19980537 Ver 1_COMPLETE FILE_19980618

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
woo
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
June 24, 1998
Johnston County
DWQ Project 980537
APPROVAL of 401 Water Quality Certification
Jan Hamburg
Slab Control Inc.
dba Ground Control
150 Jordan Narron Road
Selma, NC 27576
Dear Ms. Hamburg:
You have our approval, in accordance with the attached conditions and those listed below, to impact 0.01
acres of wetlands or waters for the purpose of installing a sewer line in Johnston County, as you described in
your application dated June 18, 1998. After reviewing your application, we have decided that this impact is
covered by General Water Quality Certification Number 3101. This Certification allows you to use
Nationwide Permit Number 12 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.
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 except as
modified below. If you change your project, you must notify us and you may be required to send us a new
application for a new certification. If the property is sold, the new owner must be given a copy of this
Certification and approval letter and is thereby responsible for complying with all conditions. 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) (6) and (7). 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 conforming to Chapter 150B of the North Carolina General Statutes to the Office of Administrative
Hearings, P.O. Box 27447, Raleigh, N.C. 276 1 1-7447. 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 Domey at 919-733-1786.
Sincerely,
ton Howar , Jr. P.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Raleigh DWQ Regional Office
Mr. John Domey
Central Files
980537.1tr
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 consumer paper
•, I I

PRE-DISCHARGE NOTIFICATION PCN
TO:
National Marine Fisheries Service
Pivers Island, NC FAX [phone]
US Fish & Wildlife Service (! ?j
Raleigh, NC ?AX [phone] ll ,
State Historic Preservation Office
Raleigh, NC cnx [phone]
NC Division of Water Quality
Raleigh, NC- FAX [phone]
NC Wildl.ifa Resources Commission
Creedmoor, NC FAX [phone]
1. ACTION CID: ].99820963
2. APPLICANT: control Inc./Ground Control Develpmont
3. DATE OF TRANSMITTAL-.. 6/15/98
4. RESPONSE DEADLINE(5 days from transmittal): 6/19/98
5. COMMENT DEADLINE(10 days from response deadline): 6/29/98
6. SEND COMMENTS T0: RALEIGH REGULATORY FIELD OFFICE
RALEIGH, NC
ATTN: Jeam Manuele
FAX [phone]
We are also forwarding the attached PCN to the Fish and Wildlife
Service and the National Marine Fisheries Sel:vice for review and
comment concerning any likely affect to any threatened or
endangered species or their critical habitat within those
agencies` )uri5diction.
10'd 0b:ii 8661'9T'90 WONJ
pg??t/98 FRI 15:28 FAI 819 553 1358 AEIMAI REALTY
'y. Z M
' U-5
DEm Tb: l ?1
+,pXt1N4ZDE REttMLLT itEQ S2L?D (PRWZDL NATTOWZDL PERMI'? )' `ol ,..,
pRE -C014STRUCTION NOTIFICATION APPLICATION
RMITS TFMT REQUIRE :
FOR N,0.,Tl0 WlVX .?--
T) in wrlex-riew wo To COPP40or t G1TZOti
7) !?1" jCft'RYON Z*OR SICVX
3) owmn Tum WITO TES 144 0Ivx8SO3'1 AF wiwTr& 2vaAaMcWr
,SEND TUX 0VXGXMAl. AM (1) COPY CF 1'KtS COMP" =15 roM To THE APPROPMTE
omp8 O • gNGY RRS (sEE Aclemcr AOoRESSLS SHEET). SEVW
fizEZ o aFgzc of TM
(7) COrxrs 9tio"o pt SENT TO 2H$ O-C. D,IV'XSXON OF ERVIROW NTAL NA Ar-HMI W
(SSE %41WCY A oRESSEB SHEET) • I&EASY, era=.
