20060366 Ver 1_COMPLETE FILE_20060303

O?QF W ATFRQ Michael F. Easley, Governor 61 William G. Ross Jr., Secretary
r- North Carolina Department of Environment and Natural Resources
>_ y
Q Alan W. Klimek, P.E. Director
Division of Water Quality
May 8, 2006
DWQ Project # 06-0366
Nash County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Mr. Marty Pittman
389 Instrument Drive
Rocky Mount, NC 27804
Subject Property: Indian Branch Sewer Extension
. Indian Branch(Compass Creek) [030302,28-72, C, NSW]
NOTICE OF WITHDRAWAL
Dear Mr. Pittman:
On March 3, 2006, the Division of Water Quality (DWQ) received your application,
submitted as a courtesy copy dated February 26, 2006 with additional information received
April 25, 2006, to impact 2,730 square feet of Zone 1 of the protected riparian buffers and
1,942 square feet of Zone 2 of the protected riparian buffers to construct the project you
describe in your application. The impacts you have proposed require written concurrence
from the DWQ. Your project is not exempt from the Tar-Pamlico Buffer Rules because the
sewer line was not in place -prior to January 1, 2000. Therefore, your permit application is
hereby considered withdrawn. Once you have redesigned your project to address the
problems and inadequacies with your application as it was submitted, you will need to
reapply for DWQ approval. This includes submitting three copies of a complete application
package.
Please be aware that you have no authorization under 15A NCAC 213.0259 of the Tar-
Pamlico Buffer Rules for this activity and any work done within the buffers prior to receiving
an authorization from DWQ, would be a violation of North Carolina General Statutes and
Administrative Code. Please call Amy Chapman at 919-715-6823 if you have any questions
or concerns.
Sincerely,
Cyn?diKaroly, Supervisor
401 Oversight/Express Review Permitting Unit
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
tai olina
f1 !y
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

w
Marty Pittman.
Page 2 of 2
May 8, 2006
cc: Mike Horan, DWQ Raleigh Regional Office
USACE Raleigh Regulatory Field Office
File Copy
Central Files
Jay Keller, Skelly & Loy, LLP, 6404 Falls of the Neuse Road, Raleigh, NC 27615
Filename: 0603661ndianBranchSewer(Nash) W ithdrawal
Skelly and Loy, LLP
6404 Falls of the Neuse Road
Suite 103
Raleigh, NC 27615
E-mail: [e-mail]
Internet: www.skellyloy.com
IQ&t
SKELLYAND LOY
ENGINEERING ENVIRONMENTAL
CONSULTANTS
Cyndi Karoly
NC Division of Water Quality
401 Wetlands WQ Certification Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Re: Indian Branch Sewer Extension
DWQ Project # 06-0366 Nash County
Rocky Mount, North Carolina
Dear Ms. Karoly:
Phone: [phone]
I< Fax: [phone]
April 12, 2006 04'03?
p M@ Rr
APR 2 5 2006
DENR - VAATER QUALITY
WETLANDS 44D STCR?X"" T cR GA?C i
We are submitting the additional information requested from written
correspondence on March 10, 2006. We are submitting the following Pre-
Construction Notification (PCN) for the Indian Branch Sewer Extension in Rocky
Mount, NC. We are requesting for NC Division of Water Quality (NCDWQ) written
approval under Tar-Pamlico River Buffer Rules 15A NCAC 02B .0261 Tar-Pamlico
River Basin: Nutrient Sensitive Waters Management Strategy: Protection and
Maintenance of Existing Riparian Buffers. We have addressed your included written
comments in the following paragraphs.
1. Buffer Authorization
You have proposed to impact 2,730 square feet (ft) of Zone 1 and
1,942 square feet (ft) of Zone 2 of the protected riparian buffer system
without first obtaining the proper authorization from the Division of
Water Quality for those impacts. In your application dated, February
26, 2006, you stated that, "we are requesting an exemption from the
Tar-Pamlico River Buffer Rules since this proposed sewer line was
authorized in 1985". Buffer authorizations are only good for five (5)
years. In addition, since this sewer line was not in place prior to the
Tar-Pamlico Buffer Rules, the sewer line does not qualify as an
exemption from the buffer rules as an existing use. Therefore, you
must obtain the proper approvals from DWQ prior to commencement
of any work in the buffers as described in your application.
Office Locations: Harrisburg, PA Pittsburgh, PA Morgantown, WV State College, PA Hagerstown, MD
Affiliated Company: AMS of Skelly and Loy, Harrisburg, PA
r

DWQ Tar R. Buffer Rules Re-Submittal
Indian Branch Sewer Extension
April 12, 2006
Page 2 of 3
2. Impact Justification (Avoidance and Minimization)
Under Section VII of your application you did not provide adequate
"justification" for the impacts as requested within this section. Please
provide a detailed justification as to why the sewer line can- not be
moved or reconfigured to reduce impacts to the buffers. If the sewer
line can be moved, resubmit your plan sheets showing the new location
of the sewer line and updated impacts to the buffers.
We have attached two sets of plans and a 2004 Nash County Aerial for your
viewing. (Color) Attachment I illustrates the easements acquired during the initial
planning stages in 1985. Also attached are two overlapping 11" x 17" sheets
depicting the proposed sewer layout. As illustrated in Attachment II, we were able
to renegotiate a new sewer corridor with the landowner west of Fenner Road. This
new segment still provides the desired gravity system along with an environmentally
friendly placement area.
Regarding the area of concern on the east side of Fenner Road, we are
requesting for placement of the sewer line in the proposed location. As noted in
several locations in Attachment II, the contractor will adhere to strict environmental
stewardship and leave the site in equal or better than existing conditions. They will
also take photographs for comparison purposes. Existing constraints include an
existing sanitary sewer manhole that is the key connection point for this entire
project, gravity-driven sewer permit, private property, and topography. Moreover,
the riparian area has been previously impacted with an existing six-foot high wood
panel fence and the adjacent lawn is being maintained; both of which are exempt
due to present and ongoing factors.
The requested information on the previous pages and attached
documentation listed below should provide the necessary information required to
secure written concurrence for impacts to Tar-Pamlico River Buffers for the
aforementioned impacts and on the previously submitted PCN Application. If you
should have questions or require additional clarification during the review please feel
free to contact me immediately at [phone] (office), [phone] (cell), or
email: [e-mail].
Sincerely,
Skelly and Loy
Jay Keller
Wetland Ecologist
J '

