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HomeMy WebLinkAbout19970028 Ver 1_COMPLETE FILE_19970116 State of North Carolina Department of Environment, Health and Natural Resources Division of Water Quality James B. Hunt. Jr.. Govemor Jonathan B. Howes. Secretary A. Preston Howard. Jr.. P.E.. Director ir!.,,~A - - - ~.. - - - DEHNR January 21, 1997 Wilkes County DWQ Project # 970028 APPROV AL or 401 Water Quality Certification Mr. D.K. Bennett N.C. Dept. of Transportation P.O. Box 250 North Wilkesboro, NC 28659 Dear Mr. Bennett: You have our approval to place fill material in 0.05 acres of wetlands or waters for the purpose of improving SR 1317, as you described in your application dated 16 January 1997. ^Xter ~'(iewingyour application, we have decided that this fill is covered by General Water Quality CertifiCatlq'd)turnber 2735. This certification allows you to use General Permit Number 031 when it is issued by the Coips 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 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. In addition, you should get any other federal, state or local permits before you go ahead with your project Also this approval will expire when the accompanying 404 or CAMA permit expires unless otherwise spectfied in the General Certification. If you do not accept any'of the condltiQns 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 2744t'Raleigh, N.C:-:7.'Mll-7447. This certification and its conwtions are fmal and binding unless you ask for ~g. . , ' , This letter completes the review ofM Division ofWiuer Quality under Section 401 of the Clean Water Act If you have any questions, please telephone John Dorney at 919-733-1786. ' Sincerely, Attachment · r.p?) cc: Wilmington District Corps of Engineers Corps of Engineers Raleigh Field Office Winston-Salem DWQ Regional Office Mr. John Dorney Central Files 970028.1tr Division of Water Quality · Environmental Sciences Branch EnvironmQntal Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer . 50% recycled/10% post consumer paper L..~CJ:L ~ 7" co ~1 \) ::5e1311 401 ISSUED ~ :: n lll1 l.. " 7 '~ .. ~ .llll " MULBERRY ~lm~~.........-:/ ....----'<"~ I ~/ ".ZH ;~ ~~ r \ ~ ~ I ~\'~ 'w r-Y -- ....-'t . ..~. ~ ... ..:. . . EROSION -CONTRO'L, DETAILS AND S PECIFI'CATI ON'S .....-- Std. # Description Svrnbol . ,,~ 05.0( I Temporary Silt Fence :l! III ;(,Jo,03 , Temporary Silt Ditch -TSO- L ~3(/.t75 Temporary Diversion -TD-. .. .... 1622.01 Temporary Slope Drain I-- ..' . 1630.01 Silt Basin Type-A -8 '" ,1.630.02 Silt Basin Type-B ~//d 1633.01 Temporary Rock Silt Check Type-A ~ 1633.02 Temporary Rock Silt Check Type-B > 1634.01 Temporary Rock Sediment Dam Type-A ~. 1634.02 Temporary Rock Sediment Dam Type-B C)AU 1635.01 Rock Pipe Inlet Sediment Trap Type-A 1635.02 Rock Pipe Inlet Sediment Trap Type-B af ~ 1636.01 Rock Silt Screen ~ :I. '1630.04 Stilling Basin ~' Rock Inlet Sediment Trap: 1632.01 Type-A Type-B Type-C A g.. OR --A) B goo OR .. B) cg--OR --C) 1632.02 1632.03 868.04 11 i p R ~ P t. J n e dol t c h. . . . . . . . . . . . . . . . . . . . . . .. J~?