20050844 Ver 1_Complete File_20050516

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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
August 12, 2005
R. A. Lipsey Trust
P.O. Box 2052
Highlands, NC 28741
Subject Property:
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 05-0844
Macon County
Lipsey Mountain Spring Collection and Bottling Plant
COE Action ID 200531851
Approval of 401 Water Quality Certification with Additional Conditions
Dear Sir or Madam:
You have our approval, in accordance with the attached conditions and those listed below, to
place fill within or otherwise impact an additional 148 feet of streams for the purpose of
constructing a bottling plant at the subject property, as described within your application dated
May 2, 2005 and received by the N.C. Division of Water Quality (DWQ) on May 16, 2005 with
additional information sent on June 24, 2005 and received on August 12, 2005. After reviewing
your application, we have decided that the impacts are covered by General Water Quality
Certification Number(s) 3402 (GC3402). The Certification(s) allows you to use Nationwide
Permit(s) 39 when issued by the US Army Corps of Engineers (USACE). In addition, you
should obtain or otherwise comply with any other required federal, state or local permits before
you go ahead with your project including (but not limited to) Erosion and Sediment Control, Non-
discharge, and Trout regulations. Also, this approval to proceed with your proposed
impacts or to conduct impacts to waters as depicted in your application shall expire
upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you
change your project, you must notify us and you may be required to send us a new application.
If the property is sold, the new owner must be given a copy of this Certification and approval
letter and is thereby responsible for complying with all conditions. If total fills for this project
(now or in the future) exceed one acre of wetland or 150 linear feet of stream; compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h). This approval requires you
to follow the conditions listed in the attached certification and any additional conditions listed
below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and
of this Certification (or Isolated Wetland Permit) are met. No other
general conditions
impacts area roved includin incidental impacts:
Amount Approved Units Plan Location or Reference
Stream 148 (feet) Branch Encasement
Details dated April 29,
2005
401 oversight(Express Review Permits Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
one
N Carolina
?a ura!!y
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Lipsey Trust
Page 2 of 4
August 12, 2005
2. Erosion & Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed,
installed, operated, and maintained in accordance with the most recent version of
the North Carolina Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion
control measures must be such that they equal, or exceed, the requirements
specified in the most recent version of the North Carolina Sediment and Erosion
Control Manual. The devices shall be maintained on all construction sites, borrow
sites, and waste pile (spoil) projects, including contractor-owned or leased borrow
pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed,
installed, operated, and maintained in accordance with the most recent version of
the North Carolina Surface Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
3. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas
beyond the footprint of the impacts depicted in the Pre-Construction Notification. All
construction activities, including the design, installation, operation, and maintenance of
sediment and erosion control Best Management Practices, shall be performed so that no
violations of state water quality standards, statutes, or rules occur.
4. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters to the
maximum extent practicable. If placement of sediment and erosion control devices in
wetlands and waters is unavoidable, they shall be removed and the natural grade
- --restored-witbk"ix-nonths-ofthe-date that the nivisionoUand Resosrces-has released
the project.
5. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rules, and any subsequent modifications, the applicant is required to
return the attached certificate of completion to the 401 Oversight/Express Review
Permitting Unit, North Carolina Division of Water Quality, 1650 Mail Service Center,
Raleigh, NC, 27699-1650.
6. Written Stormwater Management Plan (Final Plan Needed)
Since the previous stream impacts on the site and the proposed impacts exceed a total
of 150 linear feet of stream impact, a final, written stormwater management plan
(including a signed and notarized Operation and Maintenance Agreement) shall be
Lipsey Trust
Page 4 of 4
August 12, 2005
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act. If you have any questions, please telephone John Dorney in the Central Office in
Raleigh at 919-733-1786 or Kevin Barnett in the DWQ Asheville Regional Office at 828-296-
4500.
AWKljrd

Enclosures:---' GC-3402- - -
Certificate of Completion
cc: Manfred Judernatz; Otto Engineering Inc., P.O. Box 497, 349 Caeser Road, Otto, NC
28763
Dave Baker, USACE Asheville Regulatory Field Office
Kevin Barnett, DWQ Asheville Regional Office
DLR Ashveille Regional Office
File Copy
Central Files
John Jacobs, Lipsey Mountain Spring Water, 453 Depot Street, Franklin, NC 28734
Filename: 050844LipseySprings(Macon)101
Lipsey Trust
Page 3 of 4
August 12, 2005
submitted to the 401 Oversight and Express Permitting Unit (2321 Crabtree Blvd., Suite
250, Raleigh, NC, 27604) within 60 days of the issuance of the 401 Water Quality
Certification. The stormwater management plans shall be approved in writing by this
Office before the impacts specified in this Certification occur per Condition No. 4 in GC
No. 3402. You have the option of using the Express Review Program for expedited
approval of these plans. If you propose to use the Express Review Program, remember
to include the appropriate fee with the plan. The stormwater management plan must
include plans, specifications, and worksheets for stormwater management facilities that
are appropriate for the surface water classification and designed to remove at least 85%
TSS according to the most recent version of the NC DENR Stormwater Best
Management Practices Manual. These facilities must be designed to treat the runoff
from the entire project, unless otherwise explicitly approved by the Division of Water
Quality. Also, before any permanent building is occupied at the subject site, the facilities
(as approved by this Office) shall be constructed and operational, and the stormwater
management plan (as approved by this Office) shall be implemented. The structural
stormwater practices as approved by this Office as well as drainage patterns must be
maintained in perpetuity. No changes to the structural stormwater practices shall be
made without written authorization from the Division of Water Quality.
7. Conservation Easement
As stated in your application, a Conservation Easement shall be placed on all retained
jurisdictional wetlands and streams on the property (approximately 4000 linear feet of
streams) in order to provide mitigation for the past and present stream impact on the site
and assure compliance for future wetland, water and buffer impact. These mechanisms
shall be put in place prior to impacting any wetlands, waters and/or buffers approved for
impact under this Certification Approval and Authorization Certificate. Additional written
approval from DWQ is required for this Conservation Easement and this written approval
must be received before the stream is impacted.
Violations of any condition herein set forth may result in revocation of this Certification and may
result in criminal and/or civil penalties. The authorization to proceed with your proposed
impacts or to conduct impacts to waters as depicted in your application and as authorized by
this Certification shall expire upon expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved
_ _._wgtland_or stream impacts), you may ask for an adjudicatory hearing. You must act within 60
days of the date that you receive this letter. To ask fora hearing, send a written petition,, wfiich- ??- "-
conforms to Chapter 1508 of the North Carolina General Statutes to the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
WQC #3402
GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE
FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBERS 18 (MINOR DISCHARGES)
39 (RESIDENTIAL, COMMERCIAL AND INSTITUTIONAL DEVELOPMENTS),
41 (RESHAPING EXISTING DRAINAGE DITCHES). 42 (RECREATIONAL FACILITIES),
43 (STORMWATER MANAGEMENT FACILITIES) AND 44 (MINING ACTIVITIES),
AND RIPARIAN AREA PROTECTION RULES (BUFFER RULES)
This General Certification is issued in conformity with the requirements of Section 401,
Public Laws 92-500 and 95-217 of the United States and subject to the North Carolina Division of
Water Quality (DWQ) Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B .0200 for
the discharge of fill matQrial to waters and adjacent wetland areas or to wetland areas that are not
a part of the surface tributary system to interstate waters or navigable waters of the United States
- - - - --- (i.e.-isolated wetlands) as described in 33-CFR 330 Appendix A (B) (18, 35, .-41, 42, 43 and 44) of
the Corps of Engineers regulations (i.e., Nationwide Permit No. 39) and for the Riparian Area
Protection Rules (Buffer Rules) in 15A NCAC 2B .0200. This Certification replaces Water Quality
Certification Numbers 3106 and 3108 issued on February 11, 1997, and Water Quality
Certification Number 3287 issued on June 1, 2000 and Water Quality Certification Number 3362
issued March 18, 2002. This WQC is rescinded when the Corps of Engineers re-authorizes
Nationwide Permits 18, 39, 41, 42, 43 or 44 or when deemed appropriate by the Director of DWQ.
The State of North Carolina certifies that the specified category of activity will not violate
applicable portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217
if conducted in accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Enumerating and Reporting of Impacts:
• Streams - Impacts to streams as determined by the Division of Water Quality shall be
measured as length of the centerline of the normal flow channel. Permanent and/or
temporary stream impacts shall be enumerated on the entire project for all, impacts
regardless of which 404 Nationwide Permits are used. Stream relocations and
stream bed and/or bank hardening are considered to be permanent stream impacts.
Any activity that results in a loss of use of stream functions including but not limited to
filling, relocating, flooding, excavation, dredging and complete shading shall be
considered stream impacts. Enumeration of impacts to streams shall include streams
enclosed by bottomless culverts, bottomless arches or other spanning structures
when a 404 Permit is used anywhere in a project unless the entire structure
(including construction impacts) spans the entire bed and both banks of the stream,
is only used for a road, driveway or path crossing, and is not mitered to follow the
stream pattern. Impacts for dam footprints and flooding will count toward the
threshold for stream impacts, but flooding upstream of the dam will not (as long as no
filling, excavation, relocation or other modification of the existing stream dimension,
pattern or profile occurs) count towards mitigation requirements. Any filling,
excavation, relocation or other modification of the existing stream (other than
flooding) must re-establish the same dimensions, patterns and profiles of the existing
channel (or those of a stable reference reach if the existing channel is unstable) to
the maximum extent practical.
• Wetlands - Impacts to wetlands as determined by the Division of Water Quality shall
be measured as area. Permanent and/or temporary wetland impacts shall be
enumerated on the entire project for all impacts regardless of which 404 Nationwide
Permits are used. Any activity that results in a loss of use of wetland functions
including but not limited to filling, excavating, draining, and flooding shall be
considered wetland impacts. Enumeration of impacts to wetlands shall include
activities that change the hydrology of a wetland when a 404 Permit is used
anywhere in a project.
WQC #3402
• Lakes and Ponds - Impacts to waters other than streams and wetlands as
determined by the Division of Water Quality shall be measured as area. Permanent
and/or temporary water impacts shall be enumerated on the entire project for all
impacts proposed regardless of which 404 Nationwide Permits are used. Any activity
that results in a loss of use of aquatic functions including but not limited to filling and
dredging shall be considered waters impacts.
Application Thresholds - Stream, wetland and water impacts that exceed any of the
thresholds below require a complete application and written concurrence to use this
Certification:
• Total stream impacts of greater or equal to 150 cumulative feet of stream length for
the entire project require written notification to and approval by the Division of Water
Quality, and/or
• Impacts to waters of equal to or greater than 1/3 of an acre require written. notification
to and approval by the Division of Water Quality, and/or
• Wetland impacts of greater or equal to 1/3 of an acre east of 1-95 and 1/10 of an acre
west of 1-95 require written notification to and approval by the Division of Water
Quality except as specified below. Any impacts to wetlands adjacent to waters
designated as ORW, SA, WS-1, WS-II or Trout or are designated as a North Carolina
or National Wild and Scenic River and wetlands classified as SWL and/or UWL as
well as wetlands described in 15A NCAC 2H.0506 (e) require a complete application
and written concurrence from the Division of Water Quality to use this Certification.
These thresholds apply for the entire project regardless of the number of Nationwide
Permits applicable to the Certification that are issued by the USACE for the project;
• Written notification to DWQ is required for all applications that propose to use
Nationwide Permit 18. This notification requirement will be satisfied by providing two
(2) copies of the PCN form to DWQ at the same time that the PCN form is sent to the
US Army Corps of Engineers. A formal application and fee is not required unless
DWQ decides that an Individual Certification will be required for the project. In this
case, the applicant will be notified in writing from DWQ within 30 days of the receipt
of the written notification.
• Proposed fill or substantial modification of any amount of wetlands classified in
accordance with 15A NCAC 2B.0101(e)(7) as Unique Wetlands (UWL) shall require
written concurrence from the Division of Water Quality;
2. Impacts to any stream length in the Neuse, Tar-Pamlico or Randleman River Basins (or
any other major river basins with Riparian Area Protection Rules [Buffer Rules] in effect at
___the time oJ-application) requires-written concurrence for this Certification from DWQ in
accordance with 15A NCAC 213.0200. Activities listed as "exempt" from these-rulesdo not-
need to apply for written concurrence under this Certification. New development activities
located in the protected 50-foot wide riparian areas (whether jurisdictional wetlands or not)
within the Neuse and Tar-Pamlico River Basins shall be limited to "uses" identified within
and constructed in accordance with 15A NCAC 26 .0200. All new development shall be
located, designed, constructed, and maintained to have minimal disturbance to protect
water quality to the maximum extent practicable through the use of best management
practices;
Irrespective of other application thresholds in this General Certification, all impacts to
perennial waters and their associated buffers require written approval from DWQ since
such impacts are allowable as provided in 15A NCAC 2B. 0212 (WS-1), 2B .0213 (WS-II),
2B.0214 (WS-III) and 213.0215 (WS-IV). Only water dependent activities, public projects
and structures with diminimus increases in impervious surfaces will be allowed as outlined
in those rules. All other activities require a variance from the delegated local government
and/or the NC Environmental Management Commission before the 401 Water Quality
Certification can be processed. In addition, a 30 foot wide vegetative buffer for low
density development or a 100 foot wide vegetative buffer for high density development

