20061276 Ver 1_COMPLETE FILE_20060809

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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
October 23, 2006
Mr. David Dees
Dees Builders, Inc.
233 Belltown Road
Havelock, NC 28532
Subject Property:
DWQ Project # 06-1276
Craven County
Fairfield Harbor, Lot 316
Northwest Creek [030410, 27-105, SB, SW, NSW]
Approval of 401 Water Quality Certification and Authorization Certificate per the Neuse
River Buffer Protection Rules (15A NCAC 2B.0233) with Additional Conditions
Dear Mr. Dees:
You have our approval, in accordance with the attached conditions and those listed below, to
place fill within or otherwise impact 0.0688 acres of wetland, and 0.00 square feet (ft2) of
Zone 1 and 0.00 square feet (ft) of Zone 2 of protected riparian buffers for the purpose of
constructing the proposed residence at the subject property, as described within your
application dated July 11, 2006, received by the N.C. Division of Water Quality (DWQ) on
August 9, 2006, with additional information received by the DWQ on October 17, 2006.
After reviewing your application, we have decided that the impacts are covered by General
Water Quality Certification Number(s) 3402 (GC3402). The Certification(s) allows you to
use Nationwide Permit(s) 18 (NW 18) when issued by the US Army Corps of Engineers
(USACE). This letter shall also act as your approved Authorization Certificate for impacts to
the protected riparian buffers per 15A NCAC 2B .0233. In addition, you should obtain or
otherwise comply with any other required federal, state or local permits before you go ahead
with your project including (but not limited to) Erosion and Sediment Control, and Non-
discharge regulations. Also, this approval to proceed with your proposed impacts or to
conduct impacts to waters as depicted in your application shall expire upon expiration
of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you
change your project, you must notify us and you may be required to send us a new
application. If the property is sold, the new owner must be given a copy of this Certification
and approval letter and is thereby responsible for complying with all conditions. If total fills
for this project (now or in the future) exceed one acre of wetland or 150 linear feet of stream,
compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). This
approval requires you to follow the conditions listed in the attached certification and any
additional conditions listed below.
4010versight/Express Review Permitting Unit
1650 Mail Service Center, Ralegh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: htto://h2o.en r. state. nc. us/ncwetla nds
Noy` Carolina
Naturally
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper

Dees Builders, Inc.
Page 2 of 4
October 23, 2006
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and
general conditions of this Certification (or Isolated Wetland Permit) are met. No
other impacts are approved including incidental impacts:
Amount Approved nits Plan Location or Reference
404/CAMA Wetlands 0.0688 acres PCN Page 8 of 12
Buffers - Zone 1 0.00 (square ft. PCN Page 11 of 12
Buffers - Zone 2 0.00 (square ft.) PCN Page 11 of 12
2. Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed,
installed, operated, and maintained in accordance with the most recent version of
the North Carolina Sediment and Erosion Control Planning and Design
Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion
control measures must be such that they equal, or exceed, the requirements
specified in the most recent version of the North Carolina Sediment and Erosion
Control Manual. The devices shall be maintained on all construction sites,
borrow sites, and waste pile (spoil) projects, including contractor-owned or
leased borrow pits associated with the project.
c. Sufficient materials required for stabilization and/or repair of erosion control
measures and stormwater routing and treatment shall be on site at all times.
3. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation,
and maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules
occur.
4. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters to
the maximum extent practicable. If placement of sediment and erosion control
devices in wetlands and waters is unavoidable, they shall be removed and the natural
grade restored within six months of the date that the Division of Land Resources has
released the project.
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Dees Builders, Inc.
Page 3 of 4
October 23, 2006
5. Deed Notifications
Deed notifications or similar mechanisms shall be placed on all retained jurisdictional
wetlands, waters and protective buffers in order to assure compliance for future wetland,
water and buffer impact. These mechanisms shall be put in place prior to impacting any
wetlands, waters and/or buffers approved for impact under this Certification Approval
and Authorization Certificate. A sample deed notification can be downloaded from the
401/Wetlands Unit web site at http://h2o.enr.state.nc.us/ncwetlands. The text of the
sample deed notification may be modified as appropriate to suit to this project;
6. Diffuse Flow (No Review)
All constructed stormwater conveyance outlets shall be directed and maintained as
diffuse flow at non-erosive velocities through the protected stream buffers such that it
will not re-concentrate before discharging into a stream as identified within 15A NCAC
2B .0233 (5). If this is not possible, it may be necessary to provide stormwater facilities
that are considered to remove nitrogen. This may require additional approval from this
Office.
7. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rules, and any subsequent modifications, the applicant is required to
return the attached certificate of completion to the 401 Oversight/Express Review
Permitting Unit, North Carolina Division of Water Quality, 1650 Mail Service Center,
Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and
may result in criminal and/or civil penalties. The authorization to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application and as
authorized by this Certification, shall expire upon expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved
wetland or stream impacts), you may ask for an adjudicatory hearing. You must act within
60 days of the date that you receive this letter. To ask for a hearing, send a written petition,
which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This
certification and its conditions are final and binding unless you ask for a hearing.
Any disputes over determinations regarding this Authorization Certificate (associated with
the approved buffer impacts) shall be referred in writing to the Director for a decision. The
Director's decision is subject to review as provided in Articles 3 and 4 of G.S. 150B.
s•
Dees Builders, Inc. -
Page 4 of 4
October 23, 2006
This letter completes the review of the Division of Water Quality under Section 401 of the
Clean Water Act and the Neuse riparian buffer protection rule as described within 15A
NCAC 2B .0233. If you have any questions, please telephone Cyndi Karoly or Ian McMillan
at 919-733-1786.
AWK/cbk/Um
Enclosures: GC 3402
Certificate of Completion
?T
Sinc y,
6; Ian W. Klimek, P.E.
cc: Doug Huggett, DCM
USACE Washington Regulatory Field Office
Kyle Barnes, DWQ Washington Regional Office
File Copy
Central Files
Mike Street, P.O. Box 769, Morehead City, NC 27557
Filename: 061276FairfieldLot316(Craven)401_NBR

-JODI

DEES BUILDERS INC.
233 Relltown Rd. Havelock, NC 28532
Custom Homes/Additions
Licensed & Insured
2 0 0 6 1 2 7 6 [phone]
[phone]
To: Division of Water Quality
Here are the (7) copies that are need for our job at Fair Field Harbour.
If you have any questions please call our office.
Thank you,
Dees Builders, Inc.
W'gVT5
A1JG ? ? 2996
y?a9 AND ATQ?1?`? ?
RE: DWQ 06-1276 Fairfield Harbor Lot 316
Subject: RE: DWQ 06-1276 Fairfield Harbor Lot 316
From: Laurie Dennison <[e-mail]>
Date: Fri, 08 Sep 2006 15:04:00 -0400
To: [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.
The certified mail hard copy, of the attached letter, was returned to DWQ office
today unclaimed. DWQ is unable to review and approve this project without your
written response to the project hold letter.
061276FairfeldLot316(Craven)On Hold.doc I Content-Type: application/msword
Content-Encoding: base64
1 of 1 9/8/2006 3:04 PM
;Ot OF WATF9QG
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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
August 15, 2006
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Mr. David Dees
Dees Builders, Inc.
233 Belltown Road
Havelock, NC 28532
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-1276
Craven County
Subject Proper Fairfield Harbor, Lot 316
Nort hwest Creek [030410, 27-105, SB, SW, NSW]
REQUEST FOR MORE INFORMATION
Dear Mr. Dees:
On August 9, 2006, the Division of Water Quality (DWQ) received your application dated July
11, 2006, to impact 0.0688 acres of wetland to construct the proposed residence. 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 five copies of the additional information requested below, we will have to
move toward denial of your application as required by 15A NCAC 2H .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. Please indicate under Section I Processing of your Pre-Construction Notification
application, No. 2, which Nationwide permit you are applying for.
2. Please provide a location map for the project.
3. Please provide copies of a USGS topographic map with the project boundaries clearly
shown, and a Craven County Soil Survey aerial map with the project boundaries clearly
shown.
4. Please show all wetland impacts including fill slopes on the site plan. Please include a site
plan at a scale of 1"=50'.
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: httn://h2o.enr.state.nc.us/ncwetlands
ne
o Carolina
Ntura!!y
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Mr. David Dees T
Page 2 of 2
August 15, 2006
5. Please indicate all buffer impacts on the site plan and quantify them in the table on page 11
of 12 of your Pre-Construction Notification application.
6. Please indicate the location of the protected buffers as overlays on the site plan.
7. Please locate all isolated or non-isolated wetlands, streams and other waters of the State
as overlays on the site plan.
8. Please indicate what form of sewage disposal we be utilized at the site in Section XII of
the Pre-Construction Notification application.
Please respond within three weeks of the date of this letter by sending this information to me in
writing and Kyle Barnes of the DWQ Washington 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. Ian
McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.
Sincerely,
C? - ?
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/ijm
cc: Kyle Barnes, DWQ Washington Regional Office
U gten-Regulatory-Field.OEwp
File Copy
Central Files
Filename: 061276FairfieldLot316(Craven)On_Hold
NC DENR - DIVISION OF WATER QUALITY
WETLANDS AND STORMWATER BRANCH
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650

