19970780 Ver 1_Complete File_19970923

DEM 7D: CORPS ACTION ID:
wt V1 0 J !
99,
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT
PRE - CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE::
3.) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 403. CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SI,ND THE ORIGINAL AND (1) COPY OP Till$ COMPLLT ED 1,'ORM TO THE, APPROPRIATE
F'I ELU OFFICE OF THE CORPS OF F.NCIINEERS (SEE AGENCY ADI)RE SSES SHFE'T) . SFVJI NT
(7) COF'llaS SHOULD BE .SENT TO THE N.C. DIVI::SION OF 1,11PJ1.ROWME1TTAL MANAGEMENT
( SEE AGENCY ADDRESSES SHEET) . PIE U PRINT .
1. OW14ERS NAME:
r
2. MAILING ADDRESS:
SUBDIVISION NAME:
CITY: % / STATE- ...,ti/ � _ ZIP CODE; ZI!$�?J'
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) :
3. TELEPHONE NUMBER (HOME) F'"- "` 9+ -e 0 (WORK) (D f) 7,74--5919D
4. IF APPLIC'AB.LE: AGENT'S NAME,OR RESPONSInLE CORPOkATE OFFICIAL,
ADDRESS, PI•IONE NUMBER:
3'7
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY W1TH SCAL E) :
COUNTY: p U Ar C&A&4�— NEAREST T01414 OR CITY: A_5A�gvzj'�
Q
!9 ,
`I /N 9,
�S

SPECIFIC LOCATrON (rNCLUDE ROAD
NUMSERS, t,MDMARKS, ETC.)
cJ L)5 i �,�GsS�" b� inl�cl�YZ -s SWA--? , OA--L�
6. IMPACTED OR NEAREST STREAM /RIVER:
RM-R BASIN: r49. 15A�O Alf>
/Af Tit.(; T.� 1,4JA-�P� 600/-f-54-
7a. IS PROJECT LOCATED NEAR WATER AS TROUT, TID!LL - PLTWATZ ,
(SA) , HIGH QUALITY WATERS (HOW) , OUTS'rMMZNG R.ESOURCE WATzR5 (ORW) , WATER
SUPPLY (WS -I OR WS-11)? YES ( j NO IF YES, E.XPLA114:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAR.OLIt7A DIVISION OF COASTAL COASTAL
MANAGEMENT ARSA OF ENVIRONMENTAL CONCERN (Ar,C) ? YES C J NO
7C. r° THE PROJECT TS' IOCATSD WITH? N A COAS'T'AL CouvrY (SEE PAGE 7 FOR
LIST OF COASTAL, COUNTIES) r WHAT IS ',Hy, ;LUp) D£S:vNaT =CiN7
A14—
8a. HAVE AtrY SECTION 404 PERM I S i3EEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES C }' NO p. IF Yt�S, PROVIDE ACTION I.D. tn7MBER 01'
PREVIOUS PERMIT AND 4NY ADDITIONAL, INFORMATION ( INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
6b. A:RE AADIT'IONAI, P ' IT REQUESTS EXPECTRO FOR THIS PROPERTY IN THE
501:0RE? YES ( ) NO �IF YES, DESCRIBE ANTICIPATED WORE:
2

SEP 10'97 11:55 NO .005 P-07
�� r+r�+•+� �� +r :. of tl'd K:i
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND:
9b. ESTIMATED TOTAL NUMBER OF ACRES OF '+ TLANDS LOCATED ON' PROJ-ECT SITE:
4.of ''e-o
10a. NUM eR OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJEcr BY:
FILLING:
EXCAVATION:
FLOODING:
OTHER:
/
TOTAZ ACRES TO 8E
IMPACTED :
10b. (1) ST2C,LM C%. NNNEL TO SE IMPACE-D BY TIKE PROPOSED
PROJECT (Z:
RELOCATED, PROVIDE .DZSMCE BOTH BEFORE AND AFTER
RELOCATION)
VT
�
LENG� BEFORE:
AFTER:
t:4
WTDlm.. BEFORE (based oft normal
high water contours):
rm
WIDTH AFTER:
C.'r
AVERAGE DEPTH 08FORE :
Ar"'TER
: QJ
CT
(2) ;zTR -- EM �'__ ANNFL 249.A=5-
WILL RES '^ �C,?�:
(CHECK ALL THAT
AP?DY)
OPEN CRANNLrL RELOCATION:
PLACS, tENT OF
912E ZN C :AANNEL :
ix
CHANNEL EXCAVATION:
CONSTRUCTION OF'
DAM/FLOODING:
OTHER:
LL. IF CONSTRUCTION OF A POND IS PROPOSED, WHATp.;/a/�E SrZE 0�' 2'Fik:
WATERSHED DRAINING TO THE POND? �J�/
WHAT rS THE EXPECTED POND SURFACE AREA?
L2. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYpE OF
3