DWQ Tar R. Buffer Rules Re-Submittal
Indian Branch Sewer Extension
April 12, 2006
Page 3 of 3
Cc: Nils Joyner, PLS
/)Jichae/ Yer,.A 'V W4?
Attachments:
Attachment 1 1985 Proposed Sewer Corridor & Easement
Attachment II Sanitary Sewer Site Plan: Two 11" x 17" overlapping sheets
Attachment 111 2004 Nash County GIS Aerial
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AowWilliam Michael F. Easley, Governor
G. Ross Jr., Secretary
r- North Carolina Department of Environment and Natural Resources
p Alan W. Klimek, P.E. Director
Division of Water Quality
March 10, 2006
DWQ Project # 06-0366
Nash County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Mr. Marty Pittman
389 Instrument Drive
Rocky Mount, NC 27804
Subject Property: Indian Branch Sewer Extension
Rocky Mount, NC
REQUEST FOR MORE INFORMATION
Dear Mr. Pittman:
On March 3, 2006, the Division of Water Quality (DWQ) received your application dated February 26,
2006, to impact 2,730 square feet (ft) of Zone 1 and 1,942 square feet (ft) of Zone 2 of the protected
riparian buffers for the purpose of constructing a sewer line. The DWQ has determined that your
application was incomplete and/or provided inaccurate information as discussed, below. The DWQ will
require additional information in order to process your application to impact protected wetlands and/or
streams on the subject property. Therefore, unless we receive the additional information requested below,
we will have to move toward denial of your application as required by 15A NCAC 211.0506 and will
place this project on hold as incomplete until we receive this additional information. Please provide the
following information so that we may continue to review your project.
Additional Information Requested:
1. Buffer Authorization
You have proposed to impact 2,730 square feet (ft) of Zone 1 and 1,942 square feet (ft) of Zone 2
of the protected riparian buffer system without first obtaining the proper authorization from the
Division of Water Quality for those impacts. In your application dated, February 26, 2006, you
stated that, "we are requesting an exemption from the Tar-Pamlico River Buffer Rules since this
proposed sewer line was authorized in 1985". Buffer authorizations are only good for five (5) years.
In addition, since this sewer line was not in place prior to the Tar-Pamlico Buffer Rules, the sewer
line does not qualify as an exemption from the buffer rules as an existing use. Therefore, you must
obtain the proper approvals from DWQ prior to commencement of any work in the buffers as
described in your application.
2. Impact Justification (Avoidance and Minimization)
Under Section VII of your application you did not provide adequate "justification" for the impacts
One
N Carolina
Naturally
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://www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer - 500% Recycled/101% Post Consumer Paper
77_7'? Marty Pittman
Page 2 of 2
March 10, 2006
as requested within this section. Please provide a detailed justification as to why the sewer line can-
not be moved or reconfigured to reduce impacts to the buffers. If the sewer line can be moved,
resubmit your plan sheets showing the new location of the sewer line and updated impacts to the
buffers.
Please respond within three weeks of the date of this letter by sending this information to me in writing
and Mike Horan of the DWQ Raleigh Regional Office. If we do not hear from you within three weeks,
we will assume that you no longer want to pursue this project and we will consider the project as
withdrawn.
This letter only addresses the application review and does not authorize any impacts to wetlands, waters
or protected buffers. Please be aware that any impacts requested within your application are not
authorized (at this time) by the DWQ. Please call Ms. Cyndi Karoly or Mr. John Dorney at 919-733-1786
if you have any questions regarding or would like to set up a meeting to discuss this matter.
Sincerely,
C PKaroly, upervisor
401 Oversight/Express Review Permits Unit
CBK/asc
cc: Mike Horan, DWQ Raleigh Regional Office
Jay Keller; Skelly and Loy, LP; 6404 Falls of Neuse Road, Suite 103; Raleigh, NC 27615
File Copy
Central Files
Filename: 060366IndianBranchSewer(Nash)On_Hold
No`i Carolina
?tura!!y
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://www.ncwaterquality.org
An Equal Opportunity/Affirmative Acton Employer -50% Recycled/10% Post Consumer Paper
DWQ 06-0366 Indian Branch Sewer Extension
Y
Subject: DWQ 06-0366 Indian Branch Sewer Extension
From: Laurie Dennison <[e-mail]>
Date: Fri, 10 Mar 2006 15:23:29 -0500
To: [e-mail], "Keller, Jay" <[e-mail]>
Please see attached the Division of Water Quality's request for more information
related to your recent application. Please note that this message is being forwarded
to you electronically so that you may expedite preparation of your response. Please
do not send your response as a reply to this e-mail or via fax. The hard copy is
being sent via US Mail. All response correspondence is to be mailed via hard copy to
the 401 Oversight and Express Permits Unit, 2321 Crabtree Blvd., Raleigh, NC, 27604
unless otherwise noted.
Content-Type: application/msword
060366IndianBranchSewer(Nash)On_Hold.doc i
Content-Encoding: base64
1 of 1 3/10/2006 3:24 PM
DwQ# 206 - 03(4
Plan Detail Incomplete
Date D "`
Who Reviewed: c^'`?/ l t,
? Please provide a location map for the project.
? Please show all stream impacts including all fill slopes, dissipaters, and bank stabilizaToo
the ? Please show all wetland impacts including fill slopes on the site plan.
L? o V
F1 Please indicate all buffer impacts on the site plan. ?Q c
? Ib Za
E] Please indicate proposed lot layout as overlays on the site plan.
? Please indicate the location of the protected buffers as overlays on the site plan.
? Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan. \
? Please provide cross section details showing the provisions for aquatic life passage.
? Please locate any planned sewer lines on the site plan.
? Please provide the location of any proposed stormwater management practices as required by GC
? Please provide detail for the stormwater management practices as required by GC
? Please specify the percent of project imperviousness area based on the estimated built-out conditions.
? Please indicate all stormwater outfalls on the site plan.
? Please indicate the diffuse flow provision measures on the site plan.
? Please indicate whether or not the proposed impacts already been conducted.
Avoidance and/or Minimization Not Provided
? The labeled as on the plans does not appear to be necessary. Please eliminate the or provide additional
information as to why it is necessary for this project.
? This Office believes that the labeled on the plans as can be moved or reconfigured to avoid the impacts to the
. Please revise the plans to avoid the impacts.
? This Office believes that the labeled on the plans as can be moved or reconfigured to minimize the impacts to the
. Please revise the plans to minimize the impacts.
? The stormwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because
. Please revise the plans and provide calculations to show that diffuse flow will be achieved through the entire buffer. If it
is not possible to achieve diffuse flow through the entire buffer then it may be necessary to provide stormwater management
practices that remove nutrients before the stormwater can be discharged through the buffer.
Other
? The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland impacts were requested. Please
provide $ This additional fee must be received before your application can be reviewed.
? Please complete Section(s) on the application.
? Please provide a signed copy of the application.
? Please provide copies of the application, copies of the site plans and other supporting information.
? Please submit electronic CAD files showing via email to [e-mail] and CD.
Mitigation
? of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The
plan must conform to the requirements in 15 A NCAC 2H.0500 and must be appropriate to the type of impacts proposed.
? Please indicate which 404 Permit the USACE would use to authorize this project.
1@@Ru "
MA"
ZUO6
ra re a IVA
?Sroir CRAX6
To: US Army Corps of Engineers
Raleigh Regulatory Office
Attn: Staff
6508 Falls of the Neuse Road
Suite 120
Raleigh, North Carolina 27615
From: Jay Keller
Skelly and Loy, LLP
6404 Falls of the Neuse Road
Suite 103
Raleigh, North Carolina 27615
Re: INDIAN BRANCH SEWER EXTENSION
Nash County, North Carolina
1 0 0 00 3 6 6
March 1, 2006
NC Division of Water Quality
401 Oversight and Express Permits Unit
Attn: Staff
2321 Crabtree Boulevard
Suite 250
Raleigh, North Carolina 27604-2260
On behalf of the applicants, Bishop Properties, please find attached a complete application and
supplemental information requesting written concurrence from the North Carolina Division of Water Quality
(NCDWQ) that the activities proposed below may precede utilizing General Certificate 3374. Additionally, we are
requesting an exemption from the Tar-Pamlico River Buffer Rules since this proposed sewer line was authorized
in 1985. Please contact me at [phone] or [e-mail] if you have any questions or require any
additional information.
PROJECT SUMMARY
Project Name INDIAN BRANCH SEWER EXTENSION
Project Type SEWER LINE EXTENSION
Owner / Applicant Mr. Marty Pittman
Count Nash
Nearest Town Rock Mount
Waterbod Name Indian Branch
Basin / Sub-basin 03-03-02
Index Number
Class NSW
IMPACT SUMMARY
Stream Impact feet 0
Wetland Impact acres 0
Riparian Buffer Impacts acres 0.11 acre
Total Impact to Waters of the U.S. acres 0
Total Stream Impact linear feet 0