70Ca6 0100 0003 7223 5804 ,

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¦ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desi
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¦ Print your name and address on the reverse
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so that we can return the card to you. ? Addr-aenssee
¦ Attach this card to the back of the mailpiece, B• Received by (Panted Name) C. Date of D?=livery
or on the front if space permits.
1.. Article Addressed to: D. Is delivery address different from item 1? ? Yes

I If YES, enter delivery address below: ? No
Mr David-Dees
Dees Builders Inc.
233 Belltown Road
Havelock,NC 28532 Service Type

DWQ# 06-1276-Craven Cert.ried Maii ? Express Mail
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2. Article Number estricted Delivery? (Extra Fee) 13 Yes
(Transfer from service label) 7006 0100 0003 7223 5804
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s PS Form 3811, February 2004 Domestic Return Receipt
102595-022- _M_1540 i)

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01
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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' (USAGE)
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.arm?.mil/wetlands/Permits.htmi.
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.armv.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 adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Updated 11/1/2005 Page l of 12 P@ m 0 W PM D AUG 09 2006
U64k - Eli WALITY
WETLANDS MO STORMWATER BRANCH
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/reg/2002nwps.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 a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $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.
Updated 11/1/2005
Page 2 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania
151 Patton Avenue Ashe Cherokee Iredell Mitchell Union
Room 208 Avery Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke . Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
Division of Water Quality
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Telephone: [phone]
Fax: [phone]
h and Wildlife Service / National M
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
Updated 11/1/2005
Page 3 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
400 Commerce Avenue Bertie Craven Hyde Pender
Morehead City, NC 28557-3421 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kemersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1- 4.
Updated 11/1/2005
Page 4 of 12
Office Use Only: Form Version March 05
60-1 2't
USACE Action ID No. DWQ No.
(If any particular item is not applicable to tors protect, please enter -i4ot ttppuudum uc ill m .?
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: f
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
? n
Environmental Concern (see the top of page 2 for further details), check ?here:
H. Applicant Information
19
AU G p g 2006
1. Owner/Applicant Inform tion
Name: c-E u . / S lAtC- PIER QL? is
Sj
Mailing Address: 'f4v If )I cr' r]
:VW e Icy IC' t1A C QR53
Telephone Number: z,SZ 14 H y 053 d Fax
E-mail Address: (JPCc k . i L-U t-S 0) \Jahors
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Updated 11/1/2005
Page 5 of 12
III. Project Information
5.
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: -3/4
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2- - y `J y -,3J 6
4. Location
County: P,Q ye, Nearest Town:
Subdivision name (include phase/lot number): FC, = 8,e-I r,P }kobo?s ??- 3161 z za6
Directions to site (include road numbers/names, landmarks, etc.): C4" ea r.L'
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
6. Property size (acres): i Z., i X904 sF r • 112-8 A-r
7. Name of nearest receiving body of water: 1V e it S •e. ktv e ?
8. River Basin: 115& eyz
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httr)://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: Aes In ? Mo s t
v
attach a sheet that
oW
Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
11. Explain the purpose of the proposed work: &I tGn?4 e % ???
l&Ia3 r,J (A,+- 3R, i..r Q uc-4;,)nJ -
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.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: ImrL c* r;,,
to by ' lfS7vy - X. 11.r 1. 4%I t 0 eJSi:k4 J Cleur;N4 C-_ C.rC_•
,
-may 401 'o -'r- QQQ 5Q
Updated 11/1/2005
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
O-p-ally lict ;n,narta dilp to hnth 3tnlrture 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)
3i ?u.o C'curoc C1 4- , is co sr-

Total Wetland Impact (acres) ?cw
3. List the total acreage (estimated) of all existing wetlands on the property: , 14
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
meet i,P inrlnrlerl Tn nArnlnte ncreaQe_ multinly 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)
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
-11 nvrnvnt;nn eirPrloino flnndinu drninaQe_ 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)
Ies5 4k--o+ Yio
.6
Updated 11/1/2005
Page 8 of 12
6. List the ci.
,lot;X,a ;mnnct to all Waters of the U.S. resulting from the project:
Stream Impact acres :
Wetland Impact acres :
Open Water Impact acres :
Total Impact to Waters of the U.S. acres
Total Stream Impact linear feet :
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniaues to be followed during construction to reduce impacts. 6j w 4-,ye +o 6, ;,t%4,Q ,,P
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Updated 11/1/2006
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
hM://h2o.enr.state.ne.us/ncwetlands/strrnjzide.httnl.
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.
$e^'??e- Oro-:i1 home. 4z bt b,;w e i, r 31(, fit, r?'e 0 14 e,t6, ,r NI-go 1S-. 4 45.E ..r I1.. 2
Rw v sF7NC. Cur tu J '75- X L}o er 3uca 5A ?4 +o be used b C {s.w d bun's-e. I
r rrac {??? Z •tW by i Id t-1; P 4 radars +-c,, le -ij, ? l+ 7 c+
Kill uk, e_e,eL,aUs or S+ru.r-s _ C 7 Pcet d
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 hllp•//h2o enr state.nc.iis/iM/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):
v .o Co.
5
Updated 11/1/2005 Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No 0
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No El
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 0
If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or.0260.
Updated 11/1/2005
Page 11 of 12
M. 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.
XH. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XHL Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No M
Is this an after-the-fact permit application? Yes ? No El
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 V]
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
2,=.e ? i ? ` AOA6 2 -711110,6
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005
Page 12 of 12