2. owsit5 NAME:
Y . L=ANG AAAREB
C ITX :
IPPJWT LOCAxx.ON ADDRESS
LING ADDXS3S WVZ)
(IF
q . -Zr XVVj,ICABLS i AGMT' 5 NAME OR RESFOtKSIH? CQ1tg43 '?" O GTAI;, •Ai7 FaS3t
PHONE W MMER:
3?n

5. xpCATIG Or WORK (E'RgQIQE A K&P, ?IiEEERAHLx A t?URY flF OSCrS TpppG ?plt2C
OR WITH SC13JiV) 'row
NF.1?l?ST ?'.
S
Z 0 ' d ibtII 866T'91*90 wodi
SVeDxYIS?oAa 'NAB: Gt, ?,?^" Y1
ATATE,....?C' ZIP CODE: ?lo-
08/12/aB ?RI'15:28 PAX 819 $53 1358 RE/MX REALTY
00--b-4-LUN .. SPECIFIC
- r _ C7
RtWpERS, LAl'Ibt ARKS, ExC • )
AL7CATIQN (INC?ZJDE ltOhW
C1. n a? .`?,ti
Z003
cl D.
0. ?tr1PACTEA oR NEAREST STREAM/AMA;
RXn'SR p?ZZQ. ?--
Z*,,'Is vLlWEC'T 'L=TEb vratt -114TOR GIARSSIE'xE0 AS TROUT. TIDAL. 5ALTIYATLE
itA'rER
p1UTSTANDIX0 P"MP' E' WATERS (OW?.'
S; Piaxx (?9?RC xWS-Ar,? ?RS? ) NO g'r-ir YES. EXPLAM.
•7b. -13 THE P-ROJWT LA=SD Wl-TH-13A A NORTH r-JVMXNA ,D7vxsj!m. OF' COXSTAL
tCGfl?t t?T AREA CL' ? IKOW"T". CONCERN • (ALG 1 Y.HS t 1 140 y
7a. jrj THE . FRQJF T LpCA'?8D ..WITHM A •c_!!WAL •CMHTX . (3151; PACiZr 7. rot%
L13T or COAStAL tOWTIES), WHAT IS THE WD 65t". iiW- M00 VH5=?1T'TQN?
88. HAVE ? SECT ON 40 pL?RMTS BEEN' PJtEV,iGQPTgl EDTOV F*lk #0E O"
„ I I xlra.? . ?? ]LTTM X-0- N?ER or
TICS *p4pEkt'I'lf .YRS ( NO P
pB c7?7 PEk?T. Aa0ztt0WAL ??,?IC {its ODE 7 or 4Dk
emm "CATION) 4
8b: "E •AWITIONAL raml :T R ESTS NXD EU t hrs. p P T.Tx IN 'tK
T HE TES .( go 'l ..Tp. ?C S, 13€SC iBE ?'-
. L
06. I±RTI'4+(kun TOTAL mBEFR o hcAriS .1N xEp4?Iz. or
9b. . TTMNT `t"b ''T0TAL.. N0t4BER ' OB ACRES OF' WNTL QDS • LQG
a
10 •d 10 :11 8661'91'90 W08:1
Q6/12f98 FRI 13:26 FU 919 $53 1358 REM" REALTY I?•004
10a. ll(Mbtlt OF ACgSa Or NyTLUDS IMPACTCU OT THE ?KOev3bn PR0JFi4T SY:
R?CCA,VP?TZON : ? ?
?'x1?Lx41C s
ELOC7?? 3IG : OTM R s
t3 YQ#?GE : TOTAL AMS T4 at nv.% TED
lob- U.p,3Tp?RO ins ar V BorX B 1??4S AND AFTatt x,SUCAMON) cr .
cz-
... ?Tt3 B?FQAE ? AFTER: ,_„
WxVTN 80WRE (based vri noxmi high wat-w ?dn o?tr s ; ? -
4tZbw J?fi'L`?1=
:G lot F4 XLL THAT -At n-- Xl,
?.----^
OPEN C>tiRbiD I, RELOCATIvNi PLACFAWAgT Or FIFE XN CF" U;
....11. IF CONSTRUCTION or ,A Yomu w racrozzos orA s "TH9 ????E 'r3,a TF[R
VMT X9 THE EXPECTED PWD SUREXCE AIiM?

