19940282 Ver 1_COMPLETE FILE_19940325

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
April 13, 1994
Brunswick Church of Christ
c/o John Bowlina
P.O. Box 11032
Southpor.t., N.C. 28461
Dear Mr. Bowling-:
Subject: Proposed fill in Wetlands or Waters
Church building
Brunswick County
DEM Project #94282
C) EHNR
We have reviewed your request for 401 Water Quality Certification to
place fill material in 0.5 acres of wetlands or waters which are tributary to
Jump and Rijn Creek for church building located at Hwy 211 in Brunswick County
as described in your submittal dated 25 March 1994. Based on this review, we
have determined that the proposed fill is covered by General Water Quality
Certification No. 2671. A copy of the General Certification is attached.
This Certification is necessary for coverage under Corps of Engineers'
Nationwide Permit No. 26. This action completes DEM's review under Section
401. of the Clean Water Act.
If this Certification is unacceptable to you, you have the right to an
adjudicatory hearing upon written request within thirty (30) days following
receipt of this Certification. This request must be in the form of a written
petition conforming to Chapter 150B of the North Carolina General Statutes and
filed with the Office of Administrative Hearings, P.O. Box 27447, Raleigh,
N.C. 27611-7447. Unless such demands are made, this Certification shall be
final and binding.
If you have any questions, please contact John Dorney at 919-733-1786.
Sincerely,
Preston ward, r. P. E.
?l
94282.1tr
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Wilmington DEM Regional Office
Mr. John Dorney
Central Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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PERM IT YR: 94 ;,LIMIT N": Oi)=H ,> C f_)fjN,p`l: lE%I'II!._?1011 1
APPLICANT NAME: PI,TTN."VE-C'E r:Ilil!? c ll
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1'IHK .?U' ' 74 YJ7 • k:l f HI'I ? • ?-
DEM ID: ? ACTION ID: -
Nationwide P milt Requested (Provide Nationwide Permit ii): -
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAOE144EW-
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONME .,T,H, ' .;
P.O. Box 1890 AND NATURAL RESOURCES !?,
Wilmington, NC 28402-1890 P.O. Box 29535
ATTN: CESAWCO-E Raleigh, NC 27626-0535 NAB
94
Telephone [phone] ATTN: MR. SOHN DORNEY 5 199 4
Telephone [phone] r NT TO .. E
ONE (1) COPY MOF T' COMPLETED S HOULD BE SENT TO APPLICATION SEVEN (7) CO THE N.C. DIVISION OF ENVIRONMENT ....ONMENT QEMiNT.
PLEASE PRINT.
1. Owners Name: 82 U/s w 1'G X 6 h u r2 C 17 F C h 2 -f
2 Owners Address: , .O. L--? -04Q-?3 Sou-ne f Nom' f
3. Owners Phone Number (Home): 5 ,? D (Work):
5. Location of work (MUST ATTACH MAP). County:
Nearest Town or City: S4 44-7-4 OX 7`
Specific Location (Include road numbers, landmarks, etc.):, ° 176''4 `5' ?-r1.4
C>?1u,2
6. Name of Closest Stream/River: %T 4Lrr)-A_ _ Ku n C.Ce e k
7. River Basin:
S. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS 11? YES [ ] NO
9. Have any Section 404 permits been previously requested for use on this property? YES [?1 NO 111
If yes. explain. A-OILU -0 N0. i u n #A-L6N*01'0e .Vo. x (?
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Dnuned:
Flooded:
Excavated:
Total Impacted:
4. If Applicable: Agent's name or responsible corporate official, address, phone number:
12. L AR,r a .:94?.g 'PRM irk (Attach PLANS-81/2" X I I"•drawin-as only): r-''
13, Purpose of proposed work: Ch!,l_P ,h 13cc,' a,,, Crr
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note mfeasures
taken to minimize wetland impacts. Bu.r'& al,- 7'a PC;, //J Wet 14NVS AO;P
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed orproposed for listing endangered or threatened species or critical
habitat in the permit area that may be affected by the proposed project. Have you done so? N/,4 YES [ J NO[ I
RESPONSES FROM TM USFWS AND/OR NWS SHOULD HE FORWARDED TO CORPS
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? Have you done so? YES C ) NO [ ) .t,,A
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS,
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property.
B. If available, representative photograph of wetlands to be impacted by project.
C. if delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line.
O. If a stormwater management plan is required for this project, attach copy.
E. What is land use of surrounding property? 4 .2,17) a..,7 (2 CAU QC )7
F. If applicable, what is proposed method of sewage disposal? ztVgA e N
/'Owner's Signature !' Date
Ij 4 08H VIY?YYI%+n VVV1e I I r 14wr+u.......,.. - - - - [?L.I /
,?R. EN•u1RONMENTAi, HEALTH FILE N0.
APPLICATION FOR IMPROVEMENTS PERMIT
Complete all Items below , Opt R as yoT
REQUESTED BY (RELATIONSHIP Td OWNER) PHONE NUMBER TAX PARCEL ?
APPLICANT'S MAILING ADDRESS CITY ST_ ZIP
CURRENT PROPERTY OWNER MAILING ADDRESS C ST ZIP
USDIVISION LOT - OLK - - SEC
ROPERTY LOCATED. TOWN/CIT /AREA/ ' ., 2 ti
Lrt trt . 1 !r m?'S? .r 1 _ L LL.... c ?n e ti ?1-.. T"e r n m nt 4A.A Lf U
^- '
Nrections to Property: -? " -AM Ft
• •0ERMiT FOR HOUSE: MOBILE HOME: COMMERCIAL: - NO, SEDRMS:10. UNITS: NO. PERSONS: ,- NO. EMPLOYEES: IF COMMERCIAL, DESCRIBE:
WATER SUPPLY: PUBLIC: - PRIVATE:
IOTE: Please stake property comers and the corners of proposed structures, post placard provided In front center of lot
and complete form showing (1) lot, (2) location of structure on property, (3) proposed driveways.
'"Give Property Dimensions: FRONT: REAR: SIDE:
(to the nearest foot)
INSTRUCTIONS FOR APPLICANT:
A. As Close to Scale:
1. Draw in the lot
2. Draw In structure(s) showing distances to
property lines, set-back, etc., dimensions
of existing or proposed structures, decks,
walkways, etc.
3. Identify where driveway will be located
4. Show any existing well around lot (if known)
S. Show preferred septic system location
x 8, Show any drainage systems around lot
Is location In a designated wetland? () Y or w0h
i. Additional Information as needed:
0.' Return Applies tfon and payment to:
BRUNSWICK CO. HEALTH DEPT. ?-
ENVIRONMENTAL HEALTH SECTION >
Application 4
P. 0. Box 9
Bolivia, NC 28422.0009
PHONE NUMBERS:
• [phone] from Leland
-A r
74

