19950500 Ver 1_Complete File_19950110

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
AL "4A-*-
1:3 FE F1
May 24, 1995
Wake County
DEM Project # 95500
APPROVAL of 401 Water Quality Certification
Mr. George Krichbaum
Falls River Development Company
190 Finley Golf Course Road
Chapel Hill, N.C. 27514
FILE COPS
Dear Mr. Krichbaum:
You have our approval to place fill material in 0.2 acres of wetlands or waters for the purpose of
constructing the Falls River development at Durant Road and Falls of the Neuse Road, as you
described in your application dated 16 May 1995. After reviewing your application, we have decided
that this fill is covered by General Water Quality Certification Numbers 2664, 2732 and 2671. These
certifications allow you to use Nationwide Permit Numbers 12, 14 and 26 when they are issued by the
Corps of Engineers.
This approval is only valid for the purpose and design that you described in your application. If
you change your project, you must notify us and you may be required to send us a new application.
For this approval to be valid, you must follow the conditions listed in the attached certification. In
addition, you should get any other federal, state or local permits before you go ahead with your
project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing,
send a written petition which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Environmental Management under Section 401
of the Clean Water Act. If you have any questions, please telephone John Dorney at 919-733-1786.
Sincerely,
on 3Ho, Jr. P.E.
Attachment J4 cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Raleigh DEM Regional Office
Mr. John Domey.
Central Files
95500.1tr
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
J
DEM ID: 5 ACTION,ID:i 1 c e l
Nationwide Permit Requested (Provide Nationwide Permit ft 2-
JOM FORM FOR ,
Nationwide permits that require notification to the Corps of Engineers '
Nationwide permits that require application 'for Section 401 certification
WILMINGTON DISTRICT ENGINEER ? N
CORPS OF ENGINEERS O ENVIRONMENTAL MANAGEMENT
DEPARTMENT OP TIMARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
P.O. Box- 1890 _ f . - • AND NATURAL RESOURCES
Wilmington, NC 28402-1890 P.O. Box 20535 ' ,
ATTN- CESAW-CO-E Raleigh, NC 27626-0535
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone (919) 733 --MW t tf6
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: LLS 1 V Ea(L ?l?V ?-1?OP MEN LO M P
2. Owners Address: 19 O 5 N u'Z? ?OL44= Cb Lu, L&C RD . CKAp?Z. t i 1 Lt- , N C 2.? S t 4
3. Owners Phone Number (Home): (Work): 9 9 Zit - 6
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
<;t r VcKACAAGPMNOS
G-?DVs- - LKYEW (PPS--?rvc-¢.s lk?N? c -n?.E+?rc- c o .
5. Location of work (MUST'ATTACH MAP). County. W lov1c-E v
Nearest Town or City: ?.?'•''?.? 1 H _
S egge*s 0 4-
,Specific Location (Include road numbers, landmarks, etc.): 1 N V ArR-\ O 1h A
TKg?
?t-?-S
? tr S o E,?.s
6. Name of Closest Stream/River. - NVLX%
7. River Basin: E k-k E
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO
9. Have any Section 404 permits been previously requested for use on this property? YES QQ. NO [ ]
If yes, explain. 1^ fblL /Vt, t t R- RO?I? C S S t N G- CES S TK^ of , t latc o z
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: ' S
rN cam. t? a t N CT 5?.??+?,S l3Pt? ??. ? c? k- ,
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: ArC=KBE l ??P "?? AST St?R?a??e.e?SS?NGr) -
Drained:
Flooded:

YL.N
T-tO Ott 1G %t--)A L CWf-4T0WU
Excavated: Hcer+rcr? w ? w ?? ?-? " .-
Total impacted: ?' Z '

