HomeMy WebLinkAbout20061683 Ver 1_COMPLETE FILE_20061025O?O? W AT F9PG
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LWG,: r
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
October 25, 2006
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Lou Chandler
1400 Hwy 9 N
Mill Spring, North Carolina 28756
Subject Property: Chandler Pond
Sets, Fee, Impact Total
® REQUEST FOR MORE INFORMATION
? PERMITTING FEE MISSING/INCORRECT
? RETURN OF APPLICATION PACKAGE
Dear Mr. Chandler:
DWQ Project # 06-1683
Polk County
P,
--1
l?
N UV ?i 2t.!!1Et
.'.Ii itlf ,!I
On October 25, 2006, the Division of Water Quality (DWQ) received your application dated October 12,
2006 for the above referenced project. The DWQ has determined that your application was incomplete
and/or provided inaccurate information as discussed below. The DWQ will require additional
information in order to process your application to impact protected wetlands and/or streams on the
subject property. Therefore, unless we receive five copies of t11e additional information requested below,
we will have to move toward denial of your application as required by 15A NCAC 2H .0506 and will
place this project on hold as incomplete until we receive this additional information. Please provide the
following information so that we may continue to review your project.
Additional Information Requested:
? Water Quality Certification, See I. Processing, Item 2.. Please state which Permit
(Nationwide, Regional or General) number you intend to use. You may want to contact the
U.S. Army Corps of Engineers (USAGE) to determine which permit they will allow you to
use.
? DWQ requires the name of an individual shown as "Owner/Applicant" to set up the project.
? The PCN Application failed to contain the Applicant/Agent's Signature and Date. See last
page of application. (Agent's signature is valid only if an authorization letter from applicant is
provided).
? Water Body information not stated. See III Project Information, Item 7.
? Incorrect and/or missing wetland, intermittent-perennial stream and/or buffer impacts.
DWQ is unable to review this project without noted or corrected impacts reflected.
N One 401 Oversight/Express Review Permitting Unit?tl a?lJa
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: 919-733-1786 / FAX 919-733-6893 / Internet: httn://h2o.enr.state.ne,us/ncwctlands
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
® Lack of permitting fee. Please note that beginning January 1, 1999, the N.C. General
Assembly passed legislation requiring payment of a fee for all 401 applications. The fee for
applications is $200 for projects impacting less than an acre of wetland and less than 150
linear feet of streams. For projects impacting one or more acres of wetland or 150 or more
feet of streams, the fee is $475.
? Incorrect permitting fee amount. Please see above item. Your check # for $
is herein enclosed for fee correction. DWQ does not retain any payment unless it is in the
correct amount.
? A request for a modification of an issued permit requires re-submission of five (5) application
sets and appropriate fee. We have herein returned your modification request.
? Application was missing pages or sections of information. See Other section below.
® OTHER: A review of this project reflects 155 linear feet of stream impact thereby requiring
the permitting fee in the amount of $475. DWQ also requires five (5) complete application
sets to initiate the review and approval process. Please submit three (3) more sets with the
appropriate fee.
Please contact the DWQ within three weeks of the date of this letter to verify that you have received this
letter and that you remain interested in continuing to pursue permitting of your project and will be
providing the DWQ the requested information at a later date. Please contact this office in writing and
Kevin Barnett of the DWQ Asheville Regional Office. If we do not hear from you within three weeks,
we will assume that you no longer want to pursue this project and we will consider the project as
withdrawn.
