19930734 Ver 1_COMPLETE FILE_19930902

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B.?-Howes, Secretary
A, Preston Howard, Jr., RE., Director
September 3, 1993
?EHNF1
Mr. Bob Heuts
Director of Franklin County Economic Development Commission
P.O. Box 529
Louisburg, N.C. 27549
Dear Mr. Heuts:
RE: Application for 401 Certification
Elevated water storage tank (DEM # 93733)
Lift station and force main (DEM # 93734)
Franklin County
On 31 August 1993, the received applications for 401 Water
Quality Certifications for the abovementioned projects.
According to the application forms, no wetlands or waters will be
impacted by these projects. Therefore 401 Certifications will
not be needed.
Please call me at 919-733-1786 if you have any
r dY
qWelandsl R. and Inical
93733.1tr
cc: Wilmington District Corps of Engineers
Raleigh Field Office Corps of Engineers
Raleigh DEM Regional Office
Central Files
John Dorney (2 copies)
questions.
Review Group
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
DEM ID: ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit ft
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAG
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT, HI k s
P.O. Box 1890 AND NATURAL RESOURCES
Wilmington, NC 28402-1890 P.O. Box 29535
ATTN: CESAW-CO-E Raleigh, NC 27626-0535
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone [phone] ,?!?? ,
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ERG-ME S:
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home): (Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Neuts, Director of Franklin County Economic Development Commission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Frink I in
Nearest Town or City: Youngsvi l le
Specific Location (Include road numbers, landmarks, etc.): 6-8 acres, located 500' South of the intersection of
US I & US 1A, North of Youngsville.
6. Name of Closest Stream/River- Unarwd tributaryy to Brandy Creek
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ J NO [X]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO lX]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: none
Drained: none
Flooded: none
Excavated. none
Total Impacted: none
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DEM ID: ? ?/ / Z ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
AM: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MAN
NC DEPARTMENT OF ENVIRONME s
AND NATURAL RESOURCES
P.O. Bor. 29535
Raleigh, NC 27626-0535
A=: MR JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPSOF IIVGGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Cannission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Frank I i n
Nearest Town or City: YoungsviI le
Specific Location (Include road numbers, landmarks, etc.): 6-8 acres, located 500' South of the intersection of
US I & US IA, North of Youngsville.
6. Name of Closest Stream/River: Unarwd tributary;, to Brandy Creek
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO [x]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [X]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
none
Drained: none
Flooded: none --
Excavated: none
Total impacted: none
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DEM ID:
ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit ft
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT Tai,
AND NATURAL RESOURCES
P.O. Boy. 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE ORP S.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONM
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Coamission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
-
5. Location of work (MUST ATTACH MAP). County: Frank I in
Nearest Town or City: YounRsvi l le
Specific Location (Include road numbers, landmarks, etc.): 6-8 acres, Located 500' South of the intersection of
US I & US 1A, North of Youngsville,
6. Name of Closest Stream/River.
Unamed tributary;r to Brandy Creek
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS L or WS II? YES [ ] NO [X]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [X]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: 121e
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
none
Drained. none
Flooded: none
Excavated: none
Total Impacted: none
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): rnnsrn,rrinn of an PJPVar P(i
water storage tank
13. Purpose of proposed work: elevated water storage tank
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. NA
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed orproposed for listing endangered orthreatened species or critical
]
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO[
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES J ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? zoned for industrial use (county zoning)
F. If applicable, what is proposed method of sewage disposal? The Town of Youngsvil l e/Frankl in Water & sewer
Authority is extending public sewer to the area.
i2 i--+ 1 "! '1- 2.1- 9:3
Owner's Signature Date
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/ ACTION ID-
"M ID:
ationwide Permit Requested (Provide Nationwide Permit #): -=- -
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL
NC DEPARTMENT OF ENVIRON'h
AND NATURAL RESOURCES
P.O. Boy. 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONM
PLEASE PRINT.

a

1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Econcxnic Development Ccamission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Frnnk I ; n
Nearest Town or City: ioungsvi 1 le _
Specific Location (Include road numbers, landmarks, etc.): 6-8 acres, located 500' South of the intersection of
US I & US IA, North of Youngsville.
6. Name of Closest Stream/River.
Unamed tributary,,,, to Brandy Creek
7. River Basin' Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO P?]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO LX]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
none
Drained: no'
-
Flooded: none
Excavated: none
Total Impacted: none
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): ronstnirt ion of an P1 Prat ed
water storage tank
13. Purpose of proposed work: elevated water storage tank
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. NA
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
]
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO[
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
]
properties in the permit area which may be affected by the proposed project? Have you done so? YES [X ] NO[
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? zoned for industrial use (county zoning)
F. If applicable, what is proposed method of sewage disposal? The Town of Youncsvil le/Frankl in Water & Sewer
Authority is extending public sewer to the area.
X21 -,+ (). ? -I- Z 3- 9:3
Owner's Signature Date
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/-j
DEM ID: ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES a [ (C; ??f
P.O. Box 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY " N93
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE ORPS OP ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRO ALAWRAd>~MENT.
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Commission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Frjnk I in
Nearest Town or City: Youngsvil le
Specific Location (Include road numbers, landmarks, etc.): 6-8 acres, located 500' South of the intersection of
US I & US IA, North of Youngsville,
6. Name of Closest Stream/River: Unamed tributary„, to Brandy Creek
7. River Basin' Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO [X]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO LX J
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
none
Drained. none
Flooded: none
Excavated: none
Total Impacted: none

