropriate amount made payable to the N.C. Division of Water Quality.
Please reference the DWQ # noted above on all future correspondence.
If you have any questions regarding this letter please do not hesitate to call Ian McMillan or me at (919)
733-1786.
V o A „ ,e?l? Sincerely,
V di Karol
1 r ,- Cyn y
q 1 br ?lo J I 41 Wetlands/401 Unit
AM-6 r n P hG , M024-?'(
CBK11id FC ? &4v5 41eV-
cc: Tim Tanner, Tanner's Land Development & Works, Inc., 379 Archie Road, West End, NC 27376
File copy
Ctntral Files
060349 TGeorge (Moore) Permit type topic -fce
AMA
NDEFol
N. C. Division of Watcr Quality, 401 Wetlands Cerific9tion Unit,
1650 Mail Sorviee Center, Mil¢iglt, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd.. Raleigh, NC 27604.2260 (I-Aeution)
[phone] (phone), 919-733-6893 (fax), ffiri2-ffh2n encStatr.ne uv wetlandx)
Customer Service K: 1-577-623-6748

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 200600217 County: Moore U.S.G.S. Quad: Zion Grove
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Thomas and Judith George
Address: 200 Otmoor Lane
Cary, NC 27519
Telephone No.:
Property description:
Size (acres) 0.49 Nearest Town West End
Nearest Waterway Lake Auman River Basin Lower Pee Dee
i USGS HUC 03040203 Coordinates N 35.2517 W 79.6074
Location description Lot 3099 is located alon Simmons Drive off Teague Drive ad'acent to Lake Auman in the
Seven Lakes residential community, in West End, North Carolina
Indicate Which of the Followin Apply:
Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331).
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the U.S. on the above described property subject to the permit requirements of Section 404 of the
Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
X The waters of the U.S. on your property have been delineated and the delineation has been verified by the Corps. We
strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the
Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to
exceed five years.
The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described property which are subject to t}he
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
_ The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
? ou s ou con ac a rvrston o oasta anagement in r gton, , at ----- -
to etemtuie
their requirements.

Page 1 of 2
Action ID: )o0 (0 0 d al ?-
Placement of dredged or fill material withiRwaters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Jennifer Frye at 910-251-4923.
Basis For Determination: This property extends into a waterbody (Lake Auman) that exhibits an Ordinary High Water
Mark as indicated by changes in soil characteristics, lack of terrestrial vegetation, presence of shoreline, and is
tributary to an unnamed tributary to Jackson Creek, a tributary to Drowning Creek, which flows to the Lumber River
and the Pee Dee River. This determination is'based on a site visit by Jennifer Frye on 11/17/2005. Mr. Tim Tanner
(Tanner's Land Development & Works Inc) and Mr. Ken Averitte, (NC Division of Water Quality) also present..
Remarks: copy furnished:
Ken Averitte NCDFNR-DWQ Fayetteville Regional Office 225 Green St. Suite 714/Systel Bldg., Fayetteville, NC
28301
?z ter-rttrt ?c ors Land Development & Works, Inc , 379 Archie Road, West End, NC 27376
Corps Regulatory Official:
Date 11/27/2005 Expiration Date 11/27/2010
FOR OFFICE USE ONLY:
• A plat or sketch of the property and the wetland data form must be attached to the file copy of this form.
• A copy of the "Notification Of Administrative Appeal Options And Process And Request For Appeal" form must be
transmitted with the property owner/agent copy of this form
• If the property contains isolated wetlands/waters, please indicate in "Remarks" section and attach the
"Isolated Determination Information Sheet" to the file copy of this form.

Page 2 of 2
Mar-09-2006 01:39pra From- T-069 P.002 F-289
ON `NO North Carolina Department of Fnvtronmcnt and Natural Resources
Q G Aran W. Klimek PZ, Director
Division of Water Quality
r
j Colern K Sullins, Deputy Director
O Division of Water Qualiry
March 7, 2006
Moore County
DWQ # 06-0349
CERTIFIED MAIL _
Thomas & Judith George
200 Otmoor Lane
Cary, NC 27519 r
Subject! George Property: Lot 3099
Dear Mr44 .-George:-
On March 6, 2006 the Wetlands/401 Unit of the Division of Water Quality received your paperwork pertaining to
the property at Lake Auman/Jackson Creck. Your project has been place on hold for the following reasons:
1. DWQ requires 5 application sets; please submit four (3) more complete application copies
2. Include the appropriate fee
r 3. Indicate the Nationwide, Regional or General Permit number sought (Processing I. 2)
Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a
fee for all 401 applications. The fee for applications is $200 for projects impacting less than an acre of wetland
and less than 150 linear feet of streams. For projects impacting one or more acres of wetland or 150 or more feet
of streams, the fee is $475. In order for DWQ to begin review and process your request, you must send the
application sets and a cheek in the appropriate amount made payable to the N.C. Division of. Water Quality.
Please reference the DWQ # noted above on all future correspondence.
If you have any questions regarding this letter please do not hesitate to call Ian McMillan or me at (919)
733-1786.
V 11 A&A ? Sincerely, /
UtCLig-, ACyndi y
Karol
,-
It? 4 Wetlands/401 Unit
CBKJ d r 19,
F &OV5
cc: Tim Tanner, Tanner's Land Development & Works, Inc., 379 Archie Road, West End, NC 27376
File copy
COntral Files
060349 TGcorge (Moors) Permit type copie -fee
Zia,
NCU W
N. C. Division of Water Quality, 401 Wetlands Ceri6c2tion Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd.. Raleigh, NC 27604-2260 (Locution)
[phone] (phone), 919.733-6893 (fax),1IM2 lh2n enr ctate.nc.uym? wrttandR)
Customer Scrrice M: 1-877-623.6748

