HomeMy WebLinkAbout20001156 Ver 1_COMPLETE FILE_20000907State 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
A • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
September 14, 2000
Davidson County
DWQ Project # 001156
APPROVAL of 401 Water Quality Certification
John L. Scragg
142 Ervin Drive
Lexington, NC 27292
Dear Mr. Scragg:
You have our approval, in accordance with the attached conditions and those listed below, to excavate 0.10
acres of wetlands on High Rock Lake in Davidson County, for the purpose of recreational vehicle access as you
described in your application received by the Division of Water Quality on September 7, 2000. After reviewing your
application, we have decided that this fill is covered by General Water Quality Certification Number 3280. This
certification allows you to use General Permit Number 198200030 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.
,Sincerely,
err T.'Stevens
' r
Attachment .'
cc: Corps of Engineers Raleigh Field Office
Winston-Salem DWQ Regional Office
File Copy
Central Files
001156
Division of Water Quality • Non-Discharge Branch
1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone 919-733-1786 FAX # 733-9959
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
http://h2o.enr.state.nc.us/wetlandc.html
001156
r
OEM ID: CORPS `Y-ION ID:
NATIONWIDE PERMIT REQUESTED (PROVI0 NATIONWIDE PERMIT A3:
PRE-CONSTRUCTION OTIFICATION APPLICA N
FOR NATIONWIDE PERMITS THAT
QUIRE: o?
1) NOTIFICATION TO THE C S OF ENGINEERS
r
Z) APPLICATION FOR SECTI 401 CERfiIFICATION
3) COORDINATION KITS TSE C DIVIsIoN of COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY O THIS CobeLETED FORM TO THE APPROPRIATE
SEVEN
FIELD Ok'ri" OF THE CORPS OF ENGI ERS (SEE AGENCY ADDRESSES SHEET)_
MANAGEMENT
(7)-COPIES SHOULD BE SENT TO THE .C. DIVISION OF ENVI RONMENTAL
(SEE AGENCY ADDRESSES SHEET). P ASE INT_
OWNERS NAME:
f2 ?I R I ? ?s
2. MAILING ADDRESS : 2
"SUBDIVISION NAME: \? 8O 17
CITY: ?C i G T a N STA
PROJECT LOCATION ADDRESS, INCLU
MAILING ADDRESS- ABOVE):
3_ TELEPHONE NUMBER (HOME): J
4. IF APPLICABLE: AGENT_''/S NAME
PHONE NUMBER: /V?/?
ZIP CODE:. Z ?Z
SUBDIVISION NAME (IF DIFFERENT FROM
1 1 - a ?s 1 (WORK) : 33G ' ?o l -0 8? .
RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
5_ LOCATION OF WORK (PROVIDE A P, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH S ALE): 5wi Ik
COUNTY: 1 NEAREST TOWN OR CITY: •
1
unyt4E V T
RECEIVED
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$PPECIFIC LOCATION (INCLUDE ROPD
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).
LANDMARKS
NUMBERS J v ltyvl ' oR if at-i H h/
.
,
,
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T?uc R,G T >= cn- F f TL) P-)j ow a ?Jr
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6. IMPACTED OR NEAREST STREAM/RI R: _ I
-
RIVER BASIN: I`IDK1
7a. IS PROJECT LOCATED NEAR WATE CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), TSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-1 OR WS-II)? YES [ ] NO ;Q IF YES, EXPLAIN:
7b. 13 THE PROJECT LOCATED WITHI A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL ONCERN (AEC) ?• .'YES. [ J -NO •
7c.. IF. THE PROJECT 13 LOCATED W 'HIN A 'COASTAL COUNTY. (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT THE LAND USE PLAN (LUP) DESIGNATION?
?a . HA'0'E ANY SECTIbN 404' PERMIT BEEN PREVIOUSLY 'REQUE'STED -,FOR -US£
THIS PROPERTY? YES [ ] NO IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIIT AND ANY ADDITION INFORMATION (INCLJVDE.PHOTOCOPY OF 401
CERTIFICATION) :
8b. ARE ADDITIONAL PERMIT REQUE S EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES NO [ J IF YES DESCRIBE ANTICIPATED WORK:
"
1
?
