20010313 Ver 1_COMPLETE FILE_20010302

Attention: Mr. Mike Horan
2312 Crabtree Blvd.
Suite 250
Raleigh, NC 27604
Dear Mr. Horan:
O r
APR 1 I Z
As I explained in our telephone conversation of April 4, 2002, 1 do not wish to withdraw
my 401 application for a recreational pond in "The Glen at Laurel Springs" subdivision in
Alleghany County NC. I am working with a consultant on this matter and he needs to
make further measurements before he can present his findings.
As I stated in our conversation my coordination with the consultant on this work has been
hindered by my recent work related absence from the NC area. I plan to finalize our work
with the consultant in the near future, and wish to keep this application active until I have
had time to do so.
Thank you for your help in this matter. I will contact you concerning our further plans as
soon as possible.
Sincerely yours,
41w? U
E. Lamar Sheppard, P es dent
The Glen at Laurel Springs POA
F W A T? Michael F. Easley, Governor
0 9 William G. Ross Jr., Secretary
\0? QG North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
C/)
r Acting Director
Division of Water Quality
o ?
March 5, 2002
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
E. Lamar Sheppard
The Glen at Laurel Springs Property Owners Association
P.O. Box 2384
Blowing Rock, NC 28605
Re: Three Unamed Tributaries to Panthers Creek
New River Basin
DWQ 4 010313
Alleghany County
Dear Mr. Sheppard:
On April 3, 2001, the Division of Water Quality wrote to you concerning your plans for the discharge of fill material
and impoundment of three Unamed tributaries of Panthers Creek for the purpose of recreational pond construction and
residential development in Alleghany County. This letter informed you that the project was incomplete and was being
placed on hold until the additional information outlined in the letter was supplied. To date, we have not received this
additional information. Unless we hear from you in writing within 3 weeks of the receipt of this letter, we will consider that
you no longer want to pursue this project and we will retire the file and consider the application as withdrawn. Please be
aware that reapplication for this project will require a Certification fee and new applications.
Please call Mr. Mike Horan of my staff at 919-733-3574 if you would like to discuss this matter.
Sincerely yours,
1.
"?John Dorney
Wetlands/401 Unit Supervisor
Cc: File copy
Central files
Winston Salem DWO Regional Office
Raleigh and Wilmington Field Office US Army Corps of Engineers
[phone]
`,' _..Pr Cualitv tr • Mail Service Center RaIFi;h. NC 27699-'017
N DEhR
Customer Service
1 ?CG .F23_,7,
o?C)? WA p
r
Michael F. Easley
Governor
Williams G. Ross Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
DIVISION OF WATER QUALITY
APRIL 3, 2001
CERTIFIED MAIL: 7099 3220 0006 8502 5264
RETURN RECEIPT REQUESTED
E. Lamar Sheppard
The Glen at Laurel Springs Property Owners Association
PO Box 2384
Blowing Rock, NC 28605
SUBJECT: REQUEST FOR ADDITIONAL INFORMATION
The Glen at Laurel Springs
DWQ Project # 01 0313
Alleghany County
Dear Mr. Sheppard:
The Division of Water Quality has reviewed your plans for the discharge of fill material
and impoundment of three unnamed tributaries to Prathers Creek, Class B Tr+ waters, New
River Basin, for the purpose of recreational pond construction and residential development.
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(e) 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.
(1) 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. Documentation such as
maps, narratives, economic analyses, that you can supply to address alternative
designs for your project may be helpful in our review of your 401 Certification
request.
.Ww
NZ`6ENR
Customer Service
1 800 858-0368
(2) Please provide documentation detailing your position that the project has been
designed such that adverse impacts to surface waters have been minimized and
existing uses have been protected to the best of your ability.
Division of Water Quality / Water Quality Section
585 Waughtown Street Winston-Salem, NC 27107
Phone: [phone] Fax: [phone] Internet: http://wq.ehnr.state.nc.us
The Glen at Laurel Springs
Page 2
(3) Please provide the exact linear footage of each tributary that you propose to
impact. Include the length of streams impacted for the entire project site (impacts
due to the dam fill material, the water impoundment, road crossings, lot
development, etc.).
(4) It is strongly recommended that the project site be delineated for wetlands. Please
submit the exact acreage of wetland impact, which includes, but is not limited to,
impacts due to water impoundment, lot development, and road crossings.
(5) Please explain the method of sewage disposal for the proposed subdivision. Has
the Alleghany County Environmental Health Department approved all lots for
traditional, on-site septic systems and the associated setback requirements?
Please keep in mind that Class B Tr+ Waters are subject to the water quality
standards and special management strategies, as outlined in 15A NCAC 2B .0219
and 15A NCAC 2B .0225 respectively. These regulations can be downloaded
through the NC Division of Water Quality website at
http://h2o.enr.state.nc.us/admin/rules/.
Please respond, in writing, both to this Office and to John Dorney, 1650 Mail
Service Center, Raleigh, NC 27699-1650 within three weeks of receipt of this letter
outlining your intent to proceed with this project or withdraw your application. If you
wish to proceed, please address the items listed above.
If you have any questions regarding this matter, please contact Mrs. Jennifer Frye or me
at [phone].