xa. tuarQS6 QS fto osso won%
3
b0'd Tb:TT 866T'ST'90 WOMB
12. pascRimcm or ra'al)SW 'gTSCLUDINg VISCUS$YsON OF T T1,15 Or
?1;? 't7!^sEb , iATT7J?'r'1' g ?. rt n ?t I?'l 1YYlS€'_. .
rarpCEi1:?mO" 'Da=mwt Ta
06/12!98. FRI,15:29 .819 553 1569 REIWa REALTY
3.4. 0' jTr, R£As4Ng 'WHY TT IS BELIEVED TMAT TKIS ACTIVITY MAST BE CAPAU-O
OOT XN WETL D INCLtjpE ANy N&b5URES TAICr TO HINIM ZE WZT D
IMQAC'TS) : T
?. ,. R mac, n JV-A A n ?. o n a d?iE]I ?,?1 .
t 005.

,?~ I -l t
T L •
• ?5v YOU`ARE UQUIR D T CCJNT,R-C THE AN NT1?U7.xPE $Lrwi, •?9+?
(Vs'rw3)' A?1P?Ga- TIaNXL 1??t?INE P?aKIZ rEs sERv:tc ti f' ? {B:SE X6R Cye
AppFtE55S5 BI?ENT) RtanDlIgo 'Too. f'RES£NCE Off' ANY FEDERALLY LISTED OR
gA0p05Z0 FOR tXSTjNQ-END rgVUZb OR TKRaTeRED SPECIES OX CAXTIM- NNAITRT
IN THP.- PE xT A FEA TtAT•'AY'* 1E_AFFbCTEA HY T'Wm. PA4p08zp. $ `9.lP seatosES
COT1T7elCTFA 1 "-'' ,
1%6" T"HESF AdENCIES. $
THE STATE YIIS R.TeC- BERyp ,ON ?O E'1GEIt e
1G . YOU AAE'3??K9''r'Ett£D--T? -COW=.
?r
(SKEO) (sEt'AQPCL.A" .s as •xE?z??nz?a '?c#te 'Prue, ?N4B -OF' =STOW
PE MIT .? VHTCH 2dAY OF ?i?s T'.ll $Y Tk[E"RS?OTtOSEB
ilKQ4£CT, DATE Cu0'l'A %tD-
17 . MMS TK9 riWJZC a INVOLVD " ZXPZ%40xT0DX OF S?tMX IC sLM139 OA .THE use or
lasktx) U4=9
M E) NO ' «F No, ao TO 18)
??. X Y*S1 DOES TITS BRbJMCT ¢,EQUTItE BREPARATZON or AN ENVISLOWENTAL
pvCtM T PultsuANT To THE TtF_0ujR MENTS OF THE FORTH CAROMINR ENvIRONMTAL
PGLtCY .ACTI
zES t j xo ?}'`
'b- IF VVS, Wa THE DOCUMENT BEW MIB'W£0 TnOIIGO THE NORTH C.AROLI"
,PZTM1;NT' OF ADMINISTWIQN STAT0 CLEAFtlWaR USE?
IP ANS.W&9 TO 17b 15 TF,5, Tk?N 5U313I?' ?+ QROFR????E D0CUMf;9TATXQN EFAM T"
STATC CLr4j W =00x._8 To bXV131CO- OF ENVIRONMEi+ITAL PIMACF6" a ?
