20010663 Ver 1_COMPLETE FILE_20010430

0? W AT ?9
ot Q0
r
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
July 18, 2001
DW Q# 01-0663
Dare County
Ronald White
117 Pineshore Road
Elizabeth City, NC, 27909
APPROVAL of 401 Water Quality Certification
Dear Mr. White:
You have our approval, in accordance with the attached conditions, to place fill in 0.9 acre of wetlands in order to
construct a residence on your property in Dare County, as described in your application received by the Division of Water
Quality on May 3, 2001, and in additional correspondence provided on July 9, 2001. After reviewing your application, we
have decided that this fill is covered by General Water Quality Certification Number 3108, which can also be viewed on our
web site at http://h2o.enr.state.nc.us/ncwetlands . This Certification allows you to use Nationwide Permit 26 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 Watershed regulations. Also this approval will expire when the accompanying 404 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 in writing and you may be required to send us a new application for a new certification. If the
property is sold, the new owner must be given a copy of the 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). 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 Deborah Sawyer or Tom Steffens in DWQ's Washington Regional Office at 252-946-6481
or Cyndi Karoly in Raleigh at 919-733-9721.
Sincerely,
Cr_e'14 11-4"4
Kerr T. Stevens
Attachment
cc: Corps of Engineers Washington Regulatory Field Office
Washington DWQ Regional Office
File Copy
Central Files
Kendall Turnage, 507 E. Elizabeth St., Elizabeth City, NC, 27909
010663
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
-n 100 11- i..,? --- N - 107 corm 11 ,. -. 11- ..... -- __ r....... 1, _. 1-
DWQ/WRRO

of o663
Fax:[phone] Jul 16 '01 11:46 P.01

DWQ 11): _ 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 : •,`
z_ APPLICATION POP, SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1).GOPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF T14E CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN 7
COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY, ?
ATTIC: JO D RNEY 2321 Crabtree Blvd RALEIGH NC 27604. ? ?
Z-_ m
PLEASE PRINT OR_ML
1. OWNER'S NAME- -644
p `r
2. MAILING ADDRESS-. ? 17 1 In 9-
SUBDIVISION NAME
CITY: STATE: ? ZIP CODE: I
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER: (HOME) _- (WORK)
4. II= APPLICABLE, AGENT'S NAME OR RESPONSIBLE CORPORATE.OFFICIAL, ADDRESS,
PHONE NUMBER:
s. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE);
COUNTY: - NEAREST TOWN: -
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS; LANDMARKS, E.CT:) ??
6. IMPACTED OR NEAREST STREAM/RIVER: RI'VIyR BASIN;_ g1?
7, (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, ($A),
YES, EXPLAIN; CE WATERS (OFw), WATER
HIGH QUALITY WATERS (HQ C] NO ?T RESOURCE
SUPPLY OR WS-11)? YES M IS THE PROJECT PROTECT AREA LOOF A' ENVIRONMENTAL CONCERN (AEC)? YES [I ONpCOQ?TAL
M 19
(C) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT sS THE LAND USE PLAN (LUP) DESIGNATION?
o m C) ro .
DWQ/WARO Fax :[phone] Jul 16 101 1147 P.02
2
$. (a) HAVE ANY SECTIO 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ? NO IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE All ITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NON IF YES, DESCRIBE ANtICIRATFI) WOPK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: I 1'i l?
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
l m P oe-? ow 1 y 161 ftcR-`5
10. (a) NUMBER OP ACRES OF WETLANDS IMPACTED BY T1413 PROPOSED PROJECT RY:
FILING: r EXCAVATION:
FLOODING: OTHER
DRAINAGE : _ TOTAL ACRES TO BE IMPACTED:
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BkTORE AND AFTER RELOCATION:
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:
CHANNEL EXCAVATION: _ CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? WHAT IS THE EXPECTED POND SURFACE AREA? _
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 8112 BY I I DRAWINGS ONLY)
?)Lkm p -vRUC.1(. + &Lcv- ho ti
ts. PUPPOSB OF PROPOSED WORK: 44m e SCI ?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) - '- ' - "
-^- SOME kkplVrNAS OYIJ s1+C I V'W - CovE d.jd WT MR9
15, YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE UGARI)ING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN'CI'TE PE IT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED:
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT 61LZA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED

DWQ/WRRO
Fax:[phone] Jul 16 '01 11:48 P.03
17. DOES THE PROJECT INVOLVE AN E ENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ? NO (IF NO, GO TO 16)
(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 T14ROUG14 THE NORT14 CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPMATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD 13E
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE (919) 733,6369-
18. THE FOLLOWING ITEMS SHOULD BF INCLUnED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP S140WING ALL WETLANDS, STREA_-MS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14,1$,21,26,29, AND 38).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 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? , C ?}i pU £12 Wood N wd S.
(fl IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? ?p+j c,
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 CONSISTLNT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
OWNER'SIAGENT'S SIGNATURE DATE
`I''A w k-
(AGENTS SIGNATURE VALID OI4LY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
?MCIQM&CREED
July 2, 2001

Mr. John Domey
NCDENR, DWQ
1650 Mail Service Center 6)?
Raleigh, NC 27699-1650 1 of 4
q Re: Residential Site Plan for Mr. Buddy White k'f+
Pasquotank County, NC(
DWQ Project No. 01-0663`
Mr. Dorney,
Please find enclosed the residential site plan for Mr. Buddy White. We have prepared
this site plan at his request, to illustrate the proposed project. He has already filed for a
401 certification and has paid the $200.00 fee. The site is located near Big Flatty Creek,
a tributary of the Albemarle Sound. The site plan shows the proposed residence, septic
field and the building limits as required by Pasquotank County. The fill area will include
most of the .98 acre parcel.
If you have any questions or comments, please do not hesitate to call our office.
Sincerely,
??-?6?1
Kendall Turnage
Survey Technician
Cc: BuddyWhite
507 E. ELIZABETH ST., ELIZABETH CITY, NORTH CAROLINA 27909
TEL [phone] PAx 252.338.1117 www.mckimcreed.com
AA0002661
44
A. +• ' ..+c °'
T
n $ 1 (y
t e o t
_T3 A r, '
2 !?.
2
a h d ? e( tc 3
n
n
a m c ? d
? .1 1f h mac, • Z ? 'Z
u ,p P?. d c•
a' : 1 v 'ti ?
E 8 d a x?
n•z ?
d ? z
9 2 ) - Q±
L 8 i
` v O 1 rr
U J
= a 8
L1J c

= z
wl
?- U 8
z

g
CL
r? 0

Z=
Y ; ZZ
Q
? 0=
Q O
:D LLJ
0 awQ
CL a Q cUn o
Q-v
?2
yv
J
\ ?? l C
V r
J ,.
U
? s
°V
M
4
. ? K

V
1
V
-r
?t

J
ti
i

by q.
y
1
q
1
N

f b
V
t

1

1

F?-

'n ao

R
v}
I.N
.o
0
14P a
L
z a 4+ z s

'y
W
? V
d V
49
i Y p
h
V

z cm

- p ,?
V n
+
U.S. ARMY CORPS OF ENGINEERS
[t WILMINGTON DISTRICT
Ltpoooob
Lt 0goS mo
Action Id. County OrksquAnrk
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Description of Activity
Applicable Law: 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.
s?,L_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].
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 3 " 9-- lb06
Corps Regulatory Official Telephone No. a a
Expiration Date of Verification ?. _ a b 0 0l? ?? • O?
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
Telephone No. ( S a\__33o _q3
(?? f
Size and-DLoca 'on of project (water b`Iody, road name/number, town, etc.) aCA"Q
11P S tU1l.Q.L p Y ?M.D . ? . ' '
DWQ/WRRO Fax:[phone] Jul 16 '01 11:59 P.04

A? 1 t-0 _ - z
N -77

to
-
n

_?f'7
1?VL
? ? ` Y
O
4-2
i

N
b

fb
n
oy
t
?V

14
n ?

