19970086 Ver 1_COMPLETE FILE_19970506

LEDFORD ENGINEERING

704 255 0770

P.01

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Voice [phone]

Ledford Engineering, Inc..
56 Ravenscroft Drive
Asheville. NO 28801

Fax (704) 255-OnO

Facsimile Transmittal

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Woe- =* ,l- () ()? kator ~ Quality (DWQ) was notified by receipt of a
ps of Engineers (letter dated 3 March 1997)
(ii:\ AMPAD REORDER rrpose of developing the Fairview Shopping
~ EFFICIE NCVe L -)~ . f- #23-006 tereby place 400 linear feet of stream into a
o ( L ().( I \..1 e. 4J t Y}) I tification from the state is required in order for
/P1 (7/ Ie tI; ~'-f ,'" r concerns will be for protection of
uuwm;U'l;:am U:5I;:S UlIUugn a WI;:L Ul;:ll;:nUUn pond and (possibly) a need for stream mitigation
if existing aquatic life uses are present in Buncombe County. Approval from DWQ is
required to disturb these wetlands. The enclosed application needs to be completed and
returned to us with 7 copies of the application, supporting maps and documentation. In
particular as described in 15A NCAC 2B .0502, we will require you to locate all streams
and ponds on the property. Please show these on maps of suitable scale (for instance 1" =
100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H
.0500. Until this information is received, this application is incomplete and our processing
time will not start

Apri:

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Please call me at 919-733-1786 if you have any questions or would require copies of
our rules or procedural materials.

cc:

Asheville DWQ Regional Office
Wilmington Corps of Engineers
Central Files
Lany Lewison; Ledford Engineerin

Division of Water Quality .
Environmental Sciences Branch, 4401 Reedy Creel
An Equal Opportunity Affirmative Action Em

1J( # 733-9959

..

DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
p.o. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
March 3, 1997

IN REPLY REFER TO

Regulatory Branch

Action ID No. 199702338 and Nationwide Permit No. 26 (Headwaters and
Isolated Waters)

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(' ~ ~ RECEIVED
MAR , 3 1997.

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Mr. Robert C. Hunter
Fairview Granite LLC
450 Airport Road
Suite 200
Mount Airy, North Carolina

27030

ENV1RON~"JTAl SCIENCES
-- ~ '. .......(J

Dear Mr. Hunter:

Reference your application of January 31, 1997, for Department of the
Army (DA) authorization to discharge fill material into 400 linear feet of an
unnamed tributary to Cane Creek in conjunction with site preparation for the
Fairview Shopping Center located at the intersection of US Highway 74 and
SR 2860, Laura Jackson Road, in Fairview, Buncombe County, North Carolina.
The stream is to be relocated into a 36-inch HDPE pipe. The proposal has been
reviewed by the North Carolina Wildlife Resources Commission (WRC).

For the purposes of the Corps of Engineers' Regulatory Program, the
"December 13, 1996 Federal Register, Final Notice of Issuance, Reissuance, and
Modification of Nationwide Permits (61 FR 65874)" listed nationwide permits.
Authorization was provided, pursuant to Section 404 of the Clean Water Act,
for discharges of dredged or fill material into headwaters and isolated waters
provided that the-activity meets all of the following criteria:

a. The discharge does not cause the loss of more than three (3) acres of
waters of the United States nor cause the loss of waters of the United States
for a distance greater than 500 linear feet of a stream bed;

b. For discharges causing the loss of greater than 1/3 acre of waters of
the United States, the permittee notifies the District Engineer in accordance
with the "Notification" general condition;

c. For discharges causing a loss of 1/3 acre or less of waters of the
United States, the permittee must submit a report within thirty (30) days of
completion of the work, containing the following information:

(1) Name, address and telephone number of the permittee;

(2) Location of work;

(3) Description of the work; and,

.'-

2

(4) Type and acreage (or square feet) of the loss of waters of the
United States (e.g., 1/10 acre of marsh and 50 square feet of a stream);

d. For discharges in special aquatic sites, including wetlands, the
notification must also include a delineation of all affected special aquatic
sites, including wetlands; and ,
e. The discharge, including all attendant features, both temporary and
permanent, is part of a single and co~plete project.