Sincerely,
Larry D. Coble
WQ Regional Supervisor
cc: Raleigh Field Office, US Army Corps of Engineers
Wilmington Office, US Army Corps of Engineers
Wetlands/401 Unit Central Officd
Central Files/WSRO

The Glen at Laurel Springs
PO Box 2384
Blowing Rock, North Carolina 28605
April 18, 2001
Mr. Larry D. Coble
WQ Regional Supervisor
NCDENR
Division of Water Quality
585 Waughtown St.
Winston-Salem, NC 27107
SUBJECT: Request for Additional Information
The Glen at Laurel Springs
DWQ Project #01 0313
Alleghany County
Dear Mr. Coble:
Thank you for your letter of April 3, 2001 requesting additional information for the above referenced
project. You indicated that we need to respond to your questions within a three week time period. At this
time 1 would like to ask for an extension of that deadline. I have been in contact with a private consultant
regarding delineation of the wetland area and exact linear footage of each impacted tributary. Once the
consultant gives me an estimate of his costs, I will have to get financial approval fi-om the property owner's
association before I can move forward. Therefore, it will be imperative that we receive additional time to
respond to your letter.
If the Property Owner's Association agrees to a consultant, then based on those results, we will make a
decision on whether or not to proceed with our application.
Your cooperation and assistance is greatly appreciated.
Thank you.
Sincerely,
E. Lamar Sheppard
President
c: Mr. John Dorney
1650 Mail Sservice Center
Raleigh, NC 27699-1650
Mr. Jim Young, Vice-President
Mr. Wes Lefler, Treasurer
DIVISION OF WATER QUALITY
April 27, 2001
Certified Mail 7099 3220 0006 8502 5363
Return Receipt Requested
Mr. E. Lamar Sheppard
The Glen at Laurel Springs
PO Box 2384
Blowing Rock, NC 28605
SUBJECT: The Glen at Laurel Springs
DWQ Project #01 0313
Alleghany County
Dear Mr. Sheppard:
W
This Office is in receipt of your April 18, 2001 request for additional time to respond to
our April 3, 2001 letter. The Division appreciates your efforts to address our concerns and will
continue to place your project on hold until we receive the additional information.
If you have any questions regarding this matter, please contact Mrs. Jennifer Frye at
[phone], ext. 275.
Sincerely,
Larry D. Coble
WQ Regional Supervisor
cc: Raleigh Field Office, US Army Corps of Engineers
Wilmington Office, US Army Corps of Engineers
Wetlands/401 Unit Central Office
Central Files
WSRO

CERTIFIED MAIL: 7099 3220 0006 8502 5264
RETURN RECEIPT REQUESTED
E. Lamar Sheppard
The Glen at Laurel Springs Property Owners Association
PO Box 2384
Blowing Rock, NC 28605
DIVISION OF WATER QUALITY
APRIL 3, 2001

SUBJECT: REQUEST FOR ADDITIONAL INFORMATION
The Glen at Laurel Springs
DWQ Project # 01 0313
Alleghany County
Dear Mr. Sheppard:
The Division of Water Quality has reviewed your plans for the discharge of fill material
and impoundment of three unnamed tributaries to Prathers Creek, Class B Tr+ waters, New
River Basin, for the purpose of recreational pond construction and residential development.
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(e) 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.
(1) 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. Documentation such as
maps, narratives, economic analyses, that you can supply to address alternative
designs for your project may be helpful in our review of your 401 Certification
request.
(2) Please provide documentation detailing your position that the project has been
designed such that adverse impacts to surface waters have been minimized and
existing uses have been protected to the best of your ability.

The Glen at Laurel Springs
Page 2
(3) Please provide the exact linear footage of each tributary that you propose to
impact. Include the length of streams impacted for the entire project site (impacts
due to the dam fill material, the water impoundment, road crossings, lot
development, etc.).
(4) It is strongly recommended that the project site be delineated for wetlands. Please
submit the exact acreage of wetland impact, which includes, but is not limited to,
impacts due to water impoundment, lot development, and road crossings.
(5) Please explain the method of sewage disposal for the proposed subdivision. Has
the Alleghany County Environmental Health Department approved all lots for
traditional, on-site septic systems and the associated setback requirements?
Please keep in mind that Class B Tr+ Waters are subject to the water quality
standards and special management strategies, as outlined in 15A NCAC 2B .0219
and 15A NCAC 2B .0225 respectively. These regulations can be downloaded
through the NC Division of Water Quality website at
http://h2o.enr.state.nc.us/admin/rules/.
Please respond, in writing, both to this Office and to John Dorney, 1650 Mail
Service Center, Raleigh, NC 27699-1650 within three weeks of receipt of this letter
outlining your intent to proceed with this project or withdraw your application. If you
wish to proceed, please address the items listed above.
If you have any questions regarding this matter, please contact Mrs. Jennifer Frye or me
at [phone].
