20040624 Ver 1_COMPLETE FILE_20040419

Michael F. Easley, Governor
William G, Ross Ir" Secretary
North Carolina Department of Environment and Natural Resources

Alan W, Klimek, P.E., Director
Division of Water Quality
Coleen H, Sullins, Deputy Director
Division of Water Quality

May 10, 2004
DWQ# 04-0624
Guilford County.

Mr. Gary B. Johnson
Builders Land, Inc.
P. O. Box 1719
King, NC 27021

APPROVAL of 401 Water Quality Certification with Additional Conditions

Dear Mr. Johnson:

Builders Land, Inc. has our approval, in accordance with the attached conditions, to place permanent fill in 94
linear feet of perennial stream in order to construct a road crossing for the Waterford Village Subdivision
located off of Skeet Club Road in High Point, Guilford County, as described in your application received by
the Division of Water Quality (DWQ) on April 19, 2004. After reviewing your application, we have determined
that this fill is covered by General Water Quality Certification Number 3402, which can be viewed on our web
site at htto://h20.enr.state.nc.us/ncwetlands. This Certification allows you to use Nationwide Permit Number
39 when it is issued by the U.S. Army Corps of Engineers. In addition, you should secure any other
applicable federal, state or local permits before you proceed with your project, including (but not limited to)
those required by Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations.
Also, this approval will expire when the accompanying 404 permit expires unless otherwise specified in the
General Certification.

This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for
a new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fills for this project
(now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC
2H .0506 (h). For this approval to be valid, you must follow the conditions listed in the attached
certification, as well as the additional conditions listed below:

1. The culvert required for this project shall be installed in such a manner that the original stream profile is
not altered (Le. the depth of the channel must not be reduced by a widening of the streambed). Existing
stream dimensions (including the pattern and profile) are to be maintained above and below the
location of the culvert. The culvert shall be designed and installed to prevent head cutting of the
stream. If the culvert becomes perched, the appropriate stream grade shall be re-established or, if the
culvert is installed in a perched manner, the culvert shall be removed and re-installed correctly. The
Applicant must submit a plan and receive written approval from this Office to address any head cutting
that will occur as a result of this project (e.g., use of cross vanes downstream of the culvert).

2. Where rip rip is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section must be
maintained. Riprap placed .in, the stream bottom must be inserted into the bottom matrix to a depth
sufficient to provide the thiCKness offiprap required for scour protection. The elevation of the stream

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)
[phone] (phone), 919-733-6893 (fax). (http://h2o,enr,state,nc,uslncwetlands)
Customer Service #: 1-877-623-6748

bottom must not be increased by the placement of riprap. Placement of riprap must not result in
destabilization of the streambed or banks upstream or downstream of any crossing.

3. The proposed project must comply with the City Of High Point's local water supply and stormwater
management ordinances approved by the N. C. Environmental Management Commission as required
under the Randleman Lake Water Supply Watershed: Protection and Maintenance of Riparian Areas,
15A NCAC 02B .0250 and the Randleman Lake Water Supply Watershed: Stormwater Requirements,
15A NCAC 02B .0251.

4. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of Completion"
to notify NCDWQ when all work included in the 9401 Certification has been completed. This certificate
should be returned to the 401/Wetlands Unit of the NC Division of Water Quality at the address listed
on the bottom of the first page. Along with the Certificate of Completion, please send photographs
upstream and downstream of the culvert site to document correct installation.

If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition
which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final
and binding unless you ask for a hearing.

This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4600 or Cyndi Karoly in the Central Office in Raleigh 919-733-9721.

Sincerely,

Alan W. Klimek, P.E.

AW K/cd I

Attachments

cc: Andrea Wade, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Sanders McMillan, S&ME, Inc., 3718 Old Battleground Road, Greensboro, NC 27410

MEMORANDUM

TO:

John Dorney
Non-Discharge Branch

Regional Contact:
WQ Supervisor:
Date:

Daryl Lamb
StA\lA T~dder

SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS

Stream Impacts (ft.)

