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HomeMy WebLinkAbout20040524 Ver 1_COMPLETE FILE_20040405`o?oF wAr?9Qc o ? Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan Klimek, P.E., Director Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality May 13, 2004 DWQ # 04-0524 Caldwell County CERTIFIED MAIL - RETURN RECEIPT REQUESTED Ken Moss 315 NE Wilkesboro Boulevard Lenoir, NC 28645 Subject Property: Aaron's Store Dear Mr. Moss: On April 5, 2004 the Division of Water Quality (DWQ) was notified by receipt of your application and additional information received on May 5, 2004 regarding your plan to fill wetlands or waters for the purpose of constructing a road crossing for commercial use in Caldwell County. This letter is to advise you that DWQ is returning your application because of failure to address our questions in April 16, 2004 letter. Please be aware that approval from DWQ is required to disturb these areas. If you wish to reapply you will need to provide 7 copies of the following information and refer to the DWQ # listed above in your reply with the additional fee. Please show these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H.0500. Returning Application: DWQ is returning your application because you failed to address condition # 3 in our April 16th letter. You can reapply with a new fee once you provide an on-site stormwater plan. Please telephone John Dorney at 919-733-9646 if you have any questions or would require copies of our rules or procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H.0505(c). The processing time for this application will begin when this information is received. If we do not hear from you by writing or by fax at (919) 733-6893 within three (3) weeks we will assume you no longer want to pursue the project and will consider it withdrawn. Sincerely, JRD/bs cc: Asheville DWQ Regional Office Asheville Corps of Engineers Central Files n Y Water Quality C rtification Program File Copy Richard Franklin, Post Office Box 1691, Hickory, NC 28603 N. C. Division of Water Quality, 401 Wetlands Certification Unit, 1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address) 2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location) (919) 733-1786 (phone), 919-733-6893 (fax), (hap://h2o.enr.state.nc.us/ncwetlands) Customer Service #: 1-877-623-6748 GINEER[NG CORPORATION FAGINEFRAG NOW AND I)RimE nrILRE Date: May 4, 2004 WETLANDS 1401 GROUP To: John R. Dorney N.C. Division of Water Quality 401 Water Quality Certification Program 1650 Mail Service Center Raleigh, NC 27699-1650 M/AA I< ?.O(lr WATER QUALITY SECTION Re: DWQ # 04-0524/Aaron's Store: 1. Please provide a location map for the project, including a USGS & Soil Survey. Seven (7) copies of the plans with location map are enclosed. Also a copy of the USGS and Soil Survey Map. 2. Please provide the location of any proposed stormwater management practices such as a wet detention pond. The City of Lenoir is not requiring that we provide stormwater detention. Please provide detail for the stormwater management practices such as a wet detention pond. Refer to answer #2 Richard J.GI?'ranklin P.E. PO Box 1691 (828) 327-2621 (828) 327-0931 Fax Hickory, NC 28603 atlplan@conninc.com `O??F W A T?9oG G r Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan Klimek, P.E., Director Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality April 16, 2004 DWQ # 04-0524 Caldwell County CERTIFIED MAIL - RETURN RECEIPT REQUESTED Ken Moss 315 NE Wilkesboro Boulevard Lenoir, NC 28645 Subject Property: Aaron's Store Dear Mr. Moss: On April 5, 2004 the Division of Water Quality (DWQ) was notified by receipt of your application regarding your plan to fill wetlands or waters for the purpose of constructing a road crossing for commercial use in Caldwell County. Approval from DWQ is required to disturb these areas. Please provide 7 copies of the following information and refer to the DWQ # listed above in your reply. Please show these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H .0500. 1. Please provide a location map for the project, including a USGS & Soil Survey. 2. Please provide the location of any proposed stormwater management practices such as a wet detention pond. 3. Please provide detail for the stormwater management practices such as a wet detention pond. Please telephone John Domey at 919-733-9646 if you have any questions or would require copies of our rules or procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H.0505(c). The processing time for this application will begin when this information is received. If we do not hear from you by writing or by fax at (919) 733-6893 within three (3) weeks we will assume you no longer want to pursue the project and will consider it withdrawn. Sincerely, j4hn R. Dorney 1 Water Quality Certific 'on Program JRD/bs cc: Asheville DWQ Regional Office Asheville Corps of Engineers Central Files File Copy Richard Franklin, Post Office Box 1691, Hickory, NC 28603 A W-24 w5ro N. C. 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Wa 1 IleEt Al! 7o 3(`f Jim CI ••``Bl I Ad t asnoyjmo? q r • • ?J 1 `Y'vadN may%ol IOU; 69ld,%^'1 fir. ?• ?W,U'`?. i -•?• •,ale'1 \\ /?/mil '• • •. % WOO • •? •ia)eayl 41 / pBauxlEA r• l AJ j'. ; All ;tea / ?` ? ? _ .,c : • . k -' . ? , , ?, t •, wo 3q H Z 0 o3 O? W ATFR Michael F. Easley, Governor William G. Ross Jr., Secretary ?O? Qp North Carolina Department of Environment and Natural Resources r >_ - Alan Klimek, P.E., Director Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality April 16, 2004 DWQ # 04-0524 Caldwell County CERTIFIED MAIL - RETURN RECEIPT REQUESTED Ken Moss 315 NE Wilkesboro Boulevard Lenoir, NC 28645 Subject Property: Aaron's Store Dear Mr. Moss: On April 5, 2004 the Division of Water Quality (DWQ) was notified by receipt of your application regarding your plan to fill wetlands or waters for the purpose of constructing a road crossing for commercial use in Caldwell County. Approval from DWQ is required to disturb these areas. Please provide 7 copies of the following information and refer to the DWQ # listed above in your reply. Please show these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H .0500. 1. Please provide a location map for the project, including a USGS & Soil Survey. 