C04PT,IAXCE 'WITH' THPo NORTH CAROX,18A ?.'S Y%RON97TA'-- 9"3:t i keT -
UGST1ON3 REGARVING,THE .STAYS cLWINGMObSE ANVIEW YKOCN33 "S?[Ov3+O "8E
DjjkWTtrb. TO MS. (:r0PY3 RAG T, DIRECT4i VTATM CLWIAGROVgD. 416WTH
CUOU 3A DEPARTMENT Or ADLYIN.I3TW41014, Jtd 11"T. -70100 n Aft-T, LEIGH,.
ORT" CAtDuniA 27905-8003., TOxp@HOWE (97.9) '732-6369.
4.
S0'd Loth 866i'SS'90 WONA
06YWI&. FRI 1.5 29 FAX [phone] RE/MAZ REALTY Q}006
18. TKE FOLLCWXNC XTFA43 SHQVW
PRQPossD AcalvXxx XNVGxIVES Tmz
BE ICICLVDEO KITH THIS r PPLZCATION' IF
P13CHhAgC OP EXCAVATSD Old tZLL MATEKXAL
a. RETLAND DELINEATION W SHOWING aL WETLANU3, OTMAW, %AW,
AND FOR03 OIL THE PROPERTY (fVR g;ATjo0WXD9 1'ER0'iIT NUKSMS 14, 18i 21,'76,
Z9, AND 30.). ALL STA "LAMS (XNTMITTrAfi AND Pffiit 4OWT) ON THE PROPERTY
BP, 3KOWN ON THID MAP, "AP SQLLKS $HOULO BE I INCH EQUALS 50 FEET OR 1
INCH EQUALS 100 S'EE'P OR THEIR EQUIVALENT- .
1?. YF A KILABLE, REPRESENTATXVF PHOTOGRA0 Off' WETLWDS TQ SF
INPACTEU DY $ROJECT .
C. IF DzTaxNFATION WAS gERFOBNRQ BY A CONSVLTANT. ZNCtoVVZ ALL DATA
SHEETS RELEVANT TO THZ VLACEMLST OP THV DELTHE,ATTON DINE.
d. ATTACH A COPY OF it$ STOPMNATPiR hl?t Acieut"T s?ww x oQI E0 . ?.
e.. WKkT 10 14WO VSE op SQtkpA =blWG PROS ERTY17 ? r ,ate el5c
.f . IF App.TrTjCARI,E, WUAT Xs pROPOSED METHOD Of SMOE VMOSAL?
?[ . SICCNED AND nXTED AGENT AUTHORYSATI.O0 LETTEti, IF AFP%,:L AELL,
..1+ 0=.- WZTLMDS OR VATTEPW OF TM U.S. May jgOT -M'' *I A?+'"R' MOR - TO
13 *SSdANCE OF A, StCTION 404. CX*PS QF ENGIPPI A PSMIT, .
2) .S.ITHER THE TSSQANC$,.4R:WJ"R OF A 401 DMSXOK aF
EWE' NTAL' MANAGEWNT. (WAnR' QUAWrt) GFRTIFICATX0N, Wv
33 (IN T)W TWENTr CaASTAL CQWTMM O"r) , A LETTER E7WM TM
tQL7M CmWY.T, =wismoN of C0A3"11RY. 9 T ,.STA.TXXc 1= $WPOSEn
A=Tl' ZTX 14 COWIMM" WXTI? THE BIOFLTa CAROLINA, COASTAL. ImMAdOMAT
p3OGFtAx. '

C 1?fER' SlAGENT 1!4, SIGNATYJ
?(AGENT''S SXCi?IA?Ti71i;E VA-,ID ONLY
It AVTHQRIEATIQN' LETTER PROM
THE OWNER 10 PROVIDED (19g.. ))
5
DATE
90'd z0:11 8661'91'90 W0dj
08/18/98 FRI i5:28 FAl. 910 953 1558 RE/MAC REALTY
--
U-5
DEM lb: CWt S Ac xaN za:
NATIONWIDE REAMI'T REQ?-'?'1'?b (PROVIDE NKTTO IDF, PERMIT
PRE-CC NsrPRU 'LION NOTIFICATION APPLICATION
FOR wAmx4NWIUE P XNITS THAT REQUIRE
i1 =lZ01TIPp To TO C.0", "' KNcl ?4ftS
27 a!?keLICA YOK FOA gagWX010 aoi ceAT?k'rCl?TxOFY
31 cm*"Tm'ly0t4 WZTK %= K D=vXrs'a T AF CpA6TJ?G ?F,l?l11'
$ErTp TDE QfdxG 2'1+ AND (l) COPY OF TNIS cQbwLETSA rom TO YHE ArrACS=^T9
lawn OFFICE OF Tim CO"g TO ???c? AxVYgr NE08' ?'lOVIit4[+?601?'?' MA?TAG?ME?