ATTN: Cyndi Karoly September 22, 2006
RE:
DWQ PROJECT# 06-1276/CRAVEN COUNTY
2208 Caracara Drive, New Bern, North Carolina
LOT 316
1. NWP-18 will be used.
2. Attached
3. Attached
4. Attached
5. There is NO buffer Impacted.
6. Please see attached No buffer that will be impacted.
7. Please see attached survey map.
8. There will be community water which will be a pipe going to the road.
If you have any questions please contact our office [phone].
Thank you,
Dees Builders
o?
1?0 P
j ?0? W A Michael F. Easley, Governor
r QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
- I Alan W. Klimek, P.E. Director
Division of Water Quality
August 15, 2006
DWQ Project # 06-1276
Craven County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Mr. David Dees
Dees Builders, Inc.
233 Belltown Road
Havelock, NC 28532
Subject Property: Fairfield Harbor, Lot 316
Northwest Creek [030410, 27-105, SB, SW, NSW]
REQUEST FOR MORE INFORMATION
Dear Mr. Dees:
On August 9, 2006, the Division of Water Quality (DWQ) received your application dated July
11, 2006, to impact 0.0688 acres of wetland to construct the proposed residence. 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 five copies of the additional information requested below, we will have to
move toward denial of your application as required by 15A NCAC 2H .0506 and will place this
project on hold as incomplete until we receive this additional information. Please provide thee"
following information so that we may continue to review your project.
Additional Information Requested:
1. Please indicate under Section I Processing of your Pre-Construction Notification
application, No. 2, which Nationwide permit you are applying for.
2. Please provide a location map for the project.
3. Please provide copies of a USGS topographic map with the project boundaries clearly
shown, and a Craven County Soil Survey aerial map with the project boundaries clearly
shown.
4. Please show all wetland impacts including fill slopes on the site plan. Please include a site
plan at a scale of 1"=50'.
401 oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
0/1321 Crabtree Boulevard, Suite 250, Raleigh, Nash Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http7//b2o enr .tate.ne.us/ncwetlands
Nom Ca a
turnro
?f
1vu. "av Lu--
Page 2 of 2
August 15, 2006
5. Please indicate all buffer impacts on the site plan and quantify them in the table on page 11
of 12 of your Pre-Construction Notification application.
6. Please indicate the location of the protected buffers as overlays on the site plan.
7. Please locate all isolated or non-isolated wetlands, streams and other waters of the State
as overlays on the site plan.
8. Please indicate what form of sewage disposal we be utilized at the site in Section XH of
the Pre-Construction Notification application.
Please respond within three weeks of the date of this letter by sending this information to me in
writing and Kyle Barnes of the DWQ Washington 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 eDWQ. Please l Ms. regarding or would like to set up a meeting
McMillan at 919-733-1786 if you have any questions
to discuss this matter.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/ijm
cc: Kyle Barnes, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
File Copy
Central Files
Filename: 061276FWHWdl ot316(GYaven)On Hold
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-2006-40127-125 County: Craven USGS Quad: Upper Broad Creek
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Dees Builders. Incorporated
Address: Attention: David Dees
233 Bell Town Road
Havelock. North Carolina 28532
Telephone No.: [phone]
Size and location of property (water body, road name/number, town, etc.): Property is a 0.28 acre tract located on the
north side of Caracara Drive off of NCSR-1600-in wetlands adiacent to Northwest Creek in Fairfield Harbor
southeast of New Bern in Craven County.
Description of projects area and activity: Applicant proposes to place fill in 0.06 acres of US army Corps of
Engineers iurisdictional wetlands to construct a single-family residence.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: NWP-18
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs are scheduled to be modified,
reissued, or revoked prior to March 18, 2007. It is incumbent upon you to remain informed of changes to the NWPs. We will issue a
public notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity before the
date that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the modification or
revocation of the NWP to complete the activity under the present terms and conditions of this nationwide permit. If, prior to the
expiration date identified below, the nationwide permit authorization is reissued and/or modified, this verification will remain valid
until the expiration date identified below, provided it complies with all new and/or modified terms and conditions. The District
Engineer may, at any time, exercise his discretionary authority to modify, suspend, or revoke a case specific activity's authorization
under any NWP.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Tracey L. Wheeler [phone] ex 24.
Corps Regulatory Off i' Date: 09/11/2006
Expiration Date of Verification: 03/1812007
Cc:
Page 1 of 1
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nonexistence of wetlands on the site. it is the 0w erl US Army Developer's res'--t? t? ationeor wetlands. Corps of
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4 X 9.6
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Gonddler Or. to PF
-4c 9.1
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roo' paved/pubUc R/W
Emocers for v --------------------- _...------ --
THIS PLAT IS FOR PLANNING PURPOSES ONLY AND SHOULD NOT
eE USED FOR SALES. DEED DESCRIPTION. OR RECORDING PURPOSES.,.
REFERENCE RESTRICTIVE COVENANTS FOR RESTRICTIONS AND
EASEMENTS THAT MAY APPLY.
9
? ..Pro osed Construction Notes_
? 1 56t fence to be used as needed to control storm
water runoff from site. be located along property Me as
2 5?1 or 4t1 scale should
C4 needed to prevent storm water runoff onto adjoinkV
property- should be
n
9 3 Temporary gravel construction entrance
entrance.
a located at proposed driveway
4 Proposed 15' Driveway Culvert invert should be at
~ elevation 7.5'.
Proposed Plot Plan
Lot 31G. - 5ection 6 - Part 1 - Montego
Fairfield Harbour
2208 Caracara Drive
for
Dees Builders
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1305 Country Club Road
Now C252) 633- oG49?a
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UL 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 0
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 ?
7L Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
2.
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.
L 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 91
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 multiTiers

bnpact ?uired
zone two *4)
two Multiplier 1
1 3 (2 for Catawba)
2 1.5
Total

• Zone 1 extends out 30 feet pee --- cnlar 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 0-e-
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B.0242 or.0244, or.0260.
Updated 11/1!2005 Page 11 of 12

ATTN: Cyndi Karoly September 22, 2006
RE:
DWQ PROJECT# 06-1276/CRAVEN COUNTY
2208 Caracara Drive, New Bern, North Carolina
LOT 316
1. NWP-18 will be used.
2. Attached
3. Attached
4. Attached
5. There is NO buffer Impacted.
6. Please see attached No buffer that will be impacted.
7. Please see attached survey map.
8. There will be community water which will be a pipe going to the road.
If you have any questions please contact our office [phone].
Thank you,
Dees Builders
OCT 1 1 2006
use
CH
?W A T?9 Michael F. Easley, Governor
/ P William G. Ross Jr., Secretary
blua y North Carolina Department of Environment and Natural Resources
r
_ Alan W. Klimek, P.E. Director
> ;--- Division of Water QualitY
August 15, 2006
DWQ Project # 06-1276
Craven County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Mr. David Dees
Dees Builders, Inc.
233 Belltown Road
Havelock, NC 28532
Subject Property: Fairfield Harbor, Lot 316
Northwest Creek [030410, 27-105, SB, SW, NSW]
REQUEST FOR MORE INFORMATION
Dear Mr. Dees:
On August 9, 2006, the Division of Water Quality (DWQ) received your application dated July
11, 2006, to impact 0.0688 acres of wetland to construct the proposed residence. 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 five copies of the additional information requested below, we will have to
move toward denial of your application as required by 15A NCAC 2H .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. Please indicate under Section I Processing of your Pre-Construction Notification
application, No. 2, which Nationwide permit you are applying for.
2. Please provide a location map for the project.
3. Please provide copies of a USGS topographic map with the project boundaries clearly
shown, and a Craven County Soil Survey aerial map with the project boundaries clearly
shown.
4. Please show all wetland impacts including fill slopes on the site plan. Please include a site
plan at a scale of 1"=50'.
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] Internet: http7/ili2o.enr..,;tate.nc.us/ticxvetiands
one
Nea lipa
at

1Va..Uavlu JL w
Page 2 of 2
August 15, 2006
5. Please indicate all buffer impacts on the site plan and quantify them in the table on page 11
of 12 of your Pre-Construction Notification application.
6. Please indicate the location of the protected buffers as overlays on the site plan.
7. Please locate all isolated or non isolated wetlands, streams and other waters of the State
as overlays on the site plan.
8. Please indicate what form of sewage disposal we be utilized at the site in Section XII of
the Pre-Construction Notification application.
Please respond within three weeks of the date of this letter by sending this information to me in
writing and Kyle Barnes of the DWQ Washington 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 app
are not authorized (at this time) by the DWQ. Please call Ms. Cyndi Karoly or Mr. Ian
McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBKlijm
cc: Kyle Barnes, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
File Copy
Central Files
Filename: 061276Feirfleldlot316(Craven)On Hold
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-200640127-125 County: Craven USGS Quad: Upper Broad Creek
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Dees Builders. Incorporated
Address: Attention: David Dees
233 Bell Town Road
Havelock. North Carolina 28532
Telephone No.: [phone]
Size and location of property (water body, road name/number, town, etc.): Property is a 0.28 acre tract located on the
north side of Caracara Drive off of NCSR-1600-in wetlands adjacent to Northwest Creek in Fairfield Harbor
southeast of New Bern in Craven County.
Description of projects area and activity: Applicant proposes to place fill in 0.06 acres of US army Corps of
Engineers jurisdictional wetlands to construct a single-family residence.
Applicable Law: N Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: NWP-18
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification is valid until the NWT is modified, reissued, or revoked. All of the existing NWPs are scheduled to be modified,
reissued, or revoked prior to March 18, 2007. It is incumbent upon you to remain informed of changes to the NWPs. We will issue a
public notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity before the
date that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the modification or
revocation of the NWP to complete the activity under the present terms and conditions of this nationwide permit. If, prior to the
expiration date identified below, the nationwide permit authorization is reissued and/or modified, this verification will remain valid
until the expiration date identified below, provided it complies with all new and/or modified terms and conditions. The District
Engineer may, at any time, exercise his discretionary authority to modify, suspend, or revoke a case specific activity's authorization
under any NWP.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Tracey L. Wheeler [phone] ex 24.
Corps Regulatory Off, ' Date: 09/11/2006
Expiration Date of Verification: 03/18/2007
Cc:
Page 1 of 1
ierraaerverviJ.com - view jImagery t,uatraji
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Provider: USGS
Nearest City: NEW BERN, NC
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OCT 17 206
DENR - WATER QUALITY
110MMNDS AND STORMWATER BRANCH
http://www.terraserver.comemageryrmage jgx.asp?cpx=-76.958221&cpy=35.07'3332&res...
9/20/2006
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$ dRAINAGE D4PROVEYENTS
8 GONDOLIER PENDiSULA