Whenever any other nationwide permit is used in conjunction with this
nationwide permit, the total acreage of impacts to waters of the United States
of all nationwide permits combined cannot exceed three (3) acres.

Your work is authorized by this nationwide permit provided it is
accomplished in strict accordance with the enclosed conditions, and provided
you receive a Section 401 water quality certification from the North Carolina
Division of Water Quality (NCDWQ). You should contact Mr. John Dorney,
telephone [phone], regarding water quality certification. This
nationwide permit does not relieve you of the responsibility to obtain other
required State or local approval.

This verification will be valid until the nationwide permit expires,
which will occur on December 13, 1998. All activity under the terms and
conditions of this nationwide permit must be completed before the permit
expires. It is incumbent upon you to remain informed of changes to the
nationwide permits, which will be announced by public notice when they occur.

We have evaluated potential impacts of your activity, and we have
determined that your proposal will not affect any endangered species.

When you have completed your work and any required mitigation, please
sign and return the enclosed certification form.

Questions or comments may be addressed to Mr. David Baker in our
Asheville Regulatory Field Office, telephone [phone].

Sincerely,

~~lJ.
(6K

~

Robert W. Johnson
Office Manager
Asheville Regulatory

Field Office

Enclosures:

.~

Copies Furnished (without enclosures)

Mr. John Dorney
Division of Water Quality
North Carolina Department of
Environment, Health and
Natural Resources
4401 Reedy Creek Road
Raleigh, North Carolina 27607

Larry Lewison
Ledford Engineering Inc.
56 Ravenscroft Drive
Asheville, North Carolina 28801

3

LEDFORD ENGINEERING INCORPORATED
56 Ravenscroft Drive
ASHEVILLE, NORTH CAROLINA 28801

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ATTENTION

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o Shop drawings
o Copy of letter

o Prints
o Change order

o Plans

o Samples

the following items:
o Specifications

WE ARE SENDING YOU
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o Attached

o Under separate cover via

o

COPIES

DATE

NO.

DESCRIPTION

!?

THESE ARE TRANSMITTED as checked below:
l)(For approval
o For your use

o Approved as submitted

o Resubmit

copies for approval

D As requested

D Approved as noted
D Returned for corrections

D Submit

copies for distribution

D Return

corrected prints

>

D For review and comment D

D FOR BIDS DUE

19

D PRINTS RETURNED AFTER LOAN TO US

REMARKS

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COPY TO

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If enclosures are not as noted, kind otify us a ceo

~

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality

James B. Hunt. Jr.. Govemor
Jonathan B. Howes. Secretary
A. Preston Howard. Jr.. P.E.. Director

RA

DEHNR

Apri123,1997

Mr. Robert Hunter
Fairview Granite LLC
450 Airport Road
Suite 200
Mount Airy, NC 27030

Dear Mr. Hunter:

Re: Proposed land clearing of wetlands
Buncombe County
WQC Project #970086

On 13 March 1997 the Division of Water Quality (DWQ) was notified by receipt of a
copy of your permit from the U.S. Army Corps of Engineers (letter dated 3 March 1997)
regarding your plan to fill wetlands for the purpose of developing the Fairview Shopping
Center in Fairview, Buncombe County and thereby place 400 linear feet of stream into a
pipe. As noted in the COE permit, a 401 Certification from the state is required in order for
the 404 Permit to be valid. It is likely that our concerns will be for protection of
downstream uses through a wet detention pond and (possibly) a need for stream mitigation
if existing aquatic lif~ uses are present in Buncombe County. Approval from DWQ is
required to disturb these wetlands. The enclosed application needs to be completed and
returned to us with 7 copies of the application, supporting maps and documentation. In
particular as described in 15A NCAC 2B .0502, we will require you to locate all streams
and ponds on the property. Please show these on maps of suitable scale (for instance 1" =
100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H
.0500. Until this information is received, this application is incomplete and our processing
time will not start

Please call me at 919-733-1786 if you have any questions or would require copies of
our rules or procedural materials.

