19970518 Ver 1_COMPLETE FILE_19970612

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NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE'PERMIT #):
PRE-CONSTRUCTION NOTIFICATION APPLICATION
' FOR NATIONWIDE PERMITS TH?,T REQUIRE :
04
? F
1) NOTIFICATION TO T34 CORPS OF ENGINEERS I
N?I99
2) APPLICATION FOR SE4TION 401 CERTIFICATION 0%
3) COORDINATION WITH ? NC DIVISION OF COASTAL MUlAGffi4ENT ils?cc p
SEND THE ORIGINAL AND (1) COPYI OF THIS COLLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). (PLEASE PRINT.
1. OWNERS NAME : 1-3 rt
Ali:, 2- F
2..,MAILING ADDRESS:
SUBDIVISION NAME:
42.E
C, c'
CITY: O STATE: ZIP CODE:
{
PROJECT LOCA'T'ION ADDRESS,,INCL DING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOV/jj}/-J(1) : L ^/ JfC
?. rtil C? '
3.--TELEPHONE NUMBER (HOME)-: 7A- St35 WORK):
•?
4. IF APPLICABLE: AGENT'.S NAMEIOR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
' I
?
5. LOCATION OF WORK (PROVIDE A?MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
? {
MAP OR AERIAL PHOT GRAPHY WITH SCALE):« `
COUNTY: M NEAREST ,TOWN OR CITY: I
CORPS ACTION ID..

SPECIFIC'LO -A TION (INCLUDE ROAD
ETC .) :0 -•\
NUMBERS, LANDMARKS, hp-
NUMB
\ der
j -? C.t I'C e
i
?J)p
TREAWRIVER:
6. IMPACTED OR NEAREST S

..RIVER BASIN:
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RES
SUPPLY (WS-I OR WS-II)? YES [,]) NO [ ] IF YE
JV o
O
S OUT, TIDAL SALTWATER
URCE WATERS .(ORW), WATER
, EXPLAIN:
7b:-IS THE PROJECT LOCATED WITHIN.A NORTH CAROLI
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? DIVISION OF COASTAL )ug ,
ES [ ] NO [ ]
7c.--IF THE PROJECT IS LOCATED WITHIN A'COASTAL
LIST`OF COASTAL COUNTIES), WHAT IS THE LAND USE OUNTY (SEE PAGE 7 FOR
LPN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSL
THIS PROPERTY? YES [ ] NO ` [ ]' IF YES, PROV
PREVIOUS PERMIT AND ANY ADDITIONAL I INFORMATION (
I
I REQUESTED FOR USE ON
DE ACTION I.D. NUMBER OF
NCLUDE PHOTOCOPY OF 401

CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR
FUTURE? --YES (41 NO [ ] IF YES, DESCRIBE ANTIC
I THIS PROPERTY IN THE
PATED WORK:
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9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLA
O
' O r V y
LAND:
i LOCATED ON PROJECT SITE.

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10a. NUMBER OF ACRES OF WET
FILLING: ' 0 '
FLOODING:
DRAINAGE:
10b. (1) STREAM CHANNEL TO
RELOCATED, PROVIDE DISTANCE
LENGTH BEFORE:
WIDTH BEFORE (based on normal
WIDTH AFTER:
AVERAGE DEPTH BEFORE:
(2) STREAM CHANNEL IMPA(
OPEN CHANNEL RELOCATION:
CHANNEL EXCAVATION:
OTHER:
11. IF CONSTRUCTION OF A POND
WATERSHED DRAINING TO-THE PON
WHAT IS THE EXPECTED POND SUR
12. DESCRIPTION OF PROPOSED W
MECHANICAL EQUIPMENT TO BE US
ONLY):
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13. PURPOSE OF PROPOSED WORK:
.IMPACTED BY
EXCAVATION:
,
OTHER:
TOTAL ;ACRES j TO
PROPOSED PROJECT BY:
r
IMPACTED:
IMPACTED BY THE PROPOSED PROJECT (IF A114
"H BEFORE AND AFTER RELOCATION) : FT AFTER: FT
i
sigh water contours): FT
FT
FT AFTER: FT
S WILL RESULT !FROM: (CHECK ALL THAT APPLY)
I
PLACEMENT 09 PIPE IN CHANNEL:
CONSTRUCTION OF A' DAM/FLOODING:
S PROPOSED, WHAT IS THE SIZE OF THE
.CE AREA?
.K INCLUDING DISCUSSION OF TYPE OF
(ATTACH PLANS: 8.1/2" X 11" DRAWINGS

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.CALNrn.
4'm &'I

3.