2. Please provide the location of any proposed stormwater management practices such as a wet detention pond. 3. Please provide detail for the stormwater management practices such as a wet detention pond. Please telephone John Dorney at 919-733-9646 if you have any questions or would require copies of our rules or procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H.0505(c). The processing time for this application will begin when this information is received. If we do not hear from you by writing or by fax at (919) 733-6893 within three (3) weeks we will assume you no longer want to pursue the project and will consider it withdrawn. Sincerely, 1 J?hn?R. Dorne y er Quality Certific ion Program JRD/bs cc: Asheville DWQ Regional Office Asheville Corps of Engineers Central Files File Copy Richard Franklin, Post Office Box 1691, Hickory, NC 28603 N. C. Division of Water Quality, 401 Wetlands Certification Unit, 1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address) 2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location) (919) 733-1786 (phone), 919-733-6893 (fax), (hap://h2o.enr.state.nc.us/ncwetlands) Customer Service #: 1-877-623-6748 a?m AnANTicPLANENGINEEPING CORPORATION UNGINEHUNC NOW AND FOR IME nrn'RE: Date: April 1, 2004 To: Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Enclosed are seven (7) copies of the PCN Application for an Aaron's' Store located on Hwy 321 in Caldwell County. Also enclosed is a check in the amount of $200.00 required for the application. If there are any questions or concerns with this project, please contact our office. Thank you, &?4/ ;Richard J /Franklin, P.E. President cc: Western Piedmont Region Coordinator WETLANDS /401 GROUP APR 0 5 2004 WATER QUALITY SECnau PO Box 1691 (828) 327-2621 (828) 327-0931 Fax Hickory, NC 28603 atlplan@conninc.com WETLANDS 1401 GROUP APR 0 5 2004 Office Use Only: QUALITY SECTION r ? ¢?e pa Form Version May 2002 USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: ? 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: 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: Ken Moss Mailing Address: 315 NE Wilkesboro Blvd. Lenoir NC 28645 Telephone Number: (828)! 754-4224 Fax Number: (828) 754-4252 E-mail Address: 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: Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Page 5 of 5 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 I1 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Aaron's 2. T.I.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 2850109558 4. Location County: Caldwell Nearest Town: Lenoir Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): West side of Hwy 321 approximately 768' north of intersection of Hwy 321 and Hospital Avenue Property just south of Dollar Tree Store. 5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.4' W 81° 31.5' (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): 0.7943 Acres 7. Nearest body of water (stream/river/sound/ocean/lake): Zack's Fork Creek 8. River Basin: Catawba (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: Undeveloped grassland with small stream flowing along property line Land use in this vicinity is commercial and undeveloped commercial. Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Placement of 96" CMP in small streambed. Equipment to be used is as follows: Backhoe, Bulldozer, Dump Truck and Compactor. 11. Explain the purpose of the proposed work: To place small stream in culvert so that site may be utilized for commercial purposes. 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 USAGE 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. 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. 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 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 Page 7 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Placing approximately 102 L.F.T. of 96" CMP in streambed. 2. Individually list wetland impacts below: Wetland Impact Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain** (es/no) Distance to Nearest Stream (linear feet) Type of Wetland*** * 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: Total area of wetland impact proposed: 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) 1 Culvert 102 UT to Zack's Fork I' 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 wwNv.usgs.QOv. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapquest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 102 L.F.T. Page 8 of 12 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 Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) * List each impact separately and identity temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 5. 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.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. The size of the tract is such that the nronosed building with reauired narkine cannot be constructed without piping the small stream. 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 Page 9 of 12 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. 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: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Page 10 of 12 Amount of Coastal wetland mitigation requested (acres): 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 )? 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* (square ?) Multiplier Mitigation 1 3 2 1.5 Total * 'Lone I extends out 30 feet perpendicular from near bank of channel; zone 2 extends an additional 20 feet from the edge of Zone 1. Page 11 of 12 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 into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. 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. Existing impervious is 0.01 AC proposed impervious is 0.69 AC Total site is 0.7943 AC. XII. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. The Aaron's Store will tap into the public sewer outfall lines of the City of Lenoir. XIII. 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 X1V. 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). ?(_ 4,W- A-J t?SS 3 _Z epjWA&Tat's Signature (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 WETLANDS 1401 GROUP APR 0 5 ?_004 Office Use Only: Form Version May 2002 WATER QUALITY SECTION .,.. USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) I. Processing 1. Check all of the approval(s) requested for this project: ? 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: 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: Ken Moss Mailing Address: 315 NE Wilkesboro Blvd. Lenoir NC 28645 Telephone Number: (828) 754-4224 Fax Number: (828) 754-4252 E-mail Address: 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.) Company Affiliation: Mailing Address: Telephone Number: E-mail Address: Fax Number: Page 5 of 5 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Aaron's 2. T.I.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 2850109558 4. Location County: Caldwell Nearest Town: Lenoir Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): West side of Hwy 321 approximately 768' north of intersection of Hwa 321 and Hospital Avenue. Property just south of Dollar Tree Store. 5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.4' W 81 ° 31.5' (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): 0.7943 Acres 7. Nearest body of water (stream/river/sound/ocean/lake): Zack's Fork Creek 8. River Basin: Catawba (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: Undeveloped grassland with small stream flowing along property line. Land use in this vicinity is commercial and undeveloped commercial. Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Placement of 96" CMP in small streambed. Equipment to be used is as follows: Backhoe Bulldozer Dump Truck and Compactor. 11. Explain the purpose of the proposed work: To place small stream in culvert so that site may be utilized for commercial purposes 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. 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. 