19970105 Ver 1_Complete File_19970723

DIVISION- OF WATER QUALITY
WATER QUALITY SECTION
401 COMPLIANCE MONITORING
FORM
DWQ Investigator: Gd ��PiG1 , �, �feer� a iS DWQ �. �7/ 0�
11;1 3 Date : Time: �r Od Regional Office: ,Q County: 6w"UIAW5
Project Name: ) 19 5Je iS% r
--- Permittee: -
Location of Project: _0(y_,5 fl 8017 COl ur."iO5 M-ei?y H1g115 �o�d
Type of Development Authorized: UU� �11ij�4�it v�G%i.�►�H�
Type of Permit / Water Quality Certification:
Type of Impact: _ Y�X �i Vd`�io14 _ ario) �% /l - (rye_d&e) o -r- fie, �4w
Wetland Type and DWQ Rating:
Nearest Stream: L cl m k4v A yef Basin/Sub.:
Distance
of Wetland Impact
from Nearest Surface
Water:
Specific
401 Conditions: _
55 eat,
re!ya -e3
Is .project in compliance with all conditions:
Comments / Description: A i &a,4
_ 4 a 10- d 4C,4 a
I vldt��
%0 t4 l l�vl U
w, 4 Wfier
y.f N
p. -
�u � a� �Gio ✓i z�o�
Is there a violation of the 401 Certification authorization ? !VD
If so complete the enforcement section on the back of this form and forward copy to
the Central / Regional Office.
Setif
Signature: Date:
DWQ 12196

Vc
I.E:M ID: 970105 CORPS ACTION ID:
IATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT )#):
� "'�°' 1tttgJJJJ
e 10 Inn—
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
YIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET) . SEVEN
I,7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
;SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
.1. OWNERS NAME: Jesse Register
'. MAILING ADDRESS: 665 Jonathan Pierce Rd.
SUBDIVISION NAME:
'ITY: Hallsboro STATE: NC ZIP CODE: 28442
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): South of Hallsboro in the Elbo Community
3. TELEPHONE NUMBER (HOME): (910)646 -6404 (WORK): (910)641 -7346
'I. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PRONE NUMBER: gam,-
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Columbus NEAREST TOWN OR CITY: Hallsboro
;,)UMBERS, LANDMARKS, ETC.)
SPECIFIC LOCATION (INCLUDE ROAD
South of SR 1909 and East of SR 1001

. t
6. IMPACTED OR NEAREST STREAM /RIVER: River Swamp /Waccamaw River
RIVER BASIN• Lumber River Basin
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 [ )d
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST
OF COASTAI, COUNTIES) , WHAT IS THE LAND USL: PLAN ([,UP) 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 (INCLUDE PHOTOCOPY OF 401
CERTIFICATION) :
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [X] IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 29
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: %2
FLOODING: 22
DRAINAGE:
EXCAVATION: %2 acres
OTHER:
TOTAL ACRES TO BE IMPACTED: 3
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): N/A
LENGTH BEFORE:
FT AFTER:
WIDTH BEFORE (based on norinal high water contours):
5
FT
FT

WIDTH AFTER:
AVERAGE DEPTH BEFORE:
FT AFTER:
(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: X
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND? qnn ir-_
WHAT IS THE EXPECTED POND SURFACE AREA? 22 ac.
FT
FT
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY):
Trackhoe ditch to constiruct dam. Dam will approximately 400 ft
long and 40 ft. wide.
13. PURPOSE OF PROPOSED WORK: Duck Empoundment
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
Best location, no other place on property would pond.
15. YOU ARE REQUIRED TO CONTACT
AND /OR NATIONAL MARINE FISHERIES
SHEET) REGARDING THE PRESENCE OF
LISTING ENDANGERED OR THREATENED
AREA THAT MAY BE AFFECTED BY THE
THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
SERVICE (NMFS) (SEE AGENCY ADDRESSES
ANY FEDERALLY LISTED OR PROPOSED FOR
SPECIES OR CRITICAL HABITAT IN THE PERMIT
PROPOSED PROJECT. DATE CONTACTED: 2 -5 -97
(ATTACH RESPONSES FROM THESE AGENCIES.)
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: 2-5 -97
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES [] NO :k, (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 [I NO i Y,
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 [phone].
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 19, 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? Woodland & Cropland
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 HE 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), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
00'
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
�- -� -19
DATE