FAMFIEID AARMUR SUHDMMON i } AVOLIS ENCUfl=ING. P.A.
P
lJ t Z? ws ?? r?w
ENLA6CED DRAD=E PLAN

FF N 82'49'22" E'? r
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I X6.4 )6.41
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Wetlaids %,FR/zy R. X,-
This survey does not ad'dfWjslme existence or
oonaxlstence of wetlands on the site. It Is the Own?r /ps of
Developer's responsbaty t contact of wetlands.
f verificatjo tion and delineation
Garacara Drive
GO' paved/publIc R/W
at tit. Cascara Dr. +-
Dr. to IPF
Engineers or------_._._----------- __.---------------
THIS pLAT IS FOR PLANNING PURPOSES ONLY AND SHOULD NOT
BE USED FOR SALES. DEED DESCRIPTION. OR RECORDING PURPOSES. .°a
REFERENCE RESTRICTIVE COVENANTS FOR RESTRICTIONS AND
EASEMENTS THAT MAY APPLY.
9 Proposed Gonatructlon Notes
i 1 56t fence to be used as needed to control storm
rr
water runoff from site-
2 5.1 or 411 Swale should be located along property
needed to prevent storm water runoff onto adjoining
property'
3 Temporary gravel construction entrance should be
x located at proposed driveway t once. be at
4 Proposed 15' Driveway
elevation 7.5%
Proposed Plot Plan
Lot 316. - 56rtfon G - Part 1 - Montego
1= airfield Harbour
2208 Garacara Drive
for
Dees Builders
TOWNStIIP No. 2 GKAVrly uvv.,. , -
DATE, Mayes O6 Atlantic Survey + DaslQn. PA
JOB Noy 26089 1305 Country Club Road
New Bern. North Carona
cre? c. T' = Q_ C252) 633-6649
f
-
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IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (fWeraU ocal) fiords or the use of
public (federallstate) 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 (NEPAISEPA)?
Note: If you are not sure whether a NEPAlSEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No F/I
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)
2.
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 Ssite ? Correspondence ?shown DWQ
map, whether or not impacts are proposed to
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
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.
uired
Re
zones ? fcd Multiplier q
1 3 (2 for Catawba)
2 1.5
Total
• Zone i extends out 30 feet pemendicH1sr from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (Le.,
Donation of Property, Riparian Buffer Restoration 1 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.
Updatcd 11/VM3
Page 11 of 12

ATTN: Cyndi Karoly September 22, 2006
RE:
DWQ PROJECT# 06-1276/CRAVEN COUNTY
2208 Caracara Drive, New Bern, North Carolina
LOT 316
1. NWP-18 will be used.
2. Attached
3. Attached
4. Attached
5. There is NO buffer Impacted.
6. Please see attached No buffer that will be impacted.
7. Please see attached survey map.
8. There will be community water which will be a pipe going to the road.
If you have any questions please contact our office [phone].
Thank you,
Dees Builders
OCT 1 7 2006
DENT: - WATER QUAUTY
WETLANDS AND STORMWATER BRANCH
* Michael F. Easley, Governor
s s 0 W ATF9Q
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r_
` a plan W. Klimek, P.E. Director
5 Division of Water Quality
40
August 15, 2006
DWQ Project # 06-1276
Craven County
CERTIFIED mAIL: RETURN RECEIPT REQUESTED
Mr. David Dees
Dees Builders, Inc.
233 Belltown Road
Havelock, NC 28532
Subject Property: Fairfield Harbor, Lot 316
Northwest Creek [030410, 27-105, SB, SW, NSW]
REQUEST FOR MORE INFORMATION
Dear Mr. Dees:
On August 9, 2006, the Division of Water Quality (DWQ) received your application dated July
11, 2006, to impact 0.0688 acres of wetland to construct the proposed residence. 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 five copies of the additional information requested below, we will have to
move toward denial of your application as required by 15A NCAC 2H .0506 and will place this
project on hold as incomplete until we receive this additional information. Please provide they
following information so that we may continue to review your project.
Additional Information Requested:
1. Please indicate under Section I Processing of your Pre-Construction Notification
application, No. 2, which Nationwide permit you are applying for.
2. Please provide a location map for the project.
3. Please provide copies of a USGS topographic map with the project boundaries clearly
shown, and a Craven County Soil Survey aerial map with the project boundaries clearly
shown.
4. Please show all wetland impacts including fill slopes on the site plan. Please include a site
plan at a scale of 1"=50'.
ow
N Cam
a tar
y
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
C?/2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] /Internet: ham'/lh2o enr etate.ne.us/ne%vetlands
f .s
ivu. iiav ¦u --
Page 2 of 2
August 15, 2006
5. Please indicate all buffer impacts on the site plan and quantify them in the table on page 11
of 12 of your Pre-Construction Notification application.
6. Please indicate the location of the protected buffers as overlays on the site plan.
7. Please locate all isolated or non-isolated wetlands, streams and other waters of the State
as overlays on the site plan.
8. Please indicate what form of sewage disposal we be utilized at the site in Section XII of
the Pre-Construction Notification application.
Please respond within three weeks of the date of this letter by sending this information to me in
writing and Kyle Barnes of the DWQ Washington 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 etland ,
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. Ian
McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/Um
cc: Kyle Barnes, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
File Copy
Central Files
Filename: 061276Fairfid4Lot316(Cr&ven)On Hold
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-200640127-125 County: Craven USGS Quad: Upper Broad Creek
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Dees Builders, Incorporated
Address: Attention: David Dees
233 Bell Town Road
Havelock, North Carolina 28532
Telephone No.: [phone]
Size and location of property (water body, road name/number, town, etc.): Property is a 0.28 acre tract located on the
north side of Caracara Drive off of NCSR-1600 in wetlands adiacent to Northwest Creek in Fairfield Harbor
southeast of New Bern in Craven County.
Description of projects area and activity: Applicant proposes to place fill in 0.06 acres of US army Corps of
Engineers iurisdictional wetlands to construct a single-family residence.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: NWP-18
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs are scheduled to be modified,
reissued, or revoked prior to March 18, 2007. It is incumbent upon you to remain informed of changes to the NWPs. We will issue a
public notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity before the
date that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the modification or
revocation of the NWP to complete the activity under the present terms and conditions of this nationwide permit. If, prior to the
expiration date identified below, the nationwide permit authorization is reissued and/or modified, this verification will remain valid
until the expiration date identified below, provided it complies with all new and/or modified terms and conditions. The District
Engineer may, at any time, exercise his discretionary authority to modify, suspend, or revoke a case specific activity's authorization
under any NWP.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (LAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Tracey L. Wheeler [phone] ex 24.
Corps Regulatory Offi ' Date: 09/11/2006
Expiration Date of Verification: 03/18/2007
Cc:
Page 1 of 1
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?•"
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II
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This survey does not 0 dd'f1;4'??t}ia exbtenca or
nowAstence of wetlands on the site. It Is the Owncr/
Developer's responsibility to contact the U5 Army Corps of
f vcriflcatlon and dementlon of wetlands.
Garecara Drive
GO' paved/pubUc R/w