(7) coexeS KKOULD Aft Ste' E br PRZU.
(SEE ju4Z$CX ADDRE33%6 SHEET). r,
1. 0muk-5 vAa4z':
CITx .
,LxN(3 ADDRESS:
ISO ?' susur?Islot? ` ath Yl
zIt? cotas::
STATE ?..,
FBAj=x L0tK'rXGtT ADVAMSf
AWL:[NC ADDRESS ABOVR) : d

(IF

?'ELEP3 B K MSER -(how') (WORK) 4. iF ?,pp,ICABL AGEST' 3 N AR R?SQoFSIK1.E CORec?'A.A'fi OFcYAL, AOftESS„
PHONE NMOER:

5. Ti04ATXON of w9t; C (PltQVIDZ A 24AY, OSSFERARL7L ?? CrjpY OF bJt",S TOQciG6 pHT+G
Opt RENT p?GT4G?ny hilt`" scnal..: >ti
kF.P,RFx+'? TOE! Q

Z0'd 22:90 866I'SS'90 nsoiuin938 H9131bb W081
06/12/86 pRI 15:28 rAX 910 6S$ 1968 RE/MU RRA TY
It L IN ? S?ECIFIC J=ATION (INCLUDE ROAD
ptilafam, IAtYbt3W3f E19e.) I
191003
6. ?M1'AGTEp oil 102:ARE5T ST1?AM/RIVER:
9??- ?ls
?,tXt1'EI{ $ASTD?:
Tloa 5AL'1WATSk:
?.a ., ° ? F1 o?EGT T,:OC,AxCb ?tX'YcR -qA'' OD STA??LHG' RtWlkC* £ TROUT, JMTERS (ORT#), HA.M
C.W , HIGH QpALXTY p?'ATERS (etQ?+). IF YES. EXPI•AlN=
SSYPpLX (w3-I OR 65-I1) ? YES I ] Na ~
7b. -'IS PROJECT L'D'-'% FD WITUIR X NORt?1 S QY?XI?YESI .xAxONo F??r ?'
ka£NT AREA CrFsT11tomTu C
LIST a OF OASTAL?C?f17MIES) i WHAT-ZS TH9 LiND DE P ? MVPI pF (SAT pN?--
.. !'.t
gam. Khvx #,ba'Y SEGTI09 40 I+F.?I?xTS ,SEEN ??Y?Rc?TIO? SSTBA X--D. tOlk iau 00$ ON
rts.r4R vr
, 401
p aob 'PtitkSI'..A? xav xxa?AL? , ion c ??. .
?SRTxFZ??7?Ivty) ?
Sb: ME AQDITTONAL 1?9=,rT IREQ09STS WsC SD OR Tars' eRM'ZILTY fN ` Krl-
Fp RS? 1LEs NO *iEfiM
9a. EsTxNiN?TF?t? aaTPiT, t1V!•i8?;? OF' ?A?S Iii' TIMCA OF WORD en, I.
DS : LOCA
$1?. ESTYM??'AEp "fi0 'AL. HOi?tB It `QS ACRZS CS W-6T
a
£0•d ££:90 866i•S1'90 Asoiuif1 d H0131Ud WOdA
00?
