20051407 Ver 1_Complete File_20050725

AVA
NCDENR
North Carolina Department of Environment and Natural Resources

Michael F. Easley, Governor

William G. Ross, Jr., Secretary
Alan Klimek, P.E., Director
Division of Water Quality

August 22, 2005

Montgomery County
DWQ Project #05-1407

APPROVAL OF 401Water Quality Certification
with ADDITIONAL CONDITIONS

Mr. John Christopher
5421 Woodrun on Tillery
132 Abbey Lane
Mt. Gilead, NC 27306

~[g@[gD\Yl[g~

AUG 26 Z005

Subject Property: Lot 888, Woodrun Subdivision
132 Abbey Lane, Mt. Gilead

DENR - WATER QUALITY
WET\J,NOS AND STORMWATER BRANCH

Dear Mr. Christopher:

You have our approval, in accordance with the attached conditions and those listed
below, to place fill within or otherwise impact approximately 0.009 acres of waters on
Lake Tillery for the purpose of installing a bulkhead to stabilize a total of approximately
130 linear feet of shoreline, as described within your application dated July 22, 2005.
After reviewing your application, we have decided that this fill is covered by
Nationwide Water Quality Certification Number 3492, which may be viewed on our
website at http://h20.enr.state.nc.us/ncwetlands.This certification allows you to use
Regional Permit Number 198200030 when issued by the US Anny Corps of Engineers.
In addition, you should get any other federal, state or local permits before you go ahead
with your project including (but not limited to) Sediment and Erosion Control, Non-
Discharge and Water Supply Watershed regulations. This approval will expire when
the accompanying 404 permit expires unless othenvise specified in the General
Certification.

This approval is only valid for the purpose and design that you described in your
application except as modified below. 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 wetland fills for this project (now
or in the future) exceed one acre, compensatory mitigation may be required as described
in 15A NCAC 2H .0506 (h) (6) and (7). This approval shall expire when the
corresponding Regional Permit expires or as otherwise provided in the General
Certification. For this approval to be valid, you must follow the conditions listed in the

Fayetteville Regional Office
225 Green Street - Suite 714, Fayetteville, North Carolina 28301-5043
Phone: [phone]/FAX: [phone] \ Internet: www.enr.state.nc.us/ENR
An EOII;:!I Onnortllnitv \ Affirm;:!tivA Adion EmnlovAr - !'i0% RAr.vdArl \ 1 0% Po~t Con~lImAr P;:!nAr

Mr. John Christopher
August 22, 2005
Page 2

attached certification and any additional conditions listed below.

Conditions of Certification:

1. Upon completion of this project, the applicant shall complete and return the
enclosed "Certification of Completion" form to notify DWQ that all the work
included in the 401 Certification has been completed. The completed form shall
be returned to the 401/Wetlands Unit of the Division of Water Quality.
2. This project is for the installation of a wooden bulkhead to prevent further
erosion of the property due to wave action. The use of mechanical equipment
,on the beach musLheminimiz..e,d~ .. __.._ .. '_.'_ ~. _'__
3. Equipment and materials may be offloaded to the beach at the work-site-but --- ..-
steps must be taken to keep all equipment out of the reservoir.

Violation.of any condition herein set forth may result in revocation of this Certification
and may result in criminal and/or civil penalties. This Certification shall become null
and void unless the above conditions are made conditions of the Federal 404 Permit.

If you do not accept any of the conditions of this certification, you may ask for an
adjudicatory hearing. You must act within 60 days of the date that you receive this
letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of
the North Carolina General Statutes, to the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are
final and binding unless you ask for a hearing.

This letter completes the review ofthe Division of Water Quality under Section 401 of
the Clean Water Act. If you have any questions, please telephone Cyndi Caroly at 919-
733-9721 or Ken Averitte of the Fayetteville Regional Office at 910-486-1541, ext.722.

Sincerely, ,

-- "'&Lrt,icu-:J:' /HvrW-#rv'
tv
/ n) .
. Alan W. Khmek, P.E.

A WKlBSH/KA/ka

Attachments
cc: Corps of Engineers Wilmington Field Office
Fayetteville DWQ Regional Office
Ian McMillan, 40 1/Wetlands Unit
Central Files

John.ChristopherAOI.mont

".-..... .......... .

Triage Check List.

Date: . 7/iq / (:)[; .'

I

. .Pfojett Name: (_\;\r\if\. C(f\v\.~ ~\tv-v
DWQ#: ZeD ,\..-'- ) \( C I
~ounty: rl\c4~~~

D,ARO
~FRO
o lv.fRO
o RRO

From: ~~

. To:

Kevin Barnett
Ken Aventte

Alan Johnson
Mike Horan

'Dw~o
o WiRO
o WSRO

Tom Steffens and Kyle Barnes
Noelle Lutheran
Daryl Lamb

Telephone: (919)

. : \\, .\ .

. The file attached is being f?rwa~ded\~. ..~.~ ~uur f~r ,your eyaIuation.
" . Please call if you need\~~tance. . "

o stream length impacted' . \ . . .
o stream dete~ation .\. '. .
o Wetland determination and distance to blue-Ii~ surface"waters on USFW topo maps'
: 0 Minimization/avoidance issues
o Buffer Rules (Neuse, Tar-PamIico,' Catawba, R8ndlem~)
o Pond fill '.
0" Mitigation Ratios
o Ditching . . >
. 0 Are the stream and or wetland mitigati~n sites available and viable?
o Check drawings for accuracy
. 0 Is the appliqation consistent wi~ pre~application mee~g!;?' .
o Cumulative inipact concern :

" ,

i .
,

Comments: $-tz_ ,,1\ "A- h ~<&JVL F\(fJ'~
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. ': . :.: ....'.latidm~ks ~uch;as, town~, rivers;' ai1d.road~..',.Also provide's 'detail~d'site'plan 'sh win property..... .:-:.
. :.. . ....,.. bQUnd~es ~nd'developmentpl~s :in .~elati~n to. surrounding. properties.: .' Both th vi imtY map: . .... .
.. " ::' and :siteplan'l11.ust include. ~ scare '..and north arrow;. T4e specifi.c footprints. 0 all buildings,".: . . ,. '. .
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". . ..... in.clude tl.1~'~pprop~ate'USG~"ToPographicQu~d Map and NRCS Soil.Survey wi e prope~ :.
: ......:.. boundaries. outlined.. Plan driiwjngs,.or...other ni~p's',m~y be iriQluded 'atthe appUca t's iscretion;...... . .
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.....:..; . . ," ".' :projec 'Cinclud,ing."ali pnor :pha~es"'of~e samesuQdi.vislon) in th.e.past; pleaSe e phiin.:Include " '.
" ,..:. ..: ..:..\'.:. th~.t) A.CE Acti~~ In N~b~f,:I?WQProje~t N~Qer,appIica#on date~.and' te.pennits'an,d. ..... ..'.
..'. .' ..':,. '. 'cert~fi ations ..~ere issued .or ~th~awn; Provide 'photocopies 'of. previously 'ss~ed pennits. ';. :., . .
. '.' . ..... ':". ......... ,"certifI ~t~ons'.~(9the{ Useful Jnfoni1atiozi~ .'-)Jescribe.'preyiowly' approved wetl 0. stre'~ "and .....
. '. .'. .:':.~" . ::. ::'burfer mpacts,' along with,associated~itigation (where'::app1i~abJe):" If this i~ a. CDOT project,. '"., .
. '. ..:. .::.: : ':..' ~list .an . . describe :'pemiits.. issued for. prior.: segment~.: .of the'. same .T.r.P~ proj ct, along ..with' :'., . .'
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':'<P.re' an additiO~1 ;'~t'~uest.; ~ticip~ted for ~ p~cije~inili~ fu~1lfS . d~cribe ihe ,
. ':' . .' '..:. . .:;:. . ~ticip . ed work, B.nd ':.p~Qvide justificati9n . for tpe .e~c~usion : of this W9!k' fre? . the. current. .
.... . .:".:'.: -.applica 'o~:.. '.' ,'-":"., ". '.' . ..... '....... ..'. . .... .' .... '.