WQC #3402
must be maintained adjacent to all perennial waters except for allowances as provided
under the Water Supply Watershed Protection Rules. For the purposes of this condition,
perennial waters are defined as those shown as perennial waters on the most recent
USGS 1:24,000 topographic map or as otherwise determined by local government
studies;
4. Additional site-specific stormwater management requirements may be added to this
Certification at DWQ's discretion on a case by case basis for projects that have or are
anticipated to have impervious cover of greater than 30 percent. Site-specific stormwater
management shall be designed to remove 85% TSS according to the latest version of
DWQ's Stormwater Best Management Practices manual at a minimum.
Additionally, in watersheds within one mile and draining to 303(d) listed waters, as well as_
watersheds that-are classified as nutrient sensitive wal:ers (NSW); water supply waters
(WS), trout waters Jr), high quality waters (HQW), and outstanding resource waters
(ORW), the Division shall require that extended detention wetlands, bio-retention areas,
and ponds followed by forested filter strips (designed according to latest version of the NC
DENR Stormwater Best Management Practices Manual) be constructed as part of the
stormwater management plan when a site-specific stormwater management plan is
required.
For streams classified as Water Supply, High Quality Waters and Outstanding Resource
Waters, post-construction, on-site stormwater management shall be required as
appropriate and as outlined in 15A NCAC 213 .0104(m) and 2H .1000 to .1007,
respectively, in addition to that required in this General Certification.
Alternative designs may be requested by the applicant and will be reviewed on a case-by-
case basis by the Division of Water Quality.
Approval of stormwater management plans by the Division of Water Quality's other
existing state stormwater programs including appropriate local programs are sufficient to
satisfy this Condition as long as the stormwater management plans meet or exceed the
design requirements specified in this condition. This condition applies unless more
stringent requirements are in effect from other state water quality programs.
• Unless specified otherwise in the approval letter, the final, written stormwater
management plan shall be approved in writing by the Division of Water Quality's
Wetlands Unit before the impacts specified in this Certification occur.
• The facilities must be designed to treat the runoff from the entire project, unless
otherwise explicitly approved by the Division of Water Quality.
• Also, before any permanent building or other structure is occupied at the subject site,
the facilities (as approved by the Wetlands Unit) shall be constructed and operational,
and the stormwater management plan (as approved by the Wetlands Unit) shall be
implemented.
• The structural stormwater practices as approved by the Wetlands Unit as well as
drainage patterns must be maintained in perpetuity.
• No changes to the structural stormwater practices shall be made without written
authorization from the Division of Water Quality.
5. Compensatory stream mitigation shall be required at a 1:1 ratio for not only perennial but
also intermittent stream impacts that require application to DWQ in watersheds classified
as ORW, HQW, Tr, WS-1 and WS-II unless the project is a linear, publicly-funded
transportation project, which has a 150-foot per-stream impact allowance;
6. In accordance with North Carolina General Statute Section 143-215.3D(e), any
application for a 401 Water Quality Certification must include the appropriate fee. If a
WQC #3402
project also requires a CAMA Permit, one payment to both agencies shall be submitted
and will be the higher of the two fees;
7. In accordance with 15A NCAC 2H .0506 (h) compensatory mitigation may be
required for impacts to 150 linear feet or more of streams and/or one acre or more of
wetlands for an entire project. For linear public transportation projects, impacts equal to
or exceeding 150 feet per stream may require mitigation. In addition, buffer mitigation
may be required for any project with Riparian Area Protection Rules (Buffer Rules) in
effect at the time of application for buffer impacts resulting from activities classified as
"allowable with mitigation" within the "Table of Uses" section of the Buffer Rules or require
a variance under the Buffer Rules. A determination of buffer, wetland and stream
mitigation requirements shall be made for any Certification for this Nationwide Permit.
The most current design and monitoring protocols from DWQ shall be followed and written
plans submitted for DWQ approval as required in those protocols. When compensatory
mitigation is required for a project, the mitigation plans must be approved by DWQ in
writing before the impacts approved by the Certification occur, unless otherwise specified
in the approval letter. The mitigation plan must be implemented and/or constructed before
any permanent building or structure on site is occupied. In the case of public road
projects, the mitigation plan must be implemented before the road is opened to the
travelling public. Please note that if a stream relocation is conducted as a stream
restoration as defined in The Internal Technical Guide for Stream Work in North Carolina,
April 2001, the restored length can be used as compensatory mitigation for the impacts
resulting from the relocation;
8. For any project involving re-alignment of streams, a stream relocation plan must be
included with the 401 application for written DWQ approval. Relocated stream designs
should include the same dimensions, patterns and profiles as the existing channel (or a
stable reference reach if the existing channel is unstable), to the maximum extent
practical. The new channel should be constructed in the dry and water shall not be turned
into the new channel until the banks are stabilized. Vegetation used for bank stabilization
shall be limited to native woody species, and should include establishment of a 30 foot
wide wooded and an adjacent 20 foot wide vegetated buffer on both sides of the relocated
channel to the maximum extent practical. A transitional phase incorporating coir fiber and
seedling establishment is allowable. Also, rip-rap, A-Jacks, concrete, gabions or other
hard structures may be allowed if it is necessary to maintain the physical integrity of the
stream, but the applicant must provide written justification and any calculations used to
determine the extent of rip-rap coverage requested. If suitable stream mitigation is not
practical on-site, then stream impact will need to be mitigated elsewhere. Please note
that if a stream relocation is conducted as a stream restoration as defined. in The Internal
Technical Guide for Stream Work in North Carolina, April 2001, the restored length can
be used as compensatory mitigation for the impacts resulting from the relocation;
9. Placement of culverts and other structures in waters, streams, and wetlands must be
placed below the elevation of the streambed to allow low flow passage of water and
aquatic life unless it can be shown to DWQ that providing passage would be impractical.
Design and placement of culverts including open bottom or bottomless arch culverts and
other structures including temporary erosion control measures shall not be conducted in a
manner that may result in aggradation, degradation or significant changes in hydrology of
wetlands or stream beds or banks, adjacent to or upstream and down stream of the above
structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested to do so in writing by DWQ. Additionally, when roadways,
causeways or other fill projects are constructed across FEMA-designated floodways or
wetlands, openings such as culverts or bridges must be provided to maintain the natural
hydrology of the system as well as prevent constriction of the floodway that may result in
aggradation, degradation or significant changes in hydrology of streams or wetlands;
WQC #3402
10. That appropriate sediment and erosion control practices which equal or exceed those
outlined in the most recent version of the "North Carolina Sediment and Erosion Control
Planning and Design Manual" or the "North Carolina Surface Mining Manual" whichever is
more appropriate (available from the Division of Land Resources (DLR) in the DENR
Regional or Central Offices) shall be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management
Practices in order to assure compliance with the appropriate turbidity water quality
standard;
11. All sediment and erosion control measures placed in wetlands and waters shall be
removed and the original grade restored within two months after the Division of Land
Resources has released the project;
---12. Thatadditionat site-specific-condibons maybe-added to projects proposed undeTthis
Certification in order to ensure compliance with all applicable water quality and effluent
standards;
13. Measures shall be taken to prevent live or fresh concrete from coming into contact
with waters of the state until the concrete has hardened;
14. If an environmental document is required, this Certification is not valid until a Finding of
No Significant Impact (FONSI) or Record of Decision (ROD) is issued by the State
Clearinghouse;
15. If this Certification is used to access building sites, all.,lots owned by the applicant must be
buildable without additional fill beyond that explicitly allowed under other General
Certifications. The applicant is required to provide evidence that the lots are buildable
without requiring additional impacts to wetlands, waters or buffers if required to do so in
writing by DWQ. For road construction purposes, this Certification shall only be utilized
from natural high ground to natural high ground;
16. Deed notifications or similar mechanisms shall be placed on all lots with remaining
jurisdictional wetlands and waters or areas within 50 feet of all streams and ponds. These
mechanisms shall be put in place within 30 days of the date of issuance of the 401
Certification letter or the issuance of the 404 Permit (whichever is later). A sample deed
notification format can be downloaded from the 401/Wetlands Unit web site at
hftp://h2o.enr.state.nc.us/ncwetlands. DWQ shall be sent copies of all deed restrictions
applied to these lots;
17. When written concurrence is required, the applicant is required to use the most recent
version of the Certification of Completion form to notify DWQ when all work included in the
401 Certification has been completed;
18. Concurrence from DWQ that this Certification applies to an individual project shall expire
three years from the date of the cover letter from DWQ or on the same day as the
expiration date of the corresponding Nationwide Permit 18, 39, 41, 42, 43 or 44,
whichever is sooner.
?A
WQC #3402