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SEWER EASEMENTS ARE TO BE RECORDED PRIOR TO
FINAL ACCEPTANCE.
ENGINEERING:
PUBLIC UTILITIES:
TRAFFIC ENGINEER:
CONSERVATION ENGINEER:
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NNECTION AND EXTENSION OF THE CITY'S
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DEM ID- 1 50 © - ACTIONID:E1--
Nationwide Permit Requested (Provide Nationwide Permit #): 7- 40
JOINT FORM POR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER WATER`QUAarY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE'ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
P.O. Box• 1890 .. . ; . AND NATURAL RESOURCES
Wilmington, NC 28402-1890 ?. Box 2 $ 27626-0535
ATTN: CESAW-CO-E 8h•
Telephone [phone] T le IN: Me . JOHN33 EY
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: FALLS % V Cat. ?? ?? ? ?? LO M P
2. Owners Address: 19 O T'i N Ut'??Cz u-a-SC XzD . C"Alp ;Z vii LL , N C Z-,7 S 14
fO f°
3. Owners Phone Number (Home): (Work): 91 cl9 Z9 -0
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
1C4ACt AAAN4,.
c ST u ,)S! (FPtR-T-N4C- _& M?4Nf? Cr??fwE?"T C:O
(S A+r G A& PrG&u 42
5. Location of work (MUST ATTACH MAP). County: W +°ACE
Nearest Town or City: _V-.A-L-ff N
Specific Location (Include road numbers, landmarks, etc.): i m V NR? O u S Nk EIS 0
??-?-5 2 ? y CR_. t?C?1CZo P f'r-?1 T N ? o t7 w2??T ? A-? 1?_
6. Name of Closest Stream/River. N s E
7. River Basin: t-Ae LA. e .
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO
9. Have any Section 404 permits been previously requested for use on this property? YES K NO [ ]
?1? C S S (N Cr C? S T7-4,A?rJ t ?CR?\
If yes, explain. Z" 2,&Q f,62 t &Z (Z P__0
-?
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: - S
rNcc.t?a? tvCs s ? ??.. -rte c? K-
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: :• ArGKJE l 1??t' tZPrA y S ?+eMC.EtmSSiN(s-? -
Drained:
Flooded:
Excavated: => Ptcez (w1 C.t. (3E ( TUie NEB TO orct iG ttJn L. CmtJTDtA (t?
Total Impacted: Z`?-?
Ilk
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SEVER EASEMENTS ARE TO BE RECORDED PRIOR TO
FINAL ACCEPTANCE.
ENGINEERING:
PUBLIC UTIIdTIES:
TRAFFIC ENGINEER:
CONSERVATION ENGINEER:
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SEWER COLLEC i
THE CITY OF RALEIGH CONSENTS TO
PUBLIC SEWER SYSTEM AS SHOWN C
METHODS USED FOR THIS PROJECT
HANDBOOK'S STANDARDS AND SPECI
CITY OF RALEIGH
PUBLIC UTILITIES DEPARTMENT PERM
CONSTRUCION APPROVAL
DATE
TER DISTRIB(
3-?6
AS SHOWN C
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G 5 5 ACTION-ID:
DEM ID:
Nationwide Permit Requested (Provide Nationwide Permit ft Z-
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require, application for Section 401 certification
CORPIINGTON DISTRICT ENGINEER DIAVI?SION O ENVIRONMENTAL AL MANAGEMENT
CORPS OF ENGINEERS NC DEPARTMENT OF ENVIRONMENT, HEALTH,
DEPARTMENT OF THE'ARMY
.P.O. Box. 1890 AND NATURAL RESOURCES
.
Wilmington, NC 28402-1890 Raleigh, 29535
27626-0535
ATTN: CESAW-CO-E A MR. JOHN DORNEY
Telephone [phone] -
Telephone [phone]W rtf6
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: L'Ls (Z l V Ems. DeV C't_O ?? Lo M P AtQ
2. Owners Address: 1ci 0 F; r.,? Ul"Lt C- oL Cz LLa sC RD • . CNRp?z-1? u- N ?- Z7 S' t 4
3. Owners Phone Number (Home): (Work): 9 9 q Z? " 0 40 6
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
G;PvST LXJEEST (FPtR"T-rvQeS MAvNA GAG-7?eN?M C-0 .
< A +r, C P eS. Pr60"1 e l
5. Location of work (MUST ATTACH MAP). County: W A4-\c-E
Nearest Town or City:
Specific Location (Include road numbers, landmarks, etc.): 1 Na V NRA 01h S NME_ks O
2-? y ??L?1CZc? PM?1 T N Io w2.A-?.?T' aiD
t?-S I>
s o ?.s
E10 F
6. Name of Closest Stream/River. N s
7. River Basin: E t-k e
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS H? YES (] NO
9. Have any Section 404 permits been previously requested for use on this property? YES P9. NO [ ]
IfYes, exPlain. :M 2kn? f;b2 IVY c "'-? tR- RO0? c? %S 1'16- ( CesS T7-kA' N) 1 lvCR-C;\
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: - S'
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: AcCK?E l 1Z?P '? a? p A?'T St?R1?s?l?.c EtmSS? N (;-? .
Drained:
Flooded:
Excavated > Ac' wl" GE (L?Tt?I?NEA 'r'o o2tC,?N?Z C?'`'Tou(t
A
Total Impacted: 7' ? Z rC? ?
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AUTHORIZED BY WRrMN APPROVAL. PUBLIC SANITAW
SEVER EASEMENTS ARE TO BE RECORDED PRIOR TO
FINAL ACCEPTANCE.
ENGINEERING:
PUBLIC UTILITIES:
TRAFFIC ENGINEER:
CONSERVATION ENGINEER:

c MH ST
a; 0
222

=NSION SYSTEM
NNECTION AND EXTENSION OF THE CITY'S
'LAN. THE MATERIAL AND CONSTRUCTION
WORM TO THE CITYS PUBLIC UTILITIES
S.

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F
SEWER COLLECT,
THE CITY OF RALEIGH CONSENTS TO
PUBLIC SEWER SYSTEM AS SHOWN C
METHODS USED FOR THIS PROJECT
HANDBOOK'S STANDARDS AND SPECI
CITY OF RALEIGH
PUBLIC UTILITIES DEPARTMENT PERM
CONSTRUCION APPROVAL
DATE

lr?
A
RECEIVED

DEM ID: 95 5o0
ACTION-ID: mgy It 11 Iloaq
Nationwide Permit Requested (Provide Nationwide Permit ft Z6 ENVIRONMENTAL SCIENCES
JOINT FORA FO
Nationwide permits that require notification to the Gorps'of Engineers '
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTNIENjr 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, HEALTH,
AND NATURAL RESOURCES
P.O. Box 29535 `
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone] Ctf(
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: FAt.t.S ?,%Ve-R
2. Owners Address: l q O P1 N L.9?4 CSO L-F Co k24- C.4i044CL H 1 L4_ Iv .0. i7 5t4
3. Owners Phone Number (Home): (Work): ef t el 112: R - (o (c 0
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
C7Q?IR.C?E "??CN ?
Nearest Town or City: IZAr Le 1 G A
Specific Location (Include road numbers, landmarks, etc.):
Ac)P"xtil&AtL-Z ' i tTp0 ( N)q_T1 E of RP?yE? DK?_ W-X?l
'?vC NT $t • At-31N = ;? & ot= NOSE 12? ,
6. Name of Closest Stream/River. NOSE
-
7. River Basin: MAZ 1X SIE
8. Is this project located in a watershed classed as Trout, SA, HQW, ORW, WS I, or WS H? YES [ ] NO ?Q
9. Have any Section 404 permits been previously requested for use on this property? YES bQ NO [ ]
If yes, explain. *2-6 Wse_D F-69 LCS S TVJIN ? • l Ptc." 9400 CQo sc ? N 6r- S o Dt?ftAN T ?-? .
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: 3 Z5
11. Number of acres of.waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded: .15-
Excavated:
Total Impacted: 915
5. Location of work (MUST ATTACH MAP). County: W A 1?c
l?
x 1)F' x10'
Ta
fie, tIJ
41 .

