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HomeMy WebLinkAbout20010645 Ver 1_Complete File_20010427?,aswce,,? , STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY LYN O TWPETT GOVERNOR SECRETAKY Bridge Maintenance Unit P. O. Box 1150 r?l Fayetteville, N. C. 28302 ?st/Qr March 28, 2001 010645 USACOE Mr. Dave'l'impy Wilmington Regulatory Field Office P O. Box 1890 Wilmington, N. C. 28402-1890 RE: Robeson County Bridge Number 140 Replacement (TIP B-3037) LOCATION: SR-2435 Crossing Ashpole Swamp Dear Mr. Timpy: We are providing herewith an application package and copies of N.C. Department of Transportation Hydraulics Unit sketches (plan and profile) asa part of a project involving the replacement of an existing bridge with a new bridge. The project should be let to contract by July 01, 2001. To our knowledge, no wetlands are involved and total fill in water is expected to be less than 0.01 acre. This pipe is not located in a high quality water area. Please review this material, and if additional information is needed, please contact our office. Thank you for your cooperation and assistance in this matter. Sincerely ?: L. L. U ole, Jr, P.E. Division Bridge Maintenance Engineer Attachments CC: T. R. Gibson, P.E. Division Engineer John Hennessey-DWQ-7 Copies W/Attachments PAYMENT Mrs. Renee Gledhill-Earley State Historic Preservation Officer Mike Crocker-US Fish & Wildlife Service RECEIVED Jim Rerko-Division Environmental Officer P. O. Box 1150 - Fayetteville, N. C. 28302 - PHONE: (910)486-1557 - FAX {910}486-1959 010645 DWQ 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 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 : Tr ??Y - G-, ? c3 s°,r-? _ ?? OoT 7.4. 4. Z 2. MAILING ADDRESS: SUBDIVISION NAME: CITY: \ ?--?-E STATE: t-AC- ZIP CODE: 2S)'LS oZ PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE) p?..? SQ- 24"35 ?c_-R.._oss ?-'S?.'C?t??-E- '?••rsP•^M, ? 3. TELEPHONE NUMBER (HOME): (WORK) c? ?o ' 4Qjtc - 1 4°? 3 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: Mf-r- P- S /N.- c-- 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: V, s? ?.-A NEAREST TOWN OR CITY: 1 SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC`:,): S(L z 4-3 S A c-?oss ?'s?a Pc?? Sv-fA--AP 6. IMPACTED OR NEAREST STREAM/RIVER: ?' `-'H Po LE Sv.1At?l(? RIVER BASIN: L jtA'%yZ 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 [)G] IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES[ ] NO X 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? N?A 8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ] NO [x] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE'"PHOTOCOPY OF 401 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ] NO IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: ,?,-K/A. 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 2 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: EXCAVATION: G7 FLOODING: GO DRAINAGE: OTHER: TOTAL ACRES TO BE IMPACTED: O c?:) 10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE..BOTH BEFORE AND AFTER RELOCATION): LENGTH BEFORE: I O (? FT AFTER: 14- c FT WIDTH BEFORE (based on normal high water contours): 9 S FT WIDTH AFTER: R S FT AVERAGE DEPTH BEFORE: 3 FT AFTER: 3 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: (. y3'M%CV ,E wZ 3 Seo'j r3rtiCGiE 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? WHAT IS THE EXPECTED POND SURFACE AREA? N /P- 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY) : ?en•?oyG Erc.sz ??.?,c-, (o Spp?