Non-compliance with or violation of the conditions herein set forth by a specific fill project
may result in revocation of this Certification for the project and may also result in criminal and/or
civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a
formal application for Individual Certification for any project in this category of activity that
requires written concurrence under this certification, if it is determined that the project is likely to
have a significant adverse effect upon water quality or degrade the waters so that existing uses of
the wetland or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a
Certification decision if deemed in the public's best interest by the Director of the North Carolina
Division of Water Quality.
Effective date: - March 2003 .
DIVISION OF WATER QUALITY
By
Alan W. Klimek, P.E.
Director
WQC # 3402
Certificate of Completion
DWQ Project No.: County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and an
---subsequent modifications; the- applicant-is-required-to-ret;un-fihis- certificate-to-the-40l?Wetlands-Unit,-North
Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may t
returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
hereby sta?:Aat, to the best of my abilities, due care and
diligence was used in the observation of the construction suckiha. t the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Date:
Agent's Certi,lcation
hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water. Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Dater
If this project was designed by a Certified Professional
as a duly registered Professional
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, weekly, full time) the construction of the project, for the Permittee hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance and intent'of the 401 Water Quality
Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature: Registration No.: Date:
4
?eil
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 12, 2005
DWQ Project # 05-0844
Macon County
R. A. Lipsey Trust
P.O. Box 2052
Highlands, NC 28741
Subject Property:
Lipsey Mountain Spring Collection and Bottling Plant
COE Action ID 200531851
Approval of 401 Water Quality Certification with Additional Conditions
Dear Sir or Madam:
You have our approval, in accordance with the attached conditions and those listed below, to
place fill within or otherwise impact an additional 148 feet of streams for the purpose of
constructing a bottling plant at the subject property, as described within your application dated
May 2, 2005 and received by the N.C. Division of Water Quality (DWQ) on May 16, 2005 with
additional information sent on June 24, 2005 and received on August 12, 2005. After reviewing
your application, we have decided that the impacts are covered by General Water Quality
Certification Number(s) 3402 (GC3402). The Certification(s) allows you to use Nationwide
Permit(s) 39 when issued by the US Army Corps of Engineers (USACE). In addition, you
should obtain or otherwise comply with any other required federal, state or local permits before
you go ahead with your project including (but not limited to) Erosion and Sediment Control, Non-
discharge, and Trout regulations. Also, this approval to proceed with your proposed
impacts or to conduct impacts to waters as depicted in your application shall expire
upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you
change your project, you must notify us and you may be required to send us a new application.
If the property is sold, the new owner must be given a copy of this Certification and approval
letter and is thereby responsible for complying with all conditions. If total fills for this project
(now or in the future) exceed one acre of wetland or 150 linear feet of stream, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h). This approval requires you
to follow the conditions listed in the attached certification and any additional conditions listed
below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and
general conditions of this Certification (or Isolated Wetland Permit) are met. No other
impacts are approved including incidental impacts:
Amount Approved Units Plan Location or Reference
Stream 148 (feet) Branch Encasement
Details dated April 29,
2005
401 Oversight/Express Review Permits Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone]/ FAX [phone]/ Internet: htto://h2o.enr.state.nc.us/ncwetlands
None Carolina
Xaturall
An Equal opportunity/Affirmative Action Employer - 50% Recycled/100/6 Post Consumer Paper
Lipsey Trust
Page 2 of 4
August 12, 2005
2. Erosion & Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed,
installed, operated, and maintained in accordance with the most recent version of
the North Carolina Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion
control measures must be such that they equal, or exceed, the requirements
specified in the most recent version of the North Carolina Sediment and Erosion
Control Manual. The devices shall be maintained on all construction sites, borrow
sites, and waste pile (spoil) projects, including contractor-owned or leased borrow
pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed,
installed, operated, and maintained in accordance with the most recent version of
the North Carolina Surface Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
3. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas
beyond the footprint of the impacts depicted in the Pre-Construction Notification. All
construction activities, including the design, installation, operation, and maintenance of
sediment and erosion control Best Management Practices, shall be performed so that no
violations of state water quality standards, statutes, or rules occur.
4. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters to the
maximum extent practicable. If placement of sediment and erosion control devices in
wetlands and waters is unavoidable, they shall be removed and the natural grade
restored within six months of the date that the Division of Land Resources has released
the project.
5. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rules, and any subsequent modifications, the applicant is required to
return the attached certificate of completion to the 401 Oversight/Express Review
Permitting Unit, North Carolina Division of Water Quality, 1650 Mail Service Center,
Raleigh, NC, 27699-1650.
6. Written Stormwater Management Plan (Final Plan Needed)
Since the previous stream impacts on the site and the proposed impacts exceed a total
of 150 linear feet of stream impact, a final, written stormwater management plan
(including a signed and notarized Operation and Maintenance Agreement) shall be
Lipsey Trust
Page 4 of 4
August 12, 2005
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act. If you have any questions, please telephone John Dorney in the Central Office in
Raleigh at 919-733-1786 or Kevin Barnett in the DWQ Asheville Regional Office at 828-296-
4500.
AW K/jrd
Enclosures: GC 3402
Certificate of Completion
cc: Manfred Judernatz; Otto Engineering Inc., P.O. Box 497, 349 Caeser Road, Otto, NC
28763
Dave Baker, USACE Asheville. Regulatory Field Office
Kevin Barnett, DWQ Asheville Regional Office
DLR Ashveille Regional Office
File Copy
Central Files
John Jacobs, Lipsey Mountain Spring Water, 453 Depot Street, Franklin, NC 28734
Filename: 050844UpseySprings(Macon)401
Lipsey Trust
Page 3 of 4
August 12, 2005
submitted to the 401 Oversight and Express Permitting Unit (2321 Crabtree Blvd., Suite
250, Raleigh, NC, 27604) within 60 days of the issuance of the 401 Water Quality
Certification. The stormwater management plans shall be approved in writing by this
Office before the impacts specified in this Certification occur per Condition No. 4 in GC
No. 3402. You have the option of using the Express Review Program for expedited
approval of these plans. If you propose to use the Express Review Program, remember
to include the appropriate fee with the plan. The stormwater management plan must
include plans, specifications, and worksheets for stormwater management facilities that
are appropriate for the surface water classification and designed to remove at least 85%
TSS according to the most recent version of the NC DENR Stormwater Best
Management Practices Manual. These facilities must be designed to treat the runoff
from the entire project, unless otherwise explicitly approved by the Division of Water
Quality. Also, before any permanent building is occupied at the subject site, the facilities
(as approved by this Office) shall be constructed and operational, and the stormwater
management plan (as approved by this Office) shall be implemented. The structural
stormwater practices as approved by this Office as well as drainage patterns must be
maintained in perpetuity. No changes to the structural stormwater practices shall be
made without written authorization from the Division of Water Quality.
7. Conservation Easement
As stated in your application, a Conservation Easement shall be placed on all retained
jurisdictional wetlands and streams on the property (approximately 4000 linear feet of
streams) in order to provide mitigation for the past and present stream impact on the site
and assure compliance for future wetland, water and buffer impact. These mechanisms
shall be put in place prior to impacting any wetlands, waters and/or buffers approved for
impact under this Certification Approval and Authorization Certificate. Additional written
approval from DWQ is required for this Conservation Easement and this written approval
must be received before the stream is impacted.
Violations of any condition herein set forth may result in revocation of this Certification and may
result in criminal and/or civil penalties. The authorization to proceed with your proposed
impacts or to conduct impacts to waters as depicted in your application and as authorized by
this Certification shall expire upon expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved
wetland or stream impacts), you may ask for an adjudicatory hearing. You must act within 60
days of the date that you receive this letter. To ask.for a hearing, send a written petition, which
conforms to Chapter 1508 of the North Carolina General Statutes to the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
?0F W A'1 9 p Michael F. Easley, Governor
William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
p Alan W. Klimek, P.E. Director
Division of Water Quality
Division of Water Quality
Department of Environmental and Natural Resources
401 Oversight/Express Review, Program Development and
Transportation Permitting Units
Street Address: 2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604-2260
Mailing Address: 1650 Mail Service Center
Raleigh, NC 27699-1650
Contact Information: Phone #: [phone]
d Fax #: [phone]
To: Fax #:
Company: I hk- Date: Z D?
From:
Number of pages in ding cover sheet:
Notes or special instructions::
?ajv'. RourvV4 AIJ t)

