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Home My WebLink About20001583 Ver 1_COMPLETE FILE_20001227State 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 • 4 • IT AOWN*A 0000% NCDENR . NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES December 28, 2000 Jackson County DWQ Project # 001583 APPROVAL of 401 Water Quality Certification Doug Bowes 649 5'" Ave. South Naples, FL 34102 Dear Mr. Bowes: You have our approval, in accordance with the attached conditions and those listed below, to stabilize 300 feet of shoreline on Thorpe Lake (Lake Glenville) in Jackson County, as you described in your application received by the Division of Water Quality on December 27, 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. 276 1 1-7447. 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 Dorney at 919-733-9646. Attachment cc: Corps of Engineers Asheville Field Office Asheville DWQ Regional Office File Copy Central Files S 001583 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.html State of North Carolina Department of Environment and Natural Resources Division of Water Quality *40, 11 1810 - James B. Hunt, Jr., Governor Bill Holman, Secretary Kerr T. Stevens, Director Doug Bowes 649 5" Ave S. Naples, FL 34102 Dear Mr. Bowes: 0, ? tl 4.y `s k11?W'J 1 • NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES December &,,,29,90, On December 7, 2000, your application for a 404 Permit and 401 Water Quality Certification for a project in Jackson County was received by the NC Division of Water Quality. Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a fee for all applications. This fee amounts to $200 for projects with less than an acre of wetland impact and less than 150 linear feet of impacted stream. For projects with an acre or more wetland impact or 150 feet or more of impacted stream, a fee of $475 is required. In order for DWQ to review and process your request, you must send a check for the appropriate amount made payable to the N.C. Division of Water Quality attached to your application. Also, seven copies of all application materials are required, whereas from you we have only received one. Please call Rob Ridings or Cyndi Karoly at 919-733-1786 or visit our web site at http://h2o.enr.state.nc.us/ncwetlands if you have any questions. 7on PAYMENT D bey RECEIVED cc: Central Files Wetlands/401 Unit 4401 Reedy Creek Road Raleigh, North Carolina 27607 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/] 0% post consumer paper : DEM ID: ()0 1583 NATIONWIDE PERMIT REQUESTED CORPS ACTION ID: (PROVIDE NATIONWIDE PERMIT #): General permit 198200030 PRE-CONSTRUCTION IONr;yjTjctT1Q1i-? FCR NAT:ONWIDE PERMITS THAT REQUIRE: OM 1) NOTIFICATION TO THE ,CORPS OF ENGINEERS ar• 2) APPLICATION FOR. SECTION 4C1 CERTIFICATION VVOLANUS Gi "UP WtiTr?ll IAA SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE F_*ELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). PLEA5E PRINT. 1. OWNERS NAME: 2. MAILING ADDRESS: ?N D... d9 SUBDIVISION NAME: CITY: STATE: ZIP CODE: PROJECT LOCATION ADDR`ESS,?y:NCLUDINGG ?SUBDIVIS_ON NAMEn (IF DIFFERENT FROM MAILING ADDRESS ABOVE) : odiel 3. TELEPHONE NUMBER (ROME): NN ` $$ UfoO3 (WORK) : MI. Z?OI' Z.9Z9 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: Z. LOCATION OF WORK (PROVIDR A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: NEAREST TOWN OR CITY: SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) 6. IMPACTED OR NEAREST STREAM/RIVER: _Lako Glenville RIVER BASIN: Tennessee (06010203) 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), NIGH QUALITY WATERS (HQW), OUTSTAND=NG RESOURCE WATERS (ORW), (WS-1 OR WS-I1)? YES ; X) NO ( I IF YES, EXPLAIN: 7b. