Loading...
HomeMy WebLinkAbout20001333 Ver 1_COMPLETE FILE_20001019State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Bill Holman, Secretary Kerr T. Stevens, Director Ll" WAJ IT 1 ? • A A ASOWMwaft AdOWN NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES October 30, 2000 Stanly County DWQ Project # 001333 APPROVAL of 401 Water Quality Certification Kenny Horne RT Box 402E Wadesboro, NC 28170 Dear Mr. Horne: You have our approval, in accordance with the attached conditions and those listed below, to fill approximately 0.01 acres of wetlands on Lake Tillery in Stanly County, for the purpose of seawall construction as you described in your application received by the Division of Water Quality on October 19, 2000. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number 3280. This certification allows you to use General Permit Number 198200030 when the Corps of Engineers issues it. In addition, you should get any other federal, state or local permits before you go ahead with your project including (but not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply Water shed regulations. This approval will expire when the accompanying 404 or CAMA permit expires unless otherwise specified in the General Certification. This approval is only valid for the purpose and design that you described in your application. If you change your project, you must notify us and you may be required to send us a new application.. If the property is sold, the new owner must be given a copy of this 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) (6) and (7). For this approval to be valid, you must follow the conditions listed in the attached certification. If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and its conditions are final and binding unless you ask for a hearing. This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any questions, please telephone John Domey at 919-733-9646. Si erel St ns Attachment cc: Corps of Engineers Asheville Field Office Mooresville DWQ Regional Office File Copy Central Files 001333 Division of Water Quality • Non-Discharge Branch 1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper http://h2o.enr.state.nc.us/wetlandc.htmi 001333 0 DWQ ID: _ CORPS ACTION ID: ?y 3?S NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) r*'7 rn z PRE-CONSTRUCTION NOTIFICATION APPLICATION ©--i FOR NATIONWIDE PERMITS THAT REQUIRE: 1. NOTIFICATION TO THE CORPS OF ENGINEERS 2• APPLICATION FOR SECTION 401 CERTIFICATION . 3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT SEND:fflE, ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD { = =A THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) MUST BE SENT TO THE NC DIVISION OF WATER OUi 60WLEASE Y CREEK ROAD ,!,,,,,.OWNER'S NAME: AE--'Y\ AeNt-- 2. MAILING ADDRESS: AT /,30,1' /v? cW 170 SUBDIVISION NAME ?7 V2j5? ?E? SC7TI?rJ 7?12? CITY: -STATE: -ZIP CODE: NO IZOOOP I JYO2 r?V QMW Z ZZv'4 o1''1d & PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): 3. TELEPHONE NUMBER: (HOME) _ (WORK) ?'fjzl - g a - 4zla 4• IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: _ - NEAREST TOWN: S7'ANLy e06eArty J dS?1A & (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA), HIGH QUALITY WATERS (HQW); OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES ? NO to IF YES, EXPLAIN: (b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [] NO t] (c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR IST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? ??Y1 PECIFIC LOCAT ON (IN?LUDE ROAD NUMBERS, LANDMARKS, ECT.) r1/?7AN h?D f? ,p ? /?4k l??'