Division of Water Quality, Wetlands and Stormwater Branch
1650 Mail Service Center, Raleigh, North Carolina 27699-1650 v
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http//h2o.enr.state.nc.us/ncwetlands
NOOnne.enCarolina
?vRurally
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
OTTO ENGINEERING INCORPORATED
Civil Engineering
MRNFRED F. JUDERNRTZ, P.E., PRES.
P.O. Box 497 Telephone
349 Caesar Road [phone]
Otto, N.C. 28763 FRX [phone]
June 24, 2005 E-mail: m)ude*smnet.net
Mr. Kevin Barnett
NC DENR
Division of Water Quality
2090 US Highway 70
Swannanoa NC 28778 D
' AUG 1 2 2005
RE: Lipsey Mountain Springs. ? aIVD WATER QUALITY
Macon County
DWQ # 05-0844
Dear Mr. Barnett:
On behalf of the Owner of the referenced Project, we are herewith
responding to your letter of June 14 and we are offering the following for
your consideration.
1. Water Quality Certification.
As you requested, we are re-submitting page 5 of 12 of the original
application. We have received a Section 404 permit from the US Army
Corps of Engineer, dated June 15, 2005, a copy of which is attached.
2. Impact Justification.
The Owner of the property wishes to build a Water Collection and Bottling
Facility on his land, which requires a fairly flat site for the bottling plant. We
have included two prints of the construction drawings showing the total
property as well as the area to be graded. Ingress and egress to the proposed
building area is extremely limited. The proposed construction work is
keeping the land disturbing activities to a minimum, but requires
nevertheless some encroachment on the existing Branch. As we mentioned
previously, this is mountainous terrain, which adds to the challenge of
creating a building site that is both economically feasible and has the least
amount of impact on the stream.
The proposed pipe is oversized, so that the stream bottom can establish itself
inside the culvert. We checked the velocities for a channel and the pipe and
both are almost identical. In other words, the channel in its present condition
will be stable under the expected velocities during a rain storm of 6"
intensity without placing energy dissipaters at the outlet of the pipe. To
further minimize environmental impacts on the stream, we recommend that
the pipe be placed without headwalls.
3. Spring Development.
The springs 1, 2 and 3 shown on dwg. 2 of 7 were encased and developed in
co-operation with Mr. Slagle of the PWSS. They were approved by Public
Water Supply and FDA in 1999.
Although there are a number of potential spring heads on the site, this
project does not include development of additional springs at this time.
We trust this letter will answer your questions regarding the reasons for
encasing a small portion of the existing Branch and the ecological impacts
thereon. Please, let us know, if more data needs to be furnished. Your
approval of this application is appreciated.
Sincerely,
OTTO ENGINEE G INC.
Manfred AFJudeat , PE, NSPE
Enclosures.
C: Mr. John Jacobs, R.A. Lipsey Trust.
wA r?;qQG
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
June 14, 2005
DWQ Project # 05-0844
CERTIFIED MAIL: RETURN RECEIPT REQUESTED Macon County
R. A. Lipsey Trust
Post Office Box 2052
Highlands, NC 28741
7002 0460 00019899 0409
John Jacobs 7002 0460 0001 9899 0416
EAS Water Testing Laboratory
453 Depot Street
Franklin, NC 28734
Subject Property: Lipsey Mountain Spring Collection
Macon County
REQUEST FOR MORE INFORMATION
Dear Mr. Jacobs:
On May 16, 2005, the Division of Water Quality (DWQ) received your application to
impact 148 feet of streams to construct the proposed Water Bottling Facility and
Distribution Center. 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 the additional
information requested below, we will have to move toward denial of your application as
required by 15A NCAC 2H .0506 and will place this project on hold as incomplete until
we receive this additional information. Please provide the following information so that
we may continue to review your project.
Additional Information Requested:
1. Water Quality Certification
You have proposed impacts to streams, but have requested a Nationwide Permit 1
for Aids to Navigation to use to impact these streams. As this Nationwide Permit
would not allow the impacts you are proposing, you need to modify and re-submit
Page 5 of 12. You may want to contact the U.S. Army Corps of Engineers
(USACE) to determine which permit they will allow you to use. Please state which
Permit (Nationwide, Regional or General) number you intend to use.
NAhCarolina
401 Wetlands Certification Unit ,Natura!!J
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone]/ Internet: http://h2o.enr.state.nc.us/ncwetiands
R. A. Lipsey Trust
Page 2 of 2
June 14, 2005
2. Impact Justification (Avoidance and Minimization)
Under Section VII of your application you did not provide a "justification" for the
impacts as requested within this section. Mountainous terrain alone is not a
suitable justification for 148 linear foot culvert. You must provide a thoughtful
discussion as to the need for 148 linear feet of impact and how this is the minimum
amount of impact under which you can develop your project. Additionally, there is
no discussion in regards to headwalls, footer walls, or discharge velocity
dissipation, for which each of these impacts must also be permitted.
3. During the pre-application meeting, there was discussion in regards to the
development of a springhead on-site. No impacts (filling, piping, etc...) have been
included in your application. The additional impact related to the development of
this springhead will put the project over the mitigation threshold,. These impacts
must be enumerated and accounted for in the application, and a mitigation plan
developed for this project, which would include mitigation for all impacts within this
project.
Please respond within three weeks of the date of this letter by sending this information
to me in writing and Kevin Barnett of the DWQ Asheville Regional Office. If we do not
hear from you within ten business days of the mailing of this document, we will assume
that you no longer want to pursue this project and we will consider the project as
withdrawn.
This letter only addresses the application review and does not authorize any impacts to
wetlands, waters or protected buffers. Please be aware that any impacts requested
within your application are not authorized (at this time) by the DWQ. Please call Ms.
Cyndi Karoly or Mr. John Dorney 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,
DWQ, Wetlands/ 401 Unit
JRD/khb
cc: Kevin Barnett, DWQ Asheville Regional Office
USACE Asheville Regulatory Field Office
Manfred Judernatz, Otto Engineering.
Post Office Box 497, 349 Ceasar Road,
File Copy
Central Files
Filename:
Otto, NC 28763
05-0844.LipseyMountainSpringWater.On-Hold.Add-Info
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200531851 County: Macon USGS Quad: Corbin Knob
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Mr. Joe Lipsey, III, President
Address: Lipsey Mountain Spring Water
c/o John Jacobs
453 Depot Street
Franklin, NC 28734
Telephone No.: 828-524-2353
Size and location of property (water body, road name/number, town, etc.): an unnamed tributary to the
Cullasaia River flowing through an approximate 100 acre tract located off of US Highway 64 east
of Franklin., NC.
Description of projects area and activity: This proiect involves the installation of 148-feet of culvert in
an unnamed tributary in coniunction with site preparation for the construction of a commercial
water collection and bottling facility.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: 39
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the
attached Nationwide and Special conditions, the attached June 13, 2005 North Carolina Wildlife Resources
Commission conditions, and your submitted plans. Any violation of the attached conditions or deviation from your
submitted plans may subject the permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization
is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide permit
authorization is reissued and/or modified, this verification will remain valid until the expiration date identified
below, provided it comlilies with all requirements of the modified nationwide permit. If the nationwide permit
authorization expires or is suspended, revoked, or is modified, such that the activity would no longer comply with
the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction) or
are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity
is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation,
unless discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the
authorization.
Activities subject tp Section 404 (as indicated above) may also require an individual Section 401 Water Quality
Certification. You should contact the NC Division of Water Quality (telephone [phone]) to determine
Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area
Management Act (CAMA), prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other
required Federal, State or local approvals/permits.
If there afe any questions regarding this verification, any of the conditions of the Permit, or the Corps of
Engineers regulatory program, please contact David Baker at 828-271-7980, extension 225.
Corps Regulatory Official David Baker Date: June 15, 2005
Expiration Date of Verification: March 18, 2007
-2-
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above
described project area. This preliminary determination is not an appealable action under the Regulatory
Program Administrative Appeal Process ( Reference 33 CFR Part 331),
? There are Navigable Waters of the United States within the above described project area subject to the permit
requirements of Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless
there is a change in the law or our published regulations, this determination maybe relied upon for a period not
to exceed five years from the date of this notification.
® There are waters of the US and/or wetlands within the above described project area subject to the permit
requirements of Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the
law or our published regulations, this determination may be relied upon for a period not to exceed five years
from the date of this notification.
? The jurisdictional areas within the above described project area have been identified under a previous action.
Please reference jurisdictional determination issued _ Action ID
Basis of Jurisdictional Determination: UT>Cullasaia River>Little Tennessee River which is Section 10
navigable-in-fact waters.
Corps Regulatory Official: David Baker
Date June 15, 2005
-SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC.,
MUST BE-ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Copy Furnished:
Otto Engineering, Manfred Judernatz, P.E zPO B 497, 349 Caesar Road, Otto, NC 28763
Office Use Only: Form Version May 2002
USACE.Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this pro'ect:
© Section 404 Permit [?] Riparian or Watershed Buffer Rules
?'Section 10 Permit ? Isolated Wetland Permit from DWQ
© 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 404 ANd 401
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: R.A. LIPSEY TRUST
Mailing Address: P-0- BOX 2052
HIGHLANDS, NC 28741

