20061625 Ver 1_COMPLETE FILE_20061011

?O 9Q Michael F. Easley, Governor
William G. Ross Jr., Secretary
r- North Carolina Department of Environment and Natural Resources

i? @ F 0 W 2
D Alan W. Klimek, P.E. Director
Division of Water Quality
November 2 2006
NOV 6 - 2006 DWQ# 06-1625
Alamance County
t7ENk - WATER QUALITY
WERANDS AND STORM'oMATER BRANCH
Mr. Charles Royster
Tarheel Land Company
P. O. Box 1060
Oxford, NC 27565
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Royster:
Tarheel Land Company has our approval, in accordance with the attached conditions, to place permanent fill
in 130 linear feet of perennial stream in order to construct a road crossing for the Salem Woods residential
subdivision located on Salem Church Road in Alamance County, as described in your application received by
the Division of Water Quality (DWQ) on October 26, 2006. After reviewing your application, we have
determined that this fill is covered by General Water Quality Certification Number 3402, which can be.
viewed on our web site at htip://www.ncwaterquality.org/wetlands.html. This Certification allows you to use
Nationwide Permit Number 39 when it is issued by the U.S. Army Corps of Engineers. In addition, you
should secure any other applicable federal, state or local permits before you proceed with your project,
including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and Water
Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permits expire
unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you maybe required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fill for this
project (now or in the future) exceeds one acre, or total fill to perennial streams equals or exceeds 150 linear
feet, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval
to be valid, you must follow the conditions listed in the attached certification, as well as the additional
conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of this
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Streams 130 linear feet Unnamed tributary to Motes Creek located southwest of Salem Church
Road in Alamance County, as depicted on the site plan included with
the application

Noo?n iCarolina
Natura!!y
North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone [phone] FAX [phone]
2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet htto://www.ncwaterguality.om
Customer Service Number: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Mr. Charles Royster
Page 2, DWQ# 06-1625
November 2, 2006
2. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Sediment and Erosion Control Planning and Design Manual or the
North Carolina Surface Mining Manual (available from the Division of Land Resources at NCDENR
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
maintained properly to assure compliance at all times with the North Carolina water quality standards
that are applicable to Class C waters as described in 15A NCAC 02B.0211 Fresh Surface Water Quality
Standards For Class C Waters. Such measures must equal or exceed the requirements specified in the
most recent version of the North Carolina Sediment and Erosion Control Manual. These measures must
be maintained on all construction sites; borrow sites, and waste pile (spoil) sites, including contractor
owned and leased borrow pits, which are associated with this project.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
4. No waste, spoils, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre-Construction Notification. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control "Best
Management Practices" shall be performed so that no violations of state water quality standards,
statutes, or rules occur.
5. Where riprap is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section must be
maintained. Riprap placed in the stream bottom must be inserted into the bottom matrix to a depth
sufficient to provide the thickness of riprap required for scour protection. The elevation of the stream
bottom must not be increased by the placement of riprap. Placement of riprap must not result in
destabilization of the streambed or banks upstream or downstream of any crossing.
6. All construction activities associated with this project shall minimize built-upon surface area, direct
stormwater runoff away from surface waters, and incorporate best management practices to minimize
water quality impacts. If concrete is used with any fill material, it shall not be allowed to come in
contact with surface waters until it has cured. If any stormwater must be collected for discharge into a
stream channel, it shall not enter the stream as a point source, but shall be slowed and discharged as
sheet flow prior to entering the riparian buffer on either side of the stream.
7. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the Wetlands/401 Certification Unit of the NC Division of Water
Quality at the address listed on the form. Along with the Certificate of Completion, please send
photographs upstream and downstream of the culvert site to document correct installation.
Mr. Charles Royster
Page 3, DWQ# 06-1625
November 2, 2006
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition
which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final
and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act.
If you have any questions, please telephone Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4959 or Ian McMillan in the Wetlands/401 Central Office in Raleigh at 919-715-4631.
Sincerely,
Alan W. Klimek, P.E.
AWK/cdl
Attachments
cc: Mr. Monte Mathews, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
DWQ, Winston-Salem Regional Office
Central Files
Wetlands/401 File Copy
Mr. Timothy Stall, Site Technologies, Inc., P. O. Box 1612, Oxford, NC 27565
Triage Check List
Date: 10/30/06
Project Name: Salem Woods SD
DWQ#: 06-1625
County: Alamance
Daryl Lamb, Winston-Salem Regional Office
To:
60-day processing time: 10/26/06 - 12/24/06
From: Cyndi Karoly Telephone: [phone]
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
Site Technologies, Inc.
Landscape Architecture & Land Planning
P.O. Box 1612 LIP as 1066
Oxford, North Carolina 27565 O LP _
DATE yy /y - T JOB NO. h
ATTENTION
D.a t- .
RE:
SAL'am WoVtt.--.0" nj?.lir3r?w.
Al.A V-4/,Nr.E Qo .
WE ARE SENDING YOU Attached ? Under separate cover via
> ? Shop drawings ? Prints ? Plans ? Samples
? Copy of letter ? Change order ?
? Resubmit
COPIES DATE NO. DESCRIPTION
j
THESE ARE TRANSMITTED as checked below:
For approval ? Approved as submitted
? For your use ? Approved as noted
? Submit
the following items:
? Specifications
copies for approval
copies for distribution
> ? As requested ? Returned for corrections ? Return
? For review and comment ?
? FOR BIDS DUE
REMARKS
corrected prints
? PRINTS RETURNED AFTER LOAN TO US
t.
V r--p /;Z" r=
COPY TO
OCT 2 6 2006
UENR - NATkR C:llALn-Y
AETLANDS AND STORUWATER BRANCH
SIGNED: ? ?^'{
If enclosures are not as noted, kindly notify us at once.
TARHEEL LAND COMPANY
919-693-9292 TARHEEL
919-693-8604 SALES LAND COMPANY
919-693-7104 FAX
wmv.tarheelland.com o to - ? Lo 2 5
October 23, 2006
Timothy Stall
Site Technologies, Inc.
712B Enon Road
Oxford, N.C. 27565
Re: Salem Woods Subdivision
Dear Mr. Stall,
This letter will serve as your authorization to represent Tarheel Land Company in
its dealings with the US Corps of Engineers, the Division of Water Quality of NCDNR
and any other involved governmental entities in connection with the stream crossings at
Salem Woods Subdivision in Alamance County, N.C.
Sincerely,
E. Ossie Smith,
119 NFW r.nl 1 Fr:F CTRFFT 0 PORT nFFI(:F ROY 1nRn • nyf=r)p 1 N (. 77RRR
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. O (2 - 1 l0 2.5
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit X Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
r_-3 OW - I
Q
OCT 2 S 2006
Name: Tarheel Land Company
Mailing Address: 112 New College Street, Oxford, NC 27565 DENK - wA? K uL-TLTT?'
'" 'i8rriddb8 6T8??+tt??w7?R aRANC.H
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: o_ssieAtarheelland.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Timothy A. Stall
Company Affiliation: Site Technologies, Inc.
Mailing Address: P.O. Box 1612, Oxford, NC 27565
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: tastall(atearthlink.net
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: Salem Woods Subdivision
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 9800757976, 9800864616, 9800970502,
9800971189
4. Location
County: Alamance Nearest Town: Saxanahaw
Subdivision name (include phase/lot number): Salem Woods Subdivision
Directions to site (include road numbers/names, landmarks, etc.): (from Saxanahaw) take
S.R. 2146 (Saxanahaw Bethlehem Ch Rd) east to S R 2147 (Mineral Springs Rd) turn
left on S.R. 21.47. Turn left onto S R 2142 (Salem Church Rd) Propertv will be on the
left side of the road.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.969 ON 79.308 °W
6. Property size (acres): 76.82
7. Name of nearest receiving body of water: UT to Motes Creek
8. River Basin: Cam Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httn://h2o.enr.state.ne.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: This proiect is to create a low-density, single-family
Page 6 of 12
subdivision. The property is currently gently rolling woodland with small fields.
Surrounding area is low-density rural residential and agricultural use.
10. Describe the overall project in detail, including the type of equipment to be used: This
proiect will construct new subdivision roads in a new subdivision. One perennial
stream is to be crossed. Typical tracked and rubber-tired vehicles will be used.
11. Explain the purpose of the proposed work: To construct new residential subdivision
roads.
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.No previous determinations or permits have been required.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated at this time.
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:One stream crossing with a
residential collector road to include SO l.f. of 60" c.m.p. with a concrete end wall at
entrance to pipe and riprap energy dissapators at inlet and outlet. Riprap aprons to
extend 7 l.f. from entrance and 40' from outlet for a total length of 1.27 l.f. and total
stream impact of 130 l.f. along the existing centerline.
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number