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 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 Page 7 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Placing approximately 102 L F T of 96" CMP in streambed. 2. Individually list wetland impacts below: Wetland Impact Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain** yes/no) Distance to Nearest Stream (linear feet) Type of Wetland*** * 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 hisurance 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 Hay, 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: Total area of wetland impact proposed: 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) 1 Culvert 102 UT to Zack's Fork 1' 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 N;'ww.usas.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapquest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 102 L.F.T. Page 8 of 12 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 Site Number (indicate on ma) Type of Impact* Area of Impact (acres) (if Name applicable) Wat) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: tut, excavation, areagmg, flooding, drainage, bulkheads, etc. 5. 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.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. The size of the tract is such that the proposed building with required_parkina cannot be constructed without piping the small stream. 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 Page 9 of 12 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?Hh2o.enr.state.nc.us/ncwetlands/strm.gide.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. 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: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Page 10 of 12 Amount of Coastal wetland mitigation requested (acres): 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 )? 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* (squImact are feet) Multiplier Miti nation 1 3 2 1.5 Total * Zone 1 extends out 30 teet perpendicular trom near bank of cnannel; Lone t extends an additional 20 feet from the edge of Zone 1. Page 1 1 of 12 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 into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. 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. Existing impervious is 0.01 AC proposed impervious is 0.69 AC Total site is 0.7943 AC. XII. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. The Aaron's Store will tap into the public sewer outfall lines of the City of Lenoir. XIII. 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). - -22 A;5_1' ?_4 e,-/, 1._5 p&fteft l"*S"attue Data (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 WETLANDS 1401 GROUP APR 0 5 2004 Office Use Only: f P _ Form Version May 2002 WATER QUALITY SECTION ?) -, U ' USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: ? 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: 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 Owner/Applicant Information Name: Ken Moss Mailing Address: 315 NE Wilkesboro Blvd. Lenoir NC 28645 Telephone Number: (828) 754-4224 Fax Number: (828) 754-4252 E-mail Address: 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: Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Page 5 of 5 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 2. T.I.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 2850109558 4. Location County: Caldwell Nearest Town: Lenoir Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): West side of Hwy 321 approximate) 768' north of intersection of Hwy 321 and Hospital Avenue. Property just south of Dollar Tree Store. 5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.4' W 81 ° 31.5' (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): 0.7943 Acres 7. Nearest body of water (stream/river/sound/ocean/lake): Zack's Fork Creek 8. River Basin: (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: Undeveloped grassland with small stream flowing along property line. Land use in this vicinity is commercial and undeveloped commercial. Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Placement of 96" CMP in small streambed. Equipment to be used is as follows: Backhoe Bulldozer Dump Truck and Compactor. 11. Explain the purpose of the proposed work: To place small stream in culvert so that site may be utilized for commercial purposes. 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. 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. 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 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 Page 7 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Placing approximately 102 L F.T. of 96" CMP in streambed. 2. Individually list wetland impacts below: Wetland Impact Site Number indicate on ma) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain** es/no) Distance to Nearest Stream (linear feet) Type of Wetland*** * 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 littp://Nvwev.fcina.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: Total area of wetland impact proposed: 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) 1 Culvert 102 UT to Zack's Fork 1' 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.mapgnest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 102 L.F.T. Page 8 of 12 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 Site Number (indicate on map) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) * 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.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. The size of the tract is such that the nronosed buildine with reauired narking cannot be constructed without piping the small stream. 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 Page 9 of 12 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. 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: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Page 10 of 12 Amount of Coastal wetland mitigation requested (acres): 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 )? 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 Mi Required at o 1 3 2 1.5 Total Lone I extends out JU feet perpendlcuiar from near bank of channel; Gone 2 extendS an additional 20 feet from the edge of Zone 1. Page 11 of 12 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 into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. 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. Existing impervious is 0.01 AC, proposed impervious is 0.69 AC, Total site is 0.7943 AC. XII. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. The Aaron's Store will tap into the public sewer outfall lines of the City of Lenoir. XIII. 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). ",3 .ice -2-e-72- (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 WETLANDS 1401 GROUP APR 0 5 2004 Office Use Only: Form Version May 2002 WATER QUALITY SECTION n USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: ? 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: 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: Ken Moss Mailing Address: 315 NE Wilkesboro Blvd. Lenoir NC 28645 Telephone Number: (828) 754-4224 Fax Number: (828) 754-4252 E-mail Address: 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: Company Affiliation: Mailing Address: Telephone Number: E-mail Address: Fax Number: Page 5 of 5 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Aaron's 2. T.I.