20050144 Ver 1_Complete File_20050125

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JAN 2 5 Z005

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DENR. WATER aUALITY
ORitf Use Only: 1101 44 Fmm Version May 2002

us Action ID No. DWQ No.
(If any particuJar item is DOt applicable to this project, please enter "Not Applicable" or "NI Alt.)

L Processing

1. Check all of the approval(s) requested for this project:
o Section 404 Permit 0
o Section 10 Permit 0
o 401 Water Quality Certification

Riparian or Watershed Buffer Rules
Isolated Wetland Permit from DWQ

2. Nationwide, Regional or General Permit Number(s) Requested:NATIONWIDE #12

3. If this notification is solely a courtesy copy because written approval for the 40 I Certification
is not required, check here: ~

4. Ifpayment into the North Carolina,Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PeN), complete
section vm and check here: 0

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: 0

~ Applieantlnformation

i 1. Owner! Applicant Information
Name: METCALF HOME BunDERS
Mailing Address: 316 OAK KNOLES
HILDEBRAN. NC 28637

i
!
i
!
!
!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: [phone]
E-mail Address:

Fax Number:

Telephone Number: [phone]
E-mail Address:
m. Project Information

Fax Number:

Page 5 of 12

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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 fi1cilities 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: COTTIAN WAY SUBDMSION
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A

3. Property Identification Number (Tax PIN): 273307792313

4. Location
County: BlJR.KE Nearest Town: V AIDESE
Subdivision nattte (include pbasellot number): COTTIAN WAY
Directions to site (include road numbers, landmarks, etc.): BEGINNING AT THE CITY OF
MORGANTON HEAD EAST ON US HWY 70. GO THROUGH THE TOWN OF
DREXEL. CONTINUE EAST ON US HWY 70 TO V ALDESE. IN V ALDESE TURN
LEFT ONTO CHURCH STREET (SR 1538) AND HEAD NORm FOR
APPROXIMATELY 0.7 MILE (WHICH WILL BE JUST PAST HARRIS STREET)
SUBDMSION ENTRANCE IS ON WEST SIDE OF CHURCH STBF.RT .

S. Site coordinates, if available (UTM or LatlLong): #1 N350-4S.296' W810-34.297'

#2 N350-4S.276' W810-34.274'

(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing ofa distinct wateIbody.)

;
,6. Property size (acres): 13 ACRES

7. Nearest body of water (streamlriver/soundloceanllake): MCGALLIARD CREEK

8. River Basin: CAT A WBA
I
(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.usladmin/mapsl.)

Page 6 of 12

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9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: THE PROJECT IS ON LAND THAT IS EITIIER
GRASSED OR WOODED. LAND USE IN THE VICINITY OF THE PROJECT IS
RESIDENTIAL SUBDMSION OR COMMERCIAL.

10. Describe the overall project in detail, including the type of equipment to be used:
INSTALLATION OF AN 8" SEWER OUTFALL. TRENCH Wll.L BE EXCAVATED
WITH A TRACK BACKHOE ACROSS THE CHANNEL AREA PIPE WILL BE
PLACED ACROSS STREAM AND STREAM WILL BE BACKFILLED TO ORIGINAL
LEVEL. STREAMBANKS WllL BE STABI{,.IZED WITH RIP RAP STONE. FILTER
FABRIC. ANP SEEDED.

11. Explain the purpose of the proposed work: CONSTRUCT
SUBDMSION WITH GRAVITY SEWER SYSTEM.

A

RESIDENTIAL

IV. i 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.
iN/A

v. Future Project Plus

. 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.
!N/A
!

VL Proposed Impacts to Waters of the United StateslWaters 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. The applicant must also
provide justification for these impacts in Section vn below. All proposed impacts, permanent
~ temporaIy, must ,be listed herein, ad must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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

Page 7 of 12

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included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section vm below. If additional space is needed for
listing or description, please attach a separate sheet.

1. Provide a written description of the proposed impacts: CHANNELBANKS AND
CHANNRJ .REDS WILL BE DISTURBED TO INSTALL SEWER LINE ACROSS THE
CHANNEL. THE IMPACTS WILL BE TEMPORARY AND WILL OCCUR ONLY
DURING CONSTRUCTION.