I.S. loo
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY)!
13. PURPOSE OF PROPOSED WORK:
14. STATE REASON'S WHY IT IS BELIEVED TRAT THIS ACTIVITY tlg.7ST BE CARRIED
OUT IN WETLANDS. (INCLUDt ANY MRAZURSS TA=-N, TO MINIMIZE WF=km
IMPACTS)
eAj
CJ 5 4
YOU ARE REQUIRED TO CONTi T THE U.S. FISH r1NL WILDLIFE SERVICE
(USFWS) A:M /OR NATIONAL MARINT FISHERISS SERVICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF ANY FEDCPALLY LISTED OR
PROPOSED FOR LISTING ENDANGERED OR THREATENFL) SPECIES OR CRIT1=1 HA_SITAT
IN THE PERMIT INREA, THAT MAY BE AFFE TE BY THE PROPOSED PRWECT. DATE
CONTACTED; % /%f' — ' I �//0��1� (ATTACR RESPONSES
FROM THESE AGENCIES.}
10. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATtog OF.FICEp
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHXcii KAY QE A.F'FLC'TF BX/THE PROPOSED
PROJECT. DATE CONTACTED!
S ( /O/ y�
17. DOES THE PROJECT INVOLVE AN EXPUMITURE ' OV PC,'BLIC rtINDS OR THE USE OF
PUBLIC (STATE) LAND?
4

YES ( ) NO �<(IF NO, GO TO 18 )
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVtROWMENTAi,
DOCUMENT PURSUANT TO THE REQUI MENTS OF, THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT?
YES ( ] NO ( )
b. IF YES, 11AS THE DOCUMENT BEEN REVIEWED THROUGi? THE NORTH CAROLI -NA
DEPARTMENT OF ADMINISTRATION S ATE CLEARINGHOUSE?
YES (J NO (j
IF ANSWER TO 17b IS YES, THEN SUBMIT APPRQPRI;ATC DOCU IEN'.ATION FROZI THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMM- ITAL MAI1AGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL, POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE RE'Vjj*w pRoCE55 SHOULD BE
DIRECTED TO MS. CHRYS BAGGF'PT, DIRECTOR STATE CLF.AI?INGHOUSC, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 3.1.6 WEST JONZS ST?tEET, R.&LF,IGN,
NORTH CAROLINA 27603 -8003, TELEPHONE [phone],
1.8. THE E'OLLOWING ITEMS SHOULD BE INCLUDED WITH 17HIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCIL RGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLA TD DELINEATION MAP SHOWING ALL WETLANDS, SZR-T-AMS , LAKES
AND PONDS ON THE PROPER'T'Y ( FOR NATIONWIDE PERMIT NUMBERS 1-1, 18, 21, , 26,
29, AND 38) . ALL STREAMS (ZVT 'UAI —TENiT AND PE.$AN
ME,7T) ON THE PROPERTY
� BE SiiOWN ON THY MALE, ' .".KAP SCALES SHOT= CAE I INCH EQUALS SO FEET OR 1
INCH EQUALS 100 FEET OR 'THEIR EQUIVALENT.
b. IF AVAIL.AnLE, RZ- PRESENTATIV"F, PHO'YOGRAPff 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 L,A.IMD USE OF SURROUNDING PROPERTY? T //q -L---
1
C. rF APPLICABLE, WHAT YS PROPOSED METHOD OF SEWAGE DISPOSAL?
5