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 2850109558 4. Location County: Caldwell Nearest Town: Lenoir Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): West side of Hwy 321 proximately 768' north of intersection of Hwy 321 and Hospital Avenue. Property just south of Dollar Tree Store. 5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.4' W 81° 31.5' (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): 0.7943 Acres 7. Nearest body of water (stream/river/sound/ocean/lake): Zack's Fork Creek 8. River Basin: Catawba (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: Undeveloped grassland with small stream flowing along property line Land use in this vicinity is commercial and undeveloped commercial. Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Placement of 96" CMP in small streambed Equipment to be used is as follows: Backhoe Bulldozer Dump Truck and Compactor. 11. Explain the purpose of the proposed work: To place small stream in culvert so that site may be utilized for commercial purposes 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. 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. 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 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 Page 7 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Placing approximately 102 L F T of 96" CMP in streambed. 2. Individually list wetland impacts below: Wetland Impact Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain** es/no) Distance to Nearest Stream (linear feet) Type of Wetland*** * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till, 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 littp://Nvww.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 IISACE only). List the total acreage (estimated) of all existing wetlands on the property: Total area of wetland impact proposed: 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) 1 Culvert 102 UT to Zack's Fork 1' 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.Qov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapquest.com, etc.).Cumulative impacts (linear distance in feet) to all streams on site: 102 L.F.T Page 8 of 12 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 Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 5. 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.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. The size of the tract is such that the proposed building; with required parking cannot be constructed without piping the small stream 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 Page 9 of 12 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/ncwetiands/strmgide.htmi. 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. 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: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Page 10 of 12 Amount of Coastal wetland mitigation requested (acres): 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 213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? 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. Required Zone* Impact (square feet) Multiplier Mitigation 1 3 2 1.5 Total # Zone 1 extends out 3u teet perpendicular nom near bank of enannel; Gone 1 extends an additional 20 feet from the edge of Zone 1. Page 11 of 12 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 into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. 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. Existing impervious is 0.01 AC proposed impervious is 0.69 AC Total site is 0.7943 AC XII. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. The Aaron's Store will tap into the public sewer outfall lines of the City of Lenoir. XIII. 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). A 05---) -- 3='1'2-`1---- op y j11I" `f/AgMf ftMtttre Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 WETLANDS/ 401 GROUP APR 0 5 2004 Office Use Only: Form Version May 2002 WATER QUALITY SECTION `k u o 2 4 USACE Action ID No. DWQ No. (If anv narticular item is not wi licable to this vroiect. 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: 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: Ken Moss Mailing Address: 315 NE Wilkesboro Blvd. Lenoir NC 28645 Telephone Number: (828) 754-4224 Fax Number: (828 -4252 E-mail Address: 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.) Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Page 5 of 5 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Aaron's 2. T.I.P. Project Number or State Project Number (NCDOT Only 3. Property Identification Number (Tax PIN): 2850109558 4. Location County: Caldwell Nearest Town: Lenoir Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): West side of Hwy 321 gWrox mately 768' north of intersection of Hw„_y 321 and HoWital Avenue. Property just south of Dollar Tree Store. 5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.4' W 810 31.5' (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): 0.7943 Acres 7. Nearest body of water (stream/river/sound/ocean/lake): Zack's Fork Creek 8. River Basin: Catawba (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: Undeveloped grassland with small stream flowing along property line Land use in this vicinity is commercial and undeveloped commercial. Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Placement of 96" CMP in small streambed Equipment to be used is as follows: Backhoe Bulldozer Dumb Truck and Compactor. 11. Explain the purpose of the proposed work: To place small stream in culvert so that site may be utilized for commercial purposes 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. 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. 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 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 Page 7 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Placing gpproximatelY 102 L.F.T. of 96" CMP in streambed. 2. Individually list wetland impacts below: Wetland Impact Site Number (indicate 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*** * 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.pov. *** 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: Total area of wetland impact proposed: 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma) Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) I Culvert 102 UT to Zack's Fork 1' 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 NNww.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, v,Avw.mapquest.coin, etc.).Cumulative impacts (linear distance in feet) to all streams on site: 102 L.F.T. Page 8 of 12 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 Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: till, excavation, dredging, flooding, drainage, bulkheads, etc. 5. 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.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. The size of the tract is such that the proposed building with required_iDarkim cannot be constructed without piping the small stream. 