20051888 Ver 1_Complete File_20051011

f APPALACHIAN PROFESSIONAL LAND SURVEYORS & CONSULTANTS, P.A. f
f Land Surveyors & Land Planners
PO Box 1578 - Boone, North Carolina 28607 ,f
`-? Telephone [phone]
October 6, 2005
Ms. Cyndi Karoly
NC DENR DWQ
Wetlands/401 Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Dear Ms. Karoly,
Enclosed with this letter are seven copies of the 404/401 permit application for a residential
development project located in Wilkes County on Boone Trail Highway also known as Old Hwy.
421. This application is for a stream crossing, placement of culvert pipe and fills for new street,
on behalf of the owners/developers, Mr. Maurice Templeton and myself, Donald H. McNeil. The
application is for a NWP 39 and WQC 3402 permits and the proposed impacts are for 65 linear
feet of perennial stream. The watercourse is Tucker Hole Creek and is listed in a WS-IV
watershed and is not designated as trout waters. There are no wetlands impacted on this project
and much of the stream area is to be placed into deeded common area for protection.
It is my understanding of the WQC 3402 that no written certification is required and no
application fee is needed.
Please contact me at [phone] if you have any questions, thank you
zlg(? /`,C
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onald H. McNeil, PLS, L-2809
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Office Use Only: Form Vcrsion March 05
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:
X Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: X
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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 furt fig qils) check here: ?
II. Applicant Information@
0? D
T 2005
1. Owner/Applicant Infortnation „r.
Name: Maurice Templeton, Pres. Y,06yi ct?WcNQ, VP
Mailing Address: 8312 W, US Hwy. No. 421 ., 11111tiia Xl,
Wilkesboro, NC 28697
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: [e-mail]
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: Donald Fl. McNeil
Company Affiliation: Appalachian Professional Surveyors & Consultants, PA
Mailing Address: 1480 US Hwy. 421 South
Boone, NC 28607
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: dhmac belIsouth.net
Page 5 of 14

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: Canterbury Farms Phase Two
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 3848-69-4178
4. Location
County: Wilkes Nearest Town: N. Wilkesboro
Subdivision name (include phase/lot number): Canterbury Farms Phase Two
Directions to site (include road numbers/names, landmarks, etc.): from Wilkesboro at
intersection ofUS Hwy 421 and Curtis Bridge Road; follow Curtis Bridge Road north to
intersection with Boone Trail/Old Hwy. 421 then follow Boone Trail west approximately 2.5
miles to development on left. Entrance has large stone walls and is just west of Harmony
Bantist Church.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.1736 ON 81.2128 °W
6. Property size (acres): 70 acres
7. Name of nearest receiving body of water: Yadkin River
8. River Basin: Yadkin River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://li2o.enE.state.ne.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: Current conditions are a mix of hay fields and woods
Approximately 50150 mix. Tucker Hole Creek runs through central and eastern part of tract.
Page 6 of 14

Orginal tract was 253 acres of which most has been developed into residential lots and mini-
farms Of the 70 acres to be developed approximately 30% is mature hardwood stands with
the balance being hay fields and the areas along Tucker Hole Creek. Land use is real
development and small farms with single family residences. This tract is a part of N.
Wilkesboro City limits under satellite annexation. There is a total of 4175 feet of water
courses located on the entire 253 acres none of which have been affected by the
development
10. Describe the overall project in detail, including the type of equipment to be used: Project is
To develop the 70 acres into 10 mini-farms requiring the construction of a city street with a
Single crossing of Tucker Hole Creek. Construction will require the installation of a pipe in
the creek and the use of heayy grading equipment to construct the road bed. There is also a
possible crossing (under stream bed) of a public sewer line to serve six of the ten tracts. It has
not been determined at this time if the sewer line will need to go under the creek at a location
south of the planned street crossing. If it is determined that the existing sewer line on the east
side of the creek is not deep enough for the line to flow into it by running under the stream
bed then the sewer line will be constructed in the planned road shoulder and will run with the
road at the planned crossing
11. Explain the purpose of the proposed work: Development of rural land located within the
city limits of North Wilkesboro into small farms for single family residences. These tracts are
4 to 6 acres in size and are not to be resubdivided.
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. None, No 404 or 401 permits have been used on this property.
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.
None, There are no future development plans which would require 404 or 401 permits.
Page 7 of 14

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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
1. Provide a written description of the proposed impacts: The proposed impact for this
project is for a street crossing to access lands west of Tucker Hole Creek. This is the
installation of a pipe and fill for the road bed. This will be an impact of 65 feet. A possible
area of impact also included in this application would be the installation of a public sewer
line under the stream bed at a point approximately 650 south of the planned street crossing.
This would be a temporary impact of 20 feet should the engineer determine that this is the
location to place the sewer line in order to serve six of the tracts. The alternative location of
the sewer line will not impact the stream bed and would be included in the impact of the
street crossing. This would place the sewer line in the shoulder of the planned street and
above the culvert.
2. Individually list wetland impacts. Types of 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.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0.5 acre
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
Page 8 of 14
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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
mnct he included. To calculate acreace. multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
One Tucker Hole Creek Culvert Perennial 5.0 ft 65 ft 0.008 ac
Two Tucker Hole Creek Sewer line Perennial 5.0 ft 20 ft 0.002 ac

Total Stream Impact (by length and acreage) 85 ft 0.01 ac
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
indicate on ma Name Waterbody
applicable) e)
(if ap
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
acres

