19920561 Ver 1_COMPLETE FILE_19920109

DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
IN REPLY REFER TO October 27, 1992
Regulatory Branch
Action ID. 199203738, Nationwide Permit No. 26 (Headwaters and Isolated
Waters)
Tri-County Community Health Center
ATTN: Mr. Michael Baker, Director
Newton Grove, North Carolina 28366
Dear Mr. Baker:
On September 28, 1992, your consultant, Ms. Mary Frazer with Soil and
Environmental Consultants, submitted an application requesting a permit for
the expansion of the existing parking lot on your property located
approximately 4 miles west of Newton Grove on S.R. 1636, one mile south of
N.C. Highway 55, Sampson County, North Carolina.
For the purposes of the U.S. Army Corps of Engineers' Regulatory Program,
Title 33, Code of Federal Regulations (CFR), Part 330.6, published in the
Federal Register on November 22, 1991, lists nationwide permits (NWP).
Authorization was provided, pursuant to Section 404 of the Clean Water Act,
for discharges of dredged or fill material into headwaters and isolated waters
provided:
a. The discharge does not cause the loss of more than 1 acre of waters of
the United States; or
b. The permittee notifies the District Engineer if the discharge would
cause the loss of waters of the United States greater than one but less than
10 acres in accordance with the "Notification" general condition. For
discharges in special aquatic sites, including wetlands, the notification must
also include a delineation of affected specific aquatic sites, including
wetlands; and
c. The discharge, including all attendant features, both temporary and
permanent, is part of a single and complete project.
Your work is authorized under paragraph a. above by this NWP provided it
is--accomplished in strict accordance with the enclosed conditions. This
NWP does not relieve you of the responsibility to obtain any required State or
local approval. Please contact Mr. Jim Gregson, North Carolina Divison of
Environmental Management, telephone [phone], to obtain a waiver or
water quality certification for the proposed work. This permit is effective
upon receipt of the waiver or certification.

-2-
. This verification will be valid for 2 years from the date of this letter
unless the NWP authorization is modified, reissued, or revoked. Also, this
verification will remain valid for the 2 years if, during that period, the NWP
authorization is reissued without modification or the activity complies with
any subsequent modification of the NWP authorization. If during the 2 years,
the NWP authorization expires or is suspended or revoked, or is modified, such
that the activity would no longer comply with the terms and conditions of the
NWP, activities which have commenced (i.e., are under construction) or are
under contract to commence in reliance upon the NWP will remain authorized
provided the activity is completed within 12 months of the date of the NWP's
expiration, modification or revocation, unless discretionary authority has
been exercised on a case-by-case basis to modify, suspend, or revoke the
authorization.
As is discussed, you should contact the following State agencies to obtain
the required State authorizations prior to starting work: Mr. John Dorney,
North Carolina Division of Environmental Management, telephone [phone].
Questions or comments may be addressed to Mr. Rudolf Schiener, Wilmington
Field Office, Regulatory Branch, telephone [phone].
Sincerely,
Enclosure
Copies Furnished (without enclosure):
Mr. John Dorney
Water Quality Section
Division of Environmental Management
North Carolina Department of
xivironment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Ms. Mary Frazer
Soil & Environmental Consultants
3818 Bland Road
Raleigh, North Carolina 27609
G. Wayne Wright
Chief, Regulatory Branch
Mr. John Parker
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. Ken Averitte
Fayetteville Regional Office
North Carolina Department of
Environmental Management
Suite 714, Wachovia Building
Fayetteville, North Carolina 28301
?? .- RA
o
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor October 9, 1992 A. Preston Howard, Jr., P.E.