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 200600217 County: Moore U.S.G.S. Quad: Zion Grove
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Thomas and Judith George
Address: 200 Otmoor Lane
Cary, NC 27519
Telephone No.:
Property description:
Size (acres) 0.49 Nearest Town West End
Nearest Waterway Lake Auman River Basin Lower Pee Dee
USGS HUC 03040203 Coordinates N 35.2517 W 79.6074
Location description Lot 3099 is located along Simmons Drive off Teague Drive adjacent to Lake Auman in the
Seven Lakes residential community, in West End North Carolina
Indicate Which of the Followin Apply:
_ Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331).
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the U.S. on the above described property subject to the permit requirements of Section 404 of the
Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
X The waters of the U.S. on your property have been delineated and the delineation has been verified by the Corps. We
strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the
Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to
exceed five years.
_ The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described property which are subject to t}te
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
publisbed regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
_ The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
-( . ou sou con ac a rvision o oas anagement ui i gton, ,at to eterrrune
their requirements.

Page 1 of 2
Action ID: X00 (p d pal ?-
Placement of dredged or fill material within`waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Jennifer Frye at 910-2514923.
Basis For Determination: This property extends into a waterbody (Lake Auman) that exhibits an Ordinary High Water
Mark as indicated by chances in soil characteristics lack of terrestrial vet<etation, presence of shoreline, and is
tributary to an unnamed tributary to Jackson Creek a tributary to Drowning Creek which flows to the Lumber River
and the Pee Dee River. This determination fvbased on a site visit by Jennifer Frye on 11/17/2005. Mr. Tim Tanner
(Tanner's Land Development & Works, Inc.) and Mr. Ken Averitte, (NC Division of Water Quality) also present..
Remarks: copy furnished:
Ken Averitte NCDFNR-DWQ Fayetteville Regional Oftlee 225 Green St., Suite 714/Systel Bldg., Fayetteville, NC
28301
.? frt-rzitlt??r? rs Land Development & Works, Inc., 379 Archie Road, West End, NC 27376
Corps Regulatory Official:
Date 11/27/2005 Expiration Date 11/27/2010
FOR OFFICE USE ONLY:
• A plat or sketch of the property and the wetland data form must be attached to the file copy of this form.
• A copy of the "Notification Of Administrative Appeal Options And Process And Request For Appeal" form must be
transmitted with the property owner/agent copy of this form.
• If the property contains isolated wetlands/waters, please indicate in "Remarks" section and attach the
"Isolated Determination Information Sheet" to the file copy of this form.

Page 2 of 2
Mar-09-2006 01:39pra From- T-069 P.002 F-289
?O` `N0
G North Carolina ocpanment of Ennronmcnt and Natural Resources
Director
e
Klinsck
P
W
l
p
Uj
r ,
.,
.
m
.
A
Aivirionof Water Quality
Deputy Director
Sullins
Colcrn It
,
.
0 .C Division of Watcr Qualiry
March 7, 2006
Moore County
DWQ # 06-0349
CERTIFIED MAIL
Thomas & Judith George
200 Otmoor Lane
Cary, NC 27519
Subject, George Property: Lot 3099

