19950395 Ver 1_COMPLETE FILE_19950503

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., P.E., Director
A14;1- row, FA
A 1k
ID EHNR
May 24, 1995
Warren County
DEM Project # 95395
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Mr. Alpheus Jones, Jr.
211 Fairview Street
Warrenton, N.C. 27589
Dear Mr. Jones:
FILE COPY
You have our approval to place fill material in 2.13 acres of wetlands or waters for the purpose
of constructing an irrigation pond at SR 1332 your farm on, as you described in your application dated
6 April 1995. After reviewing your application, we have decided that this fill is covered by General
Water Quality Certification Number 2671. This certification allows you to use Nationwide Permit
Number 26 when it is 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. The
permanent water level shall be at an elevation of 300 feet as controlled by the dam's design. 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,
sard, Jr.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Raleigh DEM Regional Office
Mr. John Dorney
Central Files
Bruce Perkinson; Warren Soil and Water Conservation
95395.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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Project name Nearest road SR 1312-
Count y \-)Of CeY\ Wetland area acres Wetland width feet
Dame of evaluator S\n a,e- Date `1_g-qJ
We
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Wetland type (select one)* r
PIottomland hardwood forest ? Pine savanna ? Bog forest
? Headwater forest ? Freshwater marsh ? Bog/fen t
? Swamp forest ? Estuarine fringe forest ? Seep
? Wet flat ? Ephemeral wetland ? Other
? Pocosin ? Carolina Bay
*The rating system cannot be applied to salt or brackish marshes or stream channels
weight
' y Water storage I x 4.00
Wetland Score
x
' #'
Bank/Shoreline stabilization x 4.00 •>< ; :
' - Pollutant removal x 5.00
Wildlife habitat x 2.00

Aquatic life value
x 4.00 /
Recreation/Education x 1.00 = '` a':•, t` '

v * Add 1 point if in sensitive watershed and > 10% nonpoint disturbance within 1 /2 mile upstream, upslope, or radius

DEM ID: Q 5 3 S ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #): CZ6
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, HEALTH,
AND NATURAL RESOURCES
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. n -? - (
1. Owners Name: /? /'1 L " &I U S (Joa S UR
2. Owners Address: , 2 // _ A U C") 51-: l O,c}f1J2c7/?on/, /11-c- z?S P9
3. Owners Phone Number (Home): (Work): bA.-7- 313 I
4. If Applicable: Agent's name or responsible corporate official, address, phone number:
5. Location of work (MU/?S?T ATTACH MAP).. County: ?.aL> L1 9,? [W
Nearest Town or City: .4r -To d
Specific Location (Include road numbers, landmarks, etc.):
6. Name of Closest Stream/River: J:V Cco e?C??lt
7. River Basin: ?/?12-?f????LS?o
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO [,I--
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [Tj'
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: //O
Drained:
Flooded: 91,600
Excavated:
Total Imoacted: VQ. ?00
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): CST Gu C' c6? a?
13. Purpose of proposed
hQ v
14. State reasons why the applicant bglipes that this activity ?r?ust be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. 1.t- /YL? D Gd_ 11%A9Z40 A J, k i Ci r cv??
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 [-]' 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 [? 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.
B. If available, representative photograph of wetlands to be impacted by project.
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line.
D. If a stormwater management plan is required for this project, attach copy.
E. What is land use of surrounding property? G2e?? 9- ili"'J
F. If applicable, what is proposed method of sewage disposal?
Owner's Signatu Date
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. County w /ke a
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent &"Py,C 14S LJO.,# S lJ?.
Address Ci it A" acz GJ ST.
Telephone No. L711) X2617 - 313 7 (Moo d- (? / `I l ?!S" 7 - /X31 (lb,-k
10
Size and Location of project (waterbody, road name/number, town, etc.) ;.??0 a u} Qe+r?.
Description of Activity
Section 404 and Section 10.
Regional General Permit or Nationwide Permit Number.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above may subject the
permittee to a stop work order, a restoration order, and/or appropriate legal action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve the undersigned
permittee of the responsibility to obtain any other required Federal, State, or local approvals/permits. The permittee
may need to contact appropriate State and local agencies before beginning work.
By signature below, the permittee certifies an understanding and acceptance of all terms and conditions of this
permit.
