19970186 Ver 1_COMPLETE FILE_19970303

.'or,.

":Mt... ~r>J!
.W.'''Y',;r.,:'
. :'1, ",

.. ..'

Stefe of Nofth Carolina
Department of Envrrt>nment,
Health and Natural Resources
Division of Water Quality
..,

James B,J-iunt. Jr.. GQv~or
Jonatha. B. Howes.S&oretory
A. Preston Howarq. Jf.~ P.E.. Dlr~~or
"

4~!...~i..' .,"
,~.....
~------~ ,~
- - - J
DEHN'R

1
~,

.ij) ,
I~.!':" '
~:i:.'.
March 18, 1997 f'.
Yancey County '{:'
WQC 401 Project #970186

~i

.~~
. '''iJi ."
\'" ~
\ !.. .. i.

, .....,
., .
APPROVAL or 401 Water Quality Certification.

"".

~, .

:-;):
i'~

','J."t

''-
1",

.
J

.'
.,

Mr. Danny Tolar
N.C. Dept. of Transportation
P.O. Box 3279
Asheville, NC 28803

:il
,

:~,~ ~!

Dear Mr. Tolar:

You have our approval, in accordance with the attached conditions, to place flll material in 0.01 acres of
wetlands or waters for the purpose of improving SR 1101, as you described in yo~ application dated 27
February 1997. After revie~ing your application, we have decided that this fill is covered by General Water
Quality Certification Number 3108 or 3100. This Certification allows you to use Nationwide Pennit
Number 26 or Regional Pennit 031 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. If total
wetland fIlls for this project (now or in the future) exceed one acre, compensatory miti~n may be required
as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, yoti~ust follow thr. .
conditions listed in the attached certification. In ~ddition, you should get any other fede~t.ate or local ;. \
pennits before you go ahead with your project including (but nOllimited to) Sediment and tresion COntrol,
Coastal Stonnwater, Non-Discharge and Water Supply Waters~ regulations. Also this approval wikxpire
when the accompanying 404 or CAMA pennit expires unless od)FwiSewpecifiedin the'G.peral Certification.
Applicant is reminded to Use High Quality Waters BMPs.::.~ ;5. ~. ....: '.,' .. ';"..
If you do not accept any of the conditions of this certiUcatiOVi, ydU may ask for an ~udiqtfOry hitiing.
You must act within 60 days of the date that you receive this letter. To ~ for a hearing i'.' . end a wri~n
petition which confonns to Chapter 150B of the North Carolina General,S!atutes to- the:.' 'ce of
Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. 1'I,ts certifIcatio.. d its conditions
are fmal and binding unless you ask for a hearing. (tJ~.
This letter completes the review of the Division of Water Quality under Section 4~~tf the Clean Water
Act If you have any questions, please telephone Jc;>hn Dorney at 919-733-1786. . .
"

Attachment

~Wr '.
1o~'Ho~lrzr

cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Offtce
Asheville DWQ Regional Offtce
Mr. John Dorney
Central Files

970186.ltr

Division of Water:OuBlity · 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

-~.c._.
,.'J .."
..... . , ,\tt:~,
11I"""' ~...' " ",r-

~'

JOleU!pJOoJ uo!6aCl 'HI\J 'neaJpn08 a!ueljdalS 'slI\J
luawa6euell\J lelUaWUoJ!AU3 JO 'A!O 'qwele8 ~P3 'JlI\J :~~

fuf:rNr:1C10

JaaU!6U3 PPlS!O

~O..l . ~ . cr.

'SJnOA AlaJa~U!S

'JalleW S!ljl U! a~UelS!SSe pue UO!leJadoo~ JnOA JOJ nOA )jueljl

vn:-B6Z;-vOL le a~!:uo S!4l JO JlaSAW JO naJJer 'NT pelUO~
aseald 'pafoJd S!ljl 6u!uJa~uo~ SUO!lSanb JO Sluawwo~ Aue aAeLj nOA JI

