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HomeMy WebLinkAbout20041680 Ver 1_COMPLETE FILE_20041018Re: Combined Tracking and Tardy Notice, for RRO, AR... Subject: Re: Combined Tracking and Tardy Notice, for RRO, ARO, WIRO, WARO & MRO From: Kevin Barnett <Kevin.Barnett@ncmail.net> Date: Mon, 29 Nov 2004 16:44:16 -0500 To: Cyndi Karoly <cyndi.karoly@ncmail.net> CC: Forrest Westall <Forrest.Westall@ncmail.net> Cyndi Karoly wrote: Asheville: 04-1555, Marlene P. Brown, Macon Co., NW18? 10/13/04 12/11/04 On my desk trying to figure out how to deal with this one. 04-1680, G.E. Lighting Systems, Henderson Co., NW39 10/18/04 12/16/04 Issued last month 04-1695, Haw Creek Enhancement, Buncombe Co., NW13 10/20/04 12/18/04 Problems with this project. 04-1688, Theresa Emmanuel, Buncombe Co., NW13 10/15/04 12/13/04 Issued this month. 04-1583, Duke Power Paddy Creek Dam, Burke Co., IP "must be issued from Central" 10/18/04 12/16/04 (note to Kevin - I attended the pre-application and site visits while you were on paternity leave. They've done a thorough job covering the bases on this project. I'll be happy to go ahead and handle, especially since it's an IP anyway, so you can focus on other projects. Just let me know your preference. Please handle as needed. 04-1634, Dry Creek at South Pointe, Burke Co., CBR 10/7/04 12/5/04 Need to address minimization issues. 04-1611, Norman J. Payne, Buncombe Co., NW3 10/4/04 12/2/04 Incomplete. Working with property owner. 1 of 2 12/4/2004 3:02 r Date: f To: From: Tom Steffens and Kyle Barnes Noelle Lutheran Daryl Lamb Telephone : (919) The file attached is being forwarded to ? our for your evaluation. Please call if you need asostance. ? Stream length impacted ? Stream determination El Wetland determination and distance to blue-line surface waters on USFW topo maps ER-Minimization/avoidance issues ? Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman) ? Pond fill ? Mitigation Ratios ? Ditching ? Are the stream and or wetland mitigation sites available and viable? ? Check drawings for accuracy ? Is the application consistent with pre-application meetings? ? Cumulative impact concern Comments: se e_ A" r Triage Check List Project Name: DWQ#: County: ) !-I ARO Kevin Barnett ? WaRO ? FRO Ken Averitte ? WiRO ? MRO Alan Johnson ? WSRO ? RRO Mike Horan FILE COPY Division of Water Quality 401/Wetlands Unit 1650 Mail Service Center Raleigh, N.C. 27699-1650 041680 Reference: Pre-Construction Notification Dear Sirs; Enclosed please find 7 copies of a Pre-Construction Notification (PCN) Application for a stream located on the GE Lighting Systems property in Hendersonville, North Carolina. Mr. Kevin Barnett from NCDENR's divisional office in Asheville has visited the site, and inspected the proposed work area We have incorporated his comments in the PCN. As part of a dam upgrade project we are requesting a Nationwide Permit No. 13 to fortify the embankment which runs between a small 5-acre dam and a section of Bat Fork Creek. This work is necessary to ensure the integrity of the dam. This PCN should include all the information necessary to process this application. If you have any questions about the application, please call me at 770 642 1000 or Mr. Barry Hallock, the GE EHS Manager at 828 693 2148. September 30th, 2004 R12@WW[2@ OCT 0 1 2004 WETLANDS AND STORMWATER BBRRANCH Thank you for your attention to this matter. Sincerely r. David S. Buchalter, P.E. N.C. P.E. No. 27735 ?`t r 4r j O C T 1 8 ,2004 N 7L R AHDSJ AMA 17Y SWO PgYAIENT RECEIVED DADocuments and Settings\211003403\My Documents\dwq.doc 1 ` FILE riopy Office Use Only: ® 6Form Version May 2002 0U fl. USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Riparian or Watershed Buffer Rules ? Section 10 Permit ? Isolated Wetland Permit from DWQ ? 401 Water Quality Certification 2. Nationwide, Regional or General Permit Number(s) Requested: Permit No. 13 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ? 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete section VIII and check here: ? 5. If your project is located in any of North Carolina's twenty coastal counties (listed on page 4), and the project is within a North Carolina Division of Coastal Management Area of Environmental Concern (see the top of page 2 for further details), check here: ? II. Applicant Information 1. Owner/Applicant Information UD R @ r= ?M? Name:_Ge_Lighting Systems LL?? g V MailingAddress:3010_Spartanburg_Highway East Flat Rock 2004 North Carolina DENR - WATER QUALITY Attn: Barry Hallock EHS Manager I Telephone Number: 828 693 2148 Fax Number: E-mail Address: hallockb(a,)henntllsge.light. ge.com 2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant Name:Dave Buchalter, P.E. (representative but not agent) I 1) i-g (a Company Affiliation: GeoTrans Inc. D Mailing Address: 1080 Holcomb Bridge Road n rr T 1 8-M Bldg 100 Ste 190 Roswell Ga 30076 DFNR . WAmR o uqny WETLANDS AND STO MlM T R BRAWX Telephone Number: 770 642 1000 Fax Number: 770 642 8808 E-mail Address: dbuchalter(a-)geotransinc.com P:\GE\Pond Construction\Permitting\PCNFORM4_.docPage 5 of 13 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Stormwater Retention Pond Maintenance 2. T.I.