19930054 Ver 1_Complete File_20100726

State of North Carolina
Department of Environment, Health, and Natural Resources
512 North Salisbury Street * Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
March 5, 1993
W. Trent Anderson
County Maintenance Engineer
N.C. Dept. of Transportation
P.O. Box 1551
Andrews, N.C. 93054
Dear Mr. Anderson:
Subject: Proposed Fill in Headwaters or Isolated Wetlands
Culvert replacements, SR 1145
Macon County
Project # 93054
Upon review of your request for Water Quality Certification
to place fill material in waters for road inprovements located at
SR 1145, in Macon County, we have determined that the proposed
fill can be covered by General Water Quality Certification No.
2732 issued January 21, 1992. A copy of the General Certification
is attached. This Certification may be used in qualifying for
coverage under Corps of Engineers' Nationwide Permit No. 14.
If you have any questions, please contact John Dorney at
919-733-1786
Sincerely,
reston Howar , Jr. P.E.
93054.1tr
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Asheville DEM Regional Office
Mr. John Dorney ;
Central Files
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] Fax # [phone]
An Equal Opportunity Affirmative Action Employer
MEMORANDUM
TO: John Dorney
Planning Branch
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
***EACH ITEM MUST BE ANSWERED (N/A-NOT APPLICABLE)***
INITIALS:
Reviewer:
_ a rr
WQ Supv : _. y
i 6 g3-
Date:
PERMIT_YR: 93 PERMIT-NO: 0000054 COUNTY: MACON
APPLICANT NAME : NC DOT - CULVERTS ON SR 1145
PROJECT_TYPE : REPLACE CULVERTS PERMIT_`l'YPE : NW14
COE_? : DOT_;'r:
RCD FROM CDA: DOT DATE FRM CDA: 01/20/93
REG_OFF I CE : ARO RIVER-AND -SUB-BASIN-,'t: L. Ten n
UT.i Tb CAWt#*geoka:Sr CrtOA p 4 04 a
STREAM-CLASS :
STR_INDEX_NO : 1. q . (?
WL_IMPACT?: Y,0 WL_TYPE:,STR
WL_REOUESTED: /I/
HYDRO_CNECT?:(qN
WL_ACR_EST?: YIN
WL_SCORE H1 ) : Q
MITIGATION?: Y,0
MITIGATION SIZE:
I,IITI GAT I ON_TYPE :
IS ,-JETLAND RATING SIIEE`T' ATTACHED? : Y IN
RECOMMENDATION (Circle One): ISSUE ISSUE/COND DENY
COMMENTS:
cc: Regional Office
Central Files
Nearest road b'C_, rR 14- CwrJ ?- r?,?r
Wetland type (select one) o Other
o Swamp forest o Shoreline •
o Bottomland hardwood forest or Stream channel
o Carolina bay o Salt marsh .
o Pocosin o Brackish marsh •
o Pine savannah o Freshwater marsh
o Wet flat o Bog/Fen
o Perched o Vernal pool '
t • .... • ... • • • • • • • • • • • • • • • •um
• • .
S • • • • • • • . • • • • • • • • • • • . • • • • • • a
Water storage
Bank/Shoreline stabilization x 4.00. Q a
Pollutant removal .
Sensitive watershed i x 1.50 - •
Dispersal corridor - Welland score.
Special ecological attributes
_ EM •
z
TX: Wildlife habitat x 1.50 - •
Aquatic life value
k Recreation/Education
-
c
Economic value ? x 0.25 p
Wetland area acres Wetland width feet
---------------
o/ Hydrologically connected o Hydrologically Isolated
i '
?'3 os4
STATE OF NORTH CAROLINA
Department of Transportation
JAMES B . HUNT
GOVERNOR
P. 0. Box 1551
Andrews, N. C. 28901
SAM HUNT January 13, 1993
SECRETARY
MACON COUNTY
SR 1145
Mr. Bob Johnson
US Army Corps of Engineers
Reg. Field Office
Rm. 75, Grove Arcade Building
37 Battery Park Avenue
Asheville, N. C. 28801-2714
DIVISION OF HIGHWAYS
WILLIAM G. MARLEY, JR.
STATE HIGHWAY ADMINISTRATOR
Dear Mr. Johnson: -
The North Carolina Department of Transportation is
proposing to construct and pave SR 1145, Maxwell Home Road,
in Macon County. In order to build this project in
accordance with our current standards it will be necessary
to upgrade and extend three (3) existing culverts. At
survey station 9+80 the existing 15" CMP is to be replaced
with 40 L.F. of 18" CMP, at survey station 19+70 the
existing 24" CMP is to be replaced with 40 L.F. of 36" CMP,-
and at survey station 35+78 the existing 30" CMP is to be
replaced with 40 L.F. of 36" CMP. The existing culverts
located at survey stations 9+80 and 19+70 were installed in
a manner that causes stream flow to fall 0.5 ft. to 1.5 ft.
into the stream channels at the outlet ends of the pipe
