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HomeMy WebLinkAbout20041512 Ver 1_Complete File_20050802 (2) Office Use Only: Form Version May 2002 USACE Action ID No. DWQ No.? 04- 1512 (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Riparian or Watershed Buffer Rules ? Section 10 Permit ? Isolated Wetland Permit from DWQ ® 401 Water Quality Certification 2. Nationwide, Regional or General Permit Number(s) Requested:Nationwide Permit 27 verified 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ? 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete section VIII and check here: ? 5. If your project is located in any of North Carolina's twenty coastal counties (listed on page 4), and the project is within a North Carolina Division of Coastal Management Area of Environmental Concern (see the top of page 2 for further details), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Environmental Banc and Exchange, LLC Mailing Address: Contact: Ms. Tara Disy Allden 220 Chatham Business Drive Pittsboro, NC 27312 Telephone Number: 919 / 459-9039 Fax Number: 919 / 463-5490 E-mail Address: taraCa,ebzusa.com 2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Chris Huysman Company Affiliation: Wetland and Natural Resource Consultants, Inc. Mailing Address: P.O. Box 224 Newton, North Carolina 28658 Telephone Number: 828 / 320-8120 Fax Number: 828-465-3050 E-mail Address: wnrincna,aol.com III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full- Page 1 of 7 size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Stonebridge Stream Mitigation Site 2. T.I.P. Project Number or State Project Number (NCDOT Only): n/a 3. Property Identification Number (Tax PIN): Moore County 638D 4. Location County: Moore Nearest Town: Carthage Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): From Carthage, take Monroe Street East. Turn left on Glendon Carthage Road (heading north). Pass Brady Road on the left, and the site will be on the right before Old Glendon Road on the left. 5. Site coordinates, if available (UTM or Lat/Long): 35°24'51.87"N 79°23'51.02"W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Property size (acres): 1,196 acres 7. Nearest body of water (stream/river/sound/ocean/lake): UT Crawley Creek (C) 8. River Basin: Cane Fear River (NCDNR 17-32-2) (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.) 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: Site consists of pasture and woodlands as described in the attached Stonebridee Mitigation Plan. The site consists of the riparian zones of perennial stream channels that are currently pasturelands. Surrounding landuse is rural and only sparsely populated. Stonebridge Stream Mitigation Plan, Section II Study Area 10. Describe the overall project in detail, including the type of equipment to be used: Development of a stream mitigation site consistent with current design guidances as described in the attached mitigation plan. See Stonebridee Stream Mitigation Plan Section 1. 11. Explain the purpose of the proposed work: The restoration of streams will fulfill DOT mitigation requirements as described in the Executive Summary of the Mitigation Plan. IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of 'the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. No prior history. V. Future Project Plans Are any future permit requests anticipated for this project? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application. No additional stream or wetland impacts will be needed within the proiect area. VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed. herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all Page 2 of 7 streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. Provide a written description of the proposed impacts: Numerous minor wetland impacts will be required to re-establish a natural stream morphology through the valley. Impacts will be to wetlands that are supported by groundwater discharges, these wetlands will experience a functional lift with the added hydrology from overbank events and will be enhanced through the restoration process. The existing conditions reflect historic straightening and minor grading. The restored stream is designed to have biannual bankfull events and will provide additional hydrology to existing hydric soils that do not currently exhibit wetland hydrology. There will be a net gain in wetland areas. The attached maps illustrate the extent of wetlands on the site. This approach ensures that buffer plantings will be more likely to be successful because species will be compatible with anticipated hvdroloev. The restoritive actions are described in the attached mitieation plan. 2. Individual) list wetland impacts below: Wetland Impact Site Number (on map) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain* (yes/no) Distance to Nearest Stream (linear feet) Type of Wetland*** 12+25 stream restoration .006 yes adj pasture 19+50 stream restoration .008 yes adj pasture 23+00 stream restoration .010 yes adj pasture 25+00 stream restoration .010 yes adj pasture 25+25 20' wide farm crossing .034 yes adj pasture 26+00 stream restoration .059 yes adj pasture 41+00 stream restoration .001 yes adj pasture 44+75 stream restoration .007 yes adj pasture 48+50 stream restoration .010 yes adj pasture 50+50 stream restoration .042 yes adj pasture 55+00 stream restoration .066 yes adj pasture * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. * * 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.fema.gov. *List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only). List the total acreage (estimated) of all existing wetlands on the property: appx. 1 acres Total area of wetland impact proposed: approximately 0.25 acres 3. Individually list all intermittent and perennial stream impacts below: Page 3 of 7 Stream Impact No. (on ma) Type of Impact* Impact Length (linear ft) Stream Name** Average stream width Before Impact Perennial or Intermittent? lease specify) UT107+50 natural stone ford crossing 20 UT-Crawley Cr. 4-5 perennial UT1 17+00 natural stone ford crossing 20 4-5 perennial UT125+50 natural stone ford crossing 20 it 4-5 perennial UT1 31+00 culvert crossing 23 It 4-5 perennial UT135+50 natural stone ford crossing 20 " 4-5 perennial UT144+00 culvert crossing 25 4-5 perennial UT149+00 natural stone ford crossing 20 4-5 perennial * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. * * Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapquest.corn, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 6,247 restored, 100 impacted for ford crossines, and 48 for culvert crossings. 