Property Owner/Authorized Agent Signature
Regulatory Project Manager Signature
Date Expiration Date
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE ATTACHED TO
THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form 591
Section 10 (River and Harbor Act of 1899) only.
GENERAL CONDITIONS
1. Navigation, No activity may cause rnore than a minlinial adverse effect on navigation.
2. Proper Maintenance. Any structure nr fill authorized shall be properly maintained, including mtaintenc?nce to ensure
public; safety.
3. Erosion and Siltation Controls, Appropriate erosion and siltation controls must be used and maintained in effective
operating condition during construction. arid call exposed soil and other tills must be pornane}ntly stabilized r1t the earliest
prac.;ticable data.
4. Aquatic Life Movements. Nq activity may substantially disrupt the movemont of those species Of aquatic life indigenous
to'he waterbody, inclu(brid those'spec;ies which rlorrr}ally migrate through the area, unless the activity's prirnrlry purpose is to
impound water,
5. Equipment. Heavy equipment working in wctlands must be placed on maLs or other measures rust be taken to minimize;
soil disturbrance.
6, Regional and Case-by-Case Conditions, Ti"}e activity must cornply with any regional cor!ditions which may have been
added by the Division Engineer and any case specific ct. nditiorrt added by the G,6rrps:''
7. Wild and Scenic Rivers. No activity may oc cur in a c'omporl r;t of the National Will, arid Scenic diver Sysiem: or in a river
officially designated by Congress as a "study river" for possible incll,rsion in the system, while the river is in an official study
status. Information on Wild and Scenic Rivers may be ubt wined from the Ncttionral Park Sc rvice and the U.S. Forest Servico.
8. Tribat,Rights. No activity gr its, operation rrl-.y impair resc?r?`e d,trlbal rights; .inclr,ding, but riot lir.n.ited to, reserved water
rights and treaty fishing arid hunting rights.
9, Water Quality Certification. In certain states, an individual state waidt quality certification must be obtained or waived.
10. Coastal Zone Management. In cd"ein'slates. an individual stale c6asta1;zone management cohsistelycy concurrence
must be obtained or waived.
11. Endangered Species. No activity is authorized under any NVVP which is likely to je;oparcyzr.the - -intinued existence} of
a threatened or endangered species or a specie:', proposed for such designation, aOlidentitied Ohder Fedora Endangered
Species Act, or which is likely to destroy or adversely modify the critical habitaf of su0 species. Non••Federal permittees shall
no*V the District Engineer if any listed species or Cr(tiCc3i habitat might t1l3 affected Cr is in tCle vicinity of the project and shat
not bogin work on the activity until iactifieu by the Distric'!Zngince:r that the recluirornonts.otlhe lEndacagered Spe;cittsAct lieve
been %Alsfied and thpt the activity is authorizer:. Information or the location of•threr tened and endangered Species cake be
obtta:nod from the U,S. Fish arid '01614o Se iivice: and National l"0ariri0YFfsh6rios ScrYKA,
12. Historic Properties. No ractfvity which tw.,iy ,f!'eact tit v lric' f roperlies listed, or eligible; for listing, rl the Navonai Register
of Historic Places is authorized, t}r'il the District 1-:rgino r has complied with the provisions o, 33 CFR 325.Appendix d' The
prosDective permitter must notify the District µngirleer it the authorized activity may affect any historic properties listed,
deter?fined to be eligible; or,.vhicii the prospective permitted h: > reason to believe may 1,,,e eligible3 for listing on the National
R^c(i to of Historic Places. and mall not begin tl to activity until notified by the District Enc( rlo ;r that the requirements of the.
NK:tional Historlr, Preservation Act helve been satisfied and that the activity is authorized.
from the: State Historic Preservation Office
Information on the location and existence of historic rsse?!.irceas car) be obtained
and the National Register of Historic Places (se;e: 33 CFR 330.4(g)).
13. Water Supply Intakes. No di„charge of dredged c}r fill rnater F-l may occur in the: (rox m°ty J a public water supply intake
c;xcopt where the discharge i;; re f e} r :f the pu ;:i.: N{r:c .r;(,r ;' ntcke sirlctur or Ydjd:, It b.:nic str.bilicat c?n.