culverts. We propose to install the new culverts slightly
below the existing streambed elevations to minimize impacts
to wildlife habitat and allow the existing stream gradients
to remain as unchanged as is physically possible.
The affected streams are un-named tributaries to
Cartoogechaye Creek which has a North Carolina Department; of
Environment, Health, and Natural Resources classific4tion of
WS III Trout Water. No trout buffer zone encroachments or
channel. changes are involved in this project as all stream
Mr. Bob Johnson
Page
January 13, 1993
crossings are perpendicular to the streams.
The best management practices will be used to minimize
and control sedimentation and erosion on this project. The
construction foreman will review all erosion control
measures daily to ensure sedimentation and erosion are being
effectively controlled. If the planned devices are not
functioning as intended, they will immediately be replaced
with better devices. The rock silt screens and other
erosion control devices will be in place prior to removal of
the existing culverts and will remain in place until the
project is stabilized.
By copy of this letter, we are requesting the N. C.
Wildlife Resources Commission to comment to you concerning
our request. Also, by copy of this letter to the N. C.
Division of Environmental Management, we are requesting
authorization under Section 401 of the Clean Water Act.
Enclosed are a location map, straight-line diagram,
plan/profile sheets, erosion control plans and details, and
a U.S.G.S. Map indicating project area and location of
proposed culverts along the road. Please review this
request for authorization under Section 404 of the Clean
Water Act. If you have any questions concerning this
application, please contact me at [phone].
Sincerely, Zr-3
W. Trent Anderso
County Maintenance Engineer
WTA/ r r
Enclosures
cc: Mr. Mickey Clemmons, NCWRC
Mr. Eric Galamb, NCDEM
Mr. V. A. Edwards, P. E.
93?s?
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OhIB APPROVAL NO. 0702-0036
(33 CFR 325) Expires 30 June 1992
Public reporting burden for this collection of information is estimated to average 5 hours per response for the majority of cases, including the tirno for reviewing
u1struclions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing (tic collection of information.
Applications for larger or more complex projects, or those in ecologically sensitive areas, will take longer. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to Washington He3dquaners Services, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302; arid to the Office of information and Regulatory Affairs, Office
of Management and Budget, Washington, DC 20503.
The Department of the Army permit program is authorized by Section 10 of the Rivers and Harbors Act of 1939, Section 404 of the Clean Water Act and
Section 103 of tho Marino, Protection, Research and Sanctuaries Act. These laws require permits authorizing activities in or affecting navigable waters of the
United States, the discharge of dredged or fill material into waters of the United States, and the transportation of dredged material for the purpose of dumping it
into ocean waters. Information provided on this form will be used in evaluating the application lox a permit. Information in this application is made a matter of
public record through issuance of a public notice. Disclosure of the information requested is voluntary, however, the data requested are necessary in order to
communicate with the applicant and to evaluate the permit application. If necessary information is not provided, the permit application cannot be processed nor
can a permit be issued.
One set of original drawings or good reproducible copies which show the location and character of Ilia proposed activity must be attacN 0X1+s.e
(see sample drawings and instructions) aril be submittod to the District Engineer having jurisdiction over the local. ?oT Rctip;ty, n ? ?n
that is not completed in full will be returned. ? ly ?J