-
Jt

4
4 +4
457-5281 from Southport/Oak Island STREET --
253-4381 from.All Other
^253.7723 Answering Machine
1THORiZATION: I hereby make application for a site evaluation for the above mentioned property and authorize Brunswick County
:alth Department personnel to go on said property to make such an evaluation. As owner or his authorized agent, I covenant that the
ntents of this application are true and represent the maximum facilities to be placed on the property. I understand any changes mad,
hout the Health Department's approval shall make the permit null and void.
DATE OWNER/AGENT/APPUCA 'S RInN?TI 10C
1'IMK 3VJ 74 YJ7 • VJ7M1'1
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12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): ApDrox . X00 ub; c-
yards if upland fill. o
See Enclosed Drawings
13. Purpose of proposed work: To provide Fire & Emerctency vehicle-Turnaround.
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimizewetlandimpacts. To meet local Zoning Ordinance. The Location
of Pelican Trade Drive moved southward '10-co'
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine.Fisheries Service
(NMFS) regarding the presence or any Federally listed orproposed for listing endangered or threatened species or critical
habitat in the permit area that may be affected by the proposed project. Have you done so? YES[/] NO [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presences of historic
NO [ ]
properties in the permit area which may be affected by the proposed project? Have you done so? YES NO
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property.
B. If available, representative photograph of wetlands to be impacted by project.
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line.
D. If a stormwater management plan is required for this project, attach copy.
E. What is land use of surrounding property? Zoned r-1 .I ZONE 'r 9
F. If applicable, what is proposed method of sewage disposal? On-S; t P_ SP= t; r- S34 -, tPm/n.PP
>1-, 'fi'r, , t?_ ?0 _3 - 1- 9?-
Own 's Signature Date