U5 ARM,( CORPS /EllGRS ID :1- 704 - 252 -1721
SEP 10'97 1'1 � 57 Mrs .001 P-10
0--ru�w+/3c'
g. SIGNED AND DATED AGEIiT AMORIZATION LETTER, IF APPLICABLE,
MOTS: WETLANDS OR ''RAVERS OF TIM U.S. MAY NOT RE LMPACTED PRIOR T.O r
1) IS8VANCE OF h SECTION 404 CORPS OP ENGINEERS PLRMIT,
2) EITHER TIM ISSUANCE OR WAIVER OF A 401 01VI9xON CEO
ENVIROiS anrfAL MANAGEl,iFNT ('AAT'ER QUALITY) CERTI'FICA=011T, AIM
3) (IN ME TW — TY COASTAL COUNTIES ONLY) , A LETTER FROM 'IRE
NC?F,TH CAROLINA DIVTSION OF COASTA. HWTAGMCEM STATING THE PROPOSED
ACTIVITY IS CONSIS WITH THE NORTH CAROLINA, COASTA -L MANAGEMENT
PROGRAM.
7,
r--�
' /AGENT'S GNATURi
AG S ATUR.E. VAT, I ONLY
IF AUT14 x ZAT I ON LETTER FROM
THE OWNER IS PROVIDED (18g.))
N
N
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qllZ)lq-�7 . .
I I DAT�

ADVANTAGE DEVELOPMENT CO.
FAX COVER SHEET
PLEASE DELIVER THE FOLLOWING PAGE(.:,) TO:
NAME :
COMPANY : / �6G /�
PROJECT:
TOTAL N -BER OF PAGES: % (INCLUDING COVER SHEET)
DATE: `�� ° /�� TIME:
IF YOU HAVE ANY PROBLEM RECEIVING THIS TRANSMISSION OR HAVE
QUESTIONS CONCERNING THIS TRANSMISSION, ?PLEASE CALL:
NAME
Advantage Development Co.lele:7"AOMC-:- 704/274 -5850 (Voice)
51 Turtle Creek Dr. �,�oJ�itLC.r 704/274 -1X26 (rax)
Asheville, NC 28803
COMMENTS:
(j
C01_?_?5 0
P.01

State of North Carolina
Department of Environment,
Health and Natural Resources nooVip
Division of Water Quality
ter. %
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary p E H N FI
A. Preston Howard, Jr., P.E., Director
October 21, 1997
Buncombe County
WQC 401 Project #970780
APPROVAL of 401 Water Quality Certification
Mr. Richard Green
Advantage Development Company
51 Turtle Creek Road
Asheville, NC 28803
Dear W. Green:
You have our approval, in accordance with the attached conditions, to culvert 60 feet of waters for the
purpose of developing a commercial site at Mills Gap Road, as you described in your application dated
September 15, 1997. After reviewing your application, we have decided that this fill is covered by General
Water Quality Certification Number 3108. This Certification allows you to use Nationwide Permit Number 26
when it is issued by the Corps of Engineers. In addition, you should get any other federal, state or local
permits before you go ahead with your project including (but not limited to) Sediment and Erosion Control,
Coastal Stormwater, Non - Discharge and Water Supply Watershed regulations. Also this approval will expire
when the accompanying 404 or CAMA permit expires unless otherwise specified in the General Certification.
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. If total
wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required
as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the conditions listed
in the attached certification.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 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 Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone John Dorney at 919 - 733 -1786.
Sincerely,
ton Ho Jr. P.E.
Attachment
1
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Asheville DWQ Regional Office
Mr. John Dorney
Central Files
Division of Water Quality • Non- Discharge Branch
,4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post oonsumer paper
9707801tr

