19980267 Ver 1_Complete File_19980623

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
I ILFRAA
T
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
June 23, 1998
Onslow County
DWQ Project 980267
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Mr. Scott McKinney
6707 Old Dominion Dr.
Lot 245
McLean, NC 22101
Dear Mr. McKinney:
You have our approval, in accordance with the attached conditions and those listed below, for the
purpose of a lot fill at north of Holly Ridge in Peninsula Manor Subdivision, as you described in your
application dated March 26, 1998. After reviewing your application, we have decided that this impact is
covered by General Water Quality Certification Number 3106. This certification allows you to use
Nationwide Permit Number 18 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 211.0506 (h) (6) and (7). For this approval to be valid, you must follow the
conditions listed in the attached certification and any additional conditions listed below.
Deed notifications or similar mechanisms shall be placed in lots with remaining jurisdictional wetlands
and waters to restrict future wetland and/or impact. These mechanisms shall be put in place within 30 days of
the date of this letter or the issuance of the 404 Permit (whichever is later).
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. 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 Domey at 919-733-1786.
Sin ly,
s knnowar , r. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Wilmington DWQ Regional Office
Mr. John Domey
Central Files
980267.1tr
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
Jun-19-98 08t35A Richard A_ Jordan
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Richard A. Jordan. SQL Associates, Inc., Builder
Highway 210 • Pass 5fflce Box 301 + Sneads Fetry, Cafollna 28460 • [phone]
FAX [phone]
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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
Mr. Scott McKinney
6707 Old Dominion Drive # 245
McLean, VA 22101
Dear Mr. McKinney:
1 ,Tk?WA •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
April 14, 1998
Re: construction on a single-family residence
Onslow County
DWQ # 980267, COE 199801154
The Division of Water Quality has reviewed your submittal for a 404 permit for lot
fill at lot 36, Pelican Point Subdivision in Onslow County. Your application was not
complete since a location map was not included and we are unable to find your project
site. Please provide information regarding the location of your project. This information
is needed by DWQ in order for us to decide whether this modification is practicable.
I can be reached at 733-1786 if you have any question. Until this information is
received, 'f will request (by copy of this letter) that the Corps of Engineers place this
project on hold. Also, the project will be placed on hold for our processing due to
incomplete information (15A NCAC 2H.0507(a)(4)).
Sincerely,
4 r
o R. rney
ter Quality Ce fi ation Program
cc: Wilmington DWQ Regional Office
Wilmington District of Corps of Engineers
Wilmington Field Office Corps of Engineers
John Domey
Central Files
980267.hld
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
14
DEM ID: CORPS ACTION ID:
a
Al Q Id,
A Fm NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION ; ?I MR 2 6 ,
3) COORDINATION WITH THE NC DIVISION OF COASTAL MAI?'1°?? 1
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM T THP?q::W:jRO'PRIA
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: Se-04
2. MAILING ADDRESS:
SUBDIVISION NAME:
CITY: I l?C„C? ?-. STATE: V H ZIP CODE: -Ip I
PROJECT LOCATION ADDRESS, INC UDING SUBDI,U S1ION NAME F DI FERENT jRrOM,
MAILING ADDRESS ABOVE) : W ? \C4f: YI S( C
3. TELEPHONE NUMBER (HOME) : (WORK) :
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:

5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERI PHOOGRAPHY WITH SCALE):
COUNTY : r5 t 0 "`' NEAREST TOWN OR CITY:
7

SPECIFIC LOCATION•(INCLUDE.ROAD
NUMBERS, LANDMARKS, ETC.) : -?-- O v
at-\414- ?f c's ? Q ' Q[d 9- I k 4 -4- 2,c1
n-F-? r < a. -A-4'p n "'4-1- /----- ti .?-1 ? ? 1 ?^??2 ? S C`4 1 O , w I. I,cK /i-?S ?,d ?Q tti Q r? ? d Lv 1 ?1'- ?LrL? ?C1
I'?G? •,O ,. S ? i7
6. IMPACTED OR NEAREST STREAM/RIVER: --d-,rcarPe ste W64- r ?Q ti
RIVER BASIN: ' e'-k- loa's(" ?Dwa) (, t ?? 1
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER l
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS.(ORW)., WATER
SUPPLY (WS-I OR WS-II)? YES ?] NOC ] IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES Cx] NO [ ]
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?
'-?% _ _ / _ /> N. /-
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO 0(,] IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ]' NO X IF YES, DESCRIBE ANTICIPATED WORK:
2
1
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: ?O
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
16 ? 3 Sr
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 70 S F' EXCAVATION : r-
FLOODING: rro v-, e- OTHER: ?s
DRAINAGE : 1^4n ?-.2 TOTAL ACRES TO BE IMPACTED : 7L? S
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: FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAW FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED,. WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND? ?v Aw
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
3

MECHANICAL r1UIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X11" D WI GS
ONLY) : Cy i? fp 4 CI , Ct i` <- Fla -,?