4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.) below: Open Water Impact No. (on ma) Type of Impact* Area, of Impact (acres} Name of Waterbody (if applicable) ) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) n/a n/a n/a n/a n/a * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): n/a Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): n/a Size of watershed draining to pond: n/a Expected pond surface area: n/a Page 4 of 7 VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Wetland impacts are necessary to restore the stream channels that are on the site and no practical alternative designs would result in a natural stream morpholoav. Those areas that are impacted by the stream restoration will be replaced throuah the wetting of hydric soils that currently lack hydrology; wetted areas will be planted in wetland riparian tree species. Existing wetlands will gain function through riparian plantings. Stream crossings are necessary to provide access to high ground. The current design strategy allows for the crossings to be installed now in anticipation of potential land use changes. Design considerations are described in the Plan under Section IV; Culvert Design ensures minimal impact to the restored system. VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at http://h2o.enr.state.nc.us/ncwetlands/strmgide.htmL Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. n/a 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at (919) 733-5208 to determine availability and to request written approval of mitigation prior to submittal of a PCN. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Page 5 of 7 Amount of stream mitigation requested (linear feet): n/a Amount of buffer mitigation requested (square feet): n/a Amount of Riparian wetland mitigation requested (acres): n/a Amount of Non-riparian wetland mitigation requested (acres): n/a Amount of Coastal wetland mitigation requested (acres): n/a IX. Environmental Documentation (required by DWQ) Does the project involve an expenditure of public (federal/state) funds or the use of public (federal/state) land? Yes ? No If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify class C waters)? Yes ? No ® If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet) Multiplier Required Mitigation 1 n/a 3 n/a 2 n/a 1.5 n/a Total n/a n/a * Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment Page 6 of 7 into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or.0260. n/a XI. Stormwater (required by DWQ) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. n/a XU. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. n/a XIIL Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules? Yes ?No Is this an after-the-fact permit application? Yes ?No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). n/a Applicant/Agent's Sign ture Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 7 of 7 179.4164666 ° W I I I 1 179.4004000" W I I 1 1 179.383N33 * W I I 1 I W [I `'i' t. 7 51 4ae 0 Z r ? " "` r? ', if ?I '? y? d?\ _/Y? r ?1J ??! +I r '":--? `t v ?? ?'??.? 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Class Basin Stream Index # Big Juniper Creek From source to C 09/01/74 Cape Fear 17-30-2 (Juniper Creek) McLendons Creek Little Juniper From source to Big C 09/01/74 Cape Fear 17-30-2-1 Creek Juniper Creek Killets Creek From source to dam at WS-III;CA 08/03/92 Cape Fear 17-30-3-(1) Carthage's water supply reservoir Killets Creek From dam at C 09/01/74 Cape Fear 17-30-3-(2) Carthage's water supply reservoir to McLendons Creek Little Creek From source to C 09/01/74 Cape Fear 17-30-4 McLendons Creek Richland Creek From source to Moore B 03/01/66 Cape Fear 17-30-5-(1) County SR 1264 Richland Creek From Moore County SR C 09/01/74 Cape Fear 17-30-5-(2) 1264 to McLendons Creek Unnamed Tributary From source to Moore B 03/01/66 Cape Fear 17-30-5-3-(1) northwest of County SR 1264 Mount Carmel Church Unnamed Tributary From Moore County C 09/01/74 Cape Fear 17-30-5-3-(2) northwest of Road SR 1264 to Mount Carmel Richland Creek Church Parkwood Branch From source to Richland C 09/01/74 Cape Fear 17-30-5-4 Creek Toms Creek From source to Richland C 09/01/74 Cape Fear 17-30-5-5 Creek Persimmons From source to C 09/01/74 Cape Fear 17-30-5.5 Glade Branch McLendons Creek Big Governors From source to Deep C 08/01/98 Cape Fear 17-32 Creek River Governors CrLek Crawley Creek From source to Big C 08/01/98 Cape Fear 17-32-2 Governors Creek LLttl® aL -Fromisource to Biq C X08/0.1/98 j mCape Fears IZ-32-3 DEEP RIVER From mouth of Big WS-IV;HQW 08/01/98 Cape Fear 17-(32.5) Governors Creek to N.C. Hwy. 42 Line Creek From source to Deep WS-IV G8/03/92 Cape Fear 17-33 River Page 3 of 8 svms e EBX 4W DATA FORM ROUTINE WETLAND DETERMINATION (1987 COE Wetlands Determination Manual) Project f Site. Stonebridge Stream Mitigation Site Date: June 2005 Applicant / Owner: Environmental Banc & Exchange; LLC County: Moore Investigator: Huysman State: North Carolina Do normal circumstances exist on the site? Yes ® Non Community ID:old field Is the site significantly disturbed (Atypical situation)? Yes ? No ® Transect ID: Is the area a potential problem area? Yes ? No o Plot ID:highground (explain on reverse if needed) VEGETATION Dominant Plant Species Indicator Stratum Dominant Plant Species Indicator Stratum 1. Festuca pratensis FACU herb 9. 2. Rubus arvensfs FAC- herb 10. 3. 11. 4. 12. 5< 13. 6. 14. 7. 15< 6< 16. Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 0 Remarks: HYDROLOGY ? Recorded Data (Describe In Remarks): Wetland Hydrology Indicators Stream, Lake, or Tide Gauge ? Aerial Photographs Primary Indicators: ? Other ? Inundated ? Saturated in Upper 12" ® No Recorded Data Available ? Water Marks ? Drift Lines Field Observations: ? Sediment Deposits ? Drainage Patterns in Wetlands Depth of Surface Water: N/A (in<) Secondary Indicators: Depth to Free Water in Pit: N/A din<) L7 Oxidized Roots Channels in Upper 12" ? Water-Stained Leaves ? Local Soil Survey Data Depth to Saturated Soil: N/A (in.) ? FAC-Neutral Test ? Other (Explain in Remarks) Remarks: SOILS Map Unit Name (Series and Phase): Chewacla Drainage Class: Somewhat poorly drained Taxonomy (Subgroup): (Ch) Fluvaquentic Dystrochreats Confirm Mapped Type? Yes ® No ? Profile Description: Depth Matrix Colors Mottle Colors Mottle Texture, Concretions, Linchesl Horizon SMunsell Moist) (Munsell Moist) AbundancelContrast Structure, etc. 00-77 Ap 10YR 4/3 / sandy loam 7-10 Bw1 10YR 5/4 10YR 4/3 common/distinct loam 10-17 Bw2 10YR 5/4 2.5Y 5/2 few/distinct loam 10YR 313 few/faint f f Hydric Soil Indicators: ? Histosol El Concretions Q Histic Epipedon, ? High Organic Content in Surface Layer in Sandy Soils ? Suffidic Odor ? Organic Streaking in Sandy Soils ? Aquic Moisture Regime ? Listed On Local Hydric Soils List ? Reducing Conditions ? Listed on National Hydric Soils List ? Gleyed or Low-Chroma Colors ? Other (Explain in Remarks) Remarks: WETLAND DETERMINATION PHOTO / USGS / NRCS Hydrophytic Vegetation Present? Yes Q No N Wetland Hydrology Present? Yes ? No N Hydric Soils Present? Yes[] No N Is the Sampling Point Within a Wetland? Yes ? No Remarks: DATA FORM ROUTINE WETLAND DETERMINATION (1587 COE Wetlands Determination Manual) Project { Site: Stonebridge Stream Mitigation Plan Date: June 2005 Applicant / Owner. Environmental Banc & Exchange, LLC County: Moore Investigator. Huysman State: North Carolina Do normal circumstances exist on the site? Yes ® Non Community ID:wetland Is the site significantly disturbed (Atypical situation)? Yes ? No ® Transect ID: Is the area a potential problem area? Yes E] No 0 Plot ID:wetland (explain on reverse if needed) VEGETATION Dominant Plant Species Indicator Stratum Dominant Plant Species Indicator Stratum 1. Juncus effusus FACW+ herb 9. 2. Carex spp. FACW herb 10. 3. 11. 4. 12. 5. 13. 6. 14. 7. 15. 8. 16. Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100 Remarks: HYDROLOGY ? Recorded Data (Describe In Remarks): Wetland Hydrology Indicators ? Stream, Lake, or Tide Gauge ? Aerial Photographs Primary Indicators: ? Other ? Inundated ® :saturated in Upper 12" No Recorded Data Available ? Water Marks ? Drift Lines Field Observations: ? Sediment Deposits ? Drainage Patterns in Wetlands Depth of Surface Water: 0=2 (in.) Secondary Indicators: Depth to Free Water in Pit: 0-2 (in.) ? Oxidized Roots Channels in Upper 12" ? Water-Stained Leaves 0 Local Soil Survey Data Depth to Saturated Soil: N/A (in.) ) ? FAC-Neutral Test ? Other (Explain in Remarks) Remarks: Addendum to the Pre-Construction Notification and "Buffer Rules" Application Required for Projects Submitted Under the "Express Review Program" North Carolina Division of Water Quality Version 3.0 January 7, 2004 Email Address: 401express@ncmail.net Purpose: To provide a detailed explanation of the information required by the Division of Water Quality in order to expedite the review of applications for 401 General Water Quality Certifications, Isolated Wetland and Stream Permits, and Buffer Rule and Minor Variance Approvals. Please do not leave any questions unanswered or use terms such as "N/A" without an explanation. Fees: Total stream impacts of less than 150 feet and/or total wetland impacts of less than or equal to 1 acre - $1,000.00. Total stream impacts of greater than or equal to 150 feet and/or total wetland impacts of more than 1 acre and projects that include any kind of Buffer Rules Approval -$2,000.00. For stream origin determinations as required by the Buffer Protection Rules the fee is $200.00 for one or two streams on the same property, $500.00 for three to six streams on the same property, or $1,000.00 for more than 6 streams on the same property. Please read the entire document before attempting to determine the proper fee. Fees are additive for a particular project. Things to keep in mind when filling out the application: A specific answer must be provided for each question. For instance, if a numerical answer is requested then a numerical answer must be provided along with the supporting information necessary for DWQ staff to verify that the number is accurate. Likewise, if explanations are presented to justify certain responses, the explanations must be completely supported by documentation. DWQ staff cannot assume that unsupported or undocumented information is accurate. "N/A" is not an acceptable answer for any question since the DWQ Staff reviewing the application must have an opportunity to determine whether or not any requested information is pertinent. All forms, guidance, worksheets, applications, etc. used must be the current versions as posted on our web site at http:h2o.enr.state.nc.us/ncwetlands. There will soon be a web site specifically for the express review program. Please note that it will be the applicant's or applicant's consultant's responsibility to verify that the current versions are used. The versions posted on our web site will be considered to be the current versions. You are a very important part of the success of this program, if you have suggestions or clarifications please send your comments to the Wetlands/401 Unit of the DWQ (via email at 401 express@ncmail.net). Filling Out the Pre-Construction Notification Application: The Corps of Engineers (USACE)/DWQ official, joint Pre-Construction Notification (PCN) Application must be used as a basis for the expedited review process. The completed application should be presented first the supporting information tabbed and collated in the same order. collated in the same order. Using a custom format is not recommended. All supporting documentation should be presented as tabbed appendices in the same order as the application. The open squares (_) are checklist items. 2 The following items correspond to the numbering system on the Pre-Construction Notification Form (PCN): USE CHECK BOXES TO TRACK PROJECT INFORMATION SECTION I. PROCESSING sact o,-% ` 041 401 V(1 & 2. The USACE determines which Nationwide, Regional, or General Permit is il\)Dk,r QtApJ*V4(arVt si0006f 1 required. If you have verified with the USACE which permit they intend to use for your project or if you already have written approval from the USACE, please Nol?'