This letter only addresses the application review and does not authorize any impacts to wetlands, waters
or protected buffers. Please be aware that any impacts requested within your application are not
authorized (at this time) by the DWQ. Please call Mr. Ian McMillan or Ms. Cyndi Karoly at 919-733-
1786 if you have any questions regarding or would like to set up a meeting to discuss this matter.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/Ijd
cc: Kevin Barnett, DWQ Asheville Regional Office
USACE Asheville Regulatory Field Office
File Copy
Central Files
Filename: 061683ChandlerPond(Polk)_Ilold_SetS_Fee
t]CT-30-2006 09:53 FROM:DWO-WETLANDS 9197336893
?; "Q°;??? to uurz tU OVLU StrMAUAG LMU 11%A
5e aJ3tCl 1151 un
Typo of Wctl nd
wctl=d Impact c f tcd, marsh
9 itc Nombcr Typs of Impact (8 '
(indicate cn map) lzerb=COUS, boG, etc.)
Total Wetland Impact (actcs)
TO:918288940117
P:2/2
icated within Distance to Any of
1d0-yc? Ncacst Impact
Floodp) I Stream (acres)
3. List the total acreage (estimated) of all existing wetlands on the property. y1 ??-
4, Individually list all intermittent and peren-vial stream impacts. Be sure to identify tcmporary
impacts. Stream impacts include, but arc not limited to placement of fall or culverts, dam
construction, flooding, relocation, stabilization activities 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 ac multi 1 le width, then divide b 43,560.
/lvcrc;c Impact Area of ?
Stream Impact i'creomal or Strut Width T..c4th Impact
Nunber Strc ut Name Type of Impact tt?ct? Befare act lip feet acres
indicate on m I ? f,.-fit'
Total S=am Impact (by lcn th and acreage) /
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Occan and any other water of the U.S.). Open water impacts include, but are not limitcd to
fill, excavation, dyed flooding drainaIIc, bulkhead etcTypo of watcrbodr Area of
+n Wafer fntpsct Name of Waterbody end, estuary, sound, bay, Imp; ct
Site nbcr (if applicable) 7?PG?Tmpact (_ Poccaa etc (acres
idiCaDC o on trap) _
Total Opca Water Impact (acres)
urdAtcd 11/1/2005
L
page S of. 12
i;u`. 2000
....... .__..-._
C i-1 R t` 0UF::n R
0? 11,: P -3 'up
r
4. Individually list all intermittent and prren.nial a;U am impacts. Be sure to identify ternpo`ra Y
impacts. StrCam. impacts include, but ara not limited to pt: ceI?tcn?en fi?lal.lscriv -ateP, crib
P
construction. flooding, relocation, stabilization activities (e.g•,
walls, gabiorts, cic.), excavation, clitchinglStY4i,htcning, ctc. If stream relccation.is propascd,
inal , Ad relocated
plans and prof les showing the linear footprint for boot the orig streams
must be included. To calculate acreage, multi l lc r?th vii &14 then divid bx vi3,560. Atca of
Sty c :m Impact 1 cr ni:1 or S? c ?zl Llicn L=:;th Imr, ct
Tyke of Impact ?ct ?;ormitt?t? ? Be,aro iact (lir=Acct. ;.rres
ndic on Mt-0 Total Strc-,m Ir, pzct (by lcn--th ^. d ccrc ?o)
5. Individually list 11 op--u water itnpccts (including lakes, ponds, estu rics, so=ds, Atlantic
Ocean and any other water of the U.S.). Opcn Ovate rimpacts i)3clude, but axe not limited to
fill, excavation, dyed 'n floodingz, drain: gc, uulkh.? GtcTmo of tJ?:: ri odY Arra of
cn ?`tr»»hcr Isrp^ct N=u orwaterl ody 1W??:o sou. l;a , Imp::ct
Sz W Tyr of Imp:.ct ( , pc-ad, ?ry, i`, y (acrd
ic r (if zpplicnbl ) occ?
ndic = an vn ru?p)
ur,?;,,?a lvvzoos
Total C7pca water beet (?.crs)
pace 3 of 12
cL
:J _„L,..
?-1 til t1 L, F- IZ
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V ?
