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Home My WebLink About19940709 Ver 1_Complete File_19940801State of North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary A. Preston Howard, Jr., P.E., Director APPROVAL of 401 Water Quality Certification Mr. Roger Cates NC DOT P.O. Box 1460 Boone, N.C. 28607 Dear Mr. Cates: LT'awmAl ?EHNR August 3, 1994 Avery County DEM Project # 94709 F L f ` You have our approval to place fill material in 0.3 acres of wetlands or waters for the purpose of road improvements at SR 1152, as you described in your application dated 27 July 1994. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number 2735. This certification allows you to use General Permit Number 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. 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. If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act within 30 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 Environmental Management under Section 401 of the Clean Water Act. If you have any questions, please telephone John Dorney at 919-733-1786. Sincerely, krestP.E. ctor Attachment cc: Wilmington District Corps of Engineers Corps of Engineers Asheville Field Office Asheville DEM Regional Office Mr. John Dorney Central Files 94709.1tr P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 FAX 919-733-2496 An Equal Opportunity Affirmative Action Employer 5096 recycled/ 1096 post-consumer paper n,a w o L 09 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION JAMES B. HUNT, JR. DIVISION OF HIGHWAYS R. SAMUEL HUNT III GOVERNOR SECRETARY P.O. Box 1460 Boone, N.C. 28607 July 27, 1994 Vol I mgr u 11- ss, roe.,, 1994 Mr. Steve Chapin U.S. Army Corps of Engineers Room 75, Grove Arcade Bldg. 37 Battery Park Avenue y Asheville, N.C. 28801 Dear Mr. Chapin: The Department of Transportation is scheduled to grade, drain, base, and pave 1152 Taylor Road in Avery County as soon as the necessary permits are obtained. A pipe carrying a stream needs to be replaced and there are some possible wetland areas near the roadway. Therefore we are requesting a 404 Nationwide Permit. I am sending a joint application form, proposed typical section of the road, a straight line sketch with the proposed erosion control, notes on pipe installation, and a marked map. By copy of this letter, I am requesting Ms. Stephanie Goudreau, Mt. Region Habitat Biologist, N.C. Wildlife Resources Commission to comment directly to you concerning the 404 Nationwide Permit request. Also, by copy of this letter, I am requesting authorization to proceed under Section 401 of the Clean Water Act from the Division of Environmental Management. We would like to begin construction as soon as possible. If further information is required, please let me know. Your early review and consideration will be greatly appreciated. (9 Page 2 Mr. Steve Chapin SR 1152 Taylor Road July 27, 1994 Yours truly, Ro Cates, P.E. District Engineer RC:JMB Enclosure cc: Ms. Stephanie Goudreau, Mt. Region Habitat Biologist Mr. Richard Phillips, P.E., Regional Engineer, DEHNR Mr. Eric Galamb, Water Quality Certification Unit, DEM Mr. W.E. Hoke, P.E., Division Engineer Mr. Neil Trivette, Area Roadside Environmental Engineer Mr. Martin Bolick, County Maintenance Engineer -1n9. DEM ID: NATIONWIDE PERMIT APPLIED FOR 401 ISSUED ACTION ID: (PROVIDE NATIONWIDE PERMIT #): 3( JOINT APPLICATION FORK FOR NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL 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 (919) 251-4511 WATER QUALITY PLANNING DIVISION OF ENVIRONMENTAL MANAGEMENT NC DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES,:;;. P.O. BOX 29535 j -4 RALEIGH, NC 27626-0535 ATTN: MR. JOHN DORNEY Telephone (919) 733-5083 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 Eti'STI7%Oa* wj.1iTAL MANAGEMENT. PLEASE PRINT. 