20060704 Ver 1_COMPLETE FILE_20060424

ENGINEERING CONSULTING SERVICES, LTD.
Gecnechnical C0I1St1'UCti011 Materials nt
?? Environmental
20060704
Ms. Jean Manuele, Supervisor April 17, 2006
Raleigh Regulatory Field Office
U.S. Army Corps of Engineers (USACE)
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
RE: PCN Application for Section 404 NWP-39 p (? ??/] D
Single Family Residence - Stream Crossing
7421 Spyglass.. Way
Raleigh, North Carolina AIR 2 4 2006
ECS Project # 13787-A
DENIM - WATER (1UALI'fl`
WETLANDS..AND STORMWATER BRAWN
Dear Ms. Manuele:
On behalf of Timothy Thompson ("the Applicant"), ECS Carolinas, LLP ("ECS") is filing a Pre-
Construction Notification (PCN) Application requesting an after the fact Section 404 Nationwide,
Permit 39 (NWP-39) for a driveway crossing on a single family residential lot of an unnamed
tributary (UT) to Gresham's Lake. This property has received a Notice of Unauthorized
Activity/Permit Noncompliance (USACE Action ID: 200620412) from your office.
We are also sending a courtesy copy of this application to Ms Cyndi Karoly with the North
YCarqJina Division of Water Quality (NCDWQ). No written concurrence is required from
NCDWQ because this action falls under the "150 linear foot impact to streams" threshold. While
the property has received a Notice of Violation from Mr. Eric Kulz of NCDWQ, for Neuse River
Buffer Violations, this portion of the buffer is being restored to previous, or better conditions. The
impacts from the crossing to the buffer are classified as exempt according to 15A NCAC 02B
.0233
Please contact us if you have questions or need any additional information.
Respectfully submitted,
S Carolinas, LLP
Budd Titlow, Envtronmen 1 Department Manager
Professional Wetland Scientist (SWS #754)
Ip
Christina Breen
Environmental Scientist
Enclosures: PCN Application for NWP-39 (1 copy)
Copies: Ms. Cyndi Karoly, North Carolina Division of Water Quality, 401/Wetlands Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (1 copy)
Mr. Timothy Thompson, 1609 Hunting Ridge Road, Raleigh, NC `27615,
w/o enclosure
9001 Glenwood Avenue., Raleigh, ,'North Carolina 27617-7505- [phone], FAX [phone]-:327-59,325 www.ccslimited.com
Aberdoen, ADD - Atlanta, GA - Austin, 'FX - Ballimore, MD 13idord. GA - Chantilly, VA C; hadone. NC - Chicago, 11, Dallas, "T'X- haii'hurn, GA` - Pmderick, VID
1?redericksbuig, VA toeenwboro, NC Grconville, SC Nashville,'IN - Norfolk, VA - Occan City, MD" Orlando, H, Raleigh, NC - Richmond. VA • Roanoke. VA
Savannah, GA - Waldorf, MD • Wei Palnt Beach, 11, Willialushurg, VA - Wilmington. NC - Winchester, VA York, PA
'c (ing Sen ices Only
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Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water 'Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at -
www saw usace army mil/wetlands/Pennits html.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at www saw usace g=.mil/wetlands/index.html, or contact one of the field offices
listed on page 3 of this application. The website also lists the responsible project manager for each
county in North Carolina and provides additional information regarding the identification and regulation
of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules ' are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for General Certifications is not required, provided
that the applicant adhe lacking access to the internet should
the GC. Applicants
res to all conditions of th
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North, Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Page l of 13
I
Coastal Area Management Act (CAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of
Coastal Management (DCM). DCM will determine whether or not the project is within a designated
Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such
cases, DCM will require a CAMA Permit and will coordinate the 404/401 Permits.
The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure
that the proposed project will have no impact upon any endangered or threatened species or critical
habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office, North
Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon
any properties listed or eligible for listing on the National Register of Historic Places. Compliance with
these regulations is required to be eligible for any Department of the Army permit. The addresses for
both agencies are listed on page 3 of this application.
USACE Permits Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office. Upon receipt of an application, the
USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This
PCN form is designed for the convenience of the applicant to address information needs for all USACE
Nationwide, Regional or General permits, as well as information required' for State authorizations,
certifications, and coordination. Fully providing the information requested on this form will result in a
complete application for any of the USACE Nationwide, Regional or General permits. To review the
minimum amount of information that must be provided for a complete PCN for each USACE
Nationwide permit, see Condition 13, 67 Fed. Reg. 2090 (Jan. 15, 2002), available at
http•//www usace army mil/inet/functions/cw/cecwo/rea/2002EMs.pdf. Processing times vary by
permit and begin once the application has been determined to be complete. Please contact the
appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650: If written approval is required or specifically requested for a 401
Certification, then anon-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ,website at http://h2o.ehnr.state.nc.us/ncwetlands/fees.html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 13
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania
151 Patton Avenue Ashe Cherokee Iredell Mitchell , Union
Room 20$ Avery Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: (919) 876=5823 Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 " Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone]
1 Chowan Hertford
Craven Hyde Pasquotank
Perquimans
*Croatan National Forest Only
399
Fax: (252) 975-
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402--1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
North Carolina State Agencies
Division of Water Quality Division of Water Quality State Historic Preservation Office
401 Wetlands Unit Ecosystem Enhancement Program Department Of Cultural Resources
1650 Mail Service Center 1652 Mail Service Center 4617 Mail Service Center
Raleigh, NC 27699-1650 Raleigh, NC 27699-1652 Raleigh, NC 27699-4617
Telephone: [phone] Telephone: [phone] Telephone: [phone]