? OY11.t11 C `a-, indicate by adding "verified" or "verified, attached", respectively, in the blank next to the Permit number requested. ,DO rw ?r 1\Avc V / Attach the USACE Approval if you have it. L" 3. It is not anticipated that the expedited process will be requested for this situation. V 4. Si-r*4r,k. fie! ?C-4cors, If you propose to impact 150 feet or more of perennial stream or 1 acre or more of wetland and onsite mitigation is not proposed, it is recommended that you either locate an acceptable private bank with available credits (with documentation to show that the bank can and shall provide the credits needed) or obtain approval from the NCWRP for the entire amount of stream and or wetland as DWQ will make the final determination as to whether or not mitigation applies. Please note that the USACE may have different mitigation requirements and thresholds. [[?? Rl"" 5. State whether your project will require a CAMA Minor, Major or General Permit 1?C,eS it"0 and give the status of the permit. SECTION II - APPLICATION INFORMATION 1. 15 NCAC 2H.502(o reads as follows: "Who. Must Sign Applications. The application shall be considered a "valid application" only if the application bears the signature of a responsible officer of the company, municipal official, partner or owner. This signature certifies that the applicant has title to the property, has been authorized by the owner to apply for certification or is a public entity and has the power of eminent domain. Said official in signing the application shall also certify that all information contained therein or in support thereof is true and correct to the best of his knowledge." 1A.10y., V Please indicate how the applicant meets the above definition and provide supporting documentation. Please provide all of the requested contact information including a fax PCN S?cfieon number and email address. 2. Cil/ Please attach the agent authorization letter if the application is not signed by the applicant. The agent authorization letter must be signed by the applicant. The applicant's name and position must also be spelled out as many signatures are difficult to read. Sr2 G? OyL 3. Please provide all of the requested contact information including a fax number and email address. SECTION III - PROJECT INFORMATION The following is the most critical of all the information that you must provide. The quality and detail of the information will often determine the expeditiousness of the review. The following is a checklist of the types of pertinent information required at a minimum: Maps and Plans: The most recent version of the 1:24,000 USGS Topographic Map- Please cleanly delineate the site boundaries, etc. on the map. If the delineation obscures any of the features, it is recommended that a clean copy be provided. Please indicate the quadrangle name. You can go to the USGS web site (http://mac.usgs.gov/maplists/) to verify the most recent version. ?i}'lgQ? Qtl ?` ?"R The most recent version of the NRCS Soil Survey Map - (required for projects within $t;0ion -I-- I the Neuse River Basin, Tar-Pamlico River Basin and Randleman Lake Watershed and recommended for all projects) - Please cleanly delineate the site boundaries, etc. on the P Qre, map. If the delineation obscures any of the features, it is recommended that a clean copy be provided. Please indicate the page or map number from which the copy of the map was made. Copies of the current soil survey and/or soil survey map sheets can be obtained from the local NRCS County Office (http://www.nc.nres.usda.gov/). ?jttG,a}-%rn Phan ,? Vicinity map - Please clearly mark the location and approximate boundaries of the f? property and project on the map. Please indicate north and scale. Please include 1 9v { applicable road names or State Road numbers. tonebredqe Strew lay The Site Plan - The most critical map to be provided is the site plan. You must provide \W(Y an, Pros u+ full sized plans. The following is the minimum list of plans that are typically needed. vie el+ Tm ex I/ Pre-construction/Pre-existing conditions - This sheet must be scaled and ??r)'bri'de S U.h include all jurisdictional and non jurisdictional wetland, stream, water features, g U State regulated buffers, topographic contours with elevations, approximate extent ?t?n S?fvZ CAS and nature of forest, field, landscaped, or other cover. Any existing structures and impervious area must also be shown. Existing utility lines and easements must also be shown. Existing roads, culverts, and other pertinent features must be shown. North arrow and the scale must be shown. Please note that the impact boundaries on the maps should correspond to the flagged impact boundaries in the field. r\Cbr? ? us1V e? Proposed conditions - These sheets must be scaled and show all existing f ?t Q?n S S hf?tS (-'R jurisdictional and non jurisdictional wetland, stream, water features, and State regulated buffers must be underlain on the site plan(s). The plans must show all built-out structures and impervious cover. The plans must include the final grading contours with elevations. The plans must indicate all utilities and easements. It is likely that several versions of the final built out site plans will be necessary. The following is a list of layers: I i- "j5(x+r on Plan, Drainage Plans - Final drainage plans must be included. The plans should include the locations and pertinent elevations and sizes of the collection system and drainage ways. All inlets and outlets must also be shown with pertinent elevations. Scaled stormwater BMPs must also be indicated as required by DWQ rules and policies. In certain cases, final stormwater management plans must also be provided, but that will be addressed later in this document. ?11 S90 lE' Plats - The plans must show the location and layout of all sub-divided parcels with lot identifications. Platted parcels must be developable without further impacts to jurisdictional and non jurisdictional wetlands, streams, water features, and State regulated buffers. Des rJ#ru V Proposed Impacts - All impacts to jurisdictional and non jurisdictional wetland, stream, water features, and State regulated buffers must be shown and labeled on Q?t?ns , SYVOS k- T the site plans. All excavation, fill, flooding, stabilization, and other impacts that will be conducted in or near jurisdictional and non jurisdictional wetland, stream, water features, and State regulated buffers must be indicated. 