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,i :~' ~rop~; d Im~.Ctsto W.~~nor the ~~lteds~i~~L.pr th~ ~~t. .... ..... ...... ..... · ...: . .. ......

"';'.' .:...:::::..:.....:-. ". :..... '.: .,::, .... .' ..::..... .......:. '. ..... .:'<..: . ...... .....,-:.. .'. . .... ".:' .... .. ; .
.... '.;.' -:', )Hs' ~e applicant's. '(~r. agent's)": ~esPo#sibiJHy::..to. d~tei#tine~ .delirieate.'and.map.' U-imp'a9.ts' to '. .
',' ':" .'-:': :.'(\yetlari" ~ open wBter;an.d .sn:eam' chaMeJs' as~ociateq.~th "th.eproject... .The appli ant must also' ".
.' .';. ..' '.:~;-:' '.''"provide ustification foi. these"i~pacts.in Se'ctioil VII below.: All proposed impac' ,"p'ennanent .
.: :: . ': . .'. .:. ':.'and te~ orary~ .nnlsd;~: lls.te.d 'herein; and must be. cIearly.identifiable op ari.aceo . panying site
~: ,'.... '.',: .--:' '::pl~t(:A .w~da:nds and.wate{s"~dallstr~~s (intermittent. arid perennial):~ust.. ."shoMl on a' .' .
':.: ". .......;... :.~.e.1i~~~i .zi~n1l1p;'::whetIier..<?r.n!>t.impac~ are propos~d:'to'..these sysieni~. ": We~lan. ~nd' sfream :" . .......
. ..... :'.' .".;"' ':':.evaluati n; an(de1in~ation ':.foqiis . should 'be inclUded'. as.: .approp!iate..., 'l:"1.t,otqgr phs .inay' be..., ' '.'
.' '.' . ..:' : :,: ipcluded ntthe applicant's .disQretioiL' If. this' proposed' iinpact is' 'strictly'Jor. wetI '~'~r stream. . .:. .....:
: '.: ......:-: . ,mjtiga,tio ~'list and . describe the ~pac't in, Se~tion ~rbelow.. If additional space s ne'eded for' .' :. '.
,'. .' .......:....I~~~iri8':()tdescrlption~.plea$e~tui"c4.aseparatesh.eeF' >,;.:,....... ,':,.' "::. :-:.........;'...... ....., '. "

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.....:. .Iinpac(':"("': ' .: . .. ..... ." . -;:/'Ue~.' .:....ocate. ~t.l~
"SiteNumber . ".....,TypeQf :.... :()f.. ....:.'lOp..year......
....(.; d....t:. .;' :."':rmpact.":" . 1m. p'act . Floodplain"".'
.' ; in lea: e on .... . . . . :. , . . . '.'
. '.' 'ma'-\" :.,.: :.:.~'>. ';.:'. .,;.' (~crc~s) .... ...{yes/no).
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:'-Di~t~n~e 'to' . .'
'-:.'. Nearest".: Type:cfV ~tl~nd.'~*
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. ~ . . List each',imp.a~t JCplllat~ly and identify tcmporA!)' impacts;. Impactiincludo, bJ,lt ArO not limited.to: mechanized cl arin~, sradinH, till,
: . cxc:avauon,'floodb(g, ditchUi~drllinagc, ctc: For dams, ~eparatcly Iistimpacts'du'~ to ~th'stroc:ture and flooding., " '. . ....
:~. .IOO.Year floodplains arc identitiedthrough the'I:cd=-aJ .E~~ricncy Management Agcnc:fs':(FEMA)' Flood.Ini ll1'ar co..Rate' MAPS'
": .' . (FIRM), or FEMA.approyed local. tloodplain maps; MAPS arc.~vailable through thcFEMA Map Serv~c Center at. .80p.358.96 16, or .
.onlineathttp://www.femuciv....... . ". ,":'.:..' .... ...:'.' '.:..... .' ....... . . .'
'~'. Lis~ a wetland typ~ that best describes wetland to.b~ impactcQ (e,g., freshwa1Cr/saltwater marsh, forestedwc.t and beaver pond,
. '. carO~in~:B:~Y! .~~~:. ~tc? ..,>:.:....: ",: :..... ..:.:'; . :" :' ';-':.'. .': ~:':::'. . ".: : :::.. .' .:. :. '. ':";:'.:::" . <. .... ::, '. . ',,' .....

:. : ".: . List ~e tOtal acreage (e~timate,d).ofeXistirigwe~l~ds..(m-the property;. . ..' ,.
. Totarar~a ~f.wet1and ~inpact proPc?sed:' . : .... ...... .: '. '. ,".

'. '2. ......;..:: St~~~~"~m~acis, i~~i~~~~:~li:i~t~kittert~.~d~~e~lai st~~arris: .. '....

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.Sti'eam Inlpact. ..'- Lengtnof
.. . .Site:Number':.'. :. Type 0('.::: . 'Iinpaqt-. .
.(ipd1c~te on.. .,: .....Impact*~::.;. . (linear .
..' ....;. ,:map).'.:' '<..'::>., ..:.~. :.;',j.:.::.:'; 'f~~t)"

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'N. '. '. .. ".'"

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." .'. ..... ';'. Widthof
::Stre'am Name.. . : ; Stream': .'
:::. ". ': '. ..... .Before
" .... . Imp'act ,"

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Iil en littent?
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..: . . " . .... . ';'.:' : .. ','~ '.': . , .".. .. ',; ," . ..' ..'.. . . " '.' .

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.' · '. .. ',' H:j. :o;n ;.~rIm~c;'. i~~l~~ L~~~. ~ondi. ~st~es.~oun~Atla,;~coCcan ~<l ';U;y

',: '::;.,:-: .:.... .:'..:'.'~.-.:: .:.... ::...,,::..Oth~~.~it~r pf~~e:.~:~:-,":.:'. .... '.' ..: . :..-<.'. :: .' ': "~.' >'.:. ..,. -: ." :-.-:: :. ": ..' . : '.. .. : ~ .

