19990453 Ver 1_COMPLETE FILE_19990521

Wetlands Tracking
Facility Name LTK Enterprises, Inc County Buncombe J
Project Number 99 0453 County2
0Inactive Region Asheville J
Project Type purpose of ( DCM Office
Location I COE Office Asheville
Last Total Total Total
401$ Recvd Sent to Recvd Action 401 401 Total Mit Mit
Recvd From Date Region Region Date Last Action Acres Feet Acres Feet 1
Total for Project:
Inspections/ Violations
Inspection Date Inspector Compliant Letter Type Date Sent

i
Reply Date Current St

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
A?'N
1 ? •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
August 17, 1999
Lloyd King
LTK Enterprises Inc.
1978 New Lancaster Hwy
Asheville, NC 28806
Dear Mr. King:
Re: Buncombe County
DWQ # 990453
On July 1, 1999 the Division of Water Quality sent a letter stating your project
was on hold and asked if you could construct your development without relocating the
stream. DWQ allowed three weeks to respond. To date, we have not received the
mentioned information regarding this project.
As of August 17, 1999, DWQ has considered this project as withdrawn. If you
would like approval for this project, you must resubmit an application and a fee for
$200.00.
If you have any questions, please contact Cyndi Bell at 919-733-9502.
Si ,
0 orn y
cc: Asheville DWQ Regional Office
Wilmington District Office Corps of Engineers
Asheville Field Office Corps of Engineers
John Dorney
Cyndi Bell
Wetlands/401 Unit 4401 Reedy Creek Road Raleigh, North Carolina 27607
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
4 •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 1, 1999
DWQ Project # 990453
Buncombe County
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
Lloyd King
LTK Enterprises Inc
1978 New Leicester Hwy
Dear Mr. King:
The Division of Water Quality has reviewed your plans for the discharge of fill material into 288
Linear Feet acres of streams and/or wetlands located at Village Creek West in Buncombe County for stream
relocation. Insufficient evidence is present in our files to conclude that your project must be built as planned
in waters and/or wetlands in accordance with 15A NCAC 2H .0506. Therefore, unless modifications of the
proposal are made as described below, we will have to move toward denial of your 401 Certification as
required by 15A NCAC 2H .0507(c) and will place this project on hold as incomplete until we receive this
additional information, we are requesting (by copy of this letter) that the U.S. Army Corps of Engineers
place your project on administrative hold.
Please provide us with information supporting your position that states your project must be
constructed as planned and that you have no practicable alternative to placing fill in these waters and/or
wetlands. Specifically can you development without relocating the stream? If not, a specific stream
relocation and monitoring plan must be submitted to DWQ for our written approval. Cross sections of your
relocated stream are also needed. Any documentation such as maps and narrative that you can supply to
address alternative designs for your project may be helpful in our review of your 401 Certification. Please
respond within three weeks of the date of this letter by sending a copy of this information to me and one
copy to Max Harter Asheville Regional Office at Interchange Building 59 Woodfin Place Asheville
N.C.28801. If we do not hear from you in three weeks, we will assume that you no longer want to pursue
this project and we will consider the project as withdrawn. I can be reached at 919-733-1786 if you have
any questions.
Sincerely,
John R. Dorney
cc: Asheville DWQ Regional Office
Wilmington Office Corps of Engineers
Central Files
John Dorney
Asheville Field Office Corps of Engineers
David Day; Day Engineering Services
990453.nty
Wetlands/401 Unit 4401 Reedy Creek Road Raleigh, North Carolina 27607
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
rr ..