..
I

Is Wetland Rating Sheet Attached? 0 V @ N Did you request more info? @ YON
Have Project Changes/Conditions Been Discussed With Applicant? @ YON

Is Mitigation required? 0 V @ N

Recommendation: 0 Issue @ Issue/Cond 0 Deny

Provided by Region: Latitude (ddmmss)

Longitude (ddmmss)

Comments:

Pre-application site visit made on 12/22/2004 Site is 29 73 acres in size and is mostly wooded with
a few abandoned agricultural fields. The site is bordered on three sides by residential development
Proposed stream impact consists of 72 If of 42" RCP and 22 If of Class 1 riprap for the construction
of a road crossing over an unnamed tributary of Muddy Creek. The site is within the Randleman
Lake Watershed Under the Randleman Lake buffer rules, public road crossings such as this are
allowed provided there is no practical alternative and the relevant BMP's are applied Under the
Randleman rules, the City of High Point is responsible for reviewing the proposed impact for
compliance with the buffer requirements of the Randleman Lake watershed as implemented and
enforced by local ordinance Applicant has demonstrated that the crossing is necessary to allow an
access road into the site. Access can be gained only from the north or south sides of the site
Access from the north would require crossing a stream deemed to have better aquatic habitat than
the stream on the south side of the site Crossing length has been

cc:

Regional Office
Central Office

Page Number 1

Facilit,y Name

Proj

04

Regional Contact:
Date:

Daryl Lamb
5/1 0/2004

Comments (continued from page 1):

minimized to the extent allowed by topography The crossing will be nearly perpendicualr to the
channel Developer is placing 100 foot vegetated buffers along the perennial reaches of both streams
within the site boundaries as required by DWQ water supply watershed rules and City of High Point
ordinance. The inner 50 feet will consist of zones 1 and 2 of the Randleman buffer while the outer 50
feet will consist of a vegetated buffer The Randleman buffer requirements will also apply to any
intermittent reaches within the site boundaries. Total impervious area at proposed buildout is 8 919
acres, which is 30% of the total area. Stormwater management plans must meet the requirements of
the Randleman rule as implemented and enforced by local ordinance Authorization to use WQC#
3402, with additional conditions, will be issued by WSRO

cc:

Regional Office
Central Office

Page Number 2

Michae] F. Easley, Governor Jfd
William G. Ross Jr., Secretary
North Caro]ina Department of Environment and Natura] Resources

A]an W. Klimek,P.E., Director
Division of Water Quality
Co]een H. Sullins, Deputy Director
Division of Water Quality
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Mr. Gary B. Johnson
Builders Land, Inc.
P. O. Box 1719
King, NC 27021

MAY I 8 2004
WAfER QUALIfY SECTION

May 10, 2004
DWQ# 04-0624
Guilford County

APPR9V AL of 401 Water Quality Certification with Additional Conditions

Dear Mr. Johnson:

Builders Land, Inc. has our approval, in accordance with the attached conditions, to place permanent fill in 94
linear feet of perennial stream in order to construct a road crossing for theWaterford Village Subdivision
located off of Skeet Club Road in High Point, Guilford County, as described in your application received by
the Division of Water Quality (DWQ) on April 19, 2004. After reviewing your application, we have determined
that this fill is covered by General Water Quality Certification Number 3402, which can be viewed on our web
site at htto:/Ih20.enr.state.nc.us/ncwetlands. This Certification allows you to use Nationwide Permit Number
39 when it is issued by the U.S. Army Corps of Engineers. In addition, you should secure any other
applicable federal, state 'or local permits before you proceed with your project, including (but not limited to)
those required by Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations.
Also, this approval will expire when the accompanying 404 permit expires unless otherwise specified in the
General Certification.

This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for .
a new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fills for this project
(now orin the future) exceed one acre, compensatory mitigation maybe required as described in 15A NCAC
2H.0506 (h). For this approval to be valid, you must follow the conditions listed in the attached
certification, as well as the additional conditions listed below:

1. The culvert required forthis project shall be installed in such a manner that the original stream profile is
not altered (i.e. the depth of the channel must not be reduced by a widening of the streambed). Existing
stream dimensions (including the pattern and profile) are to be maintained above and below the
location of the culvert. The culvert shall be designed and installed to prevent head cutting of the
stream. If the culvert becomes perched, the appropriate stream grade shall be re-established Of, if the
culvert is installed ina perched manner, the culvert shall be removed and re-installed correctly. The
Applicant must submit a plan and receive written approval from this Office to address any head cutting
that will occur as a result of this project (e.g., use of cross vanes downstream of the culvert).

