Trout Notification Form, 604 Ranch Boundary Dr, Waynesville

Water Resources
Eocironmental 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
1 a_ Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1 b. Has the NWP or GP number been verified by the Corps?
KfYes ❑ No
1 c. Does the project meet all the Conditions of the applicable Water Quality
Certification
VIYes ❑ 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.1/deq .nc.govfaboutfd ivision slenergy-mi nera I-lan d -resou rcesleros ion -sediment -control
2. Project Information
2a. Name of project:
Elk & Embers
2b_ County:
Haywood
2c. Nearest municipality 1 town:
Town of Waynesville
3. Owner Information
3a. Name(s) on Recorded Deed:
Maggaloochie LLC A FL LLC
3b. Responsible Party (for LLC if
applicable):
Glenn Piersall & Kristlna Mclean
3c. Street address:
17316 Fosgate Rd.
3d. City, state, zip:
Montverde, FL 34756
3e. Telephone no.:
3f. Email address:
Gpiersa1122@_gmaii.com
4. AgentlConsultant Information (if applicable)
4a. Name:
4b. Business name
(if applicable):
4c. Telephone no.:
4d. Email address:
B. Project Information
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
7699-39-0693, 7699-18-9568
1 b. Site coordinates (in decimal degrees):
Latitude: Longitude: -
(35.603) (-83.063)
2. Project Description

2a. Explain the purpose of the proposed project (continue on back):
New construction of lodge and cabins at 604 Ranch Boundary Dr. In accordance with Haywood County Ordinances for
Subdivisions and Pre -Development, the roadway widths of existing roads on the mountain require widening to allow for
emergency vehicle access. Two stream crossings (at "pump house" and "historic cabin") are considered unnamed
tributaries to Cove Creek and require extending existing CMP culverts in orderto meet local ordinances. Extensions at
both locations require less than 20' of additional pipe.
2b. Describe the overall project in detail, including the type of equipment to be used:
Proposed project is for the addition of a lodge space and remodeling I addition of on -site cabins. The extension of existing
culverts referenced above will be constructed utilizing small tracked equipment and temporary pump around methods.
Contractor will commence work by sandbagging inlet side of existing culvert and then attaching new joint of pipe to outlet
end of existing culvert. Outlet end of pipe will be buried in accordance with General Condition 4246 and roadway shall be
widened to accommodate emergency vehicles in accordance with Haywood County Ordinances.
C. Stream Impacts: Please list all proposed impacts to the stream
1 a_ Stream Name: Unnamed tributaries to Cove Creek
1 b.
Type of impact
Average stream
Impact length
width (linear feet)
(linear feet)
❑ Bank Stabilization - Sloping and Revegetating
❑ Bank Stabilization - Sloping and Riprap/Armoring
❑ Bank Stabilization _ Gabion Baskets I Retaining Wall
Culvert Installation (Extensions)
Culvert Diameter: 18" CMP
12"
Less than 20' @ ea.
❑ Temporary Impacts for required dewatering activities
❑ Other (describe):
1 c. Comments:
2-Cl
Owner/Agents Printed Name
Date
Owner/Agent's Signature
(Agent's signature is valid only if an authorization letter from the owner is
rovided)
For non -transportation projects send one (1) copy of the completed application to DWR:
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