Sincerely,
Larry D. Coble
WQ Regional Supervisor
cc: Raleigh Field Office, US Army Corps of Engineers
Wilmington Office, US Army Corps of Engineers
Wetlands/401 Unit Central Office
Central Files/WSRO
A ..t

0 North Carolina Wildlife Resources Commission r"
Charles R. Fullwood, l:ixccutive Director
0 ?DJ/-)
MEMORANDUM
TO: John Thomas, Permit Coordinator
Raleigh Office, U.S. Army Corps of Engineers
FROM: Ron Linville, Regional Coordinator
Habitat Conservation Program
DATE: February 26, 2001
SUBJECT: Review of an application by E. Lamar Sheppard, The Glen at Laurel
Springs Subdivision, Unnamed Tributary to Prathers Creek (?),
Alleghany County
The applicant is requesting a letter of concurrence from. the North Carolina
Wildlife Resources Commission (NCWRC) to obtain a 404 permit from the U.S. Army
Corps of Engineers. The NCWRC has reviewed information provided by the applicant,
and field biologists on our staff are familiar with habitat values of the project area. These
comments are provided in accordance with provisions of the Clean Water Act of 1977
(33 U.S.C. 466 et. seq.) and the Fish and Wildlife Coordination Act (48 Stat. 401, as
amended; 16 U.S.C. 661-667d).
The applicant proposes to dam and flood headwater tributaries to the New River
west of New I-lope Road (north) with a 7-acre lake. Mr. Kin Hodges, Fish biologist, and
I conducted a site visit on February 23, 2001. The area for the proposed lake did not
appear to support fish. However, the area contained more wetlands and streams than
indicated in the application. Although snow still covered the ground, wetland seeps
appeared to be a significant feature of the landscape, especially in the area proposed for
the upper shallow portions of the proposed lake. Maples, ironwood trees, sedges, mosses,
and skunk cabbage plants were observed. Other typical wetland indicators appeared to be
present in the seep areas.
It appears that the wetland seeps on this site are important salamander
habitat. These wetlands also provide habitat for deer, foxes, squirrels. Turkey, grouse,
snipe, and woodcock as well as many other animal and bird species may also benefit
Mailing Address: Division of Inland Ftshenes 1721 Miijl 5ervtcc Center Raleigh, NC; 27699-1721
Telephone: [phone] ext. 281 • Fax: [phone]
a -9
The Glen at Laurel Springs 2 02/26/01
from the wetland seep communities. There are thirteen state or federally listed species in
Alleghany County. The NC Natural Heritage Program and the US Fish and Wildlife
Service should be contacted to determine if any listed Endangered, Threatened, or
Species of Concern may be present prior to the issuance of any permits.
After reviewing the subdivision plans, it appeared that many small (1/2 acre) lots
and some larger lots (1 acre) are to be developed upslope of these waters. Some of these
lots appear to be too small for traditional on-site sewer treatment and disposal even if
they have satisfactory soils. We are concerned that flooding from a large lake will
destroy the wetland habitats. The large size of the proposed lake and dam may require
additional approvals by the NC Division of Land Resources pursuant to dam safety
requirements.
We recommend that the applicant consider building a smaller impoundment.
Roughly 3 acres could be flooded using the proposed dam location. This would impact
mostly perennial streams. The wetland seeps and associated forest could continue
providing habitat functions as well as recharge water for the impoundment. A natural
setting would remain above the pond where residents could enjoy wildlife viewing and
nature studies. Based on our visit, the information provided by the applicant, and our
knowledge of trout in the area, we do not believe the impoundment will cause significant
effects to waters supporting trout providing the pond has a cold water (bottom) release
and there is a minimum release requirement. Should the impoundment be permitted, we
urge the inclusion of littoral shelves and shoreline vegetation for safety and edge habitat
enhancement. Impoundment banks may be vegetated with silky dogwood, silky willow,
tag alder, black willow, maple, ironwood, sycamore or a blend of other native species to
provide long term bank stability and shading.
Thank you for the opportunity to review and comment on this project. If you
have any questions regarding these comments, please contact me at 336/769-9453.
Cc: John Dorney, DWQ
Jennifer Frye, DWQ
Steve Hall, NCNHP
Mark Cantrell, USFWS
Matthew Gantt, DLQ
February 5, 2001 VO I
U.S. Army Corps of Engineers
6512 Falls of the Neuse Road
Suite 105
Leigh, NC 27615
?\ f
Dear Madame/Sir:
010313
Enclosed is an application for Section 401 Certification to build a 7 acre lake in "The Glen at
Laurel Springs" subdivision in Alleghany County, North Carolina. The included drawings and
illustrations are preliminary and are presented here with the intention of resolving the
environmental issues before completing the engineering design and engineering-grade drawings
that will be submitted with the 404 Dam Safety Application.
?-- p I have been a Registered Professional Engineer in North Carolina since 1977, and it is my
w ? intention to submit a final and detailed design for the project with my 404 Dam Safety
F w Application.
C-D
Z W
cl:-- I have discussed my preliminary design and environmental issues with the following:
Al Childers, District Conservationalist for Watauga County Soil & Water Conservation
District.
Joe Mickey, previously the Regional Coordinator of the Habitat Conservation Program
Division of Inland Fisheries
Jennifer Frye, Environmental Technician, Division of Water Quality, NCDENR
Steve Booe, Environmental Technician, Land Resources/Land Quality, NCDENR
Jasper Cave, Alleghany County
(In addition, Mickey, Frye, Booe, and Cave have also visited the proposed lake site.)