5 Wetland Impacts (on the site plan): S'faneb ri d 5e U1g;l Plans, svwts , -g ,7Hnebr-tdcke Oe6 , Plans , Sheri-s t- hne6ridc? pis+yr.°? Qlo,nS. S'I. ,s 1-p +onebridap 05fSv\ fla'ns %Si 1-9 Plan s Sf? s I-.? Precise grading and final elevation contours must be provided. Existing vegetation and any clearing must be specified. All subsurface utility lines must indicate the location of anti-seep collars. Construction detail for anti-seep collars must be provided. Roadway or other crossings of riparian wetlands may require floodway culverts to maintain existing hydrological conditions. When surface drainage features or groundwater recharge areas that feed or would reasonably feed wetlands that are not to be filled are made impervious, it may be necessary to direct some stormwater runoff to those areas in order to maintain hydrology. You must identify these areas and address them. Supporting explanations and discharge information must be provided to show that the wetland would not be eroded or receive too much or too little hydrology. In many cases this could help satisfy part of a stormwater management plan. Flooding I ?? Draining P1&r cf S hart I-Stream Impacts: S{? br?dg e Stream impacts must be clearly shown on the plans. The centerline as well as the banks of the stream must be surveyed or located by GPS for the portion of the stream to be OCSic?h ? G y)& %tQJS t A impacted. Culverting: s*Ol,eblr doe ?$ The inlet and the outlet of the culvert should be aligned with the stream as much as toiga P,QD?ts?X?r c? possible. Inlet and outlet elevations and stream bed elevations should be indicated. ;+or\cb idk6e DeStCY V Any widening of the stream must be shown with elevations. flans, Sye.#-s H? The extent of and plan details for all dissipation or grade control devices should be shown nefar?dc " `?a with pertinent elevations. Puns i Sheet-s k-9 6 yt.ooebtiCkge For shorter culvert sections, such as for road crossings, a longitudinal cross section that (30C QI??#'IS,S % 1_4 shows the stream bed invert at the inlet and outlet, the existing stream bank elevations and the invert of the inlet and outlet of the pipe(s) must be provided. ;too0Pr- dge be?6ctq/ For shorter culvert sections, such as for road crossings, a vertical cross section must be Puns ? sha}s 1_19 provided that shows the stream cross section at the inlet and outlet overlain with the culvert and fill cross section. `+ot\drid(l_ USi5 ?? For bottomless culverts or other spans, a vertical cross section should be provided that Pta?s, S !, shows the minimum distance from each span to each stream bank, the stream cross section, the height of the span above the stream and the minimum distance from the q edge of each footer to each stream bank. ??4f?9>G pit J? For bottomless culverts or other spans, a plan view must be provided that shows the ?? p•(1 S+ S ?¢Q+S 1-9 location of the spans and the stream banks. ro.,b(-*e OL06r' i" For longer culverts or culverts that will pass beneath substantial impervious cover, it will be necessary to provide adequate plan detail to show that discharge velocity/energy will `ins t ?'? $ be adequately dissipated. Aquatic life passage through culverts is typically achieved by placing the invert of the 9?0fle-bf,ta culvert below the existing bed of the stream per the USACE or North Carolina Wildlife ?S i ?? (eta 0,nS, Sit _S Resource Commission guidelines. Other methods such as baffles may also be used. Please be aware that such placement may require the use of grade/velocity control measures up or down stream of culverts on steeper streams to prevent head-cuts or stream bed erosion. The culvert placement relative to the stream bed can be indicated on the longitudinal profile. Grade and velocity control measures must be indicated on the plan view and typical designs should be provided. ftr\C 1xi age- 17 Multiple culverts, wide culverts or sectioned box culverts typically require the use of sills, )eStgn Pions, Sim i-$ off-setting or other means to match the cross section of the existing stream (in order to maintain stream stability and provide aquatic life passage). A vertical cross section of the culverts should be shown overlain with the up and downstream stream cross section including the stream flood-prone area. vjA I r% A a M i Impacts associated with dam construction must indicate and enumerate all fill associated dl?Suc i (1 with the dam foot print, spillway and any bank stream bank stabilization. The length of Pr 05 e stream impounded must also be indicated and enumerated. Stream Relocations: ,+onebr cage. I sign Stream relocations must be conducted as specified in General Certification numbers ??alf1S ` SkS 3402 and 3404 (available on the Wetlands Unit web site). Stream relocation plans must include: f { f (Pf j 0IA P ? can5 a? Morphological measurements (see Appendix B of the Internal Technical Guide for Stream sec+ion W TGLb1C 3 Work in North Carolina available on the Wetlands Unit web site) - not all of the measurements are applicable in every instance. a?Gnt' 'r d?e ®es?V Typical stream cross sections - Typically, a riffle cross section and a pool cross section ?iArts? Sh??? s ?-? that includes the entire flood prone area. The bankfull and flood prove area elevations should be indicated. Similarly, a riffle cross section of the reference stream(s) should be provided. }p?f d Q QeSiG? fir Plan view - Provide scaled plans that show the location of the proposed (preferably with J / stationing) and the existing stream. In most instances, the bankfull contours and flood ajan? t S ? ?5 I- prone area contours, in stream structures, bank revetments/stabilization, channel plugs, 7 planting plan, vegetation conditions, stormwater outlets, grade controls, bridges, culverts, sewer lines, roads, fencing, and easement lines should also be provided. Mi-i ?Q-VoA ?IOLA, V/ Longitudinal Stream Profile - A scaled profile that indicates the thalweg , bankfull, and ??end i . top of bank elevations should be provided for the design and reference streams. In many cases, it will also be necessary to show the existing land elevations for the design / stream. Planting Plan - A planting and/or vegetation management plan should also be provided &t CA A IV , TAble LA that makes use of appropriate native vegetation. The plan should indicate the extent, density, and species of plants to be provided. t1+191T?i(?t1 Plan In-stream structure, bank revetment/stabilization, and stormwater outlet typicals - W-57 Detailed, typical plans should be provided for all in stream structures, bank revetments or Se C-r1 on stabilization, and stormwater outlets. The typicals should include materials and specifications as well as relative lengths, positions, and angles. '0A Plat), Sediment transport analysis - A sediment transport analysis should be provided based XCti On q on the current, relevant, accepted practices. The sediment transport analysis should be relevant to the stream bed load type and should predict bed load transport equilibrium. Mt }I 9O&rO A IA ? Permanent conservation easement or similar means of protection must also be provided. Se G?" i d i1 ?