•
•
•
Wetland type (select one) ? Other
? Swamp forest ? Shoreline •
? Bottomland hardwood forest ? Brackish marsh
? Carolina bay ? Freshwater marsh
? Pocosin ? Bog/Fen •
? amine savannah
' ? Ephemeral wetland
Q
Wet flat •
The rating system cannot be applied to salt marshes.
.
m
s
Water storage u
Bank/Shoreline stabilization x 4
00
Pollutant removal f .
_

Recreation/Education
Economic value x 0.25 =
49
Project name ?q1 A,ia< G°) Nearest road 4?
County , Wetland area acres Wetland width 5? feet
Name of evaluator _Cp ra, - Date ?v°? Ty
? Hydrologically connected U( Hydrologically Isolated

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?? ACTION ID:
DEM 1D:
Nationwide P rmit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMEN'P?E.TH,
P.O. Box 1890 AND NATURAL RESOURCES '-
Wilmington, NC 28402-1890 P.O. Box 29535,
ATTN: CESAW-CO-E Raleigh, NC 27626-0535
Telephone [phone] A : MR. JOHN DORNEY 5 1994
Telephone [phone]._.W
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THB•c $ *jN INEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENT AGEMENT.
PLEASE PRINT.
1. Owners Name: &Ca_ )J a/ c l< h u `2 C `J O F L h 2 i'S f
2. Owners Address: P loo So l,4-1/l
3. Owners Phone Number (Home). (Work):
4. If Applicable: Agent's name or responsible corporate official, address, phone number:
'To h A/ 8d bull 126-
a?lo lyll /le,eeee RW s z
5. Location of work (MUST ATTACH MAP). County: 19iealll'U4_21 Nearest Town or City: So w f/1 l'D,? ?"
Specific Location (Include road numbers, landmarks, etc.): /I'1' le /I )4 ,e,
or????u?r?' w
ha use ol) Ga126- Aye t ch leap ; nix t TO
?hu,e?h
6. Name of Closest Stream/River: y 7 u.tr) t 2 u n o K u n Eke e k
7. River Basin:
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS 117 YES [ ]
NO [?]
9. Have any Section 404 permits been previously requested for use on this property? YES [?] NO [ ]
If yes, explain. "l'row 7 0 NO 199 y 013 LF an 0 AAA-f%oA)a>,'0e_ tom' P.m, r .vo. 9 (o
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: k-L_
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded:
Excavated:
Total Impacted: -
12. Description of proposed work (Attach PLANS-8 1/2" X 11 "-dra*ngs only):
A
13. Purpose of proposed work: _ C`l a ee h t3u -'/d?'/1 r
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. t5ad'/d i i?-r To P& i it e atii o f wed/? Nos ref /?Nds Nvt
re be, 6t-se o exapt +,s
Pi¢,?'.K o ,e, .a n
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or 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. Have you done so? A,14- YES [ j NO [ j
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
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? Have you done so? YES [ ] NO[ RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property.
B. If available, representative photograph of wetlands to be impacted by project.
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line.
D. If a stormwater management plan is required for this project, attach copy.
E. What is land use of surrounding property? 44k-171 at? 0 ehu RC h
R If applicable, what is proposed method of sewage disposal? 66(1.16e- rf-e4 f m V,-1- 2/4Nr
'Owner's Signature Date