00/1R?98 FR1 15:28 PAX 019 663 1368 RR/MAAI RE,ILTY
IDs. PSBR OF AetiRS OF W5TLXND3 IMPAC----T--S--D??BX 'SHE rEIOpOSRD mbJECT. 15y':
FYLLIIVG:
aTx? =
@`LOQnlldv : ,
TCTP1? AC=5 TO 89 7W?4T=I.
DR702NAGE:
7 4b. ?X } . 'sT.A CAMMEL TO DE ZKPKCTED BY THE LaWMED PRQJ r--T l t
PROVIDE DISTANCE EOxX BEFojW ANA arTER ASLACAT.IOM
RELOCATED,
y '?+ ArTER: '
..w iM4* M '?fiK .g?f'F4Q.?4' ? ^??r
t-.v= bora E (basod qn no=31- high waster contours)
FT AWSRt
....
STR TS W b? LT P.?SCM: ?CHFr?K? ALS +h'At?PbSl NIA
OPEJ CwRAUM RELOCATIM PLAcEmT or t?xpr. xN CHANId?,?es ?•??
1''1fi+L ."'fGp'?Uf+l: - ?. CC?IS?+ZC1N OF
t)7?S?CR:
_ S "F T??
lx. YE COMTRUCTION OF A POWD x5 PROPOSED 'THi: 5IZ'E . 4lr ' NW, 14M T 'XS THE =XPECTED 90bM S[tUME AlMA't
M pE If?xION OF jpR0f?03ZD ItogK INCLV* Mr. DIliv paim or TYitr3OAT
NW-MMIC" 4?c i'1 ,%Da t? ?tnTTh+CtI.- F.: s .
13- PURPASz or PRO.Fga iI3 xvAR; t
vv-A
3
b0•d ££,90 8665.91'90 AM0lUln03N HE131UM WOMB
4005
06/1'2/98 Fitt. 15 : Y9 PAX 819 551 1958 RE/XU RRAL'CY

HE ARRxFU
24. STATE REA54N5 WHY c?T Qk?p1?l5ClA&? TAKltui'TO MINIM ZE OCT
OOT xis BETLANA (IrtcL
T,tA 5) : la I—- I
/??,
O 3 GB. /) ffo A?An
41
7.5., YOB ARC REQUIR$D T GdNTACT TH F. RN W;Lllilrb t1
?v? E) Axe/QaO QXAbT" G TFt?, s lcE?o E)?t?txc?'FaRRLLYCLISTED oR
pbDR1?'sS S tIBLX)
laRopGS?CC? ?'oR pxSTIfdG ENDiWGEIiR0 OR TMRFi$TSNLD SRFCIE3 ON CRxTIC2lL HAdIT
IH THE e1;vin'' AR" H?•r,, i -.g ,A ? n BY THB PROPOSED P Q-$Wc7H vWtrl. v?E
CO NTACTLI):
Fita" THESE pOENiGZES . )
16. YOU AAE???L"4SMi?£D-?-CON?'ACx, THE STATB N-.?LFFIC6R
(8HP4y (5E1; ' af, r CY 5.:5HE8'Ia, 4RE5A9lDXN o ' THE PAIAENG& vF HZSTORlG
x "'PRapnsEb
Paw a'x a? -- RMIT AAA WICH MAx Rr} AFFZCTED. By
PRQJSCT. [MTN c.'dt?lRCxfSp=
3,7. DOES TH9 PROJECT INVOXIVE AN EXPS14".1QRE Or ru"rc Eq=s OR'.THE (ISE e r
mac. " mAlm I:ANp3
yRg ? NO N ' IF go, w To 18)
e. IF Y53, DOr,$ TIM. t.RUJEGT ReQ=K& PRDP TIQN 09' AH mMr NTA
DOCU=NT Vlj"UANT TO THE pjQVI NTS OS THS NORTH CAROVINA WXKONS= k
P+CiLIC1F AC2+ 3
YEs 0 NO
b" IF yZ5, tW THE VoWMp E ttW RRMFWED TNGHO? THRQUW THE R09TO CAROLI :A
,pZP?T T'OF ,AMTNxSTR T
T93 Q R
Ir '.Md.WXR TO Ill IS y t$, TkEN SU.BMIJ, ' hpptk0Fg;AT.$ DOCUMENTATION om
CC"PL1At+IC? T"
STATS CLEF WITH THF3 NORTH CAROLINA OVIROOMENTtl? c?ACT- E
CoM?? _
QtJF.9Ti?NS EtGGARpZltCB Nis .STl4T OpECx4??'?? ? ????sB?? T1i?B
blftW-'t ;b. 'ra tbs. CHATS RACET
COOLINA DEPARTMENT Or ADMI?XSSTTp TroN X1 wF,3T* JOH93 sTulal" 1 AYOZTG?t,.