-- 3. List the tot:.l acreage (estimated) of all existing wetlands on the property: `? plc
?OF WATF90 Michael F. Easley, Governor
`Q G William G. Ross Jr., Secretary
Cp 7 North Carolina Department of Environment and Natural Resources
p Alan W. Klimek, P.E. Director
Division of Water Quality
October 25, 2006
DWQ Project # 06-1683
Polk County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Lou Chandler
1400 Hwy 9 N
Mill Spring, North Carolina 28756
Subject Property: Chandler Pond
Sets, Fee, Impact Total
® REQUEST FOR MORE INFORMATION
? PERMITTING FEE MISSING/INCORRECT
? RETURN OF APPLICATION PACKAGE
Dear Mr. Chandler:
On October 25, 2006, the Division of Water Quality (DWQ) received your application dated October 12,
2006 for the above referenced project. The DWQ has determined that your application was incomplete
and/or provided inaccurate information as discussed below. The DWQ will require additional
information in order to process your application to impact protected wetlands and/or streams on the
subject property. Therefore, unless we receive five copies of the additional information requested below,
we will have to move toward denial of your application as required by 15A NCAC 2H.0506 and will
place this project on hold as incomplete until we receive this additional information. Please provide the
following information so that we may continue to review your project.
Additional Information Requested:
? Water Quality Certification, See I. Processing, Item 2.. Please state which Permit
(Nationwide, Regional or General) number you intend to use. You may want to contact the
U.S. Army Corps of Engineers (USACE) to determine which permit they will allow you to
use.
? DWQ requires the name of an individual shown as "Owner/Applicant" to set up the project.
? The PCN Application failed to contain the Applicant/Agent's Signature and Date. See last
page of application. (Agent's signature is valid only if an authorization letter from applicant is
provided).
? Water Body information not stated. See III Project Information, Item 7.
? Incorrect and/or missing wetland, intermittent-perennial stream and/or buffer impacts.
DWQ is unable to review this project without noted or corrected impacts reflected.
None Carolina
tlrrll!!f
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: 919-733-1786 / FAX 919-733-6893 / Internet: http://h2o enr state.nc.us/ncwetlands
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
® Lack of permitting fee. Please note that beginning January 1, 1999, the N.C. General
Assembly passed legislation requiring payment of a fee for all 401 applications. The fee for
applications is $200 for projects impacting less than an acre of wetland and less than 150
linear feet of streams. For projects impacting one or more acres of wetland or 150 or more
feet of streams, the fee is $475.
? Incorrect permitting fee amount. Please see above item. Your check # for $
is herein enclosed for fee correction. DWQ does not retain any payment unless it is in the
correct amount.
? A request for a modification of an issued permit requires re-submission of five (5) application
sets and appropriate fee. We have herein returned your modification request.
? Application was missing pages or sections of information. See Other section below.
® OTHER: A review of this project reflects 155 linear feet of stream impact thereby requiring
the permitting fee in the amount of $475. DWQ also requires five (5) complete application
sets to initiate the review and approval process. Please submit three (3) more sets with the
appropriate fee.
Please contact the DWQ within three weeks of the date of this letter to verify that you have received this
letter and that you retrain interested in continuing to pursue permitting of your project and will be
providing the DWQ the requested information at a later date. Please contact this office in writing and
Kevin Barnett of the DWQ Asheville Regional Office. If we do not hear from you within three weeks,
we will assume that you no longer want to pursue this project and we will consider the project as
withdrawn.
This letter only addresses the application review and does not authorize any impacts to wetlands, waters
or protected buffers. Please be aware that any impacts requested within your application are not
authorized (at this time) by the DWQ. Please call Mr. Ian McMillan or Ms. Cyndi Karoly at 919-733-
1786 if you have any questions regarding or would like to set up a meeting to discuss this matter.
Sincerely,
6 ? I / ?
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBKlljd
cc: Kevin Barnett, DWQ Asheville Regional Office
USACE Asheville Regulatory Field Office
File Copy
Central Files
Filename: 061683ChandlerPond(Polk)_Ilold_Sets_Fee
6.? .