William W. Cobey, Jr., Secretary Acting Director
Mr. Michael Baker, Director
Tri-County Community Health Center
Newton Grove, N.C. 28366
Dear Mr. Baker:
Subject: Proposed fill in Wetlands or Waters
Parking lot expansion
Sampson County
DEM Project # 92561
Upon review of your request for 401 Water Quality
Certification to place fill material in 0.37 acres of wetlands or
waters for parking lot expansion located at SR 1636 near Hwy 55
in Sampson County, we have determined that the proposed fill can
be covered by General Water Quality Certification No. 2671 issued
January 21, 1992. A copy of the General Certification is
attached. This Certification may be used in qualifying for
coverage under Corps of Engineers' Nationwide Permit No. 26.
If you have any questions, please contact John Dorney at-
919-733-1786.
Sincerely,
Preston Howard, Jr. P.E.
jrd/Tricoun.ltr
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Fayetteville DEM Regional Office
Mr. John Dorney
Central Files
Ms. MAry Frazer, Soil and Environmental Consultants
REGIONAL OFFICES
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663-1699 919/571-4700 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
r
MEMORANDUM '
TO: John Dorney
Planning Branch
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
***EACH ITEM MUST BE ANSWERED (N/A-NOT APPLICABLE)***
INITIALS: /?
Reviewer
WQ Supv:
Date:
PERMIT_YR: 92 PERMIT-NO: 0000562 COUNTY: SAMPSON
APPLICANT NAME: TRI-COUNTY COMMUNITY HEALTH CENTER
PROJECT-TYPE: PARKING LOT PERMIT-TYPE: NW26
COE_#: DOT-#:
RCD_FROM CDA: APP DATE_FRM_CDA: 09/29/92
REG_OFFICE: FRO RIVER-AND-SUB-BASIN-#:
CPS /? (o3??b-i9?
STREAM-CLASS: . STR INDEX_NO: / 5'69v?
WL_IMPACT? : >N WL_TYPE : FT-514
WL_REQUESTED : 37 ,fC WL_ACR EST? : C4?N
HYDRO_CNECT?:(p/N WL_SCORE(#):
MITIGATION?: Y/® MITIGATION-TYPE: -
MITIGATION-SIZE:
IS WETLAND RATING SHEET ATTACHED?: 60 N
RECOMMENDATION (Circle One): SSUE ISSUE/COND DENY
COMMENTS :? ??-7??%.t?eo? -?',o?-G . _ Q.o ss, 6-?
.?'f'o a,?-?-H?.?? ` a?-?. o:u`?- ?y ?-.nay.... ,??,?to•
cc: Regional Office
Central Files
i
t
4
t

WETLAND RATING SYSTEM WORKSKEET.
Project No. or description J?/
Location
County
River base s
Nearest stye
Evaluator
Agency and address
Nearest road or town S? • J,???o
and classification
Date and time evaluated
Major Wetland Type
Approximate size o wetland stem , 37 acres
Approximate extent of wetlands in area.22 acres
within /z-- miles Three most common plant species (in order):
Soil Series (if known)
Hydrologic indicators
Direct surface hydro' gic onnectio ? 0
Existing Conditions
Drainage
Disturbance ?-
Restoration potential
Restoration value
Is site known to provide habitat for rare, endangered or
threatened species? ,ke If so, list species observed or recorded.
Item No. Score (circle one)