12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): ronstn,rrinn of an Pteyar PCi
water storage tank
13. Purpose of proposed work: elevated water storage tank
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. NA
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO[
]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [ J NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? zoned for industrial use (county zoning)
F. If applicable, what is proposed method of sewage disposal? The Town of Younesvil le/Frankl in Water & sewer
Authority is extending public sewer to the area.
X'- 1". ')-23-93
Owner's Signature Date

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ACTION ID:
liEM ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATT 4: CESAW CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. Boy. 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Commission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Frnnk i i n
Nearest Town or City: Youngsv i l le
Specific Location (Include road numbers, landmarks, etc.): 6-8 acres, located 500' South of the intersection of
US I & US 1A, North of Youngsville.
6. Name of Closest Stream/River.
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS L or WS II? YES [ ] NO (X]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [X]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: 1°Le
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: none -
Drained: none
Flooded: none
Excavated: nom - --
Unwed tributary,;, to Brandy Creek
Total impacted: none
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): mustn,rt inn_ of an Pl eirarPrl
water storage tank
13. Purpose of proposed work: elevated water storage tank
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. NA
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
]
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO[
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [K ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? zoned for industrial use (county zoning)
F. If applicable, what is proposed method of sewage disposal? The Town of YounQsville/Franklin Water & Sewer
Authority is extending public sewer to the area.
R ?-+ P. -I- 2 ]- 9 3
Owner's Signature Date