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 4. Location County: Henderson Nearest Town: East Flat Rock Subdivision name (include phase/lot number): Directions to site (include road numbers, landmarks, etc.): From Hendersonville, take Spartanburg Hwy. (Hwy) South and GE Plant is on left after passing Tabor Road. 5. Site coordinates, if available (UTM or Lat/Long): 35° 16' 25" N 82° 24' 10" W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Property size (acres): 7. Nearest body of water (stream/river/sound/ocean/lake): Bat Fork Creek 8. River Basin: Broad (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h2o.enr.state.nc.us/admin/mEs/.) 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: The site is used to manufacture industrial lighting. There is a plant complex and a storage/warehouse building. There are also two ponds on site, which are currently used to manage stormwater run-off. To construct the largest pond, a significant P:\GE\Pond Construction\Permitting\PCNFORM4_.doePage 6 of 13 portion of Bat Fork Creek was relocated in 1962. This section of Bat Fork Creek was relocated and channelized so the dam of the stormwater detention pond could be constructed (Figure 1). An existing fish impassible weir is located on this section of stream. Portions of this section of Bat Fork Creek are stabilized with rip-rap, but other sections are eroding. This is where the maintenance of the dam and streambank are proposed. IV. 10. Describe the overall project in detail, including the type of equipment to be used: One side of relocated channel, approximately 500 feet, is proposed to be modified to prevent undercutting of the dam and ultimate loss of streambank and stability of the dam. The stream was channelized when it was relocated in 1962 and now flows at the base of the stormwater retention pond dam. As part of the maintenance for the dam, all woody vegetation must be removed from the slope of the dam and the base of the slope must be stabilized so that the stream does not continue to erode and threaten the structural integrity of the dam in the future. The first step in the maintenance program would be to remove the existing fencing and then remove the existing woody vegetation from an approximately 10 foot wide section of streambank leading down to the stream. To protect the stream bank from future erosion that may threaten the dam, gabions will be placed along the streambank and erected to a height where an approximately 3 to 1 slope can be established within the existing streambank. The streambank would then be revegetated with a suitable combination of herbaceous vegetation. 11. Explain the purpose of the proposed work: One side of the existing streambank is eroding and threatening the structural integrity of a Class "C" dam used for stormwater retention. The dam provides containment for the existing 5-acre pond. This work will prevent any further erosion along the stream and preserve the embankment so it can safely contain the pond water. If stabilization of the streambank is not performed, there is a significant risk of dam failure and subsequent threat to downstream water quality within Bat Fork Creek. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. Previous work (including channel relocation mentioned above) was conducted in 1962 prior to regulatorypermitting requirements. A wetland delineation was conducted on January 21-26, 1998 by Engineering Consulting Services, LTD. and field verified by the USACE on February 13, 1998 (Figure 2). Notification of Jurisdictional Determination was issued by the USACOE on February 23, 1998. A land P:\GE\Pond Construction\Permitting\PCNFORM4_.docPage 7 of 13 survey of the wetland boundaries was completed by Freeland-Clinkescale & Assoc of NC in September 1998 and the boundaries were approved by David Baker of the USACOE on January 12, 1999. V. Future Project Plans Are any future permit requests anticipated for this project? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application. No VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: The only impacts will be to an approximately 10 to 15 foot wide section of streambank along Bat Fork Creek as shown in Figure 3. The impacts will include placing gabions along one side of the stream to stabilize the bottom of the dam of the retention pond. Figure 4 provides a detail of the gabion placement. Stream flow will not be altered based on the proposed activity. 2. Individually list wetland impacts below: Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of Wetland*** Not Applicable * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. P:\GE\Pond Construction\Permitting\PCNFORM4_.docPage 8 of 13 ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at htip://www.fema.gov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only). List the total acreage (estimated) of all existing wetlands on the property: 3.5 acres (Figure 2) Total area of wetland impact proposed: None 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leases cify) 1 Stabilization 500 Bat Fork Creek 6 feet Perennial * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.usgs.