14. Shellfish Production. No 655_-har lc of dredg-ed off f ? rna4,-ia? miry occur fir:. areas o' c.,uncentrate;d shellfish production,
t.rrlle.?: , the discharge is directly rebate-d to a shellfish harvest <.ctivity authorize lay f} atior4:A ;lie permit.
1=a. Suitable Material, No rlixilarge.', of dierig=i,Id o 4:1+ ''!<at<.1' i Ina',' consist J' U'1c }It ,l:l;a '"1clt:,l'I'3 , !. ira5il .)r5 Car
r)o :ie}s, etc.) arid material disc"arged mos. be tfollI Toxic: p lutants in toxi.: all ur r,t>
16. Mitigation. Discharges of dre'dr?e, or fill 1)",a- s £,:l int_ r;- }iF:rs r;f the" llrrted sty}tf>.. !l;J F? r.linir izead :, avoidcar to the
Y'}aX'n?Un': extent ar£acl c I b!E.` ell ft'' Site :if, i Itt'' ;!' li e s
.,.: !Yl I(,. El-it rr (approved c!
( ;t.. . ? . .e
rn :J'c1atic,n pi.'an for the specific rf c;ul tot ac;t vit 1,
17. Spawning Areas. ^ sri I i( %"Jrvr'I'li } ;<i.`_ it :.^r l.n l 5f 34 1 r t -,wJ ed to the ilc x r'r extant
;rr<3c;t?cahlc?,
18. Obstructions of High Flows To i( c.k!c: dart" . ,':sl ._,;; r,c t1t;rrncrf ,htl? rc;_:'It:! c)r inlj')(cdc
.);, of forma r
r r.."'!.Jrid water )_
19. Adverse Impacts from Impoundments. If the di";c n arge . ei'ate s al in r;c)rancirnrnt r,{ o.?,tel, H(iverse ire)pacts can the
tic a ry'StC: aITi ^a.} : c>E'n r`y 1 ? f v'
!d tlC' ' . iestri tl^,., `a :tb tl_','dti Sh"l` tw nlrir}.?ed to the
. •lii ?r l?
GX'ent pract!cal} i
2o. Waterfowl Breeding Areas. D r<arcl„r> r`€`' I,Y 1:; ' r f il' r r?l '}`i r Y:ac;r ; ';vl IIiJ.,, tJl .s`_`.)fite, t::; he n'1aXIflYUf!1
;x ::rlt practicable
21, Removal of Temporary Fills. in raui e !vi o;v ,r . tl
r . !x?t7. ra ?.Ic?? ors
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
,- a
Project/Site: cvt bc? ( F"iA t'1 e Date 41S 1 9S
Applicant/Owner: I ,eJS v- . County: Wcvv-7c?,-,
Investigator: f State: 14 L
Do Normal Circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes ( Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Rid Mace -T_ CAL. 9. Cavnvnc?n c??eer?.,c v ` V F"A c
2._R0VCy i3?fGh T F& LJ 10.-- --
3.-Tj1.o Pookcor ?- T'AC_ 11-
4 . P 1 " FAC 12.
5. Cif Q .V?! ,n 5 FA-' 13.
ti. ?t,.1CG?AJvtn _ EAc-t 14.
7. Ryl? rJt5lln H_ 0,9L 15.

Percent of Dominant Species that are OBL, FACW or FAC - ++
l
di
F
0
C''
(exc
u
ng
AC-). 1
0
C)
Remarks: nb4 .ISM 1-AC - ?lc??.-c l k
HYDROLOGY
_ Recorded Data (Describe in Remarks): Wetland Hydrology Indicators:
_ Stream, Lake, or Tide Gauge Primary Indicators:
_ Aerial Photographs
/
inundated
7 Other YY
V Saturated in Upper 12 Inches
No Recorded Data Available _ Water Marks ,
_ Drift Lines

51?T
CT _ Sediment Deposits
Feld Observations: TZDrainage Patterns in Wetlands
it Secondary Indicators (2 or more required):
Depth of Surface Water: _(in.) _ Oxidized Root Channels in Upper 12 Inches
ZWater-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: O (in.) _ Other (Explain in Remarks)
Remarks: VC??y t
V.J.IC1I,'rC?
ee rG??? Zl'C, V-bo? CYtGvIVie- I S j C- "I
`
We?1r?;r,c? In.len?o?.? M"C hG5 PFOI Symbo
c I
SOILS

Map Unit Name 0
0 1 ?Ji?I?? o
-` 1,
(Series and Phase): -6 he GlAahd We.hCaKct sok1s , Drainage Class: T
T-
Field Observations
Taxonomy (Subgroup): T + C FIovao Confirm Mapped Type?41F Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inchesI Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
D-icy QV-
l?-L$ _ ID`f RU _ L I vn S6K . cohn?