Please contact me at [phone] if you have any questions or require any additional information.
Sincerely,
SKELLY AND LW, LLP
.Ja` y Keller
Wetland Ecologist,
Attachments (5 copies):
Pre-Construction Notification (PCN) Application Form and Addendum QL
Agent Authorization C 4`P45 ltb 4o _
USGS Vicinity Map (? C q
Nash County GIS Aerial
Detailed Impact Map
March 28, 1985 Recorded Easement Map

k1_4@190WP=9
MAR' a Zoos
Office Use Only: DENR - WATER QUALITY Form Version March 05
WETLVO AND sTMAWATER "'Mcy 0 0 6 0 3 6 6
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
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 12
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/Applicant Information
Name: Mr. Marty Pittman
Mailing Address: 389 Instrument Drive
Rocky Mount, NC 27804
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: mgM2bunnbrantley.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Jay Keller
Company Affiliation: Skelly, LLP
Mailing Address: 6404 Falls of Neuse Road Suite 103
Raleigh, NC 27615
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
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: Indian Branch Sewer Extension
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 386213046224, 386213046112
4. Location
County: Nash Nearest Town: Rocky Mount
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): Site is located behind
North Carolina Wesleyan College. The section of Indian Branch Creek involved is just west
of the intersection of Cummings and Bishops Roads in northern Rocky Mount.
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): 35° 30.9' ON 78° 19.9' °W
6. Property size (acres): 1.07 acres
7. Name of nearest receiving body of water: Indian Branch (Compass Creek)
8. River Basin: Tar-Pamlico
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site consists of 2 existing homes within in an established
neighborhood. Area is comprised of university, residential, agriculture, and wooded areas.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: The
project involves installing a sewer line to provide service to existing and future communities
in the surrounding watershed This new sewer line will connect into an existing manhole as
seen in Figure 2 To install the sewer outfall a 30-foot easement is required and trenches
will be excavated usin a trackhoe The easement will be graded to the pre-existing elevation
and seeded with a riparian/wetland seed mixture The channel excavated for the pipe will be
V- roximately 3 foot wide A 30 foot temporary easement will be maintained during
construction. Upon completion, a 10-foot easement will be maintained for access
Equipment to be used includes a Trackhoe and bulldozer (Figure 2).
11. Explain the purpose of the proposed work: The construction of the sewer line will be
necessary in providing service to existingi and future communities in the surrounding
watershed.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
This sewer line was authorized and recorded March 28, 1995.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No.
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.
• - -- --+ ;- strictly for
Photographs may be included at the applicant's discretion. If this propose
Page 7 of 12 ? LL.,ty
or" CO L*,P, ,

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.
Provide a written description of the proposed impacts: A sewer main outfall is proposed to
be installed Temporary impacts include excavation within the Tar-Pamlico River Buffer
Area for placement of the sewer main. Permanent impacts include a ten foot right of way
easement placed on top of the existing line for access. No wetlands or waters of the U.S.
impacts are proposed.
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)

ype of Impact of Wetland
Type

(e.g., forested, marsh,
herbaceous, bog, etc.) Located within

i
100-year
Flo
(yes/no) Distance to

Stream Nearest

(linear feet Area of

Impact
(acres)

Total Wetland Impact (acres) 0
3. List the total acreage (estimated) of all existing wetlands on the property: 0
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 by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Perennial t?
Intermittent. Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)

Total Stream Impact (by length and acreage) 0 0
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
)
ocean, etc. Area of
Impact
(acres)

Total Open Water Impact (acres) 0
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 0
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. The proposed impacts are
allowable and exempt from Tar-Pamlico River Buffer Rules since they were approved prior to
2001. No impacts to Indian Branch are anticipated and special attention will be placed around
the areas where the sewer line approaches the stream. Impacts to wetlands are avoided.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 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/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
No mitigation is proposed since this project was approved in 1995. Proposed sewer line
will proceed through 2 residential back yards which consist of maintained lawn areas.
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/M/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
Page 10 of 12
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No ?
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 I Multiplier I Required
ice,,,,.,. ?o.N
1 2,730 3 (2 for Catawba) 8,190
2 1,942 1.5 4,413
Total I 4,672 I I 12,603
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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.
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
Page 1 I of 12
impervious level. No chan e o ill be employed in order to prevent downstream sed sedimentation im a tseto
and erosion control measures w
waters or wetlands.
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 hets?ubY subject fat the City acility.
of
Rock Mount Waste Water Treatment Plant.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No ?
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ® No ?
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: Since this
project does not require 401 Water Quality Certification or an Isolated Wetland Permit the
cumulative impact provisions of these rules are not applicable.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
-a /a?lo6->
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
BOOK PAGE ; THAT DEEDR. D. BOOK 1 1209209, G JR. PAGE 962 AREA IN PERMANENT EASEMENT /
/ '
THE RATIO OF PRECISION AS CALCULATED BY LATI- TAX MAP 3882,09, PARCEL 1273 z 15006 SOFT. 0.344 ACRE / /
TUDES AND DEPARTURES IS 1: 10, 000+ ¢ 1 ' '
OD AREA IN CONSTRUCTION EASEMENT
THAT THE BOUNDARIES NOT SURVEYED ARE SHOWN a 5123 SO.FT. 0.12 ACRE /
AS BROKEN LINES PLOTTED FROM INFORMATION H ' /
FOUND IN BOOK AS PAGE SHOWN ; N I / / '
THAT THIS MAP WAS PREPARED IN ACCORDANCE WITH
G.S. 47-30 AS AMENDED. WITNESS MY HAND AND m q
/
r
CAP 7 ?,
SEAL THIS ?q DAY OF /,Q?C.?i 4?o4?O?t......??N
1996. w ?e;; G" TfRF•.9, % j
!t/QGeat? Cam. K « _= SEAL ? ra 1 m? / I?oAO A!3 ? / / /
REGISTERED LAND SURVEYOR ?L-3691 ! e ?• , /
Ica
".,?1,••,?S(?a??? 41 30' PERMANENT EASEMENT
?'? ?'••••••''•• 10' CONSTRUCTION EASEMENT R.D. GORHAM. JR. /
rrrrppuupttt D.B. 1209 PAGE 982
NORTH CAROLINA TAX MAP 3862.09 PARCEL 1273
N12 53'24'8`
HAKE COUNTY 26.70 S $1AREA IN PERMANENT EASETEtff
/ / TIE LINE) 8404 SOFT. 0.193 ACRE
I. A NOTARY PUBLIC OF THE COUNTY AND STATE ' / /Nf2'53'24'M AREA IN CONSTRUCTION EASEMENT
?
AFORESAID CERTIFY THAT WALLACE G. CLARK. JR. ?? 2694 SO.FT. 0.06 ACRE
REGISTERED LAND SURVEYOR, PERSONALLY APPEARED 31.e9 .E I co
BEFORE ME THIS DAY AND ACKNOWLEDGED THE EXECUTION ' N %
OF THE FOREGOING INSTRUMENT. WITNESS MY HAND ro
AND OFFICIAL STAMP OR SEAL, THIS /'q
DAY OF /YJLf? 1996 ;,ANA Lie''-.,R. D. GOAHAM, JR. > ?? I .o
,?? ,•.6? DEED BOOK 1209, PAGE 982 t y
J TAX MAP 3862.09. PARCEL 1273 , ?pQ I ru
110TAR --
OTARY PUBLIC E _ ------------- I
PUBLIC
MY COMMISSION EXPIRES AUG. 1 1998 ?L•?••.,•• •••,,? •C'?.?' _ - - - - - - -
?fnn•* % 1 }?y 120' VEPCO TRANSMISSION LINE EASEMENT
r$1r111f I1
°
I, WALLACE G. CLARK, JR. RLS CERTIFY TO ONE OR MORE OF THE sas N3 39? E S 37 19' ,E I - . - -
FOLLOWING CIRCLED STATEMENTS: a? ?a• 203 ?' S86•2B'24'M
F6' F TO NEM ER4. l CONC. MON.
469.73'
A. THAT THIS PLAT IS OF A SURVEY THAT CREATES A SUBDIVISION OF LAND - - - - - - 02.44' ! sa
CONC. MON. To EXIST. ESM'11 s•
WITHIN THE AREA OF A COUNTY OR MUNICIPALITY THAT HAS AN ORDINANCE CONTROL CORNER JACK A. LAUGHERY
THAT REGULATES PARCELS OF LAND. MAP BOOK 20 PG. 205 1 D.B. 1097 PG.477
N• 624544.174 EXIVING M.H.
B. THAT THIS PLAT IS OF A SURVEY THAT IS LOCATED IN SUCH PORTION OF E•2360550.637 EXISTING 30' SANITARY SEWER EASEMENT
A COUNTY OR MUNICIPALITY THAT IS UNREGULATED AS TO AN ORDINANCE NAD83
RECORDED MAP BOOK 20 PAGE 122
THAT REGULATES PARCELS OF LAND.
C. THAT THIS PLAT IS OF A SURVEY OF AN EXISTING PARCEL OR PARCELS OF LAND.
DO THAT THIS PLAT IS OF A SURVEY OF ANOTHER CATEGORY, SUCH AS THE 100' 50' 0' 100' 200'
RECOMBINATION OF EXISTING PARCELS, A COURT-ORDERED SURVEY OR OTHER LEGEND
EXCEPTION TO THE DEFINITION OF SUBDIVISION.
- ---
E. THAT THE INFORMATION AVAILABLE TO THIS SURVEYOR IS SUCH THAT I PERMANENT EASEMENT ANNEXATION AREA 2 BAR SCALE-1"= 100'
AM UNABLE TO MAKE A DETERMINATION TO THE BEST OF MY PROFESSIONAL - - - " PROPERTY LINE NOT SURVEYED
ABILITY AS TO PROVISIONS CONTAINED IN (A) THROUGH (D) ABOVE. PROPERTY LINE SURVEYED
REVISIONS DESCRIPTION SEWER LINE EASEMEN'
CONCRETE MONUMENT ND. DATE NO. DATE
/ o EXISTING IRON PIPE 1 03=28-95 R.D. GORHAM, JR.
REGISTERED LAND SURVEYOR L- 3691
0 NEW IRON PIPE WALTER THARRINGTON,III & NORA THA
? COMPUTED POINT DATE; FEBRUARY 1. 1995 SCALE:
RECORDED IN MAP BOOK PAGE 0 EXISTING PK NAIL DRAWN BY: CHECKED BY:
MqR ? Zoo
6