?D? H GJ v d'?o? 6. IMPACTED OR NEAREST STREAM/RIVER: - RIVER BASIN: yA EKrn/1 NEE btF RZV Et? 8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROJECT? YES [:1 NO ® IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): (b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES ? NO a IF YES, DESCRIBE ANTICIPATED WORK: 9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: (b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: ? EXCAVATION: FLOODING: - OTHER : DRAINAGE : _ TOTAL ACRES TO BE IMPACTED: o Oa (b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:,5tyfV)M 090010t=L HD7' ?Vrn AfWL-D LENGTH BEFORE: - FT AFTER: _ FT WIDTH BEFORE (based on normal high water contours): _ FT AVERAGE DEPTH BEFORE: - FT AFTER: _ FT (b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: - PLACEMENT OF PIPE IN CHANNEL: CHANNEL EXCAVATION: _ CONSTRUCTION OF A DAMIFLOODING: OTHER: SALE k) q JL 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERr/,+ DRAINING TO THE POND? _ WHAT IS THE EXPECTED POND SURFACE AREA? 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY) 13. PURPOSE OF PROPOSED WORK: C 0t4S-Xtt 0-7 O? .?q?Al L 7`1) ??CE'V?WT FG(/171IL12 &eO52rvoJ a? SFi960A)I-L 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) p2E Vi?" v r &--2 ossbl N OF 5t--I4 woi-L 15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: "// 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC (STATE) LAND? YES ? NOS (IF NO, GO TO 16) (a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES ? NO ? (b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ? IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003, TELEPHONE (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO WETLANDS: (a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP `SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT. (b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PRODUCT. (c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. (d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. (e) WHAT IS LAND USE OF SURROUNDING PROPERTY? (0 IF APPLICABLE, WHAT. IS PROPOSED METHOD OF SEWAGE DISPOSAL? SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO: 1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, 2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY CERTIFICATION, AND 3. (IN T TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH C 0 INA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED AC I Ty IS CONSISTENT WITH THE ORT CAROLINA COASTAL MANAGEMENT PR M/ '7.'z R'S/AQENT/S SIGNATURE DATE (AGENTS SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED). i. t . E ?,.? -..... ;J . -? s.-•••lY+.t.f ..r..?'il 1w f.....T.s?•? •_ % `* ` 's•.?. r.../f wen2c . {•,?Y .,+t.jf sa , s•. ??r ?, e2 f,r/ .?..r r f e,i a ?s?ss ?•-i •z r fM • ? r'•/?•QS ^1't?'x•t,V,f, AaiY-tYOC fTr7 /. 1• j?:!?•n6 '?•`?,. °•G S +'r/+• . o .?}ar.. rwe w. f..a..w..az fl'a.ua..uS+ I •?t•l1 ? •?r •""?.? +ryi ' • .•.•.+•rr.aree, '?a•+p /MfY jyr'rftffj• 7. e,! a...? ....ri • o ??KM•?r•{a k2. f,a1 Mr?Z sr+l ? ? ?+ ?t e`4 ltd 4 {e •` 4'0 r s>!.,{ ?.•s•.. sf?rta t+{K)? • .• Y.o?t" C ?•? ??r'?L\ rQ'•?'1?/ ANwaw,T..wr.7 far••,f? M,.?q;?, •s ?r *a Ar'll t K1?r fl,a,t•M I++.7.+f?«e{rr7 tq,r 1! '?