1. Location/Landscape
1 Natural area buffer .5
2 Sensitive watershed 5 4 2 1
3 Dispersal corridor system 5 4 2 1
II. Ecological Values
4 Special ecological attributes 5 4 3 2 0
5 Wildlife habitat 5. 4 .3 2 0
6 Aquatic life 5 4 3 2 1. 0
7 Water storage 5 4 3 (1? 0
8 Streambank stabilization 5 4 3 `22 0
9 Removal of pollutants 5 4 3 0
III. Human Values.
10 Outdoor recreation/education 5 4 1. 0
11 Economic value 5 4 3 1 0
Total score
(jp
Site description and notes:
13
f
!REMORAND INITIALS :
Reviewer:
rO: john Dorney WQ Supv:
lanning Branch Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
***EACH ITEM MUST BE ANSWERED (N/A-NOT APPLICABLE)***
PERMIT_YR: 92 PERMIT-NO: 0000561 COUNTY: SAMPSON
APPLICANT NAME: TRI-COUNTY COMMUNITY HEALTH CENTER
PROJECT-TYPE: PARKING LOT PERMIT-TYPE: NW26
COE_#: DOT-#:
RCD_FROM_CDA: APP DATE_FRM_CDA: 09/29/92
R.EG_OFFICE: FRO RIVER-AND-SUB-BASIN-#: CAcr If
STREAM-CLASS: C- 5kj
STR_INDEX_NO:
WL_IMPACT? : >N WL_TYPE : fT$ j-f
WL_REQUESTED: Q3`/ WL_ACR_EST?: SN
HYDRO_CNECT?: L,P/N WL_SCORE(#): /(P

MITIGATION?: Y/® MITIGATION-TYPE:
KITIGATION_SIZE:
IS WETLAND RATING SHEET ATTACHED?: 6) N

RECOMMENDATION (Circle One): SSUE ISSUE/C OND DENY
COMMENTS :-f-
cc: Regional Office
Central Files
So-i1 & Environmental Consultants, Inc.
3,819 Bland Road ¦ Raleigh, North Carolina 27609 ¦ [phone] ¦ Fax [phone]
September 21, 1992
Water Quality Planning RR
Division of Environmental Management
NC Department..of Environment, Health, v
and Natural:Resources $EP 2 9
Attn: John Dorney
P.O. Box 29535Raleigh, NC 27626-0535 WETLANDS GROUP
WATER UALITY SECTION
Dear Mr. Dorney:
We are applying on behalf of our client fora General 401 Water
Quality Certification for the, project to be known as the Tri-
County Community Health Center, Newton Grove, N.C. Ken Averette
of the DEM reviewed the site on September 15th and stated that the
proposed fill would be acceptable for a 401 permit. An
application has been sent to the Army Corps of Engineers for a
Nationwide 26 'permit; verification of this permit will be
,forwarded to you as soon as it is received.
The jurisdictional area consists of bottomland hardwood adjacent
to the Great Coharie Creek, just west of S.R. 1636.: It is my
understanding that the Corps will not require this site to be
surveyed The jurisdictional area shown on the attached `map is a
close approximation. The actual wetland boundary was flagged in
the field with orange surveyor's ribbon by S&EC.
The clinic is to be expanded to meet with current community
demands. Expansion of the existing parking lot will result in the
fill of approximately 0.37 acres of wetland in the area furthest
from the Great Coharie Creek, because no other area is available
on the property. The parking lot will be an unpaved, gravel
surface. The remaining property on the site is taken up by a
septic field and repair area, and a well buffer zone, leaving
little room for 'expansion of the clinic and current septic system.
Soil/Site Evaluation ¦ Mapping and Physical Analysis ¦ Wetlands Mapping and Mitigation ¦ Environmental Audits
On-Site Waste Treatment Systems, Evaluation, and Design
DEM ID: IZ&6j
ACTION ID:
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF.ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME : L h (A l? ctikz ( b c tr r
2. OWNERS ADDRESS:
3. OWNERS PHONE NUMBER (HOME):
4. IF APPLICABLE:
PHONE NUMBER:
5.
(WORK): 914-S(s7- ( l y?
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
6. NAME OF CLOSEST STREAM/RIVER: C0 kv,f %c-
7. RIVER BASIN:
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO [ ]
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
• `]
2/3/92
LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY:
NEAREST TOWN OR CITY: eaJ•tc v. (h It yy
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
1 rr'' pp
i
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: 0131
DRAINED: 0
FLOODED: 0
EXCAVATED: Q
TOTAL IMPACTED:
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): a , v?S,ot. D ? die
13. PURPOSE OF PROPOSED WORK:
14. STATE REASONS WHY
CARRIED OUT IN WETLANDS.