Telephone Number: 828-524-2353 'Fax Number:
E-mail Address:_ N/A
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: JOHN JACOBS
Compa,y Affiliation: EAS WATER TESTING LABORATORY
Mail ii g Address: 45-1 DEPOT RF ,T____
FRA W TNI NC 28734
Telephone Number: 828-524-2353 Fax Number: N/A
E-mail Address:_ N/A
Page 5 of 12

EAS
Water Testing Laboratory
828-524-2353
453 Depot St.
Franklin, NC 28734
04e
ob
4oo
"Wps'Lt? ?qT J ? Z??S
SST RROv

?0F W ATERQ Michael F. Easley, Governor
William G. Ross Jr., Secretary
CO W7 North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Division of Water Quality
Department of Environmental and Natural Resources
401 Oversight/Express Review, Program Development and
Transportation Permitting Units
Street Address: 2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604-2260
Mailing Address: 1650 Mail Service Center
Raleigh, NC 27699-1650
Contact Information: Phone #: [phone]
Fax #: [phone]
To:
Company:
From:
v. cz.?f
Number of pages
uding cover sheet:
Notes or special instructions:
Fax #:
Date: V V1/2.
One
Carolina
Division of Water Quality, Wetlands and Stormwater Branch
tura!!y
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
OCT-6-2
002 12:23P FROM:
VJA
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to ?
TO:19197336893 P:2/3
Michael F. Easley. Governor
William G. Ross Jr.. Secretary
North Carolina Dcparlmont of H:nviioiimmt and Natural Rewurm
Alan W. Klimek. P.E. Director
Divisign of Wptcr Quality
June 14, 2005
DWQ Project # 05-0844
Macon County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
R. A. Lipsey Trust 1-602 0460 0001 9899 6:169
Post (office Box 2052
Highlands, NC 28741
7002 0460 00019899 0416
John Jacobs
EAS Water Testing Laboratory
453 Depot Street
Franklin, NC 28734
Subject Property: Lipsey Mountain Spring Collection
Macon County
REQUEST FOR MORE INFORMATION
Dear Mr. Jacobs:
On May 16, 2005, the Division of Water Quality (DWQ) received your application to
impact 148 feet of streams to construct the proposed Water Bottling Facility and
Distribution Center. 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 the additional
information requested below, we will have to move toward denial of your application as
required by 15A NCAC 2H .0506 and will place this project on hold as incomplete until
we receive this additional information. Please provide the following information so that
we may continue to review your project.
Additional Information Requested:
1. Water Quality Certification
You have proposed impacts to streams, but have requested a Nationwide Permit 1
for Aids to Navigation to use to impact these streams. As this Nationwide Permit
would not allow the impacts you are proposing, you need to modify and re-submit
Page 5 of 12. You may want to contact the U.S. Army Corps of Engineers
(USACE) to determine which permit they will allow you to use- Please state which
Permit (Nationwide, Regional or General) number you intend to use.
401 Wetlands Co6ficalion Unit
1550 Mal Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Sulte M. Raleigh, North Carolina 27604
Phone, 919-:733-17861 FAX [phone]$93/InterneC 1tP:?m2a.enr.state.r?c.us/nCwetlands
An Equal Opportunity/Affirmative Acwn Employer - 50% Recycled/10% Post Consumer Paper
i
JUN-22-2005 WED 07:34 TEL:[phone] NAME:DWO-WETLANDS
NoOne
hCurolina
P. 2
OCT-6-2002 12:23P FROM: 70:19197336293 P:3/3
R. A. Lipsey Trust
Page 2 of 2
June 14, 2Oo5
2. Impact Justification (Avoidance and Minimization)
Under Section VII of your application you did not provide a "justification" for the
impacts as requested within this section. Mountainous terrain alone is not a
suitable justification for 148 linear foot culvert. You must provide a thoughtful
discussion as to the need for 148 linear feet of impact and how this is the minimum
amount of impact under which you can develop your project. Additionally, there is
no discussion in regards to headwalls, footer walls, or discharge velocity
dissipation, for which each of these impacts must also be permitted.
3. During the pre-application meeting, there was discussion in regards to the
development of a springhead on-site- No impacts (filling, piping, etc...) have been
included in your application. The additional impact related to the development of
this springhead will put the project over the mitigation threshold. These impacts
must be enumerated and accounted for in the application, and a mitigation plan
developed for this project, which would include mitigation for all impacts within this
project.
Please respond within three weeks of the date of this letter by sending this information
to me in writing and Kevin Barnett of the DWQ Asheville Regional Office. If we do not
hear from you within ten business days of the mailing of this document, we will assume
that you no longer want to pursue this project and we will consider the project as
withdrawn.
This letter only addresses the application review and does not authorize any impacts to
wetlands, waters or protected buffers. Please be aware that any impacts requested
within your application are not authorized (at this time) by the DWQ. Please call Ms.
Cyndi Karoly or Mr. John Dorney at 919-733-1785 if you have any questions regarding
or would like to set up a meeting to discuss this matter.
Sincerely,
Cyndi Karoly,
DWQ, Wetlands / 401 Unit
J RD/khb
cc: Kevin Barnett, DWQ Asheville Regional Office
USAGE Asheville Regulatory Field Office
Manfred Judernatz, Otto Engineering.
Post Office Box 497, 349 Ceasar Road, Otto, NC 28763
File Copy
Central Files
Filename: 05-0844.LipseyMountainSpringWater.On-Hold.Add-Info
JUN-22-2005 WED 07:34 TEL:[phone] NAME:DWQ-WETLANDS P. 3
Triage Check List
Date: 5/19/05 Project Name: Lipsey Mountain Spring Collection -
Bottling Facility
Kevin Barnett, Asheville Regional Office DWQ#: 05-0844
County: Macon
To: 60-day Processing Time: 5/16/05 to 7/14/05

From: Cyndi Karoly Telephone : [phone]
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
P,eo pvsr o /y8 c . ? OF ?,e,4lvcH
EA/ C,gs J.,N?.

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D. A. NARKS
Y-24 / 35

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R. A. LIPSEY, TR.---
N-26 / 1035-1838
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'.:jlrltli! I l r '? 4
WATER COLLECTION
AND
BOTTLING FACILITIES
FOR
E LIPSEY
MOUNTAIN SPITING WATER
LOCATED AT
868 HIGHLANDS ROAD, FRANKLIN, NC
BRA CYO
ENCASEMENT
DETAILS
TO ACCOMPANY 404 PERMIT APPLICATION
PREPARED BY:
OTTO ENGINEERING INC.
P.O. BOX 497
349 Caesar Road
Otto, NC 28763
Telephone: [phone]
Fax: [phone]
GRAPHICS SCALE
SCALES LISTED SEPARATELY
FOR EACH INDIVIDUAL DRAWING
?tid»t tr?,ipr?
CAP.
SEAL `ra
DRAWING DATE: 04-29-a-5 13226 y
DRAWN BY; MFJ r1
REVISED:
DRAWING NO.i I I OF I
9 2005
OTTO ENGINEERING INCORPORRTED 0,50844
Civil Engineering
MANFRED F. JUDERNAtZ P.E., PRES.
P.O. Box 497
349 Caesar Road
Otto, N.C. 28763
May 2, 2005
Division of Water Quality
401 / Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
RE: Application for encasement of an existing branch.
Applicant: R.A, Lipsey Trust
Gentlemen:
if f ,
As engineers for a potable water collection and bottling facility on US 64
east of Franklin, Macon County, NC, we are submitting herewith seven
copies of the application documents, along with a check in the amount of
$ 200.
Please, review the submittal for completeness at your earliest convenience
and let us know, if additional data needs to be furnished.
Sincerely,
OTTO E G INC.
Manfred Jude TG
, PE, NS PE
Enclosures.
C: R.A. Lipsey Trust
D 00l,wS U WL9 D
MAY 7 6 2005
DE NR - WATER QuALITy
DSAND STORV A7iR BRANCH
Telephone
n } i '+ [phone]
f C i FAX [phone]
E-mail: [e-mail]
® 050844
Friday, May 06, 2005
fi
HIGHLANDS ROAD PROJECT `-'
To All Parties of Interest,
Lipsey Mountain Spring Water, a division of Composite Analysis Group, Inc., and
E A S Publishing Co., Inc., are operating affiliates. The companies are in the spring
water bottling and distribution business and have successfully operated for sixteen years
and twelve years, respectively. They are lessees, from Richard A. Lipsey, Trustee, of a
tract of land on Highlands Road in the Township of Sugar Fork, County of Macon, State
of North Carolina.
The companies have successfully developed a North Carolina approved spring, as a
spring water source for bottling, on the property that is the subject of the attached
documents.
Given the terrain and regulations of the State of North Carolina, the buildable area
on the subject property is limited. There is a "low flow" run off on a necessary portion of
the property. That flow is from a spring headwater that originates on the tract. Because
of design limitations for location of a desirable, bottling plant, which is to be constructed
on the property, this low flow creek must be run through a culvert. This is unavoidable
given the site requirements for construction. Additionally, a temporary culvert must be
run to facilitate the development of an additional spring on the tract.
Both the State of North Carolina and the United States Army Corps of Engineers
have inspected the tract. It is in the best interest of the owners and developers, given the
nature of the product, to protect the property and the environment. Approximately 4000
feet of creek and one hundred acres of land will be protected and, in an undisturbed
manner, kept in a pristine condition.
Thank you
?r
v
oe Lipsey, III
President
Lipsey Mountain Spring Water, A Division of Composite Analysis Group, Inc.
Executive Offices: Post Office Box 1246 • Norcross, Georgia 30091-1246
[phone] • Fax [phone] • e-mail [e-mail]
Plant Operations: Post Office Box 2324 • Highlands, North Carolina 28741-2324
050844
Lipsey Mountain Spring Water, a div. of Composite Analysis Group, Inc.,
AND
E A S PUBLISHING COMPANY, Inc.
85 Depot St., Franklin, NC
[phone]
Friday, May 06, 2005
United States Army Corps of Engineers
And
Department of Water Quality, State of North Carolina
Mr. John Jacobs is the North Carolina Agent in Residence for the above named
corporations. He is authorized to sign a request for a Section 404 Permit on the
corporations' behalf.
Thank you
oe ipsey, I47? I P
resident
i

MAY 1 0 2005
PA `(lMEI T
RECEIVED
QUALITY
Office Use Only: VVETLANDSANDSTORMWATERBRANCH Form Version May 2002
USACE Action ED No. DWQ No. 5 8 d 4'
(it any particular item is not appucaoie to tnis project, please enter °lvot Appllcaoie- or "NIA".)
1. Processing
I . Check all of the approval(s) requested for this project:
c9 Section 404 Permit n Riparian or Watershed Buffer Rules
?T Section 10 Permit ? Isolated Wetland Permit from DWQ
[+401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:one
3. If this notification. is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in. any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: R.A. LIPSEY TRUST
Mailing Address: P _ n _ Rnx 2nS2
HIGHLANDS, NC 28741
Telephone Number: 828-524-2353 Fax Number:
E-mail Address:
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: JOHN JACOBS
Company.Affiliation: EAS WATER` TESTING LABORATORY
Mailing Address: 453 DEPOT STREET
FRANKLIN, 28734
Telephone Number: 828-524-2353 Fax Number:
E-mail Address:
Page S of 12
A*
I
III. Project Information
.Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small. scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name.ofproject: WATER COLLECTION AND BOTTLING FACILITIES
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN):
4. Location
County: MACON Nearest Town: FRANKLIN
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.):
ON US 64 APPROX. 5 MILES EAST OF FRANKLIN
5. Site coordinates, if available (UTM or Lat/Long): N 35-09, W 83-17
(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 waterbody.)
:.
.. ' -6., Property size (acres): 100.+.__
7. Nearest body of water (stream/river/sound/ocean/lake): CULLASAJA RIVER
8. River Basin: LITTLE TENNESSEE RIVER
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: FOREST LAND WITH SOME RESIDENTIAL
LOTS ADJACENT TO SITE.
Page 6 of 12

10. Describe the overall project in detail, including the type of equipment to be used:
IIFVFT,oPT.mr, A RTTR FQg'A !.wATER (-aT,T,FcTTnM AND BOTTLING
FACILITY. EROSION AND SEDIMENTATION CONTROL IS BEING
IMPLEMENTED......_
11. Explain the purpose of the proposed work: PROPOSE TO ENCLOSE A PORTION OF
AN._ EXI$TING--- BRAI.CII_FQ$_'L G_LUG__F. LL__1! 4.13_...5_L?'1?.. _ - _ _._...
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
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.
NLA

VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts :in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All Atlands 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
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.
Page 7 of 12
1. Provide a written description of the proposed impacts: LOSS OF 148 LF OF
BRANCH HABITAT.
2. Individually list wetland impacts below:
Wetland Impact
Site Number .
(indicate on ma
Type of Impact* Area of
Impact
acres . Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
'• 100-Year floodplains.are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at ham://wwFv.fema.gov. ' .
List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater 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: 0
Total area of wetland impact proposed: 0
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please seci
BRANCH EMENT 148 NO NAME 2 FT PERENNIAL

* List each impact separately- and identify temporary impacts: •.Impacts include, but are not lirruted 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),
stabilization activities (ceVtent wall, rip-rap, crib wall, 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.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows, USGS traps are available through the USGS at 1-800-358-9616, or online at
w1%Vw.usas.¢ov. Several internet sites also allow direct. download and printing of USGS maps (e.g., www.topozone.com,
www.manouest.com, ekc.).
Cumulative impacts (linear distance in feet) to all streams on site: N/A
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact

Site Number
indicate on ma

Type of Impact* Area of

Impact:
(acres)'
Name of Waterbody
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean etc.
N/A

ulbL taco unpact scparntuy suu iucnmy rcmporary impacts. unpacts include, out are not limited to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. 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
Describt .!the method, of. construction..(e.g., am/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.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viabiliYof 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.
THFRF.`ARF. TOPOrRA HTC CONSTRATNT? DUE TO MOUNTAINOUS TERRAIN.
VIII. Mitigation
DWQ - In accordance with 15A NCAC.2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final. Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register. on 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.
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 Carolina, available at
http://h2o:egr.state.nc.us/ncwe-tlands/strmQide.html?.
1. Provide'a brief description of the proposed mitigation plan. The description should provide
as much' information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed. N/A
2. Mitigation i1 ay also be made by payment into the North Carolina Wetlands Restoration
..Program (NMRP). 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 If uset of
NCWRP, check the NCWRP website at http //h2?.enr.
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
<< N/A
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):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federaUstate) land?
Yes ? 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 (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA,or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and. local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the sghare 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
i 2 1.5
Total
"Zone 1 extends out 3U teet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.