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the proiect:
Stream Impact (acres): 0.01 ac
Wetland Impact (acres): None
Open Water Impact (acres): None
Total Impact to Waters of the U.S. (acres) None
Total Stream Impact (linear feet): 85 ft
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XX No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. 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.
Page 9 of 14
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.):
Current land use in the vicinity of the pond:
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.
The impacts noted for the proposed project are for the street crossing needed to access the
lands to the west of Tucker Hole Creek which is cutoff from any street access available to the
owners/developers. The planned pipe for this crossing will be an arch ape and installed with the
bottom of the pipe countersunk below the stream bed allowing approximately 10 to 15% of the
pipe to fill with stream bed material. The second impact is temporary in nature in that the sewer
pipe, if it determined that the sewer line will work in this area, will be placed under the stream
bed. Once construction of the pipe is complete, the stream bed and the banks will be repaired to
as close to the orginal condition as possible. The Town of North Wilkesboro has required that
these tracts be provided with sewer service.
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.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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.
Page 10 of 14
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 NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetiands/strmi,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.
Mitigation at this site will be creation of a corridor along Tucker Hole Creek which will
be placed into deeded common area owned by the Property Owners Association to remain in
its natural state. This corridor varies in width from 75 feet to as much as 200 feet and will
serve to protect the buffer areas and wetlands along the stream course, permanently. There
will be some low intensity uses within the common area, ie: Walking trails and picnic areas.
This common area along Tucker Hole Creek will cover approximately 3.75 to 4.0 acres.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.litm. If use of the NCEEP is proposed, please
check the appropriate box on page five 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):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No XX
2. 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)?
Page 11 of 14
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 ?
3. 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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No XX
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I I Zone* Impact Multiplier Required
(square feet) Mitigation
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone I.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 213 .0242 or .0244, or .0260. This property is located in a WS-IV
watershed area and the impacts to the buffer area is limited to the road crossing only. The
impact required for the installation of the sewer line is temporary. No other work is planned
within 30 feet of the stream banks.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
Page 12 of 14
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. There are no existing impervious areas located
on the 70 acres of undeveloped lands. The planned impervious area is 3.7 acres which accounts
for approximately 5% of the area. On the entire 253 acres there is currently approximately 15
acres of impervious area or 8% of the area. This would be a combined 19 acres or 7.5%
impervious area
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.
Seway,e disposal for these tract and for the previously developed lands is by public sewer service
except for 7 tract of 5 acres or greater located 1000 to 1500 feet away from Tucker Hole Creek
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No XX
Is this an after-the-fact permit application? Yes ? No XX
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No XX
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/newetlands. If no, please provide a short narrative description:
This is the remaininy, area of the development property and these tracts cannot be subdivided per
the restrictive covenants on record and enforced by the Property Owners Association.
XV. 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).
Page 13 of 14
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(9-5-6,5,
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 14 of 14
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Page 1 of 1
Property Report - CANTERBURY-FUTURE SUB LOTS
I
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Property Details
START 117 UNIOUEID 32369
PARCEL_ID 1 11508159 ACCOUNT 1 1130435
OWNERI TEMPLETON. MAURICE A TRUSTEE OWNER2
MAIL ADDR1 P 0 BOX 2840 MAIL_ADDR2
CfTY BOONE STATE NC
ZIP CODE 28607 CLASS R1
FlRE_DIST CFO I FIRE NAME
TOWNSHIP PROP_ADDR CANTERBURY-FUTURE SUB LOTS
ORTHO -? 3848.07 Plu 1 1 3S4"9-4178
TOTAL ACRE 70.8 LAND_VAL 227600
AGLAND VAL 0
- 11 DLDO VAL 0
TOTAL_VAL 227600 11 COSTTOT VA 1 1227600
113K -PG 1 1949/129-133 BOOK B49
PAGE 129.133 DEED_OATE 6!2812004
OLD NEIGH 780 NEIGHBORHD 30100
SALE DATE C 28/2004 SALE_PRICE 0
http://www.undersys.com/scriptsltestadvlusiweb.dlllusi?fonnis=ptmap&MouseX=O&Mou... 8/27/2005
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "toot Applicable" or "NIA' .)
1. Processing
Check all of the approval(s) requested for this project:
X Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: X
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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 ? of
Environmental Concern (see the top of page 2 for further detail (,
II. Applicant Information OCT 1 1 2005
1. Owner/Applicant Information DENR-W TE QUALITY
?' DS A1dD STER 70RM?N11T1=R BRANCH
Name: Maurice Templeton, Pres. / Donald H. McNeil, VP _
Mailing Address: 8312 W, US Hwy. No. 421
Wilkesboro, NC 28697
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: dhmac e,bellsouth.net
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: Donald H. McNeil
Company Affiliation: Appalachian Professional Surveyors & Consultants, PA
Mailing Address: 1480 US Hwy. 421 South
Boone, NC 28607
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: dhmac(i?bellsouth.net
Page 5 of 14
3
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: Canterbury Farms Phase Two
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 3848-69-4178
4. Location
County: Wilkes Nearest Town: N. Wilkesboro
Subdivision name (include phase/lot number): Canterbury Farms Phase Two
Directions to site (include road numbers/names, landmarks, etc.): from Wilkesboro at
intersection ofUS Hwy 421 and Curtis Bridge Road; follow Curtis Bridge Road north to
intersection with Boone Trail/Old Hwy. 421 then follow Boone Trail west approximately 2.5
miles to development on left. Entrance has large stone walls and is just west of Harmony
Baptist Church.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.1736 °N 81.2128 °W
6. Property size (acres): 70 acres
7. Name of nearest receiving body of water: Yadkin River
8. River Basin: Yadkin River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp:Hh2o.enr.state.ne.us/admin/reaps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Current conditions are a mix of hay fields and woods
Approximately 50150 mix. Tucker Hole Creek runs through central and eastern part of tract.
Page 6 of 14
Orginal tract was 253 acres of which most has been developed into residential lots and mini-
farms Of the 70 acres to be developed approximately 30% is mature hardwood stands with
the balance being hay fields and the areas along Tucker Hole Creek. Land use is rual
development and small farms with single family residences. This tract is a part of N.
Wilkesboro City limits under satellite annexation. There is a total of 4175 feet of water
courses located on the entire 253 acres none of which have been affected by the
development
10. Describe the overall project in detail, including the type of equipment to be used: Project is
To develop the 70 acres into 10 mini-farms requiring the construction of a city street with a
Single crossing of Tucker Hole Creek. Construction will require the installation of a pipe in
the creek and the use of heavy grading equipment to construct the road bed. There is also a
possible crossing (under stream bed) of a public sewer line to serve six of the ten tracts. It has
not been determined at this time if the sewer line will need to go under the creek at a location
south of the planned street crossing. If it is determined that the existing sewer line on the east
side of the creek is not deep enough for the line to flow into it by running under the stream
bed then the sewer line will be constructed in the planned road shoulder and will run with the
road at the planned crossing
11. Explain the purpose of the proposed work: Development of rural land located within the
city limits of North Wilkesboro into small farms for single family residences. These tracts are
4 to 6 acres in size and are not to be resubdivided.
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. None, No 404 or 401 permits have been used on this property.
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.
None, There are no future development plans which would require 404 or 401 permits.
Page 7 of 14
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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
1. Provide a written description of the proposed impacts: The proposed impact for this
project is for a street crossing to access lands west of Tucker Hole Creek. This is the
installation of a pipe and fill for the road bed. This will be an impact of 65 feet. A possible
area of impact also included in this application would be the installation of a public sewer
line under the stream bed at a point approximately 650 south of the planned street crossiny'.
This would be a temporary impact of 20 feet should the engineer determine that this is the
location to place the sewer line in order to serve six of the tracts. The alternative location of
the sewer line will not impact the stream bed and would be included in the impact of the
street crossing. This would place the sewer line in the shoulder of the planned street and
above the culvert.
2. Individually list wetland impacts. Types of impacts include; but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
se arately list impacts due to both structure and flooding.
Wetland Impact
Site Number