Dear MrJMrs. George:-
On March 6, 2006 the Wetlands/401 Unit of the Division of Water Quality received your paperwork pertaining to
the property at Lake Auman/Jackson Creek. Your project has been place on hold for the following reasons:
1. DWQ requires 5 application sets; please submit four (3) more complete application copies
2. Include the appropriate fee
'r 3. Indicate the Nationwide, Regional or General Permit number sought (Processing I.2)
Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a
fee for all 401 applications. The fee for applications is 5200 for projects impacting less than an acre of wetland
and less than 150 linear feet of streams. For projects impacting one or more acres of wetland or 150 or more feet
of streams, the fee is $475. In order for DWQ to begin review and process your request, you must send the
application sets and a check in the appropriate amount made payable to the N.C. Division of Water Quality.
Please reference the DWQ # noted above on all future correspondence.
If you have any questions regarding this letter please do not hesitate to call Ian McMillan or me at (919)
733-1786.
Vewl AvgAlel- Sincerely,
lUtC? 41 CWetlands/401 Unit
NW-I`6 I'd " 9,Y) P e1c ,M?
FC ? &V5
cc: Tim Tanner, Tanner's Land Development & Works, Inc., 379 Archie Road, West End, NC 27376
File copy
Central Files
060349 TGeorge (Moors) Perrrril lype-copie>_fce
pv?
NCDE-K
N. C. Division of Water Quality, 401 Wedan& Certification Unit,
1650 Mail Service Center, IU6&h, NC 27699-1650 (Mailing Addnas)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Locution)
[phone] (phone), 919.733-6891 (fax), Q1pn•Nh2n rnr ttatt nc u!/n2wetiands)
Customer Service N: 1-877-623-6748

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 200600217 County: Moore U.S.G.S. Quad: Zion Grove
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Thomas and Judith George
Address: 200 Otmoor Lane
Cary, NC 27519
Telephone No.:
f Property description:
I Size (acres) 0.49 Nearest Town Nest End
Nearest Waterway Lake Auman River Basin Lower Pee Dee
USGS HUC 03040203 Coordinates N 35.2517 W 79.6074
Location description Lot 3099 is located alone Simmons Drive, off Teague Drive adiacent to Lake Auman in the
Seven Lakes residential community, to West End North Carolina
Indicate Which of the Followine A
Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331).
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the U.S. on the above described property subject to the permit requirements of Section 404 of the
Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
X The waters of the U.S. on your property have been delineated and the delineation has been verified by the Corps. We
strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the
Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to
exceed five years.
The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described property which are subject to t! ie
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
( . ou s ou con ac a rvtston o oasta anagement m t gton, , at - - --
their requirements. - to etemune

Page 1 of 2
Action ID: boo !0 0 o,;117-
Placement of dredged or fill material withiRwaters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Jennifer Frye at 910-251-4923.
Basis For Determination: This property extends into a waterbody (Lake Auman) that exhibits an Ordinary High Water
Mark as indicated by changes in soil characteristics, lack of terrestrial vegetation, presence of shoreline, and is
tributary to an unnamed tributary to Jackson Creek_ a tributary to Drowning Creek, which flows to the Lumber River
and the Pee Dee River. This determination is'based on a site visit by Jennifer Frye on 11/17/2005. Mr. Tim Tanner
(Tanner's Land Development & Works, Inc) and Mr. Ken Averitte, (NC Division of Water Quality) also present..
Remarks: copy furnished:
Ken Averitte NCDFNR-DWO Fayetteville Regional Offlee 225 Green St., Suite 714/Systel Bldg., Fayetteville, NC
28301
.-f??t?ci r?n?- rrs Land Development & Works Inc. 379 Archie Road West End, NC 27376
Corps Regulatory Official:
Date 11/27/2005 Expiration Date 11/27/2010
FOR OFFICE USE ONLY:
• A plat or sketch of the property and the wetland data form must be attached to the file copy of this form.
• A copy of the "Notification Of Administrative Appeal Options And Process And Request For Appeal" form must be
transmitted with the property owner/agent copy of this form
• If the property contains isolated wetlands/waters, please indicate in "Remarks" section and attach the
"Isolated Determination Information Sheet" to the file copy of this form.