PROPOSED BUFFER IMPACTS
1 1194 SQ. FT. (0.027 AC.)
2 2730 SQ. FT. (0.063 AC.)
3 1748 SQ. FT. (0.040 AC.)
MAR 3 2Q06
OC ,R . WATER 4 MAR yWew

EXISTING STREAM BANK
ZONE 1 (30-FOOT STREAM BUFFER)
ZONE 2 (WOOT STREAM BUFFER)
`Y EXISTING SEWER LINE AND MANHOLE
SEWER LINE EASEMENT
PROPOSED SEWER LINE
--- - APPROXIMATE PROPERTY LINE
SKELLY and LOY, LLP I FEB. 2006 1 FIGURE 2
TAR-PAMLICO RIVER
BUFFER IMPACT MAP
Indian Branch Sewer Extension
Bishop Properties
Rocky Mount, Nash County, North Carolina
Scale: 1 " = 40' 1 Project No. 2604040
® 22-
November 17, 2004
TO: Skelly and Loy, LLP
6404 Palls of Neuse Rd.
Raleigh, North Carolina 27615
PROM: Marty Pittman
Bishop Properties, LLC
399 Instrument ®r
Rocky Mount, NC 27804
[phone]
Re: Villas at Wesleyan Subdivision
I, Marty Pittman , as a representative concerning the property at the intersection of
Cummings & Bishops Roads in Rocky Mount NC , do hereby authorize and give
permission for Skelly and Loy to represent or act as agent on our behalf and allow the COE or
any other regulatory agency to go on the property with an Skelly and Loy representative for
such purposes necessary to perform the job tasks.
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MAR 3 2006
y?I,pNpSANDST=ATERBRANCH Form Version March OS
Office Use Only: AT U
2rt 036
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
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 12
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/Applicant Information
Name: Mr. Marty Pittman
Mailing Address: 389 Instrument Drive
Rocky Mount NC 27804
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: martykbunnbrantley com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Jay Keller
Company Affiliation: Skelly & Loy LLP
Mailing Address: 6404 Falls of Neuse Road, Suite 103
Raleigh NC 27615
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jkellerna skellyloy com
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: Indian Branch Sewer Extension
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 386213046224.386213046112
4. Location
County: Nash Nearest Town: Rocky Mount
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): Site is located behind
North Carolina Wesleyan College The section of Indian Branch Creek involved is just west
of the intersection of Cummings and Bishops Roads in northern Rocky Mount.
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): 35° 30.9' ON 78° 19.9' °W
6. Property size (acres): 1.07 acres
7. Name of nearest receiving body of water: Indian Branch (Compass Creek)
8. River Basin: Tar-Pamlico
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httL://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site consists of 2 existing homes within in an established
neighborhood Area is comprised of university, residential agriculture and wooded areas.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: The
project involves installing a sewer line to provide service to existing and future communities
in the surrounding watershed This new sewer line will connect into an existing manhole as
seen in Fijzure 2 To install the sewer outfall a 30-foot easement is required and trenches
will be excavated using a trackhoe The easement will be graded to the pre-existing elevation
and seeded with a riparian/wetland seed mixture The channel excavated for the pipe will be
approximately Moot wide A 30-foot temporary easement will be maintained during
construction Uion completion a 10-foot easement will be maintained for access.
Equipment to be used includes a Trackhoe and bulldozer. (Figure 2).
11. Explain the purpose of the proposed work: The construction of the sewer line will be
necessary in providing service to existing and future communities in the surrounding
watershed.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
This sewer line was authorized and recorded March 28, 1995.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Nn_
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
Page 7 of 12
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: A sewer main outfall is proposed to
be installed Temporary impacts include excavation within the Tar-Pamlico River Buffer
Area for placement of the sewer main Permanent impacts include a ten foot right of way
easement placed on tov of the existing line for access. No wetlands or waters of the U.S.
impacts are proposed.
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,
cenarately list impacts due to both structure and floodina.
Wetland Impact
Site Number
(indicate on map) J
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) 0
3. List the total acreage (estimated) of all existing wetlands on the property: 0
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
Intermittent. Perennial Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)

Total Stream Impact (by length and acreage) 0 0
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill- excavation- dredging. floodina. drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres) 0
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 0
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. The proposed impacts are
allowable and exempt from Tar-Pamlico River Buffer Rules since they were approved prior to
2001 No impacts to Indian Branch are anticipated and special attention will be placed around
the areas where the sewer line approaches the stream Impacts to wetlands are avoided.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 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
hLtp://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
No mitigation is proposed since this project was approved in 1995 Proposed sewer line
will proceed through 2 residential back yards which consist of maintained lawn areas.
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/M/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes El No
Page 10 of 12
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
X.
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 ?
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 Buffer Requirements), or other (please
identify )? Yes ? No ?
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multiuliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 2,730 3 (2 for Catawba) 8,190
2 1,942 1.5 4,413
Total 4,672 12,603
* 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.
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.
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
Page 11 of 12
revent downstream proposed, _Approp im acts to
impervious level. No Chan a or increase to ed in order surfang. area is
and erosion control measures will be em
waters or wetlands.
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 capacityoftesubject f cilty.
P n treated at the CAY of
Rock Mount Waste Water Treatment Plant.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No ?
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ® No ?
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
htt p//h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description: Since this
project does not re uire 401 Water ualit Certification or an Isolated Wetland Permit the
cumulative impactprovisions of these rules are not applicable.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
a/a??oG
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
MARI
DENR - WATFR alk, 1,
*? AND S%jj,?VATER BRANu,

PROPOSED BUFFER IMPACTS
1 1194 SQ. FT. (0.027 AC.)
2 2730 SQ. FT. (0.063 AC.)
3 1748 SQ. FT. (0.040 AC.)