'pafoJd S!ljl 6u!uJa~uo~ nOA
WOJJ Sluawwo~ 6u!)jaas aJe aM 'Jallal S!ljl JO Ado~ AS 'WeaJlS lnOJl paleu6!sap
e S! lj~!ljM JaA!C1 aueJ JO auoz Ja:unq lOOJ aA!J AlUaMl aljl U!ljl!M pale~ol
S! pafoJd S!ljl 'eaJe S!ljl U! AeMpeOJ JO uo!soJa aleu!w!la dlalj Ol JapJo U! ~O ~ ~
'C1'S 6uole JaA!C1 aueJ JO ,00 ~ AlaleW!xoJdde 6u!deJdp uo 6u!UUeld aJe aM

'asn JnOA JOJ UO!le~!ldde
'lI\J '3 '0 'J 'N palaldwo~ e pasolOua aAelj aM 'pafoJd S!ljl Aq papedw! aq II!M
leljl spuenaM 6u!uJa~uo~ salj~la)js u6!sap JO a6e)j~ed e 6U!P!AOJd aJe aM

:Ja)jes 'JlI\J Jeao

'OJ Aa~UeA. 'lUaWaAOJdwllOdS :pafqns

9009-~OBBl 'IN 'all!Aaljs'v'
Ev~ 'wCI 'aA'v' uOlled ~9 ~
a~!:uo Pia!.:! AJoleln6aCl
sJaaU!6U3 JO dJoJ AWJ'v' 's'n
Ja)jes p!Aeo 'JlI\J

..

L66~ 'Ll AJenJqa.:!

:;,\';

'J'N 'all!Aa4s'v'
6LlE xos 'O'd

._. """0"
lr...." .;.

....,~..
,,' N.C. DEPARTMENT OF TR,L\NSPORTATION
D IVISOl\1 OF. HIGHWAYS
SECOND~RY ROAD SURVEY

SfOT /MPROUEtVtEf..fT

OC ON s R (10 ( /-I-fPRcl K 3D0' ( J\fORTTt 0 F (A[(: U C ( 9 7
~E RfPRAffU6. .BMK ot=" STREA-fJ\
F PRIORI

DATE
r\/OTES

Z-27-,[7

TOWNSIII P
SCALE

PE~ SA COLA

,
(If :; 50

PI {EEARED BY JNJ

(.~

A' , I 4' 4/
~<L:r~~.:~ ;~~~i~~~m.9 -'~-~;.:U/7lh -

,/ ,,\\ ~\ \\\\Y. ~ .-....-..- -.-- ...-.-, -. . JU'./ul1.1 . .
/
/
//

./

". ......
~ -.;

Std. ;;

245.03
245.05
893.01
890.05
245.01
245.02
892.04
895.10
892.01
892.02
897.01
894.01
245.04

896.01

896.02

896.03

EROSION CONTROL
DETAILS AND
SPECIFICATIONS

Description

Symbol

Paoe
~

Temporary Silt Ditch .............................. -TSD- __. VI _ 2
Temporary Diversion ............................. _ TO _ ___ VI. 4
Temporary Silt Fence ...................... IiI III ________ VI _ 6
Temporary Slope Drain with Earth Berm .......... I-'-="--'= VI. 8
Silt Basin Type A ................................. -E)' ____________ VI _ 10
Silt Basin Type B ........................................... ~ ___ VI _ 12
Temporary Rock Silt Check Type-A .......... ~ ___________ VI _ 14
Temporary Rock Silt Check Type-B ............ ~ __u________ VI _ 16
Temporary Rock Sediment Dam Type-A ............ ~ ___ VI. 18
Temporary Rock Sediment Dam Type-B _.. CJ -----____u VI. 20
Rock Pipe Inlet Protection ................................ U ___ VI. 22
R~~k Silt S~reen ......................................... J __:~o';~:o_____ VI. 24
Stilling BaSin ..................................................... ~ _____ VI. 26

Rock Inlet Protection:
Type A ............................... A [g .~. OR " A] _____ VI _ 30
Type B............................... B [g.. OR .. B ] _____ VI. 32
Type C............................... C [g.. OR .. C] ____ VI _ 34

PIPE OUTLET EUERGI bI5SAPn-!oR

ERoSIO~ COI'-(TROl fAAmN6

f( BER. GLAss Rov( fJ G
VI-1

. .

, , .'.