9a. ESTIMATED TOTAL NUMBER OF A RES IN TRACT OF LAND:
9b. ESTIMATED TOTAL NUMBER OF A RES OF WETLANDS LOCATED ON PROJECT SITE:
DVu
2
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10a- NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: XCAVA -
FLOODING: THER:
DRAINAGE: OTAL ACRES TO BE, X14PACTED:
lOb. (1) STREAli CHANNEL TO BE X ACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANC$ BOTH EFORE AND AFTER RELOCATION):
LENGTH BEFORE: AFTER:
WIDTH BEFORE (based on normal hi water ntours): -
FT
WIDTH AFTER:
AVERAGE DEPTH BEFORE;
AFTER: FT
(2) E L MP CTS LL RES T OM: (CHECK ALL THAT APPLY)
OPEN CA P2Tft , RE ATION: PLAC$MENT OF-PIPE IN"CHANNEL: _----- -T
CHANNEL NATION- NSTPMCTION OF A DAM/FLOODING:-,
OTH
11.- IF-CONSTRUCTION OF A -POND IS PROPOSED, , WHA .•IS. THE ?sjiE .QF, THE„
WATERSHED DRAINING TO TH£ POND?
WHAT IS THE EXPECTED POND SURFAC AREA?
DESCRIPTION OF PROPOSED WORK
12 INCLUDING DISCUSSION OF TYPE OF
,
MECHANIC EQUIPMENT TO BE USED ATTACH PLANS: 8 1/2" X 11" DRAWINGS u
/?? D urtr
ONLY) : ? ?o t 4?u? e?YL
c-/J wa? cYLVt?L ,S ?ow AaA ExeAvATIE ?p
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OF 8'•. W? .t, USA
W
13. PURPOSE OF PROPOSED WORK:
A eG
3
21,
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19. STATE REASONS WHY IT IS BELL
OUT IN WETLANDS_ A?JNCLUDE ANY M
IMPACTS):
15. YOU_ARE.REQUIRED TO CONTACT
(USFWS) AND/OR-NATIONAL, MARINE F
ADDRESSES SHEET) REGARDING THE P
PROPOSED FOR LISTING ENDANGERED
IN THE PERMIT AREA THAT-MAY-BE-A
CONTACTED:
FROM THESE AGENCIES.)
ED THAT THIS ACTIVITY MUST BE CARRIED
ORES TAKEN TO MINIMIZE WETLAND
E U.S. FISH AND WILDLIFE SERVICE-
581f .
ERIES SERVICE (NMFS) (SEE AGENCY
ENCE OF ANY FEDERALLY LISTED OR
THREATENED SPECIES OR CRITICAL HABITAT
CTED BY THE PROPOSED PROJECT. DATE.,
(ATTACH RESPONSES
HE STATE HISTORIC _PJlESERV.AT-ION_..OFFICER tjDT
)-AEGARD•ING' THE PREpf:NC£ OF HISTORIC"..
H MAY BE AFFECTED BY TAE-PROPOSED.
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
16-.: YOU A.Rl§__nQU-1-RED-'f0--C-ONTACT
(SHPO) (SEE 'AGENCY' - D 5--SHE
PROPERTIES-: 1N E PERMIT AREA 'WH
PROJECT. RATE CONTACTED:
YES (] NO (IF NO,
a. IF YES, DOES THE PROD
DOCUMENT PURSUANT TO THE REQUI
POLICY ACT?
TO 18)
REQUIRE PREPARATION OF AN ENVIRONMENTAL
NTS OF THE NORTH CAROLINA ENVIRONMENTAL,
YES [] NO []
b. IF YES, HAS THE DOCUMEN BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION ST E CLEARINGHOUSE?
YES [] NO []
IF ANSWER TO 17b IS YES, THEN SU MIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION E ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLI A ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE C
DIRECTED TO MS. CHRYS BAGGETT,
CAROLINA DEPARTMENT OF ADMINIST
NORTH CAROLINA 27603-8003, TELE
ARINGHOUSE REVIEW PROCESS SHOULD BE
RECTOR STATE CLEARINGHOUSE, NORTH
TION, 116 WEST-JONES STREET,- RALEIGH,
ONE (919) 733-6369.
4-
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18. THE FOLLOWING I S SHOULD UDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY I E D SCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP 5HOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR N IONWIDB PERMIT NUMBERS 14, 18, 21, 26,
29, AND 38). ALL STREAMS (INTE ITTENT AND PERMANENT) ON THE PROPERTY
MU$.T BE SHOWN ON THE MAP. MAP S ES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQ IVALENT•
b. IF AVAILABLE, REPRESENT TIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PRO&YECT.
C. IF DELINEATION WAS PER RMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
_ d. ATTACH A COPY OF THE ST RMWATER MANAGEMENT PLAN IF REQUIRED-
e_ WHAT IS LAND USE OF SUR OUNDING PROPERTY?
f_ -IF APPLZ LE, WHAT IS ROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNE6 AND DATED AGENT II' 140 WIZ AT 16N'ItTT8A; IF APPLXCABLE.