Tic MAG at Int. Caracara Or. +-
Sondoller Dr. to rr
Engineers or------^---...._---------------------------
THIS PLAT IS FOR PLANNING PURPOSES ONLY AND SHOULD NOT
BE USED FOR SALES, DEED DESCRIPTION. OR RECORDING PURPOSES. ?°o-
REFERENCE RESTRICTIVE COVENANTS FOR RESTRICTIONS AND
EASEMENTS THAT MAY APPLY.
S Pro osed Canstructlon Notes
7
59t fence to be used as needed to control storm
water runoff from site. property Ow as
t storm water runalong; onto adJOWV
N 2 Sneeded4}D prevenshould
property'
3 3 Temporary gravel construction entrance should be
x located at proposed *weway entrance.
4 Proposed 15' Driveway Culvert Invert should be at
elevation 7.5'.
Proposed Plot Plan
Lot 31G. - 5ection 6 - Part 1 - Montego
Fairfield Harbour
2208 Caracas Drive
for
Dees Builders
2 GKAVr_rr vvvl.. • -
:ooG Atlantic Suryey9R• PA
19 1305 Country Club Road
Now hero. North Carolina
;0• C252) G33-GG49
-
LPF
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IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federallstatcAocal) fiords 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 Q
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 El No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
2.
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 m
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. Required
?
?
Zone* feet
u
are Multiplier h1itigation
1 3 (2 for Catawba)
2 1.5
Tatal
s Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zoe 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.
Updated 11/1"5 Page 11 of 12

ATTN: Cyndi Karoly September 22, 2006
RE:
DWQ PROJECT# 06-1276/CRAVEN COUNTY
2208 Caracara Drive, New Bern, North Carolina
LOT 316
1. NWP-18 will be used.
2. Attached
3. Attached
4. Attached
5. There is NO buffer Impacted.
6. Please see attached No buffer that will be impacted.
7. Please see attached survey map.
8. There will be community water which will be a pipe going to the road.
If you have any questions please contact our office [phone]-
Thank you,
Dees Builders
Q?c?2oe?0
OCT 1, 2006
DENR • WATER QUALITY
WETUWOS AND STORMMTER BRANCH

0? W A TF9 Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Dgmdmcnt of Environment and Natural Resources
r
plan W. Klimek, P.E. Director
=jam Division of Water Quality
August 15, 2006
DWQ Project # 06-1276
Craven County
CERTIFIED MAEL: RE'T'URN RECEIPT REQUESTED
Mr. David Dees
Dees Builders, Inc.
233 Belltown Road
Havelock, NC 28532
Subject Property: Fairfield Harbor, Lot 316
Northwest Creek [030410,27-105, SB, SW, NSWJ
REQUEST FOR MORE INFORMATION
Dear Mr. Dees:
On August 9, 2006, the Division of Water Quality (DWQ) received your application dated July
11, 2006, to impact 0.0688 acres of wetland to construct the proposed residence. 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 five copies of the additional information requested below, we will have to
move toward denial of your application as required by 15A NCAC 2H .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. Please indicate under Section I Processing of your Pre-Construction Notification
application, No. 2, which Nationwide permit you are applying for.
2. Please provide a location map for the project.
3. Please provide copies of a USGS topographic map with the project boundaries clearly
shown, and a Craven County Soil Survey aerial map with the project boundaries clearly
shown.
4. Please show all wetland impacts including fill slopes on the site plan. Please include a site
plan at a scale of 1"=50.
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: hu 7/ih2o.enr.rtate.ne.us/nekvetlands
ar
?Va1r

Page 2 of 2
August 15, 2006
5. Please indicate all buffer impacts on the site plan and quantify them in the table on page 11
of 12 of your Pre-Construction Notification application.
6. Please indicate the location of the protected buffers as overlays on the site plan.
7. Please locate all isolated or non-isolated wetlands, streams and other waters of the State
as overlays on the site plan.
8. Please indicate what form of sewage disposal we be utilized at the site in Section XII of
the Pre-Construction Notification application.
Please respond within three weeks of the date of this ee letter
Office. If we do not hear from you
writing and Kyle Barnes of the DWQ Washington Regional
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
Please call Ms. Cyndi Karoly or Mr. Ian
are not authorized (at this time) by the DWQ.
McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/ijm
cc: Kyle Barnes, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
File Copy
Central Files
Filename: 061276Fairflel4Lot316(Craven)On Hold
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-2006-40127-125 County: Craven USGS Quad: Upper Broad Creek
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Dees Builders, Incorporated
Address: Attention: David Dees
233 Bell Town Road
Havelock, North Carolina 28532
Telephone No.: [phone]
Size and location of property (water body, road name/number, town, etc.): Property is a 0.28 acre tract located on the
north side of Caracara Drive off of NCSR-1600 in wetlands adiacent to Northwest Creek in Fairfield Harbor
southeast of New Bern in Craven County.
Description of projects area and activity: Applicant proposes to place fill in 0.06 acres of US army Corps of
Engineers jurisdictional wetlands to construct a single-family residence.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: NWP-18
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs are scheduled to be modified,
reissued, or revoked prior to March 18, 2007. It is incumbent upon you to remain informed of changes to the NWPs. We will issue a
public notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity before the
date that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the modification or
revocation of the NWP to complete the activity under the present terms and conditions of this nationwide permit. If, prior to the
expiration date identified below, the nationwide permit authorization is reissued and/or modified, this verification will remain valid
until the expiration date identified below, provided it complies with all new and/or modified terms and conditions. The District
Engineer may, at any time, exercise his discretionary authority to modify, suspend, or revoke a case specific activity's authorization
under any NWP.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Tracey L. Wheeler [phone] ex 24.
Corps Regulatory Off, ' Date: 09/11/2006
Expiration Date of Verification: 03/18/2007
Cc:
Page 1 of 1
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Resolution: 8 Meter
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Provider: GlobeXplorer Topos
Nearest City: NEW BERN, NC
Date: 0/0/0000
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http://www.terraserver.comlimageryfimagejgx.asp?cpx 76.958221&cpy=35.073332&res... 9/20/2006

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ENLARGED DRAINAGE PLAN ?+ of e.? e2E

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This survey does not adWews'Il?e existence or
nonexistence of wetlands on the site. It 13 the Owner/
Developer's responsibility to contact the U5 Army Cops of
Engineers for verification and delineation of wetlands.
Garacara Drive
60' paved/public R/W
at Int. Cascara p,; r_
Dr% to rr
THIS PLAT IS FOR PLANNING PURPOSES ONLY AND SHOULD NOT
BE USED FOR SALES. DEED DESCRIPTION. OR RECORDING PURPOSES- $
REFERENCE RESTRICTIVE COVENANTS FOR RESTRICTIONS AND
EASEMENTS THAT MAY APPLY.
Proposed Construction Notes
1 Stlt fence to be used as needed to control storm
water runoff from site. property
i 2 5-1 or 411 swats should be located along prop Ane as
i needed to prevent storm water runoff onto adjoining
property'
1 3 Temporary gravel construction entrance should be
L located at proposed driveway entrance.
4 Proposed 15' Driveway Culvert invert should be at
elevation 7.5.
Proposed Plot Plan
Lot 316. - 5ection 6 - Part 1 - Montego
Fairfield Harbour
2208 Garacara Drive
for
Dees Builders
ICOB OWNSHIP No. 2 GRAVEN COUNTY NORTH CAROLINA
ATES May 17. 2006 Atlantic Survey + Das!aR. PA
No, 26089 1305 Country Club Road
Now 52) 633-6649?a
ALES 1' 30'
-
U'f
' - x 9.6
?.5
9.4 'If _ K9.3
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- r
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/statcAocal) 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 call P Ae S SEPAV
Note: If you are not sure whether a NEPA/SEPA document is required,
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)
2.
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 022B .0243 (Catawba)115e A Nl
2B .0250 (Randleman Rules and Water Supply Buffer Requirements),
identify )? Yes ? No (Z
If "fives", 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.
ired
zone Impact
(square
fed) Multiplier )w
1 - 3 (2 for Catawba)
2 1.5
Total
+ Zone 1 extends out30 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.
updated 11/1/2005
Page 11 of 12
---7
ATTN: Cyndi Karoly September 22, 2006
RE:
DWQ PROJECT# 06-1276/CRAVEN COUNTY
2208 Caracara Drive, New Bern, North Carolina
LOT 316
1. NWP-18 will be used.
2. Attached
3. Attached
4. Attached
5. There is NO buffer Impacted.
6. Please see attached No buffer that will be impacted.
7. Please see attached survey map.
8. There will be community water which will be a pipe going to the road.
If you have any questions please contact our office [phone].
Thank you,
Dees Builders
g(9[aM95
0c, 11 2006
DENR WERAWS STE W TERBRAWA
Michael F. Easley, Governor
.t . *L ?0F W ATF9
Q William G. Ross Jr., Secretary
y North Carolina Departmerd of Environment and Natural Resources
r_
Alan W. Klimek, P.E. Director
-i
? •- _? .? Division of Water Quality
August 15, 2006
DWQ Project # 06-1276
Craven County
CERTIFIED MAIL. RETURN RECEII'T REQUESTED
Mr. David Dees
Dees Builders, Inc.
233 Belltown Road
Havelock, NC 28532
Subject Property: Fairfield Harbor, Lot 316
Northwest Creek [030410,27-105, SB, SW, NSW)
REQUEST FOR MORE INFORMATION
Dear Mr. Dees:
On August 9, 2006, the Division of Water Quality (DWQ) received your application dated July
11, 2006, to impact 0.0688 acres of wetland to construct the proposed residence. 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 five copies of the additional information requested below, we will have to
move toward denial of your application as required by 15A NCAC 2H .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. Please indicate under Section I Processing of your Pre-Construction Notification
application, No. 2, which Nationwide permit you are applying for.
2. Please provide a location map for the project.
3. Please provide copies of a USGS topographic map with the project boundaries clearly
shown, and a Craven County Soil Survey aerial map with the project boundaries clearly
shown.
4. Please show all wetland impacts including fill slopes on the site plan. Please include a site
plan at a scale of 1"=50'.
401 oversight/Express Review Permitting Unit
1650 Mail Service Ceuter, Raleigh, North Carolina 27699-1650
/5321 Crabtree Boulevard, suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] / Internet: httn'//h2o cnr etate.ne.us/nc%vetlands
OCT 1 7 2006
DENR - WATER QUAUTy
WE?[ AND ST I $
RrMlCM
@D
one
NQh?