Page 11 of 12
If buffer 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 N_ CAC 2B .0242 or.0260.
N/A M. 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.
PRESENT: NO IMPERVIOUS AREAS ON SITE.
FUTURE DUE TO DEVELOPMENT, A 'C' OF 0.3 IS PROJECTED.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
ON SITE WASTEWATER DISPOSAL WILL BE BY DRAINFIELDS
XIU. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211,0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. 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).
N/A
Appli gent's Signature Date
(Agent's sigr}a e is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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WATER COLLECTION
AND
BOTTLING IFACILITIES
FOR
LIPSEY
MOUNTAIN SPRING WATER
LOCATED AT
868 HIGHLANDS ROAD, FRANKLIN, NC
BRANCH
ENCASEMENT
DETAILS
TO ACCOMPANY 404 PERMIT APPLICATION
-PREPARED BY;
OTTO ENGINEERING INC,
P.O. BOX 497
349 Caesar -Road
Otto, NC 28763
Telephone: [phone]
Fax: [phone]
t
l
1 ! I ?: ?' s4,
h?RAPHICS SCALE
r 1, ?} ' Z fi ,r?r`',SCALES LISTED SEPARATELY
X ?
x x =OR EACH INDIVIDUAL DRAWING
x f { j f ?r
DRAWING DATE-
DRAWN BY:
REVISED:
DRAWING- NO.!
s
North Carolina Department of Environment
and Natural Resources
Division of Environmental Health
Public Water Supply Section
Application for Approval
of Engineering Plans and Specifications
For Water Supply Systems

Date Serial No.
(For DENR use only)
To: Division of Environmental Health
Department of Environment and Natural Resources
The JOHN JACOBS
(name of board, or council, authorized official and title, or owner)
of R.A. LIPSEY TRUST
(name of city, town, corporation, sanitary district, water company or other)
in the County of MACON
State of North Carolina authorized by law to act for
the said R.A. LIPSEY TRUST
(name of city, town, corporation, sanitary district, water company or other)
and to expend its funds for the water project described below, herewith submit for the counsel and advice of the Division
of Environmental Health plans and specifications prepared by OTTO ENGINEERING INCORPORATED
P.O. BOX 497, OTTO, NC 28763 (engineer or firm)
of for the installation or construction of
A POTABLE WATER COLLECTION AND BOTTLING FACILITY
(descri
*be AT 868 HIGHLANDS ROAD, HIG
HLANDS, NC 28741
(location of project)
in MAC ON and make application to the Division of Environmental Health for
(county)
the approval of said plans and specifications as related to public health and protection of public water supplies and
public water systems.
These plans have been approved and accepted by the applicant.
This application is made under and in full accord with the provisions of Chapter 130A-317 of the North Carolina General
Statutes, and such other statutes as related to public water systems. The applicant agrees that no change or deviation from the
engineering plans and specifications approved by the Division of Environmental Health will be trade except as allowed by
T15A: 18C.0306 or with the written consent and approval of the Division of Environmental Health or its.authorized
representative. The applicant agrees that a professional engineer licensed to practice in the State of North Carolina shall
submit a statement reflecting that adequate observations during and upon completion of construction, by the engineer or by a
representative of the engineers office who is under the engineers supervision, indicates that construction was completed in
accordance with approved plans and specifications.
Remarks:
of 0wn7(MAger, Mayor or Chairman)
t
JOHN ?ACOBS
(Type or Print Name Signed Above)
453 DEPOT STREET
(Street or Box Number)
FRANKLIN, NC 28743
City State Z ip Code
Status of Water System 3lanagemeatPlan (WS-NIP) NOT APPLICABLE
C`•cck one of the follow .g, and if applicable, provide the required information:
The WS_tiIP for the project, as defined in the attached engineering plans and specifications, is submitted with this
application.
The WSMP that includes this project, as defined in the attached engineering plans and specifications, was previously
suhsated.
Provide the Follow--W.
Wz:er System N2=&: _
Owner Nunn:
PWS I.D. No:
WSMP No:
WS-%1P Submittal Date:
Cou nry.
By my signature below, I certify that the previously submitted WSMP contains the information required by
Rule .0307 (c) for the project defined in the attached engineering plans and specifications.
NAME SIGNATURE DATE
, (Type or Print Name) (Owner, Manager, Mayor or Chairman)
The WRAP for the project, as defined in the attached engineering plans and specifications, has not been submitted.
Dote: Whea the WSMP Is submitted, the applicant must clearly identify the previously submitted project engineering
plans and specifications for which the WSMP was prepared.
Status of Engineer's Report
Cieck one of the following, and if applicable, provide the required information:
7X The Eugiaeer's Report for the project, as defined in the attached engineering plans and specifications, is submitted with this
application.
? The Engineer's Report that inchmdcs this project, as defined in the attached engineering plans and specifications, was
previously submitted.
Provide the Following:
Watez System Name:
Owner Name:
PWS I.D. No:
Engineer's Report No:
Engineer's Report Title:
E ?ioecr's Report Submittal Date:
County.
Note: If the previously submitted Engineer's Report covered multiple projects, then attach to this Application, a letter
fros=t the engiacer stating that the previously submitted Engineer's Report contains the information required by
Rune .0307 (b) for the project defined in the attached engineering plans and specifications.
.r
These plans and specifications cited in the foregoing application are approved insofar as the protection of public
health is concerned as provided in the rules, standards and criteria adopted under the authority of Chapter 130A-317 of the
General Statutes, with the following provisions:
This approval'is given with the understanding that upon installation of such works, its operation shall be placed
under the care of a competent person, and the operation shall be carried out according to best accepted practice and in
accordance with the recommendations of the Division of Environmental Health.
The official copies of plans and specifications accompanying this application have been sealed and stamped with the
serial number of this application Only such plans and specifications are
included in this approval and any erasures, additions or alterations of the proposed improvements except those permitted in
T 15A: 1'8C.0306 will make such approval null and void.
Signed:
Chief, Public Water Supply Section
Division of Environmental Health
DENR-2136 (Revised 09/00)
Public Water Supply Section (review 09/02)
EAS PUBLISHING, INC. 4286
Borth Carolina Division of Water Quality NCD001 05/05/2005 4286
f
f}?1
)50305 05/0312005 0 60844 200.00 200.00 0.00 200.00
O ;
MAY r 6 2005
DENR - WATER QUALITY
OSAMO STORMWATER BRANCH
EAS
Water Testing Laboratory
John Jacobs [phone]
_ _ ,
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b i t ~ 1~ ~ a 1P ~ p ~P 4 4 ~ ~ ~ ~ ~ I l
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t~ius~ be instlle ail the re~ain'n are soil Ix~-l~ t b h fro- eed d sogn t tiG ble } ~ ~ ~ ~ ~Y ~ ~paF ~ pox ~A~~ I~DIVIr~vA~
r but of late h~r1 sev ~ da s,
~ ~ ~ 5
Tl~e inst~llat~on ~l"c~ive is must run con urr~ntly with th ~r~dip W ~ rk. } ~ ~ ~ 9
Tl~e C ntr ctd sh 11 ace cha Ic ~ n ~ in ikcl~~~ a ~ bw o ~ e itclt sc d A',. -
shah instajl d w~t~r~il~ i es h~r~ in~ icat~d. t? 1' ~ ~ ~
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-C4 66 DRAWING rra. O 7 flaf: (82~~349.4220

FINAL GRADE OVER PIPE ~ PIPE `
MATCH EXIST. PAVEMENT BACKFILL COM KFILL COMPN
~ o 0 92 /o OF MAX. DI
U~ OF MAX. DENSITY
AASHTO DES. T~ HTO DES. T-180
•a, U
ONC. COLLAR ~ ~ E
z o~ w m
~ Z z , o ~ - m .5 MIN.-1,0 MAX. ~ .0 MAX.
U ~
_J Z UNDISTURBED 4` r C ~
- 10 C,I. RISER PIPE EARTH E
co r r
o C.I. GATE VALVE
I #4 ANCHOR IA. (M.J. OR P.O.)
M RODS FOR DUCTILE IRON PIPE SIDE V1EW
FINAL GRADE OVER PIPE ~ PIPE 6' max, a.c.
BACKFILL FREE OF
LARGE STONES COMP. (
TO 92% MAX D . ; ENSITY ' ~ ~ ) METALLIC TRAC ~LLIC TRACER
. .L OR D.I. PIPE ~ E
o ~ TAPE .i. ~ to m Fabric r r
' 18 x18 CONC. ANCHO ~ . ; U
' • ! " ' (PVC PIPE ONLY) z
c 4"
~z ~ _ BACKFILL FREE OF ROCK .5 MIN. 1,5 MAX. M 5' MAX. E ~ . m Trench
& ORGANIC MAT'L COMP. ~ ( r
GATE VALVE DETAIL TO 92% UNDISTURBED MAX, DENSITY URBED
SCALE: NTS ~ EARTH SHTO DES. T-180)
FRONT VIEW
IA. NOTE: t9se 22' D.O.T. approved fabric.
' FOR PVC PIPE Use wood or steel posts.
WATER MAIN TRENCH DETAILS SILT FENCE -TYPE B.
SCALE: NTS
TRENCH WIDTH
UNDISTURBED
EARTH