IMPACTS. AtiaL,a raffle- low
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING "THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES [ ] NO QC]
.RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(.SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES [ ] NO j4
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? :?a• _ ri u4jll.A
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
? ?4?' ?J• .R.? Wil.??r??h 1
R l S STMATTTRF, na F
THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
6
DRAW LINE ABOVE NON-DOMINANT SPECIES)
COORDINATOR: TIME: _ DATE: ?/ 1Z /qZ COUNTY: Saw: OSC.N
ri 41ny WATERWAY: r^ -^ • 4 (olno r C rcel?
REST TOWN
.)_- nit _
`L. Jr-
IS PItOPERTY UNIFORM OR SEPARATE DISCRETE ? VEGETATIVE UNITS --------------
Do normal environmental conditions exist at the plant community?
Yes ? No (If no, explain on) disturbed?
Has the vegetation, soils. and/or been significantly
Yes No ? (If yes, explain on back)
---------------------------
NLA vin
QUAD: OCATION: t2?.
PROPERTY OWNER:(ESS) PAR
i ker ? rcc r ?oi
A??r.Tlv?; C?ro?c IUc. 28366 Sb
PtfUNE: (??)?t ? q PH
OTHER INDIVIDUALS PRESENT: (3racQ W: ti g_ ^ ?-
VEGETATION: (IN ORDER OF DOMINANCE,
TRLES: SPECIES ---% COVER--INDICATOR
1. ?;noctlvdwH { 1tQterw W(. Cc-
2. L.i b?; dw„.bwr s?,roci'?Xv a I?lo ?c c
3. ?; ??s ?? s°lo c
4.
5.
SAPLINGS/SHRUBS:
1. F1cai Y•+bt?W? S°lo eFc
s"6 10"
3.
4.
5.
GROUND COVER: SPECIES-% COVER-INDICATOR
1. u)c>ocl?aYCti-+- o 4_0k04e- Ts0°to o6 l
2. (Z%uws r.d+ca,v?s toot.
3.
4.
5.
6.
7.
8.
WOODY VINES:
1.
2.
Percent of dominant species that are OBL. FACK and/or FAC SO
Is the hydrophyt vegetation criterion m ? Yes ?/7![b
oneis' ! q?Q% 't.3 - i= ycae i e oi. "s 4e Gl<a??C-
Reti t
SOILS
Seriestphase: R b Subgroup:2
Is the soil on the hydric soils list? Yes ? No Undetermined
is the soil a Histosol? Yes No __,- Histic spipedon present? Yes No =
Is the sal: Mottled? Yes No Gleyed? Yes ?v*? No
Matrix Color. 10'195/2- Mottle Colors: e y &I J
Other hydric sail indicators: Jxcd`" mei- rt.,,u mill
Is the hydric soil criterion met? Yes No
Rationale: (9LUC dra??n F i v diceAlee? b? avo?.1 c?Icrt
DATA FORM
ROUTINE ONSITEDEI INAVON MEfHODt
HYDROLOGY
15-
Is the ground surface inundated? Yes No v--,- Surface water depth:
is the soil saturated? Yes No 15 ,i
Depth to free-standing water in pktsoii probe hole:
Ust other field evidence of surface inundation or sgii saturation.
OKrdt woi- rk&tkv%e_isi bu SSe *Mo
is the wetland hydrology criterion met? Yes No ?nn r
Rationale: AM rd? cep 1m?5 ?1no W+- 5 x;11 be . h.,ti c1>itFt?x Te^r 15
JURISDICTIONAL DEl•ERMINATION AND RATIONALE
Is the plant community a wetland? Yes No t
Rationale for jurisdictional decision: So? .- d loaA 9 ua.wido"\ crtjtcta "d
PHOTOS TAKEN: YES NO-L.
