20010734 Ver 1_COMPLETE FILE_20010515

0 North Carolina Wildlife Resources Commission K"-d
Charles
r i
f! IN ?.ljn? ,1-?, 2001
Mr. Stephen Sorenson
PO Box 2355
Indian Trail, North Carolina 28079
RE: Proposed Project, Lot 322 Shoreline Stabilization, Overlook Subdivision,
Mecklenburg County
Dear Mr. Sorenson:
This correspondence is in response to your application to stabilize the above referenced
shoreline. The North Carolina Wildlife Resources Commission (NCWRC) is authorized
to comment and make recommendations which relate to the impacts of this project: on
fish and wildlife through the Federal License of Water Resource Project Act (Federal.
Power Act-16 U.S.C. 791 a et seq.), and the Fish and Wildlife Coordination Act (48 Stat.
401, as amended; 16 U.S.C. 661-6674).
According to your correspondence, you propose to stabilize 92 feet of shoreline on
Mountain Island Lake. Class B riprap and minimal tree plantings are proposed. Duke
Power Company's Shoreline Management Plan maps indicate that the Shoreline
Classification for your lot frontage is Impact Minimization Zone (IMZ). Lake Use
Restrictions for the IMZ require that stabilization activities are not to take place during
the months of March - June to limit impacts to fish spawning. We recommend the
following measures be implemented to minimize impacts to fish and wildlife habitats and
mitigate for unavoidable losses:
1. Riprap should not be placed extensively below the normal pool elevation contour.
Placing riprap below this elevation will probably do little to reduce erosion.
2. As required in the SMP, photo evidence of successful vegetation establishment is to
be provided after one year,
3. Bioengineering (vegetative or soft buffer) practices should be utilized to the extent
practicable. In addition to the proposed tree species, we recommend that, where
practicable, you plant a buffer of buttonbushes and/or other similar aquatic edge
species along the mean water level for edge habitat and erosion control.
Mailing Address: Division of Inland Fishencs - 172 1 ?9ail `?er? ice C;cm ei - Raleigh, NC. 27699-172 1
Telephone: [phone] ext- 281 - has.: (919) 71;-7643
Lot 322, Overlook Mountain 2 June 18, 2001
Concerning shoreline stabilization, this office generally prefers the use of a more
"natural" approach to shoreline stabilization. A combination ofriprap used to two feet
above normal pool elevation with banks sloped back and vegetated with willows or other
acceptable vegetation create a more "natural" bank. A filter fabric is recommended under
the riprap to prevent soil from eroding from behind the riprap during high water and/or
wave action. The lower portions of riprap and should be imbedded roughly 18 inches
into the lake bottom to prevent undercutting. Any encroachment into the area for access
should be minimized. Footpaths should be less than 6' in width.
All activities must follow Duke Power Company's Shoreline Management flan
and Shoreline Stabilization 'T'echnique Selection Process as well as any other special
conditions specified by the NC Department of Environment and Natural Resources. 11'
you have any questions regarding these comments, please contact me at 336/769-9453).
Sincerely
Ron Linville
Regional Coordinator
Habitat Conservation Program
cc: Mr. Mike Parker, DWQ
Mr. John Ellis, USFWS
Mr. John Dorney, DWQ
Mallory Liles, DPC.
Michael F. Easley
( u- Governor
$ r William G. Ross, Jr., Secretary
Imp. ?f Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
May 18, 2001
DWQ# 01-0734
Mecklenburg County
Steven Sorenson
12754 Overlook Mountar Drive
Charlotte, NC 28216
APPROVAL of 401 Water Quality Certification
Dear Mr. Sorenson:
You have our approval, in accordance with the attached conditions, to place zero fill in zero acre of waters in order to
stabilize the shoreline on your property on Mountain Island Lake in Mecklenburg County, as you described in your
application materials received by the Division of Water Quality on May 15, 2001. 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
Regional 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 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 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 John Dorney at 919-733-9646.
