20000343 Ver 1_COMPLETE FILE_20000317

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 ? •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
March 28, 2000
Columbus County
DWQ Project # 000343
APPROVAL of 401 Water Quality Certification
NC Division of Parks and Recreation
c/o Chem Smith
1615 Mail Service Center
Raleigh, NC 27699-1615
Dear Sirs:
You have our approval, in accordance with the attached conditions and those listed below, to construct a weir
on a canal leading into Lake Waccamaw in Columbus County as you described in your application received by the
Division of Water Quality oil March 17, 2000. 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 2H .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. 27611-7447. This certification and its conditions are final and binding unless you ask for a
hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone John Dorney at 919-733-9646.
Attachment
cc: Corps of Engineers Wilmington Field Office
Wilmington DWQ Regional Office
'File Copy
Central Files
Sin erely
eeT. tevens
000343
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
httpJ/h2o.enr.state.nc.us/wetlandc.html
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,i
NCDENR
March 14, 2000
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF PARKS AND RECREATION
JAMES B. HUNT JR. Mr. John Dorney
GOVERNOR 000343
NC DENR Division of Water Quality
Wetland/401 Unit
1621 Mail Service Center
BILL HOLMAN Raleigh, NC 27699-1621
SECRETARY
Dear Mr. Dorney: VP 0
dR.PHILIP K.MCKN6LLY
DIRECTOR TOR Please find the enclosed application for construction of a weir on a canal leading into
Lake Waccamaw at Lake Waccamaw State Park in Columbus County. Jeff Richter
with the U.S. Army Corps of Engineers has determined that this activity is covered by
Nationwide Permit Number 18.
The purpose of this weir is to limit the amount of flow into Lake Waccamaw from a
major canal while still allowing boat passage between the lake and canal. This
structure was suggested by both the Division of Water Quality and the Division of
Water Resources as a means to help maintain the oligotrophic nature of Lake
Waccamaw. No jurisdictional wetlands or waters will actually be filled as a result of
this project.
A copy of the request for the transfer of funds to cover the processing of this
application is also enclosed. If you have any questions or need additional
information, please feel free to call me at 715-8711. Thank you for your attention to
this permit application.
Sincerely,
Cherri Smith

Enclosure

1615 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1615
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST-CONSUMER PAPER

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A

DEM ID: I 003 4 t3 CORPS ACTION ID: /? OOOQO ?02
NATIONWIDE PERMIT REQUESTED (PROVIDF NATIONWIDE PERMIT #): ?i
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:{ ?IJUU
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
IrJEILANDS GRUUP
3) COORDINATION WITH THE NC DIVISION OF COAS1"XU_"&WWCBEI WWT
r T?
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 . m
SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE AGENCY rTl
ADDRESSES SHEET). PLEASE PRINT. C-D
1. OWNERS NAME: N c- b'% V I-S ; a r n? Lr-YES a..,
V
2. MAILING ADDRESS: ???, S' / V1 rte-. \ e-r'?' 1 .Q_ r e_"__A -'
SUBDIVISION NAME:
CITY: STATE: P?j C_ ZIP CODE: ct - If. I
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): op??G 2 l..Jn. cl y w???-> > }? rL,?
Nj "a Lt o
3. TELEPHONE NUMBER (HOME): (WORK): q I h 4 L - '-f I
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE
NUMBER: .?2-u-?r-. ;/N?•`'t'? ???? r ti C_ so
LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY:- r_n ? NEAREST TOWN OR CITY: _ lA )o-c-C
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): GZ 19 nn
6. IMPACTED OR NEAREST STREAM/RIVER:
RIVER BASIN:
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (FIQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY
(WS-1 OR WS-11)? YES [ ] NO [ ] IF YES, EXPLAIN:
Pv- or e-s '?' n- - L-e-.h -& lAL
7b. IS THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO[xJ
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL
COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION: lam-' 0