rZ4?1///
5 f t,Y

? P G G •'°r2
L ' GM ?° I.o7 MI,N.
w/v GAT`{ ?xIPA
IF RA
' 1 L 22" H•

1
DEM ID:. q S S 0 ACTION-ID:
Nationwide Permit Requested (Provide Nationwide Permit ft ,Z??o
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engirieerts '
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF'T HE 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, HEALTH,
AND NATURAL RESOURgES .
P.O.'Box 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]W17?6
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: FALLS R% V M ??r?z.o P ME=N T' CC .
2. Owners Address: [ CIO P l N <-? EML F CC VAZ-S E CV0a1(4Q- H I Lt., NV . C 17 514
3. Owners Phone Number (Home): (Work): y `t 4 Z 9 - O 6 (o O
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Specific Location (Include road numbers, landmarks, etc.):
APPa-yy-tmA Te-Lt l 1 ClOc? ? N02T!-k of RI?SV e7-. R-ktC(s A?Swew-?
`%>V- R-A N T . At-JL*-s Tyn r % oil- IJ LatkS E l2D
6. Name of Closest Stream/River.
7. River Basin: 1N4Z\AS4E .
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO ?Q
9. Have any Section 404 permits been previously requested for use on this property? YES pQ NO [ ]
If yes, explain. Up LkseD F?b rz LCS S llte• l A c." Ros4o CP-0 st, N 6- s v bka Aro -r te ?b .
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
1 N C?v?D ? ? G S`1"C?.??4?. S 3AN k. Qb l3Ar?11?. .
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded: . I S-
Excavated:
Total Impacted: *15
5. Location of work (MUST ATTACH MAP). County: W A k?c
Nearest Town or City: ?-Ai LC 1 Qr A

,*' x 114' x

S?I,T
k
A 4,. 1 ?c g.
- E P G '?Z
L " GM ?° I.o7 MI,N.
w/v ??TY IPA
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DEM ID: -?.?? n? ACTION-ID:
Nationwide Permit Requested (Provide Nationwide Permit #): - Z6
JOINT FORM FOR
Nationwide permits that require notification to the Corps'of Engineers '
Nationwide permits that require application for Section 401 certification
WH1vIINGTON 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, HEALTH,
,AND NATURAL RESOURCES
PO.Box 29535
Raleigh, NC 27626-0535
ATTN: MR JOHN DORNEY
Telephone (919) 733 r7-f(
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: ?At?-s ??vEiR D?ELOPN?-^lr ?.
2. Owners Address: l 4 O ?.ac.rc u Cso C -SE kL- C"800- H I L-c.- , N .C _ 2- 514
3. Owners Phone Number (Home): (Work): y ! c1 9 2,9 -0 b (o O
4. N Applicable: Agent's name or responsible corporate official, address, phone number.
?V.PLAeNT $-b /4t.11? E61LS oi= NetkSAD
6. Name of Closest Stream/River.
7. River Basin: M Se -
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES (] NO
9. Have any Section 404 permits been previously requested for use on this property? YES D9 NO [ ]
If yes, explain. -*21v t&SeD V;hiK Less -tttaN -% %C_ ???' CR?S?i N 6- s o DI?RANT R-?b.
to. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
i N C.tuD ? ? Cr S`l?ft.?,4ryt.s ??A:?1c. Ta C'SA?1C.
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded: . 1 S
Excavated:
Total Impacted: 915
5. Location of work (MUST ATTACH MAP). County: w
Nearest Town or City: l Le 1 CY t-?
Specific Location (Include road numbers, landmarks, ctc.):
J
x 1A' X 111't'
T?
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DEM ID:. 5 ?Q ACTION-ID:
Nationwide Permit Requested (Provide Nationwide permit #):.b
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 .: _ ,. I
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES . .
P.O.7Box 29535
Raleigh, NC 27626-0535
ATTN: MR JOHN DORNEY
Telephone (919) 733- rtf6
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: VAL'-s ??vErt D??-oPne,?Nr Cep .
L 4 0 ?? N or, • ( Co-sE l2rp , . C-PfAP Q. H i u.. , N . C Z-7 St4
2. Owners Address:
3. Owners Phone Number (Home): (Work): 4f t 9 J Z 0(04 O
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Geo
Specific Location (Include road numbers, landmarks, etc.):
APP2?XtlY?A.T?-`Z-?I 1 Uay ? ?.?pR-T•}4 c?F 1Z/'?y? R-?DC'r? '1? . A??u??
'S,-)kmLN N T o tJ S E i2D .
6. Name of Closest Stream/River.
7. River Basin: N Se -
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS H? YES [ ] NO ?Q
9. Have any Section 404 permits been previously requested for use on this property? YES Dq NO [ ]
If yes, explain. ?* 7.x,0 LkS9'> N;t;-iK Less Ttt?N • l ^C." R-0?4D CROSttla 6--s a D4.tZAc?T k-?b..
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: "
1 N CA-"b 1 ?z G STM -Vdy- S p' At s k. TD %4t4,y . -
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded:
I 4-:Z -
Excavated:
Total Impacted: *16
5. Location of work (MUST ATTACH W&). County:
Nearest Town or City: iP- Ar Le l G 1rE

