19970029 Ver 1_COMPLETE FILE_19970117

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard,Jr., P.E., Director
A4
C) FE F=1
April 23, 1997
Mecklenburg County
DWQ Project # 970029
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Provident Development Group
817 E. Morehead Street
Suite 101
Charlotte, NC 28226
Dear Sirs:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
material in 0.72 acres of wetlands or waters for the purpose of constructing a residential development at Stone
Ridge at the. Crossings and the Crossings Annex, as you described in your application dated 17 March 1997. After
reviewing your application, we have decided that this fill is covered by General Water Quality Certification
Numbers 3103 and 3108. This certification allows you to use Nationwide Permit Numbers 14 and 26 when they
are issued by the Corps of Engineers.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us and you may be required to send us a new
application. 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 and any additional conditions listed below. Lot fill is not
allowed for lots 164 to 167 in order to maintain an undisturbed buffer near the stream channel. Deed restrictions or
conservation easements shall be added to all lots with remaining jurisdictional wetlands remaining jurisdictional
wetlands to prevent future fill. 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 Watershed regulations. This approval will expire when the accompanying 404 or
CAMA permit expires unless otherwise specified in the General 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 Dorney at 919-733-1786.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
Mr. John Domey
Central Files
Ju-Ian Shen; DPR Associates
970029.1tr
Division of Water Quality - Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
RECEIVE(
March 17, 1997
MAR 1 R 1997
ENVIRONMENTAL SCIENCES
Mr. John Dorney
Water Quality Certification Program
NC Dept. of Environment., Health and Natural Resources
4401 Reedy Creek Road
Raleigh, NC 27625-0535
Re: `The Stone Ridge at the Crossings' & `The Crossings Annex'
Project #95090.19 & 95090.39
Dear Mr. Dorney:
iliiiiiiillll?);Q
DESIGN • PLANNING • RESEARCH
DPR ASSOCIATES, INC.
Landscape Architects
Planners & Engineers
2036 East Seventh Street
Charlotte, NC 28204
Fax [phone]
704/332-1204
As per your request in your letter addressed to Mr. Tom Waters regarding the wetland
permit issue for the referenced projects, I am sending you additional information.
The Crossings development has been on the planning board since 1991, and subsequently
has been mostly developed. This R-9 (CD) area as shown on `proposed zoning plan'
(petition #91-41 (c)), first dated 9/6/91, prepared by DPR Associates, is the last parcel left
from the original ±195 Acres of The Crossings development.
When preparing for the construction document for this parcel, the neighboring property,
originally owned by Ms. Elizabeth Millwee became available. That is when Mr. Tom
Waters decided to purchase that property and it was to be developed as The Crossings
Annex.
As for the proposed street crossing existing wetland; it has been the policy of Charlotte-
Mecklenburg Planning Commission to require interconnections of residential
neighborhoods within the block. Since we had reviewed the proposed sketch plan with
Mr. Steve Lund of the Army Corps of Engineers, we have proceeded with the
construction drawings. During the design process we have made some minor revisions
per his comments. 2_
i
The designated `possible disturbed area'; ±0.14 Acres at lot<207 & 208, ±0.014 Acres at
0 ±0 079 Acres 1 164 166 r`d? if m i
lots 209 & 21 and at lots to could be educed you deem it
necessary. The undisturbed wetland areas are to be recorded in the Final Record Plats.
-2-
Please review the attached information and advise me on all necessary procedures. Thank
you.
Sincerely,
DPR ASSOCIATES, INC.
s
u-Ian Shen
Encl: The Crossings `Proposed Zoning Plan'
Boundary Survey of Property of Elizabeth O. Millwee
cc: Samar Bou-Ghazale, NCDEHNR
Steve Lund, Army Corps of Engineers
JS/vb-416L