+ Y Page 2 of 2
August 15, 2006
5. Please indicate all buffer impacts on the site plan and quantify them in the table on page 11
of 12 of your Pre-Construction Notification application.
6. Please indicate the location of the protected buffers as overlays on the site plan.
7. Please locate all isolated or non-isolated wetlands, streams and other waters of the State
as overlays on the site plan.
8. Please indicate what form of sewage disposal we be utilized at the site in Section XII of
the Pre-Construction Notification application.
Please respond within three weeks of the date of this letter by sending this information to me in
writing and Kyle Barnes of the DWQ Washington 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. Ian
McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/ijm
cc: Kyle Barnes, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
File Copy
Central Files
Filename: 061276FairHeWL-ot316(Cmven)On Hold
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-2006-40127-125 County: Craven USGS Quad: Upper Broad Creek
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Dees Builders, Incorporated
Address: Attention: David Dees
233 Bell Town Road
Havelock: North Carolina 28532
Telephone No.: (252) 4442530
Size and location of property (water body, road name/number, town, etc.): Property is a 0.28 acre tract located on the
north side of Caracara Drive off of NCSR-1600 in wetlands adiacent to Northwest reek in Fairfield Harbor
southeast of New Bern in Craven County.
Description of projects area and activity: Applicant proposes to place fill in 0.06 acres of US army Corps of
Engineers iurisdictional wetlands to construct a single-family residence.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: NWP-18
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs are scheduled to be modified,
reissued, or revoked prior to March 18, 2007. It is incumbent upon you to remain informed of changes to the NWPs. We will issue a
public notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity before the
date that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the modification or
revocation of the NWP to complete the activity under the present terms and conditions of this nationwide permit. If, prior to the
expiration date identified below, the nationwide permit authorization is reissued and/or modified, this verification will remain valid
until the expiration date identified below, provided it complies with all new and/or modified terms and conditions. The District
Engineer may, at any time, exercise his discretionary authority to modify, suspend, or revoke a case specific activity's authorization
under any NWP.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Tracey L. Wheeler [phone] ex 24.
Corps Regulatory Offi ' Date: 09111/2006
Expiration Date of Verification: 03/18/2007
Cc:
Page 1 of 1
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• ? s,rA °'t?
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Provider: USGS .k ,
Nearest City: NEW BERN, NC
Date: 2/1/1998
Best Res: 1 Meter a
Scale: 1 Inch = 768 m{, r
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p ?: T 1 '7
EA,iK WATER QUALITY
WEI 01A" AND STORMYMATER BP -M

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Long: -76.98091977')
Image Size: 4,000 m x 4,000 m r •' '? '
Provider: GlobeXplorer Topos
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Date: 0/0/0000
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Wetlands ?. RRY R. R ••
This survey does not e existence or
nonexistence of wetlands on the site. It the us Amy is the Owner/
DevcbpuIr ty to GO"t? tion of wetlands.
f verifica ication and
Garacare Drive
60' paved/pubUc R/YV
?.s
TL- HAG at Int. Garacara Dr. +-
Gandaler Dr_ to r
-
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Engtieus -v art
--------------
THIS PLAT IS FOR PLANNING PURPOSES ONLY AND MOULD NOT
BE USED FOR SALES, DEED DESCRIPTION, OR RECORDING PURPOSES. m"
REFERENCE RESTRICTIVE COVENANTS FOR RESTRICTIONS AND
EASEMENTS THAT MAY APPLY.
9 Pro osed Construction Notes
1 5tlt fence to be, used as needed to control storm
water runoff from site. as r°8'
2 5d or 481 swale should be located a-V property
u needed to prevent storm water runoff onto adjok-AV
a property-
should be
3 gravel construction entrance w
Temp
X located at proposed driveway entrance.
4 Proposed 15' Driveway Culvert Wart should be at
elevation 7S'.
Proposed Plot Plan
Lot 316. - Section 6 - Part 1 - Montego
Fairfield Harbour
2208 Caracas Drive
for
Dees Builders
1PP - -
A tlantlc Survey + Desion. PA
1305 Country Club Road
New C252-) 63376649na
9.4 -- ?' 9.3
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VL Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federallstate/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)
2.
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
(Neuse),15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) ISA NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No [Z
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* twe ? Multiplier K
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
aMtional 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.
updated i vinzos
Page 11 of 12

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 15, 2006
DWQ Project # 06-1276
Craven County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Mr. David Dees
Dees Builders, Inc.
233 Belltown Road
Havelock, NC 28532
Subject Property: Fairfield Harbor, Lot 316
Northwest Creek [030410,27-105, SB, SW, NSW]
REQUEST FOR MORE INFORMATION
Dear Mr. Dees:
On August 9, 2006, the Division of Water Quality (DWQ) received your application dated July
11, 2006, to impact 0.0688 acres of wetland to construct the proposed residence. 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 five copies of 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. Please indicate under Section I Processing of your Pre-Construction Notification
application, No. 2, which Nationwide permit you are applying for.
2. Please provide a location map for the project.
3. Please provide copies of a USGS topographic map with the project boundaries clearly
shown, and a Craven County Soil Survey aerial map with the project boundaries clearly
shown.
4. Please show all wetland impacts including fill slopes on the site plan. Please include a site
plan at a scale of 1"=50'.
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
r
Nom` Carolina
Naturally
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Mr David Dees
Page 2 of 2
August 15, 2006
5. Please indicate all buffer impacts on the site plan and quantify them in the table on page 11
of 12 of your Pre-Construction Notification application.
6. Please indicate the location of the protected buffers as overlays on the site plan.
7. Please locate all isolated or non-isolated wetlands, streams and other waters of the State
as overlays on the site plan.
8. Please indicate what form of sewage disposal we be utilized at the site in Section XII of
the Pre-Construction Notification application.
Please respond within three weeks of the date of this letter by sending this information to me in
writing and Kyle Barnes of the DWQ Washington 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. Ian
McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.
Sincerely,
r
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBKlym
cc: Kyle Barnes, DWQ Washington Regional Office
USACE Washington Regulatory Field Office
File Copy
Central Files
Filename: 061296FairfieldLot316(Craven)Oo Hold
DW #06 _ 76 Fairfield Harbor Lot 316
Subject: DWQ #06-1276 Fairfield Harbor Lot 316
From: Laurie Dennison <[e-mail]>
Date: Wed, 16 Aug 2006 15:14:50 -0400
To: [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:
a lication/msword
061276FairfeldLot316(Craven)On_Hold.doc' PP
Content-Encoding: base64
. .. ... .. ... .
1 of 1 8/16/2006 3:16 PM