- _.. -- -, ..J 868.01 ~lbergl<"ss Ro-.rinr:} Llned oltch............. 1...f1J1./'VVV'J1.J1.f1-'. ~....'4-- Rip Rap Fill Slope F:-ocectian............. ~ S.ac'::ion-lq31 Sm<"ll stream or Branch.................... ~ --- ,"1, r"" - ~ ....... '? 1- Ie.\. I \ .... T \ 0;:.. \ ~ -' 1"_ ~~ I '-J IS.' ....T 0 ~ ~ ~ . . . .~t!. CO"~TnUCTI~N SEOUENCE Fon I"ST~LLING RO^DW^Y CULV~RTS 1. Clp~r nnly eno1tqh area and ihstall the downstte~~ measures ~"~h a~ ~flt check dams. silt screens, and silt b~sins as noted on plan. 2. E~c~vate the 2' base tail ditch. 3. E~c~vat~ and install the roadway culvert. 4. In~tal1 sediment control measures at inlet as hoted on plan. 5. In~tall ~~dftlonal pipe outlet ~rotectJon and Ih1et protection as noted. ;.. , . SECTION 1042 RIP RAP MATERIALS 1042-1 PLAIN RIP RAP. Stone for plain rip rap shall consist of fielJ stone or rough unhewn quarry stone. The stone shall be sound, tough, dense, resistant to the action of air and water, and suitable in all other respects for the purpose intended. Where uroken concrete from demolished structures or pavement is avail- able, it nlay be used in place of stone provided that such use meets with the approval of the Engineer. Ho\Veve~., the use of broken concrete which contains reinforcing steel will not be permitted. The stone or broken concrete shall be graded to nleet thif following requirements: 1. For Class 1 Rip Hap. Stone shall vary in weight from 5 to 200 pounds. At least 30 percent of the total weight of the rip rap shall be in indiviuual pieces weighing a IniniIllum of GO pounus each. Not Inore than 10 percent of the loud weight of the rip rap may be in individual pieces weighing less than 15 pounds each. 2. For Class 2 Rip Rap. Slone shall vary in weight from 25 to 250 pounds. A t least 60 percent of the total weight of the rip rap shall be in indiviuual pieces weighing a minimum of 100 pounds each. Not more than 5 percent of the lotal weight of the rip rap Inay be in individual pieces weighing less than 50 pounds each. 691 EROSION CO>>TROL SGHEDULF (1) All ~~~q"~t~ t~mporary ~ro~ton control m~~$"res ~il1 be inst~ll~~ b~for~ cl~aring and grubbIng op~r~tion$ begin. ' (2) As congtruction progresses tempor~ry ~nd p~rmanent ~roslon control devices gh~ll he ingt~11~d In a timely manner; ~ccording to ~ny special permit requirements ann lor r~rlt.llr...ments s~t out in O.~'. 113A-57. M~~Q~~ORY ~TA~Q~BQ~ ~QB ~~ND-QI~I~B~!~Q ACTIVITY . , Pllr!";l1ant to G.S. 113A-57(3), Provisions for a ground cnv~r suffIcient to restraIn erosion must be ~cr.ompli~hed within 30 working nays or 120 calendar d~ys following compl~tion of con$truction or ~eve]opment, which~ver period is shorter, except as provid~d in 15A NGAC 48 .0024(e). Qg~!GN STAND~BQ~ IN SENSITIVE ~~TERSHEDS P',r$1.1Snt to G.S. 113A-57(3) provisions for a grottnd cover sqf'flcient to restrain erosion mttst be provided for any portion of a land-di$turbing ar.tlvlty in ~ HQW 7.one withIn 15 working days or 60 c~lend~r day~ following completion of construction or developmen~, which~ver period is shorter. (3) All gjltatlon ~~d ~ro~lon:c~ntrol devlce$ shall be prop~rly maint~ined until no longer needed. (4) On projects performerl by D.O.T. Maintenance Forces, r...qq~gt will promp~ly be m~de to the Division Roadside Environmental Unit for stage and permanent seeding. (5) Any removal of sIltation devlce~ will he based on th~ condition of established ground cover of that area the device ~~ ~erving. HIGH QUALITY "VATERS 1. Uncovered areas are limited at any given time to a maximum total area of 20 acres. 