EXISTING STREAM BANK
ZONE 1 (30-FOOT STREAM BUFFER)
•--.•.• ZONE 2 (50-FOOT STREAM BUFFER)
EXISTING SEWER LINE AND MANHOLE
SEWER LINE EASEMENT
PROPOSED SEWER LINE
-- - APPROXIMATE PROPERTY LINE
SKELLY and LOY, LLP I FEB. 2006 1 FIGURE 2
TAR-PAMLICO RIVER
BUFFER IMPACT MAP
Indian Branch Sewer Extension
Bishop Properties
Rocky Mount, Nash County, North Carolina
Scale: 1 " = 40' Project No. 2604040
83A LU
November 17, 2004
TO: Skelly and Loy, LL P
6404 Falls of Neuse Rd.
Raleigh, North Carolina 27615
FROM: Marty Pittman
Bishop Properties, LLC
399 Instrument ®r
Rooky Mount, NC 27804
[phone]
Re; Villas at Wesleyan Subdivision
1, Marty Pittman , as a representative concerning the property at the intersection of
Cummings & BishoRs Roads in Rocky Mount. NC . do hereby authorize and give
permission for Skelly and Loy to represent or act as agent on our behalf and allow the COE or
any other regulatory agency to go on the property with an Skelly and Loy representative for
such purposes necessary to perform the job tasks.
BOOK PAGE THAT
THE RATIO OF PRECISION AS CALCULATED BY LATI-
TUDES AND DEPARTURES IS 1:10,000+
THAT THE BOUNDARIES NOT SURVEYED ARE SHOWN
AS BROKEN LINES PLOTTED FROM INFORMATION
FOUND IN BOOK . AS PAGE SHOWN ;
THAT THIS MAP WAS PREPARED IN ACCORDANCE WITH
G.S. 47-30 AS AMENDED. WITNESS MY HAND AND
SEAL THIS Z l? AK DAY OF
1996.
/
REGISTERED LAND SURVEYOR L-3691
NORTH CAROLINA
WAKE COUNTY
I. A NOTARY PUBLIC OF THE COUNTY AND STATE
AFORESAID CERTIFY THAT _WALLACE 6. CLARK, JR.
REGISTERED LAND SURVEYOR, PERSONALLY APPEARED
BEFORE ME THIS DAY AND ACKNOWLEDGED THE EXECUTION
OF THE FOREGOING INSTRUMENT. WITNESS MY HAND
AND OFFICIAL STAMP OR SEAL, THIS
DAY OF &_Aqrg&" 1996 ,
/NOTARY PUBLIC CA
MY COMMISSION EXPIRES AUG. 1 1998
I WALLACE G. CLARK, JR. RLS CERTIFY TO ONE OR MORE OF THE
FOLLOWING CIRCLED STATEMENTS:
A. THAT THIS PLAT IS OF A SURVEY THAT CREATES A ,SUBDIVISION OF LAND
WITHIN THE AREA OF A COUNTY OR MUNICIPALITY THAT HAS AN ORDINANCE
THAT REGULATES PARCELS OF LAND.
B. THAT THIS PLAT IS OF A SURVEY THAT IS LOCATED IN SUCH PORTION OF
A COUNTY OR MUNICIPALITY THAT IS UNREGULATED AS TO AN ORDINANCE
THAT REGULATES PARCELS OF LAND.
11. U, 12UHMAM, JH.
DEED BOOK 1209, PAGE 982
TAX MAP 3862,09, PARCEL 1273 a
m
a
H

'?IwtlllliltJtt
t
z/
' ?(?'Tf & 11

SEAS
.
r L-3691 r' .
°••0u 30' PERMANENT EASEMENT
••••? Q` o? 10 CONSTRUCTION EASEMENT

AREA IN PERMANENT EASEMENT ° °
t ` 15006 SQ,FT. 0.344 ACRE i
AREA IN CONSTRUCTION EASEMENT /
5123 SQ.FT. 0.12 ACRE
/
1 Mfr :. A / cP ?
R.D. GORHAM, JR.
D.B. 1209-PAGE 982
/.4yy9'? ° TAX MAP 3862.09 PARCEL 1273
/.01,
/
//
???+'`?A ??''i?t,? R. D. GORHAM, JR.
,?°.•••••••.S45kDEED BOOK 1209, PAGE 982
TAX MAP 3862.09, PARCEL 1273
09 NOTAR?•;
i Atlgtle l
,r .
C. THAT THIS PLAT IS OF A SURVEY OF AN EXISTING PARCEL OR PARCELS OF LAND.
O THAT THIS PLAT IS OF A SURVEY OF ANOTHER CATEGORY, SUCH AS THE
RECOMBINATION OF EXISTING PARCELS, A COURT-ORDERED SURVEY OR OTHER
EXCEPTION TO THE DEFINITION OF SUBDIVISION.
E. THAT THE INFORMATION AVAILABLE TO THIS SURVEYOR IS SUCH THAT I
AM UNABLE TO MAKE A DETERMINATION TO THE BEST OF MY PROFESSIONAL
ABILITY AS TO PROVISIONS CONTAINED IN (A) THROUGH (D) ABOVE.
.. M. LV • v:
REGISTERED
SURVEYOR L- 3691
/
-(TIE LINE)
. "N12-53'2A'W
N *47'48•E
31.98•
r.
o
!Id'