1. OWNERS NAME: IU. C . ncPA&-V"6 N7 e3 r- T?2A A/s At)2 T,4 Ti,qA1 2. OWNERS ADDRESS : 4!?n e3 67 c 14140 Afr-_ _ Sl6 - 3. OWNERS PHONE NUMBER (HOME): ( WORK) : 744- 2,45- S'3a O 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: 4QG C-2 CA 7" E .7 . G? E7, OO Byx /-¢(or3 /?DDA/G . /1/C Z fJ 107 :2o4 - 96S*- S3f66 5. LOCATION OF PLANNED WORK (ATTACH MAP). COUNTY: MICR Y NEAREST TOWN OR CITY: NE(,(/LIQND SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): SR //52 TwyLa . 201*0 6. NAME OF CLOSEST STREAM/RIVER: TK16. TO MILL 71AI4Se C2EEK 7. RIVER BASIN: c A T A W B A 8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW, WS I, OR WS II? YES E,4 NO [ ]' 9. HAVE ANY SECTION 404 PROPERTY? YES IF YES, EXPLAIN. PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS ) NO [ X] 10. 2STIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, LOCATED ON PROJECT SITE: D.3 Ace . 3/30/92 r ^ V rl ,:N -2- 11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY THE PROPOSED PROJECT: FILLED: D, Id" DRAINED: FLOODED: EXCAVATED: 0.05 TOTAL IMPACTED : 12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS) : UPgggDF ,q c,ricriw/ p/,pre C ST.4 29 f00 _ A450 rlsE - ,c ce E S/l7?i6 F (1J &AA10 DE& At6W adnuia Tl/Ar iWIS-111 e6 cG/ ?DgbRll?f ; 13. PURPOSE OF PROPOSED WORK: Tl1ls .per 1S A yr o< p a iw ?- To (WAVE. 0,04W, BASE, 4ogp pi¢UF Gat //SZ T,dy /? d 14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS . THE c_)(/ST/A iic D/Oc AT STb 29foe .(JE m < ro ? E iPr t w o.en T rG ddn?.r? Amaja 78 9,r 7'0 _ D f/CC V ,4 COM.Nenlfw ?nta.rt/6 /,?/ Q duT DA/F nt gun ewe .,t,? /IAA-div e 499M, -rH6y A!6 OA) Sor//-t d ec rN..sna_n_ T/IE oNN "421rr sna.OiooRs 7y S^M 6-0Sortr IS AArt Woor.tl fVom wd; A440NAy m Y*ot A r0l/rviM6lw? 1,0,*,Mr #1450 E/G *11&UutcS 3NAwd M/N/w/ii 1S. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE Wsrz4-40 10^4erS. (USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE OR 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. HAVE YOU DONE SO? YES [ ) NO [x) RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE 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 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? AGfr-UQURAL 4C Q V wirt* L F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? Z ? OWNER SIGNATURE DATE s/ S ?° 4 0 ?- Z - R ? s w Q -ti s :: o z aop ,n • W YJ •F':•:::.... C no 3 ? ?•:.. ?> p foie < ? r ::•:..: ? .:.::: X 3Y i n 0 d FAP Svd 8,0 N (x• „ ^ wi ^I -? h r otk . •+ b s:i. y YZ.it[i> E ,:h m Pf n .- ?, Gr'`" Z -I s P. Al' 1.5 lot qp zli ? '9 ,i:3E+;irS?:' • ? = i 2!1 I ? EP ^ ? i ,? GS• = U `?`I. i C" ?, F rR n S:, O .1 :.:b:. s::. ^ r of t^i 1 ??-'. •::.?I E N Hip m g•+!t°.• Z^ =ice?, a Nolyvty l•l _ f ^? h _? .^,?: ; F ` of r 00 •. m ? ?'? m ? e ^I Z'l M e ,? „? '? _ °I .?? r ? R - =1 `'C??'';. CI y? .? 91 o ?tw Z - _ 0 ? .? ?I A::?tii, '.;_ '? .?:,'•;:' s• ! ! 8,L ? `' + ? I ? m Air ? w !• r r .4 ,?..• o,?;.:3;if1? - b• n ,. :u:• :. 15 EPS rl o i ? o b Pri;:.t• i?ti?;' a iE:=a.. I o ? .3 - ?'C u, 1 YS'Aly 0 co e y G ? ? ? ? d d d, ^? r is >i,'' ? ?• ,i Roali'V 401 ISSUE[ -- --- - ---- -- - - - _- --;? -. -- - ?r ..-- wit - _ - --- _ _ - -} - - - -- - - - - ---- - --- - - F ti _ W VI c 4 w ----- - -- - -- --- - - --- - - - --- -- - -- 77 77-7-7777 - - - ------- N nl (ZMQI.11I11--VErARTMENT OF 9 WSEURTATlaI EROSION ACID SEnIMtV4`gX&L PLAN PROJECT W &1gr? /47a -r v 10Y Do cocnn[•?t f' V-ee y PREPARED by B . T UG nc t. DATF. (.o-3- ??l APPROVED BY 2 County Ma i titeriance Eupg Meer g r i r.t Frig nPer. 'low Roadside Env ron. F.nginei-r 245.03 Temporary Silt Ditch 245.05 __ ------------ Temporary Diversion , - - 7 . SD 893.01 - Temporary Silt Fence -__--__- 890.05 245 01 Temporary Slope Drain with Earth Berm - Silt Basin T A f--- •-- . ype ---------- --------------------- .. ------------ 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 8 Temporary Rock Sediment Dam Type-B __ _ 97.01 Rock Pipe Inlet Protection s o 894.01 Rock Silt Screen - ?