8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [ x] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT
AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO [,Xl IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: `' I I
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
I . vo0
10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING:
FLOODING:
DRAINAGE:
EXCAVATION:
OTHER:
TOTAL ACRES TO BE IMPACTED:
IOB. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: FT AFTER: Y - FT
WIDTH BEFORE (based on normal high water contours):
WIDTH AFTER:
FT
FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: [ ] PLACEMENT OF PIPE IN CHANNEL: [
CHANNEL ELEVATION: [
CONSTRUCTION OF A DAM/FLOODING: [
OTHER: ( n \" ep c1p.- I ) (Z-? r
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? I? I
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 3'/2" x I I" DRAWINGS ONLY):
MSL
gi, %A
c
13. PURPOSE OF PROPOSED WORK: C 'tai

yt--o- C- .
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
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 FEDEkALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR
THREATENED SPECIES OR CIRTICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY
THE PROPOSED PROJECT. (ATTACH RESPONSES FROM THESE AGENCIES.)
DATE CONTACTED: Not Required - Performed by the Corps of Engineers
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE
PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: Not Required - Performed by the Corps of Engineers
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND?
YES 1 1 NO[ ] (IF NO, GO TO 18) , I
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT
PURSUANT TO THE REQUIRENIENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT?
YES [ ] NO [>
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT
OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO[
]
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE
WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE
STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT,
DIRECTOR STATE CLEARINGHOUSE. NORTI I CAROLINA DEPARTMENT OF ADMINISTRATION, 116
WEST JONES STREET, RALEIGI-l. NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SI-IOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVnI vrs THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON
THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL
STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE
MAP. SCALES SHOULD BE I INCH EQUALS 50 FEET OR 1 INC!-! 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? -e--.5 k Ae, '
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
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,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COAST.-I L COUNTIES ONLY), A LETTER FROM THE NORTH CAROLINA
DIVISION OF COASTAL MANAGEMENT STATING THAT THE PROPOSED ACTIVITY IS
CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT PROGRAM.
2?L?- ?.. ±L
OWNER'S / AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
DATE
.I
THE OWNER IS PROVIDED (I 8G.))
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. County
GENERAL PERMIT (REGIONAI. AND NATIONWIDE-\ VE'I?TFI(_-ATi^"'
Property owner
Address
luis !''lG;l S4-vt?.: Ce?,ru I ??e,?h. NC. =l?l
Telephone No. 8 19) -1 \ 5 - c31 \ ?
Size and Location of project (water body, road name/number, town, etc.) S ? 1 Iwo
11"'.; ?, y r Lc' \K t 4J G cc?c... ?a..?y C C:anCS, 1 t. C% C, :,i o ??I<E l t ? Ct Gt.c'?+nn??
Description of Activity C-0n5to'.;C-t 1 m lie'' Ls'y- e_Ct 7 ? ?z by ? ?C?1?•.?:6 Jo
SL
P •\hf.r\ C 2 rn!^1Vl C-C.IYtiG1 C,C)C'A C'_ LJI VC.'A \VtJ \??
_?\gce.L\ '%'n n<_ (.3ctkc-Y AS
Applicable Law: V**"-Section 404 (Clean Water Act, 33 U.S.C. 1344).
(check all that apply) Section 10 (River and Harbor Act of 1899).
Authorization: Regional General Permit Number.
N W U6 Nationwide Permit Number.
Your work is authorized by this Regional General (RGP) or Nationwide Permit (NWP) provided it is accomplished
in strict accordance with the attached conditions and your submitted plans. If your activity is subject to Section
404 (if Section 404 block above is checked), before beginning work you must also receive a Section 401 water
quality certification from the N.C. Division of Environmental Management, telephone [phone]. For any
activity within the twenty coastal counties, before beginning work you must contact the N.C. Division of Coastal
Management, telephone [phone]. M?yt (-e_- , l 01 (,i,k, (),Id (,_J, Cr.- NC Div . lJJ -
Please read and carefully comply with the attached conditions of the RGP or NWP. Any violation of the conditions
of the RGP or the NWP referenced above may subject the permittee to a stop work order, a restoration order, and/or
appropriate legal action.
This Department of the Army RGP or NWP verification does not relieve the permittee of the responsibility to obtain
any other required Federal, State, or local approvals/permits. The permittee may need to contact appropriate State
and local agencies before beginning work.
If there are any questions regarding this authorization or any of the conditions of the General Permit or Nationwide
Permit, please contact the Corps Regulatory Official specified below.
Date - 'i' J 1. a(A)L'
Corps Regulatory Official - Telephone No.?e? ?O? )"S I - L t c?3 6
Expiration Date of Verification t.
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST
BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form 591
Revised July 1995
C_ AD tc-rci
ATT!J