State of North Carolina
Department of Environment, 099?FA
Health and Natural Resources ? •
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary C) C H N F=?L
A. Preston Howard, Jr., P.E., Director
Provident Dev. Group, Inc.
817 E. Morehead Street
Suite 101
Charlotte, NC 28226
March 4, 1997
WQC #970029
Mecklenburg County
Dear Sirs:
The Division of Water Quality has reviewed your plans for the discharge of fill material
into a total of 0.80 acres of waters and/or wetlands for road crossings and lot fill located at
"The Stone Ridge at the Crossings" and "The Crossings Annex" in Mecklenburg County for
residential development. According to Steve Lund of the U.S. Army Corps of Engineers,
these two developments are part of the same project. Based on this review, we have identified
significant uses which would be removed by this project. These uses are water storage,
pollutant removal and wildlife habitat. Furthermore, insufficient evidence is present in our files
to conclude that your project must be built as planned in waters and/or wetlands in accordance
with 15A NCAC 2H.0506. Therefore, we are moving toward denial of your 401 Certification
as required by 15A NCAC 2H.0507(e). Until we receive additional information, we are -
requesting (by copy of this letter) that the U.S. Army Corps of Engineers place your project on
administrative hold.
Please provide us with information supporting your position that your project must be
constructed as planned and that you have no practicable alternative to placing fill in these waters
and/or wetlands. Specifically can you construct your residential development with no more
than 1/3 acre of fill of isolated wetlands (eg., these not adjacent to streams)? Any
documentation such as maps and narrative that you can supply to address alternative designs
for your project may be helpful in our review of your 401 Certification. Also this project will
require compensatory mitigation as described in 15A NCAC 2H .0506(h) if total wetland fill -
exceeds one acre. Please respond within two weeks of the date of this letter by sending a copy
of this information to me and one copy to Mr. Samar Bou-Ghazale at the Mooresville Regional
Office at 919 North Main St., Mooresville, NC 28115. If we do not hear from you in two
weeks, we will assume that you no longer want to pursue this project and we will consider the
project as withdrawn. I can be reached at 919-733-1786 if you have any questions.
cere
h ., R Dorney,
ater Quality a on Program
cc: Mooresville DWQ Regional Office
Wilmington Office Corps of Engineers
Central Files
Steve Lund; Asheville Field Office Corps of Engineers
970029.nty
Division of Water Quality - Environmental Sciences Branch
4401 Reedy Creek Rd., Raleigh, NC 27626-0535 - Telephone [phone] - FAX [phone]
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DPR ASSOCIATES, INC.
) eAd Landscape Ardhitecfs
Planners 6 Engineers
2036 East Seventh Street
DESIGN • FLANMNG • RESEARM
704r332-1204 Clmdotte, NC 28204
NCO IF 14N A,
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? Copy of letter ? Change order ?
COPIES DATE NO. DESCRIPTION

THESE ARE TRANSMITTED as checked below:
? For approval

? For your use
? As requested
? Approved as submitted ? Resubmit copies for approval
? Approved as noted ? Submit copies for distribution
? Returned for corrections ? Return corrected prints
? For review and comment ?
? FORBIDS DUE
REMARKS
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ATTENTION
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WE ARE SENDING YOU ? Attached ? Under separate cover via i?lAti the following items:
? Shop drawings ? Prints . ? Plans ? Samples ? Specifications
19 ? PRINTS RETURNED AFTER LOAN TO US
V
KEMORANDUM PRINT NAMES : rev-??f9?9L
Reviewer: 5,, /VI?AC
ro : d T DORNEY WQ SUPV.
ENVIRONMENTAL 'SCX %A DATE : -- /
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
***EACH ITEM MUST BE ANSWERED (USE N/A FOR NOT APPLICABLE) '
PERMIT YR: 97 PERMIT NO: 0000030 COUNTY: MECKLENBURG
APPLICANT NAME: THE STONE RIDGE AT THE CROSSINGS
PROJECT TYPE: RESIDENTIAL FILL PERMIT TYPE: NW26
COE It : DOT #:
RCD_FROM _CDA: APP DATE_FRM_CDA: 01/21/97
REG_OFFICE: VP-0
RIVER-AND-SUB-BASIN-#: 030834
STREAM CLASS: C
WL_IMPACT?: CyVN
WL REQUESTED : + / S 4C
WL_SCORE M : l
MITIGATION?: Y/t)
MITIGATION-SIZE: N/A
STR_INDEX N0: 11-137-4
WL_TYPE:
WL_ACR_EST?: YON
WATER IMPACTED BY FILL?: &N
MITIGATION-TYPE W.4
DID YOU REQUEST MORE INFO? : .Yo
IS WETLAND RATING SHEET ATTACHED?: YCN)
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cc: Regional Office
Central Files
HAVE PROJECT CHANGES/CONDITIONS BEEN DISCUSSED WITH APPLICANT?: Y/N
RECOMMENDATION (Circle One): ISSUE/COND DENY
COMMENTS : 412,01-1 6.4 71 o.J P' R- A ? ? Z G l S % ? ?`-- [7 • l S e? G C?n?L ?/ .
MEMORANDUM PRINT NAMES:
Reviewer:, CO : JOHN DORNEY WQ SUPV.: tJCZC?
ENVIRONMENTAL SCIENCES BRANCH DATE:,.e_fq_ 5
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS -?-
***EACH ITEM MUST BE ANSWERED (USE N/A FOR NOT APPLICABLE)
PERMIT YR: 97 PERMIT NO: 0000029 COUNTY: MECKLENBURG
APPLICANT NAME: THE CROSSINGS ANNEX
PROJECT TYPE: ROAD CROSS.-LOT FILL PERMIT TYPE: NW14,26
COE #: DOT #:
RCD_FROM _CDA: APP DATE_FRM_CDA: 01/17/97
REG OFFICE: MRO
ZIVER AND SUB BASIN #: 0308
STREAM CLASS: C
WL_IMPACT?: ON
WL REQUESTED : '- 0.32 44 ? V`1 I ?-)
x.32 0 6 dW 26
WL_SCORE(#):/Jj#
STR INDEX N0: 11-137-10
WL_TYPE:
WL_ACR_EST?: Y/N
WATER IMPACTED BY FILL?: &N
MITIGATION?: Y& MITIGATION_TYPE:rj1,k-
MITIGATION_SIZE:o,)1T DID YOU REQUEST MORE INFO?:lam/
IS WETLAND RATING SHEET ATTACHED?: 04Y
HAVE PROJECT CHANGES/CONDITIONS BEEN DISCUSSED WITH APPLICANT?: Y/O
RECOMMENDATION (Circle One): ISSUE ISSUE/COND DENY
COMMENTS: zMeL C,4rv 46AS Z.?,=A'?.?X D/s 1_,ZXR f ? %/f = 0' ??-R AC.
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Central Files
Project name
County
Name of evaluator
Nearest road 4 y-/i?A/
-es Wetland width -moo feet
Date -- -2-7-9 77
Wetland type (select one)*
? Bottomland hardwood forest
? ine savanna ? Bog forest
? Headwater forest marsh
?VFreshwater ? Bog/fen
? Swamp forest ? Estuarine fringe forest ? Seep
? Wet flat ? Ephemeral wetland ? Other
? Pocosin ? Carolina Bay
*The rating system cannot be applied to salt or brackish marshes or stream channels
weight
Water storage x 4.00 `' ` ,•.::,':,::..