r
inn
1. APPLICATION NUMBER (To be assigned by Corps) 3. NAME, ADDRESS. AND TITLE OF A I ZED AGENT, O Igo
JAN
"lETLAPd6S GROUP y
business hours `WATER QUALITY SECTID '
Tele
hone no
durin
p
g
.
2. NAME AND ADDRESS OF APPLICANT
A/C ( ) (Residence)

?loc?
h C
l?
? ? A/C ( 1 (Office)
.
(a?o
?o`. De?, o-
rrans
or?a??o
P
jy? S S Statement of Authorization: I hereby designate and authorizo
Andrews , C 2890 to act in my
Telephone no. during business hours behalf as my agent in the processing of this permit application and to
furnish, upon request, supplomenlal information in s(ipport of the application.
A/C ( 1 (Residence)
A/C (704) - 32 - 4 j0 ? (Office) SIGNATURE OF APPLICANT DATE
4. DETAILED DESCRIPTION OF PROPOSED ACTIVITY
4a. ACTIVITY
TO upgrade ayNA ex, enl p ll?e c4we'A5 i n -U,r('2e C3) l oc ?n?s
on SR .l 4S) Mq xvuell dome Roaa, i n Mac-co- ?'-ok?? NC .
-11he5e r- ulueAe> calrc, s?rect,r?-?. Flow o- *r-;bu,k.ar ie5 ?o Ca4oosecha?e
Creek wh lc k has a_ - DE M ckassi ?? c.aA ion. 0- 1 W 5111.. `rro4A Wakec,
4b. PURPOSE
-T-C) W 0-,C\- a Pave. SR l k 4r S -?b meek c.u<re nk NC???" -z?anc6.15
?oc -L. pi C a? sec,-ion, Qr,d.- ali9ameq? ?oc Paved. secondary rogds . rhP-f'e-
l
are_ koca?;onS along +kp_ roaa ConS?flAG4i0r\'
pcojec+ where,
-0,e tZ'Crcair\-, privalfe- propeA, a,na Proposed root(. wid1?=., ?nQ?Ce cvkve-A
u P 9c a?e 5 a ra ex ?er?s i ors s necexac- tt,.
4c. DISCHARGE OF DREDGED OR FILL MATERIAL
CIVLa rul-SM 4i4 ), ALIg d9 FUIfION OF APH 86 IS 00S(XETE (I"..I.in,.nl CU00 ON)
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INDIAN WIIULIFE ?'•'•'E i >>? 110 [^ t1,
17(.1:1 .4 A"111 W?}_? S•,.n1-r ..` °•/ C(1il `SV 1111 , 110vU til 7v
of ? s1A [wMG1Nn1AN :t:1...,, •1 ?) / ' N 1 ?J ?-(?'?L '?
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MACON
u u.
R- .A.D --k1A&LC
1145
-
W Q_____ 6.972122
R 0 ty, SR-1146 E.O.P. 0+00 TO 39+50 E.O. P _-_-
UIII ----- --
IN-1PROVEMENT
-rn u? DA\/[- n
P POLES TO BF MOVED
T. POLES TO BE MOVED
W WI DTF-I
SCA LE
DATE
X
--- x --
1 POLE 1 Gil
0
50'
04-20-92
1?