(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,

herbaceous, bog, etc.) Located within
100-year
Floodplain

es/no) Distance to
Nearest
Stream

(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:0.27 Ac.
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet Area of
Impact
(acres)
1 UT Fill/Culvert Perennial 5' 80' 0.009
1 UT Riprap Perennial 5' 50' 0.006

Total Stream Impact (by length and acreage) 130' 0.015
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres) 0.00
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.015
Wetland Impact (acres): 0.000
Open Water Impact (acres): 0.000
Total Impact to Waters of the U.S. (acres) 0.015
Total Stream Impact (linear feet): 130
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XNo
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.
None
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.The subdivision layout was
designed to minimize impacts to the existing streams on site. A single stream crossing is
necessary to access land. The stream crossing is at a perpendicular angle to minimize
length of impact.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
_None - Mitigation is not required.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wM/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres): 0
Amount of Coastal wetland mitigation requested (acres): 0
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 X
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
identifyCape Fear)? Yes X No ?
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I Zone* I Impact I Multiplier I Required
(sauare feet) Mitieation
3 (2 for Catawba)
1.5
Total I I I
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 213.0242 or.0244, or.0260. Not required
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. Proposed impervious surface for this
subdivision at 100% built-out=9.0%
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.
This subdivision will be serviced with individual wells and private ground absorption septic
systems.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application? Yes ? No X
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 X
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:Having
reviewed the draft internal policy concerning cumulative impacts, this subdivision is
unlikely to damage downstream water quality and should not need additional analysis.
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).
Page 12 of 12
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. O (0 - G'kS
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit X Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ? k?q T-1- II. Applicant Information
12 "D
1. Owner/Applicant Information QCI 2 6 2006
Name: Tarheel Land Companv nt; Ng - W JER QUAUTY
Mailing Address:112 New College Street, Oxford, NC 27565 w'WDSMDSTCRMWAT-x-
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: ossiena,tarheelland.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Timothy A. Stall
Company Affiliation: Site Technologies, Inc.
Mailing Address: P.O. Box 1612 Oxford NC 27565
Telephone Number: (91.9)693-2927 Fax Number: [phone]
E-mail Address: tastall(a earthlink.net
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: Salem Woods Subdivision
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 9800757976, 9800864616, 9800970502,
9800971189
4. Location
County: Alamanee Nearest Town: Saxapahaw
Subdivision name (include phase/lot number): Salem Woods Subdivision
Directions to site (include road numbers/names, landmarks, etc.): (from Saxapahaw) take
S.R. 2146 (Saxapahaw Bethlehem Ch. Rd.) east to S.R. 2147 (Mineral Springs Rd.) turn
left on S.R. 21.47. Turn left onto S.R. 2142 (Salem Church Rd.). Property will be on the
left side of the road.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.969 ON 79.308 °W
6. Property size (acres): 76.82
7. Name of nearest receiving body of water: UT to Motes Creek
8. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: This project is to create a low-density, single-family
Page 6 of 12
subdivision. The property is currently gently rolling woodland with small fields
Surrounding area is low-density rural residential and agricultural use
10. Describe the overall project in detail, including the type of equipment to be used: This
proiect will construct new subdivision roads in a new subdivision One perennial
stream is to be crossed. Typical tracked and rubber-tired vehicles will be used
11. Explain the purpose of the proposed work: To construct new residential subdivision
roads.
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.No previous determinations or permits have been required
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated at this time
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:One stream crossing with a
residential collector road to include 80 l.f of 60" c m p with a concrete end wall at
entrance to pipe and riprap energy dissapators at inlet and outlet Riprap aprons to
extend 7 l.f. from entrance and 40' from outlet for a total length of 127 LL and total
stream impact of 130 11. along the existing centerline
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:0.27 Ac.
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet) Area of
Impact
acres
1 UT Fill/Culvert Perennial 5' 80' 0.009
1 UT Riprap Perennial 5' 50' 0.006

Total Stream Impact (by length and acreage) 130' 0.015
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres) 0.00
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.015
Wetland Impact (acres): 0.000
Open Water Impact (acres): 0.000
Total Impact to Waters of the U.S. (acres) 0.015
Total Stream Impact (linear feet): 130
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XNo
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.
None
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.The subdivision layout was
designed to minimize impacts to the existing streams on site. A single stream crossing is
necessary to access land. The stream crossing is at a perpendicular angle to minimize
length of impact.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.ne.us/ncwetlands/strrngide.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.
None - Mitigation is not required
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 httl2://h2o.enr.state.nc.us/)M/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres): 0
Amount of Coastal wetland mitigation requested (acres): 0
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 X
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
identifyCape Fear)? Yes X No ?
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
* Impact Required
Zone Multiplier
3 (2 for Catawba)
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. Not required
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. Proposed impervious surface for this
subdivision at 100% built-out=9.0%
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.
This subdivision will be serviced with individual wells and private ground absorption septic
systems.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application? Yes ? No X
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 X
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.ne.us/ncwetlands. If no, please provide a short narrative description:Havin?
reviewed the draft internal policy concerning cumulative impacts, this subdivision is
unlikely to damage downstream water quality and should not need additional analysis
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
Threat- e?Species, accessibility problems, or other issues outside of the applicant's control).
uT/ .(r' / /O ?5
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
Triage Check List
Date: 10/18/06 Project Name: Salem Woods SD
DWQ#: 06-1625
County: Alamance
Daryl Lamb, Winston-Salem Regional Office
To:
60-day processing time: 10/11/06 - 12/09/06
From: Cyndi Karoly Telephone: [phone]
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
1-1
Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
Site Technologies, Inc.
Landscape Architecture & Land Planning
P.O. Box 1612
Oxford, North Carolina 27565
WE ARE SENDING YOU "-A Attached ? Under separate cover via
DATE JOB NO.
D U o!o to
ATTENTION
RE:
5. ,L4_,- t G?-?or?c?, ?r?t??v
'%L--UL! V LL,
THESE ARE TRANSMITTED as checked below:
For approval ? Approved as submitted
? For your use ? Approved as noted
? As requested ? Returned for corrections
? For review and comment ?
? FOR BIDS DUE
> ? Shop drawings ? Prints ? Plans
? Copy of letter ? Change order ?
the following items:
? Samples ? Specifications
COPIES DATE NO. DESCRIPTION

? t v?ioloG, vs6rs h?

