20041888 Ver 1_Complete File_20041123

of W A 7- ?
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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 15, 2005
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
'7002 0460 0001 9899 0539
Mr. Luke Stamey
6385 Highway 19 East
Spruce Pine, NC 28777
and
DWQ Project # 04-1888 (Stamey)
DWQ Project # 04-1887(Benfield)
Mitchell County
Ms. Angela K. Benfield 7002 0460 0001 9899 0577
72 Burnette Road
Spruce Pine, NC 28777
Subject Property: Property ID Numbers 0890-15-74-2535 (Benfield) and 4758 (Stamey)
Biggerstaff Branch [7-2-41-4, Class C Tr]
Project Return
Dear Mr. Stamey and Ms. Benfield:
On January 11, 2005, the Division of Water Quality (DWQ) mailed each of you an
additional information request in regards to your request to culvert a stream for the
proposed commercial developement. On July 22, 2005, the DWQ received an amended
permit application for the proposed project. As the submitted additional information did
not address items in the above mentioned additional information request, we are
returning your application as incomplete in accordance with 15A NCAC 2H .0506.
Should you desire to pursue this project, the following items must be clearly answered
in a new application (complete with processing fee) submitted to the DWQ 401 /
Wetlands Central Office:
401 Wetlands Certification 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.no.us/ncwetlands
One
NtliCarolina
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An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Past Consumer Paper
Stamey & Benfield
Page 2 of 3
August 15, 2005
1. Project Description and Impact Justification
As noted above, you have not provided any description of the type of project to
be constructed on this site. Furthermore, your submitted plan provided no
construction details related to the project itself (such as cross sectional details of
the proposed culverts, proposed headwall impacts, proposed flow dissipation
impacts. Please note that we cannot review your application for avoidance and
minimization of impacts, nor stormwater management, as required in 15A NCAC
2H .0506(b). You have not demonstrated why Biggerstaff Branch must be
culverted for a length of 150 linear feet because no alternatives analysis can be
conducted due to the lack of project details. We cannot determine how the site
constraints affect your project, and therefore whether you have minimized
adverse impacts to surface waters. Should you desire to pursue this project,
you must provide a thorough description and plan drawings of the development
plans for this site, and clearly illustrate how the two properties are related on the
site. Additionally, please indicate proposed lot layout as overlays on the site
plan.
2. Mitigation
150 feet of compensatory stream mitigation is required for this project because of
cumulative impacts associated with the two properties, unless you can make a
compelling case that these are two distinct, separate and complete projects, and
the Corps of Engineers agrees to treat the site as two separate and complete
projects. Please provide a compensatory stream mitigation plan. The plan must
conform to the requirements in 15A NCAC 2H .0506(h) and must be appropriate to
the type of impacts proposed. You have the following options for satisfying the
mitigation requirement associated with this project:
a) Payment into the North Carolina Ecosystem Enhancement Program (EEP), if
the EEP will accept the responsibility for conducting this mitigation work, or
b) Preparing and implementing a stream mitigation plan with a minimum of a 1:1
restoration component for 150 feet of impacts.
If you decide to propose use of EEP in lieu of developing your own stream
mitigation plan, you will need to contact Ms. Suzanne Klimek with the EEP at
[phone] to see if they will accept the project. You should note that
mitigation requirements proposed to be mitigated through the EEP must be
rounded to the nearest linear foot increment according to 15 2r .0503.
Stamey & Benfield
Page 3 of 3
August 15, 2005
As you have no authorization under Section 401 of the Clean Water Act for this activity,
and work within waters of the state would be a violation of North Carolina General
Statutes and Administrative Code. Please call Ms. Cyndi Karoly at 919-733-1786 or Mr.
Kevin Barnett at 828-296-4657 if you have any questions this matter.
Sinc r ,
Kevin H Barnett, Environmental Chemist
Surface Water Protection
C Klkhb
cc: Richard J. Franklin,
Atlantic Plan Engineering Corp.
Post Office Box 1691
Hickory, NC 28603
Cyndi Karoly, DWQ, Wetlands / 401 Permitting Unit
USACE Asheville Regulatory Field Office
File Copy
Central Files
Filename: 05-1888&1887. returned
7 r?
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?? G ?Z ,? 2005
A?