__w_ CONC. -NM_. TO EWX XIS T
T ESM'A
CONTROL CORNER ,
NAP BOOK 20 PG. 205 y
N- 824544.174 EXISTING M.H.
E• 2360550.637
NAD 83
LEGEND
?- - ••-- PERMANENT EASEMENT
PROPERTY LINE NOT SURVEYED
PROPERTY LINE SURVEYED
o CONCRETE MONUMENT
EXISTING IRON PIPE
0 NEW IRON PIPE
AREA IN PERMANENT EASEMENT
8404 SO. FT. 0.193 ACRE I
AREA IN CONSTRUCTION EASEMENT
2694 SQ.FT. 0.06 ACRE i M
ti'A" EW
I N
<p I p
r ?-„-,,.,. ,.-.?...?.... .. .. .. .....?....-.-'`"C"AI
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' I
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SWL,8'24•W l_ ..
•-?"--"" CONC. MON.
469.73'
JACK A. LAUGHERY
D.B. 1097 PG.477
EXISTING 30' SANITARY SEWER EASEMENT
RECORDED MAP BOOK 20 PAGE 122
ANNEXATION AREA 2
100' 50' 0' 100 200'
BAR SCALE-1"= 100'
REVISIONS DESCRIPTION SEWER LINE EASEMEN'
NO. DATE NO. DATE
R.p. GORHAM, JR.
1 03=28-95
WALTER THARRINGTON,III 6 NORA THA
120' VEPCO TRANSMASSIONE
® COMPUTED POINT PATE; FEBRUARY 1, 1„9955 SCALE: 1 m
RECORDED IN MAP BOOK PAGE ® EXISTING PK NAIL
DAWN BY: CHECKED BY:
MAR g 20b6
-...qn,
0
D
AAAh? n
'"'"R [006
Office Use Only: DV-WATER QUALITY Form Version March 05
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
Check all of the approval(s) requested for this project:
? Section 404 Permit ® Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 12
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: ?
If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. Marty Pittman
Mailing Address: 389 Instrument Drive
Rocky Mount, NC 27804
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: marty-(a),bunnbrantley.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Jay Keller
Company Affiliation: Skelly, LLP
Mailing Address: 6404 Falls of Neuse Road, Suite 103
Raleigh, NC 27615
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jkeller&skellyloy.com
Page 5 of 12
A
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: Indian Branch Sewer Extension
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 386213046224, 386213046112
4. Location
County: Nash Nearest Town: Rocky Mount
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): Site is located behind
North Carolina Wesleyan College. The section of Indian Branch Creek involved is just west
of the intersection of Cummings and Bishops Roads in northern Rocky Mount.
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): 35° 30.9' ON 78° 19.9' °W
6. Property size (acres): 1.07 acres
7. Name of nearest receiving body of water: Indian Branch (Compass Creek)
8. River Basin: Tar-Pamlico
(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/mgps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site consists of 2 existing homes within in an established
neighborhood. Area is comprised of university, residential, agriculture, and wooded areas.
Page 6 of 12
a
10. Describe the overall project in detail, including the type of equipment to be used: The
project involves installing a sewer line to provide service to existing and future communities
in the surrounding watershed. This new sewer line will connect into an existing manhole as
seen in Figure 2. To install the sewer outfall, a 30-foot easement is required and trenches
will be excavated using a trackhoe. The easement will be graded to the pre-existing elevation
and seeded with a riparian/wetland seed mixture. The channel excavated for the pipe will be
approximately 3-foot wide. A 30-foot temporary easement will be maintained during
construction. Upon completion, a 10-foot easement will be maintained for access.
Equipment to be used includes a Trackhoe and bulldozer. (Figure 2).
11. Explain the purpose of the proposed work: The construction of the sewer line will be
necessary in providing service to existing and future communities in the surrounding
watershed.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
This sewer line was authorized and recorded March 28, 1995.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
Page 7 of 12
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: A sewer main outfall is proposed to
be installed. Temporary impacts include excavation within the Tar-Pamlico River Buffer
Area for placement of the sewer main. Permanent impacts include a ten foot right of way
easement placed on top of the existing line for access. No wetlands or waters of the U.S.
impacts are proposed.
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 floodin .
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
(yes/no) Distance to
Nearest
Stream
linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres) 0
3. List the total acreage (estimated) of all existing wetlands on the property: 0
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 Intermittent? t' Average
Stream Width
Before Impact Impact
Length
linear feet) Area of
Impact
(acres)

Total Stream Impact (by length and acreage) 0 0
Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres) 0
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 0
VII.
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
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond:
Impact Justification (Avoidance and Minimization)
Expected pond surface area:
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. The proposed impacts are
allowable and exempt from Tar-Pamlico River Buffer Rules since they were approved prior to
2001 No impacts to Indian Branch are anticipated and special attention will be placed around
the areas where the sewer line approaches the stream. Impacts to wetlands are avoided.
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.
watering, irrigation, aesthetic, trout pond,
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/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
No mitigation is proposed since this project was approved in 1995. Proposed sewer line
will proceed through 2 residential backyards which consist of maintained lawn areas.
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:Hh2o.enr.state.nc.us/yn/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):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
Page 10 of 12
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
X.
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 E]
Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No ?
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 2,730 3 (2 for Catawba) 8,190
2 1,942 1.5 4,413
Total 4,672 12,603
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
discuss what type of mitigation is proposed (i.e.,
Restoration / Enhancement, or Payment
Riparian Buffer Restoration Fund). Please attach all appropriate information as
within 15A NCAC 2B .0242 or .0244, or .0260.
3. If buffer mitigation is required, please
Donation of Property, Riparian Buffer
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
into the
identified
Page 11 of 12
riate se diment
impervious level. No than a or increase der torf revent downstreamsedimentation impact s to
and erosion control measures will be em12 to ed in o
waters or wetlands.
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 o capacity 'o, thhe, etsubject facility.
of
Rock Mount Waste Water Treatment Plant.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No ?
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ® No ?
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: Since this
project does not require 401 Water Quality Certification or an Isolated Wetland Permit the
cumulative impact provisions of these rules are not applicable.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
'BOOK PAGE ; THAT
THE RATIO OF PRECISION AS CALCULATED BY LATI-
TUDES AND DEPARTURES IS 1:10,000+
THAT THE BOUNDARIES NOT SURVEYED ARE SHOWN
AS BROKEN LINES PLOTTED FROM INFORMATION
FOUND IN BOOK AS PAGE SHOWN
THAT THIS MAP WAS PREPARED IN ACCORDANCE WITH
G.S. 47-30 AS AMENDED. WITNESS MY HAND AND

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SEAL =
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NORTH CAROLINA
WAKE COUNTY
I. A NOTARY PUBLIC OF THE COUNTY AND STATE
AFORESAID CERTIFY THAT WALLACE G. CLARK. JR.
REGISTERED LAND SURVEYOR, PERSONALLY APPEARED
BEFORE ME THIS DAY AND ACKNOWLEDGED THE EXECUTION
OF THE FOREGOING INSTRUMENT. WITNESS MY HAND
FICIA
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I. WALLACE G. CLARK, JR. RLS CERTIFY TO ONE OR MORE OF THE
FOLLOWING CIRCLED STATEMENTS
A. THAT THIS PLAT IS OF A SURVEY THAT CREATES A SUBDIVISION OF LAND
WITHIN THE AREA OF A COUNTY OR MUNICIPALITY THAT HAS AN ORDINANCE
THAT REGULATES PARCELS OF LAND.
B. THAT THIS PLAT IS OF A SURVEY THAT IS LOCATED IN SUCH PORTION OF
A COUNTY OR MUNICIPALITY THAT IS UNREGULATED AS TO AN ORDINANCE
THAT REGULATES PARCELS OF LAND.
R. D. GORHANI, JR.
DEED BOOK 1209, PAGE 982
TAX MAP 3362.09. PARCEL 1273
30' PERMANENT EASEMENT-
10' CONSTRUCTION EASEMENT
R. D. GOAHAM, JR.
DEED BOOK 1209. PAGE 982
TAX MAP 3852.09, PARCEL 1273
C. THAT THIS PLAT IS OF A SURVEY OF AN EXISTING PARCEL OR PARCELS OF LAND.
O THAT THIS PLAT IS OF A SURVEY OF ANOTHER CATEGORY, SUCH AS THE
RECOMBINATION OF EXISTING PARCELS, A COURT-ORDERED SURVEY OR OTHER
EXCEPTION TO THE DEFINITION OF SUBDIVISION.
E. THAT THE INFORMATION AVAILABLE TO THIS SURVEYOR IS SUCH THAT I
AM UNABLE TO MAKE A DETERMINATION TO THE BEST OF MY PROFESSIONAL
ABILITY AS TO PROVISIONS CONTAINED IN (A) THROUGH (D) ABOVE.
REGISTERED LAND SURVEYOR L- 3691
RECORDED IN MAP BOOK PAGE
-_ /
/ "(TIE LINE)
N56.47'48•E
3 99
1 1 y?
S
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CONC. MON. TO EXIST. ESN'T1
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MAP BOOK 20 PG. 205
N• 824544.174 EXISTING M.H.
E- 2360550.637
NAD 83
sas'
1
AREA IN PERMAtr'ENT EASEi:FJlT
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JACK A. LAUGHERY
D.B. 1097 PG.477
EXISTING 30' SANITARY SEWER EASEMENT
RECORDED MAP BOOK 20 PAGE 122
100' 50' 0' 100' 200'
LEGEND
- PERMANENT EASEMENT
ANNEXATION AREA 2 BAR SCALE-1" = 100'
- - - - ^ PROPERTY
- LINE NOT SURVEYED
PROPERTY LINE SURVEYED
REVISIONS DESCRIPTION SEWER LINE EASEMEN'
o CONCRETE MONUMENT
NO. DATE NO. DATE
R.D.
GORHAM, JR.
o EXISTING IRON PIPE i 03-28-SS
0 NEW IRON PIPE WALTER THARRINGTON, III 6 NORA THA
COMPUTED POINT DATE: FEBRUARY 1. 1995 SCALE: 1 `
0 EXISTING PK NAIL DRAWN BY: CHECKED BY:
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00,
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"691
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D.B. 1209,PAGE 982
,eA TAX MAP 3852.09 PARCEL 1273
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OPO •'`\ PROPOSED BUFFER IMPACTS
1 1194 SQ. FT. (0.027 AC.)
2 2730 SQ. FT. (0.063 AC.)
O ??Go 3 1748 SQ. FT. (0.040 AC.) %I