2. Where riprip is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section must be
maintained. Riprap placed inthe stream bottom must be inserted into the bottom matrix to a depth
sufficient to provide the thickness of riprap required for scour protection. The elevation of the stream

.

N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mai] Service Center, Ra]eigh, NC 27699-1650 (Mailing Address)
2321 Crabtree B]vd., Ra]eigh, NC 27604-2260 (Location)
[phone] (phone); 919-733-6893 (fax), (htto:11h2o.enr,state,nc.us/ncwet]ands)
Customer Service #: ]-877-623-6748

bottom must not be increased by the placement of riprap. Placement of riprap must not result in
destabilization of the streambed or banks upstream or downstream of any crossing.

3. The proposed project must comply with the City Of High Point's local water supply and stormwater
management ordinances approved by the N. C. Environmental Management Commission as required
under the Randleman Lake Water Supply Watershed: Protection and Maintenance of Riparian Areas,
15A NCAC 02B .0250 and the Randleman Lake Water Supply Watershed: Stormwater Requirements,
15A NCAC 02B .0251.

4. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of Completion"
to notify NCDWQ when all wor~ included in the 9401 Certification has been completed. This certificate
should be returned to the 401/Wetlands Unit of the NC Division of Water Quality at the address listed
on the bottom of the first page. Along with the Certificate of Completion, please send photographs
upstream and downstream of the culvert site to document correct installation.

If you do not accept anyof the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition
which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final
and binding unless you ask for a hearing.

This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone Daryl Lamb in the DWQ Winston-Salem.Regional Office at 336-
771-4600 or Cyndi Karoly in the Central Office in Raleigh 919-733...9721.

/-

Alan W. Klimek, P.E.

AW K/cd I

Attachments

cc: Andrea Wade, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Sanders McMillan, S&ME, Inc., 3718 Old Battleground Road, Greensboro, NC 27410

MEMORANDUM

TO:

John Dorney
Non-Discharge Branch

Regional Contact:
WQ Supervisor:
Date:

Daryl Lamb
StAvA T~dd~r

SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS

Is Wetland Rating Sheet Attached? 0 V @ N Did you request more info? @ YON
Have Project Changes/Conditions Been Discussed With Applicant? @ YON

Is Mitigation required? 0 V @ N

Recommendation: 0 Issue @ Issue/Cond 0 Deny

Provided by Region: Latitude (ddmmss)

Longitude (ddmmss)

Comments:

Pre-application site visit made on 12/22/2004 Site is 29.73 acres in size and is mostly wooded with
a few abandoned agricultural fields. The site is bordered on three sides by residential development
Proposed stream impact consists of 72 If of 42" RCP and 22 If of Class 1 riprap for the construction
of a road crossing over an unnamed tributary of Muddy Creek The site is within the Randleman
Lake Watershed. Under the Randleman Lake buffer rules, public road crossings such as this are
allowed provided there is no practical alternative and the relevant BMP's are applied Under the
Randleman rules, the City of High Point is responsible for reviewing the proposed impact for
compliance with the buffer requirements of the Randleman Lake watershed as implemented and
enforced by local ordinance. Applicant has demonstrated that the crossing is necessary to allow an
access road into the site. Access can be gained only from the north or south sides of the site
Access from the north would require crossing a stream deemed to have better aquatic habitat than
the stream on the south side of the site. Crossing length has been

cc:

Regional Office
Central Office

Page Number 1

Facility Name

Project Number

Regional Contact:
Date:

Daryl Lamb
5/10/2004

Comments (continued from page 1):

minimized to the extent allowed by topography The crossing will be nearly perpendicualr to the
channel Developer is placing 100 foot vegetated buffers along the perennial reaches of both streams
within the site boundaries as required by DWQ water supply watershed rules and City of High Point
ordinance The inner 50 feet will consist of zones 1 and 2 of the Randleman buffer while the outer 50
feet will consist of a vegetated buffer. The Randleman buffer requirements will also apply to any
intermittent reaches within the site boundaries Total impervious area at proposed buildout is 8.919
acres, which is 30% of the total area Stormwater management plans must meet the requirements of
the Randleman rule as implemented and enforced by local ordinance Authorization to use WQC#
3402, with additional conditions, will be issued by WSRO

cc:

Regional Office
Central Office

Page Number 2

Date: Y7 Jb/, Ot1

Triage CheckList
Project Name: vd-r ~/ !/ ~

DWQ#: ~ ~ 66 2-<-f
County: u, !bd

To:

o ARO
D FRO
D 1v1RO
o RRO ?ve Mitc.~ h

12 /) //~,-/(

Mike Parker'

D WaRO
o WiRO
@rSRO

Tom Steffens

Noelle Lutheran

Daryl Lamb

Ken Averitte
Alan Johnson

, From:

Telephone: (919) 1-1 j - q ;;z1{

The file attached is being forwarded to yqur for your evaluation.
Please call if you need assi~tance.

, D Stream length impacted
D Streazn determination
D Wetland determination and distance to b~ue-line surface waters on USFW topo maps,
D Minimization/avoidance issues
D Buffer Rules (Neuse, Tar-P~co, Catawba, Randleman)
D Pond fill '
D Mitigation Ratios
D Ditching
D Are the stream and or wetland mitigation sites available arid viable?
D Check drawings for accuracy
D Is .the application consistent with pre-application meetings?
D ' Cumulative impact concern

Comments:

~

~

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.S&ME

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April 14, 2004

WETLANDS f 401 GROUP
APR 1 [) 2004
WATER QUALITY SECTION

N.C. Division of Water Quality, Wetlands Certification Unit
1650 Mail Service Center
Raleigh, NC 27699-1650

Attn: Mr. Mike Horan

RE: Waterford Village

Mr. Horan:

My staff jumped the gun on several occasions as I was preparing this permit application.
First, the check made out to the Division of Water Quality was put directly in the mail
earlier today. I have included a copy of this check for your reference. Second, most of
the relevant maps were sent via FedEx yesterday, the 13th of April.

If at all possible, please pull these materials together on our behalf. I will work on a better
system so that this will not happen in the future. Please contact me if you have any
questions. I can be reached at [phone].

Respectfully,

--~

T. Sanders McMillan
Natural Resources Professional

CC: S&ME File #1588-03-057

S&ME, Inc.
3718 Old Battleground Road
Greensboro, North Carolina 27410

[phone]
[phone] fax
[phone]

www.smeinc.com

,

Office Use Only:

USACE Action ID No.

DWQ No.

r\. Form Version May 2002
,u40624

If any particular item is not applicable to this project, please enter "Not Applicable" or "N/ A" rather than
leaving the space blank.

I. Processing
1. Check all ofthe approva1(s) requested for this project:
[gI_Section 404 Permit
D Section 10 Permit
[gI_ 40 1 Water Quality Certification
[gI Riparian or Watershed Buffer Rules

2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39

3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: D

4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: D

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: D

II.

Applicant Information
1. Owner/Applicant Information
Name: Gary B. Johnson
Mailing Address: Builders Land, Inc.
P.O. Box 1719
King, North Carolina 27021

WETLANDS/401GROUP
APR 1 5 7004

Telephone Number: 336-345-2940
E-mail Address: N/A

WATER QUALITY SECTION
Fax Number: 336-368-1980

2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached ifthe Agent has signatory authority for the owner/applicant.)
Name: Sanders McMillan
Company Affiliation: S&ME. Inc.
Mailing Address: 3718 01d Battleground Road
Greensboro, NC 27410

Telephone Number: [phone] Fax Number:
E-mail Address:[e-mail]

[phone]

Page 1 of8

,

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 0 n sheets no larger than 11 by 1 7 -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 ofproject: Waterford Village