Sincerely,

~~~'f~
R. Dorney
. ... ater Quality C. . a on Program

cc: Asheville DWQ Regional Office
Wilmington Corps of Engineers
Central Files
Larry Lewison; Ledford Engineering

970086.app

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/10% post consumer paper

."

DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
p.o. BOX 1890
WilMINGTON, NORTH CAROLINA 28402-1890
March 3, 1997

IN REPLY REFER TO
Regulatory Branch

Mr. Robert C. Hunter
Fairview Granite LLC
450 Airport Road
Suite 200
Mount Airy, North Carolina 27030

Permit No. 26 (Headwaters and

0~~~/

( '\ RECEIVED
MAR 1 3 1997,

if ~
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~

Action ID No. 199702338 and Nationwide
Isolated Waters)

ENVIRON~NTAL SCIENCES
C:' '1"'W

Dear Mr. Hunter:

Reference your application of January 31, 1997, for Department of the
Army (DA) authorization to discharge fill material into 400 linear feet of an
unnamed tributary to Cane Creek in conjunction with site preparation for the
Fairview Shopping Center located at the intersection of US Highway 74 and
SR 2860, Laura Jackson Road, in Fairview, Buncombe County, North Carolina.
The stream is to be relocated into a 36-inch HOPE pipe. The proposal has been
reviewed by the North Carolina wildlife Resources Commission (WRC).

For the purposes of the Corps of Engineers' Regulatory Program, the
"December 13, 1996 Federal Register, Final Notice of Issuance, Reissuance, and
Modification of Nationwide Permits (61 FR 65874)" listed nationwide permits.
Authorization was provided, pursuant to Section 404 of the Clean Water Act,
for discharges of dredged or fill material into headwaters and isolated waters
provided that the activity meets all of the following criteria:

a. The discharge does not cause the loss of more than three (3) acres of
waters of the United States nor cause the loss of waters of the United States
for a distance greater than 500 linear feet of a stream bed;

b. For discharges causing the loss of greater than 1/3 acre of waters of
the United States, the permittee notifies the District Engineer in accordance
with the "Notification" general condition;

c. For discharges causing a loss of 1/3 acre or less of waters of the
United States, the permittee must submit a report within thirty (30) days of
completion of the work, containing the following information:

(1) Name, address and telephone number of the permittee;

(2) Location of work;

(3) Description of the work; and,

2

(4) Type and acreage (or square feet) of the loss of waters of the
United States (e.g., 1/10 acre of marsh and 50 square feet of a stream);

d. For discharges in special aquatic sites, including wetlands, the
notification must also include a delineation of all affected special aquatic
sites, including wetlands; and
e. The discharge, including all attendant features, both temporary and
permanent, is part of a single and complete project.

Whenever any other nationwide permit is used in conjunction with this
nationwide permit, the total acreage of impacts to waters of the United States