6893
3
(919) 73
Fax.

ax: [phone]

ax: [phone]
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Office Box 33726 160 Zillicoa Street Pivers Island
NC 27636-3726
Raleigh Asheville, NC 28801 Beaufort, NC 28516
,
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Page 3 of 13

CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NC"C and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Suny
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1- 4.
Page 4 of 13

I. 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: 39
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 (seethe top of page 2 for further details), c
0
IL Applicant Information
APR 2 4 2006
1. Owner/Applicant Information DENR - WATER QUAL11 Y
Name: Mr. Timothy Thomason 1NETLANpS AN4 STORMWATER' BRANCH
Mailing Address: 1609 Hunting Ridge Road
Raleigh NC 27615
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: thompson timoth @,bell,? south net
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: Christina Breen
Company Affiliation: ECS Carolinas, LLP
Mailing Address: 9001 Glenwood Avenue
Raleigh NC 27615
Telephone Number: (919) 81-9910 Fax Number: f919) 861-9911
com
E-mail Address: cbreen@,ecslimited.com
Page 5 of 13
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: 7421 Spyglass W
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 1717569794
4. Location
County: Wake Nearest Town: Raleigh
Subdivision name (include phase/lot number): North Ridge Country Club
Directions to site (include road numbers/names, landmarks, etc.): From Raleigh: US 1'
North, Left on Spring Forest Road Right on Rainwater Road and Left on Spyglass Way.
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): 35.8836 ON 78.6085 °W
6. Property size (acres): 0.572
7. Name of nearest receiving body of water: UT to Gresham's Lake
8. River Basin: Neuse
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at hqp://h2o.enr.state.nc.us/admin/mays/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site has been clear cut for development, and the
jacent properties are residential and a golf course is behind the property.
ad
Page 6 of 13
10. Describe the overall project in detail, including the type of equipment to be used: The .0527
acre property will be built upon for a single family residence. In order to access the buildable
area, the perennial stream UT to Gresham's Lake had to be crossed with a driveway. The
property owner installed a 20' culvert in order to construct the driveway. Riparian -vegetation
was removed in order to construct the driveway and the residence. However, the buffer
vegetation will be replaced as part of the buffer restoration plan being worked on with Eric
Kulz of DWQ.
11. Explain the purpose of the proposed work: The purpose of the work is to construct a single
family residence and associated driveway for access.
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 property was issued an Notice of Violation (NOV-2005-WQ-
0010)from the Division of Water Quality in December 2005 for Neuse River Riparian Buffer
Violations by Eric Kulz of the Raleigh Regional Office ECS Carolinas, LLP has since submitted
a buffer restoration plan to DWO The U.S. AM Corps of Engineers issued a Notice _ of
__ .. , / _. T_---------?. / A -,&:..« TT-N. ?nn??ndt?l f„r r?laeamt?nt of thA 70°
11.11A111 JLV1.1/.GLl -WUL Y ILLY/1 V11111L.1YVlavvasal.i.+awaavv -?-- - -_
culvert into the 1perennial unnamed tributarv to Gresham's Lake without permit authorization. A
buffer restoration plan was submitted to DWO on FebMM 3, 2006, but Eric Kulz has recmtly
asked for some revisions as well as additional information. ECS Dlans to submit the revised
information b Aril 21, 2006.
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 future permit request are anticipated at this time, this is a single family residence.
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.
Page 7of13
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream, mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Impacts include fill to a
perennial stream due to placement of a 20 LF culvert that has a diameter of 48 for the
purposes of constructing; a driveway to gain access to the buildable area of a -single family
lot.
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,
se arately 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
es/no Distance to
Nearest
Stream
linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 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
t b 1 ded To calculate acres a multi 1 length X width, then divide b 43,560.
mus
Stream Impact
Number
(indicate on ma)
A a me u