?L
5+00
NOTE MOVE 1 GUY WIRE t _
1
NICHOLAS A. & MARILYN BOCCUZZI
105-1 MAXWELL HOME RD.
FRANKLIN, N. C. 28734
(3)
Q_
1+95
RON L. COWART
P. 0. BOX 902
FRANKLIN, N. C. 28734
(1)
?orf-36"
- - -
0400
1
oO
DO
00
b0
10
00
00
0
0
00
00
0
5i 00
0?
STORAGE BUILDING
ROBERT & NEAL PARKER
73 MAXWELL 110ME RD.
FRANKLIN, N. C. 28734
(2)
?? O e
CMP jo o'
u
U
510
10400
PL
PL
ROBERT & NEAL PARKER
73 MAXWELL HOME RD.
FRANKLIN, N. C. 28734
(5)
10+00
15
9+30
-E-
ELMER E. & CARRIE M. MARTIN
6056 26Th AVE. NORTH
ST. PETERSBURG FL. 33710
(4)
(3)
5+80 5(
bb
5400 -
10+00
CMP oo, Kf:PLACE WIT11 18" CMP
- - t-`^'

(2)
ri
5400
(5)
15+00
18..
J O ?
0

10+00
15+00
CMP 6' REPLACE 18" CMP
-T? -"0 00
k, op
/- -0
i
110100

(5)
20400
FREPLACE WITH 36" CMP 24"
20+00
CMP
ADD 18' CMY -44-5 IMF
18" CMP
• D

ROBERT & NEAL PARKER
73 MAXWELL HOME RD.
FRANKLIN, N. C. 28734
(5)
o, REMOVE
00
O G
17+85 PL
- 37
(2)
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15+00 l5 i00
25+00 1P-]
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(5)
(5)
40+00 40400
E.O.P. 39+50 I 39+50
?-<-5 01
50-
E.O.P.
(5)
• 30" _ CMP o, ?REPLACE WITH 36" CMP
bit-
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voc to r.
35+00 35400
,U...??1? /S• M_ ap", oFrctnKI;.r
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till: ?F? ` -?? '`?"? ? ? ? , ?.? <? -• I ,,? ti;?`^"' ?'??? 'll . 1
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/ .? c,'/.,C ?'•?? - ?': ..` .- ° _ S ,.. .,? ,f'?: r x7400)
t ZIOR, I7??' •. 4 ?.+ I .r =..? ' x? Y' j;, ??, i ?4?2. u ,, ?\?'
oo??/ ,\ /' I'?DSenional Ch (? l?j ?? ? •?;., .`•% ' 1 ; , /l
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artoo echa eCh• -00
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I'11y ll7f'J/I?;' r:: '. P.
660,000 rE E T I
„a .. .. )!, V t, ..
'ished by the Geologic,
ml rvn Survey SCAt-I 17 , OI)c)
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S ITC I STA g+SD

TF
MP
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-
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SfLT
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SPACED qf R?Cti? .U /l 1`
,

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i C M rP
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-
ROCK SILT
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?„ = /o.L!F v6 R?".
STREAM PI PE
SITC 2 STA 19 +70
cil

TEMP. 90r-k 5ILT- Al

DPACc-D
PROPOSED +o LF-36"
cm p

_ ROCK SILT
-?SCkE:EN
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SITE 3 STq 3 S-1-? S_
? Fxl sr
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PROP
I
41
a i I o
PROPOS?U 40 LF
cm P
' I I
RocK SILT
- -1-!-S C Rte` N
A ? I