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oo®343
DEM ID:
17"
CORPS ACTION ID:'?"OD000 g"; ~I
NATIONWIDE. PERMIT REQUP.STED (PROVIDE NATIONWIDE PERMIT #): 1 L-3
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS 20?u
2) APPLICATION FOR SECTION 401 CERTIFICATION I
3) COORDINATION WITH THE NC DIVISION OF COASTAL_ MANAGEMENT
X90S GROUI'
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THtlAi?MONYII<?TE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES
SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE AGENCY
ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: N ?; ?? S o " n_?_
o ?\
{ , -D
I rl A
C_D -<
f?? S
{? rn
m Z
2. MAILING ADDRESS: l / V1 ?-? \ 2?r'? lL2
-SUBDIVISION NAME:
CITY: Inn STATE: N C_ ZIP CODE: 1?9 ct [.?
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): l-o.11G¢. lJn?c_a,??..J ?-}-A-?
TELEPHONE NUMBER (HOME):
(WORK): G II, C? - Cc:, - ?, - LLI IfS
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE
NUMBER:
L gig
LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY:- r_t,\ NEAREST TOWN OR CITY: L? ?l /G.LL_a-bv?
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): <, 19 nn
6. IMPACTED OR NEAREST STREAM/RIVER: G
RIVER BASIN: I -. ,^ k
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY
(WS-1 OR WS-II)? YES [ ] NO[ ] IF YES, EXPLAIN: L J i
7b. IS THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES[ ] NO [xJ
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL
COUNTIES). WHAT IS THE LAND USE PLAN (LUP) DESIGNATION: 6? O
.I
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [ X IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT
AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO[ X1IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: ti I , rI
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
~-- . GOO
IOA. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING:
FLOODING:
DRAINAGE:
EXCAVATION:
OTHER:
?_
TOTAL ACRES TO BE IMPACTED:
106. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: FT AFTER: Y 'j - ? FT
WIDTH BEFORE (based on normal high water contours):
WIDTH AFTER:
FT
FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: [ ] PLACEMENT OF PIPE IN CHANNEL: [
CHANNEL ELEVATION: [ ] CONSTRUCTION OF A DAM/FLOODING: [ ]
OTHER: ( n 0 Cam- t. i (a-t r
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? LJ ' A
WHAT IS THE EXPECTED POND SURFACE AREA?

12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8'/2" x l 1" DRAWINGS ONLY):
MSL
13. PURPOSE OF PROPOSED WORK: -? b,? .. c
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
`'e- yt-Q-

15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS) AND/OR
NATIONAL MARINE FISHERIES SERVICE (NNIFS) (SEE AGENCY ADDRESSES SHEET) REGARDING
THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR
THREATENED SPECIES OR CIRTICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY
THE PROPOSED PROJECT. (ATTACH RESPONSES FROM THESE AGENCIES.)
DATE CONTACTED: Not Required - Performed by the Corps of Engineers
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE
PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: Not Required - Performed by the Corps of Engineers
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND?
YES ?] NO[ ] (IF NO, GO TO 13) "`
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT
PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT?
YES [ ] NO [><
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT
OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO[ ]
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE
WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE
STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT,
DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTRATION, 116
WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-3003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SI-IOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON
THE PROPERTY (FOR NATInNWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL
STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE
MAP. SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR I 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 IF1 REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY' `' -,5 p?,.Jr{ --
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?