2. Erosion and sedimentation control measures shall be designed to provide protection from the 25 year storm. 3. Large Type-A basins shall be designed and constructedwith a settling efficiency of at least 70% for the 40 micron soil particle size transported by runoff from the 2 year storm. ' 4. Newly constructed channels shall be constructed with side slopes no steeper than 2: 1, unless slopes are to be stabilized by methods other than vegetation. ' 5. A ground cover sufficient to restrain erosion must be provided for any EROSION C0NTROL-PLAN SHEET-LOF-L SR t317 COUNTY Wi I kES LOCAL NAME NEw Hnp~ P..OAc! ~.[QRK ORDER NO. DRAWN BY: ('Tt) Co~KItRh"lY\l H.E ~\l.ll\z- \1-5-'h... DISTRICT ENGINEER: 1).3. Ttr'2.Lf..ff o'~8 -1'z,-'l..q(G ROADS IDE ENVIRONMENTAL ENGINEER J, I-=-, ~1l>I..IIQI 12'1~-'1<.:> StA. 51"50 2,,0. P. gx2..x 2. o E.X;5+i~ BR.:c..\C. ~OlC wt~~ ~RA.~E. ~ 'f g+~. '-\ '" 3 5 - ~E.p\,q (;01 \ <6'1 c:s P -'TY?E"(f +EJ NON A.f'f'\E T~i '0. + 0 NOll.t~ ~y NOTE: ~R.oN~ of l,wi1 Fol\k e..K. ~ wS-:xr '~- ~ PIPE LOCATIONS MAY VARY DUE ~ TO GRADE CHANGES IN ROADWAY j ft o ~ y~ / -'" J: ~'.: .-. .. /'2.><2..1<.2- ;\' / 5tA. 2. +'+0 - Ri.p\p.(.~ . II II /' . \ \ ~ I 3 ~,. c., ~ ~ TYPE: 5 c. \ ~~ J:. ?. ~ ~ ~ '" y> Slo?e: i?R.o\E.c.~il)N 12.~ 1.. ~ 2.. I 'L)( 1. x. 2.. l'l. x. :t. '" 2. IOx:tx.z.. A f1 S+A. 1+ 30 - Rf:.?\~c.~' '.: SO' I 8 II C-Sp TYPE-B SCALE 1" := lOa' 0+00 ~ ~/tJ Ant' l:.J 1! .-5J1J.m1L- .s d E:- sJ.o"t c fJW1- ----.P..ML rc.!.(J!L- Rt ,hJ4AJd tYU_O A \ +30 J 8// I' 'I RfOIAc..C '"~()' TIPE"R" ~ B 2+J.fo :3 en /l I R!:"~'A" ~ 115' TYP~ \\ ~ 'I C. Lf-;. ..35 I e" \' p.;' n..",L.c.~ (;..f)' TYP~ Iln" ,. .. /' , , . 0 , o U. t--lT'f v--J ":L '.\<...~~ ~, o'S:.. ,~c., \ .:::l \ / ~A.'( -= l~ Go "'-I r-\O?__ \'" t) , ~~j cc..C&-:\- 'C J.. t1.c:.~~~..t.~ , ., C'u.R.Ve. W"LDtC.M~~Ot -~O " oN I~'II-l~ 2..a~ I Of \ ------- No-\-e.. '. ' E.. ~ "J:. 0 -T'X. """ c:, Ro"o. x:!) " - - - --- 'o.J ~c.d 12..5' L'C.~-\- O~ ~~\N - C E,."": tt1l. \ '1. N. cc. . cooSE:.'l:) ~(~ " --- I _~-+-t"l(") . . . -- t ~ +/'\('\ 2~A.I"I --- - .' ;P-ST pH:! 'P,I?!! III ... .....--..-..---.. ---------, No N~"",'C. \~"Lb. To No..~ PII.oI:04Q. , 501 ~ 3e" PI ~E: . . C.5.p' J,<J I I ~ L~wx!) Fo...\4- C\c.. E.~"L~T1:.N.~ \N ~. IT. 'Sc...?lLE.. \ I~. = sa Ft:' ~ R_~\~c&. \Ny.~ \ \5'X 3(.," c..;\.lTC~ LI....~ t I DEM ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #): PRE-CONSTRUCTION NOTIFICATION APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: 1 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 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: fJ ,e DE:PAfZ-'7?n on- OF -rJ2 f-I J..I ~ A:7 /2 rn r7 o,.J 2. MAILING ADDRESS: Po. /.30~ 250 d;/lrrJI uJ,iK~s 6tJ/lo I ;t/, (, Z 6 Co S"] SUBDIVISION NAME: II/A CITY: ;/0/2771 al, !