of all nationwide permits combined cannot exceed three (3) acres.

Your work is authorized by this nationwide permit provided it is
accomplished in strict accordance with the enclosed conditions, and provided
you receive a Section 401 water quality certification from the North Carolina
Division of Water Quality (NCDWQ). You should contact Mr. John Dorney,
telephone [phone], regarding water quality certification. This
nationwide permit does not relieve you of the responsibility to obtain other
required State or local approval.

This verification will be valid until the nationwide permit expires,
which will occur on December 13, 1998. All activity under the terms and
conditions of this nationwide permit must be completed before the permit
expires. It is incumbent upon you to remain informed of changes to the
nationwide permits, which will be announced by public notice when they occur.

We have evaluated potential impacts of your activity, and we have
determined that your proposal will not affect any endangered species.

When you have completed your work and any required mitigation, please
sign and return the enclosed certification form.

Questions or comments may be addressed to Mr. David Baker in our
Asheville Regulatory Field Office, telephone [phone].

Sincerely,

~~tJ.
fDlZ

~

Robert W. Johnson
Office Manager
Asheville Regulatory

Field Office

Enclosures:

Copies Furnished (without enclosures)

Mr. John Dorney
Division of Water Quality
North Carolina Department of
Environment, Health and
Natural Resources
4401 Reedy Creek Road
Raleigh, North Carolina 27607

Larry Lewison
Ledford Engineering Inc.
56 Ravenscroft Drive
Asheville, North Carolina 28801

3

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality

James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director

NORTH CAROLINA DEPARTMENT OF"
ENVIRONMENT AND NATURAL RESOURCES

October 15, 1998
NCDWQ# 970086

Mr. Robert Hunter
Fairview Granite, L.L.C.
450 Airport Road
Suite 200
Mount Airy, N.C. 27030

SUBJECT: COMPLIANCE EVALUATION INSPECTION
Fairview Shopping Center
Buncombe County

Dear Mr. Hunter:

On June 5, 1997 you were issued General Water Quality Certification No. 3108 authorizing you
to place fill material in 138 linear feet of waters for the purposes of constructing the aforementioned
commercial development.

On August 1, 1998 Mr. Eric Galamb from the North Carolina Division of Water Quality's
(NCDWQ) Central Office and Mr. Mike Parker from NCDWQ's Asheville Regional Office conducted an
inspection at the above referenced project. As a result of this inspection, it was determined that your
project had been completed in accordance with your June 5, 1997401 Water Quality Certification.

If you should have any questions regarding this matter please feel free to call Mr. Galamb or Mr.
Eric Fleek at [phone].

Sincerely, p
--~,f~

Eric D. Fleek
Water Quality Certification Program

Cc: Mike Parker. NCDWQ Asheville Regional Office
David Baker, USACOE Asheville Field Office
Kathy Matthews, USEPA

Wetlands/401 Unit

4401 Reedy Creek Road
Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Raleigh, North Carolina 27607
FAX # [phone]
50% recycled/I 0% post consumer paper

State of North Carolina
Department of Environment I
Health and Natural Resources
Division of Water Quality

James B. Hunt, Jr., Govemor
Jonathan B. Howes, Secretary
A. Preston Howard. Jr., P.E., Director

RA

DEHNR

June 5, 1997
Buncombe County
WQC 401 Project #970086
COE #199702338

APPROVAL of 401 Water Quality Certification

Mr. Robert Hunter
Fairview Granite, LL.C.
450 Airport Road
Suite 200
Mount Airy, NC 27030

Dear Mr. Hunter:

You have our approval, in accordance with the attached conditions, to place fill material in 138 linear
feet of waters for the purpose of constructing a commercial development at Fairview Shopping Center, as you
described in your application dated 28 May 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 l50B 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 fmal 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. .

Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Asheville DWQ Regional Office
Mr. John Dorney
Central Files
Mark Ledford; Ledford Engineering Inc.

Sn~
~ +&wW,Jr. tJ

970086.1tr

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/1001o post consumer paper

"

1EMORANDUM

PRINT NAMES: ._
., Reviewer :t HIfM:?l.)
JOHN DORNEY WQ SUPV.:________ __
ENVIRONMENTAL SCIENCES BRANCH DATE:

WETLAND STAFF REPORT AND RECOMMENDATIONS

...

LO:

:;UBJECT:

***EACH ITEM MUST BE ANSWERED (USE N/A FOR NOT APPLICABLE) ***

PERMIT YR: 97 PERMIT NO: 0000086
APPLICANT NAME: FAIRVIEW SHOPPING CENTER
PROJECT TYPE: COMMERCIAL
COE_":
RCD FROM CDA: APP
- -
REG OFFICE: ARO

COUNTY: BUNCOMBE

PERMIT TYPE: NW 26
DOT_":
DATE_FRM_CDA: 05/06/97

~IVER_AND_SUB_BASIN_#: 040302
STRFfAM_CLASS:

STR INDEX NO: 6-57-(1)

WL IMPACT?:

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WL_REQUESTED:

WL TYPE:
WL ACR EST?~
WATER IMPACTED BY FILL?~
MITIGATION TYPE:
DID YOU REQUEST MORE INFO?~
IS WETLAND RATING SHEET ATTACHED?: Y€)
HAVE PROJECT CHANGES/CONDITIONS BEEN DI WITH APPLICANT?: Y/N

WL_SCORE( II) :

MITIGATION?:

MITIGATION SIZE:

'(;~~ ~ ~--~
~r----+- Ll>-t...U I ~~A= ~ (S 0 <.. r. '!6
<Sfu~/ No ~~~ .tJ~ ~

SSUE/COND DENY

RECOMMENDATION (Circle One)

COMMENTS:

~c: Regional Office
Central Files

- -. l,.

STREAi"I EVALUATION FORlVI

Project Name: fi4-tWleu) ~ ~ River Basin: +~ ~&-
Location: -:fau()(€i4 tU~ (B~ ~ J Nearest Stream: L'~ ~~
Date: ~ _(p -f 7 Evaluator: -;tl f {J&/t/a( (7dltl-ltuu.t.. (if/2./>)
County: 6uM.~ DWQ Project #:

Position: Lat

USGS Quad.

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topo or soil map? ~NO

RECOMi\1ENDA TION: STORMW A TER CHANNEL
~~IITIUrr CHAl'l>j
PERMANENT CHANNEL

LEDFORD ENGINEERING INCORPORATED
56 Ravenscroft Drive
ASHEVILLE, NORTH CAROLINA 28801

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>

KAttached D Under separate cover via

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D Shop drawings
D Copy of letter

D Prints
D Change order

~ Plans
D

D Samples

D Specifications