F? -
I
0G12rC?
`per
Q
OF
WATER
QG
o?
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. @,M.mil/wetl ands/Permits.htmi.
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.gM.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 adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Updated 11/1/2005
Page 1 of 12 D IR ? R 0 YEN.
AUG 0 9 2006
NE DtNR - WATER QUr;IiTY
TLANDsmosToRMVy
4TER 6 aRANCN

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.miVinet/functions/ew/cecwo/reg/2002nwps.p df. 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 retumed. 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 a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $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 htti)://h2o.ehnr.state.nc.us/ncwetlands/fees.htrnl. 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.
Updated 11/1/2005
Page 2 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania
151 Patton Avenue Ashe Cherokee Iredell Mitchell Union
Room 208 Avery Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan Nati onal Forest Only
Wilmington Regulatory Field Office Anson Duplin • Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
North Carolina State Agencies
Division of Water Quality
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 276994617
Telephone: [phone]
Fax: [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
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Updated 11/1/2005
Page 3 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
400 Commerce Avenue Bertie Craven Hyde Pender
Morehead City, NC 28557-3421 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kemersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1- 4.
Updated 11/1/2005
Page 4 of 12
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. 2 n n 6 1 2 7 6
(If any particular item is not appltcame to tnts protect, piease enter lw. Appu au.v .,. ..,n .)
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:
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 h 1ff@mW[R II. A
ppLca
nt Information AUG 0 9 2006
1. Owner/
Name:
Telephone Number: 252 L) y U 05- 730 Fax
E-mail Address: dec-'.k . i Ic rS 0 V; t fnw
DENR - WATER QUaL;T?
? BRANTAIr.KBRANCH
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Updated 11/1/2005
Page 5 of 12
III. Project Information
5.
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 MRCS 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: 31t,
2. T.I.P. Project Number or State Project Number (NCDOT Only
3. Property Identification Number (Tax PIN): 2- - y `/ ef - 3 i 6
4. Location
County: I? ,P'4 vG Nearest Town:
Subdivision name (include phase/lot number): 3i6/ z zV,
Directions to site (include road numbers/names, landmarks, etc.): CA',C4 CC-P-K-
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
6. Property size (acres): ) 4S 59 e.r . ze, ? -.?,
7. Name of nearest receiving body of water: ? 6 U S -e- tv e ?
8. River Basin: N fA)t&- r z
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httv://h2o.enr.state.nc.us/admin/mal)s/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Res{r[am{y, D 5?lau"r.r„?J? srti?;le-4iuM-
4?..
ti
attach a sheet that
ow
Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
=- I ,- P,,.-.,, 4---„cI4 •{v be w-sec( ?-J c,rcus a4 w-: GW.
G K?c? d 4? ?s
11. Explain the purpose of the proposed work: & I .(,no J 5->yJ1A-
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.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
,•:,? µ1..+-I4N?pS ate!,
1j. Provide a written description of the proposed impacts: 1rnr .c}-
to •IC5%.a 5A-C , h'r 1+ :%I LOP.)S;-J- -1; C- 1--e
-7 40' c -2, QQQ S Q ` 9-4-
updated 11/1/2005
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
cl-navotply lict ;mr?nctc tine to hnth gtnicture and flooding.
JV
Wetland Impact

Site Number
(indicate on map)

ype of Impact
Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.)
Located within
100-year
Floodplain
es/no
Distance to
Nearest
Stream
linear feet
Area of
Impact
(acres)
eurrric $.re5+e.,f : es ao 5

Total Wetland Impact (acres)
3, List the total acreage (estimated) of all existing wetlands on the property: .)4
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
,nn„ct hP incl„tied Tn calculate acreage. multinlv]ength X width, then divide by 43,560.
Stream Impact - -
Number
indicate on ma W- ~M-? - - - --
Stream Name -^ - A-- -
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)
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 Pnrrnvntinn dri-doinu_ 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)
less 4;-? /1o
.6
Updated 11/1/2005
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the ro'ect:
Stream Imp act acres :
Wetland Impact acres : :oto
Open Water Impact acres :
Total Impact to Waters of the U.S. acres
Total Stream Impact linear feet :
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes [I 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. 5'j if- 4-'Ce +g 6 ,s4oi,,1
GN L 4C4 L'U'l C4n?„PJ re55"e., ftq ;ev.e_#- s 4c be ,s-eD- 12i1) rvttcl n_r_tc i.J
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Updated 11/1/2005
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strinizide.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.
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 hqp://h2o.enr.state.nc.us/wEp/index.htin. 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):
zus U, -p Gam.
S
Updated 11/1/2005
Page 10 of 12
113L 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 [Z]
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 ?i
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I I * Irnpact Required
Zone (square feet) Multiplier Mitt atton
1 3 (2 for Catawba)
2 1.5
Total I I I
• Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
Updated 11/1/2005
Page 11 of 12
XI. Stormwater (required by DWQ)-
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. -
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
/t/vivc -
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 0
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No 0
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
-7/11/o.d
011 Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005
Page 12 of 12

0
OF
WA
TF9
Q?
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.anny.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.army.mil/wetlands/index.html, or contact one of the field offices
listed on page 3 of this application. The website also lists the responsible project manager for each
county in North Carolina and provides additional information regarding the identification and regulation
of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://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 adheres to all conditions of the GC. Applicants lacldng access to the intemet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Updated 11/1/2005 D
Page 1 of 12
C O ? .??p6
P\J
Coastal Area Management Act (LAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of
Coastal Management (DCM). DCM will determine whether or not the project is within a 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/reg/2002nwys.ndf. 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 a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $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 hiip://h2o.chnr.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.
Updated 11/1/2005
Page 2 of 12
US Army Corp s Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania
151 Patton Avenue Ashe Cherokee Iredell Mitchell Union
Room 208 Avery . Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Sunry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan Nati onal Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
North Carolina State Agencies
Division of Water Quality
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [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
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Updated 11/1/2005
Page 3 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
400 Commerce Avenue Bertie Craven Hyde Pender
Morehead City, NC 28557-3421 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kemersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1- 4.
Updated 11/1/2005
Page 4 of 12
Office Use Only: Form Version March 05
1 2 ???
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter Not Appucame or iv t .?
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
171401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Area of
Environmental Concern (see the top of page 2 for further details), chec T LS D
II. Applicant Information
1. Owner/
Ce vP
Telephone Number: 257 LI H U 0,53 b Fax
E-mail Address: dPPS ,kl i J rS 0) yc'hw
AUG 0 9 2006
/A/C- ST0ftW7iR- BRANCH
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Updated 11/1/2005
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Fe-id2c /c/ 3/4,
2. T.I.P. Project Number or State Project Number (NCDOT Only
3. Property Identification Number (Tax PIN): 2- - O Y 9 - 3) 6 .
4. Location
County: if ,PA ye, Nearest Town:
Subdivision name (include phase/lot number): Fr.,;A2 Le ld ??e.obo?/ G? 3i6/zZvY,
Directions to site (include road numbers/names, landmarks, etc.):
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
6. Property size (acres): e Z_ 1, 1393 SF ?r . M6
7. Name of nearest receiving body of water: N e U S -e- k:v e ?
8. River Basin: CL) a& n.s /
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at hLtp://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: Res ; r Pm+• P
..4-,., / c L ..f- W&J ?c -111%
attach a sheet that
OW
Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Idi&x 4 ReSiCL%4 ?IMu"e ,Jes'4 Grea:. "N wcfle?ds -t* L-0-rk-
11. Explain the purpose of the proposed work: r I ir?a 5? , le 4? 6 4,c' -LO
f??? O'J 1 1T 31V ICJ [I UC'y?Ll?•
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.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Imp4ci- ao!i 4"J-
L? I.7Y 1(j 'Mry y_ G ??, h'r 1+ ?1? La?rf Si •? ? C-IE Uf,N4 C- _ Gr- 04
'7`i x 4ar c 4-i-
Updated 11/1/2005
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
I 1is' t ' is due to both structure and floodin .
se crat