1)1•;M 1 1) :
)I I'. ; ACT I ()N 1 1) :
NATIONWII)I•; I'I-:pMI'I' IlI;?)III;;;'I'I;I) (I'I<<,VII>I; NATI))NWII)I.; 1'11,111MI'I' ?I) 2cp
""!q "UNKI'll IATION NUT 1I''l('m'Il>N /\I'L)I)1('IvmIr)N
imp NA'I'I,)II im.: I'I:Ilh1I'I"; '1'11/1'1' RI', )I)Iltl::
I) No'I' I I. 1 CA'I' I (m '1'O THE 1'OI:I'S ()I R1J(; 1 rJI:I'R;;
APPLICATI()II FOI? l; l; "I'Ir)I1 'JoI ('1;11'1'IP1C'A'i'I I1
3) t-r (mj)II111'I'1()I1 I'll 'III 'I'III Ili' I,I V1 Ic)h] ()I' l1 /1';'I'/ Ir. r)wYdA. ??idMl
1;1;"11 'rill: OP HN NA4 AND (1) COIW (W THIN (UMP I•T1;1) 1-)1214 11) 11 R AI A''I'
R,4? X t'6) OFFICE,
0r ''III C()RPS Or ENGINEERS (SHE AI L
;I N1'Y 711,I)RRI;SRS Sllf:l?'I') SI;VR1d ('/) ;:; SIJOl1LN BE
- 01.
SENT '1'c) 'fill? N.C. DIVISION OF ENURONMENTAL MANAGHMI&N'r '(SC:r J(
.SI.S S11GI:'I')
U) \/ cI ? \,-\ C,
I . OWNERS NAME: _ T.
?f :___- E/v P.??ses , ?c
2. MA1I,lIJG ADDRESS: l?w Nel?/ ( /C?Sr?P? / y
SUPI)I.V I S I OLI NAME:
Vll / Q Cj .?, (?(?cps f
C I TY . AmP141" /L,)C, Z IA,
c'OI )1: ; 2?F?o(p
-------------
PROJECT I-OCATION ADDRE• ;S ;, INCI.,1JUIN(; SUIINl.V1SION 1IAM[: IF I)ll'I'I RI,tJ'1' FROM
MAII,:ILIG ADDRESS ABOVE) AV C,
?p3 ItQH/
3. I'I L[:l'11(.,IJP: NUMRI:R (NOME;) : _- _8 ZJ /?8U (WOO IC) !D
4. IF APPLICABLE: AGENT'S, NAME OR RE SPONSIBAE CORPORATE OFFICIAL, - -
AI)I)RI,SS, PNOiII': Nllt1111?R : --- i :?l v - -)-q- --'eam r, -?-- - , - - clo 5N •
/ '
-y wag/
Mw Sv e -
5. LOCATION OF WORT( (PROVIDE A M7V'', PREVE'RABLY A COPY Ol•' U (;S 'I OPOGRAPII?I ( MAP OR - AERIAL PHOTOGRAPHY WLTII SC'AIJ,)
COUNTY: /.3v,?c?, / - 111 AREST TOWN OR SP CIVIC I Of ATION (INC'I,11I)F IWAI) 11IIMIII;RS,, LANI)MARKS,
As w (o?cas? /r?,,,,
6 . I MPACAI I) .OR 111?AUHS'1' STY , HAM/ . R I V-ER : eg See /L 1
RIVER HA S I N :
-- - -- - -
/ ?. I:; I'l)O,IIa"1' LO,'/('I'I•:I) Ill:/11) lUVITA) ('I,n1;f;I1'11-:1, /\r, I'l).)11'I', 1, 11,;%1, :;AI,TWATTA
III(:II t„)11111,IT.) L1n'I'I:I):; (!1(riJ) (w,1,:,'1'/\111) 111,; I)I; 1,)111)('1•; l1n'I'I•'l)1; (two) , lJn'I'I:I) :;111't't 1'
(l1 ; I (I) W:; I 1 ) ' YF:; I ) I1O I VI If.' /i) . I I•' '1'111•; I'RO?I I•:(' I' I f; Lu('11'I'I•;D 1.11'1'11 i lJ /\ N( )I?'I'N ('nl)OI, I Nn ll 1 V l :; l O1J OI•' C'( )n::'I'nl, l4/\IJ/1(;I•;Fll•:11'I'
ARI•; OP VIJVII:OIJr•n:lrrnl Y1.;!; I I FJO I vl
IF '1'111; 1'RO,11;("I' I:; LO('I1'I'I:D 1,11,1,1111) )R 1,1:;'1' OI•' ('OA•`;TAI,
('O111)'1'11{:;) LJII/1'I' I.'; '1'111: I,/\IlD 11tH.; I'I,AII (1,111') I)IC:;I(;IJ/t'I'It)I1
IIAVI: 1\I1'1' .';Ia "I' It )Il •I U 1 I'I:I)f•11'I'N ISI:i;1J I'lll;\) I t ill;;l,l' I I'.( )I II;:;'I'I;D r(w (m
YES (V I HO ( ) IF Yf;•`;, I'l)OV.INE nr"I'im 1 .I). 1Jllidl 1,R OI. PRI•;Vit)fl•'; Pi-: f'II ' AND ANY
ADDITIONAL 1lJl'OI?I1A'I'.IOIJ (INC'LUDI? I111(YI'()C'OpY O1" 401 C'11('I'lI 1C'A'1'lc)hl)
f31?. ARE ADDITIONA1, PERMIT REQUESTS EXPICI'RD 1'011 THIS PROPEPTY 10 THE FUTURE?