The consensus is that, at this time, I should submit the 401 application to determine what the
jurisdictional and environmental issues will be.
If you have any questions, please write or call: 800-335-7355 ext. 6122
Sincerely,
E. Lamar Sheppard
PO Box 2384
Blowing Rock, NC 28605
c Mr. John Dorney, NC Division of Environmental Management (7)
Mr. Ron Linville, NC Wildlife Resources Commission (1)
The Glen at Laurel Springs
Property Owners Association
P.O. Box 2384
Blowing Rock, NC 28605
828.295.4754
January 10, 2001
Raleigh Regulatory Field Office
US Army Corps of Engineers
6512 Falls of the Neuse Road
Suite 105
Raleigh NC 27615
Dear Sirs:
As officers of The Glen at Laurel Springs Property Owners Association, we hereby authorize
Mr. Lamar Sheppard, President of the Property Owners Association, to sign as "Agent" during
the application process for permits regarding construction of a lake in the subdivision.
Sincerely,
T? 7sy ( 1lIno
Vice President
135 Browndale St.
Winston-Salem, NC 27103
[phone]
1.,e` e
Treasurer
P.O. Box 775
Concord, NC 28026
[phone]
DEM ID:
p?103?? - -
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 MANAGEMENT
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 ENVIRONMENTA?? ?L=N_GEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: The Glen at Laurel Springs Property Owners Association
2. MAILING ADDRESS: P.O. Box 2384 Blowing Rock, NC 28
CITY: Laurel Springs ST=_rE
SUBDIVISION NAME: The Glen at Laurel Springs
NC Z I P CODE: 78644
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION 1;?h1E (IF DIFFER=NT FF.O-Y
MAILING ADDRESS ABOVE) (No subdivision sign) Off N Hope Church Rood
Laurel Springs, NC
3. TELEPHONE NUMBER (HOME) : 828-295-4754 (;.;ORu):
828-262-6221
4. IF APPLICABLE: AGENT'S NL` __- 0:: RESPONSIBLE CO=.--,ORATE OFFICIP- , ADDP.?.SS,
PHONE NUMBER:
P.O. Box 2384 Blowing Rock, NC 28605 [phone]-home office-[phone]
5. LOCATION OF WORK (PROVIDE A 11-L'-P, PREFERABLY COPT OF USGS TOPOGti.?PHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE)
COUNTY: Alleghany NEAREST TOWN? OR CITY: Sparta NC
See Attachments 1 & 2
1
SPECIFIC LOCATION (INCLUDE ROAD
Onto New Hope Church Road from Hwy 221. Go 1.3 miles
NUMBERS, LANDMARKS, ETC.):
turn left onto gravel road. (key to gate is on left fence post). Through gate -
proposed lake site shortly on right.
4.
6. IMPACTED OR NEAREST STREAM/RIVER: _
RIVER BASIN: New River 5.5 miles
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDA.L SP?•TW'•_TER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (OR`r;), WATER
IF YES, EXPLAIN:
SUPPLY (WS-I OF, ti-:S-II)? YES [ 1 NO ,
B TR+
7b. IS THE PROJECT LOCATED WITHIN F_ NORTH CAROLINA DIVISION OF CG .S T'AJ,
;NAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC) ? YES [ ] NO X)
I!
7C. IF THE PROJECT IS LOCATED I-,-!THIN A COASTAL COUNTY (SEE PAGE 7 FOP
WHAT IS THE LAND USE PLAN (LUP) D=,SIG":=-rION;?
LTS'? OF COAST_.L COUNTIES) ,
Ea. HAVE ANY SECTION 409 PERIITS BEEN PREVIOUSLY REQUESTED FOP, USE ON
PROPERTY? YES . D. N'-'M5_-_R OF
THIS NO X] IF YES, Pr:OVIDE ACTION I
( ]
PREVIOUS PERMIT AND ANY ADDITIONAL INFORM-ATION (INCLUDE PHOTOCOP"?_ OF 401
CEP
TIFICP.TION):
gb. ARE ADDITIONAL PEP-MIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTU..E' YES [ ] NO ?X] IF YES, DESCRIBE ANTICIPATED WORK:
182
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TPACT 07 LAND:
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJ--CT SITE:
.1523 acres
2
10a. NUMBER 'OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0.016 acres EXCAVATION: 0.0023 acres
FLOODING:
DRAINAGE:
TOTAL ACRES TO BE IMPACTED: 0.1523 acres
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A FT AFTER:
WIDTH BEFORE (based on normal h?ch water contours):
WIDTH AFTER:
AVERAGE DEPTH BEFORE: FT AFTER: F=
(2) STREAM CHANNEL IMPACTS t'-TLL RESULT FRO?-'.: (CHrCK ALL T FAT APPLY)
OPEN C'r.FNNEL RELOCATION: PLACEMENT OF PIP7 IN C:i=NN7 .:
r CONSTRUCTION OF A D-_':/LLOOD_N,':- XX
"lON
CHANNEL E ? EXCAVAT
0TH=R.
11. IF CONSTRUCTION OF A POND IS PROPOSED, W'r: AT IS T,'-: SIZE OF THE
FIATERSHED DRAINING TO THE POND? 130 acres
Sv=AT IS THE EXPECTED POND SURFACE AREA? ' a``??