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GCYvtZ'01Z ??ktZ °CN•
[Fwd: Stamey Benfield Returned Application]
Subject: [Fwd: Stamey Benfield Returned Application]
From: Cyndi Karoly <[e-mail]>
Date: Tue, 06 Sep 2005 12:17:27 -0400
To: Ian McMillan <ian.mcmiIlan @ncmail.net>
please add to (retired) project file. Thanks.
Subject: Stamey Benfield Returned Application
From: Kevin Barnett <[e-mail]>
Date: Fri, 02 Sep 2005 16:02:28 -0400
To: [e-mail]
CC: [e-mail], [e-mail]
Dear Mr. Franklin:
I am in receipt of your letter dated August 31, 2005, and am disturbed by it's
content.
* At the site meeting, and in the original additional information
request, the DWQ stated that we viewed this as one project. At no
point have you provided information which would show that these
projects were independant of one another.
* As these are one project, you have submitted an application for a
cumulitave total of 150 linear feet. As such, this project is
subject to mitigation. The cumulative impacts must be less than
150 linear feet of impact in order for there to be no mitigation
required.
* In response to your reference that the application has spent more
time in my office than anywhere else, the project was received on
November 23, 2004. It was reviewed in Raleigh (Central Office)
and placed on hold January 11, 2005 due to being incomplete. On
March 14, 2005, you called Mr. Jim Reid regarding the status of
this project, and were once again told that there was an
outstanding additional information request and the project
remained on-hold. This project remained on hold until July 22,
2005 when you submitted some of the additional information
requested. 15A NCAC .2H .0507 (a) requires the DWQ to make a
decision on a project within 60 days of receipt of a complete
application. As you second submittal did not include all of the
information requested during the site meeting, nor requested in
the Additional Information request. As the submitted information
is incomplete, and had been on-hold for such a long time awaiting
additional information, we were left with no choice but to return
the application as incomplete.
As the application return package stated, should your client decide to pursue thier
project further, a complete application, which includes a discussion about stormwater
management for the life of the project, addressing the jurisdictional stream running
down the bank at the west end of the property, and any of the other information
requested onsite and in the additional information request, along with a new
processing fee, to the DWQ 401 Central Office, in order for the DWQ to proceed. As
of August 15, 2005, this project is no longer processable by the DWQ.
It should be noted that a directive from the Deputy Director of the Department of
Environment and Natural Resources instructs us to contact the consultant via e-mail
or fax, and to return the package if no response has been received within 3 business
days. The DWQ has been plenty gracious holding your package for greater than six
months, but will be unable to offer this in the future. It is common practice for
this office to now offer 10 days from receipt of the additional information request
1 of 2 9/6/2005 12:19 PM
20040524 Aaron's Store
19980248 Alexander Home Trust
20050157 Alvin A. Wilkes
20041887 Angela K. Benfield
20031134 Banner Lowe, LLC (Lowes)
20041532 Big Hill Acreage Homesteads C/O Robin Hood Inc
20050140 Bridgette T. Davis : Lots 28 & 29
20050137 Bridgette T. Davis : Lot 84
19990343 Buncombe County Schools/Reynolds High School
20041156 Cataloochee Ski Area
20050302 Cathy Steinback
20041639 Charles & Christeen Lane
19981131 Commonwealth Tunnel Partners
20050661 Communities Of Penland, LLC
19971062 David And Judy Dillingham
20050180 David E. Randolph
20050119 Drew L. Van Horn
20041190 Duke Energy Corporation
20050899 Fairfield Sapphire Valley: Hampton Glenn Phase 1
20040462 Haywood Vocational Opportunities, Inc. Expansion
20050283 Helen Cook & David Caples : Lot 6
20050272 Helen Cook & David Caples : Lot 8
20040451 Hemlock Cove
19990825 Henderson County Schools New Fletcher
19981130 Highlands Cove, LLC
19990551 Jack Kasey
20050148 James R. Antonneau : Lot 26
20050298 Joseph C.Canouse
20040811 Kenneth Deck
20041811 Little Choga's Place Property Owner's Association
20050808 Louise Walker
20041888 Luke Stamey
20041965 Marc Silvanus Dorey Yates
20041555 Marlene P. Brown
20050313 Martin H. Libman
20051197 McDowell County EWP 2005-5,7,8,9,10,11
19950555 Mirrow Lake Improvement Association
4/5/2004 Never Seen
3/20/1998 1998 - Mike Parker
1/27/2005 Issued
11/23/2004 Returned as Incomplete
9/11/2003 Issued out of Raleigh
9/14/2004 Violation - Assessed - Corrected -
1/25/2005 issued
1/25/2005 issued
4/4/1999 Mike Parker
7/16/2004 Issued
2/17/2005 Issued
10/8/2004 Issued
11/10/1998 Mike Parker
3/29/2005 Violation - Settlement Agreement r
12/9/1997 Mike Parker
1/31/2005 Issued
1/24/2005 Issued
7/7/2004 ? Which project (they have 9 or sc
5/24/2005 Returned as incomplete
4/29/2005 Violation - waiting on revamped ap
2/14/2005 issued
2/14/2005 issued
3/23/2004
7/28/1999 Mike Parker
11/10/1998 Mike Parker
5/25/1999 Mike Parker
1/26/2005 Issued
2/16/2005 Issued
5/19/2004 Issued
11/9/2004 ? Have not seen
5/9/2005 Issued
11/23/2004 Returned as Incomplete
12/9/2004 Issued
9/20/2004 Issued
2/18/2005 Issued
7/5/2005 On - Hold awaiting Consultant
9/27/1995 Mike Parker
?0F W A rF?Q 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 Permit, 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]
Fax To:
Company:
t
-? 7 t1y31
Fax #:
Date: . ??