Ec.M
FGR

March, 1993

(fJZ'g'~J

7QIl 0/.9i1!1 cr.;;8 J'n.L S ler :T (? 1/-'-;) NJ 7

lPE l/JtI&' Cl3E1(//7..L5"/(T. de> /J'.L9#.?'7

Iz

(tl I . tI . s)

OOc f/3;;'tI cr'3g~l7.L SlfT;:/O //.tV/.'37

0/ fl3~f/ C1:'?Jg~/l..Lsl(r 7(/ //1;JrVJ7

Ie:
,.,
I L ~rj,'1
r.
I

'7/1./ ::/7f/rY /Y3'h//);J _LIlr? CT3N'{/?7;7 a-kiV _Lr)"3/1,:7 lV;:tC?_CS AYY/19"
~ d' ;.~) 1/ ?1.3c;/ ..1. ::7.;;' -7 ;7 /8"I7':? 00::;:>
/\"/517"[7 j.7/.C;; ?/P_-'/ ND/ S ~(T

.5' '1 f/-:? S . e>..2--'[o;:;.r-

T :-10 -r , :::J::Juc

Ie

~ 5 . 8'S )

cr :1")(-:;:7# v

'I .
I

..... . .t.

~~

ROADWAY DITCH AND MEDIAN LINING GUIDELINES

Percent of Grade Type of Lining Recommended
0
} Straw and Tack
1
2 } Erosion Control Matting
3
4 } Synthetic Roving
5
greater } Stone

VIII- 2

March, 1993

, .::p D?:I
.lDHS JJ.l)JY\ , S + II \-L1::; O(:H-Il
(9~OI idl~ Y'lO'eJj cJV~dl~

) (,
\ )>
z:
rn

; ;t,

\

\
\
I

c:.
m
:A7

~I I
17) OJ I
I 0 I I
I I
I I
I I
I I
\1181
I I I I
I I
I I
I (1\
/b
I ~I

-...

I ~I
101 III
I I i
I \

.".. ."
;:)0
a
:; I-+~
-.la

... .:

,_,,'~N

W1.~' .wA
." ,~-
" \,
FLAT TOP

tf\

"

r"'

o

c

z

",-,
" '-
\ " /
\, F "
,
, "
" 0 ,
... HIGH PEAK "
, ,..

.'!-.....

"

t.

ROCKY
KNOB
ft I OGLE
. _.-"lII\ ^ MEADOW
~ 'lCl.r'~~
COXCOMB "
MTN. .
. ,
CANE RIVER .
GAP ~ ~

,.-/

~

'"

1-

FLAT .
SPRING /
KNOB P \

ft BIG :
~ BUTT \
\ MTN. ',_
~. ELEV. 5.920' .
LITTLE
BUTT
MTN.

--<

C'

I
~~\.,

',~

o

.... ~.
\ ,

'-:

~

".

Q
\

~/

\'--<"

~

^

~ \

~
BLUE '.
RIDGE I,
PKWY.~.

'-

NATIONAL
...

,..

J:,.....,._.

~'-
"" ..~
.... "
.. .
:>
o
"

c,.

.........!J;

t> /.OCUlI
~
- u
~
'" ,
,

I ,
FOREST

..........1

/'

...

MANAG!Mli'lT
\,

\,

'...

~o .'i
I("e ,1

NETTLE PA TCH
"'"

"

~

~

o

...

DEM ID:

CORPS ACTION ID:

NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):

PRE-CONSTRUCTION NOTIFICATION APPLICATION

FOR NATIONWIDE PERMITS THAT REQUIRE:

1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT

SEND THE ORIGINAL AND (1) COpy OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENC~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:

f-l. c. bE:P('" OF TRAf.[SfORTJf77(]fJ

2. MAILING ADDRESS:

r,o. ~ax 32.79

SUBDIVISION NAME:

CITY: A5f-1EV(LLE

STATE:

~c

ZIP CODE:

l8803

PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) :

SR f/ 0 {

'fAuCE { CO ,

300 ' -r Noftt(-f 0 F

3. TELEPHONE NUMBER (HOME):

(WORK) :

4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:

D. R. TOLAR ( f)(ST BlGR)

P.O. BaX 3Z 79

AS(-+EVf LlE, "'C

z:8eo c.