(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,

herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0.5 acre
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
Page 8 of 14
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acreage, multi 1 length X width, then divide b 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Intermittent. Perennial Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet) Area of
Impact
(acres)
One Tucker Hole Creek Culvert Perennial 5.0 ft 65 ft 0.008 ac
Two Tucker Hole Creek Sewer line Perennial 5.0 ft 20 ft 0.002 ac

Total Stream Impact (by length and acreage) 85 ft 0.01 ac
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
indicate on ma Name Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Im act (acres): 0.01 ac
Wetland Impact acres): None
Open Water Impact (acres): None
Total Impact to Waters of the U.S. (acres) None
Total Stream Impact linear feet): 85 ft
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XX No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. 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.
Page 9 of 14
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.):
Current land use in the vicinity of the pond:
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.
The impacts noted for the proposed project are for the street crossing needed to access the
lands to the west of Tucker Hole Creek which is cutoff from any street access available to the
owners/developers. The planned pipe for this crossing will be an arch pipe and installed with the
bottom of the pipe countersunk below the stream bed allowing approximately 10 to 15% of the
pipe to fill with stream bed material. The second impact is temporary in nature in that the sewer
pipe, if it determined that the sewer line will work in this area, will be placed under the stream
bed. Once construction of the pipe is complete, the stream bed and the banks will be repaired to
as close to the orginal condition as possible. The Town of North Wilkesboro has required that
these tracts be provided with sewer service.
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.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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.
Page 10 of 14
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 NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://ii2o.enr.state.ne.us/ncwet]ands/strm?,ide.litm1.
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.
Mitigation at this site will be creation of a corridor along Tucker Hole Creek which will
be placed into deeded common area owned by the Property Owners Association to remain in
its natural state. This corridor varies in width from 75 feet to as much as 200 feet and will
serve to protect the buffer areas and wetlands along the stream course, permanently. There
will be some low intensity uses within the common area, ie: Walking trails and picnic areas.
This common area along Tucker Hole Creek will cover approximately 3.75 to 4.0 acres. _
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five 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):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No XX
2. 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)?
Page 11 of 14
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 ?
3. 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 213 .0233
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No XX
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I I Zone* Impact Multiplier Required
(square feet) Mitieation
3 (2 for Catawba)
1.5
Total I
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 213 .0242 or .0244, or .0260. This property is located in a WS-IV
watershed area and the impacts to the buffer area is limited to the road crossine onlv. The
impact required for the installation of the sewer line is temporary. No other work is planned
within 30 feet of the stream banks.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
Page 12 of 14
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. There are no existing impervious areas located
on the 70 acres of undeveloped lands. The planned impervious area is 3.7 acres which accounts
for approximately 5% of the area On the entire 253 acres there is currently approximately 15
acres of impervious area or 8% of the area. This would be a combined 19 acres or 7.5%
impervious area
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.
Sewage disposal for these tract and for the previously developed lands is by public sewer service
except for 7 tract of 5 acres or greater located 1000 to 1500 feet away from Tucker Hole Creek
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No XX
Is this an after-the-fact permit application? Yes ? No XX
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No XX
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetiands. If no, please provide a short narrative description:
This is the remaining area of the development property and these tracts cannot be subdivided per
the restrictive covenants on record and enforced by the Property Owners Association.
XV. 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).
Page 13 of 14
_5-_DS
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 14 of 14
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Property Report - CANTERBURY-FUTURE SUB LOTS