Of micC,,-

Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ High Organic. Content in Surface Layer in Sandy Soils
Sulfidio Odor
7 Aquic Moisture Regime Organic Streaking in Sandy Soils
Listed on Local Hydric Soils List (Wf l' A iCcc pcwf)
Reducing Conditions Listed on National Hydric Soils List
_ZGleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:

WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? es No
Hydric Soils Present? Ye No Is this Sampling Point Within a Wetland? Ye No
Remarks:
Approved by HQUSACE 2/92
r
;1lUR 2 z 1995
TAKE
United States Department of the Interior AMENCNA
FISH AND WILDLIFE SERVICE ® -
Ecological Services
Post Office Box 33726
Raleigh, North Carolina 27636-3726
March 20, 1995
Mr. Bruce Perkinson
District Conservationist
Natural Resources Conservation Service
133 1/2 South Main Street
Warrenton, NC 27589
Dear Mr. Perkinson:
Thank you for your letter of March 14, 1995 requesting U.S. Fish and Wildlife
Service participation, pursuant to Section V of the Memorandum of Agreement -
Section 111 D.1, concerning requests for an onsite wetland determination/
delineation for the following applicant in Warren County:
Mr. Alpheus Jones Jr.
Due to staffing limitations, we regret that we are unable to assist Natural
Resources Conservation Service staff in making wetland determinations onsite.
However, based on the known values of wetlands as important fish and wildlife
habitats, upland runoff filters and floodwater storage areas, we request that you
conduct this wetland delineation carefully, and in strict accordance with the
1994 National Food Security Act Manual for agricultural lands and the U.S. Army
Corp of Engineers 1987 Wetland Delineation Manual for non-agricultural lands.
Sincerely,
U0
L.K. Mike Gantt
Supervisor
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DEM -4 953q 5
RECEtVED
APR 1 21995'
ENVIRONt&4 AL SCIENCES
WARREN SOIL AND WATER CONSERVATION DISTRICT
133 1/2 SOUTH MAIN STREET
WARRENTON, N.C. 27589
April 6, 1995
MR. JOHN DORNEY
NC DEHNR, DEM
PO BOX 29535
RALEIGH, NC 27626-0535
Dear Mr. Dorney:
Enclosed are seven (7) copies of the information needed for
Nationwide Permit # 26 for Mr. Alpheus Jones Jr. Mr. Jones
wishes to build an irrigation pond in Warren County and the
Natural Resources Conservation Service is offering Inventory
and Evaluation assistance.
Clare Cole, Soil Scientist, and I visited the site and have
determined the effected wetlands to be approx 2.0 acres.
Thank you for your assistance on this request. If you have
any questions please call [phone].
yCJ/l?'c..c.. ??
Bruce Perkinson, Natural Resources Conservationist
Warren Soil and Water Conservation District
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. County l?
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent & PJ1, W5 LJD.4 S LJR,
Address C2 11 6UA I/SZ, LO .5:n
Telephone No. Lj/ Y ) 45- 7 - S13 7 ONnt f
Description of Activity
Section 404 and Section 10.
Regional General Permit or Nationwide Permit Number.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above may subject the
permittee to a stop work order, a restoration order, and/or appropriate legal action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve the undersigned
permittee of the responsibility to obtain any other required Federal, State, or local approvals/permits. The permittee
may need to contact appropriate State and local agencies before beginning work.
By signature below, the permittee certifies an understanding and acceptance of all terms and conditions of this
permit.
Property Owner/Authorized Agent Signature
Regulatory Project Manager Signature
Date Expiration Date
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE ATTACHED TO
THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form 591
Size and Location of project (waterbody, road name/number, town, etc.) ;2j?2 n...-e &I Aft'Al,
Section 10 (River and Harbor Act of 1899) only.