1
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DEM ID: C?
ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit ft
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONME ?T. _ m_.,m_.A....
AND NATURAL RESOURCES
P.O. Bor. 29535 ----- ,
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone] , 1 1993
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE ?COM&a
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONM?NTAL;'
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Ccxnnission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: r, ,.,k I in
Nearest Town or City: YoungsviI le
Specific Location (Include road numbers, landmarks, etc.): 6-8 acres, Located 5W' South of the intersect ion of
US I & US IA, North of Youngsville.
6. Name of Closest Stream/River. Unawd tributarTt to Brandy Creek
7. River Basin' Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO [X]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [X]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: none
Drained: none
Flooded: none
Excavated: none
Total Impacted: none
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): ronanirrinn of an elpuarPtj
water storage tank
13. Purpose of proposed work: elevated water storage tank
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. NA
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Servic
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critics
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [x ] NO [
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of histori
properties in the permit area which may be affected by the proposed project? Have you done so? YES [x ] NO [
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? zoned for industrial use (county zoning)
F. If applicable, what is proposed method of sewage disposal? The Town of Youngsvil le/Franklin Water & Se
Authority is extending public-sewer to the area.
R,-+ p AsL -)- 2 3- 9
Owner's Signature Dat
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State of North Carolina ILFKWA
Department of Environment,
Health and Natural Resources •
Division of Environmental Management rAJ
James B. Hunt, ,Secreta ? ? H N FI
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
September 3, 1993
Mr. Bob Heuts
Director of Franklin County Economic Development Commission
P.O. Box 529
Louisburg, N.C. 27549
Dear Mr. Heuts:
RE: Application for 401 Certification
Elevated water storage tank (DEM # 93733)
Lift station and force main (DEM # 93734)
Franklin County
On 31 August 1993, the received applications for 401 Water
Quality Certifications for the abovementioned projects.
According to the application forms, no wetlands or waters will be
impacted by these projects. Therefore 401 Certifications will
not be needed.
Please call me at 919-733-1786 if you have any
r ,
dY
Jo n R. I
ney
We lands and JTnical
93733.1tr
cc: Wilmington District Corps of Engineers
Raleigh Field Office Corps of Engineers
Raleigh DEM Regional Office
Central Files
John Dorney (2 copies)
questions.
Review Group
R0. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
Sg Skip Green & Associates
MEMO:
TO: Mr. Robert Dorney
FROM: Skip Green
DATE: 08/26/93
Aur 11993
SUBJECT: Transmittal of "JOINT FORM FOR Nationwide permits that require
notification to the Corps of Engineers/Nationwide permits that require
application for Section 401 certification" -
Franklin County, NC Water & Sewer Improvements
Please find enclosed two sets of the subject form. Each set contains seven copies of the
form. These forms are being submitted for the construction of
1. an elevated water storage tank, and
2. a lift station/forcemain.
Ms. Jean Benton, US Corp of Engineers, [phone], extension 24 has made a field
inspection of the proposed construction sites. Her inspection indicated no wetlands present
on the described properties which are subject to the permit requirements of Section 404 of
the Clean Water Act (33 USC 1344) based on current law.
If you have any questions or need additional information, please contact me or Bob Heuts
[phone].
enclosures (2 sets of form-7 copies of form per set)
cc: Jean Benton
Bob Heuts
P.O. BOX 18507, RALEIGH, NORTH CAROLINA 27619 [phone]
DEM ID: I J / ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL ,N
NC DEPARTMENT OF ENVIRONME
AND NATURAL RESOURCES Y
P.O. Box 29535
Raleigh, NC 27626-0535
ATTN: MR JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name:
Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Commission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County:
Franklin
Nearest Town or City: Louisburg
Specific Location (Include road numbers, landmarks, etc.): Lift station and force main on 6 acres, Located off
SR 1109, about 1/4 mile S of US 56, W of Louisburg.
6. Name of Closest Stream/River. Ul{named tributary to Wol fpen Branch
7. River Basin:
Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO W
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO $x]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
none
Drained: none
Flooded: none
Excavated: none
Total Impacted: none
A .
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
Lift station and force main
13. Purpose of proposed work: Provide an industry (HON) with public wastewater collection/treatment.
14. State reasons why the applicant beeves that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [x ] NO[ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [x ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? ZONED FOR INDUSTRIAL USE
F. If applicable, what is proposed method of sewage disposal? Louisburg Waste-water Treatment P1 ant
-.23-
Owner's Signature Date
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DEM ID: ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL
NC DEPARTMENT OF ENVIRONME
AND NATURAL RESOURCES r
P.O. Box 29535
Raleigh, NC 27626-0535
ATTN: MR JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name:
Franklin Water & Sewer Authority of Franklin County
2. Owners Address:P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Commission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Franklin
Nearest Town or City: Louisburg
Specific Location (Include road numbers, landmarks, etc.): Lift station and force main on 6 acres, located off
SR 1109, about 1/4 mile S of US 56, W of Louisburg.
6. Name of Closest Stream/River. UHnamed tributary to Wolfpen Branch
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO M
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO $x]
If yes, explain. -
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: none
Drained: none
Flooded none
Excavated: none
Total Impacted: no
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
Lift station and force main
13. Purpose of proposed work: Provide an industry (HON) with public wastewater collection/treatment.
14. State reasons why the applicant beeves that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
]
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO[
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [x ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
NA
delineation line.
D. If a stormwater management plan is required for this project, attach copy, NA
E. What is land use of surrounding property? ZONED FOR INDUSTRIAL USE
F. If applicable, what is proposed method of sewage disposal? lkui7sbur9 Waste-water Treatment Plant
Owner's Signature Date

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DEM I D: ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit ft
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT;, H?4TH,
P.O. Box 1890 AND NATURAL RESOURCES +_I - -
Wilmington, NC 28402-1890 P.O. Box 29535
ATTN: CESAW CO-E Raleigh, NC 27626-0535
Telephone [phone] ATTN: MR JOHN DORNEY
Telephone [phone] -
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS; OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Comission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County:
Franklin
Nearest Town or City: Louisburg
Specific Location (Include road numbers, landmarks, etc.): Lift station and force main on 6 acres, located off
SR 1109, about 1/4 mile S of US 56, R of Louisburg.
6. Name of Closest Stream/River. Ulinamed tributary to Wolfpen Branch
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA. HQW, ORW, WS I, or WS 11? YES [ ] NO bd
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO $x]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: none
Drained: none
Flooded: none
Excavated: none
Total Impacted: no P
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
Lift station and force main
13. Purpose of proposed work: Provide an industry (HON) with public wastewater collection/treatment.
14. State reasons why the applicant beeves that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
]
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO[
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [x ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? ZONED FOR INWSMIAL USE
F. If applicable, what is proposed method of sewage disposal? Loui'sburg Waste-water Treatment Plant
-.23-
Owner's Signature Date
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ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit ft
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL eIAIZ .. -? ?T_
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRO C? r
P.O. Box 1890 AND NATURAL RESOURCES
Wilmington, NC 28402-1890 P.O. Box 29535
ATI'N: CESAW-CO-E Raleigh, NC 27626-0535 j 10 1
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone [phone]---
1 Vr'
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO ff: £ 8-(bF-]' 46IKERS.'
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGE:'
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home): (Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Econcxnic Development Coamission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County:
Franklin
Nearest Town or City: Louisburg
Specific Location (Include road numbers, landmarks, etc.): Lift station and force main on 6 acres, located off
SR 1109, about 1/4 mile S of US 56, W of Louisburg.
6. Name of Closest Stream/Riven UHnamed tributary to Wolfpen Branch
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO t]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO U1
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
none
Drained: none
Flooded: none
Excavated: none
Total Impacted: none-