2. Individually list wetland impacts below: Nt A

i
we1lland Impact Area of Located within Distance to
S. Number Type ofImpact* Impact l00-year FloodpJain*. Nean:st Stream Type ofWet1and..*
f on map) (acres) (vesIoo) (linear feet)
i
: ,
i
. Li$l each impact and identitY tempoml Impacts include, but are not limited to: ~7ed clearing. grading. fill.

separately y i:mpacts.
exc1avatim. t1oocting. ditdUngldrainage, de. For dams, separately list impacts due to both slructure and tlooding.
.. lOO..Year floodplains are idenUfied tbrougb the Fedenll E.mergeocy Management Agew;y's (FEMA) Flood Jnsunmce Rate Maps
~ or FEMA-approved local floodplain maps. Maps are available tbrough the FEMA Map Servke Center at 1-800-358-9616, or
0IJIlne at httoJ/www.femagov.
... List a wdJand type that best descnbes wetland to be impacted (e.g., freshwata1saltwater marsh, forested wetland. beaver pond.
Carolina Bay. bog. etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).

List the total acreage (estimated) of all existing wetlands on the property: Nt A
Total area. of wetland impact proposed: Nt A

3. Individually list all intermittent and perennial stream impacts below:

S~ Impact Length of Average W'tdth Pereuoial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
(indi* on map) (1inear feet) Before ImDact (Dlease specify)
UTOF
I EXCAVATION IOLF MCGAlLIARD 3' PERENNIAL
CREEK
\2 UTOF
EXCAVATION IOLF MCGAlLIARD 3' PERENNIAL
CREEK
I

Page 8 of 12

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· List each impact separately and identitY temporary impacts. Impacts include, but are DOt limited to: culverts and associated rip-rap.
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after. and net loss/gain).
seabilization activities (cement wall. rip-rap. crib wall. gabions, etc.), excavation. ditchinglslraightening. etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
.. ~ names am be found on USGS topographic IDI,lpS. If a stream bas no name. list as UT (lDmamed tnoutaly) to the nearest
~ named slream into which it flows. USGS maps are available through the USGS at 1-800-358-9616. or online at
~,usgs.gov. Several internet sites also allow direct download and pinting of USGS maps (e.g,. www.tooozone.com.
~,mapauest.com. etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 20 LF

4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: NtA

Open Water Impact Area of Name ofWateIbody Type of WateIbody
~~ Number Type ofImpact* ImpaCt (if applicable) (lake, poDd. esbJaIy, sound.
C on map) (acres) bay, ocean, etc.)
:
.

· L~ each impact separately and identifY temporary impacts. Impacts include, but are not limited to: fill. excavation, dredging.
floqding. drainage, bl111rheMs, etc.

5. Pond Creation Nt A
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): 0 uplands 0 stream 0 wetlands
Describe the method of construc!jon (e.g., damlembankmen~ 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.):

Size of watershed draining to pond:

Expected pond surface area:

I
VB. ibnpact Justification (AvoidaDce and Miohnization)
I
I
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
}Vere minimized once the desired site plan was developed. If applicable, discuss construction
echniques to be followed during construction to reduce impacts.
Ji. WOULD BE TO IVID AL SEPTIC SY AT EACH
lNGLE-FAMILYD1WELLlNG RA EWERPUMPSTATI iN. BOTHOFTHESE
ALTERNATIVES WOULD BE VERY IMPRACTICAL AND EXPENSIVE. EROSION
CONTROL ME1HODS WILL BE USED DURING CONSTRUCTION.

Page 9 of 12

VIIL; 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. N/ A

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to enSUFe that adverse effects to the aquatic environment are minim3.J. 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
i 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 $aIIle 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 NCWRP 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 Caro~ available at
http://h2o.enr.state.nc.uslncwetlandsl 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 (acreagellinear 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.
N/A

~. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o,enr.state.nc.uslwrp/index.htmIfuse of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:

Amount of stream mitigation requested (linear feet): N/ A
Amount of buffer mitigation requested (square feet): N/ A
Amount of Riparian wetland mitigation requested (acres): N/ A
Amount of Non-riparian wetland mitigation requested (acres): N/ A

Page 10 of 12

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Amount of Coastal wetland mitigation requested (acres): Nt A

IX. Environmental Documentation (required by DWQ)

Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes D No 181

If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEP AlSEP A)?
Note: If you are not sure whether a NEP A/SEP A document is required, call the SEP A
coordinator at [phone] to revieW current thresholds for environmental documentation.
Yes D No D

, If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEP A final approval letter.
Yes 0 No 0

X. Proposed Impacts on Riparian and Watenhed Butren (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,

Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )7
Yes 0 No 181 If you answered "yes", provide the following information:

[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*

Impact
( feet)

Multiplier

Required
Miti '00

Total
· Zone 1 extends out 30 feet perpendicular from near bank of cbanneI; Zone 2 extends an
additional 20 feet from the edge of Zone 1.