Stream Name

UT to Gresham's
Lake

Type of Impact

Permanent - 48"
RCP
Perennial or
Intermittent?

Perennial
Average
Stream Width
Before hn act
- 4 ft
Impact
Length
linear feet)
20
Area of
Impact
acres)'
.002

Total Stream Impact (by length and acreage) 20 .002
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 floodingy. drainage, bulkheads, etc.
Open Water Impact

Site Number
indicate on ma
Name of Waterbody

(if applicable)

Type of bnpact Type of Waterbody

(lake, pond, estuary, sound, bay,

oceanetc. Area of

Impact

(acres)

Total Open Water Impact (acres)
A T »t the cumulative im act to all Waters of the U.S. resultin from the ro'ect: I
Stream !!!!pact (acres):
Wetland Impact (acres):
O en Water Impact (acres):
Total Im act to Waters of the U.S. (acres)
Total Stream Impact (linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes Z 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 storrnwater 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
. , construction
• • _
were minimized once the desired site plan was developed.:. If applicable, discuss techniques to be followed during construction to reduce impacts. Due to the Qty of Raleigh,
Page 9 of 13
Wake Comm Zone 4 ordinances setbacks for building are required to be 30 feet in the front and
back and 10 feet on the sides so the building had to be placed at the back of the lot. Therefore a
driveway with associated culvert had to be constructed to access the back of the lot. The property
owner also avoided placing the buildinwithin the Neuse River Buffer.
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,
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
html.
httj2://h2o.enr.state.nc.us/ncwetlands/stnngide.
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.
None
2. Mitigation may also be made by payment into the North Carolina Ecosystem; Enhancement
Program CEEP . 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
Page 10 of 13
additional information regarding the application process for the NCEEP, check the NCEEP
website at bM2://h2o enr state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
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
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 l? Yes ? No Z - EXEMPT (Driveway crossing
on single family residential lots that disturb equal to or less than 25 linear feet or 2,500
square feet of riparian buffer)
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.
Page 11 of 13
Zone* Impact
(square feet) Multiplier Required
Mitigation
l 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of ohannel; Zone 2 exienas an
additional 20 feet from the edge of Zone 1.
4. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B.0242 or.0244, or.0260. N/A
XI.- Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. Impervious surface on the property will be from
the proposed single family home and the driveway The impervious surface does not exceed
20%.
XIL Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Residence will be on Cily of Raleigh Sewer line
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes F No
Is this an after-the-fact permit application? Yes Z 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 Z
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
Page 12 of 13
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description: This is
only a single family` residence and will not encourage any further development.
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/ ent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 13 of 13
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