^} V U

i
?4`

i
1
It,
k

b ?
r n
ti b
w 1w?,
b
+J' R
44
?1
4
A
f ' I l
r N
ANI
r? N
a
•?. ati
?C w
S 4
a

;7
a-
P m
fi v r c?
z Q ?° C a _ta O
i~ '" ? L? z • ? N
C i cn A4 LA 3
c `• ? r ?? 3
.? F• A- `I. ? P _M
F Q ? Z ?" SR ; x
n -?
K
F ¢ U A
8- z a
..yam a ? z
F
e V. ?
o a ;
-L _
C??}Ya'1 t a a ? rrr,,??'
01.
Ztp
',,?'ksirnuaara?•`,`,? ?` ??
(n V)?
F-rn Q
0
F-
??? C7
rvzo
z
rn ?
rn '7
0 F-n
_X
? b
PU G)
L1 ;
North Carolina
Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Donna D. Moffitt, Director
Mr. Ronald "Buddy" White
NCDENR
May 24, 2001
117 Pineshore Road
Elizabeth City, North Carolina 27909
Re: DWQ ID #010663, Nationwide Permit Application for an activity in Pasquotank
County
Dear Mr. White:
The North Carolina Division of Coastal Management has reviewed your application, dated 04/25/01, for
a U.S. Army Corps of Engineers Nationwide Permit, pursuant to Section 307 of the Coastal Zone
Management Act of 1972, as amended. Based upon our review, we have determined that the proposed
activity is consistent with the North Carolina Coastal Management Program subject to the following
conditions:
1. The activity described in your application is for the issuance of a U.S. Army Corps of Engineers
Nationwide Pen-nit, Number 26, under 33 CFR Part 330. Any modification of your proposed
activity, or change in the Nationwide Permit Number that you are seeking, will require an
additional review for consistency by this office.
2. Since the activity that you propose involves impacts to waters and/or wetlands, a 401 Water
Quality Certification must be obtained from the North Carolina Division of Water Quality.
Please understand that this letter does not relieve you of the responsibility to ensure that all other
applicable State authorizations and/or permit requirements are met prior to implementation of the project.
Please feel free to contact me at [phone] if you have any questions or need further assistance.
Sincerely,
C1Ted Sampson
District Manager
TS/dc
Cc: Charles S. Jones, Assistant Director, DCM, Raleigh
Caroline Bellis, Federal Consistency Coordinator, DCM, Raleigh
Wilmington District Engineers; ATTN: CESAW-CO-E
John Dorney, Water Quality Section, DWQ/Raleigh
Elizabeth City District \ 1367 U.S. 17 South, Elizabeth City, North Carolina 27909
Phone: [phone] \ FAX: [phone] \ Internet: http://dem2.enr.state.nc.us
AN EQUAL OPPORTUNITY \ AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST CONSUMERPAPER
101 Comments
Subject: 401 Comments
Date: Fri, 08 Jun 200108:34:43 -0400
From: Tom Steffens <Tom.Steffens @ncmail.net>
To: Cyndi Karoly <[e-mail]>
CC: Deborah Sawyer <Deborah.Sawyer @ncmail.net>, Bob Zarzecki <[e-mail]>,
Rob Ridings <[e-mail]>
Cyndi,
Here is a list of recent recommendations I have processsed. I am not able to access the file pro as a
regional contact, though I am on the list in the system. I can't tell if its a local problem or a system
problem. I will have to send you my recommendations by email until something happens with the system
to allow me proper access.
Teach's Lair Partnership. Project # 01-0695, CAMA Major. RecommendISSUE, with the following
conditions:
1. Applicant has to comply with all EPA- SPCC rules and regs concerning on-site bulk fuel storage and
fuel dispensers.
2. Applicant must meet Coastal Stormwater regulations
3. Applicant must meet NC State Turbidity Standards of 25 NTU for SA classified waters for the duration
of the project.
NCDOT Ocean Outfall # 5. Project # 01-0529 CAMA Major. Recommend ISSUE with no conditions
Chris Hyde. Project # 01-0837 CAMA Major. Recommend ISSUE with no conditions.
Jim Carolan etc. Project # 01-0694 LAMA Major. Recommend ISSUE with no conditions.
Larry Hodge. Project # 01-0772 CAMA Major. Recommend ISSUE with no conditions.
Ronald White. Project # 01-0663 HOLD for more information. Applicant needs to furnish wetland
delineation map and provide a detailed homesite plat with septic tank location and permit.
Marsh Landing Subdivision, C/O Lane Farms, Project # 01-0379. 401Cert. HOLD for more
information. Site visit with stream determination on 06-07-01 by TA Steffens. Applicant will submit
revised site plan with minimized impacts of only one road crossing and realignment of lots that may
impinge on Neuse Buffer ruled areas.
This is all that I can provide for now, though I may be able to add to the list tomorrow after consulting with
Deborah on a couple of projects. If you have any questions I should be in my office tomorrow in the
morning.
Thanks,
Toms
of 2 6/8/01 10:38 A?
O?O? \ NA
T ?9pG
00 r
o -c
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
June 12, 2001
Pasquotank County
DWQ Project No. 01-0663
Ronald White
117 Pineshore Road
Elizabeth City, NC, 27909
Dear Mr. White:
On April 30, 2001, the NC Division of Water Quality received your application for a 401 Water Quality
Certification for residential construction on your property in Pasquotank County. Your application is incomplete
since you have not clearly indicated the location and area of proposed impacts to wetlands. Please provide a
site plan clearly showing the delineated, proposed wetland impact area in relation to structures and paved
surfaces. You could modify the physical survey you provided to include the footprint of the fill area, provided that
the fill dimensions are drawn to scale and accurately quantified. For example, you may show the impact area
shaded in, and list the impact in a key to your survey map. Please also provide a detailed homesite plat with the
septic tank location and permit. You may also find it helpful to include photographs of the site, although this is
optional. Finally as discussed if wetland fill is equal to or less than 1/3 acre, then no written DWQ approval is
needed. Please discuss this option as well.
Until this information is received, I will request (by copy of this letter) that the Corps of Engineers place this
project on hold. Also, this project will be placed on hold for our processing due to incomplete information (15A
NCAC 2H .0507(h)). If you have any questions, please contact Cyndi Karoly at [phone].
Sincerely,
446Frn0`y
cc: Corps of Engineers Washington Raleigh Regulatory Field Office
Washington DWQ Regional Office
File Copy
Central Files
010663
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
n- 700 4100 /..1--,- fl. (1 000 C... 1$-1.1 L.M... ??L.a .. ..... ............ ... /.........H......,,/
0663
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT
F71
PRE-CONSTRUCTION NOTIFICATION APPLICATION = r- z 1
r°?? rm
FOR NATIONWIDE PERMITS THAT REQUIRE: ?j ?-
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 OUALITY
ATTN: JOHN DORNEY, 2321 Crabtree Blvd, RALEIGH, NC 27604.
PLEASE PRINT OR TY?E.
1. OWNER'S NAME: ICo oo ouu U
2. MAILING ADDRESS: 117 I I1L° 7L
SUBDIVISION NAME
CITY: STATE: ZIP CODE: ua H be_ rk C l y f N- -(_ _
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER: (HOME) (WORK) ?,Sa- 330- W1(4
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: -NEAREST TOWN: ___
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) i
6. IMPACTED OR NEARESTSTREAM/RIVER: RIVER BASIN: Q TIW / C-R EEY-
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:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF CO TAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? 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?
Hb m e Oar?s+
8. (a) HAVE ANY SECTIO 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ? NO IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL IN ORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE AD ITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO90 IF YES, DESCRIBE ANTICIPATED WORK: ?~
(a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: 1 ? AC- R C S
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Imprich ow(y I q 001G-5
lo. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED:
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
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:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
I i. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Dum p -Muckc + C)(Xcv. ho E
13. PURPOSE OF PROPOSED WORK: 1.3m M E S '? ?-
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) _
Some q0 troAs Oro si+c (bad Cop-E did NoT MffP Sep + ? '
15. 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: rLQ
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT {?REA
WHICH MAYBE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED Ply .
or
17. DOES THE PROJECT INVOLVE AN E ENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES E] NO (IF NO, GO TO 16)
(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, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF 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 STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 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? -cAjpU C12 WUOd t "A iA S
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? S e IP+? C I's y0 IL
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 MANAGEMENT
v&6. m, lfib 5-/ 61
OWNER'S/AGENT'S SIGNATURE DATE
(AGENTS SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
Y
tT l
s<
V
D
n
t
a
M