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DEM ID: 5 5 0 0 ACTION ID:
Nationwide Permit Requested (Provide NAtionwide Permit #):. Z40
JOINT FORM FOR,
Nationwide permits that require notification to the Gorps'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, HEALTH,
AND NATURAL RESOURCES
P O. Box 29535 '
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]SOI-f6
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: IFALLs ?,%ve-R b&eLo9to, 3T-Co.
2. Owners Address: l 4 O t N ?? Q L.F Cm V.*--s E k2-t.,,. C"PjOQ- H 1 Lt. , N. c Z7 S 14
3. Owners Phone Number (Home): (Work): ef t 9 g 7,9 - 06 (6 O
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
C 11?CsE ?1c.t-??3/??tn?
Nearest Town or City: i 4 Le 1 G yk
Specific Location (Include road numbers, landmarks, etc.):
Appay. r.t/bIATu--L- I 1 UZ?0 ( Noe_T, E of Rt'?yel_-? V`?ADk13E_
'bv 9-A ?y T V-D • Ass t? TAII- s o t= t?1 s E l2D ,
6. Name of Closest Stream/River. Nt??
7. River Basin: NC1Jk&e .
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS 11? YES [ ] NO (?Q
9. Have any Section 404 permits been previously requested for use on this property? YES 64 NO [ ]
If yes, explain. #' Ve WsEb F?69 L=S TttaN • l Ptc.CL6 Ro?4D CPtisci N Er S o D4f?A?T t?_ .
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
1 N C?..u.D ? ? G- STCtbl4ry?. s +??-? k- Qb t3A?+JK. .
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded: .1 S-
Excavated:
Total Impacted: 915
5. Location of work (MUST ATTACH MAP). County: w 1?-E