COPIES DATE NO. DESCRIPTION
2- ~#-C (J - 2- er&HJ/,Af6- [)e.f.1;J~ t Y2Q5loN Q/~L
2:.- trze- Ce9#5r;" N'&'/7r;C~o;J A/>/C-,
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THESE ARE TRANSMITTED as checked below:

K For approval

f!iK. For your use

{)if.. As requested

/)(For review and comment

D Approved as submitted
D Approved as noted

o Resubmit

copies for approval
copies for distribution
~orrected prints

o Submit

D Returned for corrections

D Return

>

D

D FOR BIDS DUE 19 D PRINTS RETURNED AFTER LOAN TO US
REMARKS~~ Pee.. CJC/~ -rt?:l.ePj.f()/lJ1; C-e?tNe7Z.5A--'T7Ot\f> I rK /2e~
~d~t' liAS f?l!!lff~ 12elI/5et:> ~ 77IA-r NO / m6>~ 77/AN I~D p~
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SIGNED:

E.l1f!-V JeW R-cmv~w' I-{, (? /tJ-rFl'-'5&-n,yJ tJrrH NC-5R... 28/00
3 . TELEPHONE NUMBER (~OtAE1: (JJo) 1lf1- 1'36 (WORK) : (9/0) 7fj/O- 13~G . -.

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-

~ AMPAD
~ EFFiCIENCY~

REORDER
#23-006

,QQ1 0 1- ~'3 t
fIDE NATIONWIDE PERMIT U): NOt 2,0

,"
~.

.,,:.,

~ ACTION 10:

r NOTIFICATION APPLICATION

~T REQUIRE:

: COIU"S Oli' ~NGnn::~RS
:~ZON 401 ~RTIFICATION
rm: Ne DIVISION' OF COAS~1lL l-QINAGi:MENT

. OF THJ:S COMPLETED FORM TO THE APl?ROl?IUATE
:NGJ:NEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
:HE N.C. DIVISION OE' ENVIRONMENTAL MANAGEMENT
PLEASE PRINT.

~ IN / Ged!J l ~ ~L-(!.,
/
~ R-Por21 f!-12 . "dU Ire '7~
/

SUBDIVISION NAME:

iTATE:

;JC-

ZIl? CODE: 2-7 b 30

...,

I~JPIE'E'ERENT E'ROM
,TL-j!-t1'7S :os/-

:LUDING SUBDIVISION
50 elf. VJIi-

4. IF APPLICABLE: AGENT'S NAME qR RE~~NSIBLE CORPORATE OFFICIAL. ADDRESS.
PHONE NUMBER: c;MJ//f?"' k-s tJ:t;e.\!~-

5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COpy OF USGS TOPOGRAPHIC
MAP OR AERI~, ~HOTOGRAP~Y WITH sCALE): A_
COUNTY: f?,)NCDrM f5fi- NEAREST TOWN OR CITY: ff7>~i1luf
.

o/rJ'etJ Q{)~(';-L:b

J.

..- ~

.J".

'CfCf1 0 1-1'3 t
NOt 2,0

". '..;':;," ,'-'

..' J." ~.

'11"',.

OEM ID:

NATIONWIDE i>ERMIT REQUESTED (i>ROVIDE NATIONWIDE l'ERMIT Ul:

.:[IOO!{(P

CORi>S ACT:tON ID:

PRE-CONSTRUCTION NOTIFICATION APPLICATION

FOR NATIONWIDE ~ERMITS THAT REQUIRE:

:L) NO'r:tFJ:CA'.rJ:ON '1:0 'rIlE CO~S Oi' ENGJ:NEERS
2) APPLICA~ION Foa SZC~ION 40:L CERT:tFICATION
3) COOlUlIN~~ION WJ:TK 'rIlE NC D:tV:ts:tON. OF COASTAL w;p.NAGEMENT

SEND THE OlUG11IAL AND (II coe"l of "HYS COMl1LE"ED FOBM "0 "HE APeROelUA"E
F"lEID oFF"lCE OF "HE CORl1S OF ENGYNEERS (SEE AGENCY ADDRESSES SH&Ul. SEVEN
(11 cOeYES SHOULD BE SENT TO "HE N.C. DYVYSYON OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRrNT.

L OWNERS NAME: ~M (::\1$ IN / ~ I-re: L--'-.('~
/
2. MAILING ADDRESS: J~ 0 Ir! {2.P0I21 {2.{).. ;3V I rr "7/0
/

SUBDIVISION NAME:

CITY: .lYl t/utJi zi1 fU(

PROJECT LOCATION ADDRESS, YNCLUDING SUBDIVISION I~JDYFFERENT FROM
MAILING ADDRESS ABOVEl: ;';'50 ell. to". rr<-:/!<''70 ""
ElM?'; JI:W neM~ 'XjI. (.? (;Jfl?lZ--sea70/'J to! 171-1 ,JLSR.. 2$<00
3 . TELEPHONE NUMBER (HOMEl /:/10) m-1'i1'5 (WORKl : (<fIb 2 ~-13'7(, . ..

STATE:

NC

ZIl? CODE: 2-7030

,>"