2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A

Property Identification Number (Tax PIN) 179470030106400025

3. Location
County: Guilford Nearest Town: High Point
Subdivision name (include phase/lot number): Waterford Village
Directions to site (include road numbers, landmarks, etc.): From Raleigh (per
www.mapquest.com) 6. Take I-40 W. 84.2 miles 7. Take the WEND OVER AVE exit- exit
number 214. 0.3 miles 8. Turn LEFT onto W WEND OVER AVE. 4.8 miles 9. Turn
SLIGHT RIGHT onto SKEET CLUB RD. 0.7 miles 10. Turn RIGHT onto BEACON
RIDGE DR. <0.1 miles 11. Turn RIGHT onto SUMTER DR. Southern Stream begins alonf!
western propertv boundary at the outlet of the first stormwater detention pond that is reached
on Sumter Drive (Prooerty address is listed as 2914 Sandv Ridge Roadl.

4. Site coordinates, if available (UTM or Lat/Long): 36002' 24" N 790 58' 27"W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for
each crossing of a distinct water body.)

5. Describe the existing land use or condition of the site at the time of this application:
This is a wooded tract of land with several fallow fields. The site is bordered to the west,
south, and east by residential development. Farmlands are to the north.

6. Property size (acres): 29.73-Acres

7. Nearest body of water (stream/river/sound/ocean/1ake): U/T East Fork Deep River WS-IIL
NSW, CA f16-11 - (3.5)]

Page 2 of8

,

8. River Basin: Cape Fear via Muddy Creek and Deep River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h20.enr.state.nc.us/adminlmaps/.)

9. Describe the purpose of the proposed work: Applicant wishes to cross unnamed tributary of
East Fork Deep River with a 94 Linear Foot Road Crossing for Linear Transportation. This
crossing will provide access to all portions of the site northwards of the southern stream from
Skeet Club Road.

10. List the type of equipment to be used to construct the project: Excavators, Trucks, Trackhoes,
Pans, etc. wi1l1ikely be used during construction.

11. Describe the land use in the vicinity of this project: Mostly agricultural land with a few
residences on site. Surrounding lands mostly suburban residential.

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 ill 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.
Both the affected stream and crossing location were independently viewed by Daryl Lamb of the
Division of Water Quality and Andrea Wade of the US Army Corps of Engineers.

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 ofthis work from the current application:
No future permit requests anticipated. Maps reflect built-out conditions.

VI. Proposed Impacts to Waters of the United StatesfW aters 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 perelU1ial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.

Page 3 of8

,

1. Provide a written description of the proposed impacts: There is to be one near-perpendicular
road crossing of a straightened section of perennial stream. The pipe will be 72-lfwith a rip-
rap dissipater pad of22 feet, for a total of no more than 94-lf of impacts.

2. Wetland Impacts

Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type ofWetland***
(indicate on map) (acres) (yes/no) (linear feet)

* 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.)

List the total acreage (estimated) of existing wetlands on the property: There are no areas of
wetlands except for immediate riparian fringe (included within stream bank flags).
Total area of wetland impact proposed: None
3. Stream Impacts, including all intermittent and perennial streams

Stream Impact Length of Average Width Perennial or
Site Number Type ofImpact* Impact Stream Name * * of Stream Intermittent?
(indicate on map) (linear feet) Before Impact (please specify)
Sla 42" RCP Culvert 72 u/t Muddy Creek! East 10 Perennial
Fork Deep River
SIb Dissipater - 22 u/t Muddy Creek! East 10 Perennial
Class I Riprap Fork Deep River

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: 94 Linear Feet

Page 4 of8

,

4. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.

Open Water Impact Area of Name of Water body Type of Waterbody
Site Number Type of Impact* Impact (lake, pond, estuary, sound,
(indicate on map) (acres) (if applicable) 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): D uplands D stream D wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A

Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/ A

Size of watershed draining to pond: N/A

Expected pond surface area: N/ A

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.

Due to ingress and egress routes, combined with the development plan best suited to the property
shape, this crossing is essential to the development of the property. Crossing has been
minimized to the greatest extents allowable by topographic limitations. In all areas buffer
restrictions were closely followed, however the economical development of the site requires
access to the northern portions. These areas could conceivably be accessed from the north by
crossing the northern stream, however, of the two, the northern stream has more biological and
geomorphologic diversity than the southern stream. There are no access l'oints available from
the western or eastern portions of the site. Applicant will follow all general and regional
conditions relating to NWP 39 during the construction of this crossing.