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l'
DEM ID:. q5 5x 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
WILIvIINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPA rMEN'T 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 DEPAkrMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOD IgES
P.O.$ox 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone (919) 733 Sa31 tf6
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. Co
. Owners Name: 'FAu.s ?Z%V? b?e.oPntiL??r Co .
2. Owners Address: 010 P1 N (-F ? 4 QP L F (2QV-*-S a kL4 . Cl APW0 GL H 1 c-L. . N _. C 2.7 5l4
3. Owners Phone Number (Home): (Work): y 4 Q 2.9 - O (o e. 0
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
GemGe kA
Specific Location (Include road numbers, landmarks, etc.):
APP"Xi MATL`-L, -A1 i Cr00 ( 1-zc T .4 of Z14E y esv-?
12D ,
'T)v..9_AtvT P-3z) • A-rs1s =mss oi= Nt!tkSF_
6. Name of Closest Stream/River. 1?1sE
7. River Basin: NC%X &E .
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO ?Q
9. Have any Section 404 permits been previously requested for use on this property? YES D4 NO [ ]
If yes, explain. ;' Vp ksED F69 L MS TKINVJ -% Ac-"
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
? N GtruD t ? G ST2??4?. S 3,p-N k. To 6A???..
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded: • 15-
Excavated:
Total Impacted: *15
5. Location of work (MUST ATTACH MAP). County: W ON V-SE
Nearest Town or City: 1,>A Le 1 Gr yk
`,)I,T

/ /I / 11V
X1 b

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G 5 O ACTION-ID:
DEM 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 WATER QUALITY PLANNING `
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
D$PARTMENT OF THE'ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. Box 18Q0 . { . Wilmington, NC 28402-1890 P.O. Box 29 27626- . .?.: 0535
ATTN: CESAW-CO-E A Mg, JOHN DORNEY
Telephone [phone]
Telephone (919) 733 !7f(
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: ld-S R. % V eR- ?? ?? ?? GO tv? P
2. Owners Address: 1Q O 1 t?a.SE- TAD . C'HAetr?. t-4-t td..._, N ?- 2-1 S 1!5.-
3. Owners Phone Number (Home): (Work): ?! q Zvi - 6
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
C?tsT t?}?3 1 ? Pti?.-TTY C?R-S M ?4 N PeG-?'?ENT' UO
Sp?+vtiE t?S /?r6oV ??
5. Location of work (MUST ATTACH MAP). County: W Ar1C-E v
Nearest Town or City:
Specific Location (Include road numbers, landmarks, etc.): 1 N V AcP-\ 0 lb S. N'Keks O y
Tpyrq: FA-wS R-wev- beJeLJ)Prr.G-N T n ?'o 17w2.t4?T ?N?
6. Name of Closest Stream/River. N?c s
7. River Basin: E E .
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS H? YES [ ] NO ?
9. Have any Section 404 permits been previously requested for use on this property? YES K NO [ ]
If yes, explain. :0-, 2CQ fbe m t t-?)p R- R-op`-t!, ? S S t 1V C?- C S Z" t (-\-C t-fz
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: ' S
_ rW CJ-LA "X N Cs sTajeoo%AA (3Prt•? ??: To GAti-11C,-.
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: > ArC-?t? l t2?P ? A';' STVAiV*1r-- cZ0 SS4 N?ir? -
Drained:
Flooded:
Excavated: Ate-6 (WILD- GF- "furzNEA TO OtttGtt-lf% -CIDNT0LXW-
TotalImpacted: 2 Ptc"
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FA IIQ G
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AUTHORIZED BY l?RITTEN APPROVAL PUBLIC SANITAW
SEWER EASEMENTS ARE TO BE RECORDED PRIOR TO
FINAL ACCEPTANCE.
ENGINEERING:
PUBLIC UTILITIES:
TRAFFIC ENGINEER:
CONSERVATION ENGINEER:
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=NSION SYSTEM
NNECTION AND EXTENSION OF THE CITY'S
'LAN. THE MATERIAL AND CONSTRUCTION
)NFORM TO THE CITYS PUBLIC UTILITIES
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TER DISTRIB(
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5 C AND-SPE'E
TMENT PERM
F
SEWER COLLEC-,
THE CITY OF RALEIGH CONSENTS TO
PUBLIC SEWER SYSTEM AS SHOWN C
METHODS USED FOR THIS PROJECT
HANDBOOK'S STANDARDS AND SPECI
CITY OF RALEIGH
PUBLIC UTILITIES DEPARTMENT PERM
CONSTRUCION APPROVAL
DATE

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Approximate location of wetlands on Falls River, Phase 1
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