^" L T+«?gct. S..st?sTC2. (Lc F`oott- /T?t-mot. ?osTSl RJCL?OL^? /?•wacC? ?iJ 3 Co.? ?cL? ?- ,c,, ,. ?,o Sz _`. (? too c-?? , ??? ? k ? X C.. /sue PTO Cz- 4 r-?O C 2/'-•-.?'?S '['cam ?E !C7 GP --- 13. PURPOSE OF PROPOSED WORK: Qr-PtA?--? STQrJc-TJCLC..ti.-?..?( 'V-') E j::- k c--\, ir--- r--? 77- ?5 q--\ oc..f-- . 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) : ?-A f p- 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES NO [ ] (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 ,[?] 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 CLEARINGHOUSE 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? V-4 /P 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 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) o A'LETTER FROM HE NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT'STATT#Q THE PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT PROGRAM. -Ve.. G-, • P?Sor-' Z?aev OWNER'S/AGENT'S SIGNATURE (AGENT'S SIGNATURE VALID-ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (18g.)) 04-/it/o/ DATE 5 AGENCY ADDRESSES ENDANGERED SPECIES: U.S. FISH AND WILDLIFE SERVICE RALEIGH FIELD OFFICE P.O. BOX 33726 RALEIGH, NC 27636-3726 TELEPHONE (919) 856-4520 NATIONAL MARINE FISHERIES SERVICE U.S. FISH AND WILDLIFE SERVICE HABITAT CONSERVATION DIVISION ASHEVILLE FIELD OFFICE PIVERS ISLAND 160 ZILLICOA STREET BEAUFORT, NC 28516 ASHEVILLE, NC 28801 TELEPHONE (919) 728-5090 TELEPHONE(704)665-1195 HISTORIC RESOURCES: STATE HISTORIC PRESERVATION OFFICE N.C. DIVISION OF ARCHIVES AND HISTORY 109 EAST JONES STREET RALEIGH, NC 27601 TELEPHONE (919) 733=4763 STATE REGULATORY AGENCIES: MR. JOHN DORNEY DIVISION OF ENVIRONMENTAL MANAGEMENT NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES 4401 REEDY CREEK ROAD RALEIGH, NORTH CAROLINA 27607 TELEPHONE (919) 733-1786 CORPS OF ENGINEERS FIELD OFFICES: RALEIGH REGULATORY FIELD OFFICE US ARMY CORPS OF ENGINEERS 6508 FALLS OF THE NEUSE ROAD, SUITE 120 RALEIGH, NC 27615 TELEPHONE (919) 876-8441 WASHINGTON REGULATORY FIELD OFFICE US ARMY CORPS OF ENGINEERS POST OFFICE BOX 1000 WASHINGTON, NC 27889-1000 TELEPHONE (919) 975-1616 MR. STEVE BENTON DIVISION OF COASTAL MANAGEMENT NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES POST OFFICE BOX 27687 RALEIGH, NORTH CAROLINA 27611-7687 TELEPHONE (919) 733-2293 FAX (919) 733-1495 ASHEVILLE REGULATORY FIELD OFFICE,. US ARMY CORPS OF ENGINEERS 151 PATTON AVENUE, ROOM 143 ASHEVILLE, NC 28801-5006 TELEPHONE (704) 271-4854 WILMINGTON REGULATORY FIELD OFFICE US ARMY CORPS OF ENGINEERS POST OFFICE BOX 1890 WILMINGTON, NC 28402-1890 TELEPHONE (910) 251-4511 f. C7 V) V, A 7 D K- G f D Z 01 CD It W z o r' a • ? Ti ?L S r rn 73 -- 0 ? r Z rn - co O j " FTI r 0 . 0 7`3 Po r ?.. E C L v CU ftl -, cn y l o ? O n fC--) L ff' r C'J o? 0 ntl I t. ? K- 7` + Z ]7 ? c7 r) z C-) f CT) D3 I !