4. IF APPLICABLE: AGENT'S NAME qR RE~P9NSIBLE CORPORATE OFFICIAL. ADDRESS,
I?HONE NUMBER: . c;U/If!":' ~ ti:tJ1:Z.V~

5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COpy OF USGS TOPOGRAPHIC
MAl? OR AERI~) ~HOTOGRAl?tiY WITH SCALE): A~
COUNTY: ":;v'NCDIf/ BE- NEAREST TOWN OR CITY: ff'>~JlI LJ.-.C
,

o-r~eN Q()~(';"L:b"

J.

II'

.

SPECIFIC LOCATION (INCLUDE ROAD

NUMBERS, LAND~~KS, ETC.):

/'?'5D

~LO~ t/-uJ y.. / ,4c-/2<;>$5 !92C)"1 FAi ~\J { t?L-U

eLE JVt ~ t0T A:1rr

"7/M-oo l;-

6. IMPACTED OR NEAREST STREAM/RIVER: CANE" ~
RIVER BASIN: ~NC--f( "Bf49I'\-D

7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW) , QUTSTANDING RESOURCE WATERS (ORW) , WATER
SUPPLY (WS-I OR WS-II j? YES [J NO 1)( IF YES, EXPLAIN:

7b.. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [] NO C)>(

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?

Sa. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [J NO ~ IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMP.TION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION) :

Sb. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [] NO)><l IF YES, DESCRIBE ANTICIPATED WORK:.

9a. ESTIMATED TOTAL NUMBER OF ACRES IN, TRACT OF LAND:

Cl

9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
!JON e'

2

.'.

,

.
,

.' .

lOa. NUMBER 0, ACRES 0, WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:

FILLING:

EXCAVATION:

FLOODING:

OTHER:
'to'tAL ACRES 'to BE D1PAC'tED: ~oN6

. DRAINAGE:

lOb. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
.RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION) :

LENG'tH BEFORE:

FT

AFTER:

F'l'

~DTH BEFORE (based on normal high water contours) :

FT

AVERAGE DEP'rH B~FORE:

(2) STROM CH>.NNEL IMPACTS WILL RESOLT FROM: (CHECK ALL THAT APPLY)

FT AF'rER:

:

~DTH AFTER:

OPEN cHANNEL RELOCATION:
.~

PLACEMENT OF PIPE IN cHANNEL: X

CHANNEL EXCAVATION:

!<,
CONSTRUCTION OF A DAM/FLOODING: ....

OTHER:

11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE 0, THE
WATERSHED D~~INING TO THE POND?

WHAT IS THE EXPECTED POND SURFACE AREA?

12. DESCRIPTION 0, PROPOSED WORK INCLUDING DISCUSSION O,TYPE 0'
MEcHANICAL EQUIPMENT TQ BE USED (ATTACH pLANS: 8 1/2" X 11" DRAWINGS
ONLY) : 01JOLV DN 5". / /2.-v1 W "" 1-J& <-EN
~t>\N&- w;\\N~ € ~lcN a>rSf1WL-- ~ 6/'2-7 <;7 TIlE ptA;J

15 /D P c.E. /3'i( LF eF'" JI".>" ~rE /2I?:PL.A-cE 60 LF

Dr:: C,<:/STIJol&-: 5Tt2€A#l.. woU Wli.-L- BE r. Fb,QplE:D Au>>-J6- SIOC

;5~tYI /)fj/..-/ "/-/;.)6- . C>>JolverJ-rrOtJ4-L- ~ aio';'.-.)&-- pQ!.JtFJ'1eiJ"I.

13. PURPOSE OFPRQPOSED WORK: ~ ~f2-0" I Dr;: "fZ-/S1rR- ,,6P....h<-€': ~N~
. .'

~#ofPINY C&~~

~

~

3

, ~

14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MOST BE CARRIED
OUT IN WETLAN S. (INCLUDE ANY MEASURES TAKE~1TO MI I~IZE WETLAND~A I
IMPACTS) : " V ( S Nd .rver- , L./tC.€; /Ai ~/ ~ 0

Wi / Ai ex 1~7I IVG- ~1J11., T#1?
c:HA('1tJ e L, IV I:5c {IV) PA-c-TFD IS

/'
/.:.,j l)(/ I IN OIZP e-e fO Ac<:: '::'/110 P/f rc- 71f/s Fr2r:?Jcz.T s

aV6"w /itGNr fCl?QVI ee 114eAlT'S FDrC ~ t)v'{ C?Fr/t:.NC
5e-?T7e- 77f/V~ VIG?C5 ~Y5TE".41,