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL M.ANAGEMEN: ARE OF ENVIRONMENTAL CONCERN (AEC)? YES ( I NO ( XJ WATER SUP2LY nF? 2 7 2p 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PACE 7 .OR _.1ST 07' COASTAL COUNTIES), WHAT IS THE LANG USE PLAN (LUP1 DESIGNATION: N/A 9a HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS ?ROPERT':? YES ( ; NO rx ) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS P7-RX'-T AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): 00. AKr. AUU11LUWAL er"III KLWUC.a_a LAeLL:r.u r()K ,M1S emuer.ttl: 1.v Y`IS F'JiUrc.% YES ( ) NO (X) IF YES, DESCRIBE ANTICIPATED WORK: 9A. ESTIMATED TOTAL. NUMBER OF ACRES IN TRACT OF LAND: ? CLL-r - 98. ESTIMATED TOTAL NUN,BE? OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: N/A 10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: N/A FILLING: EXCAVATION: FLOODING: OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: 10B. (1) SHORELINE TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): CULVERT LENGTH: r7 I.TNGTH OF BANK STABILIZATION: F" LENGTH BEFORE: F? AFTER: FT WIDTH BEFORE (based on normal high water contours): FT WIDTH AFTER: FT AVERAGE DEPTH BEFORE: FT AFTER: FT (2) SHORELINE IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: CHANNEL ELEVATION: CONSTRUCTION OF A DAM/FLOODING, MTROD Of BHORZLINZ STABILIZATION: Woww"' Cye voQ 11. IF CONSTRUCTION OF A POND IS PROPOSED, 'RHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? N/A WHAT IS THE EXrECTEO POND SURFACE AREA? 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANI!' EQUIPMENT TO BE USfFD Jd TTACH PLANS: $ X 11" DRAWINGS 0 T ??J?fViL.41A byz = A all , W/ /(ri2 ?5cUt?St Al ?? '? II r 4L'CO'd % 13. PURPOSE OF PROPOSED WORK: " 'Jv&K e?cos?ur? .1 7 STATE REASONS WHY iT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED CU IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): -N/A 15. DOES THE PROJECT INVOLVE AN EXPENDITURE. OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES ( ; NO ( x J (IT NO, GO TO 16) a. IF YES, DOES THE PROJECT RZQUIRE PREPAP.ATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL, PCLICY ACT: YES ( NO b. IF YES, HAS THE DOCUMENT BEE14 REVIEWED 'T'HROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ) .90 ; I: ANSWER TO 15b T.S YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE ?0 DIVISION Cr ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE 141 TH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO b1S. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-9003, TELEPHONE (919) 733-6369. 16. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS: a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON TY.E PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, Z6, 29, AND 38). ALL STREAMS ;INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST HE SHOWN ON THE YAP. MAP SCALES SHOULD BE I INCH EQUALS 50 FEET QR I IPCH EoVALS :00 FFFT OR THFTR EQU_VALENT. L. IF AVAILABLE, REP."3MOTATIVE PROT80RAPH V! WETLhova 'LV za uY?rH?'.?U by eKU0EQ'.l'. T6' 5CLT1A1Jt.T!Cli WAS tclrt3.Wlb lY h ?.0DJiU1'rllnf'l', lat;LUUL ALL JA TA Jl1UurlU RULEVANT TO THE PLACEMENT OF THE DELINEATION LINE. G'. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. 9. WHAT IS LAND USE OF SURROUNDING PROPERT'.("r f. _F APPLICABLE, WHAT 15 PROPOSED METHOD OF SEWAGE DISPOSAL? q. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, I? APPLICABLE. NOTZ: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO: 1) ISSUANCE OF A SECTT-ON 404 CORPS OF ENGINEERS PERMIT, AND 2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGE.M£NT (WATZR QUALITY) CERTIFICATION. OWNER' SJ T'S SIGNATURE (AGENT'S aZCNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (16G.)1 \\ /Z-1/00 ATE • .,,hv?? ,,111 off? r# .y+n O ? i Via, ? ? f lltle Plo Mounla,i lll.?N\ 7 l 1 1 i ee l 3 , f In M. am i ( RM Pmoy 6 itf 1 J C ( ,? \ 2500 ft Topo USA 2.0 Copyright 0 1999 DeLorme Yarmouth, HE 04096 Scale: 1 : 36,375 Detail: 12-5 1 03 ; . Igp? 01 1.... 0140 05 a dq, ' •y • V? 11d ?° f?/ ??1 rJ??yCO III D,? 'O° •?' d'° 4L C LIZ -C IV (er` f J `•Q i LY GyC tl5--? 6L Zt`? ?„/\lnl , +ll! oo 0 9 ,0 6d\1o Mo\.9G ` J'{}tl??1?3 - ? e.n / , ' \ rJ`4 V 101 ) d" \ £ 1 ? O0. v V L?YY 3Y S, 1 ? yO % % 0401)( - I )0o-OC2LS % k" ? ; I'I' ((•H B (r'? % 1 eU UD; YLI. ?` f ? / ` z?etlGS Jf ' t{.•T ,? \ °"`` NYC."?, `°" ? \ ? _-p?wf`N' /• / e2\, ND, _` ) ,:I??aa 8??t?. NG? 1 L LYE -?/ \ , o q+` Y lti;oY' p C` tla b i \ 1 l ?" _ - - Mui YO-DYS C;\ O p?022 ty' l , ? ? L`/r Jr tllG z m `4 , o yon ?,. ( `4 `? Y I Q\? yr % J` 9.`?L 4? r•?< I ? U ?ArO )ul-0,' t' s )LO\ I I / `l \' rSyq" /N IG GG.?, .?ll 6k?1? ? ?? q`` 1 ` Lt I \\ N 3L0 9t r" O, l ? I^ -? (? R ,90?% M''2 y? UO \ 300 \Qp ]' b ??' Oi\\? Y1, ?LVy I I'? Y 7 7 O OC ?"1 = I l ? N•Sr. 1 7 y" !.\ ? ` I O 9 M 4 r" m u,.v\?? ,r its J 30`.90 p. 7U (?O IO IC :? yol J bL YS" . • O 1 ^ ' ()O\O Nlr QY,yY?y? C \ ' ,OG w OL I 39?'41p- rtI °U?Gac / yl ° 1 ?e I ^%3l?'YZ L nr Lo SUS `,?Q Ci\ M"O V °r y / 'LL - :C(? \? +`` 16 b01 \\ J.i IO ,?''?I Q Y(,rp ?•' ??,, v 1(? I/\?11 ]?G-Gr'2u1 ; 410 j' I 11 / M *l/ •?, "', '? ,?? tYt ti 9` ol? Ybl is 141 lk )t coo o '09 'I'.` MO?-CO-2111\ "0 0 ftiJoA OL a 4? "-? .'„ ?- ._' LQ-C?•' 1J1 L r .9-. " ` l _ .O' ?,; ??. I ,?J V f n ?y ? ?'` b \\\l Q\\ `' ' Y _ ,,??Jih` \ \ \+lL ?,` ,a v :;:Y• Bbl:' r IW ?\ \\\ 1 ' \\ wO? 4 lNf' I??I ' f_?Yo ? \?r,yJ e ? ?J' ' ov ? ? L s Ib lit .• fl State 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 Doug Bowes PAYS.! FIN T 6495"AveS. (?F(;1 i?l1-D Naples, FL 34102 Dear Mr. Bowes: 1 ITk?WAA • MONO NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES December 8, 2000 001583 On December 7, 2000, your application for a 404 Permit and 401 Water Quality Certification for a project in Jackson County was received by the NC Division of Water Quality. Please note that beginning January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a fee for all applications. This fee amounts to $200 for projects with less than an acre of wetland impact and less than 150 linear feet of impacted stream. For projects with an acre or more wetland impact or 150 feet or more of impacted stream, a fee of $475 is required. In order for DWQ to review and process your request, you must send a check for the appropriate amount made payable to the N.C. Division of Water Quality attached to your application. Also, seven copies of all application materials are required, whereas from you we have only received one. Please call Rob Ridings or Cyndi Karoly at 919-733-1786 