NOTE:. WETLANDS OR HATERS-OF HE U.S. MAY NOT BE IMPACTED. PRIOR' TO:
1) ISSUANCE'OF A SECTrO 404 CORPS OF ENGINEERS PERMIT-,
2) EITHER THE ISSUANCE WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WA R QUALITY) CERTIFICATION, AND
3) (IN TRE TWENTY COAS2 COUNTXES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF C TAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH E NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM4-.
OWNS ' /AGENT' S_ STGNAI?U*_ DAVE
(AGENT'S SIGNATURE VALID O X
•IF•AUTHORZZATION LETTER E'R
THE OWNER IS PROVIDED (18g_ )
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DEr ZD= CORPS TION TD:
NATYONW PERMIT REQUESTED (PROVID NATIONWIDE PZRMIT 9)!
C-7
{_ M F CONSTRUCTION N OTIFICATION APPLICATION
'-may "iow IONWIDE PERMITS THAT QUIRE:
1) NOTIFICATION TO TME C S OP ENGINEERS
Z) APPLICATION FOR SECTI 401 CERTIFICATION
3) COORDINATION WITS TR8 C DIVISION OF COASTAL 19WAGFI4ENT
SEND THE ORIGINAL AND (1) COPY O THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGI ERS (SEE AGENCY ADDRESSES SHEET)_ SEVEN
MANAGEMENT
(7)-COPIES SHOULD BE SENT TO THE .C. DIVISION OF ENVIRONMENTAL
(SEE AGENCY ADDRESSES SHEET)_ P ASE PIRQ4T.
I
li 5e-gA&6
,
i. OWNERS NAME:
2. MAILING ADDRESS:
CITY: 1j & T O N STA
PROJECT LOCATION ADDRESS, INCLU
MAILING ADDRESS ABOVE):
3_ TELEPHONE NUMBER (HOME): J;
4. IF APPLICABLE: AGENT'S, NAME
PHONE NUMBER: /
?! Yj
? ? LS
-SUBDIVISION NAME:
ZIP CODE: 19
SUBDIVISION NAME (IF DIFFERENT FROM
l - 8"15 1 (WORK) : 33io FSO -o Bea
RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
LOCATION OF WORK (PROVIDE A P, PREFERA5LY A COPY OF U5GS TOPOGRAPHIC
MAP OR AERIAL QAV PHOTOGRAPHY WITH S ALE) : 56wi l?MQ? COUNTY: 1 NEAREST TOWN OR CITY= •
1
PAYMENT
RECEIVED
E00'd 686T# f)Rld 7Vd 90Vsn EZ899L86T6 LZ:ST 000Z,9Z-Inr
NUMBERS, LANDMARKS, ETC-):
SPECIFIC LOCATION (INCLUDE RQ.AD
2 SOu i Ltm '3 INJORT11 o/-J H w
(h ) r-R V r tj Vg -- IA L k2o/ W n l S ! sf R f W A `i oof
6. IMPACTED OR NEAREST STREAM/RI R: YA D!?1?
RIVER BASIN: I?DK?rJ
7a. IS PROJECT LOCATED NEAR WATE CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HOW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES [ ] NO ?Q IF YES, EXPLAIN:
7b. YS THE PROJECT LOCATED WITHI A .NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AkC) ?• .'YES. [ ] NO
7c.. IF. THE PROTECT I3 LOCATED W MIN A 'COASTAL COUNTY. (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT THE LAND USE PLAN (LUP) DESIGNATION?
da . -HA'OE ANY SECTIdN 404- PERMIT BEEN .PREVIOUSLY -REQUESTED FOR 'USE 'ON
THIS PROPERTY? YES ( ] NO IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITION INFORMATION (INCWDE.PHOTOCOPY OF-401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUE TS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES N NO [ ] IF YES DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF A RES IN TRACT OF LAND: ?9b. E'STXMATED TOTAL NUMBER OF A RES OF WETLANDS LOCATED ON PROJECT SITE:
D rd
2
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10a_ NUMBER OF ACRES OF WETLAND IMPACTED (3Y THE PROPOSED PROJECT BY=
FILLING: XCAVA
FLOODING: THER'
DRAINAGE' OTAL ACRES TO BE xMPACTED:
10b. (1) STREAM CHANNEL TO BE X ACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DXSTANCE BOTH EFORE AND AFTER RELOCATION):
LENGTH BEFORE: AFTER: FT
WIDTH BEFORE (based on normal hi water ntours): --
FT
WIDTH AFTER:
AFTER: _ T
AVERAGE DEPTH BEFORE:
f2). E L MP CTS LL RES T OM: (CHECK ALL THAT APPLY)
OPEN CAAz;NEL RE ATION: PLACEMENT •OF -PIPE IN-CHANNEL: ?T
CHANNEL NATION: NSTRUCTION OF A DXM/MQODTNG:
OTH
11 IF•CONSTRUCTION OF A -POND IS PROPOSED, , WHA , IS.1?HE SIZ,E_,QF, THE„ „ , .. ..
WATERSHED DRAINING TO TH£ POND?