i -0 ONC. BLOCKS @ ALL TEES
2" CL. TYP. r-~--I
CONC. BLOCKS @ SPRINGWATE COLL CTION ~ R ~
. ° BENDS ~ T ~ ALL 90 Hard Surface A D N Publ~ Road B TL1N FA I ITl S
1 -0 ::r~: PIPE OT G C L E
TRENC FOR
a 50' Minimum
y LIPS
UNDISTURBED GROUND 1~IClUNTAIN S~Ri1~G WAFER
6' Minimum t D 1 Ot ATE AT
368 HIGHLANDS ROAD. FRANKLIN. NC
~
N.S.A. R-2 (1.5'-3.5') L EROSION AND S1JDIMENTATION CONTRO Coarse Aggregate
~ A PLAN.
CONC. THRUST BLOCKS @ Geoiextile Undediner 20' Minimum
PLAN ALL PLUGS IN TEES CROSSES
' CONC. THRUST BLOCKS F @ & END 0 MAINS, REGARDLESS OF ° ° ° BLOCKS
T TYP ALL 45 , 221/2 & 11 114 JOIN E &11114°
„ BENDS
-0 TRENCH WIDTH -0
' CONC. THRUST BLK. DIMENSIONS MIN. THRUST BLOCKS FOR ~KS FOR
PIPE HUB PIPE SIZE A .DIM. (VERY. & HORIZ, TURNED DN. BENDS ?NDS
2 aril 3 1-0 PIPE SI 45 BEND #3 BARS.@ 12" C.C. 3END
TRENCH 4" 1'-6° 2" and 3" 1.0 C,Y. EACH WAY, EAC C.Y.
BOTTOM 6 2 -0 4" 1.5 C.Y. FACE C.Y.
6" 2.0 C.Y. C.Y.
` UNDISTURBED CONCRETE THRUST BLOCK DETAILS
EARTH SCALE: NTS
CRUSHED STONE CONSTRUCTION EXIT
ELEVATION
PIPE KEYING DETAILS
SCALE: NTS
GRAPHICS SCALE.
0 C-
USE p~~'~ vr~r~ A7 SGDP~'~ SCALES L1STEp SEPARATELY
° A 7 V~~Y E o vE2 ~ ~ rN 2 ~ ~N7, OR EACH INDIVIDUAL DRAWING F
v
OTTO ENGINEERING
INCO PC~RA ED
w c~ R T DRA ~ 1 bATE: ~ 1-22-0~ YO BOXa97
3.19CarsarRoad DRAWING S'I'ATU~: ~ ntto,Nr~8763
DRAWN BY: .,FJ
Telephoap: ("81.9)-369-2910
DRAWING N0._ 76F7 Eas: (828)-319-4226

i
TOP OL DYKE
1NFLOVv' DITCH BOTTOM FRE iSARD EMERGENCY SPILLWA D E T E .
~ C MAX, ~ OLUME LEVEL
ANTI-SE P COL. B Slll 1 to ~ eC .1 a s ~ ~ ~ r r elr ~~e Bsl an Istu e for e r e dire, tore ~ o ~ ~ ~ ~ ~ ~
2. ILT REMOVAL 3.1 1 24 , ~ ~
LEVEL - ~ , o. rya ~ F to ,rea, e
~ = '
4 4 x
N . Rl ER SEE CO ~ S
. BASE DETAIL 4- 4 x f
NOTE: Remove sediments from basin and restpre on inal 2 DEEP CUT-QFF ~4 bIA, PRINCIPAL g TRENCH pI 2 2 x
ca achy, when sediment has acerunulated to 1/2 of design S LLWAY PIPE P
de th. p
i
1 TEMPORARY SILT BASIN >~ETAILS
SCALE: NTS S/C7 F~~~t.~
24" CORRUGATED METAL RISER .I
•i
a' I~ I'
D, 3~ ~~~~H C ~'~o . 24" DIA. PIPE

DRAIN OPTIONAL ~ )
FLOW
~ Q ~r 5
.
LAND DISTURBING PLAN ,NARRATIVE f
wii r: Li se ~ Mountain S rin Water 0 e P Y p ~ - 1- . Cf~JS`.~ Sic. ~'/Dt~!`_ • +
clo John Jacobs, EAS Water Testing Laboratory BASE THICKNESS ' ~ , 2-#6 mm. Bars laced at n t r ~ ~ P ~ .
453 Depot Street, Franklin, NC 8734 (USUALLY 18") • • • angles and pro~ectmg into s>des
24-Hour Contact Persgn: of riser to hel anchor riser to P
GENERAL NOTES: .Jahn Jacobs QUARE BASE SPRII~f GWATER COLI,ECT10~ concrete base.
1. Prior to e start of raain activities. the Contractor shall ~ g g Tel. [phone] z35~ B ANIa
remove an~ stockpile topsoil of ~Il areas to be disturbed. After fine BOTTLIIW ~ FACILITTI3S CONCRETE RISER BASE DETAIL ~
' ~ ii t d to be 1.83 acres. grading the site, he shall dress all areas to be seeded with the The total dishirbed area of this protect iy est na e OR SCALE:NTS
stgckpiled topsoil.
2. Tem ore seedi 1 mixture shall a as foil ws: L1 ~FY
r ed land isturbm active is located at 868 l~ hlands Road, p rY } g b P PRO]ECT DESCRIPTION. The p opos ~ g ry g,
f ro~ect i " S rin Water Collectio and Bottlin Rye (grain) 1201a/ac. Macon County, Franklin, NC. The name o the p 1 s p g q g N10U1N'I'A~IN SPRING WATE
' - 'o w ~ im rovements site radio and ~ aina e and Korean Lesp~deza SO11IlaG. Facilrhes .The ro osed ro ect involves i ad p $ g f~ 8 P p P J Soil ainendniPnts - _ _ L~x;,~T>;v nr 668 HIC~HI,ANDS RUAd, FRAIJKL[i~, NC
enclosiu~e of tiff ex~stui~ branch,
onstruction ~s ex ected to start immediatel after a royal Fei~ili~er (10-10-10) 750 lb/~c, DATES OF CONSTR(JCTION. lmtial ~ p ~ AP EROSION ND SEDIMENTATION CONTROL
n ~ ilI be accom 1'shed as the work ro ress~es and will be Mulch (straw) 4000 Iblac. of protect. Final stabilization of the la d w p ~ p g Island ALAri
. ~ ALL EXPOSED AREAS SHALL BE SEEDED ~ITH1N 7 DAYS completed dlirmg Spring ..005. Dwersion . 4' min . over ir~et f
For to a h id drain a information AFTEk DISTURBING. TOPOGRAPHIC AND DRAINAGE INFORIy1A fION . pogr p y ai erg dice .;y~•; f;~.,,;•' . 3:1 ~
Permanent seeding mixhires sl}all be as follows: see the E & S Plan.
r n h Tall fescue 401b1ac. Hold-d EROSION CONTROL PROURAIvi. The escape of sediment from the site shall be p eve ted by t e _ liold•doMm ~ 1111=
r to. or c ncurrent with land ijistut~biti Crown vetch 10 ib~ac, stalaes stalaes I-Ilil
uistallation of erosion control measures and practices prio p ~ x sect soil areas ii nedi after Korean Lespedeza LO lb~ac. i~ (I(r -1111 r.... II(f
activities. Ve etation affil mulch will be applied to all e po N atgl~ Redto 5lb~ac. - =1111 ~~~1111 ~lllfi . ~ Iili~ 11111=III(Ii...._ _
consri~uction affil actin is coin leted. See also Sending Specifiaatiobs). p ~ g P ( Soil atrien nts Min.10' spacirg \ as \ ~ =11111 1111=III ~lll~- 1_ p -111 111111.. = -=-~,li- 1i~=~~,~
leaven the disturbed~~ t~s. The land ~ Silt fences will be installed to prevent sediment from g Ar _ill,~
e soils to erosive elem nts. Sto dater Agrici}ltural Iir}iestone 4000 lb/ac. ' disturbing will be scheduled to limit exposure of bar C _ . ~ u~ L
v nt r lion i ~eas of concen rated water Fertiliser (5-10-10) 10001a1ac. conveyances and sh~uctures she}l be employed to pie e e o F ai t p~;o ~b ~l~ ~ _ III _
i hill even 7 da s of heir 4. Repair, t ese~d, fertilize apd mulch damaged areas iixunediately. flows. All cut and fill slopes must be scarified and seeded w t s O y I corrugated Iill~ (ill
For further details refer to Sections in the E & S Corrtrol I41anu 1. ~ = ~ i' h 11 have s It fences heed at the toe of the birtlkment. bite}i linos ~ P4e b construction. All fill slopes s ~ I p ~ , b-
' be I ~ d as shown on 5. All ditch slopes Have to have a inininrwn rate of 1.5 horizon}al s III end ever dissi atm rock a rpns, along with flew-diverting culverts, will pace y,~ gY p g p I!' 1 `II
to 1.0 vertical. ~ I~. the drawings. I_. III
6. Sedimei t Silt f noes sh ll be laded -here shown on the - lIl i cons ruction exit shall be built and surf ced with l ( ) ~ ~ P ~ e SEDIMENT CONTROL PROGRAI~'1. A tempoi~ ~ t ~ ~ I ~Ifl
• ~ dune t om t e site drawing. In addition, the Contractor shall instill fences as needed ~ . ; crushed rock,where shown on the drawings, to re~cnt the transpo}tanon of se n fr 1} by _ _
P I to reve t the trans anon of by the phastng of his operations. In general, s~ t fences must be °I( ~lllll-
vehicular traffic, In addition, silt fences shall be used extensrrely p u port placed at the toe of dopes and emban menu. Ilf~lll -~Illi= Top of hand-compacted
sediment from the site by the di~amage system. fill (island)
a ~ ' or she 1 lace 1 er of 3" dTtrsh d rock 7. Ditch lulers Shall be similgr and e ual to North Ain~rican Green, ~ 4~miit Ta reduce the h~ansfer of silt Burin i amstoxlns, tie Contract } p a ay e 9 I ?1 ~ Evansville, IN. Instillation to be as recommended by the bevel section Top' Top of 4'rtin
over the entire site,which has been railed from el. _ 158 to eh 2160 to a mm. depth pf 4 g diver A~lanutiacturer. diversion ~
STANDARDS AND SPECIFICATIONS .All erosion and sediment control devices and struGtui'es Natural A A
8. All rock riprap must be placed on a filter b~anket, ~'Pe S 11?d. Natura~ ~ shall be installed iii accordance with the publication entitled Manµal for Erosion aqd Sednnent grourxi y rr
. Trevira Spt}nbond o}~ equal. IIII- Control m North Carolina ; as amended to date. ~ , IlHl~i(ll_ 1
~ ~ 9. The cut grid fill quantities pf this project do not balance. Thertr Dnrersion . SAFETY PRQTECTION. Construction activities shall be performed m acoordanee th all Diversion - - - . - -
w' 1 c ~ i n whic needs t be stoc -fled rl be an excess of ex a~ at P , ~ V k p ~ likable federal, state end local rifles and regulations. charnel ~ l
PP onsite rit a location detei~inii ed b ~ th Owner or to be hauled o f shall be aintained at all times. 1f full i y ~ Iu1AINTENANCE PROGRAM. Erosion control ineasuies m Outlet Pipe
r n r vide for effective erosion contro additional the site. im lementatign of the tip ion ed plan does of p p 1, .
p p - i mu t have sl s not tee er tl a[i I.5 to 1 to ed to control or tree the sediment so ce. Stock piled earth ons to s qpe s p 1 latet Detaii
erosion and sediment control measru'es shall be etnp y 1 ur " ec daft . dam es shat bete aired must be enclosed with a silt fence an must be seeded as specif ed
i dnnent ontrol i e sores shall be fps ted An g ~ p ~y Eiosro i tired se c 11 a p Y Y & above.
the end of the day.
FLOOD PLAN. Accordin to a Iicable flood jnsurance rate maps for Mlicon County, this project . l g PP ~ Make all pipe oomectans watertgl~ and sea a so that ~d secure so that the joints w~ nol separate in use.
does not encroach into 100-year flood zones,
the osed 1 WETLANDS, There ai~e no knew wetlands directly or indirectly impacted by prep and DITCH L1NER SPICIFICATIONS.
isturbin active o ~ tY S 95 100 ~ straw with single not.
SURVEY INFORly1AT1QN. Vertical and horizontal control for thjs projectwas fiiraished by '11 r re oitvnetr ed b - he m n f cturer. Furnish and install li e s as c d y l a q a
~ Tinkle Surve llr PA 464 West Palmer Street, Frankl~i, NC 2$734, Te1,524-5867. The cpntotlt DOWNDRAIN PIPI P Y g (DRAIN PIPE AND INLET-.DETAIL
interval shown is 2 feet.
NS .There are no additional areas airiin into the PRE AND POST DEVELOPMENT CONDITIO dr g
an h se show on the ~awin .The re,develo lent stormwater rtmoffof
construction site, other th t o p di g p pIl Ali AL o~ HICK s~
° =0 25 . The o t-develo ment c nditions antici e a runo the site is estimated to be _5 /o (c ) p s p 9 p~
coeftlcient of SCALES LISTED SIIPARATELY
60°%due to the increase in im rufous areas. Drainage structures are sized for drevncreased nmoff. l~ FOR EACH I~DIUIDUAL DRAW. NG
In eilerai, the h ~drolo feel as well as the hydraulic computations are based on the rational f~r>~ula. g y g
Ditches ate sued fora 2- year storm and silt basins are sized fora }0-yoarstonri }
NOTE.
F I ENT FROM THE SI E 5HALL BE PREVENTED BY THE ESCAPE 0 SED M ~
INSTALLATION OF EROSIQN AND SEDIMENT CONTROL MEASURES ANA PRACTICES
T ' `~4'ITH LAN DISTURBING ACTIVITIES. PRIOR TO. QR CONCURREN L~ U
AT L TIMFS. IF F L t i t i ~ r ? i EROSION CONTROL MEASURES SHALL BE MAINTAINEq A L UL i ,
F ltC 1tC bW IItlPLEI~~IENTATION OF THE APPRQVEb PLAN DOl?S NOT PROVIpE 1+OR AFFECTIVE ~r t R year n ~ e ~ lay OT`TOIaN(~INE RING
AN S DIMENT CONTROL AS ~ ern I R OI~AT D
EROSION CONTROL, ADDITIONAL EROSlplsl la E ME ~ 0. t. t ~ f~ t , RED T THE E IME SO C>? . P e Nco tt 11•u2.0~4 DRAW [SIG 11,?~ I F_.. ~ Y.~'~. NOI' ~49
SHALL BE IMPLEMENTED TO CONTROL QR T ~ 5 D SIT U~t ~ ~ 3-19Ciesar Road . L1 IN ~ ACS. Oiia, N~~ :S;fi3'
~ ! _ I~ I I I 1 1 1 DRAWN BY: AJIFJ
Tele hone: 818)-369-2410
DRAWdN , IJO.:

i
l~r` '
V, SMITH
s, a w~~xE~ SMITH
M-23 / $46i i-~ r t663 r t663
{yn{~~4 RV
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a,46•E 293.13
E 4'~3.09~
~ R. A. LIPSEY, TR. .y 1r? G~lt~~ S'U2f-/.1C,G~ >y-~~ r ions-io3e
CCF ,e,~l,~1 Q D41~i. 3ii$a r~ P/~'~ • ~Q f ~C,/N C~ ~Gd ter'` 7' S ! 7'~ r /w 1 .
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C,REGpR S ANFiELD 6, ~ 0 MOUNTAIN SPRING WATER
o V~~ ,,C S EX/~ CT L~ G~ 7/Cah` 70 B~ D~T~~- f
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DRAWN BY: 7PE EN(:;, M C,S971F1 ~ S 15 y /7(/S Iv1F1 Telephone: [phone]
546Nd TUec-F REVD 57A5.44. 7/1,4 -r 1N DRAWING NO.: OF Has: 1,828}-.19-1226
A,~NW/~~E c Q/v TN P

HYDRAULIC CALCULATIONS.
ESTIMATED MIMMUM YIELDS ARE AS FOLLOWS:
1 2 and 3 : 5 GPM. Springs ,
• PM. Well No. l . 28 G
• GPM. Well No. 2. 80
S rin flow occurs b ravi via a sampling box to storage tanks. p g Y g tY
CONSTRUCTION DRAWINGS FOR WELL N0.
= i char e line is a 2" SS Pi e. Lift to grade 193 FT. D s g p
hf for 2" is negligible at 28 GPM. Hs =193FT.
vs. a TDH of 193 FT. Well ump to deliver a mm. of 28 GPM
p 50-15 SHP um Furnish and install GRUNDFOS Model 40S p p
E
ore uivalent q
WATER COLLECTION AND B FACILITIES LL N0.2 WE
= FT. Dischar a line is a 3" SS Pi e. Lift to grade 600 g p
" ' 1.8 FT er 100 FT or 600+100 = 7x 1.8 =13 FT. hf for 3 >s p ,
um to deliver a min. of 80 GPM vs. a TDH of 713 FT. Well p p
install GRUNDFOS Model 1505300-17, 30 HP pump Furnish and
or equivalent.
INCLUDING :SITE GRADING, ACCESS RO SPRING AND WELL CONSTR STORAGE TANKS AND LOA LOCATED AT $68 HIGHLANDS ROAD,
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ENGINEER: OTTO ENGINEERING INC.
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P.O. BOX 497 a
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OTTO, NC 28763 ~
TEL. [phone] ~ GRAPHICS SCALE
SCALES LISTED SEPARATELY
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OTTO ENGINEERING
INCORPORATED
n~wiNGr~aT~~: OS-02-QS rep goYa4~
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DRAWING NO.: Fav a28}3494226

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INCORPORATED
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l J-l-~ CND, / ~R C F S y ~ Telephone.1,828) _ Sl 29t0
S DRA~hING No.! 2OF ~'l6 fV,tl TC,f,e~- RNO 5 rI 7~7" 7f~ Fax: ~sas}3a~.au~'
N C/-55 OA-- r'

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~1
SPECIFICATIONS.
Conc. camp. sh~ength f`b= 3,500 PSI
~i ~ ~ Reinforcing steel Fy = 40,000 PSl
~ ~SP~l~I~ W/a TES ~ Gt1 ~ Np ~ 2 C~J~ Conc. masonry ullits F'm =1,500 PSI
Bolts, colts i~rasllel~s etc. = galva~Iized steel A 307
r Timber species = So. pine, no. 2 or better
1 w r~ 1 / C7
o~ ~ ~~?T~/~`-fry ~ C.~, ~ ~ W 5~~~1~~, f R F~ . - wA..
~p ~r; y~i2 C,C, ~ r~r V C,! fir, ~ j 1~ S~l~~~ ~ ~V~~ STAN~A~S.
S C~L ` C'c~NT A ~ c. N~ S '~~~V~ ~ The following codes shall apply to this project. ~ ~ f . ~ r ~ AMERICAN CONCRETE INSTITUTE. /03 c~~c9 C f _ C3 . C~'~p , , ,
,u, r1 A , a ~ t r ~ ~ CONCRETE REINFORCINU STEEL INSTITUTE.
t ~p+~ ~s fj ~ ' ~
? ~ NATIQNAL CONCRETE MASONRY ASSOCIATION. 9 . y
~ rte, V , ¢ „ , s~, N ~ THE NORTH CAROLINA S'I'A'T~ B[JILDING CODE< 2(102
~ Ct~ EDITION
_ /~~'~'C~/1", C~C ~ Z I G 0, Q `1i 1 ALL RC LES AND REGULAI IONPR4MULGAT ED BY
_ OSHA.
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J` 1. F~GG VDII~S ,BETGJE~IV SuppGY PiP~S P~r~~ /CPPE&POWER OWER
f - fti~k( , r %„t LE WELL SC~E?~ES LtJ/Ty NON S .,~1 G~~ L
1`, ~r ~F~ Olen /.~(.C: O~C~ a ~ ~~l/~~ U
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T ~ 7`11 DG.~~Grr"" uS° ,~rr< fyr~~ .~t~ '
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~/NS _c? cv Try Cc~~7'>~ a~ G ~ ~P ~1~~~.~ , F'/C ! ~ ~
P L~?CA"LED AT r
7N w d s ~ rn a~ ~ ~ ~N~,~~~ LENS car- _ - - N~~ _ 368 HIGHLANllS ROAD. FRANKLIN. NC
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1. WELL CASING
2. WELL VENT W/SCREEN ~ ~ ~
3. CHECK VALVE 4. PRESSURE GAUGE (0-100 PSI)
sc-C aw Na, Z F0,2 5. BLOW-OFF LINE WI BALL VALVE
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DRAWN BY- 1k1Aw1NGNO.: 3 OF 7 has: (82s)~349-422r}
Telephone: [phone]
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7 5 - ~f DRAWING NUMBER
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