USACE Action ID No DWQ No.
(If any particular item is not appltc;?hlc?to lli s pj-e ect; rlt-x enter "Not Applicable" or "N/A".)
1. Processin- ?J^f
20061683
1. Ch ck all of the approval(s) requested for this project:
Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a court -sy 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
D
Owner/Applicant Information n C T 2 a (-006
Name: /- o y 111' /! /IL /i) ?_ WATER QUALITY
Mailing Address:_ l 062 1f l ?? ? V IV `Wn1? kiin.s y?o s?? fin{g?srtnr,?;
;1,1 i /. 1 DF. /n/zi '06 _?&7,56
Telephone Number: /S'29) T211-
E-mail Address: / /i , ,-7(-1/,,??b
Fax Number:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Updated i UU200
Page 5 of 12
AHacn a VICIHILy 111:11) UICUlly WIUVVItl?; tllt? Lvt.utivii vl F--J -J --•• - Y^ "
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 I 1 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:
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): P -70 -7 a l3uc? 2-7 :; - 1 O`Zs-',
4. Location
County: w L? Nearest Town: Cv?
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.):
/ 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): ; 5' 0 17 27 N P-?-
6. Property size (acres):
7. Name of nearest receiving body of water: 1_11)1165_12
3. River Basin: ,C 0t7 D
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at llttp://112o.cnr.st ite.nc.tis/,I(iIIIiii/nrips/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: 1,5 /-1 s JI C 11-1On)12 olt L?-
ST/'-h1 1J?1 ?NJN ?i Tt? l'y 1 ,> /t ` '_1 4 C A-f, - 7f
?. L LI??, OtiI s Or' ?i f-'?-rravl
Updated 11/1/2005 Page 6 of 12
U ? n ? r- ?? 7 7rtl G ?, L -
11. Explain the purpose of the proposed work: ?Z2 ,/AC 41A7---W ?2 F'esf,
i1LA/C?7i3CE 7b 1-e76-,9L- l; ,_A 7577YC-O AMA
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Vv
VI. Proposed Impacts to Waters of the United Statcs/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: 'A tic---t,, ?n
Updated 11/1/2005 Page 7 of 12
n --T-1 ncr imn??ric (]I It- ItI nutn 111 uLAIIIrc MILL IMLA
.,.. t........
Wetland Impact
Site Number
(indicate on map) . 1 11-1....t,____, _--_ __
Type of Impact --------------
T e of Wetland
YP
(e.g., forested, marsh,
herbaceous, bog, etc.) .?
Located within
100-year
Floodplar
(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: /V1 AG
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
,rn,ct lip inrlnrlerl Tn ralrul;ite aereat?e_ multinly lenath X width, then divide by 43,560.
Stream Impact V
Number
(indicate on ma __ V
Stream Name
Type of Impact y
Perennial t9
[ntermittcn. Average
Stream Width
Before Impact Impact
Length
(linear feet Area of
Impact
(acres)
i1 ?cu? __'j - 'N+ter 3' t
T ?
Total Stream Impact (by length and acreage)
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill excavation dredgin floodin draina =e, bulkheads, etc.
Open Water Impact
Site Number
(indicate on map)
p ble)
Name Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)
Total Open Water Impact (acres)
Updated 11/1/2005
Page 3 of 12
i w eUanu 11110act tacres J:
Open Water Impact (acres):
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet): ` 0'
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes No
Describe all impacts to isolated waters, and include the type 01--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.
