Other

Water Resources
Environmental Quality
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02H .0506(b)(4) Water Quality Certification,
Notification of Work in Trout Watersheds
FORM: TroutWS 11-2017
Notification of Work in Trout Watersheds Form
A. Applicant Information
1. Processing
la. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1 b. Has the NWP or GP number been verified by the Corps?
E Yes
■ No
1 c. Does the project meet all the Conditions of the applicable Water Quality
Certification
Yes ❑ No
Please note that your project may be subject to the Sediment and Erosion Control Program and/or Trout Buffers
implemented by the Division of Energy, Mineral, and Land Resources. Find more info at:
https://deq.nc.gov/about/divisions/energy-mineral-land-resources/erosion-sediment-control
2. Project Information
2a. Name of project:
Snead Driveway
2b. County:
Avery
2c. Nearest municipality / town:
Banner Elk
3. Owner Information
3a. Name(s) on Recorded Deed:
Kenneth and Marla Snead RECEIVED
3b. Responsible Party (for LLC if
applicable):
3c. Street address:
Gaultney Rd ofT - 5 2021
3d. City, state, zip:
Banner Elk, NC 28604
3e. Telephone no.:
Crr.)-WATER RESOURCES
3f. Email address:
linvillefallscam P� in [e-mail] J=. , u. ?JFt- F PERMITTING
4. Agent/Consultant Information (if applicable)
4a. Name:
Carrie Caviness, PhD
4b. Business name
(if applicable):
Interface Environmental Consulting, LLC.
4c. Telephone no.:
[phone]
4d. Email address:
[e-mail]
B. Project Information
1. Property Identification
la. Property identification no. (tax PIN or parcel ID):
186903140682
1b. Site coordinates (in decimal degrees):
Latitude: 36.174863 Longitude: -81.843791
(DD.DDDDDD) (-DD.DDDDDD)
2. Project Description

2a. Explain the purpose of the proposed project (continue on back):
The purpose of the project is to provide a driveway access to a property (3.26 acres) to be developed as a single residential
home. A single, 8' arch pipe culvert (96" x 67") with stone headwalls on the upstream and downstream end of the pipe will
be installed to enable property access directly from Gaultney Rd. The culvert will be installed along Shawneehaw Creek (8-
22-7; C, Tr). Permanent impacts equal pipe length = 25 linear feet.
2b. Describe the overall project in detail, including the type of equipment to be used:
The pipe will be installed in the dry, with contractors using sandbags and pump- around to work in the dry. The project will
be installed and stabilized prior to the trout moratorium taking affect on October 15'h. A trachoe will be used to install the
pipe at least 1' below the existing streambed per NW14/GC4135 conditions related to culvert installation. The pipe will then
be backfilled with a series of gravel and geogrid layer and effaced with stone headwalls on either side so that the impact to
the stream will only be the length of the proposed pipe (25 If). The property will be accessed by construction equipment via
an existing tertiary driveway from Deer Run Ln.
gin,
„ , .
C. Stream Impacts: Please list all proposed impacts to the stream
la. Stream Name: -
lb.
Type of impact
Average stream
width (linear feet)
Impact length
(linear feet)
■
Bank Stabilization - Sloping and Revegetating
•
Bank Stabilization - Sloping and Riprap/Armoring
•
Bank Stabilization - Gabion Baskets / Retaining Wall
Culvert Installation
Culvert Diameter: 8' Arch (96" x 67")
2.5-3'
25'
❑ Temporary Impacts for required dewatering activities
❑ Other (describe):
1 c. Comments:
Carrie Caviness, PhD
Owner/Agent's Printed Name
Date
09/27/2021
Owner/Agent's Signature
(Agent's signature is valid only if an authorization letter from the owner is
provided.)

For non -transportation projects send one (1) copy of the completed application to DWR:
If sending via US Postal Service:
NC DWR - 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.):
NC DWR - 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
For transportation projects send one (1) copy of the completed application to DWR:
If sending via US Postal Service:
DWR - Transportation Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.):
DWR -Transportation Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604

AGENT AUTHORIZATION, FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. N/A PLAN NO. N/A
PARCEL ID(s): 18690314118 .
STREET ADDRESS: Gaultney Rd Banner Elk, NC 28604
Property Owner: ;;Kenneth and fi,1arla Sneed SN'e cc
The undersigned, registered property owners of the above noted property, do hereby authorize
Carrie Caviness, PhD , of Interfce Environmental Consulting. LLC
(Contractor/Agent:) (Consulting Firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 205 Linville Falls, NtC 28647
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to
the best of ocnowledge.
Authorized Signature:
Date: 3 l U