- D u? S r70 0 r m Q) D 0 c N A ti ?I m 7 CTJ ?I ? o 0 a rn x =o l I , i f" I i I I , ? I I. I I z ? ( I i I I y ? I I I ' i 1 I 1 ( I I I 1 I z i a A z t - _ A I t L 1 ( P C P :. 1 vl ? -a N ? ? ) Z L 1 - ---t - - - - - - - - - - w .• 11 - - ? 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' I,. / z.i \\ IG, _ N k L-J . rTl I i%- r \y ?M1• a zl$ 00 .'`q[ ?? ? ? a ?;??i? ? 0?l•4 - P ,9 ? ,? ---?? ? P <- ?1???,, •?,g z /- , ? m I?? ? i? ? CIC? \ N ?I T r n I>? I C, /S? ?'It \ 111 0 :b? ?' ? 9. .S ? \'I? ?`.A/. H ?T ';1'•,t',. aZ I Iy, 9 y \ o I N? \ 40 Cl) ZI `' IIQ 0............... 9 I\4V' O` ?T / y Iyaj \ ?.??NW a \, P \,\ IV S _ '°F ` I? \ "pPP)\? (y ` I N li?• C IP O L , ??j1 ) , ? ? tNJ i • ' •` ? ? / I? \ \? .\ W ,¢, ? fir/ ? ?. ? . ?\ I N (? 'm I? '.T ?•\'\??? i\, J' • ?{ IN `, '•o I? !i? ? -?- I? ?? ? ? E... rig I# t \ ;m lb Ifi V; . •?? I? Lo •Lft .a aoMS I? \i5til?6. • ? ,\ {? e? t,, y `•I?? -` IN c 9' :f. „`•I o nn h 1. \'???{ , ?{ ? 1?. I .'+. nl W fJ N.n I m co I? i N I? V I T I & 'IW . J• I <,'I Iv T U \? / riff Ix ? a P ? \ Ib i Ix 0 .p Q? _O .P A O i '-r it t E k =xe F 1 P§t I? L all 91 ti d .p i! K Y ®R STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY LYNDO TIPPETT GOVERNOR SECRETARY Bridge Maintenance Unit P. O. Box 1150 Fayetteville, N. C. 28302 March 28, 2001 USACOE 010645 •?l Mr. Dave Timpy Wilmington Regulatory Field Office P O. Box 1890 Wilmington, N. C. 28402-1890 RE: Robeson County Bridge Number 140 Replacement (TIP B-3037) LOCATION: SR-2435 Crossing Ashpole Swamp Dear Mr. Timpy: We are providing herewith an application package and copies of N.C. Department of Transportation Hydraulics Unit sketches (plan and profile) as a part of a project involving the replacement of an existing bridge with a new bridge. The project should be let to contract by July 01, 2001. To our knowledge, no wetlands are involved and total fill in water is expected to be less than O.bl acre. This pipe is not located in a high quality water area. Please review this material, and if additional information is needed, please contact our office. Thank you for your cooperation and assistance in this matter. Sincerely L. L. U ole, Jr, P.E. Division Bridge Maintenance Engineer Attachments CC: T. R. Gibson, P.E. Division Engineer ,??c Ps r John Hennessey -DWQ-7 Copies W/Attachments ptA Mrs. Renee Gledhill-Earley State Historic Preservation Officer Cr ( i j Mike Crocker-US Fish & Wildlife Service Jim Rerko-Division Environmental Officer P. O. Box 1150 - Fayetteville, N. C. 28302 - PHONE: (910)486-1557 - FAX: (910)486-1959 010645 DWQ 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 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 : T?¢ s?Y C"l ? c3 So•--? - ?\c_Oo /7.y, ?.?r, Eac-?? , 2. MAILING ADDRESS: vPo P??x \ \ S SUBDIVISION NAME:`, ?P+ CITY: F/?`t E cT?? ?-`-E STATE: t--AC- ZIP CODE: 'Z.$'? 02 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE) : ??P?? Soc-? C-? • '" P?? ?Q? \ ' d v._. Scz. 'z 43S Prc-a?ss 3. TELEPHONE NUMBER (HOME) : (WORK) : 3 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: Ae- P- S /-"- - >0?lc,-- 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: '-.arcSo'-4 NEAREST TOWN OR CITY: SZ..? vJ ?