i
EXISTING STREAM BANK SKELLY and LOY, LLP FEB. 2006 FIGURE 2
ZONE 1 (30-FOOT STREAM BUFFER) TAR-PAMLICO RIVER
ZONE 2 (50-FOOT STREAM BUFFER) BUFFER IMPACT MAP
v> EXISTING SEWER LINE AND MANHOLE Indian Branch Sewer Extension
SEWER LINE EASEMENT Bishop Properties
Rocky Mount, Nash County, North Carolina
PROPOSED SEWER LINE
-- APPROXIMATE PROPERTY LINE Scale: 1 = 40' Project No. 2604040
V@llOwl9 p
MAR' 3 2006
ovILL
17, 2004
TO: Skelly and Loy, LLP
6404 Falls of Neuse Rd.
Raleigh, North Carolina 27615
FROM: Marty Pittman
Bishop Properties, LLC
359 Instrument ®r
Rocky Mount, NC 27904
[phone]
Re: Villas at Wesleyan Subdivision
1, Marty Pittman , as a representative concerning the property at the intersection of
Cummings & Bishops Roads in Rocky Mount NC . do hereby authorize and give
permission for Skelly and Loy to represent or act as agent on our behalf and allow the COE or
any other regulatory agency to go on the property with an Skelly and Loy representative for
such purposes necessary to perform the job tasks.
QR@NV91
?-MAR 3 2006
Office Use Only: E)ENR-WATER AABTY Form Version March 05
WULAWSANDST a 0 t C, 5
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
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 12
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: ?
If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mr. Marty Pittman
Mailing Address: 389 Instrument Drive
Rocky Mount NC 27804
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: martygbunnbrantley.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Jay Keller
Company Affiliation: Skelly & Loy, LLP
Mailing Address: 6404 Falls of Neuse Road Suite 103
Raleigh NC 27615
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jkeller skellyloy.com
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: Indian Branch Sewer Extension
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 386213046224. 386213046112
4. Location
County: Nash Nearest Town: Rocky Mount
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): Site is located behind
North Carolina Wesleyan College. The section of Indian Branch Creek involved is just west
of the intersection of Cummings and Bishops Roads in northern Rocky Mount.
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): 35° 30.9' ON 78° 19.9' °W
6. Property size (acres): 1.07 acres
7. Name of nearest receiving body of water: Indian Branch (Compass Creek)
8. River Basin: Tar-Pamlico
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site consists of 2 existing homes within in an established
neighborhood Area is comprised of university, residential agriculture, and wooded areas.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: The
project involves installing a sewer line to provide service to existing and future communities
in the surrounding watershed. This new sewer line will connect into an existing manhole as
seen in Figure 2. To install the sewer outfall, a 30-foot easement is required and trenches
will be excavated using a trackhoe. The easement will be graded to the pre-existing elevation
and seeded with a riparian/wetland seed mixture. The channel excavated for the pipe will be
approximately 3-foot wide. A 30-foot temporary easement will be maintained during
construction. Upon completion, a 10-foot easement will be maintained for access.
Equipment to be used includes a Trackhoe and bulldozer. (Figure 2).
11. Explain the purpose of the proposed work: The construction of the sewer line will be
necessary in providing service to existing and future communities in the surrounding
watershed.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
This sewer line was authorized and recorded March 28, 1995.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No.
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
Page 7 of 12
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: A sewer main outfall is proposed to
be installed. Temporary impacts include excavation within the Tar-Pamlico River Buffer
Area for placement of the sewer main. Permanent impacts include a ten foot right of way
easement placed on top of the existing line for access. No wetlands or waters of the U.S.
impacts are proposed.
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) 0
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)