5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOG~fHY WITH SCALE) :
COUNTY: YA1.JCE:1- NEAREST TOWN OR CITY: BORMSI!((LE

,.,...~. '.
....' ; ~
I...

1

~

J-V -70 '0

'..
~ ~
'~'. :~.:-~"
, <

:3lIS l~3~0~d NO a3lV~0~ SaNV~l3M JO S3~~V JO ~39WON ~VlOl a3lVW1lS3

, q6

JV -pO'O

:aNV~ JO l~~l N1 S3~~V JO ~39WON ~VlO~ a3~VW1~S3

'E6

:~~OM a3lVd1~1lNV 391~JS3a 'S3X J1 ~] ON [] S3X ~3~OlOJ
3Hl N1 X~~3dO~d S1H~ ~03 a3~J3dX3 S~S3003~ ~1~3d ~VN01~1aOV 3~V 'qg

: (N0I1VJ13I~~3~
TOv 30 XdOJO~OHd 300~JN1) N01~VWB03N1 ~VN01~100V XNV ONV ~1~3d S001A3~d
30 ~39WON '0'1 N01~JV 30IAO~d 'S3X 31 ~] ON [] S3X ~Xl~3dO~d S1H~
NO 3S0 ~03 03~S3003~ X~S001A3~d N33S:S~1~3d vOv N01~J3S XNV 3AVH 'Eg

VJN

~N0I1VN::l1S30 (dO~) NV~d 3S0 aNV~ 3H~ S1 ~VHM '(S3I1NOO~ ~VlSVO~ 30 ~S1~
~03 L 3::lVd 33S) X~NOO~ ~V~SVOJ V N1H~IM 03~VJO~ SI ~J3~O~d 3H~ 31 'JL

Y1] ON [] S3X ~(~3V) N~3JNO~ ~V~N3WNO~IAN3 30 V3~V ~N3W3::lVNVW
~VlSVO~ JO N01SIAIO VN1~O~V~ Hl~ON V N1Hili1M a3lV~0~ l~3~0~d 3Hl S1 'qL

~3m~ 3MD ~O :3NVZ ~na J 52 NHllJJ'I\ ()S.1:\DD7 ,.tJ3~

: N1V~dX3 'S3X 31 [] ON L",] S3X ~ (II-SM ~O I-SM) X~ddOS
~3iliVM '(M~O) S~3~VM 3J~00S3~ ::lN10NVlSlOO~(MOH) S~3lVM XiliI~VOO H::l1H '(VS)
~3lVM~TVS ~V01~ '~OO~~ SV 03131SSV~~ ~3~VM ~V3N 03~V~0~ iliJ3~0~d SI "EL

~3rW~ 3rwJ

:N1SV8 ~3A1~

~('\)~ ::JNVJ

:~3A1~/WV3~~S ~S3~V3N ~O 03~JVdWI '9

LbJ

-;:)1'1

dO N0LL::8S).fllN)

dO

t-U. )iON

OOf
J

)(O~ddV

/ lOll

'2JS

: ('~l3 'S~~VWONV~ 'S~39wnN

OVO~ 300~JN1) NOI~VJO~ JI31~3dS

[:

."
~ ~
"., :~li'-""'').

J 0 /J ~ ::JD hVM <JtJO;?)
dO Ho)smi~ 3l-\O'llyY Jl3 <:n=>>J ill : ){'tlOM 03S0dO'tld 30 3S0d'tlOd . n

cU-

) OJj

'?J S iV

~3()1)j

. h-YmC}VQ))
3fj-vJ ::JO

::JO f'fO)SO~::J .3Ll:\/N)YY 113
:3 Q lS h-vm CWO~ J-Y~ J QJ

: U;. 'INO
S:)NIM\l'tlO ..n X ..ZIT 8 :SNIi'Id H:)'Il.1.1'1l) 03S0 38 0.1 .1N3WdI003 'I'Il:)INliH:)3W
30 3dA.1 30 NOISSO:)SIG :)NIOO'I:)NI ){'tlOM 03S0dO'tld 30 NOI.1dI'tl:)S3G 'ZT