dCE44CQ @IF V° ° MHO V` LrUL
X0061625 1056
? PRINTS RETURNED AFTER LOAN TO US
REMARKS
Iyp? SC etft/° r71 R
COPY TO SIGNED:
? Resubmit copies for approval
? Submit copies for distribution
? Return corrected prints
If enclosures are not as noted, kindly notify us at once
Office Use Only: Form Version March 05
?' O Q
USACE Action ID No. DWQ No. 6 1 G 2 5
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
Check all of the approval(s) requested for this project: R ECHiVED
? Section 404 Permit X Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), ecl? here: ? 0, 17" S? ,
II. Applicant Information
1. Owner/Applicant Information
[fr tr=
Name:Tarheel Land Company
Mailing Address: 112 New College Street, Oxford, NC 27565
Telephone Number: [phone] Fax Number: (91.9)693-7104
E-mail Address: ossie(a),tarheelland.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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: Salem Woods Subdivision
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 9800757976, 9800864616, 9800970502,
9800971189
4. Location
County: Alamance Nearest Town: Saxapahaw
Subdivision name (include phase/lot number): Salem Woods Subdivision
Directions to site (include road numbers/names, landmarks, etc.): (from Saxapahaw) take
S.R. 2146 (Saxapahaw Bethlehem Ch. Rd.) east to S.R. 2147 (Mineral Springs Rd.) turn
left on S.R. 2147. Turn left onto S.R. 2142 (Salem Church Rd.). Property will be on the
left side of the road.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.969 ON 79.308 °W
6. Property size (acres): 76
7. Name of nearest receiving body of water: UT to Motes Creek
8. River Basin: Cane Fear
(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: This _proicet is to create a low-density, single-family
Page 6 of 12
subdivision. The property is currently gently rolling woodland with small fields.
Surrounding area is low-density rural residential and agricultural use.
10. Describe the overall project in detail, including the type of equipment to be used: This
project will construct new subdivision roads in a new subdivision. One perennial
stream is to be crossed. Typical tracked and rubber-tired vehicles will be used.
11. Explain the purpose of the proposed work: To construct new residential subdivision
roads.
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.No previous determinations or permits have been required.
V. Future Project. Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated at this time.
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.
Provide a written description of the proposed impacts:One stream crossing with a
residential collector road to include 80 l.f. of 60" c.m.p. with a concrete end wall at
entrance to pipe and riprap energy dissapators at inlet and outlet. Riprap aprons to
extend 7 LE from entrance and 40' from outlet for a total length of 127 LE and total
stream impact of 130 LE along the existing centerline.
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:0.27 Ac.
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply lenath X width- then divide by 43.560_
Stream Impact
Number
(?indicate on ma
)
Stream Name
Type of Impact
Perennial o9
Intermittent. Average
Stream Width

Before Impact Impact
Length

linear feet) Area of
Impact

(acres)
1 UT Fill/Culvert Perennial 5' 80' 0.009
1 UT Riprap Perennial 5' 50' 0.006

Total Stream Impact (by length and acreage) 130' 0.015
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, floodina, drainage, bulkheads. etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable) _
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres) 0.00
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.015
Wetland Impact (acres): 0.000
Open Water Impact (acres): 0.000
Total Impact to Waters of the U.S. (acres) 0.015
Total Stream Impact (linear feet): 130
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XNo
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.The subdivision layout was
designed to minimize impacts to the existing streams on site. A single stream crossing is
necessary to access land. The stream crossing is at a perpendicular angle to minimize
length of impact.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
None - Mitigation is not required.
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/wW/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): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres): 0
Amount of Coastal wetland mitigation requested (acres): 0
Page 10 of 12
IX.
X.
Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No X
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 ?
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
identifyCape Fear)? Yes X No ?
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact Multiplier Required
(square feet) Mitigation
1 5,840 3 (2 for Catawba)
2 3,034 1.5
Total 8,874
* 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. Not required
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. Proposed impervious surface for this
subdivision at 100% built-out=9.0%
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.
This subdivision will be serviced with individual wells and private ground absorption septic
systems.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application? Yes ? No X
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 X
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:Having
reviewed the draft internal policy concerning cumulative impacts, this subdivision is
unlikely to damage downstream water quality and should not need additional analysis.
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).
None
Applicant/Agent's Signature ]Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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Name: SAXAPAHAW Location: 035° 58'06.5" N 079° 18' 29.T' W
Date: 9!5/2006 Caption: Salem Church Road Subdivision
Scale: 1 inch equals 2000 feet Alamance County
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I USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
M
Provide the following information for the stream reach under assessment:
1. Applicant's name: _i,d tL drool, rte, 2. Evaluator's name: ?t K•{ ?Cl,t.?
3. Date of evaluation: g Jbl.. 4. Time of evaluation: 2 t O? 12:m&
5. Name of stream:Cr -M- 6. River basin:- ,? ! AP
7. Approximate drainage area: U. S. Stream order. 21"l pdt?X? i?
9. Length of reach evaluated: DC7 rT. 10. County: A LAAAA W,6
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (e)L 34.872312): 43S . o Longitude (ex. -77.556611): -J!J. 3O8°
Method location determined (circle): GPS opo S Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (noearby roads and landmarks and attach map identifying stream(s) location):
1 YEA-i. . • &-AA.,.. i - % - ..- . - - - - -
14. Proposed channel work (if
15. Recent weather conditions: 't]f.. e '
16. Site conditions at time of visit:- %2W ?? j t?L . GA b F:
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
1& Is there a pond or lake located upstream of the evaluation point? ES O If yes, estimate the water surface area
d
19. Does channel appear on USGS quad map? 69 NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: r2L% Residential
_% Forested
22. Bankfull width: 14
24. Channel slope down center of stream:: V Flat (0 to 2%)
25. Channel sinuosity: Straight V /-Occasional bends
Commercial % Industrial %% Agricultural
Cleared / Logged _% Other ( )
23. Bank height (from bed to top of bank):- ? %3b d
-Gentle (2 to 40/6) _Moderate (4 to 10%) -Steep (>10%)
-Frequent meander Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from
Evaluator's Signatu .191 Date
This channel evalu tion rm is int d to be used only as a guide to assist landowners andenvironmental professionals in
gathering the data require a nited States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06103. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET
- iG Ti II l 'I f C , ., . I 8 'G ? ;S?co
t '
G di Piedmdut Mountain .
1 Presence of flow / persistent pools in stream 0-5 0-4 0-5
no now or saturation = 0; strop flow = max points)
2 Evidence of past human alteration 0-6 0-5 0-5
(extensive alteration = 0; noalter
ation - mat_ Dints

3 Riparian.zone
0-6
0-4
0-5
no buffer = 0; contiguous; wide buffer = max points
4 Evidence of nutrient or chemical discharges 0-5 0 - 4 0-4
(extensive discharges = 0; no discharges = max points)
5 Groundwater discharge
(no discharge = 0; springs, seeps, wetlands, etc.= max points) 0-3 0 - 4 0-4
,J
6 Presence of adjacent floodplain

(no #loodplain = 0; extensive floodplain = max points)
0-4
_0--4
0-2
a 7 Entrenchment/ floodplain access

(deeply entrenched = 0; uent floodin -= max points) 0-5 0-4 0-2
8 Presence of adjacent wetlands

__ fno wetlands = 0; large adjacent wetlands - max points) 0-6 0-4 0-2
9 Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0, natural meander=: max points)
Sediment input 0-5 5 0-4 0-4
extensive deposition= 0; little or, no sediment = max ints
Size do diversity of chacel bed substrate 0 - 4 0 - 5
{fine, homo enous = 0 lar e, diverse sizes = max rots
412 Evidence of channel incision orwidening
-

(deeply incised = 0; stable bed & banks = max points 0
5 0-4 0-5
Presence of major bank failures

severe erosion = 0; no erosion, stable banks = max points) 0 - 5 0 - 5 0 - 5

14 Root depth and density on banks
0-3
0-4
0
5
(no visible roots = 0; dense roots throughout -= max points) -

is Impact by agriculture;: livestock, or timber production

(substantial impact =0; no evidence .= max rots) 0-5 0-4 0-5
16 Presence of riffle-poollripple-ppol complexes

no riffles/ri les or pools= 0• well-developed = max points) 0-3 0-5 0-6
1 Habitat complexity
0 - b
0 - 6
0 - 6
(little or no habitat = 0; ftequent
varied habitats = max points)
18 Canopy coverage over stream bed
(no shading vegetation = 0; continuous canopy = max points) 0-5 0-5 0-5
19 Substrate embeddedness *-

fdeeply embedded
= 0; loose structure =.max) NA 0-4 0-4
2
20 ..
.
Presence of strew invertebrates (see page 4)

re"