Page 5 of8

,

VIII. Mitigation

DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.

If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for US ACE 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:/OOo.em.state.nc.us/ncwetlands/strmgide.html.

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.

N/A

2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.em.state.nc.us/wrplindex.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:

Page 60f8

Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Co asta 1 wetland mitigation requested (acres): N/A

IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federaVstate/10cal)
land?

Yes D

No X

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 NEp A/SEP A document is required, call the SEP A
coordinator at [phone] to review current thresholds for environmental documentation.
Yes D No D

If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEP A or SEP A final approval letter.
Yes D No D

X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required s tate and 10cal buffers associated with the project. T he applicant must a Iso 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
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
Yes D No X 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 Multiplier Required
(square feet) 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 7 of8

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.
N/A

XI. Stormwater (DWQ Only)

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.

The total acreage of the site is 29.73-acres. Maximum proposed built-upon area totals 8.919-
acres. for a total of 30%. These calculations are for built-out conditions of the development. Per
City of High Point and DWQ regulations. 100' vegetated buffers have been placed on both
perennial streams within property boundaries.

XII. Sewage Disposal (DWQ Only)

Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity ofthe subject facility.
Non-discharge. Public sewer.

XIII. Violations (DWQ Only)

Is this site in violation ofDWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes 0 No X

Is this an after-the-fact permit application?
Yes 0 No X

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 ofthe applicant's control).
N/A

~ AJCVfJf ;/J~ #' k ~M/~'
Applicant/Agent's Sign<<ture {)

Date

(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Page 8 of8

,FROM

JOHNSON,GARRY-D0NNA-C0URTN~Y
H~~-14-U4 WtV UJ:'~ PM 8RMt

FAX NO.

3363681980 Apr. 14 2004 04:30PM P2
FAX NO. 3382888980 p, 09

If. buribr lltili~:.\{jOll is required, please disouss what type of mitigation is proposc::d (i.e., Donation
of' Propel'IY, C(,mst:fYatioll Easemellt, RipiUill11 Burret R.estoration I EnhnnccmclU. PrC&crv~'liOl1 or
~1l>meI1t into tho Riparian Buffer Restoration Fund), Please itt.~ch all appropriate inlbnmltion as
idonliOod witbill15A NCAC 2B .0242 or .0260.
N/6,

_-.......a.l....-- _ ---q;.-oq.,.......
X" StormwRtel' (DWQ OnlY.)

Describe itnPOlVious acrease (bottl e"isting and proposed) Versus total tlorQagc on the sito.
))isou$$ &tomlwa1cr controls proposed in or<.ler to protect surface waters ana wetlands
dowl1!$lroam rro1l1 tho property.

Thp,.jotal :lOto0,~l1o $ito is ~~,73-acr~.,. Maximum prol'osed ~Jlilt-unon aroa totals Sr~.l2::
i19...~~J"lL:...ltt9'W ~g.%, Thc"c calculiltfons are for built"out conditiQlI~ 2t'..J..m! dcv()JoPlll~nt, fer
Qitv ~f JUJ!b fJOillt .and DYiO rcJlulatlo~. 100' vcgctat~l Q.lUfors havo lx1.on placed QJ). both
P.9J.llliJ:!i.lt~trcallls ~ithln proDel'ty. boundari~

XII. SCWQf.1(! DiSlI,osal (OWQ Ol1ly)

Clourly dOluillho ultimate Ir.;oatmttlt methods and dispositiol'l (llon-cHschatgo or djltCh~rgc) of
WMlewa4t:r gonCll'tlted frotn the proposClJ proJoot, Or ~vailablo capacity of the subject facility.
~QL1:cli~e1l~'.'S~ic sower, _

-........--...,

xu.. ViubHioD' (DWQ Only)

Js this $h~ in vi<>lllLion ofDWQ Weiland Rules (l$A NCAC 211 .0500) or any BUffer RulQ$?
Yes 0 NQ X