.....<:... :'.,'Op~n:W~~~.; ......: .:.:..{..:....,..: .... :.... Area'. ...... . '.:. '. ....., ... .: '. ,::
". ~.:' .:'. : :.<.....Impact:-. :.... :...........'.. " '.': : '. : .'..... . . f':' "':'N f' W:t b' 'd';'" .' TYPe.o Waterbody'. .
. .,.," . . ..' . .. .... .... .. . 0 '. ame 0 a er 0 y . . .
". ..... ';.:' <. Si~e.Ntimb. r .... '.' ''.I'ype~fIri1pact~:.. I' . 't' . ;. '. '('f I'. bl) . .'. . ~(1ake, p nd~ estuary,'. ::'. ".
,':',,". '("d' t' . ......:. .. mpac... ..1 applca e . 'db . )'
. ',<;:.:':'~:. '<.~:~~~~aae~. .',:: ..:..:..:::.'...:.....:.> ..... .... . . ..(ac.re~~.: ..... ......:-.. : '. ':.:. ~. :-: ''';~oun; a ,ocean,'etc, . ,"':' ..'

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. ...... ..t:. . LI$t each imp ct's
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,i '4..ondCni~tion.. .. ".". ...... '. .'. . .. '., ."
:':-:". ...:..,.-:. ": .:'.:: .,'. ,-it.c hStruc~~qn..~o~~ "pOnci".is.. proposed,: .~sociated'. wet1a~d..and.;streanl.im cts. should be . .':
'.: :'-' ....... .... ". incl ded.abov~.iirthe. wetlan~. and stream. impact- sectio~s.::Also,.the propos d ponq should ....
" . '.: :...:,::.... ~e. es~ribed he~e and il14strated on any .~ps included with .t~s'a lication... " ". : . '
.'; ,....:..:.:. ..,.....:..;Pon tobe'~reatediri{ch~~k.allthat'apply): .:O.uplandS.....':... streain'.:: 'Owethinds" ..:'
:'::'. .:. '. .' " ...... Des ribe '~e' me~hod ofconstructiori (~.g,,'.WmVem~a~1citi~nt:e . v~tit?n. instaUa~i9n: 'or'.' : :.
. . ." '. .. ":.:, .:: :.dra -down,valye or .spillway; e~c~):'" ::'. .:. .. . .' '. . - ' '. .
1,1' . ..... .. " '. .,.... ". . . . ".
'.' .

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, . '. I'
; .. ..... -::'.' '. .... '. Pro ose~~us~. or purpOse of pond (e.g.~ .livestock wat~ririg,.i 'g .
...: .......;... ....".:.' '>.'1~. s~~~wa,terrequifeD:lent,etc,):'"'' '.' ..... . .... .': "'::

i''c . SiZO(~tcrShe<l ~~ to PO~d: . .... ". . Ex;'9!OdpllJld surf.ce are: . .
'.:.'-::.', .............. '::......~ ...~-'"..... :.-~':.:;;..: . ......:,...... ........, : ", ....>:.. . . ..... ....:.: .'. .... '. . ~"< -::,.:,., .~ .'. " .:.
'.:."<'..<..~. ~nip~ctJU~tifi~~io~:(Avo~dRriceand~~~im.izatfo.rir>-.,.. " :..::.':.. . :"'::: .....', .",:.

'.' .... .' ........:;s~iti .ily ~5cti~e~c8sUrcs~n to a~OidthcproPo;c~ kpaots,It llUly~C ~ ~l tOP~~d. '.' · .... .
:.-...::: :':.' ..,...,' :....ii1fo~a io'~'ielate4:to sit~ ~onstra1nts such as, topOgraphy,' building orqjn~ces; 'ac essibilitY; and..:' '. '.
.' .... ~..: .... ....::... ~nan~i.. :vi~~~li.tY,. of.~e proJect. T.~e applica:n~ may a.ttach. dra~g~' of a:l~m~!ive lower~impact :." :.
.., .... .. ..':' .: ~ .sl~.lay. ~ts; and e?,pla~n)yhy thes~ desI8I1: options Were' not fea$lble.. "Also diSCUS . how Impacts .:.....
. . ". ...,'.., :..... .< were. m i1imize~ qnce' the desired. site plan 'wa~:. developed..' If. applicable, di~c~s . construction .. : . '.. '.......
.' :.,:............ :'tec~iq es.to'bef~~lowedduringcon~tructioi1:toreduceimpacts.::....> .' ..... ..,. '. ".

'. ':'.:- : .;" '. .:" ; ..........' . '. . ,,;, .':. .:.. '.. .....~.: ',. '. ';'" . . '..... . '.' .. " . '..

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.... ". . '.~. ;' .'. ~'. \ . . . .. : I '.'. . . .... : .:, '. ...... '.: .,.. : _', . . :.
;. .' .,.......:.... ',' ,....'; .~".:, .~ . '. . : ..... . '. ...,..: ":' ......:.: :.' . ..' . \ : . . . .
';'::':':.;:'>":>' :',">.':...-."::. ::-'.' . '.' . ,'. . . ..... '-::. ..':- ':: .. '. '.. '.:.-:':. .
'::.:.:..., .;":."...:---....,:. '.": ....<.:~:>.:.:.....:...:'.....;;,:.;i:::.:.:.:....:....:::~..... ...... ::.<<.<..'..:.'...< ';"::::"':"':/:'. .::,:::':" ....::--.. .....

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. I :. ". :......~./...... .:..' :...: '~'."'..;.'~.,:': '.' .:.....~ :.: .:........ .I:. . ........ .... ...... ....,....'.;..:...,
,:..,. .~.:~.:>... :': .... ..': '.~':' .... ...'.. . . .,'" '.". ":' . .'" . . 0, '.
~ '.' . .' .. .... . ,.'. .' . : :"'~ . "'. : . . . . ... {. .. .i
. '. ..... ....... .... . . . .... .:::., . . ..... . ..,' .;.....

"'. ............::~.:.. ..:.:........:.;.::.:.~:.. :.....::.~.,. O.'~ ..~.......:~.:...::..;. . .....:....: ...~..;..~:. '" "'.::.: ....:. . .C"

". ~ :....: .:. :. ...... ....~ . . ..::'.: " ."~" '. ,..:' ... . :. { . : ., ..... . . :': . '.. ~ . . . . . . .

~.. ....... :. .. .. :.. '" . ..': '. ',' .: . . . '. . . '.'~: " .... . . ',; . . .