YES ( ) NO ( V? IF YES, D1•;BCRIHE ANTI('IPATI-1) WORK:
9A. ESTIMATED '1'(71'111, WHIRR OF ACRES IN TRACT OF 1.7\111):
1J. ?Z S
913. ESTIMATED INKI'A1, NITIH ER OF ACRES OF WETLANOS LOCA'I'I?D ON 1'ROJI•CT SITI.;: ?J
1 OA . NUMBER OF ACRES OF Wr•TI'Alll) ; IML?AC"1'I;D HY '1'111? 1'ROI.'OS1?D PROJECT fly:
FI LI 114(4: EXCAVATION:
FLCX)DING : CJ'1'I1P12
DRAINAGE: TOTAL, AC'RI S TO RE IMPACTED: 2 J
1013 . (1) STREAM CHANNEL 1'0 HE IMPACTED BY THE I'ROPO SED PRO111-:UT (1I' RI•;l,Oc'A'1'I•;D, PROVIDE
DISTANCE ltOTH DEFOPR AND AFTER RXI.OCA11'.101,I)
LJ3IJ(;'1'li BEVORE :

/ V --- - -
AFTER:
WIDTH IIRFORX (1)ast:tl on n(nnrtljl)iglt wr)Le) c!l0milr;)

WIDTH AFTER: --_
AVERAGE DEPTH HEI ORE : AFTER:
(l.) 1'1?1./•I?__(tiIIAIJTJIJ,-.7M1'/l(.'I '::) Wl1,,L 1t1':;l)I,'1 FROM: (CHECK Ahl, THAT APPLY)
OPE'll C1111NNE), RE1,0CATI ON: PI,A('F.MI tIT OF P1 I'P: IN (AIANNEI':
CIIArr(11•:1, CON.;T1:UCTION OF A DAI•I/FI.OODIIf(;:
OTHER:
1.1. IF ('OIMTRIJ("1'IOIJ Ov A POND 11; PROPO:;I•;D, WHAT 1; '1'111•: Or '1'111.; lJA'I'1;It:;lll;l) llRAIIJIIJt;
TO 'I'll[!: PONW?
WHAT I.'.; '1'111; EXPECTED POND SIJPVA(A,: AREA,?
_ / V

)2. 1)I:S('I+11''1'1011 r)I' I'ItOI'O;;I;1) 1•J,d"T III, 1,111) 111(: I)1!;r w:.,;lOrl r)I•' 111':1'11AtII('A], hOIIIPrIPIT'
I'O Hl: IL41) (A.I"I'W 11 I'I,nrlf;: 11'y" I I 1)1'/\11111(;:; (IhI1,Y) /?/o r>? ?SBL?F o/?t??/Sf!/lA
Creep ?tv7a?v /S 9 c, ?' s'/r".rv 1 h?T ?s c??vsno? ?, v4 lo.??/ f
•v?eJty ? p?+¢•0?'? sh?P/I I'?'L?iPn'??.-? s?.+?./q?