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Property Details
START 1 1117 UNIOUEID 1 1 32369
PARCEL-ID 1508159 ACCOUNT 130435
OWNERt 1 1 TEMPLETON. MAURICE A TRUSTEE 0WNER2
MAIL ADDR7 P O BOX 2640 MAILJIDDR2
CITY BOONE STATE NC
ZIP CODE 28607 CLASS R1
FlRE_DIST C01 FIRE NAME
TOWNSHIP PROP_ADDR CANTERBURY-FUTURE SUB LOTS
ORTHO 3848.07 PIN 3UM94178
TOTAL_ACRE 70.8 LAND_VAL 1 1227600
AGLAND VAL 0 BLDG_VAL 0
TOTALVAL _l
1 227600
1 COSTTOT VA 1 1227600
OK_PG 949/129-133 BOOK 949
PAGE 1 1129-133 DEED _DATE 628!2004
OLD_NEIGH 780 NEIGHBORHD 30100
SALE-DATE 6282004 SAL.E_PRICE 0
http://www.undersys.conVscripts/testadv/usiweb.dlllusi?fomiis=ptmap&MouseX=O&Mou... 8/27/2005

Office Use Only: Form Version March 05
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
X Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: X
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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), cc(hheeck hereto:
II. Applicant Information v?a " D
1. Owner/Applicant Information O CT 1 1 2005
Name: Maurice Templeton, Pres. / Donald H. McN?j QUALITY
Mailin Address: 8312 W, US Hwy. No. 421 cr:rc
b' ???A1JO 1 A goRIMAT
Wilkesboro, NC 28697
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address:_ dhmacnbellsouth.net
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: Donald H. McNeil
Company Affiliation: Appalachian Professional Surveyors & Consultants PA
Mailing Address: 1480 US Hwy. 421 South
Boone, NC 28607
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: dhmac a,bellsouth.net
Page 5 of 14
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: Canterbury Farms Phase Two
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 3848-69-4178
4. Location
County: Wilkes Nearest Town: N. Wilkesboro
Subdivision name (include phase/lot number): Canterbury Farms Phase Two
Directions to site (include road numbers/names, landmarks, etc.): from Wilkesboro at
intersection of JS Hwy 421 and Curtis Bridge Road; follow Curtis Bridge Road north to
intersection with Boone Trail/Old Hwy. 421 then follow Boone Trail west approximately 2.5
miles to development on left. Entrance has large stone walls and is just west of Harmony
Baptist Church.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.1736 ON 81.2128 °W
6. Property size (acres): 70 acres
7. Name of nearest receiving body of water: Yadkin River
8. River Basin: Yadkin River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:/ih2o.enf.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: Current conditions are a mix of hay fields and woods
Approximately 50150 mix. Tucker Hole Creek runs through central and eastern part of tract.
Page 6 of 14
Orginal tract was 253 acres of which most has been developed into residential lots and mini-
farms. Of the 70 acres to be developed, approximately 30% is mature hardwood stands with
the balance being hay fields and the areas along Tucker Hole Creek. Land use is rual
development and small farms with single family residences. This tract is a part of N.
Wilkesboro City limits under satellite annexation. There is a total of 4175 feet of water
courses located on the entire 253 acres, none of which have been affected by the
development.
10. Describe the overall project in detail, including the type of equipment to be used: Project is
To develop the 70 acres into 10 mini-farms requiring the construction of a city street with a
Single crossing of Tucker Hole Creek. Construction will require the installation of a pipe in
the creek and the use of heaves grading equipment to construct the road bed. There is also a
possible crossing (under stream bed) of a public sewer line to serve six of the ten tracts. It has
not been determined at this time if the sewer line will need to go under the creek at a location
south of the planned street crossing. If it is determined that the existing sewer line on the east
side of the creek is not deep enough for the line to flow into it by running under the stream
bed then the sewer line will be constructed in the planned road shoulder and will run with the
road at the planned crossing
11. Explain the purpose of the proposed work: Development of rural land located within the
city limits of North Wilkesboro into small farms for single family residences. These tracts are
4 to 6 acres in size and are not to be resubdivided.
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. None, No 404 or 401 permits have been used on this property.
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.
None, There are no future development plans which would require 404 or 401 permits
Page 7 of 14
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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
Provide a written description of the proposed impacts: The proposed impact for this
project is for a street crossing to access lands west of Tucker Hole Creek. This is the
installation of a pipe and fill for the road bed. This will be an impact of 65 feet. A possible
area of impact also included in this application would be the installation of a public sewer
line under the stream bed at a point approximately 650 south of the planned street crossing
This would be a temporary impact of 20 feet should the engineer determine that this is the
location to place the sewer line in order to serve six of the tracts. The alternative location of
the sewer line will not impact the stream bed and would be included in the impact of the
street crossing. This would place the sewer line in the shoulder of the planned street and
above the culvert.
2. Individually list wetland impacts. Types of 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.
Wetland Impact
Site Number