.' .~~.. ~I~ga~on.:<;, >. :;< :i>.".:/."<>;"< . .,:: ...... .' ..... ." .:.. ..:' '.' .' ..
.. . '..... :., ": . DWQ.'~ ~:' .~. ',acc'o!~rice '.~th."l5.A 'NcAc; ."2~ '.o.5p(j~': mitigati,on' .may :be . requir d' by -.theN:C:' '. ..... '. :..' .
::"~:':. . 'DiVisi~n or \yat~r Qu~lit),. for-.p~ojects .involYinggr~ater~ or'equal '.to one~cr. '0 'impacts to. ':. .:':::'
...: .' .... . ...freshwater .we~ari4s .~r greater~han o'r .equ~J :to. lSqlin~ar' feet of total unpac s:. o'pererinial' ':'. '" .:.,'
", .:. <..:........s~~~m.:~..> ::.:<:'..:..:..........:.:....'~..... ....,:..q..: ..:..<........ ......::.. . .'. ': :.' '. . . ..... '..
. . .': :: .:' USACE''': In acc,ordance 'with thc:Firt-a1 Notice: of IssUance and Modification f NationWide'. ':". .
. ~ .'.~" .;' ....:: Perinits,-p~btish~d~Ii.:the.Federal Register oi1'~ch9, 4000;:'mitigation wiu be e uiredwhen'::." .': .'>
". , .: ....: '.::'." . 'necessary.to. .eilsUre:that. adverse'...effects '"to . the :aquatjq eilVironmentare .mit m J:.";.Factors': '~.' .:'.:: .
.. <: ":.", .'.j~cludi~g.'size an~ tYP.e'.cif'pr9Posed'Jmpact"and'function ancrrelat~ve value'o t e.."impact~d .... ......~
:'. :. :.:." aquatic.'reso'urce: will be' .considered. in detennini~g . acceptability .of ~ppropriate n practicable. ". '.
. .' .....: '; . . #1.itigation as propos~d.' Ex.amples of mitiga.tion' *at.' may be appropr4ite and. pract' c ble include,. ..'
". ." :" .' but 'are n9t limite~ .'to;: reducing' tbe' size of the.. project; establishing and .main i~ ng wetland' .' .:
:'. :.....~dlor upland yegei;ated ~uffers..to. protect 'open waters' such as streams;.'and repl ci g losses of, .'. ", ....
. .:..... '.:: aquatic resource functions and values by. creating;. restonng, enhancing, 'or 'pre e ing similar . ....
. ';'. :.,-. ".,' .... ftinctio'~lsa~dval1i:es~'p~eferable:i~"th~ s~e'.watershed!: .'. .... ... . ';' '. .... :". . ...... .'. .
.':.' ::.... ....:::..:.).. "if~i~;g~ti~~ is':req~ired 'i~~"~~~:;p~oj~ct;'~"~Opy ~f'~~e '~itig~t~~n Pla~'~'u~t. be ~ c edin ,~>rdet,
. .;-'.. :.:'.'" for 'USACBor DWQ . to. consider the 'applic~tion complet~ .for' processing.: y application '. .'
:'~ '.:. ..... . :.'. lack~ng a .'req,uiied: mltigation:,-plan:'.or . NCWRR. :ccip.curr~mce .shall': be, p~age ; n.. hold as'::..':' '.
.> . .:' ,..,.incori:1pl~te: .An'.applic8.ntniay'alSoc~oose tpreyi~w.thecUITent guidelines'foq~ a restotatioif...:.;....:--
. . '. in" DWQ's . Draft' Technical"" Guide .. for". Stream '. Work ..hi North. Carolina . vailable at .
:...:: . .,..:-::.. "h~:/~o.enr.sta~e.ti~.us/iicwetlands/st~'~'~~:him!;:'.:.' :.... '.:~." '.' .:~.'. .'.:'.: .:..:..~.' ::.... .... .... '. .

. . ~ '. .'. '. .~'. .'.: -I . '. . . '. '. ". ..' .... . ".: ... ." .' .....: . .'. .' '. .' I.. :.' :' '..:'.' ..;.:. .' . '. '.:' ". '. ..... '. ... .' .. .' . .. . . . .': . .', .

. ; "::'::"';~; .Piovidea'briefdescript~ori o.f ~he propose9 rrtitigatiorij,lan.. " The:descriptio~' ~ uld provide. ....: '.' : ':.
. . ....~. '.:,':' '.as much iriformatio.n as possiQ.~ti~ including; hut not liri1it~dto: site.1~cation:(a: . h directions". ..
:.:.. ":.' '. '."and/or map~.if.offsite);:a.ff~cted 'stre~ 'and river basin,:type'.~d amount (acre ,g /linear feetY-o '. .
'. '.'.''- .. .... ::.,..ofrn.:iiigation...proPosed:(restorati.on....enhaijcement,creation,.or pres'ervation ~.plan:view,. :.'.. :,,:
:.' '."::' ....:.. :..pres~rV~ti.on; 'n:u~cQa:nisin(e.g:,: deed.:"re~wcpons,.. consefvMion .easemen~:: c,)~ . and a., ,,: ..' :
'.' ':' ,:..:.:.~. ." .... . ~escdption o(.the cUrr~nt site. conditions ~d propos.ed method 'of constructi~ :. lease attach . : '. '.: . "
:". '. <.:<......:.,....~. . ..... a. s~pa,rat~.she~~.~f~~r~ ~pa~e.~s. nee.d~4...:. :"." .:' :' .:>-: < .:.. .....:. <'.: .: '. . ..'..' ::." '. . .... . ~ ,..:. .... ,... .

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'. '.::," "Atta~h ,'a . v.ici~hy:'.map :'ciearl{.showjrig' ~he'.locatipn 'of :the' prop~rtY With re pe i to 'local '.
. ': . :':.' ',' .latidnulrks . ~UCh.liS town~J ~iversJ' and .:road~.,',: Also proVide' a 'detailed site' plan' sh win .property.:",
':., ..'.. '. bound~es ~nd'development pl~s.in .~elati~n.to surrounding.propert.ies,: ,.Both th vi inity map'
" .' ..:' andsite.plan' ~ust include' ~ scale ',.and north arrow;. T~e specifi~ footprints. 0 all buildings,".: ' ......
" . :.: impeIviouss~~ces,.oroth~r faci1ities:must,beincl~~ed'-,)fpossible, the maps an pI ns should. ...,. :'" '.,.
'.. '.... include tl:1~ ~ppr.op~ate'USG~'Topographic Qu~d Map arid NRCS ~~il.SUivey wi t e prope~ .:.
': :.:":.,:. boundtujes.outHnedL Plan drawings,.or.:other ni~P.s' p1~y be iri~luded 'atthe app~ca t's iscretion;'.. " . . '
....:.:....' .' .':': '. so 10ng'.aS.:ili:e' 'property. is ,~learly'defined.:',.'For' adp1~ni!itrative 'a~d 'distriblit.iqn p os'es~ the ". :'.: ..
. ': '... .:. ..... qSACE: require$ infonnati.onto' be .submi~ed .on . sheets .no. -larg~r' ~ha:hJ 1 by 1 -in h format; ': " .
:..,... ~'.~ howe.vei',::DWQ ma:y..acc.ep(p~pe~ork:o(any'.size.. DWQ .prefex:s full-siz c n.struction.....~ .....:.
.:'....... : ':.' ..di-awiJlgs'.rather than. ~ sequential. sheet version qf the':f~ll-size' plans..... If full- ize plans' are .' . ....
:: ,...: :' ,....:: .', 'redlice&to a smail scal~ suchtb~t the finaI'version is'ili.egible, the: applicant Will b in nned that '~.. ': ....
~...~ ':,'" ;;:. .... .the proje.ct ~ been placed on hold until decipherabl~ ~ap~ are provided.. ".. : . . . . .: : . . .' :,: . :'

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",': :...' 6.Descri~e the.ex"is,ing land'use or condition of the site at 'the.time of-this. applicati'.ri:
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.' :'. ....'..> . ''". . (Note,-..this .must be.. on:e"~f.North Carolina's.'seventeen de~igIlated.major rive
.. .....;.:.. : ". 'Riv~f Basi~'niap is available at http://h2o.enr,state,nc,us/admirilmaos/.)" .