Ale
j -Px/s1? sr?2.9?1,bv f,,?- 6P 6e 71v lAe W 4wr/ are
I {. I'IlRPO;;I•: OI• I'I+OI'O:,I,O IJi)PK ?"? Sv??/? Si
I •I . '1'AT1: PICh.1I1 ; 1;I1Y I'I' I ItI:I • I I:'lI.I I'11AT 'I'll l .`; A("I' 1 `) I'I"' I III;; I' Itl; ('/+I R I I;1) 011'1' 11J
111;'1'1 Alll)!;. (Ihll'I,III)I; nll'i I'll:A:;IIPI::; TAI'I;tl 'I'O F11NIhllil: 01:'1'1.1+111) II.1111WTf;) :_- IlW SVIUII/!
?1'IUS7' be 11?S1,VAec1 /iv >/yLe I-r ljx TJw i2.4vllve_ alo
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/1'l V t f} 5 ?o S S i? ?o ? Ui?!? rf?-? w, 7111 1-/1/-le' ChP.Q?C,
.15 YOU ARH Pl.OTIII?I'll I TO A( 'T 'I'll F: II.:;. FI;:If AND P1.1I,1)1,1Fl•: .`;I;RVICE (IISFWI;) AND/OR
NATJOIJAI, MAR111H FISIIFPIF. SVPVI('I. (NMFS) A(;).11('Y nl)I)1111:S.1;IsS SIII.L;1') REUI\Itl).itl(3
THE PRES1,31CH OF ANY FI.I1VPAI,I,Y I?1S'I'1:I) OR PPOPO;Fl) I•'OR I.ISI HY; FIII)ATIGF•RR1) OR
T)IRh:ATEI11;1) ",111•;(' OR C I P'I' I ('Al, I11M 1'1'1\'1' III 'fill, I'1•:RH I T API•:A THAT MAY 111•: AFFECTI•:i) I{Y
DATE COI.1'1'AC"FED: (11'1"1'/1('11 RGSPOTISI.S FPOH TIIFS1. AGI.NCII-s. )
1 (; . YO(I API; 11.011 I PI.1) T() ('( )Il'I'A("1' 11 I `;TOP I (' I'ItI::;I:I VAT I OIJ OI•'F I CEIt (SIIPO)
A';I:II("i nl)i)171;`;`;I; S :;111:1,'1') RF(;API)Itir; '1'111; PI:I:SI:N('I. ()I' IIIS'I'(R1(' I'I'OL'I:P'1'II:S ltl '1'111;
I'1.1(f1f'1' AREA 41111('11 MAY 1'1. "I'1.1) PY '1'111; 1'ROPO';1•:I) I'I)
DATE. (A)IFFACTI-:1):
17. NOES THE I'RWECT J:NVOI,VG AIJ I;XPI.N1)-'TURF: OF PLM1,TC UlJI f; OR THE USE OF Plll'IMC
(STATE) LAM)? YES I ) NO ( (114' It(), GO TO 1 ll )
a. IF YES, Ix)FS '1'N1. PRO71.("I' RF(JIIIR.: Pltt.t'AI21\'I'1OT1 OF AN FTIVIROI]h1FNTAT, IMC1114F:11T
IMWI IANT TO THE l'I.(111IItPT11 T1'1'; OF '1'111': NI)R'I'll CAROI,IIIA FlIVIROIJI•IlJITA1, PO1,1('Y ACT?
YI.S I J NO
1). IF YI.S, JIM TIIF 1)(W1Ih91•:I1T BF1•:I4 PI•:V I FP11.1) TIlIMIl(;ll '1'111: NORTH CAROI,IIJA I(FPAR'IT11-;11'1'
(11' AOt11[11;;'I'RI+'I'IOhI S'I'I\'I'I: ('IJ?nPIII(;NOll;;l;'' il:[; I J IJO I I
IF Arl.';1.11:8 'I'O I'll) I.; YI•:.`;, TIli?N •`:IIISr11'I' PIP IATH I"(.IIh11•:N'1'ATI(ll FPOM 1111; :;'I'n'1'1.