Page 2 of 2
WgTF Michael F. Easley, Governor
Q 9
OCR OG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
`
Cq r Alan W. Klimek, P.E., Director
] Division of Water Quality
Colecn H. Sullins, Deputy Director
Division of Water Quality
March 7, 2006
Moore County
DWQ # 06-0349
CERTIFIED MAIL
Thomas & Judith George
200 Otmoor Lane
Cary, NC 27519
Subject: George Property: Lot 3099
Dear Mr./Mrs. George:
On March 6, 2006 the Wetlands/401 Unit of the Division of Water Quality received your paperwork pertaining to
the property at Lake Auman/Jackson Creek. Your project has been place on hold for the following reasons:
1. DWQ requires 5 application sets; please submit four (3) more complete application copies
2. Include the appropriate fee
3. Indicate the Nationwide, Regional or General Permit number sought (Processing I. 2)
Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a
fee for all 401 applications. The fee for applications is $200 for projects impacting less than an acre of wetland
and less than 150 linear feet of streams. For projects impacting one or more acres of wetland or 150 or more feet
of streams, the fee is $475. In order for DWQ to begin review and process your request, you must send the
application sets and a check in the appropriate amount made payable to the N.C. Division of Water Quality.
Please reference the DWQ # noted above on all future correspondence.
If you have any questions regarding this letter please do not hesitate to call Ian McMillan or me at (919)
733-1786.
Sincerely,
Cyndi Karoly
Wetlands/401 Unit
CBK/ jd
cc: Tim Tanner, Tanner's Land Development & Works, Inc., 379 Archie Road, West End, NC 27376
File copy
Central Files
060349 TGeorge (Moore)_Permit type_copies_fee
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), (httn://h2o.enr.state.nc.us/ncwetlands)
Customer Service #: 1-877-623-6748
MEEK
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 200600217 County: Moore U.S.G.S. Quad: Zion Grove
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Thomas and Judith George 2 0 0 6 0 3 4 9
Address: 200 Otmoor Lane
Cary, NC 27519 p ?a 1J
T[ 9 00
Lj
elephone No.:
Property description: MAR 6 2006
Size (acres) 0.49 Nearest Town Wec r c
Nearest Waterway Lake Auman River Basin V971 !m QUALITY
AA
USGS HUC 03040203 Coordinates N 35.2517 W 79W.6074EitiAtdCti
Location description Lot 3099 is located along Simmons Drive, off Teague Drive, adiacent to Lake Auman, in the
Seven Lakes residential community, in West End, North Carolina,
Indicate Which of the FollowinE Apply:
Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331).
There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the U.S. on the above described property subject to the permit requirements of Section 404 of the
Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
X The waters of the U.S. on your property have been delineated and the delineation has been verified by the Corps. We
strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the
Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to
exceed five years.
_ The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . Unless there is a change in the law or our published regulations,' this
determination may be relied upon for a period not to exceed five years from the date of this notification.
There are no waters of the U.S., to include wetlands, present on the above described property which are subject to t}te
permit requirements of Section 404 of the Clean Water Act (33 USC 1344), Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
-You should contact-ffieivision of Coastal Management in Wilmington, NC, at [phone] to detemilne
their requirements.
Page 1 of 2
Action ID: ?aa (o o n-;113-
Placement of dredged or fill material withiniwaters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Jennifer Frye at 910-251-4923.
Basis For Determination: This property extends into a waterbody (Lake Auman) that exhibits an Ordinary High Water
Mark as indicated by changes in soil characteristics lack of terrestrial vegetation presence of shoreline, and is
tributary to an unnamed tributary to Jackson Creek a tributary to Drowninn Creek which flows to the Lumber River
and the Pee Dee River. This determination is based on a site visit by Jennifer Frye on 11/17/2005. Mr. Tim Tanner
(Tanner's Land Development & Works Inc) and Mr. Ken Averitte, (NC Division of Water Quality) also present..
Remarks: copy furnished:
Ken Averitte NCDENR DWQ Fayetteville Regional Office, 225 Green St., Suite 714/Systel ME!, Fayetteville. NC
28301
.? ???t ??? ors Land Development & Works, Inc , 379 Archie Road, West End, NC 27376
Corps Regulatory Official:
Date 11/27/2005 Expiration Date 11/27/2010
FOR OFFICE USE ONLY:
• A plat or sketch of the property and the wetland data form must be attached to the file copy of this form.
• A copy of the "Notification Of Administrative Appeal Options And Process And Request For Appeal" form must be
transmitted with the property owner/agent copy of this form.
• If the property contains isolated wetlands/waters, please indicate in "Remarks" section and attach the
"Isolated Determination Information Sheet,' to the file copy of this form.

Page 2 of 2

P@190w12 P .
MAR 6 2006
DENR - WATER QUALITY
14'EWDS AND STORIMATER DR I CH ?
Pre-Construction Notification (PCN) Application Form
v
r
-i
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
%, tiAvw.saw.usace.armv.mil/wet]ands/Perm its. htm1.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at www.saw.usace.army.mil/wetlands/index.html, or contact one of the field offices
listed on page 3 of this application. The website also lists the 'responsible project manager for each
county in North Carolina and provides additional information regarding the identification and regulation
of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has. been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://l12o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for General Certifications is not required, provided
that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-fi"c
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listedy county on page 4 of this application) prior to submittal of the application.

r,F WArF?
Updated 11/1/2005
Page 1 of 12
Coastal Area Management Act (LAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of
Coastal Management (DCM). DCM will determine whether or not the project is within a desiy-mated
Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such
cases, DCM will require a CAMA Permit and will coordinate the 404/401 Permits.
The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure
that the proposed project will have no impact upon any endangered or threatened species or critical
habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office. North
Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon
any properties listed or eligible for listing on the National Register of Historic Places. Compliance ?? ith
these regulations is required to be eligible for any Department of the Army permit. The addresses for
both agencies are listed on page 3 of this application.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms.
photos, etc. to the applicable USACE Regulatory Field Office. Upon receipt of an application, the
USACE will determine if the application is complete as soon as possible, not to exceed 30 davs. phis
PCN form is designed for the convenience of the applicant to address information needs for all USACE
Nationwide, Regional or General permits, as well as information required for State authorizations,
certifications, and coordination. Fully providing the information requested on this form will result in a
complete application for any of the USACE Nationwide, Regional or General permits. To review the
minimum amount of information that must be provided for a complete PCN for each USACE
Nationwide permit, see Condition 13, 67 Fed. Reg. 2090 (Jan. 15, 2002), available at
littp://%?,,N??v.us,ice.amiy.mil/inet/functions/cw/cecwo/rett/2002nwps.pdf. Processing times vary h\
permit and begin once the application has been determined to be complete. Please contact the
appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless other, Ise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all l_ S.?CE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center.
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of 5200 is required. If either of these thresholds is exceeded, then a fee of S4 7 5 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetlaiids/fees.htni1. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or depial.
t_'vdatcd i i'i?2no5
Page 2 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania
151 Patton Avenue Ashe Cherokee Iredell Mitchell Union
Room 208 Avery Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Ncuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan Nati onal Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
?,Fax:[phone]
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Telephone: [phone]
Fax: [phone]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]