+'2 ?a. A(ff{ Y?.7=?.t"!, P ,? • !sJ•r•ry',• ?4/• >• .•' ? V ? .'til n,,r Gs. .. a { S ?? •ra .e• v ?•?.,? .? . t f, r I?t •7tib•l.og . ? ? ? ith ryr Q. ?? >t 7wq[I}i ? > ?• b '41 61 r=LNiL?•e •swyr q•y ,? ? " +A ??.? r?1 {rv ? ?? oy '''?90t•ecc'?7/ •'?. jr' . 7...6 .f .[ .L ..w w.w,.w •, 7. s s ,r.r.•K 4• f9fq r •nv,y: .', ( `•?•s?•. •Tf` 1• a{, pa''e, l.? ? :lava. '• w t 'y' `'q- ••1? ? Y ,' f°t. ?r >T .? . ag -P V .039 d-.640 f-v 7-4 E ?SSer< - 4b, . ? o,? Q'? ,? •+ 2. •o a fQ: t pv rt ? a .?`A ?• ? '? p? A To sk A •o a '?? t * ! "o • r ,? i `:? ? td?. ?+• j11? ?? ? to ? . at C t 2) 9 y? ?„+o-..._ _ ..a•a -.:ter :.:...t•Z•f ?1?•'Y„'ilSl? r i'F \_ ?n.a 17, Uzi d X5 F: L O G w 0 d d d ? ` 1 I'f r d y3A1li '64 y? ?yv ti °109 Z 0 N by ?00A C-3 i Y sin ems" ON t.A ?- a W d ? p O Z V X1338 aNd'?,?'?? Q as 6.RN 0001 m w o Da Y PAYMENT 6 0 1 3 3 3 RECEIVED -p 711- DWQ ID: _ CORPS ACTION ID: 0lp 3-2? NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) PRE-CONSTRUCTION NOTIFICATION APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: t 1. NOTIFICATION TO THE CORPS OF ENGINEERS 2. APPLICATION FOR SECTION 401 CERTIFICATION C" 3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT -- SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD r-i C- OFCE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER UALI' ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC 27607. PLEASE PRINT OR TYPE. 1. OWNERS NAME: A4-YIY'y 141AICNr 2. MAILING ADDRESS: T /,3 OX L?do7F/ I/???1 QT}2D? Iy? ?? ?? SUBDIVISION NAME A7 M -9)5 ?'?? S C7SUiJ 7/f2 ? CITY: -STATE:_ ZIP CODE: WOIZ.tOODP i /VOk7V CyAW 'V4 IV,2 s PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): 3. TELEPHONE NUMBER: (HOME) _ (WORK) ''Nl - 91/8 - LrLA-), J 4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: - - NEAREST TOWN: S-t-ANLy OLOLeArl yl ?/OR?GU`?, !JC ,I&'/;L $PECIFIC LOCAT ON (IN? ?LUDE ROAD NUMBERS, LANDMARKS, ECT.) S+v w/ A L 9S 6. IMPACTED OR NEAREST STREAM/RIVER: - RIVER BASIN: YA D,?I'V/ PEE Z)tF RZVE/? 7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA), HIGH QUALITY WATERS (HQW); OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES ? NO Eg IF YES, EXPLAIN: (b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? NO (c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR IST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? ??Y1 8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROJECT? YES ? NO ® IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): (b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES ? NO a IF YES, DESCRIBE ANTICIPATED WORK: 9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: (b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: V EXCAVATION: FLOODING: OTHER : H DRAINAGE : _ TOTAL ACRES TO BE IMPACTED: o 010 (b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:,Sy'if'?A/?l 09ANNL-L hy07- :?Zrn DAWLI.7 LENGTH BEFORE: _ FT AFTER: - FT WIDTH BEFORE (based on normal high water contours): _ FT AVERAGE DEPTH BEFORE: _ FT AFTER: _ FT (b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: - PLACEMENT OF PIPE IN CHANNEL: CHANNEL EXCAVATION: - CONSTRUCTION OF A DAM/FLOODING: OTHER: SSA4W A J.L 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERr/4- 12. DRAINING TO THE POND? - WHAT IS THE EXPECTED POND SURFACE AREA? DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY) 13. PURPOSE OF PROPOSED WORK: C 0t4SXtt (2-7/JW Q? ?,CJLt,LILL y'D F6(12711pj2 EieDStisv 6? SFAc??J?L 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) p2E vt-lvr,?2US1bA) of .S,/4w4L-L 15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT A THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: h/? 