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 Page 9 of 12 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. 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: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Page 10 of 12 Amount of Coastal wetland mitigation requested (acres): 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 )? 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 I 3 2 1.5 Total * Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. Page 1 l of 12 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 into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. 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. Existing impervious is 0.01 AC proposed impervious is 0.69 AC Total site is 0.7943 AC. XII. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. The Aaron's Store will tgp into the public sewer outfall lines of the City of Lenoir. XIII. 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). •- 22 -- Applicant/Agent's Signature Date , (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 WETLANDS / 401 GROUP APR 0 5 2004 Office Use Only: Form Version May 2002 WATER QUALITY SECTION y USAGE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: ? 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: 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: Ken Moss Mailing Address: 315 NE Wilkesboro Blvd. Lenoir NC 28645 Telephone Number: (828) 754-4224 Fax Number: (828) 754-4252 E-mail Address: 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: Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Page 5 of 5 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Aaron's 2. T.T.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 2850109558 4. Location County: Caldwell Nearest Town: Lenoir Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): West side of Hwy 321 gproximately 768' north of intersection of Hwv 321 and Hospital Avenue. Property just south of Dollar Tree Store. 5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.4' W 810 31.5' (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): 0.7943 Acres 7. Nearest body of water (stream/river/sound/ocean/lake): Zack's Fork Creek 8. River Basin: Catawba (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: Undeveloped grassland with small stream flowing along property line. Land use in this vicinity is commercial and undeveloped commercial. Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Placement of 96" CMP in small streambed E.ouiyment to be used is as follows: Backhoe Bulldozer Dump Truck and Compactor. 11. Explain the purpose of the proposed work: To place small stream in culvert so that site may be utilized for commercial ppMpses 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. 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. 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 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 Page 7 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Placing approximately 102 L F T of 96" CMP in streambed. 2. Individually list wetland impacts below: Wetland Impact Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain** (yes/no) Distance to Nearest Stream (linear feet) Type of Wetland*** * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till, 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: Total area of wetland impact proposed: 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma Type of Impact* Length of Impact (linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) 1 Culvert 102 UT to Zack's Fork 1' 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.com, etc.).Cumulative impacts (linear distance in feet) to all streams on site: 102 L.F.T. Page 8 of 12 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 Site Number (indicate on map) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: till, excavation, dredging, flooding, drainage, bulkheads, etc. 5. 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.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. The size of the tract is such that the proposed building; with required parking cannot be constructed without piping the small stream. 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 Page 9 of 12 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:Hh2o 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. 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: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Page 10 of 12 Amount of Coastal wetland mitigation requested (acres): 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 213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? 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 3 2 1.5 Total * Zone 1 extends out 30 feet perpendicular ttom near bank of channel; Zone 1 extends an additional 20 feet from the edge of Zone 1. Page 11 of 12 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 into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. 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. Existing impervious is 0.01 AC proposed impervious is 0.69 AC Total site is 0.7943 AC. XH. 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. The Aaron's Store will tap into the public sewer outfall lines of the City of Lenoir. XIII. 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). 1. ? 1, _,// k F? < _? -'z 61 - /111 (J_ Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 WETLANDS/ 401 GROUP APR 5 2004 Office Use Only: Form Version May 2002 s? WATER QUALITY SECTION USACE Action ID No. DW? 140 (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: 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 Owner/Applicant Information Name: Ken Moss Mailing Address: 315 NE Wilkesboro Blvd. Lenoir NC 28645 Telephone Number: (828) 754-4224 Fax Number: (828) 754-4252 E-mail Address: 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: Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Page 5 of 5 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 I1 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Aaron's 2. T.I.P. Project Number or State Project Number (NCDOT Only 3. Property Identification Number (Tax PIN): 2850109558 4. Location County: Caldwell Nearest Town: Lenoir Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): West side of Hwy 321 approximately 768' north of intersection of Hwy 321 and Hospital Avenue. Property lust south of Dollar Tree Store. 5. Site coordinates, if available (UTM or Lat/Long): N 35° 55.4' W 81° 315 (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): 0.7943 Acres 7. Nearest body of water (stream/river/sound/ocean/lake): Zack's Fork Creek 8. River Basin: Catawba (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: Undeveloped grassland with small stream flowing, along property line Land use in this vicinity is commercial and undeveloped commercial. Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Placement of 96" CMP in small streambed Equipment to beused is as follows: Backhoe Bulldozer Dump Truck and Compactor. 11. Explain the purpose of the proposed work: To place small stream in culvert so that site may be utilized for commercial purposes 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. 