Wetland Impact
Site Number
(indicate on map) e un ac

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)
31 Lwo Gunnlt a
?u<Q54- is 3?co S

J
Total Wetland Impact (acres) ?cw
3. List the total acreage (estimated) of all existing wetlands on the property: 14
1esS 4i---l Yio
.6
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 me u

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)
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
f 11 a ation Bred in floodin drains a bulkheads, etc.
i , exc
Open Water Impact
Site Number
indicate on ma v 9 929
Name of Waterbody
(if applicable) 9
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. IIme act
p
acres

Total Open Water Impact (acres)
Updated 11/1/2005
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the ro'ect.
Stream Impact acres :
Wetland Impact acres :
Open Water Impact acres :
Total Impact to Waters of the U.S. acres
Total Stream Impact linear feet :
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes © No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
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. 6;o- qe xe +o lx ;Ns4ot d
ON PNic,a ?. a.? n„N? rrss e? f? :nrv?4- 's 'rc 6c- ?scj. 1) nilu rvttc? r rtc jn)
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Updated 11/1/2005
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
bltp://h2o.enr.state.nc.us/ncwetlands/strrngide.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
ZUv 4,.'rr CG.
Tf Y' V - _-
'4-o &ctesS h ??z Aw- byi d t5 r 0? ?5 L-4P l raLlyrS +c, be u5-4 S:!} Takes
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.ne.ils/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Updated 11/1/2005
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No 0
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No 0
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 0
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.
Impact Required
Zone* r--.% Multiplier
3 (2 for Catawba)
1.5
Total
• Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260.
Updated 11n/2005
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. -
XH. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XHI. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No n
Is this an after-the-fact permit application? Yes ? No El
MV. 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 f?
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
httv://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
-71111,94
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/112005
Page 12 of 12

„O
0
?0?WAT?RQ
G
r
_ -c
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.iLM.mil/wetlands/Pertnits.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.armv.mil/wetlands/index.htmlI 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 adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Updated 11/1/2005 ° ? U ?:/
D
Page 1 of 12 AUG 0 9 2006
OENR • WATER GUALI ly
WETLANDS
MO STORMWAT" SRANCH
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
htty://www usace army mil/inet/functions/cw/cecwo/reg/2002nwps.t)df. 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 a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $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 hllp://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.
Updated 11/1/2005
Page 2 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania
151 Patton Avenue Ashe Cherokee Iredell Mitchell Union
Room 208 Avery Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan Nati onal Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
North Carolina State Agencies
Division of Water Quality
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [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
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Updated 11/1/2005
Page 3 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
400 Commerce Avenue Bertie Craven Hyde Pender
Morehead City, NC 28557-3421 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kemersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1- 4.
Updated 11/1/2005
Page 4 of 12
Office Use Only: Form Version March 05
2 0 0 B 1 2 7 B
USACE Action ID No. DWQ No.
(Tf anv narticular item is not annlicable to this Uroiect, ulease 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: i
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 C agement Area of
Environmental Concern (see the top of page 2 for further detail V
H. Applicant Information qU(j v?
1.
Telephone Number: 2S7 U y y 053 b Fax
E-mail Address: dPPC.k , r' ICU rS 6) yo hors
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Updated 11/1/2005
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: 3/4,
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2- - 01/9 - 3J 6
4. Location
County: PA dG Nearest Town: 6-e.'d' /V G
Subdivision name (include phase/lot number): F-C, =2 ,-e&C Ly Z 3-I6/z Z013
Directions to site (include road numbers/names, landmarks, etc.):
Site coordinates (For linear projects, such as a road or utility line,
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON
6. Property size (acres): i Z- JOE S F •r . Zg ?i
7. Name of nearest receiving body of water: ! e U S .e- P-ty e ?
8. River Basin: CL) .6
(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/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: Res;r gm+. p -y G?um='-'
? i-,. 1
v
attach a sheet that
OW
Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: rt
.k •1.I:.o. 1 0-4,141 11..•.•_a AI.'-'V rarer i'J W[fisr,?t(S •-, w0--'L Gr.r.vGt'.-
i.._...1 It- Pi,.'.,4 i,i,4v/ c,,A 4--f •Cic- 4-a be vs-c( i?1 c:reus a WurIG.
11. Explain the purpose of the proposed work: & I c(,!:4 fie-j;J-,- -o
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.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Imrc.c.* ,•:,a ?.,?_a Ic.?,?js ao!?au
to 6y 16Sva 5A-e h'r l4. 1 •1) t ur?Si?•? 4 CJeueiAN C- C. r1 04
-7 Y 40! c -2, bn,s ? 5 Q 4-{-
Updated 11/1/2005
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
--l- 1:,F ;--4- A,- to 1,rM, ctnirfitrP and flnndinfr-
JG R1 R

Wetland Impact

Site Number

(indicate on map) LV1 11JL 1L1 LLV W

ype of Impact
T e of Wetland
yp

(e.g., forested, marsh,

herbaceous, bog, etc.)
Located within

100-year
100-year

es/no
Distance to

Nearest

Stream
linear feet
Area of

Impact

(acres)
3i (u.o ( Cursnl[ ???¢g+e.cP is 3.00 5

Total Wetland Impact (acres) jcw sr
3. List the total acreage (estimated) of all existing wetlands on the property: .14
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
...+ 1..0 ;,,..1„r1nr1 T^ r alrnlatp acreavP m111tinly 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)
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
r-11 .n*;n„ ij-An;r,rr flnnrUno drainavP_ hi lkheads_ etc.
IESS 'f J%? X v
.6
1111, VAV
Open Water Impact
Site Number
(indicate on ma LL?µL1VU, V+v? u. , ??v...
Name of Waterbody

(if applicable) -W , ?---- -, -

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

Total Open Water Impact (acres)
Updated 11/1/2005
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project
Stream Impact acres :
Wetland Impact acres :
Open Water Impact acres :
Total Impact to Waters of the U.S. acres
Total Stream Impact linear feet):
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. %0- 4t ..Ke +,u 6 ;Ns40t cl
GN pr""rr-4? bfxa nnvn? '8M55'r- Snuiv N kr, 6e- uscd. ON6u r1/ ed r:rtc la
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Updated 11/1/2005
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
hl!p://h2o.enr.state.nc.us/ncwetlands/strrngide.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 offshe), 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
6;tNle 4on 14 6tnr, 4% be 6,04- e Ur 31(, 4 6,-.r N)ew A C, L. -r 3 u.-
of Rel?v s}t?K. urtu 75- X L4G or 3vca Sao 4ie us a cf b? 1, w d Home
u cctrss h a.z , 6,j C1 'air-Ap?ac, ?1 5 t_hP f rojvrs I-o be %+s?d,
?r S+Ay-*v-s C, P,ttr-Us
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http•//h2o enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Zvt7 4:vo Cc„
S
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Updated 11/1/2005
Page 10 of 12
IX, Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No 0
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No F
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 M
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 multi lier&
Impact Required
Zone* ----- r_- Multiplier
3 (2 for Catawba)
1.5
Total I I I I
• Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260.
Updated 1111/2005
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. --
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
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 0
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No ?
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
-71111,94
lo? Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005
Page 12 of 12
DWQ## G 1V (; Z 7 (? Date . o Who Reviewed: (1/,
pie
7PIease- i7nco -
to ?? F 3provide a location map for the pro ect 1 ` l/
[J Please show all stream impacts including all fill slopes, dissipaters, and bank stabilization on the site p] p
? v? e 4 S; I•? P a,?•-?
Please show all wetland impacts including fill slopes on the site plan.1?
Please indicate all buffer impacts on the site plan.
Please indicate proposed lot layout as overlays on the site plan. ---' h h d ""t • U 4'Y-L 17 t^-l
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 c life passages
{el Please locate any planned-sewer lines on the site plan./' C 41
? Please provide the location of any proposed stormwater management practices as required by GC v J
? Please provide detail for the stoanwater management practices as required by GC
? Please specify the percent of project imperviousness area based on the estimated built-out conditions.
? Please indicate all stormwateoi}tfalls on the site plait.
? 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 beli eves 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 catirebuffer. 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
0. 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'«nail to [e-mail] and Cl):
'
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. .

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