Number of pages including cover sheet:
y
Notes or special instructions:
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4010versight/Express Unit
1650 Mail Service Center, Raleigh, North Carolina 27699.1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] / Internet hit :02o enr.state.nc.us/ncA,ctIands
N"o°?C iCarolina
dvafura!!Y
An Equal Opportunity/Affirmative Action Employer-50%a Recycled/10% Post Consumer Paper
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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
January 11, 2005
DWQ Project # 04-1888 (Stamey)
DWQ Project # 04-1887(Benfield)
Mitchell County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Mr. Luke Stamey
6385 Highway 19 East
Spruce Pine, NC 28777
and
Ms. Angela K. Benfield
72 Burnette Road
Spruce Pine, NC 28777
Subject Property: Property ID Numbers 0890-15-74-2535 (Benfield) and 4758 (Stamey)
Biggerstaff Branch [7-2-41-4, Class C Tr]
REQUEST FOR MORE INFORMATION
Dear Mr. Stamey and Ms. Benfield:
On November 23, 2004, the Division of Water Quality (DWQ) received your applications to impact 246
feet of perennial streams on the two properties. Both properties are shown on the same "site" on your
respective grading and drainage plans. No project descriptions were provided for either property. 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 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. Project Description and Impact Justification
As noted above, you have not provided any description of the type of project to be constructed on
this site. Furthermore, your grading and drainage plan provided no construction details related to
the project itself. Please note that we cannot review your application for avoidance and
minimization of impacts, as required in 15A NCAC 2H.0506(b), unless detailed project
configurations are provided. You have not demonstrated why Biggerstaff Branch must be
culverted throughout the site because no alternatives analysis can be conducted due to the lack of
project details. We cannot determine how the site constraints affect your project, and therefore
whether you have minimized adverse impacts to surface waters. Please provide a thorough
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699.1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
N'07e Carolina
Natutally
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Luke Stamey and Angela Benfield
January 11, 2005
description and plan drawings of the development plans for this site, and clearly illustrate how the
two properties are related on the site. Please indicate proposed lot layout as overlays on the site
plan.
2. Type of permit
You stated that you are applying for a Nationwide Permit, but did not specify which one. Please
contact the U.S. Army Corps of Engineers Asheville Regulatory Field Office at [phone]
and ask them to determine which Nationwide Permit will be applied to this work. You should also
request that they determine the boundaries of the "single and complete project" on this site.
3. Plan Details
a. Please provide a better location map for the project. The map provided lacks a scale, north
arrow, clear labels on the road, or any crossroads to provide a frame of reference for location.
Furthermore, it is unclear which of the circled boxes refers to the site at hand, and it is unclear
where the site is in comparison to the vicinity map on the grading and drainage plan. Please
provide a vicinity map which includes a scale, north arrow, labeled roads, and a site location
which matches the vicinity map on your grading and drainage plan in order to facilitate location
of the site.
b. Please provide original plans, profiles and cross sections of Biggerstaff Branch and depict
clearly the impacted section, including all fill slopes, dissipaters, and bank stabilization on the
site plan. Please note that bank stabilization measures, such as rip rap, must be included in your
impact calculations. Please provide a clear illustration of how the stream impacts associated
with the two properties will be matched up or joined. .