(no evidence = 0; common,murnerous types-= max points)
- 0-4 0-5 0-5

v
{;7
21 Presence of amphibians

O
(no evidence =0; common, numerous tyM =max points) 0-4 0-4 0-4

2 Presence of fish
0-4
0-4
0-4
? (no evidence = 0; common, numerous
types ° max points)
3 - Evidence of wildlife use 0-6 0 - 5 0-5
(no evidence = 0; abundant evid ence - max points)
eml Points Pflssible f w 100 100

TOTAL SCORE (also enter on first page) (? 7
* These characteristics are not assessed in coastal streams.
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. 2 0 0 G 1 2 5
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
C _iVED
1. Check all of the approval(s) requested for this project:
? Section 404 Permit X Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
X 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 here: ?
II. Applicant Information ° a? .
1. Owner/Applicant Information - - y t
Name:Tarheel Land Company r?fyt< ??? ??
Mailing Address: 112 New College Street, Oxford, NC 27565r?T?^?<nst t? xr?
Telephone Number: (91.9) 693-9292 Fax Number: [phone]
E-mail Address: ossie(a),tarheelland.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
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: Salem Woods Subdivision
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 9800757976, 9800864616, 9800970502,
9800971189
4. Location
County: Alamance Nearest Town: Saxapahaw
Subdivision name (include phase/lot number): Salem Woods Subdivision
Directions to site (include road numbers/names, landmarks, etc.): (from Saxapahaw) take
S.R. 2146 (Saxapahaw Bethlehem Ch. Rd.) east to S.R. 2147 (Mineral Springs Rd.) turn
left on S.R. 2147. Turn left onto S.R. 2142 (Salem Church Rd.). Property will be on the
left side of the road.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.969 ON 79.308 °W
6. Property size (acres): 76.82
7. Name of nearest receiving body of water: UT to Motes Creek
8. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application:_ This project is to create a low-density, single-family
Page 6 of 12
subdivision. The property is currently gently rolling woodland with small fields.
Surrounding area is low-density rural residential and agricultural use.
10. Describe the overall project in detail, including the type of equipment to be used: This
proiect will construct new subdivision roads in a new subdivision. One perennial
stream is to be crossed. Typical tracked and rubber-tired vehicles will be used.
11. Explain the purpose of the proposed work: To construct new residential subdivision
roads.
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.No previous determinations or permits have been required.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated at this time.
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:One stream crossing with a
residential collector road to include 80 LL of 60" c.m.p. with a concrete end wall at
entrance to pipe and riprap energy dissapators at inlet and outlet. Riprap aprons to
extend 7 Lf. from entrance and 40' from outlet for a total length of 127 LL and total
stream impact of 1.30 LL along the existing centerline.
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number

(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,

herbaceous, bog, etc.) Located within
100-year

Floodplain (es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:0.27 Ac.
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Im act Impact
Length
(linear feet Area of
Impact
(acres)
1 UT Fill/Culvert Perennial 5' 80' 0.009
1 UT Riprap Perennial 5' 50' 0.006

Total Stream Impact (by length and acreage) 130' 0.015
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name
(if applicable) Watee)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,

ocean, etc.) Area of
Impact

(acres)

Total Open Water Impact (acres) 0.00
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.015
Wetland Impact (acres): 0.000
Open Water Impact (acres): 0.000
Total Impact to Waters of the U.S. (acres) 0.015
Total Stream Impact (linear feet): 130
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XNo
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.
None
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.The subdivision layout was
designed to minimize impacts to the existing streams on site. A single stream crossine is
necessary to access land. The stream crossing is at a perpendicular angle to minimize
length of impact.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmaide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
None - Mitigation is not required.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres): 0
Amount of Coastal wetland mitigation requested (acres): 0
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 X
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
identifyCane Fear)? Yes X No ?
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
* I Impact I Required
I Zone f era f.- Multiplier AA, +-+;--
1 5,840 3 (2 for Catawba)
2 3,034 1.5
Total I 8,874
* 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. Not required
Page 11 of 12
L r
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. Proposed impervious surface for this
subdivision at 100% built-out=9.0%
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.
This subdivision will be serviced with individual wells and private ground absorption septic
systems.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No X
Is this an after-the-fact permit application? Yes ? No X
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 X
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:Havin?
reviewed the draft internal policy concerning cumulative impacts, this subdivision is
unlikely to damage downstream water quality and should not need additional analysis.
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).
None
Applicant/Agent's Signature W6
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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Name: SAXAPAHAW Location: 035° 58'06.5" N 079° 18'29.7" W
Date: 9/5!2006 Caption: Salem Church Road Subdivision
Scale: 1 inch equals 2000 feet Alamance County
I USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: A- V, & t262, 2. Evaluator's name: - "
3. Date of evaluation: 611'e's IDIi
I if 4. Time of evaluation:
5. Name of stream: & = 6. River basin:-
7. Approximate drainage area:- (i G•. 8. Stream order. 2NpLi 12i?•
9. Length of reach evaluated: 100 r T: 10. County: At.,AmApe4
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex 34.872312): a sS Longitude (ex -77.556611): !M . B o 8o
Method location determined (circle): GPS opo Sl Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (no nearby roads and landmarks and attach map identifying stream(s) location):
1 - _..... )L.-.- i - % - .._. - - - --- -
14. Proposed channel work (if
15. Recent weather conditions: 'nf1N
16. Site conditions at time of visit: 12W !!!51J &ILLt? q b
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? ?NO If yes, estimate the water surface area b
19. Does channel appear on USGS quad map? 6NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use:% Residential
Forested
22. Bankfull width: _
24. Channel slope down center of stream: -Flat (0 to 2%)
25. Channel sinuosity: Straight Occasional bends
Commercial _% Industrial %% Agricultural
_% Cleared / Logged _% Other ( )
23. Bank height (from bed to top of bank):0.3D at
-Gentle (2 to 4%) -Moderate (4 to 101/o) ,-Steep (>I0%)
-Frequent meander Very sinuous `Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from
Evaluator's Signatu ? Date- a-h $-/ e
This channel evalu tion rm is int d to be used only as a guide to assist landowners andenvir'onmental professionals in
gathering the data require a nited States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this, form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
STREAM QUALITY ASSESSMENT WORKSHEET
'
:.-'r dino[tt Mt ouhtain .
1 Presence of flow I persistent pools in stream 0-5 0-4 0-5
no flow or saturation= 0; strop flow = max intq) -

2 Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = max points)

3 Riparian zone
0-6
0-4
0-5
no buffer= 0; contiguous-wide buffer= max-(points)
4 Evidence of autrient or chemical discharges ' 0-5 , 0-4 0-4
(extensive di es-= 0• no discharges = max points)
5 Groundwater discharge 0-3 0'-4 0-4
(no discharge = 0; springs, seeps, wetlands, etc. = max oints

6 Presence of adjacent floodplain
_.0--4-
0-4
-0-2
(no floodplam = 0; extensive floodplain.7 max points
Entrenchment/ flnodplain access -
- 5
0-4
0-2
'
(deeply entrenched = 0'fr went flooding = max points)

8 Presence of adjacent wetlands
j
-0-6
0 - 4
0 -
no wetlands = 0; large ad
acent wetlands = max points)
9 Channel sinuosity 0-5 0-4 0-3
(extensive channelization - 0, natural meander:==,max points) _

10 Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or:no sediment = max points)

11 Size &t diversity of channel bed substrate
Nk!k'
0-4
0-5
(fine homogenous = 0• lar e,.diverse sizes = max points)
12 Evidence of channel incision or widening 0-5 0-4 0-5
(deeply incised = 0; stable bed & banks = max points)
13 Presence of major. bank failures 0-5 0-5 0 -*5
(severe erosion =0; no erosion, stable banks= max points)