-4.N O 1 SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): S 2 z 4-3 S A ?-¢ oss 5?-4 Po Sw'& ? 4 6. IMPACTED OR NEAREST STREAM/RIVER: /S- S" 4o LE 'Sv-tAPA e RIVER BASIN: l--'j'Am -rL- 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 [x] IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES[ ] NO X 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? 8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ] NO [X] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDEPHOTOCOPY OF 401 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ] NO [>,?-I•F-YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: -:2-1 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: f5 -0 2 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: EXCAVATION: G? FLOODING: O OTHER: c? DRAINAGE: ~ O TOTAL ACRES TO BE IMPACTED: C? 10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): LENGTH BEFORE: I O Go FT AFTER: Io FT WIDTH BEFORE (based on normal high water contours): q57 FT WIDTH AFTER: 9 S FT AVERAGE DEPTH BEFORE: 3 FT AFTER: 3 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: ?G P??-E E,?-yT??L-, SPA ?j2?Ck?E w/ 3 spE?,., (3R.j0LiE 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE 'SIZE OF THE WATERSHED DRAINING TO THE POND? p-s/ti WHAT IS THE EXPECTED POND SURFACE AREA? 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY) : ?ErnavG cZ-c_ F?ocz. /T,, n. J•?,sc-sl ?Q.O?--,E 3 ?GP , 13. PURPOSE OF PROPOSED WORK: Qr 4t-?'e- y 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) : }-A / p- 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES % " NO [ ] (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 X`] 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 CLEARINGHOUSE 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? Q_?QL??-- f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? ?-4 /P 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 ENGINEERS PERMIT, 2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION Off' ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERT37IOATtON AND 3) (IN THE TWENTY COASTAL COCTNTlES ON'L'Y) , A 'X ktTER FROM 'TSE NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATIkG-THE PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTALMANAGEMENT PROGRAM. OWNER'S/AGENT'S SIGNATURE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (18g.)) o ? z /o / i-- DAT E 5 AGENCY ADDRESSES ENDANGERED SPECIES: U.S. FISH AND WILDLIFE SERVICE PALEIG14 FIELD OFFICE P.O. BOX 33726 RALEIGH, NC 27636-3726 TELEPHONE (919) 856-4520 NATIONAL MARINE FISHERIES SERVICE U.S. FISH AND WILDLIFE SERVICE HABITAT CONSERVATION DIVISION ASHEVILLE FIELD OFFICE PIVERS ISLAND 160 ZILLICOA STREET BEAUFORT, NC 28516 ASHEVILLE, NC 28801 TELEPHONE (919) 728-5090 TELEPHONE(704)665-1195 HISTORIC RESOURCES: STATE HISTORIC PRESERVATION OFFICE N.C. DIVISION OF ARCHIVES AND HISTORY 109 EAST JONES STREET RALEIGH, NC 27601 TELEPHONE (919) 733-4763 STATE REGULATORY AGENCIES: MR. JOHN DORNEY DIVISION OF ENVIRONMENTAL MANAGEMENT NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES 4401 REEDY CREEK ROAD RALEIGH, NORTH CAROLINA 27607 TELEPHONE (919) 733-1786 CORPS OF ENGINEERS