JURISDICTION: ABOVE HEADW
? AUTHORITY: 10 404 10/404 NONE_
TERS ? ISOLATED_ ADJACENT N4-P#
DETERMINED BY:
t DATA FORM
ROUTINE ONSITEDM MINAnO"EfMDt
3.
4.
5.
COORDINATOR: TIME: _ _ DATE: `d / 17- / gLCOUNTY: So,vN
NEAREST TOWN; WATERWAY: ?oA? (,O +: Crce4?
QUAD: LOCATION: Ad'w -A S.a. 11636
pKUpt:RTY UWI?ER:(NAIdF./ADDRESS) PARTY DOING WORK: (NAME/ADDRESS)
r ?,..
p't? c_ .r Civ.u'row.V?2 COAS ul 1s.?i
(, ? ?l awl ?: lLf 218' blwr? IZ?
?,r'? t`?ra?c, Zg366 = NL 2?f bo
Pt1ON1: 56'I - (D t `?' PRUNE . q(K ) '1?U
OTHER INDIVLDUALS PRESENT: (? ?igGl?ac w??? ??
COVER--INDICATOR GROUND COVER: SPECIES-% COVER-INDICATOR
44'. T. ?_Wis r?iwui s S°(.
2. Li }?J' apv \pP ( SI?MCf E?JO.Ip
3. (??r:<+d2v.drov. ?1:Pcar+- !o°r, f'oc
4.
S.
TREES: SPECIES---X
1 ?S *,kfdo- ?0'(6
- - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - - - - - - - - - -
VEGETATION: (IN ORDER OF DOMINANCE, DRAW LINE ABOVE NON-DOMINANT SPECIES)
Do normal environmental conditions exist at the plant community?
Yes V No (N no, explain on back)
Has the vegetation. oils. and/or hydrology been significantly disturbed?
Yes No (If yes, explain on back)
IS PROPERTY UNIFORM OR SEPARATE DISCRETE ? _ VEGETATIVE UNITS
-------------------------------------------
SAPLIXGS/SHRUBS:
1. ?iU ; ?Aw ??f si-Imcii k- s°(° 1=ac
2.A,,,- YJ\orvv- to'(- 4C
3.
4.
5.
6.
7.
8.
WOODY VINES: t
1. Po.r`4mA0655v5
2. V +;S Se.
Percent of dominant species that are OHL. FACW, and/or FAC 7 9 O ?(.
Is the hydro vegetation criterion me?? Yes No
FWnnaie: M ga oc i A 6' ?(I a_ to c.'?e.'hb?. i i c .
SOILS
Series/phass: Nof-jWk Subgroup:2
Is the soil on the hydric soils list? Yes No ?L Undetermined
Is the sail a Histosol? Yes No \,-- Histic spipedon present? Yes No
is the soil: Mottled? Yes No `Gieyed? Yea No ,,L
Matrix Color. 10 YR S7 Mottle Colors:
Other hydric soil indicators:
Is the hydric soil criterion met? Yes No n
Rationale: QN '"J A' nCS JJ1; anciMA' 0. i+ is Hn,odoare,:?t.?.. %A1-ami1.Q4.
t
HYDROLOGY
36 r`
is the ground surface inundated? Yes No ? Surface water depth: '7
Is the soil saturated? Yes No kL
Depth to tree-standing water in pitiscii probe hole:
List other field evidence of surface inundation or soil saturation.
Is the wetland hydrology criterion met? Yes No L_
Rationale: 61 0 ev. dR a ca- -
JURISDICTIONAL DETERMINA71ON AND RATIONALE
Is the plant community a wetland? Yes No
Rationale for jurisdictional decision: Sot l s
PHOTOS TAKEN: YES NO AU3HORITY: 10_ 404_ 10/404_ NONE_
JURISDICTION: ABOVE HEADWATERS J ISOLATED_ ADJACENT_ NWP #
DETERMINED BY:
i
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179T 11' fl7/ •• ` `Yt .r a .T.,p 1.
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