14 Rant depth and density on banks
0-3
0
4
0-5
(no visible roots = 0; dense roots throughout = max points) -
U? 15 Impact by agriculture;- livestock; or,timber - production -
0
5
0
4
0
(substantial impact =0; no evidence = max points) - - - 5

1 b Presenee of riffle-pool/ripple-pool complexes
-'
0-5
0-6
no riffles/ripples les or pools = 0; well-developed = max points)
?r 17 Habitat complexity 0 6 0-6 0 6
(little or no habitat = 0; frequent, varied habitats =. max points)

18 Canopy coverage over streambed
0-5
0-5
0-i
(no shading vegetation = 0• continuous canopy =max points)

19 Substrate embeddedness {
° *
0-4
0-4
(deepty embedded - 0; loose structure = max)

20 Presence of stream invertebrates (see, page 4)
0-4
0-5
0
5
(no evidence = 0; common; umer'ous types-= max points) -
O i
21 Presence of amphibians
0-4
0-4
0-4
(no evidence = 0; common, numerous types = max points)
C
22 Presence of fish

0 - l

0 -4

0 - 4

i fl
(no evidence = 0; common, numerous types_ max points)
r. 23 Evidence of wildlife use 0-6 0-5 0-5
(no evidence = 0; abundant evidence = max points)
T "W PoidtB PocsitAe 100 t W lOD
TOTALS SCORE (also enter on first pie)
" These characteristics are not assessed in coastal streams.
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N0. REVfSIONS DATE .~:e.~necaoo~em~~.
°`SITE TECHNOLOGIES, INC. Salem Woods Subdivision
DRAWN BY: T.A.S.
Land Planning & Landscape Architecture Tarhee! Land Company
P.O.Box 1612 Oxford, NC 27585 112 New College Street DESIGNED 8Y: T.A.S. IWl
918-993-2927 EMAIL: [e-mail] Court Sta. to 2 + 70. 00 SHEET: 7
Oxford, North Carolina 27565 [phone] DATE: 10/10/06 Ibis OU
Sta. to + OF, g HO76-61 RIZONTAL: 1"=40'
SCALE: VERTICAL: 1'-8'
JOB NUMBER 0620

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land Plan; ~q & (.anos,cape A.cnirecri.re Tarheel Land Company
P.o.eox 16 t~2 Oxford M^ 27565 112 New College Street Site ee~
919-693-2,927 EMAIL rastan@ear!r,~;nk.net Oxford, North Carolina 27565 (919.) 693-9292 r+_ E k5 NC-EC
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SITE TECHNOLOGIES, INC. Salem Woods Subdivision
DESIGNED BY T.A.S. SHEET 9
Land Planning & Landscape Architecture Tarhee/ Land Company
P.o.eoX 1612 Oxford, NC 27565 112 New College Street ears Site DATE. 10/10/06 OF 9
919-693-2927 EMAIL: [e-mail] Oxford, North Carolina 27565 [phone]
SCALE. AS NOTED JOB NUMBER 0620

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i ~ /i~ , j ~ GENERAL NOTES:
~ ~ ~
/ t~•~.~ j ~ ~ ~ ~ l ~ ~1I
~ ~ ~ ~ _ ~ i ~ t CONSTRUCr~t t ~ ~N THIS PROJECT HAU BE IN ACCORDANCE U:"'~ `~~E R-.. ~,AROL'NA 20C2 STANDARD SPEC(PCAT!nN• " ~=?R ROADS AND ~ RUCTURES
~ ~ + i I i, ~ ~ ~ y ~ ~ _ I ~ 2 THE GRADE ~!'~E~ DENUTE THE FIry SHED ELEVATIONS OF rHE ~ROPOSEC ~ S~E~' ~AV M ~ T E EN
~ _ _ ~ ~ ~ , ~ 3 UNDERGROUND UTILITIES MAY EXIF' ON ALONG OR dY!"~ " CCNF'_~:T ~F `tiS ~R ',~ECT THE CONTRACTOR 44, ~ 15 RESPONSIBLE FOR CONTACTING 'JC-CNE-CA~_ CR AP: R'aR uPAMES PRIOR TO ANA'
- - _ P I EXCAVATION
t 4 THE EARTHWORK ON THIS PLAN DOf S f~;,~' ".EC=SSAR BA.AIJCE nF~ST~ dJRRCWOR WASTE MAv BE
t ~ ~ REQUIRED / 5 ALA PIPE INVERTS TO BE VERIFIED THE FIELL` AND AD.!I_-S' ED BY THE LANDSCAPE ARCHITECT IF NECESSARY
~ 6 ALL CONCRETE PIPE SHALL BE REI'~~~ ~:-ICED CLASS Ili
~f~ ! ~ N VELSP ArbER _ ~ ~ 1 r~ ~ ~ i s% (S EE 9) - i , 7 THE CONTRACTOR SHALL PERFORM' All > ~',rr~ " :f' ~ ~ ~ ~ _ ~ -
} - ~ . . ~ BUILDING CODES 8 THE CONTRACTOR SHALL BE RESPO"~S e, E FOR T tiE DEM; _ C : ~ C~~ E ~ ~,~5 47~~V-
~j ~ ~ ~ , . ~ _ - - Jr, - - i" ~ f AND BELOW GROUND THE CONTRAC'C~R !S A~SC RESPON&B~E FOR R=V+G~ a~ LF T r. - -tiL WAS : E RESUL ~ -Nu FROM
_ i ~ i - ~ ~ - ~ ? ~ DEMOLITION, AS WELL AS GRADING AND F'~,..~NG O~ ALt. DEPRESS,'OtiS '~C '~~S..RE `~E SITE REMAINS
, , - - ~ , . - D ~ ~ ~ ~ ~ ~ AESTHETICALLY ACCEPTABLE ti THE CONTRACTOR SHALL OBSERVE ALA REQUIRED SAFETY PRECAUTIONS !N THE PERFORMANCE OF ALL WORK
r ~ - . - ' - / ~ C IN ACCORDANCE WITH OSHA.
w ~ - i tl is ~ - ~ _ / ~ ~ ~ ~ - 'HE CONTRACTOR SHALL GRADE. SEED AND SOD OR OTHERWISE PP.OVIDE TEMPORARY AND PERMANENT
_ / . ~ ~ is r - _ - , - - ~ S ~ ABIUZATION OF ALL DISTURBED AREAS ESPECIALLY SLOPES SEE CONSTRUCTION SEQUENCE INSTRUCTIONS IF APPLICABLE
i~~, ~ ~ ~ - - - - ~ ~ At_L PROPOSED UTILITIES TO BE UNi)ERGROUND THROUGHOUT THE SITE IF ALLOWED 8Y LOCAL CODES.
~l~ ~ ~ _ _ ~ - - " 1' ~ 2 WORK WITHIN PUBLIC RIGHT-OF-WAYS SHALL BE IN ACCORDANCE iMTH Air STA`E AND LOCAL REQUIREMENTS.
~ , 1~ 1 ji- ~ ~ _ NOTIFICATIONS STANDARDS ANDPGLICIES ~3 ANY SUBSTITUTIONS. CHANGES, OR MODIFICATIONS SHALL BE APPROVED BY THE PROJECT LANDSCAPE ARCH'T
~ PLANNING DEPARTMENT STAFF, AND DEVELOPER
i _ ~ ~ 14 PRIOR TO BEGINNING CONSTRUCTION. THE CONTRACTOR SHALL BE RESPONSIBLE E~~R ACQUIRING ALL PERMITS
4 ~ r NECESSARY FOR CONSTRUCTION. THE CONTRACTOR SHALL READ ALL PERMITS ANC ENSURE THAT CONSTRUCTION COMPLIES VNTH THE PERMITS. REQUIRED PERMITS MAY INCLUDE BUT ARE NOT LIM'~TED TO CITY/COUNTY
~ ` ~ ~ ~ - ~ ~ ~ APPROVALSlPERMITS NCDOT PERMITS, DRIVEWAY PERMITS RIGHT OF WAY ENCROACHMENT AGREEMENTS
~ ~ ~ ~ ~ S ~ ~ ~ ~ EROSION CONTROL PERMITS, WET! AND DISTURBANCE PERMITS STREAM CROSSING PERMITS. POVuER EASEMENT
\ ~ ~ / ENCROACHMENT AGREEMENTS, USACE/DV1p PERMITS. AND STORMWATER PERMITS IF THE CONTRACTOR HAS QUESTIONS ABOUT PERMIT LANGU~":GE OR THE NEED FOR A PERMIT HE MUST CONTACT THE DEVELOPER AND THr
LANDSCAPE ARCHITECT PRIOR TO ~iEGINNING CONSTRUCTION
R ~ _ - - - i. i l