(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,

herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0.5 acre
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
Page 8 of 14
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acreage, multi 1 length X width, then divide b 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet) Area of
Impact
(acres)
One Tucker Hole Creek Culvert Perennial 5.0 ft 65 ft 0.008 ac
Two Tucker Hole Creek Sewer line Perennial 5.0 ft 20 ft 0.002 ac

Total Stream Impact (by length and acreage) 85 ft 0.01 ac
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
indicate on ma Name Waterbody
applicable) )
(if ap
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Im act (acres): 0.01 ac
Wetland Impact acres): None
Open Water Impact (acres): None
Total Impact to Waters of the U.S. (acres) None
Total Stream Impact linear feet): 85 ft
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XX No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. 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.
Page 9 of 14
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.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond:
VII. Impact Justification (Avoidance and Minimization)
Expected pond surface area:
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.
The impacts noted for the proposed project are for the street crossing needed to access the
lands to the west of Tucker Hole Creek which is cutoff from any street access available to the
owners/developers. The planned pipe for this crossing will be an arch pipe and installed with the
bottom of the pipe countersunk below the stream bed allowing approximately 10 to 15% of the
pipe to fill with stream bed material. The second impact is temporary in nature in that the sewer
pipe, if it determined that the sewer line will work in this area, will be placed under the stream
bed. Once construction of the pipe is complete, the stream bed and the banks will be repaired to
as close to the orginal condition as possible. The Town of North Wilkesboro has required that
these tracts be provided with sewer service.
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.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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.
Page 10 of 14
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 NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http•//h2o.enr.state.nc.us/newetIands/strmgide.htm1.
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.
Mitigation at this site will be creation of a corridor along Tucker Hole Creek which will
be placed into deeded common area owned by the Property Owners Association to remain in
its natural state. This corridor varies in width from 75 feet to as much as 200 feet and will
serve to protect the buffer areas and wetlands along the stream course, permanently. There
will be some low intensity uses within the common area, ie: Walking trails and picnic areas.
This common area along Tucker Hole Creek will cover approximately 3.75 to 4.0 acres.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.litm. If use of the NCEEP is proposed, please
check the appropriate box on page five 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):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No XX
2. 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)?
Page 11 of 14
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 ?
3. 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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No XX
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I Zone* I Impact I Multiplier Required
(square feet) Mitieation
3 (2 for Catawba)
1.5
Total I I I
' Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel, Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. This property is located in a WS-IV
watershed area and the impacts to the buffer area is limited to the road crossing only. The
impact required for the installation of the sewer line is temporary. No other work is planned
within 30 feet of the stream banks.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
Page 12 of 14
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. There are no existing impervious areas located
on the 70 acres of undeveloped lands. The planned impervious area is 3.7 acres which accounts
for approximately 5% of the area. On the entire 253 acres there is currently approximately 15
acres of impervious area or 8% of the area. This would be a combined 19 acres or 7.5%
impervious area.
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.
Sewage disposal for these tract and for the previously developed lands is by public sewer service
except for 7 tract of 5 acres or greater located 1000 to 1500 feet away from Tucker Hole Creek
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No XX
Is this an after-the-fact permit application? Yes ? No XX
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No XX
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
This is the remaining area of the development property and these tracts cannot be subdivided per
the restrictive covenants on record and enforced by the Property Owners Association.
XV. 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).
Page 13 of 14
o - s, - os'
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 14 of 14
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Page 1 of 1
Property Report - CANTERBURY-FUTURE SUB LOTS
I
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I
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I
Property Details
START 117 UNIQUEID 32369
PARCEL ID 1508159 ACCOUNT 130435
OWNERI TEMPLETON, MAURICE A TRUSTEE OWNER2
MAIL ADDRI P O BOX 2840 MAIL ADDR2
CITY BOONE STATE NC
27P CODE 28607 CLASS R1
FIRE DIST C01 FIRE NAME
TOWNSHIP PROP ADDR CANTERBURY-FUTURE SUB LOTS
ORTHO 3848.07 PIN 1 13848-69-4178
TOTAL ACRE 1 170.6 LAND VAL 227600
AGLAND VAL 0 BLDG VAL 0
TOTAL VAL 1 1227600 COSTTOT VA 227600
113K _PG = 19491129-133 BOOK 1 1949
PAGE 129-133 7711DEED?_DATE 6/28/2004
OLD NEIGH 1 1780 11NEIGHBORHD 30100
SALE DATE 1 16/2a/20()4 ______]jSALE PRICE = 10
http://www.undersys.comiscriptsltestadvlusiweb.dl l/usi?formi s=ptmap&MouseX=O&Mou... 6/30/2005
Office Use Only: Form Version March 05
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:
X Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: X
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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 hecl ex
II. Applicant Information uu D
OCT 1 1 2005
1. Owner/Applicant Information
Name: Maurice Templeton, Pres. /Donald E VV uAUnr
Mailing Address: 8312 W, US Hwy. No. 421
Wilkesboro, NC 28697
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: dhmac(a,bellsouth.net
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: Donald H. McNeil
Company Affiliation: Appalachian Professional Surveyors & Consultants PA
Mailing Address: 1480 US Hwy. 421 South
Boone, NC 28607
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: dhmac(a,bellsouth.net
Page 5 of 14
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: Canterbury Farms Phase Two
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 3848-69-4178
4. Location
County: Wilkes Nearest Town: N. Wilkesboro
Subdivision name (include phase/lot number):_ Canterbury Farms Phase Two
Directions to site (include road numbers/names, landmarks, etc.): from Wilkesboro at
intersection ofUS Hwy 421 and Curtis Bridge Road; follow Curtis Bridge Road north to
intersection with Boone Trail/Old Hwy. 421 then follow Boone Trail west approximately 2.5
miles to development on left. Entrance has large stone walls and is just west of Harmony
Baptist Church.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.1736 ON 81.2128 °W
6. Property size (acres):
70 acres
7. Name of nearest receiving body of water: Yadkin River
8. River Basin: Yadkin River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://l12o.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: Current conditions are a mix of hay fields and woods
Approximately 50150 mix. Tucker Hole Creek runs through central and eastern part of tract.
Page 6 of 14
Orginal tract was 253 acres of which most has been developed into residential lots and mini-
farms. Of the 70 acres to be developed, approximately 30% is mature hardwood stands with
the balance being hay fields and the areas along Tucker Hole Creek. Land use is rual
development and small farms with single family residences. This tract is a part of N.
Wilkesboro City limits under satellite annexation. There is a total of 4175 feet of water
courses located on the entire 253 acres, none of which have been affected by the
development.
10. Describe the overall project in detail, including the type of equipment to be used: Project is
To develop the 70 acres into 10 mini-farms requiring the construction of a city street with a
Single crossing of Tucker Hole Creek. Construction will require the installation of a pipe in
the creek and the use of heaves grading equipment to construct the road bed. There is also a
possible crossing (under stream bed) of a public sewer line to serve six of the ten tracts. It has
not been determined at this time if the sewer line will need to go under the creek at a location
south of the planned street crossing. If it is determined that the existing sewer line on the east
side of the creek is not deep enough for the line to flow into it by running under the stream
bed then the sewer line will be constructed in the planned road shoulder and will run with the
road at the planned crossing
11. Explain the purpose of the proposed work: Development of rural land located within the
city limits of North Wilkesboro into small farms for single family residences. These tracts are
4 to 6 acres in size and are not to be resubdivided.
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. None, No 404 or 401 permits have been used on this property.
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.
None, There are no future development plans which would require 404 or 401 permits.
Page 7 of 14
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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
1. Provide a written description of the proposed impacts: The proposed impact for this
project is for a street crossing to access lands west of Tucker Hole Creek. This is the
installation of a pipe and fill for the road bed. This will be an impact of 65 feet. A possible
area of impact also included in this application would be the installation of a public sewer
line under the stream bed at a point approximately 650 south of the planned street crossing.
This would be a temporary impact of 20 feet should the engineer determine that this is the
location to place the sewer line in order to serve six of the tracts. The alternative location of
the sewer line will not impact the stream bed and would be included in the impact of the
street crossing. This would place the sewer line in the shoulder of the planned street and
above the culvert.
2. Individually list wetland impacts. Types of 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 floodine.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0.5 acre
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
Page 8 of 14
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet) Area of
Impact
(acres)
One Tucker Hole Creek Culvert Perennial 5.0 ft 65 ft 0.008 ac
Two Tucker Hole Creek Sewer line Perennial 5.0 ft 20 ft 0.002 ac