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. 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 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 Page 7 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Placing approximately 102 L F T of 96" CMP in streambed. 2. Individually list wetland impacts below: Wetland Impact Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain** (yes/no) Distance to Nearest Stream (linear feet) Type of Wetland*** * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till, 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.pov. *** 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: Total area of wetland impact proposed: 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet) Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) 1 Culvert 102 UT to Zack's Fork 1' 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. TJSGS maps are available through the USGS at 1-800-358-9616, or online at www.usgs.cov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tol)ozone.com, www.mapquest.com, etc.).Cumulative impacts (linear distance in feet) to all streams on site: 102 LET Page 8 of 12 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 Site Number (indicate on map) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 5. 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.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. The size of the tract is such that the proposed buildine with reauired parkin!" cannot be constructed without piping the small stream. 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 Page 9 of 12 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.htm]. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. 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: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres):. Page 10 of 12 Amount of Coastal wetland mitigation requested (acres): 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 213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? 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 3 2 1.5 Total ' 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. Page I 1 of 12 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 into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. 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. Existing impervious is 0.01 AC, proposed impervious is 0.69 AC, Total site is 0.7943 AC. XII. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. The Aaron's Store will tap into the public sewer outfall lines of the City of Lenoir. XIII. 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). A001icant/Agent's Signature Date , (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 1- ¦ Complete Items 1, 2, and 3. Also complete item 4 If Restricted Delivery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. ¦ Attach this card to the back of the mailpiece, or on the front if space permits. A. X P1.2 ,N/ B. Received by (Printed Name) ? Agent 1. Article Addressed to: Ken Moss 315 NE Wilkesboro Boulevard Lenoir, NC 28645 DWQ# 04-0524 - Caldwell C. Date of Deliver) D. Is delivery address different from Item 1? ? Yes If YES, enter delivery address below: ? No 3. Service Type jh Certified Mail ? Express Mail ? Registered Return Receipt for Merohandlsr ? Insured Mail ? C.O.D. 4. Restricted Delivery? (Extra Fee) ? Yes 2. Article Number (rrans/er from service lab 7003 3110 0 0 01 3 4 9 4 2 0 6 4 ------ ---- --- UNITED STATES POSTAL SERVICE First-Class Matl Postage & Fees Paid LISPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • NC DENR Division of Water Quality Wetlands/401 Certification Unit 2321 Crabtree Boulevard, Suite 250 Raleigh, NC 27604 u !!Ilttit U!I U ltittltttttltittitltllttttllttltltlitttttlit ¦ Comp tgjterrs 1,-2, and 3. Also complete item 4 if Restricted Delivery is desired. ¦ Print your name and address-on the reverse so that we can return the card to you. ¦ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: Ken Moss 315 NE Wilkesboro Boulevard Lenoir, NC 28645 DWQ# 05-0524 - Caldwell A. X ? Agent D. Is delivery address different from Item 1 , ? Yes If YES, enter delivery address below: ? No 3. Service Type Aertified Mail ???,,,rrr Express Mail ? Registered Return Receipt for Merchandise ? Insured Mail C.O.R. 4. Restricted Delivery? (Extra Fee) ? Yes 2. Article Number 7002 1,000 0005 6489 7508 (Transfer from service label UNITED STATES POSTAL SERVICE LISPS • Sender: Please print your name, address, and ZIP+4 in this box • NC DENR Division of Water Quality Wetlands/401 Certification Unit 2321 Crabtree Boulevard, Suite 250 Raleigh, NC 27604 ? It it{tlttttliltlt{{Litt{titltlllti{!{illiiiil{liitlli{!!iilll! First-Class Mail Postage & Fees Paid Permit No. G-10 DWQ# 0 C? Date b 7 Who Reviewed: / P Detail Incomplete USCG ?SG;I S?YV Please provide a location map for the project 1,I1 cl???r'? Q ? Please show all stream impacts including all fill slopes, dissipaters, and bank stabilization on the site plan. ? Please show all wetland impacts including fill slopes on the site plan. ? Please indicate all buffer impacts on the site plan. ? Please indicate proposed lot layout as overlays on the site plan. ? Please indicate the location of the protected buffers as overlays on the site plan. ? Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan. ? Please provide cross section details showing the provisions for aquatic life passage. p (? ? Please locate any planned sewer lines on the site plan. .I_?vv? may, ri!Y Please provide the location of any proposed stormwater management practices dDZ? . Please provide detail for the stormwater management practices xs regaireri-blr a ? Please specify the percent of project imperviousness area based on the estimated built-out conditions. ? Please indicate all stormwater outfalls on the site plan. ? Please indicate the diffuse flow provision measures on the site plan. ? Please indicate whether or not the proposed impacts already been conducted. Avoidance and/or Minimization Not Provided ? The labeled as on the plans does not appear to be necessary. Please eliminate the or provide additional information as to why it is necessary for this project. ? This Office believes that the labeled on the plans as can be moved or reconfigured to avoid the impacts to the . Please revise the plans to avoid the impacts. ? This Office believes that the labeled on the plans as can be moved or reconfigured to minimize the impacts to the . Please revise the plans to minimize the impacts. ? The stormwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because Please revise the plans and provide calculations to show that diffuse flow will be achieved through the entire buffer. If it is not possible to achieve diffuse flow through the entire buffer then it may be necessary to provide stormwater management practices that remove nutrients before the stormwater can be discharged through the buffer. Other ? The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland impacts were requested. Please provide $ . This additional fee must be received before your application can be reviewed. ? Please complete Section(s) on the application. ? Please provide a signed copy of the application. ? Please provide Mitigation copies of the application, copies of the site plans and other supporting information. ? of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The plan must conform to the requirements in 15 A NCAC 2H .0500 and must be appropriate to the type of impacts proposed. ? Please indicate which 404 Permit the USACE would use to authorize this project. 