TEMP. ROCK SILK
?
1 \
?
_
\
,,
/
/ CHECK --YP6 8 ? x

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HL
,
- l

..._
.. _.
I" = io LF HOR1Z.
35+78 to LF vEgr.
STPFAM ` PIPI PRO
F-
i
245.03 Temporary Silt Ditch
245.05 Temporary Diversion
893.01 Temporary. Silt Fence
890.05 Temporary Slope Drain with Earth Berm f-- ..........
Silt Basin Type A ...................... I ........... -0 2: "
245.02 Silt Basin Type B ,,,,,,,,,,,,,,,,
892.04 Temporary Rock Silt Check Type-A
895.10 Temporary Rock Silt Check Type-B
892.01 Temporary Rock Sediment Dam Type-A ............
892.02 Temporary Rock Sediment Dam Type-B ,,,
897.01 Rock Pipe Inlet Protection Type-A •,,,•••,-„ ?.
897.02 Rock Pipe Inlet Protection Type-13 -,,,,,,,;•--
894.01 Rock Silt Screen
245.04 Stilling Basin .......................................... = A
Rock Inlet Protection:
896.01 Type A ............................... A 1[]l -- OR --A
896.02 Type B ............................... B .. OR -• B 1?
896.03 Type C ............................... C L? --OR -- C)
12 March, 1992
TEMPORARY EROSION COIVTIKOL SYML3O
TEIWP STOVE DITCH CHECK
.,S/L7-BASIN-8
TEMP SLOPE DRAIN
TEMP. I L T - DI T CH
EA R * TH . EM BANKMEIV T
SILT FENCEE
_L /VIP SI I?'r_= /l NI C'POSSING
-i QCRGLASS ROVIN G
-.TSD
-? F G R
JJAIJ ?.. • .... w.... . . . . . . . . . . . .
Proposed Road ..................... I
Existing Road ...................... --
Railroad ...........................
Control of :access 1-,1110 ..... .... ... . . . ----
U
Slope Stake Line ....................
Bridge ............................. --?----
Culver ............................ r
Woods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `7.1 l) I (_ ? :? er •`
Tele")llone Or '1'elegrapll Pole ......... 1 -o- .1 1101...0- 1
Tower Pole and Line ................. ----t? °
PoNver Pole ......................... .t
Easetllt.u Lille ......................
?'1()1V111 I.lllllt ... . . ....... . .. .. .... ..
Guard Rail ...........................
Sanital')• Sewer Line ................. ---:.: '-s;
Water Line ......................... ;F- - I
Gas Linn ........................... -V- GAS ?
t' l . t? I'rJ ? I : U I::? I ST ' t C.
Chain Link fence ................... - ?- - --- -
Woven Wire rence .................. - 0--4-
Re-leneracion ........................
Reforestation ....................... .X?
'I'enlporarv Silt Ditch >
I I T--- -1 I ?-
Telnporar)r Silt I:'cncc................. - ''
Temporary Slope Drain .............. T
BRIsh barrir.l' .......................
SiJt Check Dam 1'ype A ............... ,
Silt Check Dam Type B ...............
Silt Basin '1?pe A .................... - '
Silt Basin 'I')q)e B ....................
Rock Silt Cllccl: Dan1 ................. ? ;may ?:,ti•:?,;???r>- -.-:-;>
` J
aI'L11 I3e1•nl .........................
Tettlh, Stone Ditch Chec?/?i,?,?
TENIPORAItY Sim- Drrcii:
TSD
A temporary silt ditch shall be used in place of silt fence in many situations.
Temporary silt ditches shall be used at the toe of fill slopes to divert runoff into
sediment basins, temporary rock sediment dams, temporary rock silt checks and/or
other sedimentation control measures. Temporary silt ditches are approximately 1
ft. deep, 2:1 side slopes with an optional earth berm.
AREAS of USE:
• Toe of fill slopes where fill exceeds 3 ft in vertical height.
• Along streams to intercept flow and/or divert to a controlled outlet.
13 March, 1992
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TEMPORARY ROCK SILT CHECK TYPE-B:
D
A temporary rock silt check type-B (also called check dam) is a small dam with a
weir used to reduce gullying in drainage ditches that are to be filled or
permanently stabilized at a later date. These type-B rock silt checks help reduce
the flow velocity and are generally made of class-B stone. They are used in ditches
during construction where the grade meets and/or exceeds 3%.
AREAS OF USE:
• In channels, roadside ditch outlets, temporary silt ditches, and temporary
diversions.
• In conjunction with type-B silt basins.
DESIGN CRITERIA:
• Center of rock silt check shall be at least 1 foot lower than the outer edges
(top of channel sides)
• The spacing (ft.) _ (3 / % of ditch grade) X 100 ft.
27 March, 1992