Total Stream Impact (by length and acreage) 0 0
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres) 0
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 0
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. The proposed impacts are
allowable and exempt from Tar-Pamlico River Buffer Rules since they were approved prior to
2001 No impacts to Indian Branch are anticipated and special attention will be placed around
the areas where the sewer line approaches the stream. Impacts to wetlands are avoided.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 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/newetlands/strmizide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
No mitigation is proposed since this project was approved in 1995. Proposed sewer line
will proceed through 2 residential back yards which consist of maintained lawn areas.
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/wry/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):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
Page 10 of 12
BOOK PAGE THAT R. 0. UORHAM, JR. ------- ' '-° -- - / "
DEED BOOK 1209, PAGE 982 s AREA IN PERMANENT EASEMENT /
THE RATIO OF PRECISION AS CALCULATED BY LATI- TAX MAP 3362.09, PARCEL 1273 a ?? 4 15005 SG.FT. 0.344 ACRE
TUDES AND DEPARTURES IS 1: 10, 000+ /
co AREA IN CONSTRUCTION EASEMENT
THAT THE BOUNDARIES NOT SURVEYED ARE SHOWN a 5123 SO.FT, 0.12 ACRE /
AS BROKEN LINES PLOTTED FROM INFORMATION
FOUND IN BOOK AS PAGE SHOWN
THAT THIS MAP WAS PREPARED IN ACCORDANCE WITH
G.S. 47-30 AS AMENDED. WITNESS MY HAND AND 4- !m Cl
?''
SEAL THIS ,?, DAY OF ?ARpj?ti4??I?d
1996.
r
= , 0 3?
hl
SEAT n
' • L-3691 jJam.. / / • /
REGISTERED LAND SURVEYOR L-3691 r ?•Sj Q?
30 PERMANENT EASEMENT li 11
h /
., !, • OSURI •.,?.t 4"
?''QC?••••''??Q.`' 10' CONSTRUCTION EASEMENT <?2 , R.D. GORHAM. JR.
G'CLtti%%% D. B. 1209 PAGE 982
NORTH CAROLINA / e'; / TAX MAP 3362.09 PARCEL 1273
WAKE COUNTY N126.704•w' s 3?
i9i AREA IN PER114NENT EASEraff
I. A NOTARY PUBLIC OF THE COUNTY AND STATE TIE LINE) 8404 SO.FT. 0.193 ACRE
/ / / . -'N12.53-24•w AREA IN CONSTRUCTION EASEMENT I g '
AFORESAID CERTIFY THAT WALLACE G. CLARK. JR. .41 NS8647948• 2694 SO.FT. 0.06 ACRE u
REGISTERED LAND SURVEYOR, PERSONALLY APPEARED ( 3i 99, E I m
BEFORE ME THIS DAY AND ACKNOWLEDGED THE EXECUTION ' 0
OF THE FOREGOING INSTRUMENT. WITNESS MY HAND ?Ia i ro
AND OFFICIAL STAMP OR SEAL, THIS 9
A•t?$ R. D. GORHAM. JR.
1996. l lolt
DAY OF > ?? I n
M,4?2k ?s'?•, .,•B? DEED BOOK 1209, PAGE 982 l ?y I
?+ t.• TAX MAP 3862.09, PARCEL 1273 , ?pQ I ro
c lIOTARp , s
------ -cn
/,NOTARY PUBLIC C - _ _ _ _ _ _ - - - - - " -
PUBLIC r _ -r
MY COMMISSION EXPIRES AUG.11 1998 ?'. ?L??'•. •'??• .. - - ! y? 1
120' VEPCO TRANSMISSION LINE EASEMENT )
`?1uuu?u??? o
I. WALLACE G. CLARK, JR. s• k13.39, E 13' 'E I - - _
RLS CERTIFY TO ONE OR MORE OF THE as, a , 37.19'
FOLLOWING CIRCLED STATEMENTS: sass?4F ao3.r 1 586.28 24'w CONC RON.
TO NEa sa' 459.x3'
A. THAT THIS PLAT IS OF A SURVEY THAT CREATES A SUBDIVISION OF LAND - - " - - - 92.44' I ses,
WITHIN THE AREA OF A COUNTY OR MUNICIPALITY THAT HAS AN ORDINANCE CONC. MON. TO EXIST. ESM'ii
0 Pc. 205 D.B. JACK 1 LAUGHERY
THAT REGULATES PARCELS OF LAND. 14APTBOOK 2COER A.
I 1097 PG.477
N• 824544.174 EXIS'iINO M.H.
B. THAT THIS PLAT IS OF A SURVEY THAT IS LOCATED IN SUCH PORTION OF E-2360550.637 EXISTING 30' SANITARY SEWER EASEMENT
A COUNTY OR MUNICIPALITY THAT IS UNREGULATED AS TO AN ORDINANCE NAD83
RECORDED MAP BOOK 20 PAGE 122
THAT REGULATES PARCELS OF LAND.
C. THAT THIS PLAT IS OF A SURVEY OF AN EXISTING PARCEL OR PARCELS OF LAND.
DO THAT THIS PLAT IS OF A SURVEY OF ANOTHER CATEGORY, SUCH AS THE 100' 50' 0' 100' 200'
RECOMBINATION OF EXISTING PARCELS, A COURT-ORDERED SURVEY OR OTHER LEGEND
EXCEPTION TO THE DEFINITION OF SUBDIVISION.
PERMANENT EASEMENT
E. THAT THE INFORMATION AVAILABLE TO THIS SURVEYOR IS SUCH THAT I ANNEXATION AREA 2 BAR SCALE-1"= 100'
AM UNABLE TO MAKE A DETERMINATION TO THE BEST OF MY PROFESSIONAL PROPERTY LINE NOT SURVEYED
ABILITY AS TO PROVISIONS CONTAINED IN (A) THROUGH (0) ABOVE. PROPERTY LINE SURVEYED
CONCRETE MONUMENT REVISIONS DESCRIPTION SEWER LINE EASEMEN'
o
NO. DATE NO. DATE
EXISTING IRON PIPE s o3=ze-95 R.D. GORHAM, JR.
REGISTERED LAND SURVEYOR L- 3691
0 NEW IRON PIPE WALTER THARRINGTON,III 6 NORA THA
COMPUTED POINT DATE: FEBRUARY 1, 1995 SCALE: 1
RECORDED IN MAP BOOK PAGE 0 EXISTING PK NAIL DRAWN BY: CHECKED BY:
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No ?
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 multiDliers.
Zone* Impact Multiplier Required
(square feet Mitigation
1 2,730 3 (2 for Catawba) 8,190
2 1,942 1.5 4,413
Total 4,672 12,603
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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.
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
Page 11 of 12

erviolis area is p impervious level. No change or increase to ed in o der torf revent downstreamsed mentation im acts to
and erosion control measures will be em l?
waters or wetlands.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition
or fsch y e) of
capacity isthe subject
wastewater generated from the proposed project, or available
Q- i,„p PYtP„pnn will be treated at the City of
Rock Mount Waste Water Treatment Plant.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No ?
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ® No ?
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent North Carolina Division of Water Quality policy posted on our website at
http'h2o enr state.nc.us/newetlands. If no, please provide a short narrative description: Since this
project does not require 401 Water ualit Certification or an Isolated Wetland Permit the
cumulative impact provisions of these rules are not applicable.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

"" `" -
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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PROPOSED BUFFER IMPACTS
1 1194 SQ. FT. (0.027 AC.)
2 2730 SQ. FT. (0.063 AC.)
3 1748 SQ. FT. (0.040 AC.)

%1

;j
EXISTING STREAM BANK
ZONE 1 (30-FOOT STREAM BUFFER)
ZONE 2 (SO-FOOT STREAM BUFFER)
EXISTING SEWER LINE AND MANHOLE
SEWER LINE EASEMENT
PROPOSED SEWER LINE
-- ----- APPROXIMATE PROPERTY LINE
SKELLY and LOY, LLP I FEB. 2006 1 FIGURE 2
TAR-PAMLICO RIVER
BUFFER IMPACT MAP
Indian Branch Sewer Extension
Bishop Properties
Rocky Mount, Nash County, North Carolina
Scale: 1 " = 40' Project No. 2604040
O LU
November 17, 2004.
TO: Shelly and Loy, LLP
6404 Palls of Meuse Rd.
Raleigh, North Carolina 27615
FROM: Marty Pittman
Bishop Properties, LLC
389 Instrument Dr
Rocky Mount, SIC 27604
[phone]
Re: Villas at Wesleyan Subdivision
I, Marty Pittman , as a representative concerning the properly at the intersection of
Cummings & Bishops Roads in Rocky Mount NC , do hereby authorize and give
permission for Skelly and Loy to represent or act as agent on our behalf and allow the COE or
any other regulatory agency to go on the property with an Skelly and Loy representative for
such purposes necessary to perform the job tasks.
Marty Pittman\, )
Bunn-Brantley terprisE
339 Instrument Dr
Rocky Mount, NC 27304
[phone]
®atv
MAR 1 2006
¦ Complete items 1, 2, and 3. Also complete A. Si nature
Item 4 If Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you. eceived by
¦ Attach this card to the back of the mailpiece, ei
or on the front if space permits.
1. Article Addressed to:
Mr. Marty Pittman
389 Instrument Drive
Rocky Wunt,NC 27804
D WQ# 06-0366-Nash
13 Agent
C. Date of
D. Is del ery address different frorn item 1? ? Yes
If YES, enter delivery address below: 0 No
3. Service Type `
OCertified Mail 13 Express Mail
Registered Return Receipt for Merchandise
O Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number 7005 1160 0000 9954 6450
atetsfer from service labeo
'41311 FAhn ianr 9nnd nnmAgHr. Rahim QRrAint tn9rr
UNITED STATES POSTAL SERVICE First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
f fjC1 '+ !?i????3?s?t[i??l3E???13?i??F?t??1?iEI3??i!!€.=?f?E?!??i??tll?!
¦ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpieoe,
or on the front if space permits.
Article Addressed to:
Mr. Marty Pittman
389 Instrument Drive
Rocky Mount,NC 27804
DWQ4 06-0366-Nash
A. Signa e
XD? ? Agent
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B. Received by (Printed Numer C. Date f Del a
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D. Js delivery address different frormitem 1? ? Yes
If YES, enter delivery address below. 13,No
3. ice Type
Certifled Mail ? F?xpress Mail
? Registered Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
?. Article Number
(rrarlsferfrom serV11 7005 1160 0000 9954 5057
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NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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