'tI IN

L'Il3'tl'll 3:)'IlJ'tlOS ONOd 03.1:)3dX3 3H.1 SI .1'1lHM

. ~N LONOd 3H.1 0.1 9NINI\l'tl0 03HS'tl3.1'1lM
3H.1 30 3ZIS 3H.1 SI .1'1lHM 03S0dO'tld SI ONOd 'Il 30 NOI.1JO'tl.LSNOJ 31 'TT

9~J~Jl~ :'tl3H.10

:9NIOOO'I3/W1l0 'Il 30 NOI.1JO'tl.1SNO:)

:NOI.1'1lA'Il:)X3 'I3NNIlHJ

:'I3NNIlHJ NI 3dld 30 .1N3W3J'Il'Id

:NOI.1'1lJO'I3'tl 'I3NNliHJ N3dO

(A'Idd'll .1'1lH.1 'I'I'Il ){:)3H:)) :WO'tld .1'IOS3'tl 'I'IIM S.1J'IldWI 'I3NN'IlHJ WIl3'tl.LS (Z)

.13

: 'tl3.13'1l .13

:3'tl0338 H~d3a 3~~aA~

.1d

: 'tl3.13'1l H~aI11

.13

: (SJn04UO~ Ja4eM 45~4 lewJou uo paseq) 3'tl0338 H~aI11

.13

:'tl3.13'1l

.1d

VJ!'I

:3'tl0338 H~~N3'I

: (NOI.LV;)O'I3~ ~3.L.IV aNV 3~O.I3fI H.LOfI 3;)NV.LSIa 3aI110~d 'a3.LV;)O'I3~
.II) .1:)3~0'tld 03S0dO'tld 3H.1 A8 03.1:)'IldWI 38 0.1 'I3NNliH:) WIl3'tl.1S (T) 'qaT

:J)I) 0'0

:a3~~~dWI 3a O~ S~~~ ~~o~

:3:)'IlNI\l'tl0

:'tl3H.10

: :)NIGOO'I3

: NOI.1'1lA'IlJX3

")11 )D'O

::)NI'I'IId

:A8 .1:)3~0'tld G3S0dO'tld 3H.1 A8 03.1J'IldWI SONli'I.13M 30 S3'tlJ'Il 30 'tl38WON 'eaT

,.

18. 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 THE 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 SO FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
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 DELINEATIO~ LINE.
d. ATTACH A COpy OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?-

A6R("CUL TO~t:: / RES( DElintL
,

f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?

MfA

g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.

NOTE: WE TLANDS OR WATERS OF THE:;i,u. S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404' CORPS OF E~GINEERS PERMIT,
2) EITHER THE ISSUANCE OR W~IVER 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 TH~ PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.

D. R. 10k ( txsr. ~GR)
OWNER'S/AGENT'S SIGNATURE

l- ?.7-~7
DATE

(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))

,~-''':': " '.
~ t;

..

5

~

14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLANB
IMPACTS) :

(SEE #- (2.)
.

e~Os(OW At-'C>
GE f:Roc:rED

A-LL ROUTfME AfJ.D NECESSAAy Mt3A:SURES TO (]:)\{TRJL
SED(MEf-.!77\-TfOU will BE UrrUl.E.D, SlLT" ~CE"S weLl..
10 cnf-C11\{kl sClI Ff{)M G<JfMG uJm srRffiM.

15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH 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
IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED: (Of( TO F!.c.w. R,.C. ~-Z.7-97 (ATTACH RESPONSES
FROM THESE AGENCIES.)

'"

16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHE~T) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH'MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:N(A,
. , ,

17. DOES THE PROJECT I NV,t,' VE AN
PUBLIC (STATE) LAND? . .,
.~:

YES [ ] NO M (I'; NO, ~'6

EX,',", E~",ITU,RE
\j ,
~
TO Ie}

OF PUBLIC FUNDS OR THE USE OF

,/: ;~.
a. I F YES, DOES THE/PROJEC,T REQUII.E P:REPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE ~EQUIREMENTS qt THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT?

YES [ ] NO [ ]

b. IF YES, HAS THE DOCUMENT BEEN, ,~EVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE C~EA~INGHOUSE? ~

YES [ ] NO [ ]

IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMeNTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MAN~G~NT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICy'.CT.
,
},!
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGH~SE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONE$ ST~EET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone]~~9.~ 1

, .

,~...'~' \~
...

4