or visit our web siftMENT http//h2o.enr.state.ne.us/ncwetiands if you have any questions. RECEIVED 7 n o n R. D be y cc: Central Files SFr, 2 7 200f] Wetlands/401 Unit 4401 Reedy Creek Road Raleigh, North Carolina 27607 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper 001583 DEM ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #): General permit 19820003.0 PRE-CONSTRUCTION NOTIFICATIONr;77. FOR N AT:ONWIDE PERMITS THAT REQUIRE: 1) NOTIFICATION TO THE ,.,ORPS OF ENGINEERS a' o?c To 2) APPLICATION FOR SECTION 4CI CERTIFICATION WOLA?;us i ., Wrri!illIA!m Sk'Tr..'., SEND THE CRIGINAL AND (1) COPT OF THIS COMPLETED FORM TO THE APPROPRIATE F*_cLD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT. 1. OWNERS NAME: lai?'o' I? %W%'t 2. MAILING ADDRESS: (8N?1- _ _A?(C c 17L SUBDIVISION NAME: CITY: STATE: ZIP CODE: PROJECT LOCATION ADDRESS,:NCLUDINGG ?SUBDIVIS.ON NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE) : UA 4 d 1 mot''! N ooifl O,CA-Ji j':i TM •c- 7V $lc 3. TELEPHONE NUMBER (HOME) : 0A ?e?; :jf 0Q3 (WORE) : Nh 7.6E7292_9 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: °. LOCATION OF WORK (PROVIDR A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: NEAREST TOWN OR CITY: SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) 6. IMPACTED OR NEAREST STREAM/RIVER: Lake Glenville RIVER BASIN: Tennessee (06010207) 7a. 15 PROJECT LOCATED NEAR WATER CLASSI:IED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTAND=NG RESOURCE WATERS (ORW), WATER SUP?LY (WS-I OR WS-I1)? YES i X) NO ( J IF YES, EXPLAIN: 7b. iF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT ARE OF ENVIRONMENTAL, CONCERN (AEC)? YES [ J NO ( XJ ............. . r n± r. 2 72000 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PACE 7 FOR 7-:ST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION: N/A 9a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS ?ROPERTY? YES ( ; NO rx l IF YES, PROVIDE ACTION I . D. NUMBER OF PREVIOUS PERX_7 AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 901 CERTIFICATION): 70. AM. AUUL'1'lUNAL er-KD91'1 KLt1UCJ_? LAdLI.:aU rUK L I15 emjerKI: l: iyI ??IVtt .' YES ( ) NO (K) IF YES, DESCRIBE ANTICIPATED WORK: 9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: N Cdr 9B. ESTIMATED TOTAL NUNBEP OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: N/A 10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: N/A FILLING: EXCAVATION: FLOODING: OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: 10B. (1) SHORELINE TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): CULVERT LENGTH: rT LT,NGTH OF BANK STABILIZATION: -F- LENGTH BEFORE: FT AFTER: FT WIDTH BEFORE (based on normal high water contours): FT WIDTH AFTER; FT AVERAGE DEPTH BEFORE: FT AFTER: FT (2) SHORELINE IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: CHANNEL ELEVIITIONi CONSTRUCTION OF A DrUM/FLOODING MTHOD OV SHORELINZ STABILIZATION: ly?ont ???? ^ ??e 11. IF CONSTRUCTION OF A POND IS PROPOSED, 'RHAT IS THE SIZE CF THE WATERSHED DRAINING TO THE POND? H/A WHAT IS THE EX;ECTED POND SURFACE AREA? 12. DESCRIPTION OF PROPOSEC WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMEV° TO BE USTO TTACH PLANS: 8 ? X 11" DRAWINGS 0 Y) h ?iJl? k (.Q A/A ,?4 -s-,Lo_, -e A14111 l1/ eg?' '4yLeyt. O r4 13. PURPOSE OF PROPOSED WORK: n 5V&M tKMOr', 14. STATE REASONS WHY IT IS BELIEVED THAT ^HIS ACTIVITY MUST BE CARRIED CU': IN KETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): H/A 15. DOES TRZ PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES ( ; NO ( x ] (IF NO, GO TO 16) a?. IF YES, DOES THE PROJECT RLQUIRE PREPAP.ATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACI3 YES f ; NO ( ] b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ) NO I= ANSWER TO 15b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRXS BAGGErT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF .ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-9003, TELEPHONE (919) 733-6369. 16. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS: a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON TPE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAMS ;INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET QR L !NCR Fr4VALS lQQ F&FT OR THFTR EQU--VALENT. L. IF AVAILABLE, REF..IZSCNTATTVE PS5T,5aWH OF WZTLkwv TU ZZ INVA(; Zv by rxuJLQl'. IF 5ELTLATILT!C14 HAS fflr0kWXtJ lY h CONAU.L'1'ANT, 191t;LUUL; ALL UAl"A ;;JiU ;A'U 11111,LVANT TO THE PLACEMENT OF THE DELINEATION LINE. d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. a. WHAT IS LAND USE OF SURROUNDING PROPERTY7 f. IF A?PLICABLS, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? g. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTZ: WETLANOS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO: 1) ISSUANCE OF A SEC^._ON 404 CORPS OF ENGINEERS PERMIT, AND ?.) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGZMEN': (WA ZR QUALITY) CERTIF:CATION. OWNER'S/ QT'S SIGNATURE (AGENT'S NATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (16G.)) \\ L1 o0 ATE ?? G' / - ! , , ?? ?, ? ? ?- ?, ,, ? ,?. ? ?, ; . ? v ?/ i , ?• ?'' ))?? ? • ^Yi I ??'1?"? ?? ?.?? r ? \ ? ? ? gfi3 r \ 'r n / ? ,?? '. r?lo. W (1. ?? V\ ? ?? o ?? \ ? M O 1 ? _ V f,,y; ??V O .` ? ? ? ?? i ?? ~ t _ \A? ?,?? ?- ? ??? ?? I ._ ----- 1 -__ -- ?-- I I ' '' ' f t ,,` i , U ?1 V ?4 ? ?xnc hlo +'"? rn? <'ion.me irn r Baste 1 1 1 (1?1 t 1 ,,1 1 il t 1• , (107 t t 1 i. + 1 t' t A? 1\Glenville 107 ( 1 Q Tl 1??? 1\ l r 107 i I ?•???? (1011 i no, Dh ,ham I•:;. ; , { } ft Topo USA 2.0 Copyright 0 1999 DeLorme Yarmouth, ME 04096 Scale: 1 : 34,315 Detail: 12-5 ,. 1 {' ? 8.. •f. ? •`3 \ I o°+ ,ur _? .\ \ ?>>.. ),f 4r i'?13 AN ti r. \t29 G\,?pl`?\ ?•'.. ?,` a/ "e x .v r r ,(R °i 1i '' 1I • - _I I ? '' of I ,a ,1 SRI E?ns ' ttO p.G u° J^ ^O5-tOW 1`\ n \ ,e \ "..,r ? ? 6 or . • a tj ?Q } `n? IP°? .: ' B?L•i' ?? ,? ?l?ur- f ` • o ? ??y ? . ? 1 .r I lai •`•, 00.E \ \° ,,r ? `\?J ;! ?$111t9'??,_ S7\ J' '? i ? I \ 7. ? \ ?'n 1? g1Q (t 111 (? Nt . 45 I'f tiFl° ? ? "`07 A 1 ARE ?? .,rc 1•0? o?• ,? Is °V . J ? )5 e ) ? e e53 I ^ N' E / e o-gQpPKCI ?,.,e 5" %?,?° I -?616.rJ? jJ5.16?( \F' F\Gv1? low p I ? t 4\y. J\.55•" st,.,n )aj `"?•al j 1 \ `J ,'OZ ? 526?pe""' n?0? 1PG JIo (J-`?-"aP oc .. 1: ^^ z`" ?.?°5\ y I 9qq? ``off o "/zQ a'? R \\ 1 ,14 .7o.inf O off. ., 5^ a O G .° , ?' N W z o, m04 inW 220.4p,_-__- I O • q oc' ,^?i w zzo.no s^a - \\O "' wF? o-' 312-30-ooE Olt Ly )lei i o \ \ °n„d ° ?` \ Npz.,'! , \h.' lit t"?Q 44 ,? )Ty.JO.oor c,op0 1 ? "( 0 1 ,E „t I. I- ie i;y,_'--?- oc, ono j5 z v +n 1 (a,t?f- I I Q`? n Ov, I 141-01.15,9 55 s ttff ic ?'tz tR -?' s,5^ 1 U J . 1 TO ?O .} AGN°B 25.10( 5 1. R RN ? 1 AfA V? 1^tl0 ? "0,.10' .rr 1• 9 13 GER \?F a . ? ?' gf3 ? 1.1 / ,• ,n 9P ` P OC. ?•.??.; wry ? .r? ".1 w) TO, ?,,'Ft!4?11' I. ? Sy\?,\ ? N ?N 3°° CjtA?E 1