20010076 Ver 1_COMPLETE FILE_20010119

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
Sherri Evans-Stanton, Acting Secretary
Kerr T. Stevens, Director
/ 4Q°
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
January 26, 2001
Davidson County
DWQ Project # 010076
APPROVAL of 401 Water Quality Certification
William E. Carr
2059 Riverside Drive
Lexington, NC 27292
Dcar Mr. Carr:
You have our approval, in accordance with the attached conditions and those listed below, to excavate 0.46
acres of lake bottom on High Rock Lake in Davidson County for the purpose of providing deep water access to your
pier, as you described in your application received by the Division of Water Quality on January 19, 2001. After
reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number
3250. This certification allows you to use General Permit Number 195200030 when the Corps of Engineers issues it. % In addition, you should get any other federal, state or local permits before you ggo 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 complyirfg
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 Raleigh Field Office
Winston -Salem DWQ Regional Office
File Copy
Central Files
0 n? lfl?ll
010076
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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<!DOC FyPI IITIA1- PUBLIC "-/iW3C//D"TD IHAI1, 3.2//LN"%DWQ ID: - CORPS ACTION ID: _
NATIONWIDE PERN11T REQUESTED (PROVIDE NATIONWIDE PERMIT 4) _
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PEIZ-MITS 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 MUST BE SENT TO THE NC DIVISION OF WATER
QUALITY, ATTN:.IOHN DORNEY, 4401 REEDY CREEK ROAD,
RALEIGH, NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: WILLIAM E. CARR
MAILING ADDRESS: 2089 RIVERSIDE DR.
SUBDIVISION NAME WATERSHIP DOWNS
CITY: LEXINGTON STATE: N.C. ZIP CODE:27292
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT
FROM MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER: (HOME) 3367980204 (WORK) 3368553471
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER: N/A
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY:DAVIDSON - NEAREST TOWN:LEXINGTON N.C..
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) _
I-85 south to lyn ood rd, turn IeR ro 6 miles to riverside dr turn right 2 miles to site.
6. IMPACTED OR NEAREST STREAM/RIVER: YADKIN RIVER BASIN: HIGH ROCK
LAKE
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER,
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW),
WATER SUPPLY (WS-I OR WS-II)? YES NO IF YES, EXPLAIN: NO
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES NO -NO-----
(c) 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?
NO
(a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS 0
PROJECT? YES NO IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT C7 -C
AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401

CERTIFICATION): NO m

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y
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES NO IF YES. DESCRIBE ANTICIPATED WORK: NO
(a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: N/A ADJACENT
TO LAKE
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT
SITE:
N/A
(a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:.46
ACRE
FILLING: _ EXCAVATION: X
FLOODING: __ OTHER: -
DRAINAGE: TOTAL ACRES TO BE IMPACTED: .46 ACRE,
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED. PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION: N/A
LENGTH BEFORE: _FT AFTER: - FT
WIDTH BEFORE (based on normal high water contours): _ FT
AVERAGE DEPTH BEFORE: _ FT AFTER: _ FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: _ PLACEMENT OF PIPE IN CHANNEL: -NO
WETLANDS INPACT-WATERS ONLY
CHANNEL EXCAVATION: _ CONSTRUCTION OF A DAM/FLOODING:
OTHER: N'A
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED
DRAINING TO THE POND? N/A WHAT 1S THE EXPECTED POND SURFACE AREA? _
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHAN
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY I I DRAWINGS ONLY)
EVACUATE. SII:T FROM LAKE BOTTOM BY TRACK HOE-TRACKLOADER DUMP
TRUCKS
PURPOSE OF PROPOSED WORK: TO PROVIDE ACCESS TO OWNERS PIERS
STATE, REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
NO WETLAND IMPACT-WATERS ONLY
YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY
FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY
THE PROPOSED PROJECT. DATE CONTACTED: N/A
YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT
AREA WHICFI MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED _
N/A .
DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES NO (IF NO, GO TO 16) NO
(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 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE 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,
RALEIGI1, NORTH CAROLINA 27603-8003, TELEPHONE [phone].
THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS N/A SILT WILL BE TRANSPORTED FROM SITE
(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 STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE I INCH EQUALS 50 FEET
OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PRODUCT.
(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?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
I. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
C,
PROGRAM,
ll
OWNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).