-- 245.04 Stilling Basin ------------------------------------------ _..._. -- -- ---- - ® - Rock Inlet Protection: --•-A? 896.01 Type A ................................ A OR ----- 896.02 Type B ............................... B LLJJ-- OR B .. ? ----- 2.-.jj2 - 896.03 Type C ............................... C LL - OR - C ? ---- Pipe Outlet Energy Dissipator............. Inlet or Outlet Protection ................ GENERAL NOTES ON EROSION CONTROL Silt Basin Type B's will be constructed to the dimension of six feet by three feet by three feet unless otherwise noted on the plans. Where slope protection treatment is required, Section 868 and Section 1042 of the 1990 Standard Specifications for Roads and Structures will be followed. Any material obtained from the project must be clean before being placed. Generally, the order of installation of the erosion control measures will be as follows: Temporary Silt Basins shall be installed before clearing and grubbing begins. Silt Fences and Temporary Silt Ditches shall be installed after clearing and before grading. Temporary Stone Ditch Checks shall be installed as soon as ditchline is established. Pipe Outlet and Inlet Protection will be done as soon as the pipe is installed. Seeding and other permanent erosion control measures are to be implemented as soon as practical. ?U1 t I i 9 A -l0Ab W #NY ?w 40 s. i 3?Foo 1 1 , I ^Jp WOrK P(,l-f ??/,C_ E dV6%Z,glvor Aec, 0 A -r 1 i i 1 i 140C I I t 97AT I 0 M S pos s I-6 Lie WGr'Lp-rv0 /t?lq 0 f 00, ro 2tvL SP IJS1 Avery Co h/w I I s?a.?'. G+15- 8tSo (rr e ?1a +0 `75e Ad.i ? 1?oc.k s •? .f ? ilu.?y_ 1 4D 1R 1?r?JGW ®i TWAD W AY L t, I D i i I lI 1 D "?'?w sTnT I oF:l s qi O u4U i 1 8f a? , 1 1 7 .t- p D q?>-1. r V Sf00 ??uf ? ?vf?b 1N ICY ??'??? D 1 j1> " og 1 ?? c? :: •: ?3 f L L I I • F' 1 I 1100 D i L b 0 $f50 - 13?5a tt+oo AD; R4?k s If c,f?ti?ks I 1 I ?r ,? 18 A,L Ale') ,. a L:-c, -? a`? tv tau STAT i v ?.1 S s? ?+s;L 4.0 P, A.l s 3 ??t O 11b W A?Y D I ? IIf, Kl i i` I S D s L I 0 i (s ra?C, lager - Spa 1 ?qfv? Vl! ?? fov L ' CP r7toc; L ® I ? lSfu? I 9-r IOPTS 3 0 ti 3 5 ??eet '4 op? 5 .. l S'I -t?OAti ply JAY s 1 ? i s ?,??? 97A-T 1 o ra S 401 ISSUED I . 1 1 q 23 f w L I® ? '. 0 10 ND WOr k 1 1 19+as - a4?aa GY?.de. s °?o - 6 5ti R o c.k s I? c,h?? s P a i F S U I I w. lk 3 of T Dr- y Li r, -e- I ?? fpU 21fp- 1 1 S beet s mV 7 sp 1151 K/w t ? 1acc w.+h 40 0 q3?u wc? ?.^C (}'0.?51(3LE UIEr? p.NpS FROM -,-7-A 2 ? -?-oo TO -5rA- 2`l f b O L ?4foo - ?2o4 °Q G-?d;e.. CaJc? - ? ? I+ ?i «ks f?vl?b?l14Y 0 o CL p® ILd ?v d' I v ® , i. i L 1 S I . I UL L ??'?a? 97A-T 10tj9 ?O-SS?BCC • ?//E/G.q?l,oS ( FQOM ST,?I 2?-fOQ AA? S" a °vf°v L I ?faa 1 z?foo J I I ?sfa? I I 5 4?,ee? ? afi ? a8too -p 3af?o [3tQ?e.. $ fa Ad?_ ?ozk s'Rl?' c.l?u.ks. f" h'W I I 1 -twAU W AY 't I I. L 0 r, 401 ISSUED I 1 1 I tj 2 ?(-O D 1 31fon A ,7 AdJ a S 1,ee? 'I op PIPE INSTALLATION 1. Install erosion control devices. In streams, where necessary, rock silt screens will be used and installed prior to pipe replacement or any work being done to channel. 2. Remove material and existing pipe while limiting, as much as possible, material and sediment from entering a stream and/or escaping from project. 3. Prepare pipe foundation while again taking care to limit, as much as possible, material and sediment from entering a stream and/or escaping from project. Where possible, new grade will be below existing stream bed. If needed, bedding material will be clean stone. 4. Place the new pipe and compact backfill. 5. Install slope protection on outlet and inlet ends of pipe. Also complete installation of erosion control measures and perform maintenance as needed on existing measures. 