/<'(!"$ bo/2.0 STATE: /.,/ C ZIP CODE: "z 8(059 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE) : 3. TELEPHONE NUMBER (HOME): (WORK) : 9/() .~~ 7- 9//7 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: JJn.JUt'S.. K ~"-1Err ~ST. 1),~-rQ.Jcr ~~~Il,J~~::-~ i ! I I Po. 130',(, ZSO 't--lo 11. ~ u\ \ k~~ bo(.L.Q tJ c.. I -z.. e (., s '1 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE) : . 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HW 00...... t....w .-t..... Z I lJ1 )-01-1 N~ CX:~OOI OzO\~"'" E-tWCDCDIl'l :sw......NN'f ::>0><: -0 ~ OUOU WC/loo:z...., cx:o.. a..:;:: CX:W.-<( a886w~ G>otGaU z:::OZ:::: Z~E--Z~Z ..J C/l..J..JE-- HCIlOHWE-- :;::::> 0..:;:: E--<( w U H u.. u.. o o ..JCIl WO:: ....W u..W o o 0'" .... .... '''' ~ H 0'\...... 0:: " 0 '" I O=OOOUl E-owor-r- Sc....,....-4NCh ::>0:><: ~ 0 U 0, WC/la:l:...... 0::0.. a.. o::w.- o88aw E-- u..E--::: !:2~~~~ ....C2 .....0.. x <(E--:rw ~CIl~~t;j :;::::>0..~E-- w U .... u.. r.... o <'1 CCll.... ..JO::....'" t&Jw 0..,. ....W"'"gOUl u..Z lJ1a) HI... >o~cx:"'" 0::::: 0.... OW ..(I),... ~ t..JCDN <(u..::>N ..JOZ - ::1 W '"'T l" C/l > U c' wa..~:::r- cx:o:: w86ww ..J E--..J- ..J;-<E--..JC5 >~g;>il: W<( ww x ....:r..J ~~~:2~ .~ 0:: t: 0 ~ WE-- ..J U CIl .... ~ .... .... w Ul u..:r ~ ::> ~ W w u.. <( ;;: r- U U 0 0 ~ 0 ... H 0 .... ~ u.. Z '" to. u.. ;., 5 0 r- to. u.. ~ 0:: C N 0 0 CIl W .....C/l III ..J E--~ 0:: 0:: CIl 0 E--W '" III <( z;;( '" 9 0 W .... ,,, N <(;:. ~ ... t: ~ <(00 ..J ~ W .,. W N Ul > .... .... u :i :::r- III W CIl .,. u.. r- .,. 0:: X fo- ..,. :z; ~ 1= 0......... .... .... .... ::> 00 - W <'1 I W U W , 101 0:: E-- ~ ..J I to. u.. ~ W I ..J l.l , '" CIl 0:: W '" ~ C5 <( ..J 0<'1 W ~ III ::J .... ,,, Ul III w <( 0:: - <'1 0.. <( 0:: 0::<'1 ~ >- Ul r- III ..l u.. <'1 00 W 0:: E- r:l t- o:: W W <(r- 0:: W .... 00 ... .... u.. '" ~ 0.. u.. CIl ~ >< ..... 0 ::: :.; U 101 0 u.. X ", U 0 r- - 0 r- It >- ~ W III fo- 0 E-- r- - III ,,, N e' r,) CIl N e, 0 w W ~ w = <:1\ :z; ~ N '" Po <:l ON - 0 .... w E-< 0- 0:: fo-- .... CIl u.. .... Ul "":r- ", tIl 0:: 3 j\ ~ ;;:: .... W cl 0:: 0' 0 L'; ::.. 0 C', ;:: W<'1 ~ - ~ 0 .... c s: - <;1 u.. ....l ~ Q - z 0 Ul U - Q _<'1 E-- "" .., 0 0 '~ III ~ Ul C' :oJ - ~ 'f'l ::I 0:: 5 ~ ~ U -: - w It lr, ~..-: '- U - :> ,.. . - ~ C5 <( d ~~ to. ::i: . - 101 T '" Ci :J ... .... U1 (5 U 0:: :;l 0 Ci '~ ~ 0 "" C" 2i 0: c: 0 <( .... - ,:) 0:: ii: "" ,.. r..;= ~ .... 0 W W - 0.- 101 ..., Ul ~ U1 tIl .... _c.. ~ ,., ,., E-< fo- W CJ E-< W - ,.,"! '" ,., ~ N ~ ,., "! e C1 ....:0 en ,( U 0' 0.: :.> :.: w (:. ':J a:; ::i: 2 iJ ,( ;2 .... fo- c' <:; :oJ E-< e: .... :2 <~ 0 Ul Ul ~ - ::::: c.. E-- :I: U1 ::: - 0:: ;- tIl 0 ~=- U 0:: ,~ SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): Se- 13\7 W~U...J \toP~ ~. FR.o~ ApprO'Ll m4!-''/7 o.,~ ~~~'G 5.&k5r t!>j::' ~t2- 1342 6. IMPACTED OR NEAREST STREAM/RIVER: UI.lI<LJouJa..J ...,-g~ b. 10 dol2..