I~ Ihis an nnorwthc-rll~L permit app!icalitm?
Yes 0 No X

XIV. Othtr Clrt'n-.a$~Q(f'l; (Opdolaa1): ,
It is tllo tq~l~t1cnnt'Jl l'Cspons,'oility to submit the "l.:>pUCl'lLiOI1 suflleiently ill advance of I.lesired
constmctiol1 dates to anow pl'occsslrlg timo for these pcnnits. However. ~ appJlcanl may
choose to list co.tsll'nillts nsSQCifitcd with constnu;liOll or $cq\lcl1cins (bat may impose limits on
work sch<:d~llcs (e,g,. clraw-down schedules for lak.c.~, OQtcs nssooiatod with Elldttn~t1-cd and
'Thrt'atcncd Spcdos. accessibility problems, Or olh~!' issues outsido of1bo a~plioant's OOlllrol).
~

/,L? B..:~~~ ~L<:".

,1/- /4/- oil
Dt\.le

(Agen.t's slgn~tUro IS valid only if <<l.n lluthorizntion leltcl' from the appHcw1t is provided.)

P~lglJ SorB

~

N

W+E

S

Scale: 1" = 3/4 Mile
Drawn B : S. McMillan
Checked B : M. H. O'Brien
Date: November - 03

eNGINEERING. TE$TlN~

~

N

W+E

S

Scale: 1" = 1,000 Feet
Drawn B : S. McMillan
Checked B : M. H. O'Brien
Date: November - 03

27.4-acre -- Skeet Club Rd. Tract
USGS Tapa Selection
Guilford County, North Carolina
S&M E Project # 1588-03-057

,

j', ,.,-", ",..

Scale: 1" = 1 ,000 Feet
Drawn B : S, McMillan
Checked B : M, H, O'Brien
Date: November - 03

.
I

I

N

W+E

$&ME

27 A-acre -. Skeet Club Rd, Tract
NRCS Soils Selection
Guilford County, North Carolina
S&ME Project # 1588-03-057

ENGINEERING - TESTING

.

.'

N

W+E

ENGINEERING. TESTING

27 A-acre -- Skeet Club Rd, Tract
Guilford County Aerial Selection
Guilford County, North Carolina
S&ME Project # 1588-03-057

Scale: 1" ; 1,000 Feet
Drawn B : S, McMillan
Checked B : M, H. O'Brien
Date: November - 03

$&ME

..,

N

W+E

S

Scale: 1" = 1 000 Feet
Drawn B : S. McMillan
Checked B : M. H. O'Brien
Date: November - 03

ENGI.NEERING . TESTlN<3

27.4-acre -- Skeet Club Rd. Tract
High Point Watershed/Stream Map
Guilford County, North Carolina
S&ME Project # 1588-03-057

0,40624

EXIS TINeS GROUND

GONGRETE HEADHALL
42" RGP GUL YERT

WETLANDS /401 GROUP

..----- - -
./ APR 1 4 2004
WATER QUALITY SECTION
PROPOSED GRAOE'

GULY. 0.10' BELOH EXIST.
GHANNEL GRADE.
INY. = E>5053

4'-0"

UPSTREAM HEAD~L

--

EXISTING GROUND
GONGRETE HEADHALL

-

--

PROPOSED GRADE

GULY. 0.10' BELOH EXIST.
GHANNEL GRADE.
INY. = E>4q.lE>

DOWNSTREAM HEADWALL

GLASS ONE RIPRAP
L x H x t = 22' X 4' X 2'_0"

DETAIL OF HEADVW-LS @ STREAM CROSSING

sc,ALE: II = 4'

KA"TERFORD VILLAGE
APRIL 13,2004

860

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840

1+00

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S&ME INC,. CHECK REQUEST"

PAVABLE JJ,c, Dij151t}-AJo( J/H&- qv(Y0~
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VENDOR. i#

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PLEASE DETACH AND RETAIN FOR YOUR RECORDS ..

4-14-03

1588-04-010
Waterford Villag

WETlANDS 1401 GROUP

o 06 2 N APR 1 5 2004
WATER QUALITY SECTION

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