0014TH MDUNA 27603 V D
SO'd b£t90 8665'91'90 6snuin63M H9131U WOMB
Po/18/98 FRI 16:E8 FAX [phone] RE/XkZ MALTY
a 006
Ia. Tmm MLL0193:14a ZTENS Sr oom BE INCLUDED WITH THIS APPLICATION IF
FRoposto AcTYVYTY INVoLvEs THE DYSCHMGE OF EXCAVATED OR VZLL DIATESIAL
INTO WETLANDS ;
7,AYCES.
2. WSTL WD DELTHSATION W SHOWING AI.I, WETLANDS. STRZAM$.
AND PoNus pP 'QHE PROPERTY (FOR FgiITTEWxDAN?EIT tE PUMSMS 1TNEIFR 1, * 76,
29, AND 38). ALL STS?AMs
Wit BE BKOWN ON THS MAP. XA1' SCALES $HO'ULD DE 1 INCtl rQrjns 50 £EST oA
INCH rMALS 100 BEET OR THMIR ZQUIVADVIT.
b. IF JIVAILADLZ, AEPRSSENTATYVE VHOTOGRAPH OF WETLANDS TO BF
XtOXCTED BY pgoj=T.
C. IF pFUNZAT1ON $Q%S. PEREORMLp BY A. CoNStTI•Tt iT, INCLUDE ALL DYti'xi?
SHEETS ZZLEVANT TO THE PLACEK"T OF T6HZ 0"%U zoN 1499.
d. ATTACK A COPY OV =Z STORPmATrp t,&xAG8t 0T P ED n 9
9-- WHAT IS LAND USE OF SURMOSVING PROTdcRTY?
t. Ig hpI'Ir?T bfi:, WffAT 1S Piavosto mmHoD of SEWAG& UTSPOSAL9 ,.. .
g•, SIGNSU b W1 ISO AGEt1?' AVTNORISIXTIO LETTER, IF APPlIC"LL,
x0a ., WgTLAMS OR WATERS OF TEM U. $, b%y NOT ..B IWACTF- V 'J?I?_OR TC
1) XSS6ANCE OF A siCTION` 4.041 0609 Or t;INEM PEIAT ITt
2a EITHER THE ISSUANCR-OR WA-MMP, OF A 401 DIVISICAN p-F
E?i1IROeTc N'1'7A& MAN=T?,TEM COAS'TU C OUNTIr ) MLY), A LZTTr.K FRO .
3) (IN'
pM"TIR 'CAtiK?ti'TM lDTVISIW OF, OTHE TZZt?RT ?R't? TtiA' pAr,..TiL t
ACTzv, , y IS C4NSIs`Z14T WITH
DATE
96
S
90'd bCs90 866I'SI'90 AMOltllf@3M H9I31bM WOMB
(AGENV S S IGNATUn VALID 'ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (189.))