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: .<~, ,:. .: '::::>'-:.rf. jurl dictionaLdetermh$tions jhd/or' pemutS have'. been - .r~questedandior, 0 tained' 'for this...,. "
.. ..:'-' . , .' ".' :'projec(including,"ali pnt"fp~es"ofthe samesub~i.vislon) in 'th~ past; pleaSe e plaiJ:1.: Include ..' '.
,: .>:, -..: :.:":::<,th~t,J ACE Actio~.II> N~bef,:PWQProje~t N~ber,applica#on date:.and' te.penuits'an,d ..,.. . .
.".. .::..: ,. .::".- ',:certjfi ,tions..were. issued. .6~ \vith~aWn; . Provide 'photocopies 'of.preyiously 'ssued pe~its; '.: :. .
'. . . ;'. ~'.. ,... '. : ,"ce~f1 ~tions'. q(othe{ useful jnfon?:1atiori~ ..., .Describe'. previously approved wetJ . Q; stream 'and "
.. . . .' ,:'buffer. mpacts, along with, associated ~tigation (wher(appli~able); If this i~ a. CDOT project, , '.
. : ',,'" ... list an. 'dc'scribe :'pennitS issued for. prior: segments': ,of the'. s~me T.I.P: proj ct, along ..with' '.
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. ::' .... :..:.:.:/ ~ticip . edwork,. a.~4 ',.p~o~id~ justi~catioh -.for ~ee~c~lJsion :.of.this. wp!k' fr<? " the. current
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..... '. Vi:.. .::',..Propos d ~inpacts ~o. Wai"te~s :of the United 'St~teslWater8 pC t~e State" . . . .. .' .
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. . .' ,':: .:. -:'; Jt '.is'~~ appl~cant's. (pi.. agent's): ~esPo~sibiHty:Jo, d~tcr.jjli~e~ :.d.elirieaic"and.riiap' ~l 'imp'~,tS to.'. '. "
:. .:.:..:,',:...'.>''t.wetJan: ~ open water, ai1.ds~e~'channels' as~ociat~q.~th th~ project '..1;'he appli ant .must also
.:' ;'j., :....;;;-;., 'i,:provid,e, ustifica#9n.:f.o~. ~es~'.i~pact~.~n Section VIr:below~.:: .AlI :proposed.imp~c '"~p'enn~en.t " .'
.' ':: .'. . .'. '.' ..'arid'te#1 rary;.,Inust b~ lis,te.d herei~; anq must be. clearly.identifiable .o~ an'8eco . panying site'
,.-: :"..,:,' ...:"- ~ plaIt", :A :wetlands and waters,- ~d aU, .str~8.t:nS {intermittent-and perennialrII,1ust., shoM} on a'. '_
:',:'. ":.. ':. .::,4.cWie~tinjna:p~'.'whe~er-.o.r,n~t.impac~ are propos~f'to..these systems.: We~lan . ~d' stream :" ., ....
' ...... :... ' >':'~eYalUa.tf it and"deliiteation':forms should' be included.as;.appropriate..., 'P1:1~tQgr phs .may.be'..'..... '
: .' '...': "."#lcluded atthe 'appli9ant's ,discretio~.. If this proposecl'1.mpact is''strictly' for. wetl '~'or stream. ,.:, ..,..:
'. '..... :-', '. .',mitiga~io nist~d.describe ~e.impac:t hi: Sec.tiori v:p:rbeIow...)~ additional. space s ne'eded for.. ..... .
,. ,.,.. .,...;..)~~~iri~:()! desc~ipti~n.~:ple~e at:tac4,a..sep~ate sh,eet,.. >; ::'~,'..:"... .' ''",. .::..::' .....:'. ..;..... -:'....... '::.::.' .' ;': '. '. :: :.
". " ,.....:,.. ': ::';':,';,.:"..::'::: .:..::.' .'. ,:. ..... ....,.. . : .'. ',:. ...:.~.~:,.:: :.'.;.'..:. ..:...::.... .,....:..:,./: \/'.' .... ~. .. .....-:".. :. .... ." '. :.,..', : . '. ':'.. '" ':" '.
..... . ". :\",:':',:~':::. ,..,:<..,;.:,....,...)'..:..,,::.-::.;..'.<:'~. .;.":..'::.',:,:. .'.:'::.,,:,: :"".:' ..' .... . '.:", . ...,.
,",.... .. , . '. ":, :..,.'. :.::.:'-~,.,::pa8e'7of"13.'."':~:':'::',:~,' :',i.,. .'....... .'. ". .,........',....', ..
'..' '.. .'.' -:i:;:<\,':;.':'..: .. """" . , ,. .' " .
",....: ". ,'".':' .:...... ..-'..::~.-~::::..::,.:..:~'\~..;..',:::.,::,.,.:,.~'::,.~:,...,:..,'.'<...:.....,..:...~:..,...:.:,.,::,.::.'. " ....:...:....::::......{,;::'.:.:-";.~:,..........-::.,:.. .:' ',..:';.:., ':...'..., '.:

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','.:' .IInpac(::"("': " .:' .. ..... ," . .;:.:./'Uea. . ,:, ,..ocate ~., 1~
"S"t N' .' 'b' .,... Type of :. . '. .of . , 'lOO.year....
......(' ~ ed"~t:' e~,' ':.'. "rmpact*'. ...:.. ."Impact';' :Floodplain..,',
. . .: l~, lC,~~.~~ :. ....:~.:'.....;,:. .:,'";" '(acres)'. .... '..(.y'es/no)':'
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.! . , List cach'.imp.act separ~tclr and id~ntify temporary !lI1pacts:, IlI1pact$includc, bJ,lt arc not liruited.~o: mechanized cllfarin~l sradil1S', fill, .
': . excavation, 'flooding, ditchinW-dra4tagc, etc.' For dams, $eparately jistimpacts.'du* to ~th 'structure and flooding. . . ..' .' ..:.....
.~. . 100. Year floodplains !-to identified through the J:cdcraJ ,E~~rienc:y Management Agcncf((FEMA) Flood~ hU ura co'.Rato'Maps.
": .' . (FIRM), or FID4A.lipproyed local. t100dplain maps; Maps arc~vailablc through theFEMA Map Servi;c Center at" .80 .358.9616, or .
. o~lin~ at h~:II~ fems iOV;.....;'.. .' .'. :' ";'::: .,.. . '. . . :" .'" '.:', . .:.' '. '. '.. '
. '~'. Lls~ a wetland typ~ that best~csc:nbes wetlandto.be unpacted (c~g., freshwJjtcr/saltwlltcr.marsh, forested we.t and beaver pond,. . ..
.' '. Caroli.naBay;~~g,~tc:). .-:..., "':. :;"'::, ;". '. .. " ..,... '. . '.

