20011722 Ver 1_COMPLETE FILE_20011127

O?O? \ ,NA T ?9QG
r
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
Cruser M. Petrea, Jr.. Judy D. Petrea, Patty Petrea Lee, and William F. Lee
6235 Miller Road
Kannapolis, NC 28081
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Sirs:
December 19, 2001
DWQ # 01-1722
Alleghany County
Page 1 of 2
You have our approval, in accordance with the attached conditions, to impact Meadow Fork Creek in Alleghany County
for the purpose of corst oatinc a road crossing, as described in your complete application received by the Division of Water
Quality on November 27, 2001. After reviewing your application, we have determined that this impact is covered by
General Water Quality Gam.-",cation Number 3289. This Certification allows you to use Nationwide Permit Number 14 when
it is issued by the U_S_ Army Corps of Engineers. In addition, you should get any other federal, state or local permits before
you go ahead with your profit including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water
Supply Watershed repuL--_txcr>~. Also this approval will expire when the accompanying 404 permit expires unless otherwise
specified in the General Cem' ccation.
This approval is o-1ty va5d for the purpose and design that you described in your application. If you change your
project, you must notify Ls in r,Titing, and you may be required to send us a new application for a new certification. If the
property is sold, the new o inc-r must be given a copy of the Certification and approval letter and is thereby responsible for
complying with all condrfons. If total wetland fills for this project (now or in the future) exceed one acre, compensatory
mitigation may be reaurrd as oescnbed in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the
conditions listed in the arc- certification as well as the additional condition listed below:
1. In-stream work and land ciistxtance within the 25-foot wide buffer zone are prohibited during the trout spawning season
of October 15 throao a Rpri 15, or as otherwise determined by the North Carolina Wildlife Resources Commission, to
protect the egg and ty stages of trout from sedimentation during construction.
2. Stormwafer mana_ue7lert requirements specific to HOW as described in 15A NCAC 2H .1006 shall be followed.
3. Sedimer4ation and Erosion Control Guideines for Sensitive Watersheds (15A NCAC 4B .0024) must be implemented
prior to any ground-di g activities to minimize impacts to downstream aquatic resources.
4. The culverts regLfrred for this project shall be installed in such a manner that the original stream profile in not altered (i.e.
the depth of the charrmf should not be reduced by a widening of the streambed. Existing stream dimensions are to be
maintair»d above and below locations of the culverts. The culvert invert must be installed below the stream bed.
5. All mechanized ecuipnerd operated near surface waters should be regularly inspected and maintained to prevent
contamrration of s1iBarn waters from fuels, lubricants, hydraulic fluids, or other toxic materials.
6. The presence of eidipment in the channel must be minimized. Under no circumstances should rock, sand or other
materials be dredoed from the wetted stream channel under authorization of this permit, except in the immediate vicinity
of the culvert.
7. Use of rip-rap for bark stabization is to be minimized; rather, native vegetation is to be planted when practical. If
necessary, rip-rap stoufd be frriited to the stream bank below the high water mark, and vegetation should be used for
stabilization above high weer.
8. Rock sit screens at culvert outlets should be removed at project completion.
N. C. Division cif -Hater Gxaitx ' <W 164" Service Center Raleigh, NC 27699-1650 [phone]
NCDENFt
Customer Service
1 800 623-7748
Page 2 of 2
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 1506 of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. 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 Jennifer Frye in the DWQ Winston-Salem Regional Office at 336-771-4600 or Todd St.
John at 919-733-1786 in the Division of Water Quality Raleigh Regional Office.
r ory J. T rpe, PhD
Act g Director
Attachment
cc: Corps of Engineers Raleigh Field Office
Winston-Salem DWQ Regional Office
Central Files
File Copy
01-1722
f
5 X31 1722
Complete the attached form and return mail
to the Raleigh Regulatory Field Office.
Raleigh Regulatory Field Office
Attn: John Thomas
6508 Falls of Neuse Road
-- Suite 120
Raleigh, NC 27615
• This application form is used for other types
of permit request. If you have questions call
me at 919 876-8441 ext. 25.
Also include with your completed
application form a good location map that
shows where the property is located and a
sketch / plan with labeled dimensions
showing the proposed project.
John Thomas