State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
Updated 11/1/2005
Page 3 of 12
gAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
400 Commerce Avenue Bertie Craven Hyde Pender
Morehead City, NC 28557-3421 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kemersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE S. PLEASE DO NOT SUBMIT PAGES 1 - 4.
Updated 11/112005
Page 4 of 12
2 0 0 6 0 3 4 0 22@20WROO
AAAD n
Office Use Only:
Form Version 'March u?
ET1 A1?D5AND TER Q ?lTY
USACE Action ID No. DWQ No. KWCH
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit ? Riparian or Watershed Buffer Rules
ection 10 Permit ? Isolated Wetland Permit from DWQ
[401 1 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:
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 V111,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on pale
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
Owner/A cant Information I
Name: ' ) hOYn q5 +-IAJA f- e01^ge-
Mailing Address: 2 0o O Moor 1. ri h
CarX, 9
11
Telephone Number: - 98-3) - Fax Number:
E-mail Address: 7 E D Y'c 6 6 C) W A CO)?Y .
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the ent has signatory authority for the owner/applicant.)
Name: .11 1 h Glr
Company Affiliation: -Juxncr's LC1h ve yrt?4 i- W t1 ?nL
Mailing Address: 7 fircJ7
?
LO P_ 6W) 37
Telephone Number: 910- 62.3-j 3g U Fax Number: 2)0473-
E-mail Address:
Updated 11/1/2005
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 forniat;
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.
Name of project: 110)), a5 1 ::?Ud J,T ? &e0f q e
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): ? 04,-t? 3099
4. Location nit
County: I? ocre- Nearest Town: _ 74 ?Yt /? G
Subdivision name (include phase/lot number): SeVeh ?, 4001le-s-1
erections to to (include road nT0,-!!5;4Vr brs/games, la dmarks, etc.): a W Y. 21 'atr
Jh:om s m . /( 1is?&ah 014v.al? a Seveh ?.a es.__J? ke. 1eE
at J) h-r j, 6 to 5-lo 0/' h . 'la 'J- - S St' --a)< ) 4J e), lea e
-fu r>, )4g?fio SIm»,o r v a J# 3og4 )s o?\ 1~ . 5/ C..
i. 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): ?-:% 0 -P Q e r
7. Name of nearest receiving body of water:- I !t e A Q Yn R h
River Basin:?YO YYl R ?kSo h Creek ? ee Pee eit vc Y
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/naps/.)
Describe the existing conditions on
at the tirAe of this appliczi4on:
1?5 e o r Si n d e -a>r„ y
oral land use n $he vicinity of the project
h a sct?dtU115k),

Updated 111112005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
q
11. Explain the purpose If the propose wprk: o COgT -O / _ tNa?er erosiOh Y-
Sep- back arelis 4r house t be u,l -4- Se is svs M area-,
n
IN". 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 ?? ith
construction schedules.
N'. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated %?ork.
and providejustification 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 he
listed separately in the tables below (e.g., culvert installation should be listed separatel% 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.
I . Provi e a written description of the proposed impacts: WD ?pO?eJ / M CUC?s
*0 ware -;

l hdwcd 1 11112005
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,
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
loo-year
F(yes/no)
(yes/no) Distance to
Nearest
Stream
linear feet Area of
Impact j
(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 ma
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres

i
Total Stream Impact (by length and acreage)
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)
a e )}uma 3 cK. ,la y?os ,
i

Total Open Water Impact (acres)

Updated 11/1/2005
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres):
Wetland Impact (acres):
Open Water Impact acres):
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
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
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.
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.nc.us/ncwetlands/strmpide.htm 1.
Provide a brief description of the proposed mitigation plan. The description should pro% ide
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/wm/index.htni. 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 11/1/2005
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/st to/local) funds or the use of
public (federaUstate) land? Yes ? No
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 surb 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
213 .0250 (Randleman Rules and Water Supply Buffer, Requirements), or other (please
identify )? Yes ? No 5
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 I Multiplier Required
(square feet) Mitigation
I 1 13 (2 for Catawba)
2 1.5
Total I I I
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 appropriate information as identified
within 15A NCAC 213.0242 or.0244, or.0260.