. ::.;...'......:-.:.....~..:..;. \'. ......:. .:-- :..,>..;,.~..:. ,:' ......... ',' ~'.~' ' '. .:'. .. .'

. '. ':. . ".: . List *e to~l acreage (e~thi1ate,d).ofeXistirigwe~lands '.on the property: . .' ,.
.. :., . Totiit"ar.ea of wetland impact pro~sed:" .' ..... : ..........:- . :' '.
, ..... ': ',,:-: . '-:.'. .~... ..'..,'. ..,. :."...':.. ,.,.:....',:'.,.'........ .' '.,...,..:.,'.:. ,..., '. ..
: '2; "<.':. $tr~ain:lmpacis,. incl.u~i~g.alnnte~ittent.and perennial streams:
. '. . '. . '. .. '. ..:.. .' I.... . . . .' . , . , ~ '. .
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.... .....
.'

. .
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.sti-e~m Irripact . . '. i~ngth of
.Site.Number'. .,:. Type of ".::: 'Iinpa~t,
. .(indIcate Qn'. .': .... ....Impact-::: .:. .:'. (linear
, .,,:. map) .:, '< .' .' ; '::'. y ....<:'.:: 'f~et)
. .... ":.; . . .' .' ~ . :. .:. ~..'.' .... '; "!', \ .' . !. .. .

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. . ',. ..." ., . Width of .. ,Pl rel~ial ~r ..'
:, Str~aID:. Name"':.. . :StI:eatl1 .' IiI en pittent?
Before (ple ase ~~~ifYr
Imoact'

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';' Ill.. Lis~ ea~h impAct separate~y ~nd identify .temporary impacts. . Impacts include, but arc.not limited to:, c~verts and ~so iated rip.rllp,'" ......
'. . dams (separa~eJy list i!lipacts due to both strUcture' and .flooding), relocatioo'(includc,linear feet before' and after, ~d ~ loss/gsin), ,
. stabilization 'activities. (cement willi, lip.rapt crib wall, gabion.i; etc.),' excavation, ditchiriglstraightening; etc.: . Us ellIl relocation is.
, '.' . pro~sed, pla~ ~d profil~ .~P9wing the .linearf09tPiint"forb6tli th~ ori~ a~d l'e.locai;a streams must ~e 41cludCi '. '. . =' ~ .; .
.,!f/ ,S~eam'na.ri:1e.s'tan' be foun~.,9n.US~~ ~J)Osraphic maps. -.It a stream ~i ~~ pa~c, list as. UT (unnamed t:ribuu~~ 0 ~c .n~arest .
'.. downstream rwned streal!! mto which It flows. ',USGS ~aps arc ,avA11able t,hrough .the USGS at 1.800.358.5616 or onbne at
:" ' www.tis25.11ov.:...severalinternet;sitesalso..allow . direct dowi11~ad and printing. of USGS plaps ,(e.g., . ,
.: ':. Www',m~l'aucst.~om, ~t~): : '.' ;...', :.'; ..... . .' ;'. .,.' .. ':;.: '. " ':. . , ..'
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:~ ::< .~;' .6u1.~~~Un~cl,(littldis~ce~f~~)~all ~~ o~ site: . '.' /'1 . . ..' ~""'. . .';

':':... .::..':......,:..:.,...:.. ',..:,.<..<.,.:.:......' .'. '...:.:'.'.., <::.....: ',......:..<:.','...... .... '. :",':'::.:.' .:." .'::...:..,'...... :
.' .. ". ,.:.::~~., 3.,.",.'.: : Open:W~te~ impa~ts,incJ~ding Lak~s, PO~lds~ Estuaries; .SoUndS~.AtlanticOcean 'and any'
.' . . .' ., . . ". . th W t '.fth US. ." ,"'.. , .. . '. .' . . . .. ".
. :'.,::, ,,: .'; .':-- ':." 9 er .a er.o. ~ " .:':' .... ..::;" ...,. ".:'.. .... . '. .,.
.: ~.',..: ....:: ,'." "': ....... ,.':-'.:.":..: ' <. '. '.: :. , , '.:" ' : :.... ',' '. .'.... ". ......

:;9penWate !'i ......; . Arca',< ". ..... .... .... ..... .' '..
": .' ", .Impact : " ...'..' .. '. ..,: ,'. ...., ."of '.:'. ;..':..Nan1e~fW~terbody..:. .: TyPe.o Waterbody" . ' ,
: ':. :.<' ..:. Site,Niunb '.....:, Typt-(ofIii1pactlje.. I' t ,... '('f I' bI) . : . :.(1ake, p nd~ estuaIY, ,. ". .
:, ....' .' '. . .... ..' . . ::. ..... '.' . mpac . .. . 1 app Ica e . , . . , ", ,
:' '.',::':;: ~::'.:" :::h.:~~~aat~\, .,:.:'::.:' '::':':':::'":"::"::. .;: ,", '. <, . '.':.(ac!e~~::.,"'.':':.. '::'.< " .:.\:, ~ .. . >:,' ?~und, ba , ocean, etc.). .:'.< ..

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. '~"" '" t.. . List each imp ct s ately and identify temporazy impacts. Impacts Oinclu.de. but ere. n ~imit~to: fill.
" : .'. .': :;:.'..: .... ~~ng. ~ain lIe~ ,Qche~;:ctc. .:': .. .:' ": ....': :'. ..... '":'-':.," :,' :'. .:' :: :'. . ...... :', . " . .

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....:...:,.:.,.'..-,.;,.',:4.::..:.<.: .on~(Cr~~tio~.,.,. ..'.:' ..,.;.,'.. :..'.:.>....,:.,.. ':";-"":, .,.,.. .,..:.. ....
:.: ::.. ",:':.:: .'" .'.'.::: ., '. .'If 'c hStruc~i<?n:' 'of:~ "~nd.is~' p~opos~d;: .'associated'. wetia~d..and::stieam. im cts' should' be . .
',' :..' ;..., '.,. "': inel ded.abo.ve."iil'the.we~arid)nd.stre8nl..impaet'sectio~s;<AlsQ,.the'Prapos dponctshould '''::"
.. .:'.: . . '... . ':.: : ' , '. be es~ribe4 he~e and i1h~straied. on ijny.l118.p(ihcluded'.with.t~s'a lica#on..:. '. "::' :.....- . .
" .:' " ',';.,-,:.' "...:::" ;Pan ~o b"e':created iri.(ch~~k,all thah,pply): .:O.uplands.... ..;:. .' streain '.',. : . 0 wetlands" ..' .::
:...'. .: '.' .' '. . ':." Pes ribe .the, method of construction' (e.g... ~embanlcin~n .e av~tion) installation 'of' . . : "
....,.....' .....:.: <:,dra ~do~.valyeor.spi1lway;e~c~):: ::". ..' ,"'.:. '.' '.. '.: ....'.. ....:... ..'