GENERAL CONDITIONS
1. Navigation. No activity may cause rnare than a minimal adverse effect on navigation.
2. Proper Maintenance. Any structure ac. till authorised shall be properly maintained, including mraintenc?ncet to ensure
Public' Safety.
3. Erosion and Siltation Controls. Appropriate erosion and siltation controls, must be used and maintained in effective
operating condition during construction. and all exposed soil and other fills nlust be por r-lane;ntiy stabilized at the earliest
practic.lble date.
4. Aquatic Life Movements. Nq activity may substantially disrupt the movement of those species of aquatic life indigenous
to the waterbody, inclu(iing thbse? species which nmaliy migrate thrown) the eAres, unless the activity's primary purpose is to
impound water.
5. Equipment. Heavy equipment working in wotlands must be placied on mats or other rr(casures must be taken to minimize;
soil disturbance.
6. Regional and Case-by-Case Conditions. T! le .activity must corriply with any regional conditions which rncay naves been
added by the Division Engineer and any case specific Oonditicros "added by ttie Carps
7. Wild and Scenic Rivers. No activity r say occur in a c'omponeot of the, National Wild and Scenic River Systcrn. or in a river
officially designated by Congress as a "study river" for possible inCluSlon in the svsterri, Gyhile the river is in an official study
status. Information on Wild and Scenic Rivers may be obtained-front the; Notional Park Services and the U.S. Forest Service.
8. Tribat,Rights. N() activity or operati(an nia,,r irniaair rese ived,tribal rights, _inelM,ding, but not litnited to, reserved water
rights and treaty fishing and hunting rights.
9. Water Quality Certification:' In certealn states, an individual state wainl quality certification must be obtained or waived.
10. Coastal Zone Management. In c0tritain states. an individual states c6ast;l1,zone olanagenleit co:hsistorlt;y concurrence
must be obtained or waived.'
11. Endangered Species. No activity is authori;zod under arty NWP which is likely to jeop arcjzo.the continued exist!. ncet of
ra threatened or endangered species or a Specie's proposed for s(ach designation, castlentitied Ofider the' Federal Endangered
Species Act; or which is lit ell to destroy or adversely modify the critical habitaf of sudh sne,"ies. Non-Federal permittees shall
notify the (District Engineetr if any listed species or critical habitat might be pitected or is it tang vicinity of the project and shall
not begin work on the activity until 6otified by the Distric;l Enginoer that the,reoui"ornonts.of it c> Endangered Specfths Act have
been sr.vified and that the activity is a:Wheorized. Information on the loca%iort of •ftlrec3teri' and endanc red Site{.iES Crtr Lie
obtained from the U.S. F& and VVilciii ? a(?rtifice arid Nation 1i Marini So r,,*,ico
12. Historic Properties. No iacttfvity, vxl5ir:i i rtlr-ly affect tii t ;ric Properties isted, or eligible =c;r listing, in the Notional Resister
of Historic. Places is authorized, until ftle C istriE„ Eroinecar r!as con1ulied with the provisions 2)'? "IFR 32 , Appendix C. _rhe
proSU(;Ctivc pcrmittee must notify they Di; tri,:t Ew:rcerr 411c au:tiorized ?activity mr y gaffe _.t any historic propearties listed,
dote miinod to be eligible: rx which the, prospective penrCee hA;s reason to be ieve may he eligible for listing on the National
Register of Historic Places, and shall n begin the rciivity until notified by the, DistO I En lir' ,er that the requirements of the
National HiStodc Preservailinn Act ?lave; been satisfied ean(1 `,h'rat the activity adthor zed,
lnformation on the location and existences of histdri r SEiiSrC+?S can be oblalned trorri fne< `l=ate Hlstaric iPreSerVatlor C?tti e
and the National Register of Historic P!arces (sego 33 CFR 3 0.4(g}).
13. Water Supply Intakes. Nu, disch<;arg(, of dredged e)r fill rraieri0 may c.++ct; ac. in thEa prom ty of a pull li t vaait?r supply intake
:xl.e )t'vVt ?is a ) a r .-, < e:
i c re the discha. ?e rup;1 r f tl7 .s> i" ut, i(: ,ve: c r 1, .'Y irttr:kc yt ut;tt ;" c?r a i ,t,,. a bean' si "taiiizalion.