c. Please provide details of any dissipaters on upstream and downstream side of the culverts for
the properties/site. Please indicate the location of the protected buffers as overlays on the site
plan.
d. You should note that Biggerstaff Branch is classified as C Tr. Since this is a trout stream,
please indicate all pre-and-post construction impacts to trout buffers on the site plan.
e. Please provide cross section details showing the provisions for aquatic life passage.
f. Section XI of the Pre-Construction Notification requires that you provide the existing and
proposed impervious surface area for the site in order to stormwater management needs to be
determined. You noted that "No final site plan has been worked up on this site." As discussed
earlier in this correspondence, we cannot issue a 401 Water Quality Certification for which no
specific project details have been provided. Please specify the percent of project
imperviousness area based on the estimated built-out conditions. If this percentage exceeds
30%, you will need to include a site-specific stormwater management plan designed to remove
85% TSS according to the latest version of DWQ's Stormwater Best Management Practices
manual at a minimum. Additionally, in watersheds that are classified as trout waters (Tr), 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.
g. Please indicate all stormwater outfalls on the site plan.
Luke Stamey and Angela Benfield
January 11, 2005
4. Mitigation
246 feet of compensatory stream mitigation is required for this project because of cumulative
impacts associated with the two properties, unless you can make a compelling case that these are
two distinct, separate and complete projects, and the Corps of Engineers agrees to treat the site as
two separate and complete projects. Please provide a compensatory stream mitigation plan. The
plan must conform to the requirements in 15A NCAC 2H.0506(h) and must be appropriate to the
type of impacts proposed. You have the following options for satisfying the mitigation requirement
associated with this project:
a) Payment into the North Carolina Ecosystem Enhancement Program (EEP), if the EEP will
accept the responsibility for conducting this mitigation work, or
b) Preparing and implementing a stream mitigation plan with a minimum of a 1:1 restoration
component for 246 feet of impacts.
If you decide to propose use of EEP in lieu of developing your own stream mitigation plan, you
will need to contact Ms. Suzanne Klimek with the EEP at [phone] to see if they will
accept the project. You should note that mitigation requirements proposed to be mitigated
through the EEP must be rounded to the nearest linear foot increment according to 15 2r.0503.
Please respond within three weeks of the date of this letter by sending three copies of this information to
me in writing. I strongly recommend that you request an on-site pre-application meeting with Mr. Kevin
Barnett of the DWQ Asheville Regional Office. He can be contacted at [phone]. If we do not
hear from you within three weeks, we will assume that you no longer want to pursue this project and we
will consider the project as withdrawn.
This letter only addresses the application review and does not authorize any impacts to wetlands, waters
or protected buffers. Please be aware that any impacts requested within your application are not
authorized (at this time) by the DWQ. Please call Kevin Barnett or me at 919-733-1786.if you have any
questions regarding or would like to set up a meeting to discuss this matter.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight and Express Permits Unit
CBKlcbk
cc: Kevin Barnett, DWQ Asheville Regional Office
USACE Asheville Regulatory Field Office
File Copy
Central Files
Dawn Thomas, Atlantic Plan Eng., Post Office Box 1691, Hickory, NC 28603
Filename: 04-1888LukeStameyBenfield(Mitchell)OnHold
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 project:
® 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: Nationwide
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), c ct-here: ?
D
II. Applicant Information ( lS D YLRD
p
1. Owner/Applicant Information NO V 2 3 2004
Name: Luke Stamey DENR - WATER Q6?n
Mailing Address: 6385 Hwy 19 E mi?105AtdDSTOR1?ygTERBRAh N
Spruce Pine NC 28777
Telephone Number: [phone] Fax Number: [phone]
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.)
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
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 of project: Stamey
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 0890-15-74-4758
4. Location
County: Mitchell Nearest Town: Spruce Pine
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.):
Property located between Flick Video as 6385 E US 19 Hwy and Hardee's located n 6187
E US 19 Hwy in Spruce Pine.
5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.35' W 82° 2.9'
(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):
7. Nearest body of water (stream/river/sound/ocean/lake): Bifigerstaff Branch
8. River Basin: French Broad
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:Hli2o.enr.state.nc.us/adniin/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: Cleared open level lot. Land use in vicinity is commercial.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Placins- a culvert in the stream and backfillin this pipe Equipment to the used backhoe
bulldozer and dump treks.