WHAT IS THE EXPECTED POND SURFAC AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANIC EQUIPMENT TO BE USED ATTACH PLANS: 8 1/2" X 11" DRAWINGS
11G)G_
ONLY) : 'o 6tz( e 6uL-L Zc?YL A/vo L'4 to jj?
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13. PURPOSE- OF PROPOSFD WORI(_
Acct
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19- STATE REASONS WHY IT IS BEL
OUT IN WETLANDS. NCLUDE ANY M
IMPACTS):
ED THAT THIS ACTIVITY MOST BE CARRIED
ORES TAKEN TO MINIMIZE WETLAND
15. YOU-ARE.REQUIRED TO CONTACT
(USFWS) AND/OR-NATIONAL MARINE F
ADDRESSES SHEET)•REGARDING THE P
PROPOSED FOR LISTING ENDJ'+ GERED
.` IN THE PERMIT AREA THAT •'MAY-BE-A
CONTACTED:
FROM THESE AGENCIES.)
16.-, YOU A.Ri--nQU-1-RW-V0--C-ONTACT
(SHPO) (SEE 'AGENCY' - SES--SHE
PROPERTIES-: IN E PERMIT AREA 'WH FISH PROJECT- DATE CONTACTED:
AND WILDLIFE
(SEE AGENCY SERVICE.
ESTES
?
ENCE OF ANY FEDERALLY LISTED OR
THREATENED SPECIES OR CRITICAL HABITAT
CTED BY THE PROPOSED PROJECT. DATE
(ATTACH RESPONSES
THE STATE HISTORIC PRESERV-ATZON-OFFICER
T)-- "GARD-ING; THE PR$?;ENC£ OF HISTORIC'---
CH MAY BE AFFECTED BY TF(E `PROPOSEb
O
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
1
YES (] NO (IF NO,
a. IF YES, DOES THE PROD
DOCUMENT PURSUANT TO THE REQUI
POLICY ACT?
YES (] NO [J
TO 18)
REQUIRE PREPARATION OF AN ENVIRONMENTAL
NTS OF THE NORTH CAROLINA ENVIRONMENTAL
b. IF YES, HAS THE DOCUMEN BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION ST E CLEARINGHOUSE?
YES [J NO []
IF ANSWER TO 17b IS YES, THEN 5U MIT APE'ROPRIAT'E DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION F ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLI A ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE C
DIRECTED TO MS. CHRYS BAGGETT,
CAROLINA DEPARTMENT OF ADMINIST
NORTH CAROLINA 27603-8003, TELE
ARINGHOUSE REVIEW PROCESS SHOULD BE
RECTOR STATE CLEARINGHOUSE, NORTH
TION, 116 WEST-JONES STREET,- RALEIGH,
ONE (919) 733-6369.
4-
900'd 6861#, ??? 7Vd ???rsn EZ899L86I6 8Z:ST 000Z.SZ"inr
18. THE FOLLOWING I S SHOULD CI,UDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY I E D CHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, TAKES
.AND PONDS ON THE PROPERTY (FOR N IONWIAE PEPSIT NUMBERS 14, 18, 21, 26,
29, AND 38). ALL STREAMS (INTE ITTENT AND PERMANENT) ON THE PROPERTY
MUD BE SHOWN ON THE MAP- MAP S ES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQ IVALENT.
b. IF AVAILABLE, REPRESENT TIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
c. IF DELINEATION WAS PER RMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE ST RMWATER MANAGEMENT PLAN IF REQUIRED-
e_ WHAT IS LAND USE OF SUR OUNDING PROPERTY7
f_ -IF APPLI
WHAT IS
ED METHOD OF SEWAGE DISPOSAL?
g_ SIGNED AND DATED AGENT uTHORtZATI6N't9TTElkl IF ApPLXCABLE.-
NOTE:. WETLANDS OR HATERS•OF HE U. S. MAY NOT BE IMPACTED. PRIOR' TO:
1) ISSUANCE' OF A SECTION 404 CORPS OF ENGINEERS PERMI'T',
2) EITHER THE ISSUANCE C, t WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WA R QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COAST COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF C TAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH E NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM-.
OWNS ' /AGENT'S-SIGMA DA E
(AGENT'S SIGNATURE VALID O Y
-IF-AUTHORIZATION LETTER FR
THE OWNER IS PROVIDED (18g. ?
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