12. DESCRIPTION OF PROPOSED WORT: INCLUDING DISCUSSION OF T?_?_r OF
MECHINICAL EQUIPMENT TO BE USED (ATTACH PLFNS: ° 112" X 11" DR'-'.?i:INGS
ONLY) :
. See attachments 3, 4, & 5
13. PURPOSE OF PROPOSED WORK
recreation.
To provide a neighborhood lake for fishing and
0.134 acres OTHER:
3
19. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS):
Shallow areas along the shoreline will be used to create more
wetlands than what will be impacted by excavation, filling, and
flooding.
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 CRITICA1.H_.EITAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DA 7E
CONTACTED: (ATTACH. RESPONSES
FROM THESE AGENCIES.)
16. YOU A_RE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION 0_7ICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTO=IC
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?
YES [] N0 " (IF NO, GO TO 18)
a. IF YES, DOTS THE PROJECT REQUIRE PREPARATION OF AN ENVIRO\^._ENTAL
DOCUMENT PURSUANT TO THE REQUIRE*.ENTS OF THE NORTH CAROLINA ENVIROIv _ENTA.L
POLICY ACT?
YES [ ) NO [ J
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION ST=.TE CLEARINGHOUSE?
YES [I NO [ ]
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL, MANAGEMENT REGARDING
C014PLIANCE 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, RAS,EIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
F EWITH THIS XCAVATED ORPFILL TMATERIAL
18. THE FOLLOWING ITEMS SHOULD
DISCHP,RGEINCLUDED
PROPOSED ACTIVITY INVOLVES
INTO WETLANDS: SEE ATTACHMENT 6
a. WETLAND DELINEATION MAP SHOWING ALL WETLAND, STREAMS, LAKES
K 26,
AND PONDS ON THE PROPERTY
(INTERMITTENTDANDEPEIRMANENT)RONITHE PROPERTY
29, AND S8)
MUST BE SHOWN ON THE T FRPTHE RPEQSCLES UIVALENTOULD BE_.1 INCH EQUALS 50 FEET
INCH EQUALS 100 FEE
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.
PROPERTyMANAGEMENT PLAN IF REQUIRED.
d. ATTACH A ANDYUOE STORMWATER
e. WHAT IS L
1
IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N
C. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OU.S. Y TO:
1) ISSUANCE OF A SECTION
2) EITHER THE ISSUANCE OR WAIVER OF P_ 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, FROM THE+
3) (IN T? TWENTY COASTAL COUNTIES ONLY) , A LETTER NORTH CAROLINA DIVISION OF COASTAL
N RMANACAROLINA GSCOASTP THMANAGEMENTD
ACTIVITY IS CONSISTENT WITH THE PROGRAM.
OWNER'S/AGENT'S SIGNA U
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
DATE
5

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Attachment 1
MAX AbS SIZ

The Glen at Laurel Springs
(fka Shepherd's Glen)
' L&LIUS'cL SPR W4S
18?
11
.1aiiy. t, t
1 4,
v 1C..1 "1 1 T
SCAB. = I «a.

Sh6W.i6tq ??)e (7f vs, J r '
3o0

12.62
LEGEND
I/2 ARE SITES C]
ARE SITES
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February 5, 2001 FEB 7 2001
U. S. Army Corps of Engineers
6512 Falls of the Neuse Road
Suite 105
Raleigh, NC 27615
Dear Madame/Sir:
®1®313
Cie Enclosed is an application for Section 401 Certification to build a 7 acre lake in "The Glen at
Laurel Springs" subdivision in Alleghany County, North Carolina. The included drawings an
illustrations are preliminary and are presented here with the intention of resolving the
environmental issues before completing the engineering design and engineering-grade drawin
that will be submitted with the 404 Dam Safety Application.
I have been a Registered Professional Engineer in North Carolina since 1977, and it is my
intention to submit a final and detailed design for the project with my 404 Dam Safety
Application.
d
gs
I have discussed my preliminary design and environmental issues with the following:
Al Childers, District Conservationalist for Watauga County Soil & Water Conservation
District.
Joe Mickey, previously the Regional Coordinator of the Habitat Conservation Program
Division of Inland Fisheries
Jennifer Frye, Environmental Technician, Division of Water Quality, NCDENR
Steve Booe, Environmental Technician, Land Resources/Land Quality, NCDENR
Jasper Cave, Alleghany County
(In addition, Mickey, Frye, Booe, and Cave have also visited the proposed lake site.)
The consensus is that, at this time, I should submit the 401 application to determine what the
jurisdictional and environmental issues will be.
If you have any questions, please write or call: 800-335-7355 ext. 6122
Sincerely,
E. Lamar Sheppard ?.- n
c <
-= r-n
rJ
PO Box 2384 c_-) -?
Blowing Rock, NC 28605
c Mr. John Dorney, NC Division of Environmental Management (7)
Mr. Ron Linville, NC Wildlife Resources Commission (1)
The Glen at Laurel Springs
Property Owners Association
P.O. Box 2384
Blowing Rock, NC 28605
828.295.4754
January 10, 2001
Raleigh Regulatory Field Office
US Army Corps of Engineers
6512 Falls of the Neuse Road
Suite 105
Raleigh NC 27615
Dear Sirs:
As officers of The Glen at Laurel Springs Property Owners Association, we hereby authorize
Mr. Lamar Sheppard, President of the Property Owners Association, to sign as "Agent" during
the application process for permits regarding construction of a lake in the subdivision.