11. Explain the purpose of the proposed work: Place a pipe culvert in Biggerstaff Branch
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
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 wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
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:
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**
(yes/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 Faderal Emergency Management Agency's (FEMA) Hood Insurance: Rate Maps
(FIRM), or FE-MA-approved local floodplain maps. Maps are available through the FEMA Map Service; Center at 1-800-358-9616, or
online at Iri tn?//????w. fcma. ?,ov.
**• List a wetland type that best describes \vctland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate ifwctland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:
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 secif
1 Culvert 99 Biggcrstaff Branch 1.5 Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and alter, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wail, gabions, etc.), excavation, ditching/straightcning, 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
do%%nstrcam named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
w%N-Nvmsgssgov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.tolwronc.coni,
«?cw.malxlucsLCom, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 99'
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 Watble)
(if applicable) Type of Waterbury
(lake, pond, estuary, sound
bay, ocean, etc.)

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, 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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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 viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were ininimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
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
littp:Hli2o.enr.state.ne.us/ncxvetiands/strm!>ide.litml.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at littp:Hii2o.enr.state.nc.us/carp/index.litm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
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
(federal/state) 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 square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone I extends out 30 feet perpendicular from near bank of channel; 'Lone 2 extends an
additional 20 feet from the edge of Zone 1.
Page I I 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, Presentation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No final site plan has been worked upon this site
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.
Public sewer lines are accessible from the site
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.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).
62
U Applicant/Agent's Signalure / bate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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L ATuumcPLAN
ENGINEERING NOW AND FOR'nIE FUI RE
Date: November 19, 2004
To: Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Re: Angela Benfield Project
Luke Stamey Project
To Whom It May Concern:
R[P=@F=0WF= 0
NUV 2 3 2004
DENR - WATER QUALITY
WETUINDS AND STORM4NATER BRANCH
Enclosed are the Pre-Construction Notification Applications for the two (2) above
referenced projects.
If you should have any questions regarding either project, please call our office at the
phone number listed below.
Thank you,
Dawn Thomas
ENGINEERIlVG CORPORATION
PO Box 1691 [phone] [phone] Fax
Hickory, NC 28603 [e-mail]
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 project:
® 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: Nationwide
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: ?
U ?/
II. Applicant Information
D
1. Owner/Applicant Information NU V 2 3 2004
Name: Luke Stamey
Mailing Address: 6385 HM 19 E It DENRWATER
Spruce Pine, NC 28777 AND STORIAVATERQRA?
Telephone Number: [phone] Fax Number: [phone]
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.)
Company Atfiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
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 of project: Stamey
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 0890-15-74-4758
4. Location
County: Mitchell Nearest Town: Spruce Pine
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.):
Property located between Flick Video n 6385 E US 19 Hwy and Hardee's located n 6187
E US 19 Hwy in Spruce Pine
5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.35' W 82° 2.9'
(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): 0.75
7. Nearest body of water (stream/river/sound/ocean/lake): Big`gerstaff Branch
8. River Basin: French Broad
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp:Hii2o.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: Cleared open level lot. Land use in vicinity is commercial.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Placing a culvert in the stream and backfilling this pipe. Equipment to the used, backhoe
bulldozer and dump trucks.
11. Explain the purpose of the proposed work: Place a pipe culvert in Biggerstaff Branch.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
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 wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
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:
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**
(•cs/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: mccluvuzel clearing, grading, nu,
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) Hood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Ccnter at 1-800-358-9616, or
online at http://%v%Nw.fcma.cov.
••' List a wetland type that best describes wetland to be impacted (e.g., freshwater/salhvater marsh, forested Nvcdand, 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:
Total area of wetland impact proposed:
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 Im act Perennial or
Intermittent?
specify)
I Culvert 99 Biggcrstafl'Branch 1.5 Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement Nvall, rip-rap, crib ?tiall, 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 maps are available through the USGS at 1-800-358-9616, or online at
w??w.usss.< ov. Several intemet sites also allow direct download and printing of USGS maps (e.g., Nvwxv.topozone.com,
www.mauucsLann, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 99'
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 Watcrbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: 611, 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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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 viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were mininuzed once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 21-1 .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
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
littp•Hll2o.enr.state ne.us/ncxvctlands/strm?;ide.litnil.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.]itm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
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
(federal/state) 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 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone I.
Page I I 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 NCAC 213 .0242 or.0260.
X1. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss storm-water controls proposed in order to protect surface waters and wetlands
downstream from the property. _
No final site plan has been worked u on this site.
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.
Public sewer lines are cessible from the site.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (I SA NCAC 2H.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 sequencinD 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).