11. 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.): 41 vcs,rz cK . Z;VC-7 'IG
Current land use in the vicinity of the pond: "C-"97
Size of watershed draining to pond: '/ yip Expected pond surface area: X75
VIII. 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.
V111. Mitigation
DWQ - In accordance with 15A NCAC 21-1 .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Updated 11/1/2005
Page 9 of 12
necessary to CIIJUIG LIJUL aUVC1JG G11G1LJ Lv 111x. a4UaL1V 11v11v1u..?l.t 41,............. ......-
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
littp•//ii2o enr state.nc.us/newctlancis/strm,L,i(le.h1iii1.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
(919) 715-0476 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.litin. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Updated 11/1/200
Pale 10 of 12
1. UOCS the prOJCCI lI1VU1VC att CXlJC11U1CU11Z, V1 IJUUlll `1t u\ 1ui otuw i??w/ + +•+4? ?, •••"
public (federal/state) land? Yes ? No 'L',
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 (919) 733-5033 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 ?
1?. Proposed Impacts on Ripariau and :iatershed Duffers (required by DWQ)
2
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying; site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 213 .0259 ("rar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No ?
If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying; the
buffer multipliers.
Zonc* Impact
(square feet) Multiplier Required
Mitigation
3 (2 for Catawba)
2 1.?
Total
Zone I extends out 30 feet perpendicular from the top of the near bang; 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.
Upd?tcd 11/1/2005
Pa«c 11 of 12
UeSerlbe impervious aeJ-L:U C kVAIt Iuiir; aiiu JJIVP 1-1 •?•?»? --- o
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.
XI1. 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.
il/ iJ 1-f v
-:111. Violations (required by DIXQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 21-1 .0500) or any Buffer Rules?
Yes ? No
4
Is this an after-the-fact permit application? Yes ? No
CIV. Curlulative Impacts (required by DVVQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby d ative rcumulativ? impact analysis?in accordaac with
If yes, please submit a qualitative or quantitative
the most recent North Carolina Division of Water Quality policy posted on our wcbslte at
littp•//h2o cnr state.nc.us/1nc\vetlands. If no, please provide a short narrative description:
`av. 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).
- . ,, , „ - - -
iplicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005 Pa,,e 12 of 12
,•I ? ?! 1 r f• r ?? ? f f f
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{?rJr ?• SIta
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USACIT Action ID No.
1.
H.
DWQ No.
(If any particular item is not applicable to this proiect, please enter "Not Applicable" or "N/A".)
Processing `f 0 0 u It
80
1. Check all of the approval(s) requested for this project:
[Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 5 `/
3. If this notification is solely a co rtesy 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), cl? fD. goW1 D
Applicant Information
OCT 2 5 2006
Owner/Applicant Information DENT: - WATER QUALITY
Name: /.UV 15'EM40SANDSTORMWATERBRANCH
Mailing Address: /100 /f I/VY i?
Telephone Number: S'557 y- v Fax Number:
E-mail Address: ?j?l
2.
Agent/Consultant Information (A signed and dated copy of the Agent Authorization
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
letter
Fax Number:
Updated 11/1/2006
Page 5 of 12
Atiacn a vicinity Qnap lucidly Jllvvvllly UIk- 1V%,'AL1V11 vl t.... 1-1-. J
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: A712 t- Z.
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): P--7o-.2_c1. 3vnc, - 1 09Z, .-
4. Location
County: Nearest Town: C0/_
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.):
/1n /y f1
/ 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): ' 50 17 ? i ON P v 101 loll OW
6. Property size (acres): y
7. Name of nearest receiving body of water: G71.' c/'i? r? 1 f/ i2
8. River Basin: y6Q0/1 D
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp://112o.enr.state.nc.tis/ii(imin/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: 15 la ?s4,7i3 ec" AoA)z-) e ,lu ?5MI4 4,c.
5111 h1 K"Un'Al"AY,-j T// J'cl (24 U ?C. 12-A /2/1 Lei 11W T _Z_aS
updated 11/1/2005
Page 6 of 12
"Vt
tl 'Z?