Sincerely,
.S evens
Attachment
cc: Corps of Engineers Asheville Regulatory Field Office
Mooresville DWQ Regional Office
Central Files
File Copy
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)
- --- --- ------

01 0734

401 ISSUED
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 CE'RT'IFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND TTiE ORIGINAL, AND (1) COPY 01, -1.1IIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF TI IE CORPS OF EiNGINL.,ERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY,
ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC
27607. PLEASE PRINT OR TYPE',.
L OWNER'S NAME: _
S4e4t/ c? 50 11)
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2. MAILING ADDRESS
SUBDIVISION NAME_
Ove / ?LOv r/'
CITY: _S"I'ATE: _ ZIP CODE: _ C h" /' /0- .(. '161.d -), ?7- ?/ G
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. IT?LI:I'I IONF. NUMI3E;R: (I IOMI :) _ (WORK) C?oJ O 0-
4. IF AI'I'IJ('ABI.,F,: A(;F.N"I''S NAM 1: OR RI SPONSIBLI: CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: ??o/? ??,, -?10^ ?6s??? CK+?../Jc. Coate. 704 -911 y?7y
5. LOCATION Ol? 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, ECF.) _
0. IMI'AC I1:U UR NI:AItI:S'I S'I'RI,AM/IlIVI{It: RIVER BASIN:
T (a) IS PROJEC I IAX'A IT"D NI•:AR WA "I Hs CLASSIFILD AS'I'ROU , TIDAL SALTWATER, (SA),
HIGI I QUALITY WATT RS (I IQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES NO ? IF YFS, L:XPLAIN: _
(b) IS 'I'H1- PROJEC"I' I,OCA"LTiD WITHIN A NORTI I CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF I?NVIRONMI N'I'AI. CONCERN (AEC)? YES 0 NO (
(c) IF TIIE PROJI:C'I' IS LOCATED WITTTIN A COASTAL COUNTY (SI?E PAGE 7 FOR LIST OF
COAS'T'AL COUNTIES), WHAT IS THE LAND UST; PLAN (LUP) DI?SIGNATION? A/-4
8. (a) IPAVE ANY SECT ON 404 PERMITS BFFN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES Q NO IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INF WRMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): _
(b) ARE ADI?'IONAL PERMIT' REQUFSTS EXPECTED FOR TI EIS PROPERTY IN THE FUTURE?
YI:S E] NO IF YF.S, DESCRIBF. AN"I'ICIPA'TED WORK:
9. (a) ESTTMATT:D TOTAL NUMBI:RS OF ACRE'S IN TRACT OF LAND: _-)
(b) ISTIMAT•I D T'O'TAL NUMM:R OI ACRES ( W1:'I I.ANDS LOCATT?D ON PROJECT SITE:
p`
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
F11,1,1NG: EXCAVATION: _
FLOODING: _ OTI IFR
DRAINAGE: _ TOTAL ACRES TO BE IMPACTED:
(b) (1) STRI?AM CHANNEI, TO BI: IMPACTED BY TT II": PROPOSI:D PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BI:I ORE AND AFT FR RELOCATION:
_ / CJ`
1, F;NG"11I 131:I:0 RII T AF 1 Fk I T
WIDTH BEFORE (based on normal high W<itCr Con(ours): _ FT U ^/ . 5
AVFRAGE DEPTH B1-,' ORl:: FT AFTER: FT
(b) (2) STRFAM CHANNEL IMPACTS WILL RESULT FROM: (CHE'CK ALL TITAT APPLY)
OITN CI IANNEL RELOCATION: Pl.ACF.MFN'T OFPIPE IN Cl IANNEL:
CHANNEL EXCAVATION: _ CO ST RUCTION OF A DAM/FLOODING: _
OTIIF,R: - 5h&rc IS1"b /,t2afio-
1 I. IF CONSTRUCTION OI• A POND IS PROPOSI'.D, WI IAT• IS THE SILK. OF THE WATERSHF-,D
1)RAINING TO TI IF POND? _ WI IAT IS "I I II" I:X1)IVT F1) POND SURFACE AREA? _ ti)) l
12. DI:SCRIP TION OF PROPOSI D WORK IN('I.EJDING DISCUSSION OF TYPE OFMECIIANICA1
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY I I DRAWINGS ONLY)
S S
?le- - z, sl???. ( w ripe rc-N p Ste„ ?.