/) (? ? Other Information: ;+onebr id 9e S freams / 1. The project should always be referred to by this name in all correspondence as well %A W9CL4 d n Si't'e as the DWQ # once it is provided. r,jo j- ?, ©opr NIA 91" 2. This only applies to DOT projects which are not expected to utilize the Express prro Se c,4 ? Review Program. K N gj[ ! i/ 3. This should be the size of the project as identified by the USACE for 404 Permits or by the Division of Water Quality for Buffer Approvals and Isolated Wetland Permits. QC N -? t/ 4. Please provide the name (as depicted on the USGS topographic map and DWQ Q+.,,. - ell --- iA-C- I ;-+? l ..f +4.n --+ -+- k-4-/;--% +i....hi..h . ?..+ ie. tributary to (e.g. "Neuse River (Falls Lake below normal pool elevation)"). (Do not simple state "stream", "river", "ocean", "sound" or "lake".) Please provide the "stream index number" of the named water body or water body section (e.g. "27-(1)"). Also, please provide the full water quality classification (e.g. "WS-IV NSW CA") of the water body. This information can be obtained from the DWQ web site http://h2o.enr.state.nc,us/bims/Reports/reportsWB.html. PC M M. QJ 5. Please state which river basin and sub-basin that your project is in (e.g. "Neuse River Basin, NEU01"). This information can be obtained from the DWQ web site hftp://h2o.enr.state.nc.us/bims/Reports/repor.tsWB.html. PCN 7M- 'q S/ 6. Conditions should also be indicated on the existing site plan where applicable. StCbri t e Sireanti Photos (including aerial photos) can be helpful in describing.the existing conditions. dpi ?; cr?c??-i b? P9 an - ?PP''ntAix P1 ' ??/ 7. You must provide an attachment that explicitly describes what the proposed project gjlj,,9ao? Ran _ / will entail from the planning stage to final construction. sec. }i oin E FY 8. This can be a simple explanation, but it is critically important because the purpose ,Me XC)Cvh`ON Qlari, dictates how the no practical alternatives is reviewed. ;??Gfiioa? I' I rkrvd SCCA- on'a SECTION IV - PRIOR PROJECT HISTORY 8 '(If?l2rf ?S Y1® P?iOC Please include copies of all 401 Water Quality Certifications, Isolated Wetland P?D3? C?' Y11?`1 Permits, Buffer Approvals, USACE Permits, CAMA Permits for the site as well as a ?ofl?S \ copy of the final approved, site plan. SECTION V - FUTURE PROJECT PLANS wo Ad dl fI QlvJ V For projects utilizing the express review process, all impacts both present and rA 6 r• vvr f1 anJ potential future must be indicated. For instance, the location or configuration of ?U platted lots sometimes suggests that future impacts will be necessary to build, W WI ?? access, or otherwise develop such lots. Failure to account for such potential impacts could delay or disqualify a project from the rapid review process. If you believe that Wf't r` pro the the lot can be developed without impacts, but you anticipate that your assertion may be questioned, it is recommended that you provide a potential building foot print 01 I'Q and/or grading plan to show that future impacts could be avoided. SECTION VI - PROPOSED IMPACTS TO WATER OF THE US lorebr Id e- ue' 1. It is recommended that the individual impacts be described if there are special things S l J? Plans to note about the impacts. Typically the most important thing is to have detailed accurate site plans as described above. Please make sure they are clearly labeled. ?,/ Please include all proposed temporary impacts. 6'I oL ns Not t/ Also, a current, signed delineation map from the USACE should be provided (if kV0L 1&b1tL available) and a map locating the stream origins signed by the appropriate DWQ Staff must be provided if applicable. +Drvabr?dse 6' 2. Each impact to a wetland must be clearly labeled and identified on the site plan. The )es! sn Pton's type of impact must be clearly stated. If the impact is temporary, a specific plan must be described or shown as to how the wetland will be restored. Keep in mind that the USACE delineates some features as wetlands that DWQ calls streams. Please do not list any impacts in this table that DWQ would identify as a stream. If there is any doubt, it is recommended that the impacts be listed as streams. si-t> YOebr Z CkC? e 6Y 3. Each impact to a wetland must be clearly labeled and identified on the site plan. The A QI all S' type of impact must be clearly stated. If the impact is temporary, a specific plan must be described or shown as to how the wetland will be restored. Keep in mind that the $25 - g USACE delineates some features as wetlands that DWQ calls streams. Please list any impacts in this table that DWQ would identify as a stream. If there is any doubt, it is recommended that the impacts be listed as streams. Please follow current DWQ policy with respect to whether a stream is perennial or not. It is recommended that you assume that a stream is perennial (unless you are positive that it is not) so if mitigation is required then the appropriate amount of mitigation would be anticipated or requested from the WRP or private bank. If the WRP or private bank has pre- approved too short of an amount of stream or if inadequate mitigation is proposed, then that situation will result in delays. ?Ian 19/ \? 