6. Establish permanent vegetation as soon as possible. 7. Remove rock silt screens as soon as possible after vegetation is established. Prior to removal of rock silt screens any accumulated silt must be removed. 401 ISSUED DEH ID: ACTION ID: NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #): 3( JOINT APPLICATION FORK FOR NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS NATIONWIDE PERMITS TEAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL 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 (919) 251-4511 WATER QUALITY PLANNING DIVISION OF ENVIRONMENTAL MANAGEMENT NC DEPARTMENT OF ENVIRONMENT, ,'HF; I: _ i; AND NATURAL RESOURCES P.O. BOX 29535 + RALEIGH, NC 27626-0535 ,r ATTN : MR. JOHN DORNEY 394 Telephone (919) 733-5083 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 EN'7-rROa*,*M TAL MANAGEMENT. PLEASE PRINT. 1. OWNERS NAME: N. C. QCPA2'7YIrN7 QF TKAW-CPd2TA-04W 2. OWNERS ADDRESS : ?Pn O v d4dA1c- ??. 7 Sly -7 3. OWNERS PHONE NUMBER (HOME): (WORK): 704- 2Z5- 5-Ss D 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER : gQ6; E 2 CA TE S . 6a E , A0 66?c 1-4.6 d D300?/CY IVC 7-0607 X04 - ZGS- S3bD S. LOCATION OF PLANNED WORK (ATTACH MAP). COUNTY : A V CR Y NEAREST.TOWN OR CITY: NEW41~ SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): SR //SZ _TA.VLDX 20f+ 0 6. NAME OF CLOSEST STREAM/RIVER: TR16. TO MILL T//Y!A" C2 e=KA 7. RIVER BASIN: GATr4WAA 8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW, WS I, OR WS II? YES NO [ j 9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ j NO [Xj IF YES, EXPLAIN. 10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, LOCATED ON PROJECT SITE: 0.3 AG,QE_ . 3/30/92 r -2- 11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY THE PROPOSED PROJECT: FILLED : DRAINED: FLOODED: EXCAVATED: Q,OS ;TOTAL IMPACTED : _ Q , /S pCQG 12. DESCRIPTIONOF PROPOSED WORK (ATTACH PLANS) ; 1,Lf r.P410 AN6XicriA/i C14R2Y/AlG A S/1fAGL .STX64AH AT STA 29 f00. AcsO T/fE ,r/ ceM ? S/l9A.t C. ?sS/.6GN ? ? oAmkl/?y 13. PURPOSE OF PROPOSED WORK: 77&5 agr ,.s per o.r pre,--^- To _6RAOE. DR/4w AA C, /AND 04I1F fit //.5Z T.4t// A.y 90. IA? 14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS. THE envy AT x-m of, •" dJE " ro dc- A&29&1 ?Pr r • S rG d.?e ?? C{/ AcCAMe?nnar? .,..A t /AI r e ?,? oe ri/F oe &AW.ANO 4WAX, T Rti4 AtG oN sari! ,/Pfa AC 7W. IOAdd T//E oNE rOd..? .J71s.?/GOR- 79ST14 <cfSo Rr, is SAC rN&ucH f9?AIk 77fF ,togOrv.ly ro HMS A AliitpiMawr io,#Acr, /¢tse EIG 44AS4ec& .S/f4flfd M/N/A/ii 15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE A)s?z4"o 01^4crs. (USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE OR 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. HAVE YOU DONE SO? YES ( ] NO (x) RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE 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 ( j 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 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? &dr-(LLT at !c pgy&cmr * ? F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? 11r OWNER SIGNATURE D TE _ + r or4 g Y S 0 O 0 I d h ? J O R s;` ?m -I Z ? i? H rOS,1" f0 y r ? C :??<W?? +Vd ? m Y?? L ...1 P HI `JQ18 Z / Y 3 O Q c7 d N b 9f _ n 9 O St ? •r?,qx- r G t` i - n •u? 0 6 FA e X7 0 1.5 o c'. ?dM -y .2+a 47 (4 -yaAry :12 E gl9 F A Wort - zt ?? Ct U r::::r.::! y s ? r. 0 E cf. PI • H -I '!f. "i <CC:. :iY:Y N .. f',.i:?.. :~... HI_ ` •tl / cl! -1 z NordyW 0, '?°:: *•r m ? ?',`' o) ': L,t b• y. ;"' o = tS' ? ? ` ' '1kj:Y .:, c 1 1 g 5:??. g't = O Al Yh Z - + f. p ,` t Qf h V %s: r? r b Nc r n E.L o -? t r• L A ' sy.. o ....0@1 R. ? ^I''': E;: ':;:.:r ^FAP •?' - `yy}rytyc;tiE • ate. YgAlAr .?I W P O O P „:e ,l Pf P 2 1/) 0CCL `gyp ?, , ,u b, , S O -° 'y G ? ^' ?r Z >iyy ? 16 • u o n / -eq y 410 - + >a c goeeri+tflI 6_ ? n 3 a Wt .0-110 A so v N u ? G