'....... ':,.' ,:, ..... ..... " ...:'.'... ," '. . " .' '. '... ...,.. .' . ..: ::'.: ..-: . . .

': .:-.-'" ,'::- :.... ..... ',' Propsed:use or purpOse 'of pond (e.g.; ,livestock wat~ring,.f 'g' "e.s~efQ., t:ouf~o~~..:';,,: "':. ::.
;'.. :.... : . -...,:.' ....' :109 stormwaierreqilirement, etc.):....:. ..' .:. ':.' .': " " '.:.
:,.~,::.,/,."",~"-:.:.: "..~.'~.:..~.;; :.~:~.;.': ", I~.".:~. ...1.'...... . .;'...... ',,_. ..: .... ..
':.::. ':.-':' : . .... -':-> :.'. : . ':. Si~.;otr:a~ersn~~ Qr,~ining t~)~nd~. :..... .:. ~X~9~~d'pon4s.~~c.e afe :.. . .:. _', '.,

,.':.', ,..,.,..... :;';'" .,,: '.' :>':':" ,'.:' '...:..,.. .." :' " '.': ...... ...... .' '.' ':: . ':' . . ',. ., .... ..,

.,:...:..',.<. .VIt. '.I~p~ctJustin~tlo~.(A~o~d~nceand M~nhiilzatfo.n)".:." :':.' '....: ':: '":'-,:..- ..,., '" . ..:" . .

: ".' '.' ..'s~cifi' ally ~~b.~~Urcs~Cl\ to ii~oidtb~ ptOpo~~d ~i>acts'.It ","y~e u; rJlto provide> .' .' . .
"':" '~,:.......... :...,ii1fo~a io~.rela~~(to..sit~ 9~nstr8ints sucb as, toPography. building or'Un!lll~es~..~~' ~ssibiHtY;. and~'.:'..
:'. . "'!'~"" :..... ....::.:' ~nan~.i~ ;vi~~~li.tr.~.f.t~e~toje.ct;.. T.~e applic,an~ ~ay.~ttachdra~!1g~'ofa:I~m~~ive lower~imp~ct .:,:...". ". "
. ..' ...,......: :: '. ..sl~.lay. ~ts~~. e?,pla~n.;w~y.thes~ desI~ optlons werc'not feasIble.. "A1so:.dlSCU$ .'how Impacts'. . .'.:. :.'
. ,".,::" ;..." .< were.m iUtnized qnce.the desired.site plan'was".developed..' If.applicable, disc.us' construction:. '
. .' .. : ',:......., ::. '.: 'tec~i9 es.to beJ~~low,ed du.ring'con~tructio~.to reduce 'unpacts.:: ': .,:- ...:... ..' ". .,.,' .'. ":.
',., >'-':':'!">'" c' . ,.' . '.'..., '.;, ,:' .'.. . ,. . . .'..~,. :'.. '..:....., er,os .:'.~',,:' '.. . '.

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. :,... :...,'.~.:,.....' :':' :'" .,.. '::. .~ . " ,:: . ':' :.' .",.: .:. ..... '.' '. . .
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f . . :: . "....\ : ':" . '.:: "'.. . .., .. . ": '/" . . ..... " . .. .',. .' .:.',..

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. '.:' ....:<., .....~ ...'... :..:....:.:....,;'. ::--.:. .........,..:...:. .': :":. ':.:.... '~.' :,. ': ;:: :...... ': ..'., '.' . ' . .:" . : '"
vm., ..Mltlgation .....,.. ... . " .':." '" . .. " ., ". .. .' .
';:"",::"':',:'~:'" .>:,":.::.:<.',.:.::-.'.-:..;:..-,...,'....:.... .:.'.:':: .,.,,:.::':<,..., ........:."..:.:..>.i.:...,'.':: ::.:'....:... ',:.: ".::":...:...:. . ..
., , . '...:., ,:'DWQ."~'IIi '.ac.c'o.r411nce :~th '.)5A 'NcAc."2H '.OSOW mitigation' .may :be .requir d' by .the N:C~'.. ~. ..... '
::" ~':. "DiVisi~n 6~\yat~~ Qu~lity"for.p~ojects.involvinggr~atertha~. or'equal..to one~cr. 'oirt1p~cts to.':' ..:';'-:
. .... .' ..., . ."freshwater .wetJari4s, .0F. greater~han o'r ,'equ~rto 15qlin~ar' feet of total impac: o'perenriial':'. .......
.. .... -< '.:' >.s~~~~.::..:.: ::,: :~ :''':. .:..:-.'..: , . :'" .' '... . :', .... ". ;. ,.:.: :<.... .' ....::.. :,-,::" '. . ..... ":'. .
'. ",' . USACg. ~ In'licc'ordance 'with' the 'Final Notice."'of Issliance and Modification f NationWide'. ':".
. :.'::' .;' ....::Permits;p~blish~diri.the.Federal R~gister on'M~ch'9, 4000~"mitigation will be e uiredwhen.,....... ". ..":.
". '. ': ..'.: '.:;': . 'necessary. .too.ei1sUr~:'that. adverse....effects.to . the :aquatjQ environment are .mil m:,"'.Fac'tors.: .:.. ,:'. .:: .
.. -:: . ":: .'....i~cludiJ?g..size an~.tYP.e..,d(pr9Posed.Jmpac(and.function ami 'relativ,e .value'o.t e..'impa~t~d" ..,.....' '~
>. :.:' . . .. ~quatic."resource: \\ill.be' .consid~re4iJl <;ietenniI.1ing :accepuibili,ty '.of ~ppropriate' n .practicable,.., .... '...
',' ....: ',.' 'm.itigation aspropos~d;'Examples ofmitiga.tiorit~at. maybeappropri~te and. pract'c bleinclude,- '.' .'. "
". .:..;-: ," but 'are n~t limite(to:: reducing::.t~e" size of the.. project; 'establishing aild.malnit:} rig' wetland ". ...... .':: '
. . ::. ':'.:: :a~d/or upland vegetated.buffers:to. protect 'open waters' such 'as streams;' 'and' repl 'ci 's loss~s 'of..:::. ....
.' ..'...', '.:': .aquatic resource functlons'anc{values by.creatlngj.,estonng, enhancing, or'pre e ing similar' ." ':".:
..., :'... .....'. . functioIlsandvahies;preferable'in:thesame'watershed.:" .': '., '. .... ". ":.' -.:. ,... .
...._..:......~... ..~........~:.:.:...... ....~....~..:....... :....J.:.....:~....:... -'..:..... :...........:.: :.' ......
. '. ;'.' ...: .::'. 'It-mitigation is.tequired for thii{project,' a ~co'py of the 'mitigation plan' must. be sc ed' in .grder',
. .'. ;-.,., :.:',': for . US ACE or DWQ. to. consider the 'applic~tion complet~ .for" pr~essing.: y application '. ."
: : ,', ,.." '.:. lack~ng' 'a .'required . ~tigation"; plan:. or '.NCWRR. :coilcurtence .shall' be' . place . n. hold ~s '::. ..:' '.
..> ' ,: ,,:'.incompl~te:.An'.appiicant may"alsoc~oose t~ reyi~w.the current guidelines'fo~~tr a restoration' ,.:. " '. '.:
..': ..... in":DWQ's ..nraff'.T~c~cal':GUide...'(or":.Stream -':Wor~' jn' . North. CaroliIi~.: vailabl~ at......
:"~' ,.,..;.:. ':http://h20,enr,stilte'.hc.us/ncwetlands/strin'gi"de;htmL.......:.,..., ':' .. ...... . .' , .