Sincerely,
ra es Young 7
Vice President
135 Browndale St.
Winston-Salem, NC 27103
[phone]
l.,eTler
Treasurer
P.O. Box 775
Concord, NC 28026
[phone]
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 E NC DIVISION OF COASTAL MANAGEMENT
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 M_= =-GEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: The Glen at Laurel Springs Property Owners Association
2. MAILING ADDRESS: P.O. Box 2384 Blowing Rock, NC 28605
SUBDIVISION NAME: The Glen at Laurel Springs
CITY: Laurel Springs ST% NC ZIP CODE: 28644
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION Zi??fE (IF DI Fc E^.7\.. ' Fg•p
NL'-`.ILING ADDRESS ABOVE) (No subdivision sign) Off New Hone Church Road ,-
Laurel Laurel Springs, NC
3. TELEPHONE NUP-iBER (HOME) :
828-295-4754 (1-ORE):
828-262-6221
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE C03PORATE OFFICIAL, _DD:'.ESS,
PHONE NUr!3ER:
P.O. Box 2384 Blowing Rock, NC 28605 [phone]-home office-[phone]
5. LOCATION OF WORK (PROVIDE A KL P, PREFERABLY COPY OF USGS TOPOG ti_PHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE) :
COUNTY: Alleghany NEAREST TO +Ai OR CITY: Sparta NC
See Attachments 1 & 2
1
SPECIFIC LOCATION (INCLUDE ROAD
Onto New Hope Church Road from Hwy 221. Go 1.3 miles
NUMBERS, LANDMARKS, ETC.):
turn left onto gravel road. (key to gate is on left fence post). Through gate -
proposed lake site shortly on right. -

6. IMPACTED OR NEAREST STREAM/RIVER:
RIVER BASIN: New River 5.5 miles
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SRLTWATER
(SA) , HIGH QUALITY WATERS (HQW) , OUTSTANDING RESOURCE WATERS (OR`r+)
(
SUPPLY (WS-I Or. WS-II)? YES 1 NO IF YES, EXPLAIN:
B TR+
"7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF CG:_STTJ
YLk-N GEMEN AREA OF ENVIRONMENTAL CONCERN (AEC) ? YES [ ] NO (KX]
IF THE PROJECT IS LOCATED P.-ITHIN A COST COUNTY (SEE PAGE 7 FOc
7c.
LIST OF COASTAL COUNTIES), W.'-Z7 IS THE L?ND USE PLP? (LUP ) DESIG"; _TIO)
Sa. HAVE ANY SECTION 404 PER1•.ITS BEEN PREVIOUSLY REQUESTED FOR USE Oti
THIS PROPERTY? YES [ ] NO [XX] IF YES, PROVIDE ACTION I.D. NUMBER C,:.-,
PREVIOUS PER'_IT AND PINY ADDITIO_'F_L INFOr -_T ION (INCLUDE PHOTOCOPY OF 40'
CtK' l t ll.r_1 ?v..
Eb. ARE ADDITIONAL PERMIT REQ,ESTS EXPECTED FOR THIS PROPERTY IN THE
FuTL'c.E' YES ( ] NO FX] IF YES, DESCRIBE ANTICIPATED WORK:
182
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TPACT OF LPN D:
9b. ESTIMATED TOTAL NUMBER Or ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.1523 acres
2
10a. NUMBER'OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0.016 acres EXCAVATION: 0.0023 acres
FLOODING:
DRAINAGE:
0.134 acres
OTHER:
TOTAL ACRES TO BE IMPACTED:
0.1523 acres
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A FT AFTER:
WIDTH BEFORE (based on normal h4 Ch water contours):
WIDTH AFTER:
AVERAGE DEPTH BEFORE: FT AFTER: t
(2) STREAM CHANNEL IMPACTS 47ILL RESULT FROM: (C'r.E.CK ALL T:-:AT A-°= L '-')
OPEN CHANNEL NEL RELOCATION: PLAC EM-ENT OF PI°F I??
XX
Ci;.kN,NEL EXCAVATION: CONSTRUCTION OF A D,'i/FLOODING:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE, OF THE
Fi..TERSHED DRAINING TO THE POND? 130 acres
Pi-AT IS THE EXPECTED POND SURFACE AREA? 7 acres
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF T','PE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 112" X 11" DR=.',IiINGS
ONLY):
See attachments 3, 4, & 5
13. PURPOSE OF PROPOSED WORK: To provide a neighborhood lake for fishing and
recreation.
3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS):
Shallow areas along the shoreline will be used to create more
wetlands than what will be impacted by excavation, filling, and
flooding.
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFv'7S) .ND/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 H-ZEITAT
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 O=EICER
(SHPO) (SEE AGENCY ADDRESSES S'r.E` T) REGARDING THE PRESENCE OF HIS T O=:IC
PROPERTIES IN THE PERMIT AREA F.-IC:: 1f AY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:
7. DOES TH;-" PROJECT INVOLVE EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES [] N0 ?r (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRO\„_ENTA?