011722
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERb1T #) :
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
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT. "
1. OWNERS ' NAME : ?/ TT?I /^'CTr2Cr? pee t? rgN.? (N i'//i j¢ /r! 7?• L° °C_
2. MAILING ADDRESS: 4?o2jJ lV/^/ fe /2o?Q
SUBDIVISION NAME:
CITY: _ lci9?N?j?lr-? STATE: N'- G,_ ZIP CODE: 121pod'1
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME '*(IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : l r'A1??-Gy )?Lpjgaf e `S77JT f-
70 S4_ 9 Sk-17 Z4
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
3. TELEPHONE NUMBER (HOME) 3.2- -101,? (WORK) : 7a L L3 -9423 fxr'

5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
?c K k ??? -S r i'm`%S
COUNTY: _,#11 eS//-AAZ y NEAREST TOWN OR CITY:
See- 4.1 rl9-C 1h e.)-
1
SPECIFIC LOCATION (INCLUDE ROAD
NUMBERS, LANDMARKS, ETC.):
6. IMPACTED OR NEAREST STREAM/RIVER: -7MQ -'pn Am'61)w s77?p**l
RIVER BASIN:
7a. IS PROJECT LOCAT&D 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 [ ] IF YES, EXPLAIN:
W9 ?2k .-D I? 67 D?J P _ ?Z. ?Yl i ?? 1--,,a S Ti-e 4xy,
7b. IS THE PROJECT LOCATED WITHIN ,A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC) ? YES [ ] NO x
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) DESIGNATIQN?
r f /^ '
8a. HAVE ANY SECTION 404 PERMITS EEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO [Vj IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PE IT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( ] NO [% IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND:
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
2
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: / fSS 7"h//Av 9y 1trC- EXCAVATION: LeSS
FLOODING: OTHER:
DRAINAGE : TOTAL ACRES TO BE IMPACTED : /-Pi'?IA?? w /?c r?
10b. /( `STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
WIDTH AFTER:
AVERAGE DEPTH BEFORE: FT AFTER: FT
N',,--(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:
OTHER:
11. IF CONSTRUCTION OF A POND IS PRO/POSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY) :
i n/S--ALL
/? .rcr X-20,r-r i
a!? . ?9u ,-.e/1yaAt7- 7-c9 ?? LC
13. PURPOSE OF PROPOSED WORK: T*--Il/N?i /?'?'K FT
A-/V19 zee /veR , I -
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS)::
15." /YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR-1 TIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY lvc
ADDRESSES SHEET) 'REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR pb
PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT
IN THE PERMIT AREA THAT -•MAY-BE-AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED: (ATTACH RESPONSES
FROM THESE AGENCIES.)
160 OU ARE---ItEQUI-R£-D-1I`O-CONTACT THE STATE HISTORI__ P_tESERVAT-ION__OFFICER
(SHPO) (SEE AGENCY ADDRES-SES-SHEET) - -REGARDING THE PRESENCE OF HISTORIC
PROPERTIES.-I-N-TH_E PERMIT AREA WHICH MAY BE AFFECTED BY TRE'PROPOSED
PROJECT. DATE CONTACTED:-
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES [] NO W/(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 L N/v`
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO Alll-
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].
4
ION IF
DISCHARGEDOD EWITH THIS XCAVATED ORPFILLTMATERIAL
18. THE FOLLOWING ITEMS SHOULD
PROPOSED ACTIVITY INVOLVES THE
INTO WETLANDS:
LAKES
a. WETLAND DELINEIOFOR WETLANNUMBERSDS, 21, 26,
FEET OR 1
AND PONDS ON THE PROPERTY ON THE 29, AND 38). ALL STREAMS (ZNERMALESNSHOULDPBNNINCH EQUALS 50OPERTY
MUST BE SHOWN ON THE MAP. MAP
INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BYDELIONSULTNT, INCLUDE ALL DATA LINE.
_
SHEETS RELEVANT TO THE PLACEMENT
ANAGEMENT PLAN IF REQUIRED.
d. ATTACH P_ COPY OF THEOUNDING PROPERTY)
e. WHAT IS LAND USE O SURR

f• IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
9•
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 ALTOY? CA 401 ERTIFDCp•TIONi, AND
ENVIRONMENTAL MANAGEMENT (WATER Q A LETTER FROM THE
3) (IN THE TWENTY COASTAL COUNTIES ONLY)r
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANS''
PRO RAM•
A14-<..t DATE
OWNER'S/AGENT' Si AT E
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
5
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7"t- Da?S t?1at -IE IYITHIM -'HE nES1GtV?lE? VdgR ?51-1???
Au3t.1c WHTEk SUtSP>r? wA
PROPERTY OF
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118o ACRE- Z?C-,, c Z
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NORL MAIN STREET TEL
(t? 72 {
SPARTA NC 286J5 3
4
MAC PETRY PROPERTY
Proposed Project
November 4, 2001

DESCRIPTION OF WORK:
Installation of (1) 5 x 20 galvanized culvert for crossing in stream
pictured above.
rA
PMOO
-4
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O N

O a

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O

7?r
cow / 011722
Complete the attached form and return mail
to the Raleigh Regulatory Field Office.
Raleigh Regulatory Field Office
Attn: John Thomas
6508 Falls of Neuse Road
"Ir' ? 57,ULL Suite 120
Aaleigh, NC 27615
FILE G?7p
9
y This application form is used for other types
of permit request. If you have questions call
me at 919 876-8441 ext. 25.
Also include with your completed
application form a good location map that
shows where the property is located and a
sketch / plan with labeled dimensions
showing the proposed project.
John Thomas
I
011722
DEM ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERU T #) :
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
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT. 1. OWNERS 'NAME : 09,-9Tr22 FC7-,Re/? Ae e- 4,x (,,'//, jy n ?• ote e_

+ 2. MAILING ADDRESS: cloa2j /I/^//ce Ro"g-b
SUBDIVISION NAME:
CITY: ?/`riJMlfj?l?r STATE: Ai- C -
ZIP CODE: vZd'??'?
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : lzi; Jr=ar-? /?of?iaea srr9r?
/,?w ? / ? !1/Oa/ ? ?: r ?c ice. Ili?/P•? ?v ???P ? // ? 9
3. TELEPHONE NUMBER (HOME) (WORK)
7?° 5<- 9 3br-i 7 z4
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
n1)14-
S. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE): 70
COUNTY: 411 e5d -i¢AZ V NEAREST TOWN OR CITY: 0 a k ee/ .5;" i' f -s
_Se e- 4i--rA-cL rn eA) ; -
1
PECIFIC LOCATION (INCLUDE ROAD
NUMBERS, LANDMARKS, ETC.):
6. IMPACTED OR NEAREST STREAM/RIVER: ?i11? 7Fp /?JPf,?dDLy ?d?? ST2E?fi?i11
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 [ ) IF YES, EXPLAIN:
1
P-4-4k ,TD 1? e- ?n i 1e-
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO x
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?
. r/_
8a. HAVE ANY SECTION 404 PERMITS PEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ J NO Clej IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION) :
8b. ARE ADDITIONAL PE IT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ) NO [v IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND:
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
l2 ac' i- le.
2
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: / ,-s 7"Yf/fv fiv EXCAVATION: LeSS i7y.y J/a 17'c-re-
FLOODING: OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED:
I-?'as ??lRi? iC /??r?
10b. ///1 STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
WIDTH AFTER:
AVERAGE DEPTH BEFORE: FT AFTER: FT
.4f'4?1(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION:
CHANNEL EXCAVATION:
OTHER:
PLACEMENT OF PIPE IN CHANNEL:
CONSTRUCTION OF A DAM/FLOODING:
11. IF CONSTRUCTION OF A POND IS PRO/DOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND? 4/
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY) :