? ~ .r CONSTRUCTION SEQUENCE
~ ~ ~ i , . ~ y
' ~ ~ _ _!',V i 1 OBTAIN ALL THE APPROVALS AND PERMITS NECESSARY TO BEGIN AND CGMPLE 1E `HE PROJECT THESE APPROVALS
V ~ AND PERMITS INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOVNNG APPROVAL OF SUBDIVISION OR SPECIAL USE PERMIT, SITE DESIGN. ZONING. ETC. APPROVAL OF DESIGNS FOR STREETS, UTILITIES, ETC ,EROSION CONTROL PLAN
t 1) ~ ~ ~-J. APPROVAL AND GRADING PERMIT. ZONING COMPLIANCE PERMIT, DRIVEWAY PERMIT FROM NCDOT THE APPROVALS
' ~ ( ~ ~ ~ ' ~ ~ l ~I 1 MUST BE OBTAINS D BEFORE THE DISTURBANCE BEGINS SO THAT WORK WILL NOT BE INTERUPTED DUE TO LACK OF
OF APPROVED PLANS. 2 CONDUCT A PRECONSTRUCTION C JNFERENCE PRIOR TO ANY DEMOLITION, TIMBERING CLEARWG OR GRADING UviTH
~,1 - ~ THE OWNER (OR REPRESENTATIVE;, THE CONTRACTORISj RESPONSIBLE FOR THE DISTURBANCE AND EROSION
4 i _ - - - _ _ - - ~ CONTROL. AND EROSION CONTROL PERSONNEL TO DISCUSS THE PROJECT ANC THE EROSION CONTROL PLAN
y,) _ / . ~ ~ 3 INSTALL A RURAL TYPE MAILBOX FOR CONSTRUCTION CORRESPONDENCE AT THE SITE ENTRANCE OR AT THE CONSTRUCTION ?RAILER. KEEP A ~;,OPY OF THE APPROVED EROSION CONTROL PLA,ti IN THE MAILBOX THE
~,!,/I / ~ ~ '~~f i ~ ~ - / CONTRACTOR RESPONSIBLE FOR EROSION CONTROL MUST CHECK THE MAILBOX DAILv
I~-.a~ ~ ~ 1 i / ~ 4 INSTALL TEMPORARY GRAVEL CONSTRUCTION EXIT AT BEGINNING OF NEW ROAD, A,ND WOOD MAT TEMPORARY STREAM
~ ~ I ~ ~ ..y CROSSING TO ALLOW ACCESS TO PROPRERTY BEYOND THE STREAM 5 CLEAR ONLY AS NEEDED TO CONSTRUCT EROSION CONTROL DEVICES SHOWN ON THESE PLANS CONSTRUCT ALL CLEAN
WATER DIVERSIONS AT HIGH SLOE OF ROADS, CULVERTS AND TEMP SEDIMENT BASINS MAKING SURE TO DIRECT ALL
~ ~ ' ~ 150 0 150 300 300 450 RUNOFF TO THESE DEVICES VEGETATE THE DEVICES IMMEDIATELY. GRADE FOR NEW ROAD AND INSTALL ALL PERMANENT
' / - ROAD DITCHLINES SEED AND PROTECT DITCHLINES VNTH TEMPORARY AND PERMANENT LININGS AS SHOWN ON PLANS - 5 CONTACT EROSION CONTROL OFFICER FOR ONSITE INSPECTION OBTAIN APPROVAL NO DISTURBED AREA SHALL BE
LEFT VMTHOUT PROTECTIVE CODER FOR MORE THAN 15 CALENDAR DAYS. DISTURBED AREAS LEFT INACTIVE BETWEEN
Scale 1" =150' ANY PHASE OF GRADING SHALL BE TEMPORARY SEEDED UVITHIN 15 WORKING DAYS OR 30 CALENDAR DAYS. WHICHEVER
IS SHORTER. PROVISIONS FOR PERMANENT GROUND COVER MUST BE ACCOMPLISHED ON EXPOSE.U SLOPES WITHIN 21 CALENDAR DAYS AND IN REMAINING AREAS WITHIN 15 WORKING DAYS OR 90 CALENDAR DAYS, WHICHEVER IS SHORTER.
' INSTALL PERMANENT STREAM CROSSING BEGIN GRADING OF ROADS AND PROPOSED STORM DRAINAGE CHANNELS
LINERS, AND RIPRAP INLET PROTECTION MUST BE INSTALLED PROMPTLY AT EACH STORM DRAINAGE PIPE INLET
8 COMPLETE ALL GRADING PROPOSED IN THIS DRAWING SET ROADSIDE DITCHES SHOULD BE SEEDED OR LINED WITH MATTI NG AS SPEC i FLED.
9 PAVE ALL PROPOSED ROADS ACCORDING TO THIS DRAWING SET
10 SEED AND STABI LIZE ALL DISTURBED AREAS.
1 WHEN THE SITE IS STABILIZED. AND VEGETATION IS ESTABLISHED CONTACT THE EROSION CONTROL OFFICER FOR AN ONSITE INSPECTION. OBTAIN APPROVAL
' ~ REMOVE ALL TEMPORARY EROSION CONTROL DEVICES
~ INSTALL LEVEL SPREADERS, FINE GRADE AND SEED THESE AREAS '4 CONTACT EROSION CONTROL OFFICER FOR AN ONSITE INSPECTION. OBTAIN FINAL APPROVAL.
NO. REVISIONS DATE AR mv,•.,~
DRAWN BY: T.A.S.
~ SITE TECHNOLOGIES, INC. Salem Woods Subdivision DESIGNED BY r.a.s ~
Lsnd Planning & Landscape Architecture Tarheel Land Company
Preliminary Subdivision an SHEE T: DATE' 09/25/06 OF 9
g•~ P.o.eox 1612 Oxford, NC 27565 112 New College Street
`'~~t•-~ 91"93-2927 EMAIL: testa!!@earthlink.net Oxford, North Carolina 27565 [phone] ?2 SCALE.' VERT1CAl: 1 °=150' JOB NUMBER: 0620

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1 X ~ ~ ~ j ~ ' ~ . J ~ ~ NA 250
~ ~ ' ~ PERMANEN IN ~ 1 ~ a NYLON ING ~ ~
4 ~ CULVERT 1 - 7 F TEMPORA ' - , - Y-+ - NYLO N ~ 6 ~ OF ~ ; r,,~-~3 - _ ETThJG NYLO NETThJG 1 ~ ~
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REVISIONS DATE
~Q SITE TECHNOLOGIES, INC. DRAWN BY. T,A.S,
Salem Woods Subdivision Land Planning & Landscape Architecture Tarheel Land Company
DESIGNED BY: TA.S. Salem Woods rive SHEET: 2
P.o.eox 1612 oxford, NC 27565 112 New College Street DATE: 10/10/06
919-6s3-2927 EMAIL: [e-mail] Oxford, North Carolina 27565 [phone] Sta. 0+00 0 10+00 OF 9
SCALE: HORIZONTAL: t "=40'
VERTICAL: 1'-8' JOB NUMBER 0620