('1 ,1:n1711i(;IIOU;;I; 'I'r) I)IV ISIOhl OI•' 1•:11VIP(11Ih11•:11.I'AI, ht^.r1A0.1,11•:I1'I' Ilh:(;AIt1)111(; l'OI41'I,IAIJt'I; 111'111 '1'111:
NOR'I'll CI1ROI,I TJn h.hlV 1 wmr1Fl]'I'A1, AcT
t Nf;S'I'IOrI;; P1•:(,AR1)1JJ(; '1'111. S'I'A'1'I; t'I I;nIlltJr;11OU:JI•: RI':VIF14 I'RO('I:!;:; ;;110111 l) 1{1 I)IRI;("I'1.1) 'I'O I1S
('NRY1; I1n(;(;I'.'1"I', 171 PF("I'OR S'I'n'I'1•; ('I I;I\Ir I N(;IlOll•`;p: NOI;'I'11 CAROI,i NA O1.PAR'IT-iI;II'I' OF
Af)h111llr;TRATIOIJ, 116 ,JOI11.;; IJOR'i'11 ('/1W)I,IIJA '?'/()'U1IH003, '11.11-TIVAIV
(919) '133-6369.
Ill •IIIi: I'( )l,l,l)WII,l; ITI.T.'; !;II(itII,I) III•: IIJc'I,IIDI'D WI'I'll 'I'll I;; APPI,I)'ATIc)II IF I'Rc,l'c):;1•:11 A( 'TlVI'I'r
IHIR)INP1; 'rill: III!;c•IlnP(;l•: M.' I-:XCAVnTFI) (III NII.i, ItATI.:PInl, 111,11)
411:'I'IJtlD:
). WI-:TI.AfM DI•:1, HEA'I'I()IJ HAP :;IIOWIN); AI I, IJl-:TI.AIJI,:;, !;'IT 1-:MT; I,nl'I,::; AIII) r'()III):; ON '1'111:
I1W)I'r UTY (F( )IZ 1JA'I'I( NIIJII)1•: 1,1•:1,r41'1, 14111,1111.; w; I I, I lt, :? I , ,:G, ' ,, Atli) ill) . AM,
!;'ITHAM:; ( INTI':RMI'1TEN')' All]) PI•:ItI.lAIJl•:r,'I') OH '1'111: I)Rc)PERTY h111:;'I' III-: :;II(A-11J Oil THE MAP.
MAP SCALE:; S1101JI D III{ I INCH 1'.(jUA1.1; ')0 f'I•:I•T c)Il I INCH I',c)11AI.!; lllcl I'r:r•:'r OR THEIR
EcaN I vnl,l•:rrr .
1). IN AVAII,AIIIJP:, II:I'lll:r;h;tl'I'/\'I'IVI: I'llO'i'O);I:nl'll c)I' lJl;'I'InND:; 'I'O Itl; Iril'nc"I'I:D It'i 1'ROJI:c"I'.
II' DI•;I IIII•:n'I'Ic)N wiv; N.:)?FOPM1,J) HY n cY)tJ:;lll,'I'nfl'I', IN)'IP10-: AM, I)ATA REMNANT
I'c, '1'111: I'I,nCI'.hii:I1'1' ) I' THP I,I,:I, I lJl:AT I OII I 1111; .
I n'I"I'nc•Il A n w,,, or 'rill; !;'I•))RI.1WATl-:I! ItnhJnc;l?I.11:1J'1' PhAN IP IP1-:1).
)?. WHAT I.(; I,AIJ?) IJ.'J: ()N stIRROtINI)INc; PRc)I)I:R'I'Y'? ??57/_le? ?? L
1:. I1 APPLIC.AI31,E, WHAT I.S 1'ROPOSEH Nl:.l'IIOD OF SI,WAc;I; IIISPO,,A1,? ?! !rT
(I. SI(;IJf:D AND DA' XI) HY nc;l;hl'I' AUTHORI7,ATIOIJ It- AI'PI,IC'AIIIJ .
WTI-AND; OR WATERS OF TIll; U.S. MAY PO)T Iii; IMPACTED PRIOR TO:
.I) 7SSUA11c'I OF A S'Ec"I'IOIJ 404 CORP'; 01 EIRMIEERS 1'I;RMI'I', At,)))
"l.) EITHER THE :fS3lIA11(.1: OR WAIVER OF A 401 D.W.ISION OF PNVIRc)NI,lI-!lJ'AL, MAIIA(;EM1-:1'1'
( WATER QUAI.,I'1'Y) CE1:'l' 1 I :LCA'1'.I ON .