e' T 7-(9 /3-C 6L
13. PURPOSE OF PROPOSED WORK: ?/1/ sT49'11//V0 / .??7-sC ? FT
? 49-1VJ'N/ zee V e- P, -7-,
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS):
15.'/YOU 'ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE. ?/
(USFWS) AND/OR-NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY C
ADDRESSES SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR
PROPOSED FOR LISTING ENDZ,NGERED OR THREATENED SPECIES OR CRITICAL HABITAT
IN THE PERMIT AREA THAT --MAY-BE_AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED: (ATTACH RESPONSES
FROM THESE AGENCIES.)
16 /YOU ARE---rFEQUI-R-E-D-T-O-CONTACT THE STATE HISTORIC _PRESERVAT-I-ON_OFFICER
(SHPO) (SEE AGENCY. ADD F,S.SES_SHEET)- -REGARDING THE PRESENCE OF HISTORIC
PROPERTIES.--I-N?E PERMIT AREA WHICH MAY BE AFFECTED BY tRE-PROPOSED `
PROJECT. DATE CONTACTED:.
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES [] NO V/(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 [ ] NO N/It'
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [I NO M /?/?
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].
4
ION IF
DI5CHARGEDOD EWITH THIS XCAVATED ORPFILLTMATERIAL
18. THE FOLLOWING ITEMS SHOULD
PROPOSED ACTIVITY INVOLVES THE
INTO WETLANDS:
LAKES
a. WETLAND DELINEIOFOR WETLANNUMBERSDS, 21, 26,
AND PONDS ON THE PROPERTY ) ON THE 29, AND 38). ALL STREAMS (INTERMALESNSHOUDLDPBEFNINCH EQUALS SOOFEET OR 1
MUST BE SHOWN ON THE MAP. MAP 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 LINEATION LINE SHEETS RELEVANT COPY OFp'THEESTORMWATERDEMANAGEMENT PLAN.IF REQUIRED.
d. ATTACH A P
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?

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 W FA?I,ITY) CERTIFICATION, AND
ENVIRONMENTAL MANAGEMENT (WATER Q p? LETTER FROM THE
3) (IN THE TWENTY COASTAL COUNTIES ONLY),
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT COASTAL TING THHEPAROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA
PROGRAM • I Iel
?/u l DATE
OWNER'S/AGENT' SI AT E
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g•))
5
MAC PETRY PROPERTY
Proposed Project
November 4, 2001

DESCRIPTION OF WORK:
Installation of (1) 5 x 20 galvanized culvert for crossing in stream
pictured above .
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PROPERTY OF SCALE .
Q ?Y STATE COUNTY TOWNSHIP DATE
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GENE DYSART &. 'S'
CIVIL ENGINEERS & SURVI?YpRS
?' = tao FEET ;NORTH MAIN STREET TEL (lu-) 3722' ,4 !
SPARTA NC 28675
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W A T ?9pG
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory Thorpe
Division of Water Quality
November 16, 2001
Judy D. Petrea, Patty Petrea Lee, William Lee, and C. M. Petrea, Jr
6235 Miller Road
Kannapolis, NC 28081
Dear Sirs/Madams:
On November 16, 2001, your application for 401 Water Quality Certification for a project in
Alleghany County was received by the N.C. Division of Water Quality. Please note that beginning
January 1, 1999, the N.C. General Assembly passed legislation requiring payment of a fee for all 401
applications, as indicated on page two of the PCN application form. Your application is being returned
since no payment was received with the package. The fee for applications is $200 for projects
impacting less than an acre of wetland and less than 150 linear feet of streams. For projects
impacting one or more acres of wetland or 150 or more feet of streams, the fee is $475. In order for
DWQ to review and process your request, you must send a check in the appropriate amount made
payable to the N.C. Division of Water Quality attached to your application.
Also note the newer version of the PCN application enclosed. Also, vicinity/location maps are
required for all applications.
Please call me at 919-733-1786 or visit our web site at http://h2o.enr.state.nc.us/ncwetlands if
you have any questions regarding this fee.
Sinc ely,
Robert Ridings
cc: Central Files

North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
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