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NO. REVISIONS DATE ~.,~croooaooy4„~
SITE TECHNOLOGIES INC. SS/@/77 Woods Subdivision DRAWN BY. T.A.S.
No+ Land Planning & Landscape Architecture Tarheel Land Company 3
DESIGNED BY. T.A.S. a em ! l ! Woods Drive SHEET
P.O.Box 1612 Oxford, NC 27565 112 New Colleg @ Jtreet DATE: 10/10/06 a. 10 + 00 to 17 + 70-61 OF: 9
~ ~ 919-693-2927 EMAIL: festal!@earthlink.net Oxford, North Carolina 27565 [phone]
RIZONTAL: 1 1 "=40' SCALE: HOyEI~ L: " JOB NUMBER: 0620

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SITE TECHNOLOGIES, INC. Salem Woods Subdiv/'Sion
Land Plann:r?r d landscape Arcn;,*ectbre 1 arheel Land Company UPS ;h'EDBy AS Site Details
?.O.aox ih Az Ox;,~rd, NC 275s4, ' 12 New College Street 10,106
:31s-6s3-292? EMAIL: [e-mail] ',oxford, North Carolina 27565 [phone] k5 No-E'

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SITE TECHNOLOGIES, INC. DRAWN BY TAS.
Salem Woods Subdivision
Land Planning & Landscape Architecture Tarhee/ Land Company DESGNED BY TA.S SHEET y
P.O.Box 1612 Oxford, NC 27565 112 New College ~treet oA:T f 10/10/06 Site ears
919-693-2927 EMAIL: [e-mail] Oxford, North Carolina 27565 [phone] of 9
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SITE TECHNOLOGIES, INC. DRAWN BY. T.A.S.
Salem Woods Subdivision Land Planning & Landscape Architecture
~ Tarheel Land Company DESIGNED BY: T.A.S.
P.o.eauc 1612 oxford, NC 27585 112 New College street . Kiwi Court a to + 70. 00 SHEET 7
91e-e93-2927 EMAIL: [e-mail] Oxford, North Carolina 27565 [phone] DATE 10/10/06
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J08 NUMBER; 0620