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14. STATE REASONS
OUT IN WETLANDS.
IMPACTS):
WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
??? ?'? YI d1we..
Itic+??? ot[:?'b Yt i S C??S r h
,Ckvl es+,k.Kk & J6s,-e c

i ?15. YOU ARE REQUIRED TO CONTACT THE U.S: FTSH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR
PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT
RDATE
IN THE PERMIT AREA THAT BFI A (ATTACH AFFECTED BY THE PROPOSED PROJECT.
ESPONSES'
CONTACTED:
FROM THESE AGENCIES.) 9
16. YOU ARE REQUIRED TO CONTlkCT THE STATE HISTORIC PRESERVATION OFFICER OF HISTO (SHPO) (SEE AGENCY ADDRESSES $WHEC)H MAG gEIAFFECTED BYETHE PROPOSEDRIC
PROPERTIES IN THE PERMIT AREA,
PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE;!AN EXPENDITU 0 PUBLIC FUNDS OR THE.USE OF
PUBLIC (STATE) LAND? i
YES [] NO [] (IF NOy GO TO 18)
a. IF YES, DOES THE PROTECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUkREMENTS OF TH9 NORTH CAROLINA ENVIRONMENTAL
POLICY ACT? i
I
YES [] ? [] l I
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] ]
IF ANSWER TO 17b IS YES, THENI SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH C LINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATEICLEARINGHOUSE?REVIEW PROCESS SHOULD BE
T?TESCLEARINGHOUSE, NORALEIGHRTH
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE
CAROLINA DEPARTMENT OF ADMINISTRATION, 116
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
F ' s 4
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A,-A,
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA flw??
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 SURRWNDING PROPERTX?
a. WETLAND DELINEATION MAP SHOWING ALL WET?,ANDS, ,
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMITtNUMBERS 14, 18, 21, 26,
29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCAIES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQUIKVALENT. p .
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH!OF WETLANDS TO BE
STREAMS LAKES
18.. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH:THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL A j??r q
INTO WETLANDS: M? I
O 6F SEWAGE DISPOSAL?
f. IF APPLICABLE, WHAT
NV.HKd IS
-fo POSED M
PR
S ETHOD vl k tq0,-j?

Iln ?e?C?l'
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g. SIGNED AND DATED AGENT AUMHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION ?04 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR;WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL - COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
S- 3© 9
OWNER'S/A NT'S SIG TURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROMI
THE OWNER IS, PROVIDED (189.))i
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SENT BY:Wiimington District ; 5-30-97 ; 1548 ; USACE-Reg. Branch-+
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. - 114 61 X361 4, M'R700362
704 782 12074 2
County oN? +•.e?
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property owner 13-- u Ga r - 4 l c l d
Address _ 4-80 Ca,- m -A VC." tie
00.1 ,Mo,.g Cars, 2-0025
Telephone No. ?0¢ - 215 -'7094
Size and Location of proje(c?t (water body, road/ name&umber. town, etc.) ?' 2 I
Wme G
W-A jrM!/`t rOi/? Jt???1?Li?i?OH 34-1 /? SCI 1 cei 7?0
Descri doa of Activity r c c t , (, / a k 00 „? ?.
y?" U. wry r? ,tid ..,
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Applicable Law: Section 404 (Clean Water Act, 33 U.S.C. 1344).
(check all that apply) t.ftbft *ct of to").
Authorization: _ (J g Z 000 3. Regional General permit Number
18 --Nationwide Permit Number.
Your work is authorized by this Regional General (RGP) or Nationwide Permit (NWP) provided it is accomplished
in strict accordance with the attached conditions and your submitted plans. If your activity is subject to Section
404 (if Section 404 block above is chocked), before beginning work you must also receive _a Section 401 water
quality certification from the N.C. Division of Environmental Management, telephone [phone]. For any
activity within the twenty coastal counties, before beginning work you must contact the N.C. Division of Coastal
Management, telephone [phone].
Please read and carefully comply with the attached conditions of the RGP or NWP. Any violation of the conditions
of the RGP or the NWP referenced above may subject the permittee to a stop work order, a restoration order, and/or
appropriate legal action.
This Department of the Army RGP or NWP verification does not relieve the permittee of the responsibility to obtain
any other required Federal, State, or local approvals/permits. The permittee may need to contact appropriate State
and local agencies before beginning work.
If there are any questions regarding this authorization or any of the conditions of the General Permit or Nationwide
Permit, please contact the Corps Regulatory Official specified below.
Date o, qq 7 l M, ?L. ec / 14v-rt1
Corps Regulatory Official Telephone No. (,9/O 251-- 44d- /
Expiration Date of Verification
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC.,'MUST
BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
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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
APPROVAL of 401 Water Quality Certification
Mr. William J. Burchfield
15 Deal Street
Concord, N.C. 28025
Dear Mr. Burchfield:
A?EHNFI
June 20, 1997
Montgomery County
WQC 401 Project #970518
COE No. 1997016361 & 199706362
You have our approval, in accordance with the attached conditions, to fill and excavate in 0.02 acres of
wetlands or waters for the purpose of constructing a bulkhead and covered dock at lot 21, Windermere Point
subdivision, as you described in your application dated 12 June 1997. After reviewing your application, we
have decided that this fill is covered by General Water Quality Certification Number 3106. This Certification
allows you to use Nationwide Permit Number 18 when it is issued by the Corps of Engineers. 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. Also 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 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). 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 Dorney at 919-733-1786.
Sinc ely,
ston How , Jr. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Fayetteville DWQ Regional Office
Mr. John Dorney
Central Files
970518.1tr
Division of Water Quality - Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
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