34 O 3E1 60 90 Scale 1 30 DOLLAR TREE III f f r DRNYIGE DITCH t ( N 4+n D.O.T. D.O.T. > AARON'S v ( ~g8 I - P0.0POSEI RROPOSE0 WICT" RWAQ I f y ~ un~~ 9EPT r ~ I i BROYHILL J jpM TO I~TIONTELY ~ s MtiN NbSPItK AVENUE ~x • ""Atlantic Plan Engineer Corp. P.O. Box 1691 AIMRY, N.C. 28603 PHONE: (828) 327-2621 FAX: (828) 327-0931 e-msil a~t1p1s1coanlne.eom DRAWN BY. JH ES APPROVED BY: AJF REViSMS: 03-304SHT. NAME PROUCCT +a. _ DATE. 03-19-04 PROD NO MG. N0 ~ DRAINAG UWAGE PIAN AARON'S i LSNOM, NORTH CAROLINA WAL-RAFT HWY i 30 0 30 60 90 CITE Awl: _ i DRIVEWAY Scale 1 30' FOR i DOLLAR I+ HOSP!TA1 TREE AJE i ! FNO!P \ I VLI IT} NTS \I I ?."<EIP I r °eF "1 I i Cv z , I ~ pl 1 I v l ,`I. 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EXISTING 8 ~ 6.5'1 Deed Boat 688. Page 687 PROPOSED 40'WIDE Box CULVERT EXISTING 8 6.5' BOX CULVERT ( YY I _ ZONED. B-2 z RIGHT-OF-WAY PROPOSED JUNCTION BCC C O 3/4"EIP TO MEET DOT SPECS o `P c 0 RICHARD J. FRANKI.it1T 7"' TOXIAIATELY P. E. NC 028223 1 INTERSECTION WITH HOSPITAL AVENUE I T 1 1 THE ALLENE BROYHILL HEILMAN FOUNDATION, !NC... I BY Atlantic Plan Engineering Corp. THE JAMES T. & LOUISE R BROYHILL FOUNDATION, INC I"EIP AND THE SESAME FOUNDATION P.O. BOX 1891 Deed Book 1258, Page 410 HICKORY, N.C. 28803 ZONED B-2 PHONE: (828) 327-2821 FAX: (828) 327-0931 e-mail atlplan®conninc.com PROJECT M. N0. DRAWN BY. JH, ES APPROVED BY RJF REVISIONS 03-30-04, 04-08-04, 04-19-04, 04-29-04 SHT NAME DATE 03-19-04 PROJ NO. DRAIN AARON'S DWG NO _ DWG. DRAINAGE PLAN LENOIR, NORTH CAROLINA i NwY 321 WAL-k4 ART Ji / 30 0 30 60 90 i SITE- DRIVEWAY Scale 1 30' FOR DOLLAR TREE HOSPITAI AVE LENOIR YIL1B@..Ndf NTS T I I 1 ~2"EIP ' I PP 1/2"EIP ro~ 1 30" C A L ,I AMD 240 L. 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BROYHILL FOUNDATION, INC. Atlantic Plan Engineering Corp. 1 "EIP AND THE SESAME FOUNDATION P.O. BOX 1691 Bed Bak 1286, Page 410 HICKORY, N.C. 28603 ZOMfR B-2 PHONE: (626) 327-2621 FAX: (828) 327-0931 e-mail atiplan0conninc.com SIONS 03-30-04, 04-08-04, 04-19-04. 04-29-04 SHT. NAME NAME Vft"CT SHT NO, DWNM Br: JH. EE APPROVED BY RJE DATE: 03-19-04 PRO,1, NO, ' DWO. N0.- 0WG 1! 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MOO Of i MTIN Nowwx MAXIE THE ALIkNE BROYfKL HEILMAN FOUNDATNIN, INC., f 1'EIP THE JAMES T. & IONISE R. BROYHILL FOUNDATION, INC. " AU&nUe Plan Enginaerixg Corp. AND 4W SESAME FOUNDATION P.o. Box 1N1 ECM ON& t2W Page 410 ZONED: 8-2 SMOIRY, N.C. PiMM: ( 327-Mi FAX: (806) 327-0941 a-mail a~piE~sfcona;nc.com - B,_ 03-30-0{, 04-08-04, 04-19-04, (e SHT. NAME APPROVW DRAM! M: JH. ED FLIF RIX DATE* 03-19-04 PROJ. MD. WNAGX PUN DM0 NO:, DAG Lam, NOR= CA . KA 47 WAt -MART HM 321 30 0 30 60 90 FOR `AY Scale 1 30' DOLLAR TKE Noswia AVE f ! I LENOIR I f T 1/"'"EIP PP 1;'_'"EIP • ~ N' ~ I + u! r z wFr(ANQS J 40i C7NOUP w- C f „ ) o MAY 0 5 2004 AND SIGMON PROPERTIES Deed Book 1151, Page 1582 210 a 'V rFR ZONED: 8-2 a NICK HAVAS & IRENE HAVAS BE WFTED o UA(l yFFCrlah I HYDRANT 1L p ~ Deed Boo* 1449, Page 716 BACJ( FROM TM I m I CURB LOW f O m o N rn ZONED. 9-2 a 0 • u O o u 0 O i a° EJU U CUP 1P 1125 f j LY o o m n w In DRM4A10EDgTCH 2_NiP 1,/2"NIP [ cO ~ _ -1 120 U as AVaAS m `oE0 a..0 ' 'tIR E 8 - .W rtl c N 71'42'33'E 148 17 p T~ Q 1/2-EIP - - v 4671 S r Deed Book 901, Page 189 I ~ I I I V / Tract 2 1 2 4 ' V1P A ' I I I Deed Bonk 901. Page 189 T 1 BANKS CLEANED f (RELOCATE EX TWIG CURB INLET 24 ~ O WRH GRATE T NEW CURB LINE EXISTING Tract 1 1 AND GRASSED 4 RAIL :y, ' 1 ~Z01 2 O TO BE REMOVED AARON'S PROPOSEDs N eNq I 1 7`~ i , I PRA DQ MR OEOUMTm LANE ANO TAm CI_ o ~ 12" CMP 0.829 ACRES µi ' NI, "~-.i lQ O I I I BASE 6' OF MOB scRxic Box w, 4 ~ ~ I O I i ' ONERIf081TE 3' Of "-0@ 1Q :I i126 I SURAM 2-1/2' Of A59.56 C O ` `1 N ' Q TWO. (2) RIW TURN ARROW'S IN DECELERMTION LANE Q J OECELMT10?, LANE TWO (2) MM SKIPS FOR DECELERATION LAME W m 3 ^o , III I PNNT10NG TO UTKJZE ERHER EPOXY PAINT OR POLYUREA 1 L- / 1JGNT P0Ui TO MOVED ry ` / I °0 9 L 1 7Z~43oi . i N d - 19 /2 P - - _ - } V1/2"EIP_+ 146.94' ~.t 1125 3/4"EIP S 73.15'17"W 16212' S W4624V 189.52 s- '~"~ti~ (.123 fy23.12' GRAVES DRNE _?-1 _ 12'23~M J : 1Ma7~nole - l i Iw. TO stir. v~ 14 411~ .F N 27t2'Y3 ~-a- o \ S 38'35'07"E S NC 90 45.89' _ - - 1/2 •Nw 112*NW R30 POB 1/2"NIP N 7710'36"E 149.65 ApPron. S Ste, c 1 %;Nl • Z a~ F,L. GERMAN EJ `'~C4 BIMC B' x E E104TMG 6' x 6.5., S ~ ~~a'~"l, t ! Deed Book 688, Page 657 PROPOSED 40'WIDE sox CULVERT I BBX CULVEPT S \ I '~'Y(j3:"•'r~ . ZONED B-2 RIGHT-OF-WAY ' - ~Z \ PROPom ,N, r4m BoX C N011Q3S 11f7t/(10 E To WELT oor SPECS 831vm 3/4"EIP \ \ o Z Pool 0 Aviv "mum J. PsAmm* APPROXWMTELY 744' TO P.R. dnOdE) top/ 14C seem 0aERSECTION OW HOSPITAL AVENUE SaNb113M THE ALLEW BROYHILL HEILMAN FOUNDATION, INC, BY.At,an Plan Engineering Corp. f THE JAMES T. & LOLYSE R. BROYHILL FOUNDATION, INC. 1•EtP AND THE SESAME FOUNDATION P.B. Box 1881 Dead Book 1256, Page 410 ZONED. B-2 TUMMY, N.C. 2888S PROM: (886) 327-88,21 FAX- (828) 527-0931 c-mail atlpIin~coasinc.eam ORAWN BY., JH, EB APPROVED BY:. RJF REVISIONS: 03-30-04, 04-08-04, 04-19-04, 04-29+04 SM. ww DATE. 03-19-04 PROD. NO, n ~ DRLAINAGN FLAW AARON*S am, Nfl:, v*.. D1~t U"sm, NQRTR CAIWIJ NA r I, i WAL -MART Hwr 721 r- 30 0 30 60 90 I ~ I SITF I i DRIVEWAY FOR Scale 1 30 DOu-AR TREE NosPirAi TJ AVE I LENOIIR I VICINITY MA NTS i i i 1 t/2"EIF 1 ' pp NI 1/YEIP 0 ~ wl 1 >I ' I ~1 ul ~`I 30" cu SIGMON PROPERTIES 11~ ' a 1 Deed Book 1151. Page 1562 vl 40 L i u N 4 NICK HAVAS & IRENE HAVAS ` ZONED: B-2 p FIRE HyVfMNT FO BE p I .1 peed Book 1449, Page 716 SOCK FROM NO ~ m o a m l ` 1 20NEtr 8-2 4 I 4 CURB LINE x O 0 u c 11 U N ; I ~ O N o z a a 1 1 1 EXIS I P 915" chip A '125 ! i 0 o m o PROPOSED a y Y ' D1u8uDE DITCH ,L2_,NIP : Al W m 1 a 1 _ N (12) RbSEMARY NIP : 'OJ~^ - iGL C w r~i4): AZArtAS ya O o N 71'42'33"E 148.1] •.gI E11 a 1 1/2"EIF~ i 99? l? I ~ ~ Deed Book 901, Poge 189 1 Trott 2 1/ W 9 Deed Book 901, Pa7e 789 1 84M6 ~ ED F 'tzELOCATE WG CURB INLET • P 2 C WTM GRATE i NEW CURB UNE EXISTIIG TrOGt I AND GRASSED ' 1 I Ol 1 GUARD RAIL 1 ZIX2 TO EE REMOVED r - C t,J. CR 1 PROPOSED roI. N _ J PAVEMENT FOR OECELERAFION LAK MW TAPER ° 1 12 0.829 ACRES': NI ~ a Z ~ r ~ rot J ~ f tw. 1 t , jSPkIRG- Box ~ u o ~y N~ 6' !V I I BASE 6" OF 826.06 u t iO.i O 1NTERMEDNTE 3' OF f19.Oe U i " 1$ N 1 I i SURFACE 2-1/2' OF A59.56 I. -1726 oo OL 1 tp! L_ TWO (2) Rr4ff TURN AFIROWS IN OECELERATIDN LAW y:u , 111 o/ OECEl~TI* LANE TWO (2) MR6 SKIPS FOR OECELERAT)ON LANE 11 PAINTING TO UTILIZE ERHER EPOXY PAINT OR POLYUREA Jf.NT POL~ TO MOVED I NNN WETLANDS/4016RQUP s"-` 1 j, 7Z 0'E 14311 - Q 3 1~as 1~j/2 IP - _ y w MAY 0 5 2004 ..