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~ ~ ~ ~ % ~ ! i i;
~ ~ ~ i ~ ~ ' C,~NSTRUCTION ON THIS PRO ? r~
~ ~ ~ ~ f JEC 1ALL BE IN A,,,,ORDANCE'VNTH rHE',OR"- ~ARC~~~w ; ~C,, 1 S~'FCIFICATIONS FOR ROADS AND S-RUCTURES - ~ S ~ANDARO
/ - ~ ~ ~ ~ , _ ~ , , ~ , I i I-iE _~RADE LINES DENOTE THE FiN15HED ELEVATIONS OF THE PROPO _
f i t. 3 UNDERGROUND UTILITIES MAY EXIST - Sr__ ~ _ , , ~N, ALONG OR WITHIN ^Ot F ~ ' ~.G - - IS RESPONSIBLE FOR CONTACTING N - ~ _ r~ ~ ~ ~ ~A~~~-" ~R
~ ! ~ '1 i~-- ~ ~ ,i i ~ - ~ ~ ~ ~ ~ ' r EXCAVATION, CONE-CALF ~E A~PRCPR qT. _ _ _„MF4rv ~R,QR An'. - ~
f ~ / ~ r 4 THE EARTHWORK ON THIS PLAN DC'" ' ~ r ~~F~~c 5 NO _SSH~~iL~' 5~~ANCE CiFFS~TE B~RROV~ ;'~tiSTE MAY
~ r ~ . , ~ ~ ~ ~ G-- N VEL SP ADER f , 7" r E 9 ~ _ ~ REQUIRED gE ALL PIPE INVERTS r0 BE VERIFIED THE FIELC ANp a~ ~STED Br HE~ q, r,s ~ ~c, . - - ,
~ ~ - ,~..-,r + ~il ~ 6 ALL CONCRETE PIPE SHALL BEREIh. N. C``~- ` ~ ~ ,r~-r SSAk~ .;;rD CI_...:5 n,
THE CONTRACTOR SHALL PERFORM ALL C' ':STR' "r
/ ~ BUILDING CODES ION r ~ j,,;~~,,r, ,~;i~.. _ 8 THE CONTRACTOR SHALL BE RESPON5~6 ~ ~ T~,. _ _
I ~ , / ~ r ~ ~ _ ~ ; - IVE 5 = i,~, ~ _ . , o. ~ - ~ ~R - - - I Ln ~ DLM,~I_iT10ti CF _ AND BELOW GROUND THE CONTRACTOR IS ALSC RESP~~ir ~ ~ G ~ - ~ ~ ~ : ~ . ' ` 4a' 'vE
i - J ~ r t DEMOLITION. AS WELL A5 GRADING AND BILLING ~ ~ ` ""BLE Cn ;~1~~.:._ _ ,RCS~_-;~~G GRUM 0 ALL DEPRESS~O~,S ~ N5„R= ~ REMAINS AESTHET!C.A~ L'~ a;;cEPTABLE
r ~ ~ , ~ ~ - ~ ~ i ~ ~ , , 0 - - ~ , ~ TH'E C',}NTRACrOR SHALL OBSERVE AL~_ REQUIRED F
s _ ~ i 1, ~ ~ ~ ~ N ACCORDANCE VNTH OSHA 5A ETY PRECAUTIONS N THE PERFORMANCE OF ALL WORK
~ ~ r I - - / i '0 THE CONTRACTOR SHALL GRADE, ~ EED AND 50D, OR OTHERWISE PROM ~ r STABILIZATION OF ALL DISTURBED AREAS ESPECIALLY SL D- EMPORARY AND PERMANENT
~ ~ ~ ~ i,._- _ / APPLICABLE. OPES SEE CONSTRUCT. SON SEQUENCE INSTRUCTIONS IF
' 1 ALL PROPOSED UTILITIES TO BE UNDERGROUND THROUGHOUT TH ITG
+ / ~i - ~ ~ i ~ ~ '2 WORK WITHIN PUBLIC RIGHT-OF-WAYS SHALL BE IN A E S ~ ~ AL~OWE~ B~ LOCAL CODES CCORDANCE VNTH ALL SATE AND ~~OCA~ REQUIREMEN?S NOTIFICATIONS STANDAROSANDPOUC'~ES
~ ~ i '3 ANY SUBSTITUTIONS, CHANGES, OR MODIFICATIONS SHALL B c^ T
~ ~ - ~ ~i ~ _ t_ . PLANNING DEPARTMENT STAFF, AND DEVELOPE E APPROV_~ BY HE PROJECT LANDSCAPE ARCHT
?4 PRIOR TO BEGINNING CONSTR R UCTION THE CONTRACTOR SHALL BE RESPONSIBLE FOR AC NECESSARY FOR CONSTRUCTION THE CONTRACTOR SHALL RE QL RING ALA PERMITS
COMPLIES VMTH THE PERMITS REQUIRED PERMIT AD ALL PERMITS AND ENSURE THAT CONSTRCCTION
V s ' / I - I ~ / APPROVALS/PERMITS. NCDOT PERMIT S MAY INCLUDE.. BUT ARE NOT uMITEp r0 C TY/COUNTY S DRIVEWAY PERMITS, RIGHT OF WAY ENCROACHMENT A c
/ ~ j - T, ~ l EROSION CONTROL PERMITS. WET!.ANO DISTURBANCE PERMITS _ GREEMENT„ ENCROACHMENT AGREEMENTS, USACE/DWQ PERMIT STREAM CROSSING pERMi S SOWER EASEMENT
QUESTIONS ABOUT PERMIT IANGI AGE S AND STORMWATER PERMITS rHE CONTRACTOR HAS OR THE NEED FOR A PERMIT HE MUST CONTACT rHE DEV
I ~ ~ ' - - ~ i ~l x ~ ~ ~ ~ ~ . ~ LANDSCAPE ARCHITECT PRIOR TG 9EGINNING CONSTRUCTION ELOPER ANC THE
~ ~
~ ~ ~ ~
~ ~ ~ CONSTRU CTION SE QUENCE
~ f. .i / _ J J i r 1 OBTAIN ALL THE APPROVALS AND PERMITS NECESSARY TO BEGI AND PERMITS INCLUDE, BUT ARE NOT LIMITED TOT NAND COMPLETE THE PROJECT THESE APPROVALS
I r f; ~ ~ I , HE FOLLOWING. APPROVAL OF SUBDIVISION OR SPECIAL USE PERMIT. SITE DESIGN, ZONING. ETC., APPROVAL OF DESIGNS FOR T
I~.~, ~ i ~ , APPROVAL AND GRADING PERMIT. ZONING COMPLI S REETS, UTILITIES, ETC EROSION CONTROL PLAN
.r,~..._ MUST BE OBTAINED BEFORE THE DIST ANCE PERMIT, DRIVEWAY PERMIT FROM NCDOT THE APPROVAL URBANCE BEGINS SO THAT WORK VviLL NOT BE INTERUF'E ~ ~ rn ~ . ~.S OF APPROVED PLANS. D DuE „ ~A~K OF
~ i ~ ~ - _ 2 CONDUCT A PRECONSTRUCTION CONFERENCE PRIOR TO A
THE OWNER IOR REPRESENTATIVE , THE CONT NY DEMOLITION, TIMBERING. CLEAR NG OR GRADING WITH
i ~ / I~~ / ~ CONTROL. AND ER ) RACTORIS) RESPONSIBLE FOR THE DISTURBANCE A OSION CONTROL PERSONNEL TO DISCUSS THE PROJECT AND TH NC EROSION 3 INSTALL A RURAL TYPE MAILBOX FOR CONSTRUCTION CORRESP E EROSION CONTROL PLAN
CONSTRUCTION TRAILER KEEP A COPY OF THE AP ONDENCE AT THE SITE ENTRANCE OR AT THE
i ~ ~~I ~ i' - - ~ ~~I~~ i~ ii; ~III~ 6~ / / ~ ~ 11~~11p~~~ I~~,~,. , CONTRACTOR RESPONSIBLE FOR F PROVED EROSION CONTROL PLAN IN THE MAILBOX THE _ROSION CONTROL MUST CHECK THE MAILBOX DAILY.
~ ~ _ ~ ~ / - 4 INSTALL TEMPORARY GRAVEL CONSTRUCTION EXIT AT BEGINNIN CROSSING TO ALLOW ACCESS TO PROPRERTY 8EY0 G OF NEW ROAD, AND WOOD MAT TEMPORARY STREAM
/ 5 CLEAR ONLY AS NEEDED TO CONS ND THE STREAM TRUCT EROSION CONTROL DEVICES SHOVMJ ON THESE PLAN" r
~ i 150 0 1 _ 50 300 450 WATER DIVERSIONS AT HIGH SIDE OF ROADS, CULVERTS, AND TEMP. ~ CONS RUCT ALL CLEAN _ _450 RUNOFF TO THESE DEVICES VEGETATE TH SEDIMENT BASINS MAKING SURE TO DIRECT ALL
- ROAD DITCHLINES. S ~ E DEVICES IMMEDIATELY GRADE FOR NEW ROAD AND INST
EED AND PR JTECT DITCHLINES WITH TEMPORARY AND PERMAN ALL ALL PERMANENT 6 CONTACT EROSION CONTROL OFFICER FOR ONSITE INSPECTION. ENT LININGS AS SHOWN ON PLANS
Scale 1" = 150' LEFT WITHOUT PROTECTIVE COVER FOR MORE THAN OBTAIN APPROVAL. NO DISTURBED AREA SHAD BE
ANY PHASE OF GRADING SHALL BE TEM 15 CALENDAR DAYS DISTURBED AREAS LEFT INACTIVE BE ~ PORARY SEEDED WITHIN 15 WORKING DAYS UR 30 CALENDA Nv>=E v !S SHORTER. PROVISIONS FOR PERMANENT GROUND COVER MUST B R DAYS. W1iICHEVER
CALENDAR DAYS. AND IN REMAINING AREAS WITHIN 15 E ACCOMPLISHED ON EXPOSED SLOPES WITHIN 21
7 INSTALL PERMANENT STREAM CROSSI WORKING DAYS OR 90 CALENDAR DAYS 1MiICHEVER IS SHORT NG BEGIN GRADING OF ROADSAND PROPOSED STORM DRAT ER
:INERS, AND RIPRAP INLET PRO: ECTION MUST 8E INSTALLED PROMPT NAGE CHANNELS b COMPLETE ALL GRADING PROPOSED IN THIS DRAWING S T LY AT EACH STORM DRAINAGE PIPE INLET
MATTING AS SPECIFIED E .ROADSIDE DITCHES SHOULD BE SEEDED OR'~.IfJED VV~TH
4 PAVE ALL PROPOSED ROACS ACCORDING TO THIS DRAWING SET SEED AND STABILIZE ALL DISTURBED AREAS.
iVHEN THE SITE IS STABILIZED, AND VEGETATION IS ESTABLISHED.. COT
JNSITEINSPECTION. OBTAIN APPROVAL N ACT THE EROSION Ceti ROL OFFICER FOR AN
REMOVE ALL TEMPORARY EROSION CONTROL OEVlCES fJSTALt LEVEL SPREADERS FINE GRADE ANO SEED THESE AREAS.
?4 CONTACT EROSION CONTROL OF~~~ICER FOR AN ONSITE INSPECTION 0
BTAIN FINAL APPROVAL
N0. REVISIONS
DAlE ~~,no~aa,-~. _
SITE TECHNOLOGIES, INC. Salem Woods Subdivision DRAWN BY TA S.
Land Planning & Landscape Architecture
P.o.aoX 1612 Oxford, NC 27565 Tarheel Land Company DESIGNED BY. TA.S.
112 New CoUege Street ~
919-693-2927 EMAIL: taste//@earthlink.net Oxford, North Carolina 27565 [phone] DATE re /ZS/oe Subdivision an SHEE 09 mina
OF, g
SCALE. VERTrA-- 1'• 150'
JOB NUMBER: 0620

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N0. AEVlSIONS DATE ~~~~o ,
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SITE TECHNOLOGIES, INC.
Salem Woods Subdivision DRAWN BY. T.A.S.
* t * ~ Land Planning & Landscape Architecture Tarheel Land Company
P.O.BOX 1812 Oxford, NC 27565 DESIGNED BY: TA.S.
919-893-2927 EMAIL: festal!@earthlink.net 1 12 New Colleg B t~22t Salem OO s Drive SHEET 2 e
Oxford, North Carolina 27565 [phone] DATE 10/10/06
Sta. 0+00 to 10+00 OF: 9 W RIZONT&: 1"=40'
SCALE:
JOB NUMBER. 0620

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NO REVISIONS narF
SITE TECHNOLOGIES, INC. Salem Woods Subdivision DRAWN BY.' TAS,
Land Planning & Landscape Architecture Tarheel Land Company
3 - 4......_.~ ~ P.o.sox 1612 Oxford, rvc 27565 112 New College Stree919-893-2927 EMAIL: [e-mail] Oxford, North Carolina 27565 (919 693-9292 DESIGNED BY.- TkS,
Salem Woods Drive SHEET
DATE: to/to/oe
Sta. 10 + 00 to 17 + 70-61 OF 9
SCALE: HORIZONTAL: 1 "=ao' VERTICAL: 1
JOB NUMBER. 0620