Page 11 ofl2

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.f '

Ifbuffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
N/A

XL Stormwater (required by DWQ)

Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposeci in order to protect surfa,ce waters and. wetlands
downstream from the property. '
N/A

xu. 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,
ALL UNITS OF COTIIAN WAY WILL BE SERVED BY THE TOWN OF VALDESE
PUBLIC SEWER SERVICE

xm. Violations (required by DWQ)

'i Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes 0 No 181

Is this an after-the-fact permit application?
Yes 0 No 181

XIV. Other Circumstances (Optional):

!i It is the applicant's responsibility to submit the application sufficiently in advance of desired
lconstruction dates to allow processing time for these permits. However, an applicant may
iiChoose. 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).

i
I
1)4 /~ /-/O-cS
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

~ 12 of 12

.35_

11

VICINITY MAP
N7'5

StARKE

- -

CO '
--_/I. NIY
ij

1538
-

VALDESE
POP. 4~7
.'\8

sa.

1734

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C 1m DeLonle V....... ME 84896 SourteD8la: USGS ,

'-ISOft Scale: 1 : 11,000 Debri1: 14-8 Datmn: WGS84

~OTTIAN WAY Stl8D/VISION

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JAN 2 5 2005

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DENR-WATERQUAUTY
WETI.N<<>S AND STORMWATER BRANCH

o 1 4 4 Form Version May 2002
. 05
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this projea, please enter "Not Applicable- or "NI A -.)

L Processing

1. Check all of the approval(s) requested for this project:
o Section 404 Permit 0
o Section 10 Permit 0
o 401 Water Quality Certification

2. Nationwide, Regional or General Permit Number(s) Requested:NATIONWIDE #12

Riparian or Watershed Buffer Rules
Isolated Wetland Permit from DWQ

3. If this notification is solely a courtesy copy because written approval for the 40 1 Certification
is not required, check here: ~

, 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal ofPCN), complete
section vm and check here: 0

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: 0

u. Applicant Information

1. Owner/Applicant Information
Name: METCALF HOME BUllDERS
Mailing Address: 316 OAK KNOLES
mLDEBRAN. NC 28637

Telephone Number: (828) 397-65%
E-mail Address:

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: [phone]
E-mail Address:
m. froject Information

Fax. Number:

Page 5 of 12

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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 surfi1ces, 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 II 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.

I. Name of project: COTTIAN WAY SUBDMSION

2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A

3. Property Identification Number (Tax PIN): 273307792313

4. Location
County: BURKE Nearest Town: V ALDESE
Subdivision name (include phase/lot number): COTTIAN WAY
Directions to site (include road numbers, landmarks, etc.): BEQINNING AT THE CITY OF
MORGANTON HEAD EAST ON US HWY 70. GO TIlROUGH THE TOWN OF
DREXEL. CONTINUE EAST ON US HWY 70 TO V ALDESE. IN V ALDESE TURN
LEFr ONTO CHURCH STREET (SR 1538) AND HEAD NORTH FOR
APPROXIMATELY 0.7 MILE (WHICH WILL BE JUST PAST HARRIS STREET)
SUBDMSION ENTRANCE IS ON WEST SIDE OF CHURCH STRRRT .

5. Site coordinates, ifavailable (UTMorLatlLong): #1 N350-45.296' W8 I 0-34.297'

#2 N350-45.276' W8 1 0-34.274'

(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct watetbody.)

6. Property size (acres): 13 ACRES
:7. Nearest body of water (streamlriver/soundloceanllake): MCGALLIARD CREEK

I

~. River Basin: CATAWBA
I (Note -.this must be one of North Carolina's seventeen designated major river basins. The
1 River Basin map is available at http://h2o.enr.state.nc.usJadmin/maps/.)

Page 6 of 12

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9. Describe the existing conditions on the site and general land use in the vicinity of the project
atthe time of this application: THE PROJECT IS ON LAND THAT IS EITHER
GRASSED OR WOODED. LAND USE IN THE VICINITY OF THE PROJECT IS
RESIDENTIAL SUBDMSION OR COMMERCIAL.

10. Describe the overall project in detail, including the type of equipment to be used:
INSTALLATION OF AN 8" SEWER OUTFALL. TRENCH WILL BE EXCAVATED
WITH A TRACK BACKHOE ACROSS THE CHANNEL AREA PIPE WILL BE
PLACED ACROSS STREAM AND STREAM WILL BE BACKFILLED TO ORIGINAL
LEVEL. STREAMBANKS wn.T. BE STABILIZED WITH RIP RAP STONE. FILTER
FABRIC. ANV SEEDED.