L3 PURPOSI: 01: 1'ROI'OSI:D WORK:.- s1rb(< J Zc S
H. S I'ATF RI:ASONS WIiY I"I IS 131?LII:VI:U "1 I IA'I "I'I IIS ACTIVITY MUST BE CARRIED OUT IN
WFTLANDS (INCLUDF, ANl' MI:ASIJRES "I•AKI N 'TO MINIM17.1: WETLAND IMPACTS)
,/li /7 .
1 i- YOU ARI: REQUIRED TO CON'TACI• THE US FISI I AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE. FISIII:RIDS SI:RVIC'I; REGARDING TI IF PRI:SI:NCI? OF ANY FEDERALLY
LISTI:D OR PROPOSED FOR LISTING ENDAN(jF'RFD OR THREATENED SPECIES OR CRITICAL
1IABITAT IN THE PERMIT AREA T IAT MAY BE AFFECTED BY THE, PROPOSED PROJECT.
DA'TF CONTACTED:
Ih. YOU ARI: RFOUIRld) V0 CONTACI"ITlli S'I ATT•: HISTORIC PRE'SERVAT'ION OFFICER
(SIII'O) RI:UARDIN(l 1111 PRkSI;N('LOI IIISIORI( I'KOI'I;IZ'I II:S IN 'IITE I'I:IZMI'I ARI
WHICH I MAY RF AI+1-.C WD BY I'l II: I'RUI'OSI:D PROJI:CI. DATI: CON'TAC] 1:1)
_?
17. DOES TI IE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES [] NO 0 (IF NO, GO TO 16)
(a) IFYES, DOES "1.111: 1'ROJF'CT REQUWl1` PM-I'PARATION OF AN ENVIRONMENTAL
DOCl1MI;N'I' I'l1RSl1AN"I 'TO "I I I1:. IZI•:QUIRFM1?N"I•S OF TI IF NOR"TI I CAROLINA
F,NVWONMI?NTAL, POLICY ACT? 1'FS F1 NO 0
(b) IF YES, I IAS "1'1IE DOCUMI?N'1 131,I:N IZEVIL'WI?D "I 1IROlJGI I THE NORTH CAROLINA
DEI'AR'FMEN"1' OF ADMINIS"i'RA"I"ION STATE CLE'ARINGI IOUSE YES [:] NO M
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CI,I;ARINGI-IOUSE WI"TI I TI IF No l "Tl I CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING "THE STA'I'D CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGE TT, DIIZECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA 1)I?PARTMIiN'1' O1- ADMINIS"I'RA'I'ION, 116 WEST JONES STREET, RALEIGH,
NOI "Tll CAROLINA 27603-8003,'I'l 1,11PHONF. [phone].
18 'I1I1•: I OI,LOWING I'l FIMS SI IOULD 131, INCLUDED WITI I 1 HIS APPLICATION IF PROPOSED
AC'"TIVI"T'Y INVOLVES "1.111; DISCI IAR(iI; OF EXCAVAII:D OF FILL MA E'RIAL INTO
WI"' TI,AN1) S: IV (- - , , . i ,,, , y r'.4
(a) WFTLAND DE'LINEA'TION MAP SHOWING AL,I, WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOIZ NA"I-IONWIDI,, PGRMI"I' NUMBERS 14, 18, 21, 26, 29, AND 38).
ALI, STREAM (IN"TERMIT'ITN"T AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
TI II:MAT'. MAT' SCAI,I?S SHOULD BI? I INCH FQUALS 50 FEET OI' 1 INCH EQUALS 100 FEET
OFT HEW LQUIVALl"NT. v J,
(h) IF AVAILABLE, RF,PRL?SENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT. )1//1'I
(c) IF DELINEATION WAS PERFORMI•:D BY A CONSULTANT, INCLUDF ALL DATA SHEETS
M-'LFVANT "TO'TIIL PL,ACI",MIiN'I.OI "I•HI: DL:I.INI:A"I•ION LINE. IV " t'?