14. Shellfish Production. No di5chcarcic of dredged or r:li material mcry occur it rani as c,' r 'riCertrated shellfish prodcact on,
• nke,ss the discharge is dirprtly relate=d to fa shellfish harvest, activ-v :taft"r;'1Zed illy n.l. ()I'.' ,7 ? permit,
15. Suitable Material. No oischargo of V-",C oe'd il' ?!a,-. ira( gnat; .aor ` i<;t o' uns !itat.,d?l. iateri a te.a, trash, rlears, car
0( ie
I s, e1c.i and mateariad di schar(ge-i rri ; b., .. e' from i( tic i. l:,rtdrltS Irt tE3hlu Lire vurit
16. Mitigation. Disch:argc s c "I dred,too fill,i male" is intr . ,*,aters, :;f tt ;. ?) a E (f s::-ate , rrl;1c 'e r: i t riz:?d :,r avoids,(: to the
extent i?rau ct'c..v
''r' ctt ttl site, .! o, ih ,. D E! ` ;,ld <:a r ' ;!isat,or.
.??prY > ? t .;(, ( •
?
n ,iC;Eatts; a f; r `or the s )ecitic regiii a ;. vit,v
17. Spawning Areas. marl 'a ., 0 ,i t.yr..r,1{I r ,-1!- j A,, n I S,r?? r .,`t.31 s?.' ? usC? tc, f"; r '11, °r
;)r<actic bl
16. Obstructions of High Flows. 1, '1!. 0 Pr 11 !ri=,. r.t d s,,,t1 r 11 ;. n x>rrndrrtiy re ,?r+.:. or !nirxe
;h;; J 15 y:.ge? O? .101rn( 0. I it ... A.., l;i.. 3 I1S' .,t tF' =° c..rr l 1 . , ., ;r'n <,I`y (}l c.! C! It! f!'!) L if'.
n?r??:;ttrl?f '•."dater`,; .
19. Adverse Impacts from impouodments. III the di:",r;tlarge rleales all iwip"',w)(in1wit If watpi" irEiver,, ir?tf)a,N on the
5>Y';stenl ^a.aSE'C1 f),; "'f VYrltf'r 1 0..":P t'lf! rtrif th- i )f +t? l1!hI:'71.?F d t tt'e
•n:nx.rrJ, rr extent priacficaL'+
°iiXi^1'UM
20. Waterfowl Breeding Areas,
t3 t..,'lt pia cticald
21. Removal of Temporary Fills. r ti]- rr s. ?r, Yved i?!,,tui, r?7ri;t;:r i!r ; tl azri=-,s eturnedto
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NOTIFICATION FORM
INFORMATION SHEET
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
A. NOTIFICATION TO THE CORPS OF ENGINEERS DISTRICT ENGINEER. (REFER TO
ITEM B. BELOW FOR DIVISION OF ENVIRONMENTAL MANAGEMENT APPLICATION RE-
QUIREMENTS AND SPECIFICALLY NOTE NWP 26 DIFFERENCE.) .
Certain nationwide permits require notification to the Corps of Engineers before work can proceed. They are as follows:
NWP 5 (only for discharges of 10 to 25 cubic yards)
NWP 7
NWP 13 (only for stabilization activities in excess of 500 feet in length or greater than an average of one cubic yard
per running foot)
NWP 14 (only for fills in special aquatic sites, including wetlands, and must include a delineation of affected special
aquatic sites)
NWP 17
NWT 18 (required when discharge exceeds 10 cubic yards or the discharge is in a special aquatic site and must include
a delineation of the affected special aquatic site, including wetlands)
NWP 21 (must include a delineation of affected special aquatic sites, including wetlands)
4?NWP26 only for greater than 1, acre total impacts and must include a delineation of affected special aquatic sites,
c u ing wetlands)
NWP 33 (must include a restoration plan of reasonable measures to avoid and minimize impacts to aquatic resources)
NWP 37
NWP 38 (must include a delineation of affected special aquatic sites, including wetlands)
For activities that may be authorized by the above listed nationwide permits that require notification, the
applicant shall not begin work
a. Until notified that the work may proceed under the nationwide permit with any special conditions imposed by
the District Engineer, or
b. If notified that an individual permit may be required, or
c. Unless 30 days (calendar) have passed from the time a complete notification is received by the District Engineer
and no notice has been received from the District Engineer, and required state approvals have been obtained.