-1 ~1/2"EIP r. y X148.94' 09 - 1125 _ 1 i 3/4'EIP 3 t2' S '3'15'17'w 16212' S do'48'24^W 18.52' ~ - 71/2;::;* 312* _ r WATER QUALITY SECnON~r _.S 7g35A7"E ~H 22'12'23W y wt TO y, V NC 90 „>C+ sr 45.89' _ 00 i N 77-10'36E 149.65' App,oA $ 2'MIV RJO' In} 1 2"NW San. $ SGW*r a I F. L. GERMAN \ Fb8TN8 8' w 8.5' QSYM 8' 6.5' s Deed Book 888, Doge fie? \1 PROPOSED 40'WICE Box CDLYERT 1 - ZONED. B-2 \d ox OAVEPT Z \ RIGHT-OF-WAY 1 1 PROPOSED JUNCTION SOW TO WET DOT SPECS 3/4"EIP c S 1. 744' TO APPRD)WAVELY P.B. IBC ovem NvVtKCMN a TRIM NOSIAR'AL *max . ' 1 N l / I I THE ALLENE BROYHB.L HEILMAN FOUNDATION. INC., I ~T,Elp THE JAMES T. k LOU*E R. BROYHILL FOUNDATION, INC Atlantic Plan Engineeriliff Corp. AND THE SESAME FOUNDATION P.O. Box 1001 Deed Soak 1258, Page 410 ZONED 8-2 mKim Y, N.C. 28M PMM: (M) =7-$621 FAX (SU) 327-9031 e-mail atfpiaftlcQu=b&c.com ED APPROVED BV: RJF 03-76-04, 04-08-04. 04-19-04. 04-29-04. SHT. NINE ,IN4 CNTE: 07-19-04 PROD. No. DiY X DMNA PLAN JIMN'S 1 OWO. tom, NOM CAAIfd. NA 30 0 30 60 90 Scale 1 30' OLLAR TREE ~,II ,I1 I I j I I' ~,~~nNC' I iNC, DMK DT CH i PROPOSEG DRAINAGE LATCH I i ~ I y7 j I J ' I AARON'S 4 ` SPRING BOX LL ~ I cor.~ J ~GI~sS~L - T' BOX u 4f 05. NveRT 2ETERMINE^ - 5 ~ Ir' I _ E.iISTMP ;E" CMP QV~` BROYHILL i 4PPPOXIMATEL' RI N 768 LT H rH H~SP~T AL AvEr40E we 23 3 $ 31' o Atlantic Plan Engineering Corp. P.O. BOX 1691 HICKORY, N.C. 28603 PHONE: (828) 327-2621 FAX: (828) 327-0931 e-mail atlplan®connine.com DRAWN BY. JH EB APPROVED BY. RIF REVISIONS 03-30-01 - SHT L4ME T 1,4MF. PROJECT SHT. NO DATE. 03-19-04 PROJ. NO, DWG. NO.. DWG. DRAINAGE PLAN AARON'S 1 LENOIR, NORTH CAROLINA i 30 0 30 60 90 Scale 1 30' DOLLAR TREE i 1 ~ I ' I ~I I ~I Exi$TIHG I , 98 CMF l~ PROPED DRAINAG DITCH DUM ppppppgggg DRAINACEDDITC D.O.T. s _ '°PE D AARON'S z ~ o ' - SPRING Bo I E ~ L7 I kJ_1 1,1 RRaPOSp~~ r 92 CM T. ' 7 r._I I~ JUNCTION I ~J I r wx 1 I -r - - C 6' x 8' x 141 TO BE DETERMINED NJ FIELD i I I I I I I. 96 CUP 36 CMP ( I I 1 I I BROYHILL r APPROXIMATELY 6TB RI I~ 41th1gl LIN NlERSECTON WITH HOSPRAL AVENUE aFR,7!4 +I1~j;23 Atlantic Plan Engineering Corp. P.O. BOX 1691 HICKORY, N.C. 28603 PHONE: (828) 327-2621 FAX: (828) 327-0931 e-mail atlplan•conninc.com APPROVED BY: PJF REVISIONS- 03-30- SHT NAME PROJECT SHT NO. DRAWN BY. JH, EB - DATE: 03-19-04 PROJ. NO DWG. NO DWG. - - DR. DRAINAGE PLAN AARON'S i LENOIR, NORTH CAROLINA i I I WA;-MART HWr 72, I i 30 0 30 60 90 I i "FW"` Seale 1 30 ' COLLAR I REE 'REE HOSPTAI'I AVE I I it RENOIR YICINIIY MAP i Nis : I I 1 l2"EIF 1/2 EIP rJ a~ w 30' C I`= I i p1 SIGNON PROPERTIES I I w Dad Book 1151. Poge 1582 I AND FM HYDRANT 7 B-2 p NICK HAVAS & IRENE HAVAS ZONED Deed Sook 1449, Pape 116 I TO BE WK FROM TD N 23 p N n m I ` ZONED: 8-2 I CURB LINE N I $ Y a y I ° O o u " I o = n II EMI N O EXI!sw N u I ~ CMP I m ~ u .a em's 96' CEIP I . I y 1125 (12)~RaSDAW n 3 m rpi yWy is I PROPOSED `1~2"NW a 4 0 3 0 DRAINAGE DITCH E o _ a 148.1 T hl m o N 71-42'33'E - i w 1/2"EIP - 51 ; Deed Book 901. Page 189 1/2 I j f i Tract 2 1/ f f I RELOC~TE EX CURB MIT Deed Book 901, Page 189 WK i ~ ~ ED i Tract I Q 1kr W~f 1 POW ..2t ~ i WITH GRATE NEW CURB UWE E>WS_ ZONT: To It immom AARoVAS C, Oo - t .,.,PROPOSE i L m w ' VI 12 CUP _ 0.829 ACRES 1'" N 'S O PAVEMENT FOR 0E6lERAMIN LANE AND TAPER Ln zI, Ow OF 90 sp"c Box 1 , Q I 1126 III - ==/r OF +w.ds p ' TMO Rylff 11 NMOII'S M DFCEIEWTION IANf 60 :R ' ~1 I LANE I TMD (MM 4N19 FM -09CLtF1MTgN tNiE I 1 P4wMO TO UMBE ESHER EPOXY PANT OR POLYUREA 1 Poc[ To MOVED WETLANDS / 401 GROUP 8 N_ 72 0'39 E ~43.- 1 N MAY 0 5 e I ~ 9.46 \ /2"~lIP , i, 2004 - 146.94' cn { \1/2-EIP 3/4"flP S 73.15'17W 162.12 S 80'46'24"W 1 89.52' _ ~23.1 r 1 _ ( - - - - WATER QUALITY SECTION f?' - TO ~N t 5--- - N_2711 3-W _ N 12' 34* INT. HC so Lr) c S 38735'07"E _ d1 i 4589 - 1/2-NIP 1/2-NIP HUI Son. s1~ S % 'E1P ! 1/2'NIP N 72'f0'36"E 49.65' Approx San $ Spr, I F.L. GERMAN \ EXEX*lV4G EMeSTMG 8' x 6.5' r ( ~ ~ ~iD4"R.'L:~~~n~~~• d d BOX CULVERT' J ~ ~LJ, Deed Book ON. Per 681 PROPOSED 40 WIDE ZONED: 9-2 RIGHT-OF-WAY ' PROPOSED AWT)ON eat - - ° ~Z \ TO "O"T SKCS 3/4"EIP \ 0 AMPW)MAT'ELY *A m c K ~ 1 1 Ift HOSPITAL AVENUE 1 / THE ALLEN SROYHILL HEILMAN FOUNDA10N, INC.,-, e" &U&utic Plan R nearing Corp. • / THE JAMES T. & LOUISE R. BROYHILL FOUNDAWN, INC. iEIP P.O. Box toot AND THE SESAN FOUNDATION DoW 9rek 1258, Pape 41O ZONED: B-2 00109ltY, K.C. PSOU : (blot) 387-2621 FAX (SM) 327-0931 .-,rte ,,?a?s .om IPPROVm vy. &R' - REN9xM4S: 03-WO4, 04-08-04, 04-19-04, 64-71-01 SHf. Nm& PROX" IV: J16 4B DATE' 03-19-04 PRD?_ W - DT 1 DRAMAGI PUN AM MI L M90, NOM COMM Now" 30 0 30 60 90 Scale 1 30 DOLLAR TREE I i . I I EXI~SiIN I I 96 CMP i DAp ED _ I RR Rq~E DITCH i - - DRNNACEpWC i MEDD(TCH ( IN - ; D.O.T. D.O.T. PROP? AARON'S a I a I j SPRING BOX PRQiCQSED AA~~ /PRQP1WD 1 f 96 r PROPOSE PROPOSED i E ' W ~x B14 if ~D FIELD I ! I I I I I j l l ~ I V~ f I I _ 96 I j ' i ~l~tt BROYHILL r AG~e~ F'.Y •f P.J~-• l~9T A APPROx1AMTELr h 768' TO KTERSECTk. h WITH HOSWk AVENUE . 3 3- 31 BY: Atlantic Plan Engineering Corp. w P.O. BOX 1691 i HICKORY, N.C. 28605 PHONE: (828) 327-2621 FAX: (828) 327-0931 e-mail atlplan®conninc.com REVISIONS SHi. NAME PROJECT SHT, NO. APDWVEE 9? . Pj u - - - - DRAINA, RAINAGE PLAN AARON'S i LENOIR, NORTH CAROLINA 30 0 30 60 90 Scale 1 30' DOLLAR TREE III l~ll ~ I z ~ ICI I`I II 96~ I I DRRLWDITCH J G SEGDITC DRAklM,EODITC I D.O.T. s 1 z ~ ~ I = P AARON'S I cz, I - sPRIN6 BOX 5 L~ 92 fTD ' PROPDSI I PRDPOSNG TIO 14' 0 T101 0 424 ~o IN FlELD I 996 c i ~ I I I i I BROYHILL AQ. ~vaaox.aTE ro RI, n, f WITH HW~ AVENUE ,•.,,j,y i.; 23 °'L11fs"~ P " °Y Atlantic Plan Engineering Corp. P.O. BOX 1691 HICKORY, N.C. 28803 PHONE: (828) 327-2621 FAX: (828) 327-0931 e-mafl atlpiauftonninc.com PROJECT SHT NO REVISIONS. 03-30 " 9NT. NAME DRAWN BY. JH ES APPROVED Br: RJF }~~AI DATE: 03-19-01 PR06J NO, K n , NA )RAINAGE PLAN AARO I 1 DWG i~ LENOIR, NORTH CAROLINA 30 0 30 60 90 Scale 1 30' DOLLAR TREE ~ I t 1 r EX~c i 96 PROPOSED I is i DRAINAGE DITCH I '~~pppppp~~E~ / DMEDca DRAMIPGEDOTTC 1 I f I _ D. 0. D.0.T. z P D AARON'S ~~QP~ d SPRING BOX gp6",% nj ~92 CM PROPOSED 1 f 92 1. I' 92 LCW. PI PRO PROPOSED ~...~1 FX.Cl I MAD e':ex ~ i ® . x IN nELD ' 1 I - ~ EKLSnN t 96 CMP I I 1 I BROYHILL t i ti APPROXQATELY RI It It`s PRh .IN ;TErcRStCT VA - WITH Mi5PrT RA1 AVENUE ~ s'`o23 3- 3f syAtlantic Plan Engineering Corp. P.O. BOX 1891 HICKORY, N.C. 28603 PHONE: (828) 327-2621 FAX: (828) 327-0931 e-mail atlplan®conninc.com REVISIONS 30-94 SHT NAME DRAWN B+ JH, EB APPROVED By RJF N PROJECT SHT. NO. DATE 0)-t9-04 ------PRO]-N- DRAIN] DWG. No..------------_-_.. Dwc. DRAINAGE PLAN AARON'S 1 UNOIR, NORTH CAROLINA 30 0 30 60 90 Scale 1 30 D(--)LLAR TREE t~l Ii II EX ~I I 9EySTr'N PR PO~ED I ' DARMlAGE DITCH - I DDT DPWZ f D. PW I I o~ D - AARON'S D.O.T. I a PRQPp$ED 1 I? li L T r I _ I ACTION PROPOSED ,iUNCiION ' i, ' gR68~~Oy x D 40 x 14 I DET9hM?&O8IN FIELD' I i I t 010 i 966 1 A BROYHILL i GAq~ i APPROx1/MFELr ) 766' TO Rl RRERSECTION YA~ i-IOSPRAL AVENUE 23 O ; 3- 33 s I BY: Atlantic Plan Engineering Corp. i P.O. BOX 1691 HICKORY, N.C. 28603 I PHONE: (828) 327-2621 FAX: (828) 327-0931 e-mail aUplan0conninc.com 4hR(NEG 87 ReF REVISIONS_ n}_30-64 SHi NAME PROJECT SHT NO. P NU DRAB W DRAINAGE PLAN AARON'S 1 LENOIR, NORTH CAROLINA