0
.?3
ry

?I
i
r
W

v

F r?k
4
bA
A
0 o ?•

ta;
i
N V

-ro•
P F
?~
P Ld

r

o P
u O
3'
?
? oy, ?
i
S A ? ? ?
x• t
?
N u
h
O ^ r
D
2
C. o
2 /nU
til
b
A
A ?
d
? o
0
A ?
ti
a
a

a ?
o
CA
h
T 2 `?
A
.; Z
a
N F \
P ?
o-
S O
n
G`? r
2 ?
0
n -o
r r ? f ? c
-? a z
= P
?v N A ? H
N
P ?r C +
p in

G? A
M
a CA, u
Z A ZS p ? Cf'47
` ? ? n 2 I? F 1
1 i
-+
?
O P
C. A
u A -?
2 } t "7S
w
+
A ? N q a
o ?

2 fi 2 P
E
A s
CL
a
< 3
f' & EA -?s
t4 2
? C
ca
ry t
-h ?
2 o .
z

'C: rn m n
• :??
.. : ? c D
co r-,
O\n : D
?
v
i ti
ols ', t-
0 h

cn (n "V N
r- m
o
m-k c
z
° D
-
_
O D (
zz
C7??
= z
c)
? ?
c
rn

=rn

C7

+ D

N O
r
g z
D
rn

s
r
I