Required state approvals include: 1) a Section 401 water quality certification if authorization is requested for a
discharge of dredged or fill material, and 2) an approved coastal zone management consistency determination if
the activity will affect the coastal area.
Use of NWP 12 also requires notification to the District Engineer, but work may not begin until written
concurrence is received from the District Engineer. The time periods described above do not apply.
Furthermore, requirements to notify the U.S. Fish and Wildlife Service (USFWS), the National Marine
Fisheries Service (NMFS), and the State Historic Preservation Office (SHPO), as indicated below and on the
notification form, do not apply.
B. APPLICATION TO DEM FOR NATIONWIDE PERMIT SECTION 401 CERTIFICATION.
Certain nationwide permits require an application to DEM in order to obtain Section 401 water quality certification.
They are NWP 6, NWP 12, NWP 15, NWP 16, NWP 17, NWP 21, NWP 33, NWP 34, NWP 38, and NWP 40.
Certain nationwide permits were issued general certifications and require no application. They are NWP 3, NWP 4,
NWP 5, NWP 7, NWP 20, NWP 22, NWP 23 (requires notification to DEM), NWP 25, NWP 27, NWP 32, NWP 36,
and NWP 37.
The following nationwide permits were issued general certifications for only limited activities: NWP 13 (for projects
less than 500 feet in length), NWP 14 (for projects that impact waters only), NWP 18 (for projects with less than 10
cubic yards of fill in waters only), and NWP 26 (for projects with less than or equal to one-third acre fill of waters or
wetlands). Projects that do not meet these criteria require application for Section 401 water quality certifications.
C. NOTIFICATION/APPLICATION PROCEDURES.
The attached form should be used to obtain approval from the Corps of Engineers and/or the N.C. Division of
Environmental Management as specified above. The permittee should make sure that all necessary information is
provided in order to avoid delays. One copy of the completed form is required by the Corps of Engineers and seven
copies are required by DEM. Plans and maps must be on 8 1/2 x 11 inch paper.
Endangered species requirement: For Corps of Engineers notifications only, applicants must notify the U.S. Fish and
Wildlife Service and/or the National Marine Fisheries Service regarding the presence of endangered species that may
be affected by the proposed project.
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. Box 33726
Raleigh, NC 27636-3726
Telephone [phone]
NATIONAL MARINE FISHERIES SERVICE
HABITAT CONSERVATION DIVISION
Pivers Island
Beaufort, NC 28516
Telephone [phone]
Historic resources requirement: For Corps of Engineers notifications only, applicants must notify the State Historic
Preservation Office regarding the presence of historic properties that may be affected by the proposed project.
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 East Jones Street
Raleigh, NC 27601
Telephone [phone]
Information obtained from these agencies should be forwarded to the Corps.
DEM ID:
ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #): oZ 6
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 ENVIRONMENTTW!, G ---
NC DEPARTMENT OF ENVIRO AND NATURAL RESOURCES
P.O. Box 29535
Raleigh, NC 27626-0535 n'PR 1 2 i9g5
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS`O?-ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: // ?gt
7 u s Laa 5 L
2. Owners Address:. 11 A=L)Xe ) SST ( J.cF kcWTdn/, /V •L. .12629
3. Owners Phone Number (Home): 61g).2.5--2 - 323 7 (Work):./!?20-31-31
4. If Applicab}e: Agent's name or responsible corporate official, address, phone number.
5. Location of work (MU/?S?T ATTACH MAP).. County: (,L.A RUW
Nearest Town or City: /7 1-r% o /.1
Specific Location (Include road numbers, landmarks, etc.):
6. Name of Closest Stream/River:.5ACy cc C, ektZe-
7. River Basin: -V& -,fq/nLXC0
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 [-]-
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded: q1, 600
Excavated:
Total Impacted:. 7 o o o q ?,f
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): 67? clc.' 0-
13. Purpose of proposed work:
?,YJ,o v
14. State reasons why the applicant be ' ves that this activity ust be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. jAo 0 _ _ .6- -??- - CA#$
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 [--]' 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.