FIELD OFFICES: RALEIGH REGULATORY FIELD OFFICE US ARMY CORPS OF ENGINEERS 6508 FALLS OF THE NEUSE ROAD, SUITE 120 RALEIGH, NC 27615 TELEPHONE (919) 876-8441 WASHINGTON REGULATORY FIELD OFFICE US ARMY CORPS OF ENGINEERS POST OFFICE BOX 1000 WASHINGTON, NC 27889-1000 TELEPHONE (919) 975-1616 MR. STEVE BENTON DIVISION OF COASTAL MANAGEMENT NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES POST OFFICE BOX 27687 RALEIGH, NORTH CAROLINA 27611-7687 TELEPHONE (919) 733-2293 FAX (919) 733-1495 ASHEVILLE REGULATORY FIELD OFFICE_ US ARMY CORPS OF ENGINEERS 151 PATTON AVENUE, ROOM 143 ASHEVILLE, NC 28801-5006 TELEPHONE (704) 271-4854 WILMINGTON REGULATORY FIELD OFFICE US ARMY CORPS OF ENGINEERS POST OFFICE BOX 1890 WILMINGTON, NC 28402-1890 TELEPHONE (910) 251-4511 ti ? p U i I ( I I O -n ci] :• T =v t r Ut 7 0 ?ri I ' F;- C7 CD T >A .U I I ? m ?] Z ? _ u CD • r I I t ..?? rte a) fit ? m r? I Tl r- S FYI -v - f rl _- O Uf m + I ( it c d D I ? Ii f?- _T I I co M 71 0 4 - rn i jj74 to ? -t- L I D? _U 11 D 7 CU `_ I I C7 fri Ul -:? - CJ 5 -I Irl O en I> ILIA / ? I I f ' I ? i J I t cWSI a a L! T f i 0 1 1 f 1 x ? r N O . _ z c? l i I hh I ( , 1 1 1 f{ i r I II f ? ? - _ I I I :. !r•i II- r_l .. . ,- \ \ \ / ? mar ._ , s -- --------- - U!l 0.5 i \` I II(? 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L IY •' IK \ :D°e f??^" ,•s I? r` p' '? <? y !t ?o ? I?? I i 1 a pWlO` I o ? ` T A u - --------- - ----- 'Al IIWyi y` ? . ,\ n I?p ? J IN ?, ? ? ,1',? w W d ?? V. y IN r) ?'/• ? '? ' ? ,\ ` I? • ? ? 5 IN C,1/ \ (? 9 1 " °. IW N :. W' I `° I' t.. w'\ L II ter.. I3 N i I N , I _ r I .\ I ' _\•I?~?\ IJ, lb °? I? I• u WI I? ? I ''? v s n / \ •\\? oO !. J•. '- `._'? F{!. w A- l / ?IW r? N / I_ \\ I N I o arms I? b. ? / \ {[??( a. r. \ y \N. s' t,9• I? - g?a/?I ? ?• N'S .'l: I& • ?'^`?,/ ?/) ?? t .3} I8 ?}I a•? nl? ?? is 4' \G?, •3 /? •\ '? oo? Q \ IG i.:?, ( N ?'1 W r.o m I I OD, IDS ,. i 19 • N 00 I" ..-. N ILi°u. UU N . '• Im? ? I8 I.4 ZA, l.? 1 .mot ° ? / • I? m ? I? r 01 Ic \'\ Im•91N a I? v I? N1.? 1 _ k:uai P ?...: // \. - - \\1Vt~ ly .- ? ie .. 7r.rl. ?? t I?' ?° e ?•i' ? I1C" ,?/`'. 0 .P b Fyy f!y 1 ? C E I i. k FIY:Nfttk `ivwK;g t i? k ?. 00400 c? K e MST?4 0106 45 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY LYNDO TIPPETT GoV I?RNOR ' ?.. SECRETARY Bridge Maintenance Unit\ P. 0. Box 1150 Fayetteville, N. C. 28302 Division of Environmental Management John I lennessey. WQ Certification I Init P. 0. Box 29535 Raleigh, N. C. 27626-0535 Dear Mr. I Iennesscy: March 28, 2001 01 0645 Please find seven (7) copies of an application form and attached check in the amount of $ 200.00 for Water Quality Certification Permits and for your review of this project. I I'vou have any questions or comments, please call me at 910-829-6345. Thank you for your assistance in this matter. Sincerely X11 ? L. E. (lpoie, .I r, 1'. E. Division Bridge Maintenance Engineer Attachments I /-I P AYMENT RECEIVED P. O. Box 1 150 -Fayetteville, N. C. 28302 - PHONE: (910)486-1557 - FAX: (910)486-1959 C O 0 t 0 n r? z O \ N O J n \ t? N d O y O ? I-? O Ch A N ? 0 c o O y D z z O rn O O Lrl Z n v m s ?T 3z m0 z0 y? 01 y m ZA N z O 0 D O Z