OI•Jlu? z' ,r•' 'r' s A ? r; f
(A ;H UCHATIMF V I'll) ONLY
III Atl'1'IlC UZATIOIJ 1,is'1"1'I?li PPOM
'1'111: OWNER 1.11 PROVIDED (a (tc, . ) )

G m, Us
Tt? Aqt6j)
OWNW
Jtpw,p(?
V-TC1Nf1'Y
MAP
moo/ >
ter Hi E!ay
NO
IPS0b 12'x30' TEMPORARY'
INE CONSTRucnom, ENTRANCE
2220 22 r
t ?2 2210-
IN -21
s
2
L
DISTURBED AREA '
EACH LOT , .. ....._.., , j Q 2210
8000 SQ.FT pISTURBED AT2 , i
CH LOT
•6000 SQ.FT /
x 2
296.P O At .
S tfENCE SMH yC)
TOP?2202.76 ,
S
L.F. OF (2) 48' OR( )7 PEP N-12 OS-8.7R
cYYM S-S.OX INV (IN)' 203 ; ( )-2200
EM Y PILLWA
`
WA )FR , I
Q
L.F. OF 16 PEP N-12 OS-e.7% I
NSTALL CLASS 2 RIPRAP , TE RARY SEOIA?I}fIR10N 94fU1 _
1 I EACH END I SEE DETAIL 100' roP?2 BOTTDM.2202
DISTURBED AREA 0.30 Ac.
39.
EACH-tOT--__-_ ___.J . , ? ..._....
=8000 SQ.FT 8
12. 41 Ac. J ?'""? o- r`m •2208
6 Ac.
.
F. OF 24 PEP N=1 .7%
STALL CLASS'2 RIPJAP - -- `?
•• 2Q I ? ? C ? r ? EAC END - ?`
S"BF
1 ' 0.` ` R J t 'Egsa? " b SEA -
c:j
??^, ` 1 1 11 a SQ FT
1 `? o II Ui.F. Of 18 PE N-a OS 7X ?.
\ :i 3. Q NSTALLe CLASS'2 RIPIWAP ?. 3
0137 Ac.', I L 'OF
22,1

)IM I Il : c'? )I I 11c"
C II):
NA'I'1ONWll*: I HRMIT 121,O[Il;.;'I'I;I) (I ROVII)!
PIM --CONSTRUCTION NOT `I , _ C;41' 1 ON 1 P P I , YCATT ON
FOR NATIONWIDE PERM I'I' ; THAT
I?i;! )II I Ill; : "`
1) NOTIFICATION TO THE CORPS OF ItiN(,TNI I•,R:;
2) APPIACATION TOR SI?C'1'TOIJ 401 CPI?TIFlCATIOII
3) COOPPINATION 1,11'111 TIII; Nc' UlV15I014 ON C'cU1`;'I'/',I. 11T?IJhc;l:P1[;IJ'l'
SEND THE ORIGINAL AND (l) ('OPY O1 'I'll1S c'OMPI,I'1'EU FORh1 '1'() THE APPROPRTAT E FIEI,D OFI'1CE
OF THE CORPS OF ENGINEERS (SEP: AGE:N('Y ADDRESSES SIIPI'I') . SEVEN (7) COPIES SHOULD BE
SENT TO THE N.C. DIVISION OF ENVTRONMENTAL MANAGEMENT (SEE AGENCY ADDRESSES SHEET).
PLEASE PRINT.