B. If available, representative photograph of wetlands to be impacted by project.
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line.
D. If a stormwater management plan is required for this project, attach copy.
E. What is land use of surrounding property? ?iGlt.?r?L
R If applicable, what is proposed method of sewage disposal?
Owner's Signatu Date
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: 'FOGnb-CJ Fc'" 'A s, l -e Date: 41 S 1 9
Applicant/Owner: I je,2S v . County: WC'? -V-- -J
Investigator: -( State: N C_
Do Normai Circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation)? Yes (R) Transect ID:
Is the area a potential Problem Area? Yes Plot ID:
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. &A Mac; l(_ _? E AL. s. Cowimc?n c4 teer??c v V' ??

-R' -J ev F& LJ
2. 1 -T 10.
3. 'AiC> Poolctf 11.
4. 12. ?
FIJC- s.$?c,cE 4 U?r .n W 1 13.
6. S1?cc?GJvtn ?_ Ehr-h 14.
7. Ry II r•?Sln ?_ O BL
t s.
8. ?AlIeO?ntj 16.
Percent of Dominant Species that are OBL, FACW or FAC - ++
C'1
l
di
F
0
(exc
u
ng
AC-). 1
V
0
Remarks: 1, d n.A J FAC
HYDROLOGY
_ Recorded Data (Describe in Remarks):
Stream, Lake, or Tide Gauge
_ Aerial Photographs
. 7 Other
No Recorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
?V Inundated
Y V Saturated in Upper 12 Inches
_ Water Marks ,
_ Drift Lines
4 51 5-
Field Observations:
' Sediment Deposits
_
Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.)
_
Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: O (in.) _ Other (Explain in Remarks)

j ?,c? W,1clI,
Remarks: Vey e f Vi T- 0' .4 Zee vUrtiI C?'GvI?1c_I S G
te
?)e?lar,d I In.len
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SOILS
Map Unit Name 0-101 0 1 ccJ" o
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(Series and Phase): G heV?'60O 0'4 WChcaKct 50A.9 , Drainage Class: T
Feld Observations
Taxonomy (Subgroup): n j2; C FIJ\/G Jevr+ Confirm Mapped Type?,ir, Yes No
Profile Description:
Depth Matrix Color Mottle Colors Mottle Texture, Concretions,
inches Horizon(Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-(0
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s bk . co?nwl
r
i IG?PS of v ni Cw

Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ High Organic.Content in Surface Layer in Sandy Soils
Sulfidic Odor
V7 Aquic Moisture Regime Organic Streaking in Sandy Soils
Listed on Local Hydric Soils List Ne k-a kCC FC Vf)
jZRoducing Conditions Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks: i f
1

WETLAND DETERMINATION
Hydrophytic Vegetation Present? No (Circle) (Circle)
Wetland Hydrology Present? es No
Hydric Soils Present? Ye No Is this Sampling Point Within a Wetland? Ye No
Remarks:
Approved by

;1?AR 2 z 1995
P?RTIEDJE NW??
United States Department of the Interior FISH AND WILDLIFE SERVICE m -.
Ecological Services
Post Office Box 33726
Raleigh, North Carolina 27636-3726
March 20, 1995
Mr. Bruce Perkinson
District Conservationist
Natural Resources Conservation Service
133 1/2 South Main Street
Warrenton, NC 27589
Dear Mr. Perkinson:
Thank you for your letter of March 14, 1995 requesting U.S. Fish and Wildlife
Service participation, pursuant to Section V of the Memorandum of Agreement -
Section 111 D.1, concerning requests for an onsite wetland determination/
delineation for the following applicant in Warren County:
Mr. Alpheus Jones Jr.
Due to staffing limitations, we regret that we are unable to assist Natural
Resources Conservation Service staff in making wetland determinations onsite.
However, based on the known values of wetlands as important fish and wildlife
habitats, upland runoff filters and floodwater storage areas, we request that you
conduct this wetland delineation carefully, and in strict accordance with the
1994 National Food Security Act Manual for agricultural lands and the U.S. Army
Corp of Engineers 1987 Wetland Delineation Manual for non-agricultural lands.
Sincerely,
L.K. Mike Gantt
Supervisor