12. Description of proposed work (Attach PLANS-8 12" X 11" drawings only):
Lift station and force main
13. Purpose of proposed work: Provide an industry (HON) with public wastewater collection/treatment.
14. State reasons why the applicant bel&'eves that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
]
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO[
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [x ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? XNED Fox INDUSTRIAL USE
F. If applicable, what is proposed method of sewage disposal? Emi'sburg Waste-water Treatment Pl ant
Owner's Signature Date

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cID: ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit ft
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATM: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL
NC DEPARTMENT OF ENVIRO I!1 ??
AND NATURAL RESOURCES
P.O. Box 29535 j
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY k
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home):
(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Econcxnic Development Canmission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Franklin
Nearest Town or City: Louisburg
Specific Location (Include road numbers, landmarks, etc.): Lift station and force main on 6 acres, located off
SR 1109, about 1/4 mile S of US 56, W of Louisburg.
6. Name of Closest Stream/River: UHnamed tributary to Wolfpen Branch
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO W
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO $x]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: none
Drained: none
Flooded. none
Excavated: no"-
Total lmpacted: no
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
Lift station and force main

13. Purpose of proposed work: Provide an industry (HON) with public wastewater collection/treatment.
14. State reasons why the applicant beeves that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [x ] NO [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [X ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy.
NA
E. What is land use of surrounding property? _zoNEn Fog musrRlAL uSE
F. If applicable, what is proposed method of sewage disposal? Loui'sburg Waste-water Treatment Pi ant
Owner's Signature
Date
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DEMID
ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL ..,....-
NC DEPARTMENT OF ENVIRONME (1 ?? r y r
AND NATURAL RESOURCES -
P.O. Box 29535
Raleigh, NC 27626-0535 AUG ,, ; ?;
ATTN: MR. JOHN DORNEY
Telephone [phone] ?,
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO _MOEBRS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEbt':
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. Box 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home): (Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development CCX=ission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Franklin
Nearest Town or City: Louisburg
Specific Location (Include road numbers, landmarks, etc.): Lift station and force main on 6 acres, located off
SR 1109, about 1/4 mile S of US 56, R of Louisburg.
6. Name of Closest Stream/River UHnamed tributary to Wolfpen Branch
7. River Basin' Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO td
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO tx]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
none
Drained: none
Flooded: none
Excavated: none
Total Impacted' none

12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
Lift station and force main
13. Purpose of proposed work: Provide an industry (HON) with public wastewater collection/treatment.
14. State reasons why the applicant beeves that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [x ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? ZONED FOR INDUSTRIAL USE
F. If applicable, what is proposed method of sewage disposal? Uoui'sburg Waste-water Treatment Plant
Owner's Signature Date
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DEMI D:
ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL-
NC DEPARTMENT OF ENVIRO T, ?}
AND NATURAL RESOURCES :w' _u__..,.....
P.O. Boy. 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: Franklin Water & Sewer Authority of Franklin County
2. Owners Address: P.O. BcrA 529, Louisburg, North Carolina 27549 (c/o Mr. Bob Heuts)
3. Owners Phone Number (Home): (Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Mr. Bob Heuts, Director of Franklin County Economic Development Ccxmiission
P.O. Box 529, Louisburg, North Carolina 27549
[phone]
5. Location of work (MUST ATTACH MAP). County: Frankl in
Nearest Town or City: Louisburg
Specific Location (Include road numbers, landmarks, etc.): Lift station and force main on 6 acres, located off
SR 1109, about 1/4 mile S of US 56, W of Louisburg.
6. Name of Closest Stream/River: UHnamed tributary to Wolfpen Branch
7. River Basin: Tar River
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO V]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO $x]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
none
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
none
Drained: none
Flooded: none
Excavated: none
Total Impacted: no
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
Lift station and force main
13. Purpose of proposed work: Provide an industry (RON) with public wastewater collection/treatment.
14. State reasons why the applicant beeves that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
15. You are rewired to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
]
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [X ] NO[
RESPONSES FROM THE USFWS AND/OR NUTS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project?'Have you done so? YES [X ] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property. NA
B. If available, representative photograph of wetlands to be impacted by project. NA
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. NA
D. If a stormwater management plan is required for this project, attach copy. NA
E. What is land use of surrounding property? WNED PDR INDUSMIAL USE
F. If applicable, what is proposed method of sewage disposal? L'oui'sburg Waste-water Treatment P1 ant
Z2 &--47 P46--? -23-13
Owner's Signature Date
IO 4000 9000 9000 7000 fEET /
1 KILOMETER I