1. OWNERS NAME: L,T e. E/1J7?/???SeS -lvC-- 2. MAILING ADDRESS: 19719
.__NL(1f- _Le /CQS7'_
SUBDIVISION NAME:
CITY: l?t?c STA'L'E: Al'i ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : !7Av1/ W CelCts / ?Wy,_ 40 A-1 0--el
3. TELEPHONE NUMBER (ROME) [s olaoo (WORK) : .-!/Z? Z5"? /D$ b
4. IF APPLICABLE: AGEN'P'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER : ']4A?, f'. g', qD bCj??'/?/G}/i??/
20 t/ Cb&4?#e h/wv, S'v 1,fie ZSSO -3
_-_$-2? 244 '7 .o l ---- ---- ------ ---- ---
5. LOCA'T'ION OF WORK (PROVIDE A MT?i), PREFERABLY A COPY OF USGS 'T'OPOGRAPHIC MAP OR
,
AERIAL PHOTOGRAPHY WITH SCALE): / - COUNTY: -__-(1i?ce,"V&2P NEARES'T' TOWN OR CITY:
____ ?' ?l +lcC?
SP CIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) ZAX0 /L?2u! (OlfoS /?,,,,
NG ?? 3
6. IMPACTED OR NEAREST STREAM/RIVER: -_-
RIVER BASIN: fi?I?CA PJ& ----- --
.,z?:, :«, • s'?aimYia.?cativ?at?WUS ?rrB.:a?rr?wRP°k?f,wr:? t:?:v` ?.v, ...._?w,?..,
i
la. IS PROJECT T.OCATED NEAR WA'T'ER C:LAS S1I 1ED A:; TM)ln', '1'IDA1, SAIAMATER y
(SA) , 111CIT QIIAlJTY WATERS (HQW) , 00TSTAND114(, RESOURCE WATER:; (ORW) , WATER SUPPLY.,
.1
(WS-14'6R W.`.; IT')'? YE.`; [ ) NO [ I IF YIiS, EXPLAIN:
'Jb. IF THE PROJEC'T' IS LOCATED WITHIN A NOR'T'H CAROLINA DIVISION OF COASjI•AL MANAGEMENT
ARE OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO
7C. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 OR•LIST OF COASTAL
COUNTIES), WHAT IS THE LAND USE PLAN (L,UP) DESIGNATION:
8a. HAVE AN4Y SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY?
YES [?/) NO [ j IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT,AND;ANYI..;4
,1''I`ADDITIONAL`INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE! -ADDITIONAL"PERMIT ' REQUESTSI EXPECTED FOR THIS 'PROPERTY IN THE FUTURE?,,?,, „f
YES [ ) NO [1/j IF YES, DESCRIBE ANTICIPATED WORK:
9A. _ESTIMATE TOTAL NUMBER OF ACRES 'IN TRA T OF LAND: IS.Z S
9B...ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10A. NUMBER OF`ACREi' F`WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
LI:hNG : ' EXCAVATION : UGC -7z" 106P
FLOODING: OTHER: PIL&&vtwr OF.,??LOC.FO/10'CU? ?b?oF I8` p
DRAINAGE: TOTAL ACRES TO BE IMPACTED:
l OB. (1) STREAM CHANNEL , TO B,E,T} : ' • t^ ? , \ :, ? ; ; y +
)M r PACTED Y13Y THE PROPOSED„PROJECT (IF.RELOCATED, PROVIDE
' •y` e 1. IM
.,v.._"DIS?I'ANC ??TH BEFORE AND AFTER RELOCATION) M
1
LENGTH BEFORE FT AFTER : FT ,
..WIDTH BEFORE (based on normali high water contours): FT
WIDTH 'AFTER:.;. , FT <
AVERAGE DEPTH BEFORE: FT AFTER: FT'
(2). STREAM C AN4m.,- IMPACTS WILL RES 13 T FROM: (CHECK ALL THAT APPLY)
'OPEN"`C9ANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
...CHANNEL ELEVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER: w
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED ,))RAININGiF
TO THE POND?
..WHAT IS THE EXPECTED POND SURFACE AREA?
-?'+L:'?'NMr'?•.?F`1ArSfIN+'.L.FVFitS1Ui'?r'Ct:J1raRAl?ir'.•.-'.. ?r ?' a, fY"'. ..f .. .[..: ,y.?,MMNiMIFMpr;W,?q?{,
?
r
DESCRIP'T'ION
12
OF PROPOSED Wc)RI(
INC1,UDING DISCUSSION OI" '
1'YPIi OI MLCIIANIC'AL EQUIPMENT
.