11. Explain the purpose of the proposed work: To /,v?f' s? 4 44 rte--Z? 1q,12t5f,
/:-:?u 1J1' rZ0-Q 4 1- -% 1-f !'/'t?ll? /"cam r
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 pen-nits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
0
VI. Proposed Impacts to Waters of the United States/`d`?aters 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: Al ivc-2 f
& , / Vu / c. ---
updated 111I2UO5
Page 7 of 12
Se 11M Pt list. IM acts UUC LU Uuut Ju UU MIU U11U liVUUl M4.
Wctland Impact
Site Number
(indicate on map) Y
Type of Impact
T e of Wctland
YP
(e.g., forested, marsh,
herbaceous, bog, etc.)
Located within
100-year
Floodplain
(yes/no)
to
:Distance
Nearest
Strcam
linear feet)
Area of
Impact
(acres)
Total Wctland Impact (acres)
-- J. List the total acreage (estimated) of all existing wetlands on the property: ?-
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
mnct Ihrn inr•lurlerrl Tn calc» late n .renpe_ multinly length X width, then divide by 43,560.
Stream Impact v
Number
indicate on ma) -.__-? - - - -
Stream Name - - --
Type of Impact Perennial or
lntennittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres
lJ pct;\k : ', }'ef 3 1
k-P tr\ rm1 t ?.i
Total Stream Impact (by length and acreage)
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill o-vo. vniinn drodginp_ 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)
Updated 1111/2005
Par__>c of 12
w euanu ltupac< <acres):
Open Water Impact (acres):
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feet): ` 0
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes No
Describe all impacts to isolated waters, and include the type o 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.
S. 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.):'?.? ??nL>'????•<?--wi?
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwatcr requirement, etc.): ,L ! ?C.?l a eK /? csr?c77?-
Current land use in the vicinity of the pond: 6/ 1:77
Size of watershed draining to pond: 'H /,?c Expected pond surface area: t J5 Al
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Yliti"ation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Updatcd 11/1/2005
Paine 9 of 12
necessary w CIIsUIC L11a1 UUVC1JC UIIUULJ W 1116 a4UaL1V ?.tv11 v1..1.? L1A u.I .......... u.. .... w..,
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
ilttp•//h2o enr state.ilc.lls/ilcwctlallds/sti-iiigide.litiii1.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
(919) 715-0476 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 retarding the application process for the NCEEP, check: the NCEEP
website at llttp•//ll2o enr.state.nc.iis/wrp/iilde\.lltnl. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Upda:cd 11/1/2005
Pa-e 10 of 12
f . uocs the project 111VU1VU Lill GRt1G11U11U1G U1 IIUVII% ?I? U? IU,/ Jlul. / ... ua? . .,.. .•• - ?- -
public (federal/state) land? Yes ? No '
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-5033 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 Duffers (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
2
t ; t rotected ri arian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identifv )? Yes ? No ?
If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3 (2 for Catawba)
2 1.5
Total
* "Lone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what
Donation of Property, Riparian Buffer Restoration /
Riparian Buffer Restoration Fund). Please attach all
within 15A NCAC 2B .0242 or .0244, or .0260.
proje.c mpac p p
l
type of mitigation is proposed (i.e.,
Enhancement, or Payment into the
appropriate information as identified
Updated 1I/112OU5
Page f 1 of 12
Uescribe impervious acrcabc kGX1JILIIIJ' aiiu PAUJJV--J --- ^---
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.
'III. 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.
s1) o'd
XIII. Violations (required by D1,7Q)
Is this site in violation of DWQ Wetland Rules 05A NCAC 2H.0500) or any Buffer Rules?
Yes ? No 'tom
Is this an after-the-fact permit application? Yes ? No]
Cumulative Impacts (required by DN7VQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No ?
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http'//h2o enr stnte.nc.us/ncwetlands. If no, please provide a short narrative description:
v. 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).
- ppllean t/Age;rt's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Updacd 11/1/200s page 12 of 12
1
056
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