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JANUARY 18, 2001
WILLIAM E. CARR
2089 RIVERSIDE DR
LEXINGTON, N.C.27292
g, 1 9 2001
N.C.DENR DIV. OF WATER QUALITY WETLANDS/401 UNIT
4401 REEDY CREEK RD.
RALEIGH, N.C.27607
ATTEN: CINDY KAROLY
DEAR CINDY,
4101/SS40,
010
AS PART OF THE APPLICATION PROCESS TO YADKIN INC. TO DRY DREDGE SILT IN OUR
COVE AT HIGH ROCK LAKE. WE NEED YOUR APPROVAL OF THE ENCLOSED APPLICATION.
I AM SUBMITTING THIS APPLICATION ON BEHALF OF MY NEIGHBORS AND MYSELF:
GLENN MCMILLIAN, DAVID MALLARD, MIKE TURLINGTON, JERRY GRIMES; ALL
RESIDENTS OF WATERSHIP DOWNS SUBDIVISION LOTS 30,31,32,33.34.
YOUR PROMPT ATTENTION TO EXPEDITING THIS APPROVAL WILL BE GREATLY
APPRECIATED. IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, PLEASE CONTACT
ME AT PHONE NO. 3368553471 (OFFICE) OR 3367980204 (HOME).
THANK YOU
WILLIAM E. CARR
PUMENT
RECEIVED
y
' 1 11 V (}I,j ? y Z?Q? *401l6SU1j.
<!DOC I'YPE I ITML PUBLIC; "-//W3C//DTI:) H'I'mi., 3.2/iEN">DWQ 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 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 MUST BE SENT TO THE NC DIVISION OF WATER
QUALITY, ATTN:,TOHN DORNEY, 4401 REEDY CREEK ROAD,
RALEIGH, NC 27607. PLEASE PRINT OR TYPE.
OWNER'S NAME: WILLIAM E. CARR
2. MAILING ADDRESS: 2089 RIVERSIDE, DR.
SUBDIVISION NAME WATERSHIP DOWNS
CITY: LEXINGTON STATE: N.C. ZIP CODE:27292
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT
FROM MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER: (HOME) 3367980204 (WORK) 3368553471
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER: N/A
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY:DAVIDSON - NEAREST TOWN:LEXINGTON N.C..
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.)
1-85 south to lynwood rd. turn Icil Po 6 miles to riverside dr turn right 2 miles to site.
6. IMPACTED OR NEAREST STREAM/RIVER: YADKIN RIVER BASIN: HIGH ROCK
LAKE
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER,
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW),
WATER SUPPLY (WS-I OR WS-II)? YES NO IF YES, EXPLAIN: NO
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES NO -NO-----
(c) 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?
NO
(a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES NO IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT
D
rTj
AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 C-) -C
CERTIFICATION): NO m
-< r-rn
rr1 Z
o y
•
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES NO IF YES, DESCRIBE ANTICIPATED WORK: NO
(a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: N/A ADJACENT
TO LAKE
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT
SITE:
N/A
(a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: .46
ACRE
FILLING: _ EXCAVATION: X
_
FLOODING: OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED: .46 ACRE
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION: N/A
LENGTH BEFORE: _ FT AFTER: _ FT
WIDTH BEFORE (based on normal high water contours): _ FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: _ PLACEMENT OF PIPE IN CHANNEL: _ NO
WETLANDS INPACT-WATERS ONLY
CHANNEL EXCAVATION: _ CONSTRUCTION OF A DAM/FLOODING: _
OTHER: N/A
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED
DRAINING TO THE POND? N/A WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHAN
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY I I DRAWINGS ONLY)
EVACUATE SILT FROM LAKE BOTTOM BY TRACK HOE-TRACKLOADER DUMP
TRUCKS
PURPOSE OF PROPOSED WORK: TO PROVIDE ACCESS TO OWNERS PIERS
STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
NO WETLAND IMPACT-WATERS ONLY
YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY
FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY
THE PROPOSED PROJECT. DATE CONTACTED: N/A
YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT
AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED _
N/A .
DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES NO (IF NO, GO TO 16) NO
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF TI IE 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 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE 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 27603-8003, TELEPHONE [phone].
THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS N/A SILT WILL BE TRANSPORTED FROM SITE
(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 STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE I INCH EQUALS 50 FEET
OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PRODUCT.
(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.
(c) WHAT IS LAND USE OF SURROUNDING PROPERTY?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? _
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US 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 WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MA ;-A- = PROGRAM, C? l -
OWNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
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