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapguest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 500 4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.) below: Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. Not Applicable * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 5. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands P:\GE\Pond Construction\Permitting\PCNFORM4_.docPage 9 of 13 Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Not applicable Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Not applicable Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. We performed an engineering analysis of the strength of the embankment and calculated a safety factor with regards to slope failure. Currently the safety factor is approximately 1.0 for certain sections of the embankment profile. Without any stabilization (no action option), the slope would eventually fail due to the load imposed by the water in the retention pond. Therefore some type of action is needed to preserve the mass in the embankment. The relocated stream channel was placed at the base of the dam embankment and has eroded the embankment over time. The maintenance measures performed to date include the placement of minor amounts of rip-rap to prevent erosion. To maintain the long term structural integrity of the dam, the streambank must be permanently stabilized. Engineering plans have been submitted to the N.C. Division of Dam Safety to fortify the streambank and make some other minor changes to the pond in accordance with the dam safety rules. VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. P:\GE\Pond Construction\Permitting\PCNFORM4_.docPage 10 of 13 If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at hqp://h2o.enr.state.nc.us/ncwetlands/strrnaide.html. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. Because the project is being conducted as part of a maintenance activity, the only mitigation proposed is to remove the fish impassable weir placed within the stream. The weir has been in place for decades and no longer serves its function as flow monitoring station. Removing the weir would allow fish migration along this portion of Bat Fork Creek. No monitoring is proposed. 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at (919) 733-5208 to determine availability and to request written approval of mitigation prior to submittal of a PCN. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wM/index.htm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): IX. Environmental Documentation (required by DWQ) Does the project involve an expenditure of public (federal/state) funds or the use of public (federal/state) land? Yes ? No P:\GE\Pond Construction\Permitting\PCNFORM4_.docPage 11 of 13 If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No X. If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? Proposed Impacts on Riparian and Watershed Buffers (required by DWQ) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233 (Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ® If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet Multiplier Required Mitigation 1 3 2 1.5 Total * Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or. 0260. P:\GE\Pond Construction\Permitting\PCNFORM4_.docPage 12 of 13 XI. Stormwater (required by DWQ) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. As shown in Drawing 3 the adjacent drainage area is approximately 5 acres of which about .2 acres is existing impervious land surface. No additional impervious land surface is proposed. XII. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. Current sewer capacity is handled by the public sewer. XIII. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules? Yes ? No Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). 2101 Apphcanir/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) P:\GE\Pond Construction\Permitting\PCNFORM4_.docPage 13 of 13 3AV A110H 340b0 ? ? 6 r LL 0 Q 3 Y L Q Li ~ m co W a o N Y m (L (^Q m Z m m O W c V W LL 12 ` G ^ W / / ? ) C 11 // O 6 W O ° o \ \ a ° W W LL • j9 L. C) LO z - C U C) as yJy? ' ?3 P JQ,0 --Mir Z - Q'G J oGe? eG? ,6 Off' QP J5? / yy Yy? 3 4i :y a y? 9 rn 0 0 °c n d rn a Lii N 3Atl Al'pH O LL 0 0 $ 3 0 CO x 'H o U ° K 0 ?5 o o Z ° c6 w U N = J U o o 'j 70 M ?i N O 70 C N V N O W v0 II d ?yA J U' O o.2 16 pia n II a R ?? O)o T= E " W ?W -, = y m / W Q ? V C "0 5.2 =1C d W O a C Of V 4.0 c a J O O N a G% /r w C> Z D Cl ZA. 1J5 _aP JPG p ?0 JQ`G? 0 o Qq ,10 J5? nV Gi 3 -` W a S ? Y ? S .? 2 Oyz, b?O a' H V N 3 `o a_ lx? y Q -A -A 71 a) 164 r 71 !? m r ? O w -A La O -A ? I Q W ?E -A I ( Q <',,9 -A g 1 o -A C) -71 O °1 oo z ?j?? i- W y?bOy W in O \ < J SOS Q Q o W SOS C? ? Q = ?. W C pm L, m O Q F Y a_ W ON O V' W Y C/)O U z m a WW -A m _Ck? W O cn< C Z H z Q W ?- LLJ A -A CD .? C' Q z 0 he w ?- W 0 m > V) • o v m N V $o 3r fn Z U n ?? m U O W d C O O p C ? c_ ? ? O d W O O A 1$ H tl F F I z O W P: m W Z N Q I m v) W W o U W ? Q U_ a} O F N O LL g? Q S o c? W ? Z N O Picture 1 Picture 2 GEOTRANS, INC. )UR 133888 REF. NO. YOUR INVOICE NO. INVOICE DATE INVOICEAMOUNT AMOUNT PAID DISCOUNT TAKEN NETCHECKAMOUN 34573 401 CERT FEE 10/14/2004 $475.00 $475.00 $0.00 $475.00 a,grr.-I, 1 OCT 2 N95 1 8 2004 DENR. `",?TINiDSAt+ ATERoUALIIY ITORN?IXTERERM0 TOTALS 475.00 $475.00 $0.00 $475.00 Picture 3 Picture 4