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ROCK S11X SCREEN:

A rock silt screen is a low-level dam structure to be used in streams below culvert
sites. Rock silt screens shall be used to trap sediment transported by running water
and shall be placed in the stream below the construction site within the right-of-
way or easement boundary. The rock silt screen utilizes class B stone lined with #5
or #57 stone to produce a ripple-effect in the stream to settle the larger sediment
particles transported in the stream from the construction site. The trapped sediment
shall be cleaned out before the device is removed from the stream.
AREAS OF USE:
• In live streams below construction sites where construction occurs in or
adjacent to the stream.
• In live streams below a culvert construction site.
• Where it can be cleaned before it is removed from stream.
DESIGN CRITERIA:
• Structural stone - class.B stone
• Sediment control stone- # 5 or # 57
• Dam height - 1.5 ft. minimum and 3
1 ft. above normal flow of stream)
stone
ft. maximum ( shall not be higher than
37 March, 1992
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FFQ 16 1?Q3 1
9 North Carolina Wildlife Resources Commission 0
512 N. Salisbury Street, Raleigh, North Carolina 27611, 919-733-3391
Charles R. Fullwood, Executive Director
MEMORANDUM
TO: Robert W. Johnson, Office Manager
U.S. Army Corps of Engineers, Asheville, NC
FROM: Mark S. Davis,
Assistant Fisheries Biologist
DATE: February 2, 1993
SUBJECT: A review of a 404 permit application by Mr. W. Trent
Anderson of the NCDOT to widen, drain, and pave SR 1145
(Maxwell Home Road) off of Hwy. 64 W., near Franklin
Macon County.
Mr. W. Trent Anderson (PO Box 1551 Andrews, NC 28901) of
the North Carolina Department of Transportation (NCDOT) is
requesting a letter of concurrence from the North Carolina
Wildlife Resources Commission (NCWRC) in order to obtain a 404
permit from the U. S. Army Corps of Engineers. I have reviewed
the information provided by the applicant, and an onsite
investigation was conducted on January 26, 1993, for the purpose
of assessing construction impacts on wildlife and fisheries
resources. These comments are provided in accordance with
provisions of the Clean Water Act of 1977 (33 U.S.C. 466 et
seq.), and the Fish and Wildlife Coordination Act (48 Stat. 401,
as amended; 16 U.S.C. 661-667d.).
The NCDOT proposes to upgrade and pave SR 1145, which
crosses three small unnamed tributaries to Cartoogechaye Creek.
Construction involves replacing one 15" CMP with 40 L.F. of 18"
CMP; one 24" CMP with 40 L.F. of 36" CMP; and one 30" CMP with 40
L.F. of 36" CMP.
These unnamed tributaries flow into Cartoogechaye Creek (LTN
1-40) which is Designated Public Mountain Trout Water (DPMTW) and
managed by the NCWRC as a Hatchery Supported trout stream. This
stream provides good quality habitat and supports a small wild
trout population in its headwaters. This project should not
impact any wetlands or habitats that would likely support any
endangered, threatened or special concern species. This project
may cause short-term turbidity during construction, but upon
completion, could prevent future sedimentation of downstream
habitats.
The NCWRC does not object to the issuance of a permit,
provided the following conditions are met by the applicant:
1) Erosion control measures should be installed prior to
the start of construction and maintained until the
project site has been stabilized.
2) The replacement culverts should be placed at the same
slope as the stream bottom and should be buried 1 foot
unless bedrock is encountered.
3) Temporary ground cover (e.g. hardwood mulch, straw,
etc.) should be placed on all bare soil during
construction. Permanent vegetation in these same areas
should be established within 15 days of project
completion to provide long term erosion control.
Thank you for the opportunity to review and comment on this
project. If there are any questions regarding these comments,
please contact Mr. Mark Davis at 704/452-0422.
cc: Ms. Stephanie Goudreau, Mt. Region Habitat Coordinator