. ',::, ,"~:,\ '.. :-" i.::'p;dvid~'~ briefd~~cripti~~"'~.f~he'~~~p~~ed ~i~:~at~'~ri~l~~.':Th~:~descri~tio~' h Uld ~~ovide, . ...:..:......:,.
." .:, .; : . " .' .as Illuch information aspO$siQ~~~'including; but not liri1it~dto: site, 19c.ation~(a . h directions .'
'. ' . ':"' and/or map~. .if.offsite)~:aff~cted stre~ 'and river basin; :tYPe'~d. amount (acre ,g llinear feetY" . .. .:'.
.. ,... .' .,.' ::':'ofriiiiigation'.proposed.'(restorati.on..'enhan.ceme~t,'creation,'.or preserva~on~ '.plan'view,. :". ,,,:
" ..... '.' :..preseiV~tion.: '~eC~anisin. .(e.g:,: deed.:'~e~wc~ons,.. conserv~tion .easemen~ :: c.)~ . and a...:" .. .,':
. '":' .;':':.:' . . . ...., , 4escrip~on of the cUrr~rit sIte. conditions ,~d proposed method 'of c<?nstructi<? ... lease attach .'
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. ' . .:< ..:....., "',:.: .:. P~o ram ~CWR.P) with'the ~CWRP's' Written:agree~ent Check the'.box indicating that' '. .'. ..:, ,
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::,,':.' :...... .. .:: . ..'<you would like.t~ pay-mto the NC~. 'Please note that payment into the N WRP must be'. . ,:'., ". .
' ' :' '.' .. :", .:: .':, '. ,'. r~yi.'~ed' eild: appr~ve(i' befQre.:if~ah 'be' used to, 'satisry 'mitigation requiremets. AppHcant~",,'.:"> :.'
:. ,'. ::--.:. "-:'.: ::,':; ': wil.b~"i1Q~~ed':early in tl.ie:'reviev(process :by' the .4~l/Wetlands'. Unit,!i p . ~nt,into the',:' .:.::. '.'
'.' , ...',:. .....:::.,,::.NC. ..is avai~able as.an,:optio,n/"Fo!addit~opal.:imorma:tion rega~ding he"application"
.... <::, .: <......,:,':..~. pro ess..". ,:for:. > the . ',"..:NCWRP;:':'check. <',.the-: ,. NCWRP..'. website. . . at:. . .
.... ': '..<'....'~':..::.:'htt :ilh2o hi':state:n'c' i "/'nd xht" >rfuse~fthe'NCWR}>is'propOsed,pea~echeckthe' .',:,'.
" ...': ':,. ,.'. ,". ," :-:>a.~p. .~.~.~at~.~ox o~ p~~e t~~.(~d~p~O:~.d~.~he:~~I~o~1i.g:.i~rorina#Q~: .':.',: . ". ': .'> ..'. .'. ' ':' .:. ' :'.' ".

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..... .:..-. ; " ,:";' ..::' .ount.ofNori~ripariaQ.wethmdmitigationrequested.(a:cres):. .'
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.:/ :. ':'. .... .' .; ~:' .....:' poet.. '.:proj'eCt involve"an exp~mdittire"ofpubii~ futlds.or the.use ofpublic'(fed rallstate/locai) " .
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.':,', '." ':':;.'.l~yes~,does theprojectrequi.ie 'preparatlori:'o(a~ environmental document' ursuant-"to..the:.:
.:'.' . :' ....< ',: :..:....:requiieents::.of:,the.., N~tional.o~ : North Carolina EI1viroruiiental Policy ',Act'A/SEPA)? :. :' '.
.' '. ,;' ::....: ~.:~Note:,',If-.you..arenotsure..whethei:,'.a:.~PAlSEPJ\:.doc~erit.is ~equired,all.the SEPA:..: .:,:
, "'. ",::' ':.. '<'.'~.oo!.~~ to~~9.1~~?33;SP83 t~:revi~:v',cw:rent~e~~~lds iore~v~!p~ental ~o~ entation." ,...'::-:'.;.
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'.:' '.' :,:: ;..'; '.' , r.equir~, :~ta~e:.lln~ J~c~l.buffers.assogi~ted ~~'..~e proj~t. :.":Jhe applicant.Inu t also'provid~.'.: ..<.":
:.:. '.: :'.: .: ': : :justifica ionfot: these' ~mp~cts ip '~~ctiori.v:rr ~bove... 'All- propo~edjnip~C:tsmii~t e.listed herein," .":. ::j:.: :
. :;-:.... ... "::. ':'.': '.' and :nl.u tbe clearly ideptifiableori :th~: a~cotnpanyings,ite: pl~>: All buffers :ml:l8't be sho,wn ona.' . ." . .:: '..
"..' '. ....:;; .:': .:.~ap.".:wether or.:~6f .impacts :.are propO~edto' .the. bU.ffer~.." .:Correspon~ence". omjhe DWQ:' . :"
.' , .::. ,:, : ""'. .Regi~' "1 Office '.may be. inchided as appropriate.', Photographs.:may 'also ~e' cluded 'at,~e .' '. , .
",,:'~P::li~ fs. d!scr.tion. .'. >~ . '. " > .. .: ." ". ..... . ......... ...... '.' .... ," .

:' ,:. '. '-: "',,' .: ,,:: Will th,' 'project .impact. protected". riParian' buffers ".identified' Within lSA N AC .2B .0233 :..,.. .'.. '.:'
.'::......:... :.:': "::' (Nellse) )SA NCAq 28 ~02S9.{Tar.Pa~~lcofJ5A)~9AC.2B,.02S0.~rid1e"iul Rules arid' " '.' .
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'" ....., . '.' PaYme~t'iniotq,~'RiparianBufferRestoratiohFund). 'Please'attach"all.appropdate in onnationas :
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. ' '. Des'c'ribe')njpC'ri1~~s acreage' (bPth"existing.:and propo,~'ed)'vetsus,' tot~l..ac~ea e on' the she.
..' .'..,..: Discu~~c: stonnwater' controls' proposed in order to. "protepf si.u'face' waters a' d wetlands
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. . '.. '. ."; Cle'arly.:de.t.ail the 'Ultimate. ttea~~nbti~U1o'ds ."and 'disP9,~i#9Ii.' (I}on.~ischarge . ischa.rgeX'p(.. ': '. .'
:'. . ~" ':'".:-:.: ;.;:wast~water'gei1 ed fr . the proposed,Pfoject, qr,'available~,capacity,.of.tl1e subj ct acility. .": '.::...

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