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED J4,? 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF PUBLIC (STATE) LAND? YES E] NOZ] (IF NO, GO TO 16) (a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES ? NO ? (b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ? IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003, TELEPHONE (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO WETLANDS: (a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT. (b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PRODUCT. (c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. (d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. (e) WHAT IS LAND USE OF SURROUNDING PROPERTY? (f) IF APPLICABLE, WHAT. IS PROPOSED METHOD OF SEWAGE DISPOSAL? SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO: 1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, 2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY CERTIFICATION, AND 3. (IN T TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH C 0 INA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED AC I Ty IS CONSISTENT WITH THE ORT CAROLINA COASTAL MANAGEMENT R'S/AAENT/S,5IGNATURE DATE (AGENTS SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED). I? f i :i t: e rr l J 0 W ' Rt•7 -.nr7 .3 ar wvuhc.t •e n1.y *0 l...a?afy. • -xr I.` t..•vaen2t. •MiY ...,../•jf-,+r+.?.r.r.rrsv Li +j `••.p f ``•?a r•.••• LO S:rl,r ,•J••.Mt, 02 f,r/ eny . , '7J f 37 f••? ' 2' '1 Fw' i .,...,o3-„J;,...? , ? ? ..?'...r, ? -?•?; ?, i?, „1' t' of ri?.QS M:u •X*tvsp Aar•rttc t?.7 w. 1 • ??=?;w` '? c .••'S 1•r/+• o .t}ari• its .,I.j ?•Iht••"tt fjsn,7wy.f• / yt., '\ ?'•t •2.? f "' .r....rt•.rrri '}••rM i••.yY Jiro -m",$. ?.? b d tr1/ { . ?'p . rr tr./ n. rl -0 `1E`rMr4ti ki. t,rj -o,.4 z sA*.p t ?+ t • ,?' 4w.° . ' .....? N„ ••.,.. • R l.,. rA ,a>ti •.°rw sf,rrtd °°r" f. ~ rcy9;•.+y A,:.aw,?.,w,•? ?sr? nrgPrr.? ? °jS "Qa \ e •ta ,? er et n..s?••.• att.t \ ?•IV old 1 .i ?['G• tr°ur ft.a, nw ..ww) ?+R«trwtT -,w M' ter. .°,•t o{ ?Yn •yl ?1 •.°^' P \ I A'+f: \ ttAO`t j? a ?v n . 7 t r /«b'?V/ Q'7/ J1? - ? S.i! v 'QO. '•?'?t :?,?' ??7w1 ?*°rlat z ? w''• r MS•Jf/1 +•.Jr's C•t+a r..x.,1?MI `? 'd` ?? 4f ) ?•?j C !.WA AC.'Ian 1w 7 fr.fy ?f: ?y ''1{, ,( ?r7 1eLiiiL ~rQ.y '•.? t^ 'ww"? r,,.. rO• ?1 4 •o . stay .T.pt. ? ?T ? .c?j r o t i? o ?1. /.'. s.•M?..1?1Iw.p,?r G. I ?'~?1 ?'<r 1 ?`? ? C tij 6 w l' • ?? f O i? •.tf W-." .; rvp /,.:: cam,+„ 1?r ?r l7 ? { ? ? ? ? • ?c.a? ?+ ,• ?? 1? to • ? ? ? \ s f, ?n •?, n sr AC i 1 v ,t A d A i. ? ?. pp? A ?? •1 { 'It As, ?4?I ?; ??'?•? J\ Q;''ter tc r' `h + p c/ hvpa r ,t. got 2(27 21 -tS O 1 2 ? O x l 3 a O 2 A Q z ? n CL? ? 2 M ? s L?j cel, V'O9 O 0o y?d b ? Fll/ 06 0 ??? 4,, ?tiv bbd ?? M ss"moo, ?33d? N bo __ 0 b')y??d c J AIYy° idMla b'b I "( ,110 s a c? ? 3= ?zg ON??'y.7j Eta" a d< ?6 ??'? 1111 F,RN , o of cn 00 F R, o0 z 0/?8 S ?11?1 p6, ?? bdp ?/? o ?? . p Q y ?2 GQ?S Jp 5 x ?' d0 z a OQ a o ? ? ti Q (n C> LLJ L X I wo V ] ?. " ,7Wp?N _ YYY ' ? ? :,; ? 0 0'MP c? r LAKE P ' A F M R?. o ?J Q Pr. a , r . .; Q va v , a zf OtLL'? mL ?? o a w icy NplSl s?? ° puno ?? k Qa L ,- O N Q ? 3NId ? y v cc °/