11. Description of proposed work (Attach PLANS-8 1/2" X 11 "•drawLngs only):
13. Purpose of proposed work: Cha eeh f3cc
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. y'o 0& -t ,l) Aeatif D-ot wed/?,vps Wek/,4,vds Ivor
to be- tc se D e c-ept ox, ?LAe y
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or 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. Have you done so? A,14- YES [ ] NO [ J
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
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? Have you done so? YES [ J NO[ RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the property.
B. If available, representative photograph of wetlands to be impacted by project.
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line.
D. If a stormwater management plan is required for this project, attach copy.
E. What is land use of surrounding property? lal?-) a./7 o ehu oec h
F. If applicable, what is proposed method of sewage disposal? 6e-ale-e- T",-er12 /IM yr P14N7"
Owner's Signature / Date
.i
ENVIRONMENTAL HEALTH
APPLICATION FOR IMPROVEMENTS PERMIT
-*•v +.
Complete all Items below
- -tJ% 4J. 001111
REQUESTED BY (RELATIONSHIP TO OWNER)
APPLICANT'S MAILING ADDRESS

HECEIPT NO. "O"-f /
FILE N0.q1i =-2l
.• aX ?`? i f
OZI f?/aas o
PA _ !Va

53-5,3?z5 0,-
PHONE NUMBER
I CITY/
TAX PARCEL
-
ZUAt
ST
ZIP
CURRENT PROPERTY OWNER MAILING ADDRESS CITY
ST ZIP
SUBDIVISION LOT BLK SEC
PROPERTY LOCATED. TOWN/CIT /AREA + I C. - a
rty: if ? f - hi I " °
Directions to Pro e
p
hl 1Q !j :t A -qe-,e, c . , c 11 h X -) .. TD r QJ21 ni k,
IT
4. PERMIT FOR HOUSE: MOBILE HOME:
COMMERCIAL: lef?_ NO. BEDRMS:
NO. UNITS: NO. PERSONS:. NO. EMPLOYEES: - IF COMMERCIAL, DESCRIBE:
5. WATER SUPPLY: PUBLIC: PRIVATE:
NOTE: Please stake property corners and the corners of proposed structures, post placard provided in front center of lot
and complete form showing (1) lot, (2) location of structure on property, (3) proposed driveways.
5. Give Property Dimensions: FRONT: 71 REAR: SIDE:
(to the nearest foot)
7. INSTRUCTIONS FOR APPLICANT:
A. As Close to Scale:
1. Draw in the lot
2. Draw in structure(s) showing distances to
property lines, set-back, etc., dimensions
of existing or proposed structures, decks,
walkways, etc.
3. Identify where driveway will be located
4. Show any existing well around lot (if known)
5. Show preferred septic system location
6. Show any drainage systems around lot
Is location In a designated wetland? ( ) Y or NA
Additional Information as needed:
). ` Return Application and payment to:
BRUNSWICK CO. HEALTH DEPT.
ENVIRONMENTAL HEALTH SECTION
Application 101
P. 0. Box 9
Bolivia, NC 28422-0009
PHONE NUMBERS:
[phone] from Leland
457-5281 from Southport/Oak Island
253-4381 from.All_Other Areas STREET 253-7723 Answering Machine H?
THORIZATION: I hereby make application for a site evaluation for the above mentioned property and authorize Brunswick County
3Ith Department personnel to go on said property to make such an evaluation. As owner or his authorized agent, I covenant that the
(tents of this application are true and represent the maximum facilities to be placed on the property. I understand any changes made
lout the Health Department's approval shall make the permit null and void.
DATE OWNER/AGENT/APPLICA 'S SIGNATURE
O/An

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