19991332 Ver 1_COMPLETE FILE_19991217

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
1 • •
wool
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 9, 1999
Davidson County
DWQ Project # 991332
APPROVAL of 401 Water Quality Certification
Jerry W. Summerlin
179 Joe's Beach Blvd.
Lexington, NC 27292
Dear Mr. Summerlin:
You have our approval, in accordance with the attached conditions and those listed below, to excavate 0.1 acre
of wetland/lake bottom on High Rock Lake for the purpose of deep water access as you described in your application
received by the Division of Water Quality on December 7, 1999. After reviewing your application, we have decided
that this fill is covered by General Water Quality Certification Number 3106. This certification allows you to use
Nationwide Permit Number 18 when the Corps of Engineers issues it. 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 Water shed 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. If you change
your project, you must notify us and you may be required to send us a new application. 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.
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 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 Dorney at 919-733-9646.
®rr 4&evens
Attachment
cc: Corps of Engineers Raleigh Field Office
Winston-Salem DWQ Regional Office
File Copy
Central Files
991332
Division of Water Quality - Non-Discharge Branch
1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer - 50% recycled/10% post consumer paper
hftp://h2o.enr.state.nc.us/wetlandc.htmi
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DEM ID: CORPS ACTION ID:' AlljA 9'
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE--CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTirICATION TO Tf32: CORPS OF ENGINEERS
2) APPLICATION roR SECTION 401 CERTIFICATION
-1) COORDINATION VXTH THE NC DIVISION Or COASTAL. H"AC EloMNT
SENT! THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
ENVADDRESSES
FIELD OFFICE OF THE CORPS TO EN?xNE?RSD?VS5Y0NAGENCY
7 ONMENTALEMANAGEMENT
(7) COPIES SHOULD BE SENT
(SEE AGENCY ADDRESSES SHEET).7. ASslPRXNT.

1. OWNERS NAME:
1
2. MAILING ADsDREIS:

SUBDIVISION NAME:
CITY : STATE: fv, t._
Z I P CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : Is 6'1?? ---
3, TELEPHONE NUMBER (HOME): 3 --l 12D (WORK):
4. IF APPLICABLE:
PHONE NUMBER: -

5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOORAPVY WITH SCALE:) : SQCI`th m?
COUNTY: r->4yt.DJ;V P,,,,,JJ NEAREST TOWN OR CITY:

AGENT'S NAME OR RESPONSIBLE: CORPORATE OFFICIAL, ADDRESS,
1
? T
SPECIFIC LOCATION (INCLUDE ROAD
°?-
NUMBERS, LANDMARKS, ETC.):
6. IMPACTED OR NEAREST STREAM/RIVER:-Set--?` 1.
f n tr - - -
RIVER BASIN:
7a. IS PROJECT LOCATED NEAR WATERCLASSIFIED AS P?Nt?TNG RESOURCE ,WATIDAL TERS Sp WWATWAT£R
(SA), HIGH QUALITY. WATERS (HQW), OUTSTANDING
IF YES, EXPLAIN: --.?..--.»•----
SUPPLY (WS-1 OR W5-11)? YES ( J NC7 t
7b. IS THE PROJECT LOCATED WITHIN CA.NOH CARO?INYEnx(r)IONOOF JOASTAL
MANAGEMENT AREA OF ENVIRONMENTAL RN
7c. IF THE PROJECT IS LOCATED
WHA'T A'COASTA.L POLRTJT ?Ljif'?£DESIGNATIDN?
LIST OF COASTAL COUNTIES).r
ea, HAVE ANY SECTION 404 PERMITS BEEN y?SVIPP,OVIDEFACTIONDI?DF NUMBER OF
THIS PROPERTY? YES { } NO {
PREVIOUS PERMIT AND ANY ADDITIO A INrORXATTON (INCLUDE PHOTOCOPY OF 901
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PWORKROPERTY IN THE
FUTURE? YES
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:
d
FILLING: EXCAVATION:
FLOODING: OTHER:
TOTAL ACRES TO HE IMPACTED:
pRAINAGE:
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE I Z lam/
FT AFTER: -FT
LENGTH BEFORE: -
?T
WIDTH BEFORE (based on normal high water contours):
WIDTH AFTER- ET AVERAGE DEPTH BEiFFORE : AFTER:
(2) 5 4' CK 3 S WTT-T, RP_ SU .TT FROM: (CHECK ALL TX: %T APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: w.
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER :..._
T IS THE SIZE OF TF_r
11. IF CONSTRUCTION OF A POND IS PROPOSED,
WATERSHED DRAINING TO THE POND? ??r--
WHAT IS THE EXPECTED POND SURFACE AREA? -w----?--
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION Of' TYPE -OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: E 112" X 11" DRAWINGS
ONLY):
?ATr J2 r Z,?t
?-- ?-- - U 72 C
C. Tu C. r?ntC? l 1?I1 c -"I rx,_.
13. VURPOJ Al OE' PRQE ©S ED WORK;
3
1.4. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS):
?./ A 00. r- i%\ flrl

&__
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 LISTER OR
PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT
IN THE PERMIT A THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. RDATE ESPONSES
CONTACTED:
FROM THESE AGEN IES.)
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 RICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:
11. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE.) LAND?
YES r] NO X (IF NO, GO TO 1S)
THEPREPARATION
IF YES, DOES
CCAROLI A ENVIRONMENTAL
THEEREPRECT QUIREMENTS OFREQUIRE
?•
DOCUMENT PURSUANT TO
POLICY ACT?
YES [I 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 CLEARINGkOUSE 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
18. THE FOLLOWING INVOLVES SHOULD THE DIBE INCLUDED WITH THIS SCHARGE OF EXCAVATED OR FILL MATERIAL
APPLICATION PROPOSED ACTIVITY INV
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLAND, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, TYS,
29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPER
MU$T 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. TF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT or THE DELINEATION LINE,
USE O?'ESUSTORMWATER, RROUNDING QROPE?TYNT PLAN IF REQUIRED.
d. ATTACH ACOPY
e. WHAT IS LAND

f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? ...
9- 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
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND ,
3) (IN THE 27tENTY COASTAL COUNTIES ONLY) , A LETTER FROM THE
NORTH CAROLINA DIVISION OTHC4AST ©A?NACARD TPIASCOASTALTNM?AGEM?NTp THE ACTIVITY IS CONSISTENT
WITH
PROGRAM.
/AGENT'S SIGNATURE DATE.
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (189.))
5
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