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Bank/Shoreline stabilization x 4.00 = wti.<<.:.{:» Wetland Score
Pollutant removal x 5.00

Wildlife habitat x 2
00 =

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0 Aquatic life value 0 x 4.00
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Recreation/Education x 1
00 =
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* Add 1 point if in sensitive watershed and > 10% nonpoint disturbance within 1 /2 mile upstream, upslope, or radius

DPR ASSOCIATES, INC.
Landscape ArcNtectt
Plamiers 6 Engineer
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704?332-1204
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WE ARE SENDING YOU ? Attached ? Under separate cover via M,24, / the following items:
? Shop drawings ? Prints ? Plans ? Samples ? Specifications
? Copy of letter ? Change order ?

COPIES DATE NO. TI
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THESE ARE TRANSMITTED as checked below:
V/For approval
[I For your use as noted

El As requested ? Returned for corrections
El Approved as submitted
F-1 Approved
? For review and comment ?
? Resubmit
? Submit
? Return
copies for approval
copies for distribution
corrected prints
? FOR BIDS DUE 19 ? PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
If enclosures are not as noted, kindly notify us at once.

]JS ARMY CORPS/ENGRS
ID:1-704-252-1721
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DIEM ID:
JUL 18'95 8:40 No.002 P.04
ACTION ID:
Nationwide Permit 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
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CFSAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMEN'T'
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. Box 29535
Raleigh, NC 27626-0535
ATTN: MR JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
I. Owners Name: t A441 it llnill7`-e- Pa tl-ALA-l gam: ?STo?E ??t .
TYP Cleel<! aN4 >>
2. Owners Address: 70 a q ?u? 2YYGf , QY. 1?+'fci`-e ?clG 7627-6
3. Owners Phone Number (Home): (Work): -(Zo4u /C - 00 ?-Z/
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
5. Location of work (MUST ATTACH MAP). County: 6,! a
Nearest Town or City: 2
Specific Location'(Include road numbers, landmarks, etc.):
6. Name of Closest Stream/River.
7. River Basin:
8. Is this project located in a watershed classed as Trout, SA, HQW, ORW, WS I, or WS II? . YES [) NO [Vf
9. Have any Section 404 permits been prcviously'requested for use on this property? YES [ ] NO [vf
If yes, explain.
10. Estimatad totpl 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:
Pilled: to. /5-A G ed- /o' A-ea -
Drained:
Flooded:
Excavated:
Total Impacted- t She,
PP. I
US ARMY CORPS/ENGRS ID:1-704-252-1721 JUL 18'95 8:40 No.002 P.05
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
13. Purpose of proposed work' 6h s-bwcT 5-a gLUe's-( Y+
F"// "o- W &' o a I/.e0'--
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. Et'll ,'n Y
t . - _ ./_ /
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 [ j NO [VJ
RESPONSES FROM THE USFWS AND/OR NMPS SHOULD 13B FORWARDM) 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 [?j
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 sheeti 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? s f`A-1p-
F If applicable, what is proposed method of sewage disposal? SA (dA&a4
o?
Signature
Date
97
/'k• z
US RRMY CURDS/E=NURS IU:1-(U4-251-1X21 JUL IU'y5 ?5:4U N0.UU2 r.U4
V
DEM1 ID: _ Q7 U n-w ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit N):
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
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. Box 29535
Raleiggh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone] -
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS,
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT. (STONE ?tDfjE A7 =.
1. Owners Name:. (!iYfI? 1`1?c2 ?cil'tT -2d )Oazl-AL ,:E? 77{r C,eoSS/?c/G? j?
2. Owners Address: 70 a q 6?Gf2GG1Sh?rrtf Q„y. (vote, ,c?G Z82z6?
3. Owners Phone Number (Home): (Work): 64a- 00
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
5. Location of work (MUST ATTACH MAP). County: -rV ui2
Nearest Town or City-
Specific Location *(Include road numbers, landmarks, etc,):
6. Name of Closest Stream/Rivec
7. River Basin:
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I. or WS IT? . YES ( ] NO
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [Vf
If yes, explain.
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: f o. /SAG mot" la Apea-
Drained:
Flooded:
Excavated:
7btal Impacted: O / S-f1 G
PP.
UJ HKMT LUKrz>/trquKJ lll 1-f V4-LJL-1 f L1 JUL 1a 7J 0-4U 111U.UUZ r.UJ
r
I 12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
13. Purpose of proposed work:: =s ucT .5-a b
et;i?&'Py / d??l/???rOvt
14. State reasons why the applicant believes that this activity must be carried out in
taken to minimize wetland impacts. Ft'// i'h /of" ,o n YpC2iy -& _„r
note measures
15. You are reiuircd 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 [t)
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD 13H 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 perform6d 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? Sr`4i f'a?
F. If applicable, what is proposed method of sewage disposal? _--.49. ,YP 0&,j4 Sfojve?,
r?' <J
Signature
Date
97
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State of North Carolina
Department of Environment,
Health and Natural Resources
Ja mes B. Hunt, Jr., G ove mor
Jonathan B. Howes, Secretary
Steven J. Levitas, Deputy Secretary
A4 7411
ID FE F=1
Division of Water Quality
Z Environmental Sciences Branch
4401 Reedy Creek Road
Raleigh, N.C. 27607
FAX:[phone]
I FAX TO: " ----) (N A/T( C/-( I FAX NUMBER: I
FROM:
PHONE:
I NO. OF PAGES INCLUDING THIS SHEET: `7 1
DPR ASSOCIATES, INC. ??? LrL7 O L? ° ° LNU LIv1J a ??L ;?L? t
L andmape Arddibecft
Pknmrs 6 Engineers oesWN ?M . ?S¢weal
7041332-1204 - Chwlotte, NC 28204 70029
To
asou Yee
4 RA -A 14 4/4--
446 / ?2e'e aCy Grp ,eoa?.
RGc 101- f G 2Z6 7
DATE
1 7• 11
-77 JOB NO. D
!7!M?r 31
ATTE ION
RE:
?'Ae G,?SS% S Amnew

i I?

WE ARE SENDING YOU ? Attached ? Under separate cover vial- the following items:
? Shop drawings ? Prints ? Plans ? Samples ? Specifications
? Copy of letter ? Change order ?