Jc?
avU
-,'?7_ Applicant/Agent's Signature i vale
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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° , ,° !`• ? ? ? ?: ?• ..``. •? V ` Imo. , !` f'?/• i,!' J`y ..
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Ccppl9,N (C)IC9
7 map-,ech,
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.
kit any parncuiar item is not app icame to tnis project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide
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 0@@@8
@1. Owner/Applicant Information NU D
V 2 3 2004
Name: Luke Stame
Mailing Address: 6385 Hwy 19 E
Telephone Number: [phone] Fax Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
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 I I by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Stamey
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 0890-15-74-4758
4. Location
County: Mitchell Nearest Town: Spruce Pine
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, ctc.):
Property located between Flick Video n 6385 F US 19 Hwy and Hardee's located n 6187
E US 19 Hwy in Spruce Pine.
5. Site coordinates, if available (UTM or Lat/Long): N 350 55.35' W 82° 2.9'
(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): 0.75
7. Nearest body of water (stream/river/sound/ocean/lake): Biggerstaff Branch
8. River Basin: French Broad
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp://li2o.enr.state.nc.us/admin/mal)s/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Cleared open level lot. Land use in vicinity is commercial
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Placing; a culvert in the stream and backfilling this pipe Equipment to the used backhoe
bulldozer and dump trucks.
11. Explain the purpose of the proposed work: Place a pipe culvert in Biggerstaff Branch.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
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 wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
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:
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**
(yes/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: mcehanized 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 Fexleral Emergency Management Agency's (FEMA) Hood 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 httplhtl?wScma. ov.
•*' List a wetland type that best describes wetland to be impacted (e.g., fresh«ster/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, eta) 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:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(pleasespecify)
1 Culvert 99 BiggcrstalFBranch 1.5 Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and aflcr, and net loss/gain),
stabilization activities (cement 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
do«zrstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
wv.w.us!?s.,ov. Several internet sites also allow direct download and printing of USGS maps (e.g., w%\,tiv.topozone.com,
nril)(l(lesLColn, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 99'
Page 3 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 map)
Type of Impact* Area of
Impact
(acres)
Name of Watc)
(?f applicable) Type of Waterbody
(lake, pond, estuary, sound
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but arc not limited to: fill, 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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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 viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. 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
littp://ii2o.enr.state.nc.tis/ncxvetlands/strm!;ide.litml.
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.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://li2o.enr.state.nc.us/wrp/index.litm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
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 (rcquircd by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No 23
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 (rcquircd 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 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify. )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
T e.one f extenas out su tect perpenaicular from near bank of channel; "Lone 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 NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No final site plan has been worked upon this site -
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.
Public sewer lines are accessible from the site.
XIiI. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.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
constriction 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).
//r1/avv?-
v Applicant/Agent's Signalture / bate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
I r'
•• -• ,• ? , of ?, o o `.??• •? - ?? •?
elf
T r
3 .1p
• ?-? -r• X96'
,Firstryw? il( -
40
. r/, ? . `_.' tit i.? -' %. -? t ? 1+?•''_ )y. - ? • ;?
i _
CO?Nt9?t (C)
Office Use Only: Form Version May 2002
USACC 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 project:
® 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: Nationwide
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 Coa ana ement Area of
Environmental Concern (see the top of page 2 for further details), c V
D
II. Applicant Information Nu V 2 3 2004
1. Owner/Applicant Information DENR 4tN•?s???osrc?;:.-?
Name: Luke Stamen
Mailing Address: 6385 Hwy 19 E
Spruce Pine NC 28777
Telephone Number: [phone] Fax Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
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 of project: Stame
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 0890-15-74-4758
4. Location
County: Mitchell Nearest Town: Spruce Pine
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.):
Property located between Flick Video n 6385 E US 19 Hwy and Hardee's located (a? 6187
E US 19 HL in Spruce Pine.
5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.35' W 82° 2.9'
(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): 0.75
7. Nearest body of water (stream/river/sound/ocean/lake): Biggerstalf Branch
8. River Basin: French Broad
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp://ii2o enr state.nc.us/adniin/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: Cleared oven level lot Land use in vicinity is commercial.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Placing a culvert in the stream and backfilling?this pipe Equipment to the used backhoe
bulldozer and dump trucks.