1313 I1SED.
TO
(ATTACH PLANS: N'/,"
NGS ONLY)
x I I " URAWI /NSrg Lc_. 3 ??p?

_
, CA&W ^Q 1
4l V?I? T s?l ?ti i i't_ !/ NO?JQ/' ?4 I`fr?7 ?.r?T
:111, ?^;'r •. ? ;??. ? r .??t
:? I :r , ? ? , ; ? ? ? ? ?? SubG?iyi?sio? ??°?' " 39'LOf-s
13. PURPOSE OF PROPOSED WORK:
t ,l
11'4''1 STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST B1: CARRIED! OUT IN
S(1?/sue/
7AP
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WE'T'LAND IMPACTS):
/legal r,?UST ,bt ir?S7 /L /iv ?h.¢ r ora- pw & 4vi'ove aod -/v A4w
20,0 1?e- /4n? o p Ha Si le, 77ie i2o4,w-l will be S? , d al sus
rhvcti /?-s ?es,c i6Z o o i? ?•
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS) AND/OR
NAT,IOS; MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET) REGARDING
THE PRESENCE OF ANY FEDERALLY LIS'T'ED OR PROPOSED FOR LISTING ENDANGERED OR
THREATENED SPECIES OR CIRTICAL 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 a
PERMIT AREA WHICH MAY BE AFF CTED BY THE PROPOSED PROJECT.
DATE CONTACTED:
17. DOES THE PROJECT INVOLVE AN EXPEND TURE OF PUBLIC FUNDS OR THE USE OF PUBLIC .
(STATE) LAND? 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 J
] ,V[?
IF ANSWER TO 17b IS YES, TI4EN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO DIVISION OF ENVIRONME•'NTALiMANAGEMENT REGARDING COMPLIANCE WITH THE
NORTH CAROLINA ENVIRONMENTAL POLICY ACT. A' er
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 CA)20LINA 27603-8003, TELEPHONE`
j
[phone].
::,?rS'WCL._•.nl' ',•. yylu7Y?Mi,1?fiMNph?iJ?.:R.?+wuGrWti?+P??f:H1Y??W??N?F:?.'rr,:xa.::;;'6f9?MYr._.Af.i-v?'c.•:r•d11r•,WYafhoYFi.?'ai`.x'Hrrr-.:. ,". ,. i r ,. I.w. S,{a's:, .. "a?xlF4?p831h:
? T
10). 'I'lfl? 1'O.I.OWINC; I'T'I:t4S SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY
r
INVOLVES?TIIE DISCHARGE OF IEXCAVATl%-D OR FILL. MATERIAI, INTO Wls"TL.AND6:
a. WE'T'LAND DELINEATION MAP SHOWING, ALL WETLANDS, STl?IEAMS, LAKES AND PONDS ON THE
PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 10, 21, 26, 29, AND 30). ALL
STREAMS (INTERMITTENT AND PERMANENT) ON Till', PROPERTY MUST HE SHOWN ON THE MAP.
• y, , r SCALES''SHC?IJLJ? BE .L INCH ,EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR
EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PIIOTOGIZAPIi OF WETLANDS TO BE IMPACTED BY PROJECT.
C."IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALI, DATA SHEETS RELEVANT
Tin!. PLACEMENT OF THE DELINEATION LINE.
4
d rA'T;\IA, CH?AfCbPY"OF',THE STORMWATER MANAGEMENT'PLAN IF REQUIRED.
e : WHAT I .?-4AND `USIA OF SURROUNDING-PROPERTY? ?eS ??? ?'?'L- f
f .,. IF. Ap,pL, CABLE,, ;WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? oi/
g..SIGNED,AND DATED BY 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, AND
2) EITHER THE ISSUANCE OR WAIVER OF A 401 PTVISION,OF ENVIRONMENTAL MANAGEMENT
(WATER QUALITY) CERTIFICATION.
(AGENTS
I F ',AU4011
THE OWNER
IGNATURE VALID ONLY
IZATION LETTER FROM
IS PROVIDED (18G.))

DATE,-,,,

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