5 4. Sometimes it is difficult to determine whether a feature is a modified natural channel or a ditch, especially in the eastern part of the State. Soils, drainage features, topography, and similar factors, all are important for making that determination. NIA V 5. Other items to address not specifically requested in the application include downstream sediment starvation, thermal pollution, low flow releases from dams, and aquatic life passage. Other important considerations are buffer reestablishment or mitigation around ponds on buffered streams. The site plan should include the precise elevation contour of the normal pool as well as the dam foot-print. Mitigation is required for wetland flooding of an acre or greater and for stream fill (if over the 150 foot threshold) under the dam foot-print and any outlet stabilization. SECTION VI -AVOIDANCE AND MINIMIZATION Avoidance and minimization are critical aspects of an application particularly if you desire the application to be processed expeditiously. The following is a check-list of avoidance and minimization questions that DWQ Staff often look for in applications. 414-i o,aArian PI a rt, Ul/ Are there any stream crossings at angles less than 75° or greater than 105°? lgec+iOn W_ N 'Aft C)q,} o 11 Q IQLn r i/ Are there any stream crossings that cross two streams above or at the confluence of those Se ct16 n N-4 streams? ?IwCe aA Plan , 1/ Are there any stream, wetland, water, and/or buffer impacts other. than perpendicular road se c+r°on lv -4 crossing near the edges of the property? ?iAi _ .a 91 Can the stream be relocated as a natural channel design as opposed to culverted or sec;on 1v-4 otherwise filled? . -,,c X14 vet P I &1% ? C'r Is any single stream crossed more than once? Set+o tV Sian Pt ? ? ? Can property access routes be moved or reduced to avoid stream, wetland, water, buffer Mti? `e n 9V 41 impacts? td ??.cc S1t?uL'S i/ Can a building, parking lot, etc. be realigned to avoid impacts? Mi ' a'?'i c P( l9/ Can the site layout be reconfigured to avoid impacts? S ? c;-I-i o ?. lV' Zf PI an,1qeca Can headwalls or steeper side slopes be used to avoid/minimize impacts? ? .. &h-&r,,, fl&n, Scc iV'Y,l Can a retaining wall be used to avoid/minimize impacts? Can cul de sacs be used in place of a crossing? 1 rlClUO i [/ Can lots be reshaped or have shared driveways to avoid impacts? its Qfb? c G? If based solely on the practicable physical possibility, the answer is "yes" to any of the above questions then you must have to provide substantial and convincing justification as to why the impacts are necessary. If the impacts are required by a local government or other agency the claim must be supported with appropriate written documentation from the local government or other agency. Most projects typically involve the need to justify avoidance and minimization. If this information is not readily available, then the express review process may not be the appropriate venue to use because the project may be put on hold at the end of the process. Providing alternative plans (such as plans that avoid the impact, minimize the impact and the preferred plan, similar those used in environmental assessments) and explanations as to why the preferred plan is needed and why the alternative plans won't work are many times helpful in the no practical alternatives review. SECTION VIII - MITIGATION Mitigation for the Express Review Program, final mitigation plans must be presented up front. The final plans (except for plans that propose payment into the Wetlands Restoration Fund, Riparian Buffer Restoration Fund, private mitigation banks, or similar banking instruments) must contain detailed plans, specifications, calculations and other supporting data that show that the appropriate mitigation will be achieved at the ratios required. The design plans must be developed to at least the "90%" level. Monitoring plans must be final and specific. Any means of permanent protection, such as a permanent conservation easement must be provided. If you elect to use the WRP or a private mitigation bank, it is 10 recommended that you request the maximum possible mitigation amount that DWQ may require so that you will not have to get further approval from them on short notice. The WRP and private banks are not part of the expedited review process and cannot be expected to meet any such deadlines. There will be no conditional expedited approvals that require final plans at a later date. It is not recommended that innovative mitigation techniques or greater than 10% preservation be requested as part of an expedited process. SECTION IX if your project requires the preparation of an environmental document under NEPA or SEPA and an approval letter has not been issued by the State Clearinghouse, then you cannot apply under the expedited review process. I t is your responsibility to find out if such documentation is required. SECTION X There are many aspects of the Buffer Rules that must be addressed in every application, if applicable. The first and most important thing to keep in mind is that allowable activities that require written Approval from DWQ triggers a review of the entire project for compliance with the Buffer Rules. Diffuse Flow S Stormwater Management: )OeS r)Or `Jm f m. c>f 67 The most common issues that arise involve the requirement for diffuse flow of stormwater ?? r i? b?fC through riparian buffers. Basically one of three things must be indicated in regards to all °new" stormwater that is collected and subsequently discharged. First, provisions for diffuse flow through the protected buffer must be made. This usually involves the use of level spreading devices designed to the latest DWQ guidance on level spreader design, which is available on our web site. Please keep in mind that it does not matter how far a discharge point is from a buffer. The stormwater must be flowing in a diffuse manner at whatever point it eventually reaches the buffer. If the stormwater will not be flowing in a diffuse manner through the protected buffer at the point it reaches the buffer, then one of the following options may be allowed: You may provide a nitrogen removing measure such as a forested filter strip, grassed swale, stormwater wetland, etc. The measure employed should be designed according to the NC DENR Stormwater Best Management Practices Manual or other DWQ Guidance available at httv- 1/h2o.ehnr.state.nc.us/ncwetiands/mitresto.html. After the nitrogen is treated, the stormwater can be directly conveyed through the buffer with written