COPIES DATE NO. DESCRIPTION

% '

RECEIVED

THESE ARE TRANSMITTED as checked below:
C7 For approval ? Approved as submitted
? For your use
? As requested
? For review and comment
? FORBIDS DUE
REMARKS

COPY TO
? Resubmit copies for approval
? Submit copies for distribution
? Return corrected prints
19 ? PRINTS RETURNED AFTER LOAN TO US
? Approved as noted
? Returned for corrections

SIGNED: -17--u_,
ff enclosures are not as noted, kindly notify us at once.
UJ HKI'i T l ui?r Ji tNhN.J] l ll • 1- f V4-LPL-1 f Ll J UL 125 `9? 6;4U I'AU. UUL t . U4
V7LJ®20
DEM ID ACTION ID.,
Nationwide Permit Requested (Provide Nationwide Permit !1); 14 R 2
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
WMMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
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] ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT. -tom Crvxs(` S
1. Owners Name- ?`
2. Owners Address: / /' G ? 5u, %fe o
3. Owners Phone Number (Home): (Work): 67-0!?) 3 76 ; f- 6--
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
5. Location of work (MUST ATTACH MAP). County: JVI?G L?aV Pau
l Nearest Town or City: Ja#-.e,
Specific Location'(Include road numbers, landmarks, otc,):
6. Name of Closest Stream/Rivef. _ jt4&? . C yx?
7. River Basin: .
8. Is this project located in a watershed classed as Trout, SA, HQW, ORW, WS I. or WS 117 . YES [ J NO [
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [?f
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site.
f 6: 4c
11. Number of acres of waters of the U,S., including wetlands, impacted by the proposed project:
Filled, 326 kc. 4.t" 4ao(6r0Z,? 320 ..& aX" 10 'fz
Drained:
Flooded:
Excavated;
Tbtal Impacted: =?- O, roc o,3Za,?-L
,QoC . Gva?s?`'7 to y
Pi
UJ 111C1'I I l-Ui?i J, LIIUr-.) 1J 1_f UPI-L:>L-1 f Ll JUL 10 JJ o -44U IVU .UUL r UJ
f
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
13. Purpose of proposed work: ,` -4Y I IL /07'
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also note measures
taken to minimize wetland impacts.
Road GWSSr? ae*u%red hX4 124tLA l ?`fa/ l?o?ll ro?C. hhe r
___CJ-S
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 orthteatened species or critical
habitat in the permit area that may be affected by the proposed projact, Have you done so? YES [ ] NO [-Lf
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD 138 FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of histo
properties in the permit area which may be affected by the proposed project? Have you done so7 YES ( J NO r)
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.
13. 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? `
F. If applicable, what is proposed method of sewage disposal? CO . k?.d&a v e, cfins
F?

VJ r11\1'11 l,Ul\1- J/ LIVUI\J 1L 1-( V•-F-LJG-'1 (Ll JUL 10 7J O 4V HU VVL F V4
r 97®029
DEM ID: ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit !!):._ 14 S 2 (_
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
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. Box 29535
Raleiggh. NC 2762"535
ATTN: MR JOHN DORNEY
'telephone [phone] '
ONE (1) COPY OF TINS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT. -`? Gt?SS?` S ,stn, e,?
1. Owners Name: /?YOd?d ? Z?o /Il?cSr 6r-o l!1 G ,
2. Owners Address: / K2 SGt "f,2 0 /
3. Owners Phone Number (Home): (Work): L7041? 376
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
5. Location of work (MUST ATTACH MAP), County: M 56, LLN f3ur2
Nearest Town or City: laff-lel
Specific Location'(Include road numbers, landmarks,
?rryF'h Kol _ -
6. Name of Closest Stroam/Rivei:
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 (t-l"
If yes, explain.
10. Estimated totpl number of acres of waters of the U.S., including wetlands, located on project site:
± 6; 4 ,
11. Number of acres of waters of the U,S., including wetlands, impacted by the proposed project:
FlUed• -± D. 326 A-c- At" 4aA6 Z1'P 0.32014,, aX" lo
Drained:
Flooded:
Excavated:
Total Impacted: =f- O. ,4e.
o,3zo,? e
,P i
VJ Yi I' I'I I l IJ1,1 .>1 L-14LJI'-J lll 1-! V?-i"L,JL-1 (!_1 JUL 10 JJ 0-44U IVU . VVc I V?
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
13. Purpose of proposed work: 2oo If- li{'ogS?'( a4, A 4'11 Ad_ /F0 14. State reasons why the applicant believes that this activity must be carved out in wetlands. Also, note measures
taken to minimize wetland impacts.
oad Gmss1`r lay/ ?'f ?o? r?ohher
15. You are rduircd 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 orthneatened species or critical
habitat in the pennit area that may be affected by the proposed project. Have you done so? YES [ ] NO [ Lf
RESPONSES FROM THE USFWS AND/OR NMFS SHOULb BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of histo?
properties in the permit area which may be affected by the proposed project? Have you done so? YES ( ] NO [ j
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? `
F. If applicable, what is proposed method of sewage disposal?
is Signature ate
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