. 15. YOU ARE REQUIRED.TO CONTACT THE U.s. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR
PROPOSED FOR LISTING'ENDANGERED OR THREATENED SPECIES OR CRITIC~ HABITAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED: P'E81 e.../, /997 . (ATTACH RESPONSES
FROM THESE AGENCIES.) /

/11;1-)(: 1/J1 (/ frl :57;e.CM/f..
150 t,;::::- AND 111vs -r I3F

AND

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 V~I9H ~Y BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: Ji!:t::l..: 1'197

17. DOES"'.THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC ruNDS OR THE USE OF
PUBLIC (STATE) LAND?

YES [J NOp( (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 ( J NO ( J

..
b. IF YES,.. HAS THE. DOCUMENT BEEN REVIEWED THROUGH THE NOR_TH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?

YES [ J NO ( J

IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE. TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NOR~R 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, lU\LEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].

4

.~

....,

....; .. ,- ~

.'

18. =~z ~~L~CwING IT~~S S~O~D BE INCLOOED WZT~ THIS ~~?~rC~TION 7~
:~O~OSED ~C~~/~!~ INVeLv~S TEZ DISC:~~~G~ OF ~(C-~~~TED OR F!~L ~~TE?~~
!N:'O w""ETL;.~\:fOS:

a. w'"ETL.:::'_IIE) DELINE.';,:ION M..~ SHOWING ALL w'"ET!...~_1\TDS, S:'P.E..~~'iS, L~:.z.s
. ;-~ PONDS ON TEZ ~~OPE?T~ (FOR NATIONWIDE PEaMIT NUM3E?S 14, 18, 21, 25,
29, .;"1I:fD :5 a). .:::.~ STR'::";"''iS (IN!'E~..:rTT~'l'T .:::....NO P E~-;"~E...'l'!' ) ON T~::: E' ~.O E' E?,::~
~ 3E S?'~w~ ON TEZ ~~. M..~ SC.;LZS SEOOLD EE: 1 INC2 EQuAr.S so F::::::T OR 1
INC:~ EQO';'..r.s 100 FZET OR THE::? EQuI'V'ALENT.
b. I~ ~V~L:::'~LE, RE??Z.s~lT~=IVE P~OTC~~~ OF WE'!L~\:fDS TO BE
IMPACTED BY. PRO.;c:C'!.
c. I2 DE:':NE.U'!ON wr.....s PE?FOfU-4'..ED BY A C:::lNSULTJ._1I:fT, I:1C:.::mE }..I.L D"''''~
S;::::::::T S R::::'E"..;"?:":'\:fT TO THE P!...;C~"NT 0 E' TF..E 0 E::.INE...~:r eN LINZ.
d. ATT2C:~.~ COP~ OF THZ STOR.~TE..~ ~~~}....~'l'T P!...~\f IF REQcrI:?'zD.
e. w"F...~T 7~ ~~\TD USE or SiJRROUNDING PROPERTY,?

~e.~; 1e~-l-:~J, 'W~J L.tflJP

-=
... .

, . A:::':C~LE, w~~T IS PRC~OSED METHOD OF SE~~GE DrS:CS~?

t7ttHi v i; lfJ'{(~

g.

SI8~ED ;~\fD DATED AGENT AUTHORIZATION

i':""....~~-::
.......- --....,

!: .~..~?!oZC~-=!E:.

NCTZ: 'WETU-1-.jDS CR W;l..TI::,s OF T~ u. S. M.s~ NOT E~ ZM:_~.C'!'Z:J PRIO? TO,
l) . IS.sO~.NC::: OF 1: SEC:'::ON 404 CORPS OF-. ENG::?:-i"EE:..s PZ:.MZT,
2) EIT:~:. T~ ZS.sU-J..NCZ OR WAry~~ OF ~_ 401 DI-"'-~SICN OF
E~.i"y-rRC~'1-:!:::NT..;r. M.~l'{AG~~NT ('fiAT::::?. QuJ..LITY) CZ?.TIFZCA:ZCN, ]'.l-i"D
::) (IN ~':Z :r.";r-::::NTY CCAS~ COUN':ZES ONL:"1, A U!'TZ?. F?CM 'l:~
NORTE c.~.?G!..!NA On-rSION OF. COAST.:-.L M:"~ME:NT ST.;'TJ:NG 1'1::..:. PROPOSZ:;
ACTrv7.n IS CONSZSTZNT W!1'E TEE: NORTE C.~LZNA CQ].-ST.;..L M.~.NAGE~NT
PRC<7"~"'.! .

M2-1 ~14 4, /l1e~ber l/Ybnp~r
Ow"NER 'S 1_ -ENT' S SIGNATURE

1/30/Cf7
DATE

(-~GENT I S SIGNll_TURE VJl.LID ONLY
IF AOTEORI~_TION LETTER FROM
TEE Ow-m:R IS PROVIDED (lag.))'

.... ...

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