11. Explain the purpose of the proposed work: Place a pipe culvert in Biggerstaff Branch.
1V. Prior Project History
if jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
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 wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
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:
2. Individually list wetland impacts below:
t
i
Wetland Impact
Site Nurnber
(indicate on tree)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) o
stance
D
Nearest Stream
(linear feet
Type of Wetland***

h.,.+:-+...t A-Trinn arnrlinv tilt
* List each impact separately and identily temporary Impacts. Impacts mctuuc, uu?.ue. •.Ua uuu•w - --- m--- -
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 Ittsurance IL•Ite Maps
(FIRM), or FEMA-approval local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://\\'xNAvXema."ov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshnutcr/saltwater marsh, forestal \vctland, 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:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
I
Type of Impact*

Culvert Length of
Impact
linear feet)
99
Stream Name**

Biggcrstaff Branch Average WidtlI
of Stream
Before Impact
1.5 Perennial or
Intermittent?
( lease s ecify)
Perennial

t._. _ lf? anti -c iatm rirt-ran_
* List each impact separately and identify temporary impacts. unpacts mcrauc, out are uuL wui.w ??••?•• • -'- -----•-___ ._,. --
dam (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straiglttetting, 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
wAvw'.us<,s.fZov. Several inlernet sites also allow direct download and printing of USGS traps (e.g., wwAv topozone.com,
w-\Nw malxiucst.Cont, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 99'
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 Water body
(lake, pond, estuary, sound,
bay, ocean, etc.

-..-._ t,... .. ..,.. I:. ..:e ?A ..,• fill eX Va. finn dretlninP-
•?? .?....., -- .- .-.., -
List each impact separately and identity temporary impacts. unpau i uwuauc, .,u. ,aa.. ...........
--flooding, drainage, bullheads, 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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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 viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. 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
h•//112o enr state nc us/ncwetl,inds/strm!1ide.litml.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http7//h2o enr.state.nc.us/wrn/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
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.
X.
Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? 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 ?
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
(Neuse), 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 square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zones Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
' Zone I extends out 3o tcet perpendicular from near oank of caanuea, c.uuc Z. cnu.uua .,,,
additional 20 feet from the edge of Zone 1.
Page I I 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 NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property. -
No final site lan has been worked tip on this site.
X11. 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.
Public sewer lines are ceessible from the site.
XI1I. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
1IV. 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).
J?
//// ?/ago ?
!l:1LL'
Applicant/Agent's Si;n ure
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
,: ? .. -- 'ter ` = i'? ._. _•? ?• ?•? -
• •; 'tom- _ .. ? ' ? !• + ,!? .•? !?-. -' .
._•__ .. _ .. it - ? .; , ? .?,_ tZ,.'• . ????a..• - -- • • • ,
•f' l? .O`/ n •,?- c •??1'??y` ,?s r_..' ,r ,".??`,i J' i ?- X11'.
f?/??`?`? - •' f o ? ? r'- f +- `? 1 J• - - y?_ _ X1.11 . ./••• , .'• ,
?'`-?'J • /'mar . - • ? /?• D 'r 'T , ,\• • ?V ti
fir.". r ! : ? • , -t =, /' .. •` - ? J7 ?j .- - .• .•' ?,-
:• l f ? ? --% ? - -' . , -? f `• ?? ?- fi'r' ? ? ??` - :u
CCpy,1, (C? 1937. R'43ptCCfl 4 (' - • \. *.
Office Use Only: Ponn Vcrsion 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 project:
® 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: Nationwide
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: Lu
Mailing Address: 6M
J@(r--a@flV,
Spruce Pine, NC 28777 "1 0 ZUU4
1 rn aENR - WATFR n. -
Telephone Number: [phone] Fax Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
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 of project: Stamey
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 0890-15-74-4758
4. Location
County: Mitchell Nearest Town: Spruce Pine
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.):
Property located between Flick Video n 6385 E US 19 Hwy and Hardee's located n 6187
E US 19 Hwy in Spruce Pine.
5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.35' W 82° 2.9'
(Note - If project is linear, such as a road or utility he, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 0.75
7. Nearest body of water (stream/river/sound/ocean/lake): Biggerstaff Branch
8. River Basin: French Broad
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://ii2o.enr.state.nc.us/adniiii/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: Cleared open level lot. Land use in vicinity is commercial.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Placing a culvert in the stream and backfillin this pipe. Equipment to the used backhoe
bulldozer and dump trucks.