DWQ approval. You may discharge the stormwater to an existing man-made conveyance that currently conveys stormwater through the protected buffer (assuming the conveyance was not constructed in violation of the Rules) as long as that conveyance does not need to be altered to convey the flow. Please remember that there are no other choices. The following checklist is intended to help insure that your application will not be deemed incomplete as a result of improper stormwater design. Stormwater Management (for Buffer Rules compliance only - Also, see Section XQ: r3 o b?rc G? All stormwater out-falls must be clearly shown and labeled on the site plan for projects in 1 Buffered watersheds. List each out-fall as labeled: ii?3Q?? 2«-hrLl.? V Option 1: Level spreading devices designed to the latest DWQ Guidance, and NIN devices that merely control velocity but do not provide diffuse flow such as rip rap dissipators are not proposed. List each of these out-falls as labeled on the site plan and provide a DWQ worksheet available at http://h2o.ehnr.state.nc.us/ncwetiands/mitresto.htmi: 11 MIN V Option 2: Nitrogen removing measures designed to DWQ Standards are proposed for discharges for which diffuse flow through a protected Buffer cannot be met. List each of these out-falls as labeled on the site plan and provide a DWQ worksheet available at http://h2o.ehnr.state.nc.us/ncwetiandstmitresto.html: Option 3: The stormwater will be discharged to an existing man-made (not including modified natural channels) conveyance that carries the stormwater through the Buffer. The conveyance was not constructed in violation of the Buffer Rules. List each out-fall as labeled: ??t,? M ?r;}p{cas1 All stormwater out-fall must meet one of the options above. (Note: if you cannot check this not box your application will likely not be accepted into the express review process.) S?or rwwca.?-? -J e-d Site Plans: ;tariebn" r ,1 All applications on properties with DWQ protected buffers must clearly depict the buffers g 914,05, Shunts ?-? and any impacts to the buffers on the site plans. The impact maps should clearly depict both zones of the protected buffers and the proposed impact areas (provided in square feet). Surface Water & Buffer Delineations: Serbb?i ??g; p v` Any surface waters subject to DWQ protected buffers must be field located and accurately J depicted on the site plans and impact maps. The width, dimensions and pattern of the Q`q?.s t Ss (-? surface water must be delineated. The surface water location must not be taken simply from a USGS map, soil survey or local municipality's map. The buffers must be measured from the surface water as required within the applicable buffer protection rule (e.g., all buffers along streams subject to the Neuse Buffer Rule must be measured from the "top-of- bank" of the stream and not the centerline of the stream). All streams must be surveyed or located by GPS and shown precisely on the site plans. Impact Table: P A q r QFI oi-k %41 I1 Please provide additional impact tables that clearly state the area of impact for each t\+ corresponding impact site. Variances: N? Projects that require the Minor and "General" Variances may be eligible for the use of the Express Review Program. However, Major Variances are not eligible. If your project requires a Minor or "General" Variance approval, then be sure to attach a completed Minor or "General" Variance application. Mitigation: ;for ebridt?. s+lVatM 2' As opposed to applications that are submitted under our regular process, final mitigation plans must be presented up front (see requirements for Section VIII above). The mitigation Q? plans must comply with the applicable buffer mitigation rule. SECTION XI - STORMWATER Please provide the following information in regards to potential stormwater requirements: Qe1 ???? L' The total acreage of the site. I__ 1 to (acres) N&j l eX?u?fi?te SuMr 12 The total built-out impervious acreage Q (acres) >?7 The total area that will be disturbed V- ( L0 (acres) NIA If the total area exceeds 20% imperviousness, the development on the site is uniform in density, and you are claim that the total impervious area is less than 30%, you must provide a complete, detailed breakdown of the assumed built-out conditions. The breakdown must be detailed enough to show that all potential impervious areas are accounted for. NIA i,( If there are concentrated areas of development such as multi-family, commercial, cluster, club houses, etc. that exceed 30% imperviousness and the total imperviousness for the site does not exceed 30%, a stormwater management plan will likely be required for those areas that exceed 30% imperviousness. 17 Stormwater management plans must be complete with a final design and an executed Operation and Maintenance Agreement. There will be no conditional stormwater approvals for the express review process that allow for approval of the final plans at a later date. Worksheets must be provided that are available at hftp://h2o.ehnr.state.nc.us/ncwetlands/mitresto.html. SECTION XII - SEWAGE DISPOSAL s?i?1(.1CA'?'?d?^l ,+Tt n ('K% ?/jk V Response must be clear and detailed. Any disposal method that suggests further impacts Jp cc Vq 04e, may be required other than those shown must be clearly addressed on the site plans. AcgoS X t'ac"sd" SECTION XIII QCN )U11 I/ Answering yes to either of these responses automatically precludes you from the express review process. SECTIO-N/XIV -SIGNATURE pco Qcw& -7 hY The name, position and/or title of the applicant must be in type or long hand script here with the signature. It should be the same person as described in Part II. When applying to use a General Certification it is important to review every condition of the Certification to determine whether or not your project can and will meet all of the conditions. For each Certification for which you have applied, you must list the number of each condition and specifically where the information is provided in the application or how and why the condition will or will not be met if not otherwise described in the application. The following format is provided for GC 3402 as an example: ? GC 3for Nationwide Permit ' 21-7 -7 13 Remember, N/A by itself is not an acceptable answer. 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