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,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH CAROLINA
DIVISION OF COASTAL MANAGEMENT STATING THAT THE PROPOSED ACTIVITY IS
CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT PROGRAM.
D2:? 2-a-e- ?-'
OWNER'S / AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
DATE
THE OWNER IS PROVIDED (18G.))
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. ccoo 0 % I-1 County CoLrA..;?
GENERAL PERIMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property owner
Address
ICv1S MG;1 Se- Ctnhr (,CkG-i??
Telephone No.8 CA ) -I \ 5 - ?-)-I 11
Size and Location oft project ((water body, road name/number, town, etc.) -S P, I GUV C-',I•,r?11 ,,1
<0..; .? U L 1 Ci, K L 4? . CUC ?u..?? r Ca I?CL, I LCO k C% C,, i C%i O LCJ"< . l? ) ?L CC ?C ? I?+c14J
Description of Activity Cor-, bout-t
/-4 Lk t n St-. t,--)C-?C? c? ev4 I ?• 1 1 L Tu i t?C..kG' q Ijc. i 1 lA'I
1l?hNe"^C 2 ,-Y\0 LZ r-?v. Gavle 1 G;c? e- r-A, (-C)C.c\ C_ CJt 'JC'r-A K'--l \k
Applicable Law: V---Section 404 (Clean Water Act, 33 U.S.C. 1344).
(check all that apply) Section 10 (River and Harbor Act of 1899).
Authorization: Regional General Permit Number.
NW \ ? Nationwide Permit Number.
Your work is authorized by this Regional General (RGP) or Nationwide Permit (NWP) provided it is accomplished
in strict accordance with the attached conditions and your submitted plans. If your activity is subject to Section
404 (if Section 404 block above is checked), before beginning work you must also receive a Section 401 water
quality certification from the N.C. Division of Environmental Management, telephone [phone]. For any
activity within the twenty coastal counties, before beginning work you must contact the N.C. Division of Coastal
Management, telephone [phone]. (-l„st (ea-v' ?0I LJ k 0'1t1 4 (,J 1 r,? Nc DiV . lJti?,?- Q? I? ?y
Please read and carefully comply with the attached conditions of the RGP or NWP. Any violation of the conditions
of the RGP or the NWP referenced above may subject the permittee to a stop work order, a restoration order, and/or
appropriate legal action.
This Department of the Army RGP or NWP verification does not relieve the permittee of the responsibility to obtain
any other required Federal, State, or local approvals/permits. The permittee may need to contact appropriate State
and local agencies before beginning work.
If there are any questions regarding this authorization or any of the conditions of the General Permit or Nationwide
Permit, please contact the Corps Regulatory Official specified below.
Date 1-1. awc
Corps Regulatory Official A LkaL- Telephone No.(C-1 1 O )"S 1 - LA (03 6
Expiration Date of Verification e _ 1 • ? `•2
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST
BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE,.
CESAW Form 591
Rewsed July 1995
N L ,t JJv1 S%on
FIELD VERIFY TO CLEAR
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT V
Action IdAcco0 o wl County eo 1 U r1e,
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property owner
Address
ATTV ?1"1c^. Srn
Ico1S MG;1 Sz-v,L.: Cznhr Z1c;tG-t?t?
Telephone No.Lq kC4 ) -I -15 $ -11 1
Size and Location of project (water body, road name/number, town, etc.) -? i (t%00 Cam, "r,t 1cl
1Cw .1 :>l Lc, Y,t t-.? c c_?.c:.rKC...? C C r1Q 1 I Z.?;(.t,nc ,'t U ?c?1<C. l..l ? ?tGt..?,r??'
Description of Activity Cor-, St('-;c-T -' 1 m Ip,-- ? i Iz. but 1." he-, "J iC3
(check all that apply) Section 10 (River and Harbor Act of 1899).
Authorization: Regional General Permit Number.
NW 1 F5 Nationwide Permit Number.

Your work is authorized by this Regional General (RGP) or Nationwide Permit (NWP) provided it is accomplished
in strict accordance with the attached conditions and your submitted plans. If your activity is subject to Section
404 (if Section 404 block above is checked), before beginning work you must also receive a Section 401 water
quality certification from the N.C. Division of Environmental Management, telephone [phone]. For any
activity within the twenty coastal counties, before beginning work you must contact the N.C. Division of Coastal
Management, telephone [phone]. P-I st recw,- 1-101 Li'k' 0,1'.11 r CJ. ow NC ' LJ,I,l
1?w . ?
Please read and carefully comply with the attached conditions of the RGP or NWP. Any violation of the conditions
of the RGP or the NWP referenced above may subject the permittee to a stop work order, a restoration order, and/or
appropriate legal action.
This Department of the Army RGP or NWP verification does not relieve the permittee of the responsibility to obtain
any other required Federal, State, or local approvals/permits. The permittee may need to contact appropriate State
and local agencies before beginning work.
If there are any questions regarding this authorization or any of the conditions of the General Permit or Nationwide
Permit, please contact the Corps Regulatory Official specified below.
Date '-?-? 17,a,w(_1 r
Corps Regulatory Official At LIA Telephone No.(cI ?O? )?s 1- t-l (03 b
Expiration Date of Verification c. i 2
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST
BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form 591
Revised July 1995
Applicable Law: v Section 404 (Clean Water Act, 33 U.S.C. 1344).
I
FIELD VERIFY TO CLEAR
C! ,k? (-
BULKHEAD AS 514OWN AR RIGHT
TIMBER SHEET 5'-0' 2
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SHALL BE PERFORMED
f I n FROM ROADWAY DRIVINC
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SS SCALE; t/s' .. 1'_p BE PERFORMED FROM 9RIOCF.
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