DOCUMENT PURSUANT TO THE REQUI:.= `ENTS OF THE NORTH CAROLINA ENVIRO- T L
POLICY ACT?
YES [] NO []
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION ST-.TE 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 ENVIRONMENTA? POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BA_GGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
ION IF
1 THE FOLLOWING INVOLVESHTTHEDDISCHARGEDODF EWITH THIS XCAVATED ORPFILLTMATERIAL
PROPOSED ACTIVITY
INTO WETLANDS: SEE ATTACHMENT 6
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
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?
1
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N
Q. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF F.PPLICABLE.
NOT:': WETLANDS OR WATERS 0-7 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
FAND
ENVIRONMENTAL MANAGEMENT (W?_TER QUALITY) CERTIFICATION,
ROM THE
3) (IN THE TWENTY COASTAL COUNTIES ONLY) , A LETTER NORTH CAROLINA DIVISION OF COASTN STATING THE ACTIVITY IS CONSISTENT WITH
PROGRAM.
40WNER'S//AAGENT'S SIGNA U
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
2 ,5
DATE
5
*A7 Alf
Attachment 1
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LEGEND
I/2 ARE SITES C]
ARE SITES
2 ACRE SITES Q
OPEN SPAfE
LAKE
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February 5, 2001 D EB 7 ?AQI 010
U. S. Army Corps of Engineers
6512 Falls of the Neuse Road
Suite 105
Raleigh, NC 27615
r
>a Dear Madame/Sir:
Enclosed is an application for Section 401 Certification to build a 7 acre lake in "The Glen at
Laurel Springs" subdivision in Alleghany County, North Carolina. The included drawings and
illustrations are preliminary and are presented here with the intention of resolving the
environmental issues before completing the engineering design and engineering-grade drawings
that will be submitted with the 404 Dam Safety Application.
I have been a Registered Professional Engineer in North Carolina since 1977, and it is my
intention to submit a final and detailed design for the project with my 404 Dam Safety
Application.
I have discussed my preliminary design and environmental issues with the following:
Al Childers, District Conservationalist for Watauga County Soil & Water Conservation
District.
Joe Mickey, previously the Regional Coordinator of the Habitat Conservation Program
Division of Inland Fisheries
Jennifer Frye, Environmental Technician, Division of Water Quality, NCDENR
Steve Booe, Environmental Technician, Land Resources/Land Quality, NCDENR
Jasper Cave, Alleghany County
(In addition, Mickey, Frye, Booe, and Cave have also visited the proposed lake site.)
The consensus is that, at this time, I should submit the 401 application to determine what the
jurisdictional and environmental issues will be.
If you have any questions, please write or call: 800-335-7355 ext. 6122
Sincerely,
E. Lamar Sheppard
PO Box 2384
Blowing Rock, NC 28605
C7 --C
ED Ez
?rn
r'r'1 :Z
D -i
c Mr. John Dorney, NC Division of Environmental Management (7)
Mr. Ron Linville, NC Wildlife Resources Commission (1)
The Glen at laurel Springs
Property Owners Association
P.O. Box 2384
Blowing Rock, NC 28605
828.295.4754
January 10, 2001
Raleigh Regulatory Field Office
US Army Corps of Engineers
6512 Falls of the Neuse Road
Suite 105
Raleigh NC 27615
Dear Sirs:
As officers of The Glen at Laurel Springs Property Owners Association, we hereby authorize
Mr. Lamar Sheppard, President of the Property Owners Association, to sign as "Agent" during
the application process for permits regarding construction of a lake in the subdivision.
Sincerely,
Ta CPC Yn!ina
a
Vice President
135 Browndale St.
Winston-Salem, NC 27103
[phone]
AA_
T_,e
Treasurer
P.O. Box 775
Concord, NC 28026
[phone]
010313
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 TF-- NC DIVISION OF COASTAL MANAGEMENT
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 ENVIRONMENTP?• MaNZ_GEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NA-ME: The Glen at Laurel Springs Property Owners Association
2. MAILING P_DDRESS: P.O. Box 2384 Blowing Rock, NC 28605
SUBDIVISION NAME: The Glen at La,jral Springs
CITY: Laurel Springs ST=_rE: NC ZIP CODE: 29644
PROJECT LOCATION ADDRESS, INCLUSING SUBDIVISION Td?CIE (IF DIFFE .NT F.O?
MAILING ADDRESS PBOVE): (No subdivision sign) Off NPn Hope Churrh Road
Laurel Springs, NC
3
TELEFrONE NUNBER (HOME) 828-295-4754
(i;ORS:) :
828-262-6221
4. IF APPLICABLE: P_GENT'S N?LME 0:: RESPONSIBLE CORPORATE OE:ICIF_L,
PHONE NUMBER:
P.O. Box 2384 Blowing Rock, NC 28605 [phone]-home office-[phone]
5. LOCATION OF WORK (PROVIDE A K12-P, PREFERABLY P COP`( OF USGS TOPOG_P_PHIC
MAP OR AERIAL PHOTOGRAPHY WITF SCALE):
COUNTY: Alleghany NEAREST TO ;il; OR CITY: Sparta, NC
See Attachments 1 & 2
1
SPECIFIC LOCATION (INCLUDE ROAD
Onto New Hope Church Road from Hwy 221. Go 1.3 miles
NUMBERS, LANDMARKS, ETC.):
turn left onto gravel road. (key to gate is on left fence post). Through gate -
_ y .
proposed lake site shortly on right.