Total Stream Impact (by length and acreage) 85 ft 0.01 ac
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
indicate on ma Name Waterbody
(if applicable) e)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound bay,
ocean, etc. Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Im act (acres): 0.01 ac
Wetland Impact acres): None
Open Water Impact (acres): None
Total Impact to Waters of the U.S. (acres) None
Total Stream Impact (linear feet): 85 ft
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XX No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
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.
Page 9 of 14
Pond to be created in (check all that apply):
Describe the method of construction (e.g.,
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., lives
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond:
? uplands ? stream ? wetlands
damlembankment, excavation, installation of
tock watering, irrigation, aesthetic, trout 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.
The impacts noted for the proposed project are for the street crossing needed to access the
lands to the west of Tucker Hole Creek which is cutoff from any street access available to the
owners/developers. The planned pipe for this crossing will be an arch pipe and installed with the
bottom of the pipe countersunk below the stream bed allowing approximately 10 to 15% of the
pipe to fill with stream bed material. The second impact is temporary in nature in that the sewer
pipe, if it determined that the sewer line will work in this area, will be placed under the stream
bed. Once construction of the pipe is complete, the stream bed and the banks will be repaired to
as close to the orginal condition as possible. The Town of North Wilkesboro has required that
these tracts be nrovided with sewer service.
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.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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.
Page 10 of 14
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 NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://li2o.enr.state.nc.us/ncwetiands/stnn?,ide.htm1.
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.
Mitigation at this site will be creation of a corridor along Tucker Hole Creek which will
be placed into deeded common area owned by the Property Owners Association to remain in
its natural state. This corridor varies in width from 75 feet to as much as 200 feet and will
serve to protect the buffer areas and wetlands along the stream course, permanently. There
will be some low intensity uses within the common area, ie: Walking trails and picnic areas.
This common area along Tucker Hole Creek will cover approximately 3.75 to 4.0 acres.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://li2o.enr.state.nc.us/wry/index.litm. If use of the NCEEP is proposed, please
check the appropriate box on page five 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):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federal/state) land? Yes ? No XX
2. 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)?
Page I I of 14
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 ?
3. 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.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No XX
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I Zone* I Impact I Multiplier I Required
(square feet) Mitieation
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. This property is located in a WS-IV
watershed area and the impacts to the buffer area is limited to the road crossing only. The
impact required for the installation of the sewer line is temporary. No other work is planned
within 30 feet of the stream banks.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
Page 12 of 14
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. There are no existing impervious areas located
on the 70 acres of undeveloped lands. The planned impervious area is 3.7 acres which accounts
for approximately 5% of the area. On the entire 253 acres there is currently approximately 15
acres of impervious area or 8% of the area. This would be a combined 19 acres or 7.5%
impervious area.
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.
Sewage disposal for these tract and for the previously developed lands is by public sewer service
except for 7 tract of 5 acres or greater located 1000 to 1500 feet away from Tucker Hole Creek
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No XX
Is this an after-the-fact permit application? Yes ? No XX
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No XX
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http:Hh2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
This is the remaining area of the development property and these tracts cannot be subdivided per
the restrictive covenants on record and enforced by the Property Owners Association.
XV. 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).
Page 13 of 14
C
0-5-0-5,
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 14 of 14
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Property Report - CANTERBURY-FUTURE SUB LOTS
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Property Details
START 117 U NIOU EID 32369
PARCEL-ID 111503159 ACCOUNT 130435
OWNERI TEMPLETON, MAURICE A TRUSTEE OWNER2
MAIL ADDR1 P O BOX 2840 MAIL ADDR2
CITY BOONE