Updated 11/1/2005
Page 11 of 12
\1. 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. /Y/,e-YL
\II. 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 facilifv.
\III. Violations (required by DWQ)
Is this site in violation of DW Wetland Rules (15A NCAC 2H .0500) or any Buffer Rulc'
Yes ? No
Is this an after-the-fact permit application? Yes ? No 0?
\IV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additions,
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance ?? ith
the most recent North Carolina Division of Water Quality policy posted on our wcbsite at
httn://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description
\V. Other Circumstances (Optional):
I /
It is the applicant's responsibility to submit the application sufficiently in advance of dcs:rec
construction dates to allow processing time for these permits. However, an applicant ma:.
choose to list constraints associated with construction or sequencing that may impose limit- Or
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangercd
Tlire toned pecies, acce ibility pro?letrr??s, or other 's ues outside of t e apphcant'?Sgnyl ).
tau) ?e?r w11? ad rom eX)S7J`hr ?u) 0J, eac? S/ E. ot- 107
,-5z? - o
Applicant/Agent's Sign:&f(ire Date v
(Agent's signat isalid only if an authorization letter from the applicant is prop ided j
t rdalci 1 11/2005
Pagc 12 of 12
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TR ®r
U.S. ARMY CORPS OF ENGINEERS
J .
WILMINGTON DISTRICT
Action Id. 200600217 County: Moore U.S.G.S. Quad: Zion Grove
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Thomas and Judith George
Address: 200 Otmoor Lane
Cary, NC 27519 n aN]? p
Telephone No.: lji1t! V
MAR 6 2006
Property description:
Size (acres) 0.49 Nearest Town West EudNM -14ATER QUALITY
Nearest Waterway Lake Auman River Basin Loy o 1Yf %ST0P-'MATER6RA XIJ
USGS RUC 03040203 Coordinates N 35.2517 W 79.6074
Location description Lot 3099 is located alone Simmons Drive, off Teague Drive, adjacent to Lake Auman, in the
Seven Lakes residential community, in West End, North Carolina,
Indicate Which of the FollowinE Apply:
_ Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331).
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
There are waters of the U.S. on the above described property subject to the permit requirements of Section 404 of the
Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
X The waters of the U.S. on your property have been delineated and the delineation has been verified by the Corps. We
strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the
Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to
exceed five years.
_ The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . Unless there is a change in the law or our published regulations, this
detcrmi=ion may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described property which are subject to t}ie
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of th;s
notification.
The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
- --- C - ou s ou d contact a ivisron o Coastal - Management in Wilmington, , at to detei-nine
their requirements.

Page 1 of 2
Action ID: ,,lo0 (o a oal ;'
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Jennifer Frye at 910-251-4923.
Basis For Determination: This property extends into a waterbody (Lake Auman) that exhibits an Ordinary High Water
Mark as indicated by changes in soil characteristics, lack of terrestrial vegetation, presence of shoreline, and is
tributary to an unnamed tributary to Jackson Creek, a tributary to Drowning Creek which flows to the Lumber River
and the Pee Dee River. This determination is'based on a site visit by Jennifer Frye on 11/17/2005. Mr. Tim Tanner
(Tanner's Land Development & Works Inc) and Mr. Ken Averitte, (NC Division of Water Quality) also present..
Remarks: copy furnished:
Ken Averittc NCDFNR-DWQ Fayetteville Regional Office 225 Green St. Suite 714/Systel Bldg., Fayetteville, NC
28301
r+w?l+ ++•+ ors Land Development & Works Inc 379 Archie Road West F.nd NC 27376
Corps Regulatory Official:
Date 11/27/2005 Expiration Date 11/27/2010
FOR OFFICE USE ONLY:
• A plat or sketch of the property and the wetland data form must be attached to the file copy of this form.
• A copy of the "Notification Of Administrative Appeal Options And Process And Request For Appeal" form must be
transmitted with the property owner/agent copy of this form.
• If the property contains isolated wetlands/waters, please indicate in "Remarks" section and attach the
"Isolated Determination Information Sheet" to the file copy of this form.