APPLICATION FOR DEPARTMENT OrTHE ARMY PERMIT OhlE3 APPROVAL NO. 0702-0036
(33 CFR 325) Expires 30 June 1992
Public reporting burden for this collection of information is estimated to average 5 hours per response for the majority of cases, including lho time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, arid completing and reviewing the collection of information.
Applications for larger or more complex projects, or those in ecologically sensitive areas, will take longer. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information
Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202.4302; and to the Office of information and Regulatory Affairs, Office
of Management and Budget, Washington, DC 20503.
The Department of the Army permit program is authorized by Section 10 of the Rivers and Harbors Act of 1899, Section 404 of (tie Clean Water Act and
Section 103 of the Marine, Protection, Research and Sanctuaries ACL These laws require permits authorizing activities In or affecting navigable waters of the
United States, the discharge of dredged or fill material into waters of the United States, and the transportation of dredged material for the purpose of dumping it
into ocean waters. Inforrnalion provided on this form will be used in evaluating the application for a permit. Information in this application is made a matter of
public record through issuance of a public notice. Disclosure of the information requested is voluntary, however, the data requested are necessary in order to
communicate with the applicant and to evaluate the permit application. If necessary information is not provided, the permit application cannot be processed nor
can a permit be issued.
One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attach on
(see samplo drawings and instructions) and be submitlod to the District Engineer having jurisdiction over the localron d y.? n application
that is not completed in full will be relurnod. ? ? !
1. APPLICATION NUMBER (To be assigned by Corps) %

?
r 3- NAME, ADDRESS. AND TITLE O F ORIZED AGENT
O'nn?
yJJ
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Telephone no
durin
business hour
g
.
,
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2. `NAME AND ADDRESS OF APPLICANT F . '
?, ,;
? `f•
HIV . ??er1?' A nple?SO(L
. A/C ( ? (Residence)
ri '`
?l
??h C
l?
? T
i !vC( 1 (Office)
o
(aro
n? De?, o
rra
l
sPo?(???o
?K 1 G, S' Statement of Authorization: 1 hereby designate and authorize
?CeW 5 1 to act in my
.
Telephone no. during business hours behalf as my agent in the processing of this permit application and to
furnish, upon request, supplemental information in support of the application.
A/C ( ) (Residence)
A/C (7041 3Z. - 4 C? (Office) SIGNATURE OF APPLICANT DATE
4. DETAILED DESCRIPTION OF PROPOSED ACTIVITY
4a. ACTIVITY
1
?O U PgrctAe- a!?, ex. iznl P nee c4weAS In -Uiree ?3? I oc.cr?-?o?S
on SR It 45) MQ x.vue kk dome Road , i n M aC0Y%. ?.okn? 1?1C .
-rhese c-ulue(4e> card 5?reoltr?.. ?tovl a? ?1 ?b?k.o1-ie5 ?o ?'.arkoo?ech0.?e
Cheek wh i C-k has Q DE M cla6t, ?i coA ion. o W 5 111 rot AA Wakec,
4b. PURPOSE
To wiaer\, a!nd Pave. SR Ik 4S -?b meek G.ucrent NCC'-k`)-I" sAar\Jac'ds
?oc -L. pi cfa? Sac.;lion. Qhc? chi j?\rnetj? tOr Paved. Geconclor,t roads, 76-re,
arm C-3) loca- ;onS aton? +ke- road. CoaS?CuG4 Pc"IJ ec.+ where,
-U, e, b--roca ir\.,) Private- P ro peA , o a ProPoseA road- w idl?1., ?neke cv?veA
uP?('ad-1;5 ar1-? ex?'e?sior?s necexac-?.
4c DISC14ARGE OF DREDGED OR FILL MATERIAL
ENG FORM 4345, Aug 89
011e.
F.UrflOrJ Of- Af'fi Hti I;i UHS(H.fr1E

(I hiq?nrnl Cf-CW-OtJ)