STATE
JI =

NC
I
LP_CODE 7-71 128607 11C LASS R 1
FIRE DIST COt I FIRE NAME
TOWNSHIP PROP_ADDR CANTERBURY-FUTURE SUB LOTS
ORTHO 3848.07 PIN 3a48-69-4178
TOTAL _ACRE 1 170.6 LAND VAL 227600
AGLAND_VAL 0 BLDG VAL 0
TOTAL VAL 1 1227600 COSTTOT VA 227600
BKPG 949/129-133 1 1 BOOK 949
PAGE 129.133 DEED-DATE 6!28!2004
OLD NEIGH 1 1780 NEIGHBORHD 30100
SALE-DATE 6128/2004 SALE PRICE 0
http://wNvw.undersys.corn/scriptsltestadvlusiweb.dlUusi?formis=ptmap&MouseX=O&Mou... 8/27/2005

Office Use Only: Form Version March 05
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
L Processing
1. Check all of the approval(s) requested for this project:
X Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: X
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, 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 C t
a of
Environmental Concern (see the top of page 2 for further details
OCT 1 1 2005
II. Applicant Information
DENR - WATER QUALITY
1. Owner/Applicant Information MUM AND STOR MATER BRANCH
Name: Maurice Templeton, Pres. / Donald H. McNeil, VP
Mailing Address: 8312 W, US Hwy. No. 421
Wilkesboro, NC 28697
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: dhmac(a?bellsouth.net
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: Donald H. McNeil
Company Affiliation: Appalachian Professional Surveyors & Consultants, PA
Mailing Address: 1480 US Hwy. 421 South
Boone, NC 28607
Telephone Number: 828-264-0290 Fax Number: 828-264-7876
E-mail Address: dhmac bellsouth.net
Page 5 of 14
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: Canterbury Farms Phase Two
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 3848-69-4178
4. Location
County: Wilkes Nearest Town: N. Wilkesboro
Subdivision name (include phase/lot number): Canterbury Farms Phase Two
Directions to site (include road numbers/names, landmarks, etc.): from Wilkesboro at
intersection of JS Hwy 421 and Curtis Bridge Road; follow Curtis Bridge Road north to
intersection with Boone Trail/Old Hwy. 421 then follow Boone Trail west approximately 2.5
miles to development on left. Entrance has large stone walls and is just west of Harmony
Baptist Church.
Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.1736 ON 81.2128 °W
6. Property size (acres):
70 acres
7. Name of nearest receiving body of water: Yadkin River
8. River Basin: Yadkin River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://112o.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: Current conditions are a mix of hay fields and woods
Approximately 50150 mix. Tucker Hole Creek runs through central and eastern part of tract
Page 6 of 14
Orginal tract was 253 acres of which most has been developed into residential lots and mini-
farms. Of the 70 acres to be developed, approximately 30% is mature hardwood stands with
the balance being hay fields and the areas along Tucker Hole Creek. Land use is rual
development and small farms with single family residences. This tract is a part of N.
Wilkesboro City limits under satellite annexation. There is a total of 4175 feet of water
courses located on the entire 253 acres, none of which have been affected by the
development.
10. Describe the overall project in detail, including the type of equipment to be used: Project is
To develop the 70 acres into 10 mini-farms requiring the construction of a city street with a
Single crossing of Tucker Hole Creek. Construction will require the installation of a pipe in
the creek and the use of heavy grading _equipment to construct the road bed. There is also a
possible crossing (under stream bed) of a public sewer line to serve six of the ten tracts. It has
not been determined at this time if the sewer line will need to go under the creek at a location
south of the planned street crossing. If it is determined that the existing sewer line on the east
side of the creek is not deep enough for the line to flow into it by running under the stream
bed then the sewer line will be constructed in the planned road shoulder and will run with the
road at the planned crossing
11. Explain the purpose of the proposed work: Development of rural land located within the
city limits of North Wilkesboro into small farms for single family residences. These tracts are
4 to 6 acres in size and are not to be resubdivided.
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. None, No 404 or 401 permits have been used on this property.
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.
None, There are no future development plans which would require 404 or 401 permits.
Page 7 of 14
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
wetlands, open water, and stream channels associated with the project
listed separately in the tables below (e.g., culvert installation should b
and map all impacts to
. Each impact must be
e listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should 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.
Provide a written description of the proposed impacts: The proposed impact for this
project is for a street crossing to access lands west of Tucker Hole Creek. This is the
installation of a pipe and fill for the road bed. This will be an impact of 65 feet. A possible
area of impact also included in this application would be the installation of a public sewer
line under the stream bed at a point approximately 650 south of the planned street crossing,
This would be a temporary impact of 20 feet should the engineer determine that this is the
location to place the sewer line in order to serve six of the tracts. The alternative location of
the sewer line will not impact the stream bed and would be included in the impact of the
street crossing. This would place the sewer line in the shoulder of the planned street and
above the culvert.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
se aratel list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0.5 acre
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
Page 8 of 14
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet) Area of
Impact
(acres)
One Tucker Hole Creek Culvert Perennial 5.0 ft 65 ft 0.008 ac
Two Tucker Hole Creek Sewer line Perennial 5.0 ft 20 ft 0.002 ac