6. IMPACTED OR NEAREST STREAM/RIVER: _
RIVER BASIN: New River 5.5 miles
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTo6"_TER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORS'), WZ.TER
ae_ [ IF YES, EXPLAIN:
SUP .Y (WS-I Or. P7S-II) ? YES 1 NO
B TR+
";b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF CO__S^_FL
Nn-NAG-7-1-`ENT AREA OE ENVIRONMENTF_L CONCERN (AEC) ? YES [ ) NO X)
7C. IF T'r'E PROJECT IS LOCATED j•;IT IN A COAST?T COUNTY (SEE P _GE. i FO:-
LIST OF COAST _L COUNTIES), W Z?T IS THE LAND USE PLAN (LUP) DESIG" =_^IO?+?
8a. r.AVE ANY SECTION 404 PERi'`ITS BEEN PREVIOUSLY REQUESTED FOR USE. ON
rXX] IF YES, PROVIDE ACTION I.D. NUi?EE OF
THIS PROPERTY? YES [ ] NO t
PREVIOTIS PER'v:IT AND ANY ADD7TIO: AL INFORM-7.TION (INCLUDE PHOTOCOPY OF 401
CERTIFICATIO*)
6b. A_RD ADDITIONAL PERMIT REQO37--STS EXPECTED FOR THIS PROPERTY IN TFE
FUTE' YES [ ] NO ?X] IF YES, DESCRIBE PNTICIPATED WORE:
182
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND:
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCF_TED ON PROJECT SITE:
.1523 acres
2
10a. NUMBER* OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0.016 acres EXCAVATION: 0.0023 acres
FLOODING;
DRAINAGE:
TOTAL ACRES TO BE IMPACTED: 0.1523 acres
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION)
LENGTH BEFORE: N/A FT AFTER:
WIDTH BEFORE (based on normal hich water contours):
WIDTH AFTER:
AVERAGE DEPTH BEFORE: FT AFlc-?"
A== -)
IMPACTS ;,--,LL RESULT FRO?:: (CHECK ALL THAT
STR-,HA_ny Cr. nNN'"ET, _
(2)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CH=NN=.L: _

CHANNEL EXCAVATION: CONSTRUCTION OF A DF??S/ FLOOD ING: XX
OE=? :
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHr T IS THE SIZE OF THE
F.TEZSHDD DRAINING TO THE POND? 130 acres
IS THE EXPECTED POND SURF: Cr AREA? i ncLCa
12. DESCRIPTION OF PROPOSED WO?ti INCLUDING DISCUSSION OF TYPE OF
MECri?NICAL EQUIPMENT TO BE USED (1-TTACH PLPINS: 8 112" X 11" DFLA.P71NGS
ONLY) :
. See attachments 3, 4, & 5
13. PURPOSE OF PROPOSED WORK
recreation.
To provide a neighborhood lake for fishing and
0.134 acres OTHER:
3
19. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS):
Shallow areas along the shoreline will be used to create more
wetlands than what will be impacted by excavation, filling, and
flooding.
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 F_'-_°ITAT
IN THE PERMIT AREA THAT MAY BE A_FECTED BY THE PROPOSED PROJECT. DArE
CONTACTED: (ATTACH RESPONSES
FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION 077TCER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA W* ICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE ?`; EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUSTIC (STATE) LAND?
YES [ ) NO ff (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRO\_'ENTAL
DOCUMENT PURSUP.NT TO THE REQUIP.E`:ENTS OF THE NORTH CAROLINA ENVIRON NTP??
POLICY ACT?
YES [] NO []
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION ST-_TE CLEARINGHOUSE?
YES [I NO [ ]
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FRO?'_ 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 EE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA. DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, R.A_LEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
18. THE FOLLOWING INVOLVES SHOULD THE DISCHARGE INCLUDED OF EXCAVATED APPLICATION IF
PR MATERIAL
PROPOSED ACTIVITY
INTO WETLANDS= SEE ATTACHMENT 6
STREAMS, LAKES
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS,
1P8, 21,
MS PERMIT NBERS
AND PONDS ON THE PROPRTY (FOR
29, AND 38). ALL ST STR.
MUST BE SHOWN ON THE O P. APESCAILLES SHOULD BE.,1 INCH EQUALS 50 FEET OR
INCH EQUALS 100 FEET
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?
IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N
Q. 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 P_ 401 DIVISION OF
FAND
ENVIRONMENTAL MANAGEMENT (Wr.TER QUALITY) CERTIFICATION,
ROM THE
3) (IN THE TRENTY COASTAL COUNTIES ONLY) , A LETTER NORTH CAROLINA DIVISION OF
TH COASTN STATING THE ACTIVITY IS CONSISTENT WITH
PROGRAM.
OWNER'S/AGENT'S SIGNA U
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.) )
2 ,5 C?
DATE
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