11. Explain the purpose of the proposed work: CONSTRUCT
SUBDMSION WITH ORA VITY SEWER SYSTEM.

A

RESIDENTIAL

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.
N/A

v. Future Project Plans

l Are any future permit requests anticipated for tbis project? If so, describe the anticipated work,
I and provide justification for the exclusion of this work from the current application.
iN/A

VL Proposed Impad's to Waten of the United StateslWaten of the State

_t is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
fietlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section vn below. All proposed impacts, permanent
~d temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
4elineation map, whether or not impacts are proposed to these systems. Wetland and stream
~uation and delineation forms should be included as appropriate. Photographs may be

Page 7 of 12

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included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section vm below. If additional space is needed for
listing or description, please attach a separate sheet.

1. Provide a written description of the proposed impacts: CHANNELBANKS AND
CHANNRT .REDS WILL BE DISTURBED TO INSTALL SEWER LINE ACROSS THE
CHANNEL. THE IMPACTS WllL BE TEMPORARY AND WILL OCCUR ONLY
DURING CONSTRUCTION.

2. Individually list wetland impacts below: NI A

i
w~Impact Area of Located within Distan<;e to
s~ Number Type of Impact* Impact lOO-year FloodpJain** Nearest Stream Type ofWetJand***
f c' onmao) (acres) (ves;too) (linear feet)
!
!
,
,
. List each . and' &. include, but are not limited to: JPedumi7ed cl fill,

impact sepamte1y idaItifY tempor y impaetS. lmpects eanng, gtading,
ex<1avation, flooding, ditchingldrainage, etc. For dams, separately list impacts due to both structure and flooding.
.. 100-Year floodplains are identified through the Fedaa1 Emergency M~ Agency's (FEMA) Flood Insmance Rate Maps
(FlRM), or FEMA-approved local floodplain maps. Maps are available through 1he FEMA Map Service Center at 1-800-358-9616, or
online at http://www,femalZov.
... List a wetJand type that best describes wetland to be impacted (e.g., fu:shwatec/saltwater maISh, forested wetland, beaver pond,
Calplina Bay, bog, etc.) IndicateifwetIand is isolated (determination ofisoJation to be made by USACE only).
I

List the total acreage (estimated) of all existing wetlands on the property: NI A
Total area of wetland impact proposed: N/A

3. Individually list all intermittent and perennial stream impacts below:

S~ Impact Length of Average Width Perennial 01'
Si~Number Type of Impact* Impact Stream Name** of Stream Jntennitteot?
(indidlfe on mao) (linear feet) Before Inmact (Dlease .~ -
UTOF
1 EXCAVATION IOLF MCGAWARD 3' PERENNIAL
CREEK
UTOF
2 EXCAVATION IOLF MCGAlLIARD 3' PERENNIAL
CREEK
!
i !
!

Page 8 of 12

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· List each impact separately and identifY temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
clams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
#abilization activities (cement wall, rip-rap, crib waIl. gabions, etc.), excavation, ditching/straightening, etc, If stream relocation is
~ plans and pofiles showing tIle linear footprint for both the original and relocated streams must be included.
.. Stream ~ can be found on USGS topographic maps. If a stream has no name, list as UT (1lI1IVI1Iled tributmy) to the nearest
~ named slream into which it flows. USGS maps are available tbrough the USGS at 1-800-358-9616, or online at
Www.usgs.gov. Several idemet sites also aUow direct download and printing of USGS maps (e.g., www.tooozone.com.
www.maoouest.com.etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 20 LF

4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: NtA

i
~ Water Impact Area of Name ofWateIbody Type of Waterbody
mt Number Type ofImpact* IDipact (lake. pond, estuary, sound,
f cate on map) (acres) (if applicable) bay, ocean, etc.)
\

· LiSt each impact separately and ideolitY feanpoJ.&lY impacts. Impacts include, but are not limited to: fill, excavation, dredging,
fl~ drainage, bn11c:he.Ails, etc.

5. Pond Creation Nt A
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): 0 uplands 0 stream 0 wetlands
Describe the method of construction (e.g., damlembankment, excavation, installation of
draw-down valve or spillway, etc.):

Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local storm water requirement, etc.):

Size of watershed draining to pond:

Expected pond surface area:

VB. ....pact Justification (Avoidance and MiBimization)

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
ivere minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
tHE ALTERNATIVE WOUlD BE TO USE INDIVIDUAL SEPTIC SYSTEMS AT EACH
~INGLE-FAMIL Y DWELLING OR A SEWER PUMP STATION. BOrn OF THESE
ALTERNATIVES WOUlD BE VERY IMPRACTICAL AND EXPENSIVE. EROSION
CONTROL MErnODS WILL BE USED DURING CONSTRUCTION.