Total Stream Impact (by length and acreage) 85 ft 0.01 ac
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
indicate on ma Name Waterbody
(if applicable) e)
Type of Impact Type of Waterbody
(lake, Pand estuary, sound, bay,
ocean, etc. Area of
Impact
acres

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project.
Stream Im act (acres): 0.01 ac
Wetland Impact acres): None
Open Water Impact (acres): None
Total Impact to Waters of the U.S. (acres) None
Total Stream Impact linear feet): 85 ft
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes XX No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. 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.
Page 9 of 14
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.):
Current land use in the vicinity of the pond:
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.
The impacts noted for the proposed project are for the street crossing needed to access the
lands to the west of Tucker Hole Creek which is cutoff from any street access available to the
owners/developers. The planned pipe for this crossing will be an arch pipe and installed with the
bottom of the pipe countersunk below the stream bed allowing approximately 10 to 15% of the
pipe to fill with stream bed material. The second impact is temporary in nature in that the sewer
pipe, if it determined that the sewer line will work in this area, will be placed under the stream
bed. Once construction of the pipe is complete, the stream bed and the banks will be repaired to
as close to the orginal condition as possible. The Town of North Wilkesboro has required that
these tracts be provided with sewer service.
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.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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.
Page 10 of 14
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Property Report - CANTERBURY-FUTURE SUB LOTS

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Property Details
START 117 UNIOUEID 1 132369
PARCEL_ID 1 1 1508158 ACCOUNT 1 1130435
OWNERI TEMPLETON, MAURICE A TRUSTEE OWNER2
MAIL ADDRI P 0 BOX 2840 LWL_IDDR2
CITY BOONE STATE NC
ZIP CODE 28607 CLASS R1
FIRE_DIST C01 11
FIRE NAME
TOWNSHIP PROP ADDR CANTERBURY-FUTURE SUB LOTS
ORTHO -1 13848.07 PIN 3848.69-4178
TOTAL ACRE 70.0 LAND VAL 227600
AGLAND VAL 0 BLDG_VAL 0
TOTAL VAL 227600 77711 CCSTTOT?_VA 1 12.27GDO
DK_PG 949/129-133 BOOK 949
PAGE 129-133 DEED _DATE 6282004
OLD NEIGH 1 1780 NEIGHBORHD 30100
FSZEDATE 6282004 SALE_PRICE 0
http://www.undersys.comlscripts/testadv/usiweb.dlllusi?fonnis=ptmap&MouseX=O&Mou... 8/27/2005
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 NCEEP 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:Hh2o.enr.state.nc.us/ncwetlands/strmgide.litm1.
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.
Mitigation at this site will be creation of a corridor along Tucker Hole Creek which will
be placed into deeded common area owned by the Property Owners Association to remain in
its natural state. This corridor varies in width from 75 feet to as much as 200 feet and will
serve to protect the buffer areas and wetlands along the stream course, permanently. There
will be some low intensity uses within the common area, ie: Walking trails and picnic areas.
This common area along Tucker Hole Creek will cover approximately 3.75 to 4.0 acres.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wm/index.11tm. If use of the NCEEP is proposed, please
check the appropriate box on page five 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):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No XX
2. 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)?
Page 11 of 14
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 ?
3. 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 213 .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No XX
2. If "yes", 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 Multiplier Required
(square feet) Mitieation
3 (2 for Catawba)
1.5
Total I
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. This property is located in a WS-IV
watershed area and the impacts to the buffer area is limited to the road crossing only. The
impact required for the installation of the sewer line is temporary. No other work is planned
within 30 feet of the stream banks.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
Page 12 of 14
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. There are no existing impervious areas located
on the 70 acres of undeveloped lands. The planned impervious area is 3.7 acres which accounts
for approximately 5% of the area. On the entire 253 acres there is currently approximately 15
acres of impervious area or 8% of the area. This would be a combined 19 acres or 7.5%
impervious area.
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.
Sewage disposal for these tract and for the previously developed lands is by public sewer service
except for 7 tract of 5 acres or greater located 1000 to 1500 feet away from Tucker Hole Creek
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No XX
Is this an after-the-fact permit application? Yes ? No XX
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes E] No XX
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/newetIands. If no, please provide a short narrative description:
This is the remaining area of the development property and these tracts cannot be subdivided per
the restrictive covenants on record and enforced by the Property Owners Association.
XV. 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).
Page 13 of 14
Page 14 of 14
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