11. Explain the purpose of the proposed work:_ _ Place a pipe culvert in Biggerstaff Branch.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
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 wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
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:
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**
(cs/n0) Distance to
Nearest Stream
(linear feet)
Type of Wctland***

* List each impact separately and identify temporary impacts. Impacts include, but arc not limited to: mcehanized 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 hUnl/????w.lcma. ov.
*** List a wetland t)pe that best describes wetland to be impacted (e.g., freshNvater/saltwater marsh, forestal 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:
Total area of wetland impact proposed:
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 specify)
1 Culvert 99 Biggcrstaff Branch 1.5 Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated np-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposal, 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 maps are available through the USGS at 1-500-358-9616, or online at
N\\tiw.usTs.Lov. Several intemet sites also allow direct download and printing of USGS maps (e.g., wxvw.topozone.com,
%\ww.1mipqucsLconi, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 99'
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 map)
Type of Impact* Area of
Impact
(acres)
Name of Wat)
(if applicable) Type of Watcrbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but arc not limited to: fill, 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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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 viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. 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
littp•//li2o enr state nc.us/ncNvetiands/strm?-lide.litmi.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at littp:Hli2o.enr.state.ne.us/wrp/index.litill. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
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
(federal/state) 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
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify V
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier acquired
Mitigation
1 3
2 1.5
Total
• "Zone I extends out 3U tect perpendicular from near oanK of cnannei; cone i cxtcnus 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 NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No final site plan has been worked upon this site -
XI1. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Public sewer lines are accessible from the site
_X1II. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.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 processng 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).
j-L?10
1111110620 ?
U Applicant/Agent's Signaiture / Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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°• ,?- -•? ``,':f.•- - •` ?',,- ??'` ..?J?? /elkFirst~???`?'j?ilt?t?
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Ccori-pt lC) 1937. Rr',?pl2ch, In +.. t' . `. ' • z' • *
Office Use Only: Form Vcrsion 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 project:
® 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: Nationwide
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 U
D
1. Owner/Applicant Information '0 V 2 3 2004
Name: Luke Stamey QUALITY
Mailing Address: 6385 Hwy 19 E wF?taraps osrny,?
Spruce Pine NC 28777 `-
Telephone Number: [phone] Fax Number: [phone]
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:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
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 of project: Stamey
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 0890-15-74-4758
4. Location
County: Mitchell Nearest Town: Spruce Pine
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.):
Property located between Flick Video n 6385 E US 19 Hwy and Hardee's located n 6187
E US 19 HLV in Spruce Pine.
5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.35' W 82° 2.9'
(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): 0.75
7. Nearest body of water (stream/river/sound/ocean/lake): Biggerstaff Branch
8. River Basin: French Broad
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://ii2o.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: Cleared open level lot. Land use in vicinity is commercial.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Placing a culvert in the stream and backfllin T this pipe. Equipment to the used, backhoe
bulldozer and dump trucks
11. Explain the purpose of the proposed work: Place a pipe culvert in Biggerstaff Branch.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
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 wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
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:
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**
(yes/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 FE-MA-approved local floodplain maps. Maps are available through the FEMA Map Service Centcr at 1-300-358-9616, or
online at hdn://NNNvw.1ema.-,ov.
**' 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 USAGE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(pleasespecify)
1 Culvert 99 Biggerstaff Branch 1.5 Perennial

* List each impact separately and identify temporary impacts. hnpacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightcning, etc. If stream relocation is
proposed, plans and profiles shoeing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a strewn has no nacre, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.us?_, s.(ov. Several intcrnet sites also allow direct do%nload and printing of USGS maps (e.g., www.loLione.com,
www.map quest.Com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
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 map)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredgmg
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
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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 viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. 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
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? 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 square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
{ Lone 1 extends out Su feet perpenaicuiar from near Dam: o[ cnannc , cone i cxicnus alp
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 NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property. _
No final site plan has been worked u on this site.
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.
Public sewer lines are accessible from the site.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .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).
Jt?
aoo
//// // I
61 Applicant/Agent's Signature / Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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P.E. NC 028223
JUNCTION 80X DETAIL -o
DRAWN ®Y: M . MG APPROVED $Y: Rdf TING CORP. SMT NAME PROD€C1 LUKE A SW. NO.
DATE: 11-16-04 PROD, W. P.O. BOX 1691 AE PLAN GRADING A
HICKORY, N.C. 28603 e-mail atlplan®conninc.com nninc.com SPRUCE PINE, NORTH CARGUNA
PHONE: t828) 327-2621 FAX: [phone] X31