Page 9 of 12

"""-r'" 10"'0

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 NCWRP concurrence shall be placed on hold as
1 incomplete. An applicant may also ch()Ose 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.uslncwetlandslstrmgide. html.

vnt. 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, N/ A

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
, Permits, published in the Federal Register on March 9, 2000, 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.

I. 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 off site), affected stream and river basin, type and amount (acreagellinear 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.
N/A

12. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o,enr.state,nc,uslWIp/index.htmIf use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:

Amount of stream mitigation requested (linear feet): N/ A
Amount of buffer mitigation requested (square feet): N/ A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/ A

Page 10 of 12

Amount of Coastal wetland mitigation requested (acres): N/A

IX. Environmental Documentation (required by DWQ)

Does the project involve an expenditure of public (federal/state) funds or the use of public
(federaVstate) land?
Yes 0 No ~

If yes. does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEP A1SEP A)?
Note: If you are not sure whether a NEP A/SEP A document is required, call the SEP A
coordinator at [phone] to nMcfw current thresholds for environmental documentation.
Yes 0 No 0

If yes, has the document review been finalized by the State Clearinghouse? If so. please attach a
copy of the NEP A or SEP A final approval letter.
Yes 0 No 0

. X. Proposed Impacts on Riparian and Watenhed ButJen (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 vn 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
I 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.

Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Noose). 15A NCAC 2B .0259 (Tar-Pamlico). 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements). or other (please identify )?
Yes 0 No 181 If you answered ''yes''. provide the following infonnation:

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
muhipliers.

Zone.

Impaa
( feet)

Multiplier

Required
Miti .

Total
· Zone 1 extaJds out 30 feet perpendicular from. near bank of cbmmel; Zone 2 exteods an
additional 20 feet from. the edge of Zone 1.

Page II of 12

1 -r<

. ,~~,~_:_-="'V,,' '-~~,', ,-:-':1- ~.Y'r ":.~""'''''''''~,-",~

Ifbuffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
N/A

XI. Stormwater (required by DWQ)

Describe impervious acreage (both 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.
N/A

xu. Sewage Disposal (required by DWQ)

Clearly detail the ultimate treatment methods and disposition (non-discbarge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
ALL UNITS OF COTTIAN WAY WILL BE SERVED BY THE TOWN OF V ALDESE
PUBLIC SEWER SERVICE

xm. Violations (required by DWQ)

Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .05(0) or any Buffer Rules?
Yes 0 No IZI

Is this an after-the-fact permit application?
Yes 0 No IZI

~. 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).

1:)4 /~tv.a( /-Io-/)>
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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(reM) COTT/AN WAY SUBDIVISION

t' ' ;, t: , . . ,,: .

Est COMSUt TAN,!TS, PLLC
Consulting Eng;neers ".'
405. South Sterling Street
MORGANTON, NORTH CAROLINA 28655
t .'

QI0144

I,

phone ~ft8) 433-5661 r:. )[phone]
, i ..<;
. 1 ,
~d D Q: Wei:~c;I~l Unit
: \ 16~O 1i1sW.:e~
. Ralei~ NC 27699-1650
; . i

JOB NtJM,BERIPHONE

DATE
/19/2005

ATTENTION

,
i

> WE~s~~l

iCopy of I~tter

RE:
CottianWay Subdivisio~- Valdese, NC
(Dan Met<:alf, Metcalf Builders)

Prints Plans

Specifications

Samples

~
. !

> .... . r
Under separa~ ~ via

the following items:

C~ order Other:

COPIES

DATE

NUMBER

DESCRIPTION

:L.

econstruction Notification Application Form

m[;@~D\VJ~oo

JAN 2 5 ZOOS

OENR - WATERQUAUTY
WETl.N()SAtC) STOAIMATERBIWOt

THESE .t..RET~NSMITTED as checked below:
. . X f!j>ryQurapproval

Apprqved, as.subroitted

~mit

~foNlpprovaL "

Fqr your use
I
\
~requested

F' review and comment

F '. R BIDS DUE/<WE

Approved as noted

Submit

copies for distribution

Returli1ed for corrections

Return

corrected prints

Other I

1/19/2005

PRINTS RETURNED AFTER LOAN TO US

REMARKS

COPY TO

SIGNED

tu4J.d &#A/~1IL-ulllj/

PRODUCT 13127M
0460

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