13. PURPOSE OF PROPOSED WORK:
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WET S.\ (INCLUDE! ANY M ASURES TAKEN TO MINIMIZE WETLAND
IMPACTS) : At t 4' Y?.,-.? v, t?, r'ye . 1c; 1'4"x, , c el ?n r?B ?'/4 1. / 1,
f
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 CRITICAL HABITAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED: (ATTACH RESPONSES
FROM THESE AGENCIES.)
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 WHICH MAY BE AFFECTED BY THE.PROPOSED
PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS 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 ENVIRONMENTAL
DOCUMENT.PURSUANT TO THE REQUIREMENTS.OF THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT?
YES [] NO []
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [] NO []
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].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE.DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26,
29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
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
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? &-f-act-'e cl Sri
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
5
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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 WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
Z--?
OWNER'S/AGENT'S/SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
3
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DEM ID: " .,-CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT

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 XANAGM -
9s i
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:
? C? I J? n.-, i r-? too . IJr ?-7 S
2. MAILING ADDRESS:
SUBDIVISION NAME:
CITY: I r 1C. L,{? ?-. STATE : Y N ZIP" CODE:
I p I
PROJECT LOCATION ADDRESS, INC UDING SUBDI SION NAME F DIFFERENT ?jROME
MAILING ADDRESS ABOVE) : Ly1' 51, t\ 4 `? , L Q t rl SI
3. TELEPHONE NUMBER (HOME) : (WORK) : 103-3_?' L-5o
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:

S

v
1

5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY : (o n5 t 0 __l NEAREST TOWN OR CITY:
?- r
7

SPECIFIC LOCATION•(INCLUDE.ROAD
-r O r T?
NUMBERS, LANDMARKS, ETC.): 9-t A, 7 APO
1 n? r ? R.-e?O ? ?.?.It ? F? ? ?lO ? i r14-2 r S ?LCf-f D ? v-(
O? p?2,r?t?'?S rti? 4

6. IMPACTED OR NEAREST STREAM/RIVER: W6411"-'All .
RTVV..R RARTN- Kf h:ta aeue. ke'st(' /Dwo ?QS(1Cr 1^?C?Tl e(7
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 I ] .NO [ ] IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [X] NO [ ]
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?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO N IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ]' NO X IF YES, DESCRIBE ANTICIPATED WORK:
2

9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: ?aL
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
3
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: ?70 SF EXCAVATION: )--o r-) <_
FLOODING: ro r,t_ OTHER: s_
DRAINAGE : r-sn r?Q- TOTAL ACRES TO BE IMPACTED : 7t7 S
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: FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(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 PROPOSED, 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
3
MECHANICAL EQ?UIPME
ONLY) : TO BE USED (FATTACH PLANS: 8 1/210 X 11" D WIS
Cnr.S -?v ?.Ct?`n or

?'?'SI??Q ?L1 w,?l ?'?D? QQYC`jLt?l1 ?k.S O r? (1SC Q? 1?I?Q vLv .
13. PURPOSE OF PROPOSED WORK:
14. STATE REASONS WHY IT IS BELIEVED THAT THIS.ACTIVITY MUST BE CARRIED
OUT IN WET S. (INCLUDE! ANY M ASURES TAKEN TO MINIMIZE WETLAND
IMPACTS) t?G'r-?n-?crlt w1 rr?_? 1q vS Q?or__R i'(A IA _2
t _ _ i
15. YOU ARE REQUIRED TO CONTACV 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 CRITICAL HABITAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED: (ATTACH RESPONSES
FROM THESE AGENCIES.)
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 WHICH MAY BE AFFECTED BY THE.PROPOSED
PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
4
i
YES [] NO. 1 [] .. (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 []
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [] NO []
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]. .
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE,DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26,
29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
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
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
5
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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 WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION,'AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
OWNER'S/AGENT'S/SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
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