0 py
4EMORANDUM PRINT NAMES:
Reviewer
70: JOHN DORNEY' WQ SUPV.:
ENVIRONMENTAL SCIENCES BRANCH DATE:
)UBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
** *EACH ITEM MUST BE ANSWERED (USE N/A FOR NOT APPLICABLE) * **
PERMIT YR:
APPLICANT NAME:
PROJECT TYPE:
COE #:
RCD_ FROM _CDA:
REG OFFICE:
97 PERMIT NO:
RICHARD GREEN
COMMERCIAL
APP
ARO
ZIVER_AND_SUB_BASIN_ #: 6
STREAM CLASS:
WL_IMPACT ?: N
WL_REQUESTED : /✓�
WL_SCORE( #):
MITIGATION ?: Y N
0000780 COUNTY: BUNCOMBE
PERMIT TYPE: NW26
DOT #:
DATE FRM CDA: 09/15/97
STR_INDEX_NO : 6— —7 t
WL_TYPE:-
WL_ACR_EST ?: Y/
WATER IMPACTED BY FILL? • Y /�C�^�`9 .
MITIGATION TYPE: (J� a-
MITIGATION_SIZE: DID YOU REQUEST MORE INFO ?: YIP
IS WETLAND RATING SHEET ATTACHED ?: Y f )
HAVE PROJECT CHANGES /CONDITIONS BEEN DISCUSSED WITHrAPPLICAN ? Y/
RECOMMENDATION (Circle One . ISSUE SSUE /COND DENY
COMMENTS:
Cu c<
k3_4
Oz
I
�u /��22'Ftir �� j99J
'c: Regional Office
Central Files

10/14/7.997 06:44 7042516452 PAGE 01
+ N. C. DEPARTMENT OF ENVIRONS AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFFYCE
59 WOODFIN PLACE
ASHEVILLE, NORTH CAROLINA 28801
PHONE /704/251 -6208 FAX/704/251 -6452
TO: Z�� / Cr. - A /,om�
PAX #:
FROM :!
DATE : p)
# OF PAGES INCLUDING THIS COVER:
MESSAGE: If cue" one. vlease call 704/251.6208.
A,'
_4 ,71 , a,

y •,rrwa •.r. rrw. r yyLYL1t iv. Vvwv /VV vw UAV4ii 37Vl \LVl'lAJ,l
APPLICANT NAME: RICHARD GREEN
PROJECT TYPE: COMMERCIAL PERMIT TYPE: NW26
COE #: 150T_# :
RCD FROM CDA; APP DATE— FRM_CA: 09/15/97
REG OFFICE : ARO
RIVER_AND— SUB_BASINJ : 6 STR_INDEX„N0: 6-7
STREAM CLASS: �• +�
WL_IMPACT ?; N WL_TYPE: -
WL REQUESTED: ^%� WL_ACR EST ?. X/
WL_SCORE ( #) : j a-- WATER IMPACTED BY FILL? Y/
MITIGATION? : YI(N 1 MI'TIGATION_TYPE:d
''�'"
MITIGATION_SIZE: DTP YOU REQUEST MORE INFO ?: X
IS WETLAND RATING SHEET ATTACHED? ; Y/
HAVE PROJECT CHANGES /CONDITIONS BEEN DISCUSSED VITIL- A,FFLLIYC -- ANT?
RECOMMENDATION (Circle One ISSUE SSUE /COND DENY
COMME, US i
QCa Regional Office
Central Files

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.� Il
ITEM ID: c V ► w n CORPS ACTION ID: otp I �.
r � FM�i�„ /y9J
NATIONWIDE VERM11' REQUESTED (PROVIDE NATIONWIDE 11ERMI`1' if)
PRE- CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT R80UIRE:
1) NOTIFICATION TO T14E CORPS OF 2N( -3INEER.S
2) APPLICATION FOR SECTION 403. CERTIFICATION
3) COORDINATION WITH THE NC DIVISION Or COASTAL, MANAGEMENT
SI.ND THE ORIGINAL AND (1) COPY OP THIS COMPLLT ED FORM TO '"'HE AI>PROPRIATE
)'XELU 017-PICE OF THE CORPS OF ENG'INBEkfi (SEE AGENCY ADDRESSES ,SHEET) . SFVENT
(7) COP1hS SHOULD BE SENT TO THr., N.C. DIVISION OF 2llPJ;.1= :UWMENTAL MPSIAUEMP'NT
(SEE AGENCY ADDRESSES SHEET). 21EASR PRINT.
1. OW14ERS NAME, b
,�ml ep w,
i
2. MAILING ADDRESS:
SUBDIVISION NAME:
CITY- : h�av/uer__ STATE: . _ ZIP CODE; 7199,03
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT PROM
MAILING ADDRESS ABOVE) : 1 CLS 4 ,P-tI A-t>
3. TELEPHONE NUMBER (HOME) F`"- "`" 9+ -,o (WORK)
4. IF APPLICABLE: AGENT'S NAME.OR RESPONS18LE CORPORATE OFFICIAL,
ADDRESS, PHONE- NUMBER: �� S � ' ��SC =�, / � ""&vv j
('7,04)
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COrrY OI' USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: l���vf3r NEAREST TOWN OR CITY:��

SPECIFIC LOCATION ( INCLUDE ROAD
NUMBERS, t.ANOMARKS, ETC.):
6. IMPACTED OR NEAREST STREAM /RSVER:
RIVL'R BASIN:
"do 6A-1-�:>
7a. IS PZOJCC'-' 'LOCATED NT-AR WATER CLASSIFIED IFIED AS TROUT, '1 ID.kL SALTWATER
(SA), HIGH QUALITY WATERS (HQW) , OUT$'IANDZNG MSOURCE WATERS (ORW) , WATER
SUPPLY (WS-1 Ok WS-11)? ? YES ( } NO IF YES, &KPTiklIq:
7b, IS THE PROJECT LOCATED WITHIN A NORTu C.AROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONC8 -RN (Ap.c) ? YES ( l NO k
7c. I° THE PROJECT XS:..LOCATED WITHIN A COASTAL COCRi'r" (SEF PAGE 7 FOR
Li ST OF COASTAL COUNTIISS) , 'AlAT �i %S THE :,ALA US'. ?Ln:�1 (��: ?) DEa :.:��IATI0N7
8d. HAVE AITY SECTION 404 PERMITS _I.EEIN PREVIOUSLY REQiJFSTED FOR USE 09
THIS PROPERTY? YES ( } ' NO V�'_� IF YZS, PROVIDE ACTION I.U, N'UMBER or
PREVIOUS PERMIT AND ANY ADDITIONAL, IiIFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFIWION) :
ab . A_'•?E ADDITIONAL P " IT nQUESTS ExPECTP -o FOR THIS PROPER'Y XN THE
FUTURE? YES ( } NO IT
YES, DESCRIBE ANTICIPATED WORD::
K

i� HKIYIT i-ut:" cPS!,K
lu 1- r�� -�`� -1721 SEP 10'9 - 11 PI��.0 ►05 p-0('
9a. ESTIMATED TOTAL NUMBER OF ACR -S IN TRACT OF LAND :
9b. ESTIMATED TOTAL NUMBER OF ACRES OF" WETLANDS LOCATED ON PROv -ECr SITE:
Ina. NUMD2P, OF ACRES OF WETLANDS IMPACTED F3Y T:iE PROPOSED PROJECT BY:
FILLING:
FLOODING:
1� 4�
EXCAVATION:
OTRER :
TOTAL ACRE'S TO BE ZXPACTED :
10b. (1) STgZ,.M C:LNNNEL TO SE IMPACTED By THE PROPOSED PROaC"
RSLOC.ATDD, PROVIDE D:STANCE MOTH BE -FOR2 AND AFTEW RELOCATION)
LENG . R BEFORE: F'r AFTER : F'i
WIDTH BEFORE (based an normal high water contours): � cr
WIDTH AFTER: cr
AVERAGE DEPTH 05FORE: /� cIr AntER: [T
(2) ;Z'Cg!�A (-!jAzMlL WILT, `i.. Sj r : Qd! (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
C:�t ?EL EXCAVATION: CONSTRUCTwQN OF Dt'1M /FLOOQING :
OTHER :
1.1. IF CONSTIRUCTTON OF A POND IS PROPOSED, WHATe
E SIZE OF THE
WATERSHED DRAINING TO THE POND?
WHAT IS THE EX*?E'C'IED POND SURFACE AREA?
12. DESCRIPTION OE PROPOSED 'CORK INCLUDING DISCUSSION OF TYPE OF
3

MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY):
13. PURPOSE OF PROPOSED WORK:
1 4. STATE REASONS WHY IT IS BELIE ED 'MkT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUD't ANY MLAZu'RES TAKEN TO MINIMIZE WETLAND
IMPACTS)
I.S. YOU ARE REQUIRED TO CON -ritT THE U.S. FISH MD WILDLIFE SERVICW
(USFWS) A;iO/OR NATIONAL MARINI; FISHERIES SERVICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR
PROPOSED FOR LISTING ENDANGERED OR THREATENF,D SPECIES OR CRIT?CAL HA_SiTAT
IN THE PERMIT AREA THAT MAX BE A.FFE TE BY THE PROPOSED PROOTECT. DATE
co:rrACTED -, /-'� % % 02- 570 I 1// OH -7 (ATTACIJ RESPONSES
FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRrSERV'ATXON OF.FICMR
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HIST*OR.»C
PROPERTIES IN THE PERMI-r AREA wHXci1 Y 13E AI'FLC'II° BY THE PROPOSED
PROJECT . DATE CONTACTED :(���- 5 f�
17. DOES THE PROJECT INVOLVE AN EXPUMITURE ' OF Pti -BLIC rUNDS OR THE USE OF
PUBLIC (STATE) LAND?
4

YES H NO �<(IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVYR09MENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF, THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT?
YES H NO (J
b. IF YES, iLAa THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION S ATE CLEARINGHOUSE?
YES H NO (j
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION i ROt•1 THE
STATE CLEAi2INGHOUSE TO DIVISION OF ENVIRONMPNrAL ,4AIIAG- -�jENT REGARDING
COMPLIANCIE WITH THE NORTH CAROLINA ENVIRONMP�NiAL POLICY ACT.
QUESTIONS REGARDING TliE STATE CLEARINi CaOUSE REVIEW PROCESS SHOULD CIE
DIRECTED TO MS. CHRYS BAGGFO"T, DIRECTOR STATE CLF.APINGHOUSC, NORTH
CAROLINA DEPAR'T'MENT Or ADMINISTRATION, 1.16 WEST JONES STRErT, RALZIGN,
NORTH CAROLINA 27603 -6003, TELEPHONE [phone],
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH ;'HIS ,APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WT',iLANDS, STTtrMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PcRMIT NTi4BERS 14, 18, 21, 26,
29, AND 3 8) . ALL STREAMS (INTEI MI TTENT AND PERMANEi1Z•) ON THE PROPERTY
14UAT BE S11014N ON THS MALE • ' "'MAP SCALES SHOULD A;Z' 1 INCH EQUALS SO FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILASLE, R.£PRESENTATIV'F, P40TOGRAPFH OF WETLANDS TO BE
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMSO BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d.. ATTACH A COPY OF!T,HE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e . WHAT IS LAND USE OF SURROUNDING PROPERTY? L--rjT/
C. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
5

US AF:t.jy GQPPS /ENGF,
10 : 1- 704 - 252 -'1721 1 1 i :57 110 .005 P .10
Ty rev r 7/9 ye ( 5L'`Z+J L)L� ?—o m cj a-F
eov
q. SIGNED AND DATED AM1T A=ORZ%ATION UTTER, IF A.PPUCA$LE.
NOTE: WETLANDS OR WATERS OF TM U.S. MAY NOT 8E iMPACM PRIOR TO:
1) ISSUANCE OF A SECTION 104 CORPS OF ENGINEERS PERMIT,
2) EITIM Ti3E ISSUANCE OR WAI"R OF A 401 DIVISION OF
F ;'IROWU:N'TAL V,,AriltGEMENT 04 -ATER QUALITY) CER.TIPICA.TxON, AND
3) (IN TH'Is TWr.1VTY cOAsTAL Co=.rES OML Y) , A LET ER FROM TIKE
KOR H C.AROLXNA DIVISION OF COASTAL MANAG£MMiT STA.TI:NG THE PROPOSED
ACTIVITY IS CONSISTLtNT WITEI THE NORTH CAROLINA COASTAL MAaVAGEMENT
PROGRAM. `
iAMfEN'T'' S GNATURi DAT�
ATMRE ' VAT, ID ONLY
Z F ZAT'CJN LETTER. FROM
THE OWNER IS PROVIDED (18g.))
9
H
G

A VANTAGE DEVELOPMNT CO. �
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