19940696 Ver 1_COMPLETE FILE_19940728

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
APPROVAL of 401 Water Quality Certification
Mr. David Rose
J. B. Rose & Sons
Route 3, Box 48B
Nashville, N.C. 27856
Dear Mr. Rose:
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ID F= F1
August 3, 1994
Nash County
DEM Project # 94696
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You have our approval to place fill material in 0.1 acres of wetlands or waters for the
purpose of lawn development at SR 1001, as you described in your application dated 28
July 1994. After reviewing your application, we have decided that this fill is covered by
General Water Quality Certification Number 2733. This certification allows you to use
Nationwide Permit Number 18 when it is issued by the Corps of Engineers.
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. For this approval to be valid, you must follow the conditions
listed in the attached certification. In addition, you should get any other federal, state or
local permits before you go ahead with your project.
If you do not accept any of the conditions of this certification, you may ask for an
adjudicatory hearing. You must act within 30 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 Environmental Management under
Section 401 of the Clean Water Act. If you have any questions, please telephone John
Dorney at 919-733-1786.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Raleigh DEM Regional Office
Mr. John Dorney
Central Files
94696.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper

E ID-10 1?q yo : 1-4 C? to ?? ACTION ID: ©?O
7
ationwide Permit Requested (Provide Nationwide Permit #):1 S
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
AU MINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATM: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAG? 4
NC DEPARTMENT OF ENVIRO C , HEALTH, c
AND NATURAL RESOURCES i !
?
.,..,
P.O. Box 29535 2 819(
Raleigh, NC 27626-0535 ??CJ
ATTN: MR JOHN DORNEY a J
Telephone [phone]
NE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE COQ?,,? f?f? ENGINEERS.
EVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTALLL,'1?iANAGEMENT.
:..EASE PRINT.
Owners Name:
Owners Addres.
Owners Phone Number (Home): ?,L L_3

(Work): `l'/Z -
If Ap 'cable; Agent's ame or ponsible corporate official, address, phone number.
i I 014414-L // , //X._9 ZZs 6
Location of work (MUST ATTACH MAP). County:
rarest Town or City: / 4s;6?
>ecific Location (Include road numbers,
. A
Name of Closest Stream/River.
River Basin:
Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES (] NO [4-1-
Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [y?
If yes, explain.
Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
o n
Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded:
Excavated:
Total
.r .0
?. Description of proposed work (At Itch PLANS-8 ]/2" X ]1" dr wings only): _
Purpose of proposed work:
4. State reasons why the applicant b ves that activity must bn carried out in edands. Also, note mea
.ken to minimize wetland impacts. n f -)(
5. You are regtAred to contact the U.S. Fish and Wildlife Service (USFWS) and/oyNational Marines Fisheries Service
1MFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or critical
ibitat in the permit area that may be affected by the proposed project. Have you done so? YES [vj? NO(
]
ESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS. 3 o A vri
5. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence f historic
?perties in the permit area which may be affected by the proposed project? Have you done so? YES [VI NO [ J
ESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS. F- i9 - 95
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 f this pr .ect, attach c y,
E. What is land use of surrounding property? > ?{-
F. If applicable, what is proposed method of sewage disposal?
O er's Signature Date ??_?? -