~ 'P/2..ct-lb Lt::v..ll ~ FoR. K. ~\<..... \c...1. ~. J:3Z: RIVER BASIN: YAOK\U 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [~ NO [] IF YES, EXPLAIN: ).LIs.I/Z WSZ1L- 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [] NO [~ 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? ;//11 I I I Sa. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [] NO [~F YES, PROVIDE ACTION 1.0. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION) : Sb. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [] NO [] IF YES, DESCRIBE ANTICIPATED WORK: I' : I , 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: tJ I 130 .4C/Z6 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: (/,O'Z qc~E / R/J r!' /'?e-4/4Ce ~ "'J~ ) "- . ./ 2 '"", lOa. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: EXCAVATION: FLOODING: OTHER: CJ, 05" ,c;c.e€ TOTAL ACRES TO BE IMPACTED: (Rp,... )?l";;:J/,qC~,y1I'~r ') DRAINAGE: lOb. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION) : LENGTH BEFORE: AlII1 FT AFTER: )//~ ~/A FT WIDTH BEFORE (based on normal high water contours): FT WIDTH AFTER: ;//,4 FT AVERAGE DEPTH BEFORE: ;<1/.4 FT AFTER: 1/ /;4 FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: ;::::pe- !2ep / /-J LE7Y?C?JI 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? IJ / t:I WHAT IS THE EXPECTED POND SURFACE AREA? At/~ 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY) : /~~ "g '/ /0 'pRt:J WOe /iOe4)(.hCj.,-z: ,q~o .s,e:;rt!i" V,a,qI.MR rnl5' t/A.JOe72. /4."", J-.v4 7- 13. PURPOSE OF PROPOSED WORK: ~ Me It, ,4 k. 7J,~ /2-t'~uu4~ (S#~OJ ,a~/;.,,1 ~ I::: A th 'Z ~".d &U"...r 4/2 ~ 1_ A. L C!v"l..I ~ 3 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) : -;6 /AJSC/I2~ P/2.q:Je,/' A-'lJd :S"~~ .oA?~/AJA ~~ /.3#0 m/IVI""/z.~ $'0/(... E/2o.5IQ- I9AiJ S'c'!!~mt'A.' kh~. us~4-- L /Y1~~~u/~s ..::sV~h AS "e,p ~A/Q. wAsA,d' ~klV~, 5:"/t.r , - /lA.Jd s/i/ .s-C"'~'-AJS tWIll j ~ a ,t'hz';/ ~ .4v(J,d Add /Y) J;fJ/;nI-Z~ /,n-l/)A-ek_ . :8AS/.J ~. S; ~.,L H~~~ , AJJI m.4/~ ;;'/,v~ I 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 TtlE PROPOSED PROJECT. DATE CONTACTED: 6'-'1 ".4.1"","" t?";:::- /~" r tCt' ~-- (ATTACH RESPONSES FROM THESE'AGENtIES.) / I: r~ 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: /VIA-' 17. DOES THE PROJECT ,INVOLVE AN EXPENDITURE OF PUBLIC FONDS OR THE USE OF PUBLIC (STATE) LAND? YES ~O [J (IF NO, GO TO 18) , , , a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES [] NO [V" b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [] NO ~ IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARING~OUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003, TELEPHONE (919) 733-6369. 4 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 50 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 DELINEATION LINE. d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. e. WHAT IS LAND USE OF SURROUNDING PROPERTY? f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO: 1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEE~ PERMITj 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 TeE PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT PROGRAM. OWNER'S/AGENT'S SIGNATURE DATE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (18g.)) 5