Page 2 of 2
t, .
1LR@L9flV@09
MAR 6 2005
liCI1o?DSAND Altft{l. r: t
"01141NNAIER B244Cr1
?C
0
Pre-Construction Notification (PCN) Application Form
i
r
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Qualitv's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
w,%tw.saw.usace.army.mi]/wet]ands/Permits.htm 1.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide.
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at www.saw.usace.army.mil/wetlands/index.him1, or contact one of the field offices
listed on page 3 of this application. The website also lists the 'responsible project manager for eacli
county in North Carolina and provides additional information regarding the identification and regulation
of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has. been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwet]ands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for General Certifications is not required, provided
that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
r,F W A rF?
Updated 11/1/2005
Page 1 of 12
Coastal Area Management Act (CAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of'
Coastal Management (DCM). DCM will determine whether or not the project is within a designated
Area of Environmental Concern, in which case DCM will act as the lead pennitting agency. In such
cases, DCM will require a CAMA Permit and will coordinate the 404/401 Pennits.
The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure
that the proposed project will have no impact upon any endangered or threatened species or critical
habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office. North
Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon
any properties listed or eligible for listing on the National Register of Historic Places. Compliance with
these regulations is required to be eligible for any Department of the Army permit. The addresses for
both agencies are listed on page 3 of this application.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms.
photos, etc. to the applicable USACE Regulatory Field Office. Upon receipt of an application. the
USACE will determine if the application is complete as soon as possible, not to exceed 30 days. Till's
PCN form is designed for the convenience of the applicant to address information needs for all USACE
Nationwide, Regional or General permits, as well as information required for State authorizations,
certifications, and coordination. Fully providing the information requested on this form will result in a
complete application for any of the USACE Nationwide, Regional or General pen-nits. To review the
minimum amount of information that must be provided for a complete PCN for each USACE
Nationwide permit, see Condition 13, 67 Fed. Reg. 2090 (Jan. 15, 2002), available at
littp://,,,?1ti?v.tisace.army.miI/inet/functions/cw/cecwo/rest/2002nwps.pdf. Processing times varv h%
penult and begin once the application has been determined to be complete. Please contact tho•
appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USAC1:
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center.
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of 5200 is required. If either of these thresholds is exceeded, then a fee of' 5475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of-
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetlands/fees.litm1. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or deial.
l!pdated 11!1!2005
Page 2 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg
151 Patton Avenue Ashe Cherokee Iredell Mitchell
Room 208 Avery Clay Jackson Polk
Asheville, NC 28801-5006 Bi ncombe Cleveland Lincoln Rowan
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Swain
Transylvania
Union
Watauga
Yancey
*Croatan National Forest Only
North Carolina State Agencies
Division of Water Quality ` Division of Water Quality State Historic Preservation Off ice
401 Wetlands Unit Ecosystem Enhancement Program Department Of Cultural Resources
1650 Mail Service Center 1652 Mail Service Center 4617 Mail Service Center
Raleigh, NC 27699-1650 Raleigh, NC 27699-1652 Raleigh, NC 27699-4617
Telephone: [phone] Telephone: [phone] Telephone: [phone]
fax: [phone] Fax: [phone] Fax: [phone]
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
Updated 11/1/2105
h and Wildlife Service / National N:
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]

Page 3 of 12
arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
gAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
400 Commerce Avenue Bertie Craven Hyde Pender
Morehead City, NC 28557-3421 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator
3855 Idlewild Road
Kernersville, NC 27284-9180
Telephone: [phone]
Mountain Region Coordinator
20830 Great Smoky Mtn. Expressway
Waynesville, NC 28786
Telephone: [phone]
Fax: [phone]
Alleghany Caldwell
Ashe Mitchell
Avery Stokes
Burke Surry
Buncombe Henderson
Cherokee Jackson
Clay Macon
Graham Madison
Haywood McDowell
Watauga
Wilkes
Polk
Rutherford
Swain
Transylvania
Yancey
APPLICATION FORM BEGINS ON PAGE S. PLEASE DO NOT SUBMIT PAGES 1 - 4.
Updated 11/1/2005
Page 4 of 12
all
MAR g 2006
TER QANCRPJtCH
DEN Office Use Only: V'IEN+t N1pForm Version y1arch ii5
USACE Action ID No.
DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
0 Section 404 Permit El Riparian or Watershed Buffer Rules
ection 10 Permit ? Isolated Wetland Permit from DWQ
[401 1 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:
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 V111,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on pa_uc
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: ?
11. Applicant Information
1. Owner/A cant Information 1
Name: ' ) horn a5 +- udA §eor e
Mailing Address: a00 Yrtoor Q>7
QCa-X , M-C x. 7_' 19
Telephone Number:-,/- / -3 - Fax Number:
E-mail Address:_ '? G 161 D )E 6 1?5 W CJ c GO " CO h, .
Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the ent has signatory authority for the owner/applicant.)
Name: tJ,m )ahhe-_j-
Company Affiliation: Jahncr's J-ahd '1ekvc o yri r t d- e"t ''nc-
Mailing Address: 'l firc,4 1'e_
UJES4" OW) . M, e. --a- 17 -R 7 /5
Telephone Number: 910- 62.3.1 .R5 2 Fax Number: )d - Z73- /.'517
E-mail Address:

Updated 11/1/2005
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings.
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
`'1 i o? as 1. -? It Geo g
1. Name of project: ?Ud) e
2. T.I.P. Project Number or State Project Number (NCDOT Only): 4
3. Property Identification Number (Tax PIN): ?04,-.- 3 0 ) / /
4. Location (-
County: Moore- / More- Nearest Town: 5T ?Yt ?• C
,4e
Subdivision name (include phase/lot number): SeVeln
S
erections to s tc m ludo load nu bers/ ames, la dmarks, etc.): a W . al 'ctg
om
we? ZI o h ?I 11 u Seveh Ckc 1e?
Cl V- Q o S o S i a ?- s s?' a e ?, lea e 1.
?'ur? r1gS??-o Sim»t0 r• a ?#' 30g4 1s o), c-
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 ow
6. Property size (acres): / 0f Q ere
7. Name of nearest receiving body of water: ? o ke AU m Q),
8. River Basin:- 60M : ?,-P C 5ok Creek 7"p cc Pee e),VCY
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at htti)://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on th( s e and neral land use n he vicinity of the project
at the tir ?e of this applie ion: oOA O SttVJ 1IV 1,5)b
y _?e ior s'?ngJe ?a»,? yy wel »TaS.

Updated 11/1/2005
Page 6 of 12
10. Describe the overall Rro* ct in detail, i?}eluding the type of equipment to be used: /
allb?.W&J f rc e,xisfi' LJa)"Ctu?.S oh eac}, s1'de of icy. well use 4Yul
eva'), 'Yre4 oh)Y, Su cu hammers , PumP 4 a ai'n saw.
11. Explain the purpose If the proposeq wprk: -)0 C h ?o%
5ef A ck areo o r house -N te u 1 -4- Se
Ter erosiO,, Y- Jna,h7u??,
Jc sys m area"

IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for tills
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits.
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project.
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work.
and providejustification 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 scparatcl\ from
nprap 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. I
1. Provi e a written description of the proposed impacts: WD e)-(XOSeJ / m ,pact--
->f'o WCUFFlM'

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,
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)

I
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 ma
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact.
acres) I

i
Total Stream Impact (by length and acreage)
S? 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)
a e »ra 3 Ca• ,la ? ?vos ,

I
Total Open Water Impact (acres)

Updated 11/1/2005
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting; from the project:
Stream Imp act (aces):
Wetland Impact (acres):
Open Water Impact acres):
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
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
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.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be
Division of Water Quality for projects involving greater than or equal to
freshwater wetlands or greater than or equal to 150 linear feet of total
streams.

Updated 11/1/2005
required by the NC
one acre of impacts to
impacts to perennial
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Natiomvide
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/strmPide.htm1.
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.
V 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 forth. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wm/index.htni. 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/l/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 (federaUstate) land? Yes ? No 0
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 surly 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 213 .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffept Requirements), or other (please
identify V Yes ? No ff
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 I Multiplier I Required
l (square feet) Mitication
l
I 1 I 13 (2 for Catawba)
2 1.5
Total I I I
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 appropriate information as identified
within 15A NCAC 213 .0242 or.0244, or.0260.

Updated 11/1/2005
Page 11 of 12
XI. Stornnvater (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. Mxk_f,
XIL Selvage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XIII. Violations (required by DWQ)
Is this site in violation of DW Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No [)
Is this an after-the-fact permit application? Yes ? No [V]im,
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in aV
onal
development, which could impact nearby downstream water quality? Yes ? No 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:
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
Thre tened pecies, acce ibility prof le s, or other 's$ues''outside of t e app?l'cant' gqntrrol).
?u)??e? w1 S? tctd ?rom ex?SRi hc? bul??cls s?? e 107',

Applicant/Agent's SigZature Date
(Agent's signature isalid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005
Page 12 of 12
.F
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0 Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
0 Print your name and address on the reverse
so that we can return the card to you.
0 Attach this card to the back of the mailpleco,
or on the front if space permits.
1. Article Addressed to:
Thomas&Judith George
200 Otmoor Lane
Cary,NC 27519
DWQ# 06-0349-Moore
2. Article Number
(Transfer from servlco Uoq
PS Form 3811, February 2004
A 4 :w.-..- ---- . - .iil.7+ 1,ri:7??1iT?c1:
11 A. Sian.i:urq -
X l 1 ? Agent
1 ? Addressee
4. Received by (Printed Name) ]7CDIco of Delivery
D. Is delivery address different from item 17 ? Yes
If YES, enter delivery address below: ? No
1
i
3. Service Typo
,"Certifiod Mail ? Express Mail
? Registered Return Receipt for Merchandise
? Insured Mali ? C.O.D.
14. Restricted Delivery? (Extra Fee) ? Yes
7005 1160 0000 9954 5804
Domestic Return Receipt
UNITED STATES POSTAL SERVICE First-Class Mail
Postage & Fees Paid
USE'S` .
1R PeV;j No. G-10
• Sender: Please print your name, address, and ZIP±4-in'thip?bOx •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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