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State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. Jesse Register
665 Jonathan Pierce Road
Hallsboro, NC 28442
Dear Mr. Register:
Post -it® Fax Note 7671 Date �
To From
- i rv+ �y� so: r � f
Co. /Dept. cs
February 18, 1997
Phone #
Fax #
e � --c>rl
/L e�ilS`I
On 12 February 1997, you applied to the N.C. Division of Water Quality (DWQ) for a 401 Water
Quality Certification to impact 3.0 acres of wetlands or waters for your project (construction of a dock
impoundment) located near the intersection of SR 1909 and SR 1001 in Catawba County. Your project has
been forwarded to Mr. Jim Gregson (910) 395 -3900 of DWQ Wilmington Regional Office for review. This
review will likely require an on -site inspection prior to the approval, modification or denial of your project
site. If you have sent additional information to the U.S. Army Corps of Engineers concerning this project,
please be certain that our staff have copies of this material so we can use it in our process in making a
decision.
According to our preliminary, in -house review since you propose to disturb greater than one acre of
wetlands, it is likely that compensatory mitigation will be required by DWQ for this project as described in
15A NCAC 2H.0506 (h). Our Regional Office staff can make this decision during their site visit. If
adequate mitigation is required but not provided, this project will likely have to be denied. Also if a
mitigation plan is required, we will place this project on hold until its receipt in our Central Office.
Enclosed are materials describing compensatory mitigation requirements for this program. Please call me at
919 - 733 -1786 to discuss these matters if necessary. Until a mitigation plan is provided, this application is
considered to be incomplete and our processing time will not start.
We recommend that you not impact any wetlands or waters on your project site until a 401 Water
Quality Certification has been issued from Raleigh, The issuance of a Corps of Engineers 404 Permit does
not mean that your project can proceed According to the Clean Water Act, the 404 Permit is not valid
until a 401 Certification is also issued. If DWQ staff observe impacts which are not allowable, you will be
required to remove the fill and restore the site to its original condition. I can be reached at 919- 733 -1786 if
you have any questions about the 401 Certification process.
Sincerely,
W ter Quality Ce on Program
cc: Wilmington DWQ Regional. Office
Central Files
970105.1tr
Division of Water Quality - 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 /101% post consumer paper

G
From:
JoAnne Steenhuis [ Joanne_ steenhuis @wiro.enr.state.nc.us]
Sent:
Monday, June 29, 1998 7:09 AM
To:
eric_galamb @h2o.enr.state.nc.us
Cc:
eric_fleek @h2o.enr.state.nc.us; rick _shiver @wiro.enr.state.nc.us
Subject:
Mary Register
Eric,
I talked with Donna Register of NRCS in Columbus County and
asked her about Mary & Jesse Register. They are different
farms .... Mary's husband Vester is Jesse's brother but they do not
work together or farm together. Vester is now deceased and
Mary's son Ronald runs her farm. If you have any other questions
call Donna Register at (910)642 -2348.
The information I had on Jesse's farm did not indicate a location on
the maps ... but by reading the so called directions to each farm
they were slightly different.
Joanne

9 7
ITEM ID: CORPS ACTION ID:
:IATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMI'P) : '+.WATER U�ili�cr
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
YIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET) . SEVEN
�1) COPIES SHOULD BE SENT TO 'P)iE N.C. DIVISION OF' ENVIRONMENTAL MANAGEMENT
;SEE AGENCY ADDRESSES SHEEP). PLEASE PRINT.
i. OWNERS NAME: Jesse Register
'. MAILING ADDRESS: 665 Jonathan Pierce Rd.
SUBDIVISION NAME:
'ITY: Hallsboro STATE: NC ZIP CODE: 28442
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): South of Hallsboro in the Elbo Community
3. TELEPHONE NUMBER (HOME): (910)646 -6404 (WORK): (910)641 -7346
9. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: gamy
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Columbus NEAREST TOWN OR CITY: Hallsboro
;)UMBERS, LANDMARKS, ETC.)
SPECIFIC LOCATION (INCLUDE ROAD
South of SR 1909 and East of SR 1001

6. IMPACTED OR NEAREST STREAM /RIVER: River Swamp /Waccamaw River
RIVER BASIN: Lumber River Basin
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 [ J 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 [3d
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST
OF COASTAI, COUNTIES) , WHAT IS THE LAND USE PLAN ([,UP) 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 (INCLUDE PHOTOCOPY OF 401
CERTIFICATION) :
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [)I IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 29
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 5
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING:
FLOODING: 22
DRAINAGE:
EXCAVATION: %2 acres
OTHER:
TOTAL ACRES TO BE IMPACTED: 3
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): N/A
LENGTH BEFORE:
FT AFTER:
WIDTH BEFORE (based on normal high water contours):
FT
FT

WIDTH AFTER:
AVERAGE DEPTH BEFORE:
FT AFTER:
(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: X
OTHER:
FT
FT
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND? 200 ac.
WHAT IS THE EXPECTED POND SURFACE AREA? 2z ac.
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY):
Trackhoe ditch to const)ruc't dam. Dam will approximately 400 ft
long and 40 ft. wide.
13. PURPOSE OF PROPOSED WORK: Duck Empoundment
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
Best location, no other place on property would pond.
15. YOU ARE REQUIRED TO CONTACT
AND /OR NATIONAL MARINE FISHERIES
SHEET) REGARDING THE PRESENCE OF
LISTING ENDANGERED OR THREATENED
AREA THAT MAY BE AFFECTED BY THE
THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
SERVICE (NMFS) (SEE AGENCY ADDRESSES
ANY FEDERALLY LISTED OR PROPOSED FOR
SPECIES OR CRITICAL HABITAT IN THE PERMIT
PROPOSED PROJECT. DATE CONTACTED: 2 -5 -97
(ATTACH RESPONSES FROM THESE AGENCIES.)
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: 2-5 -97
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES [] NO fK; (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 [I NO i IX
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 [phone].
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? Woodland & Cropland
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 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), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
ER'S /AGENT'S GNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
DATE

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