(d) A"T"TACI-I A COPY OI 'IIJI,, STORMWA"I'ER MANAGEMI?NT PLAN IF R1=,QLJIRED. aJ
(c) WHAT IS LAND USE OF SURROUNDING PROPI_?RTY? _ /v,
(I) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNET) AND DATED AGENT ALJ'TITORT/,ATION Ll"I"ITR, IF APPLICABLE
NOTE: WD"1 LANDS OR WAl f?RS OI 'I IiI US MAY NO'f 11F IMPACTED PRIOR TO:
I. ISSUANCI•: OFA SIX TION 404 CORPS OF LNGINE,ERS PEIRMI"T,
2. kI TI lkR '1111•: ISSUANCI: OR WAIVER OF A 401 DIVISION OF WA"TI R QUALITY
CERTIFICATION, AND
i. (IN TlIF TWI;N'TY COASTAL COUNTIFS ONLY), A LFTTER FROM "THE NORTH
CAROLINA DIVISION OF COASTAL MANAGI:MI:N"1"SI'A"I'ING 'l'I IF" PROPOSED
ACTIVITY IS UONSISII:N 1 WI 1 • I I TI11: NO101l CAROLINA COASTAL MANAGEMENT
PIROGIZAM,
OWNI:R'S/AC;I:N T'S SIGNA•I IJW` DA'I1:
(AGI•:N'I'S SIGNA•TURI: VALID ONLY
IF AU I IORV.ATION I,I,'I I I:R FROM
TI lF, OWNI:R IS PIROVIDFD).
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NC DWQ's Wetlands Unit Page 1 of 2
Wetlands/401 Ce caflon Unit
The Basics of the 401 Water Quality Certification Process
401 Water Quality Certification Program - The Basics
Section 401 of the Clean Water Act delegates authority to the states to issue a 401 Water Qu
Certification for all projects that require a Federal Permit (such as a Section 404 Permit). The
"401" is essentially a verification by the state that a given project will not degrade Waters of t
State or otherwise violate water_quality_standards. The following is a basic outline of the 401
review process in North Carolina:
When do you need to request a 401 Water Quality Certification?
If the U.S. Army Corps of Engineers determines that a 404 Permit is required because your
proposed project involves impacts to wetlands or waters, then a 401 Water Quality Certificati
also required. The Corps also determines which type of permit is applicable to your work, a
Nationwide, Regional, Generalor Individual Permit. For each of the Nationwide, Regional or
?-- General Permit, a matching General Certification must be issued by DWQ in order for the Per
u_; to be valid. An Individual 401 Water Quality Certification is necessary if an Individual 404 Per
required. Once the Corps has determined which type of permit you should request, you can r
Q L? the matching General Certifications on the DWQ web page. Please read the applicable
a- o:-- Certifications very carefully, and note whether or not written concurrence/notification is requir
DWQ. If written concurrence/notification is not required, and your project meets all of the
conditions of the General Certification, you do not need to submit a formal application or rece
signed 401 Water Quality Certification for your particular project. If the General Certification s
that written concurrence is necessary, please note the following steps necessary to obtain yo
401 Certification.
Fill out a Pre-Construction Notification
In North Carolina, you use a single form to request both a 404 Permit and 401 Certification. T
PCN Form can be downloaded directly. Please note, this form will be revised later in 1999 w
the final versions of the new Nationwide Permits are issued. Just follow the instructions on th
form. You should also include a cover letter explaining your project, and enclose a vicinity ma
and a site map (to scale) depicting all the proposed impact areas. You are also encouraged t
provide any supporting documentation available, such as correspondence received from the
of Engineers or photographs. Remember, the more clearly you describe your project, the mor
quickly we can review your application. You will need to submit this application to the Corps
provide seven copies of the entire application to DWQ. If you do not provide seven copies, yo
application will be returned as incomplete. DWQ will distribute the copies to five other state
agencies, as well as the appropriate DWQ regional office, which saves you time and expens
Include the Appropriate Fee
Beginning January 1, 1999, the North Carolina General Assembly adopted fees for the 401
Quality Certification Program. Please read the fee memorandum discussing this legislation pr
writing your check. In brief, a fee of $200 is required if the project impacts are less than one a
wetland fill and less than 150 feet perennial stream impact. If wetland or water impacts equal
exceed one acre, or if stream impacts equal or exceed 150 feet of stream impact, then a fee
$475 is required. Checks are to be made payable to the NC Division of Water Quality. Any
application received without the necessary fee payment will be returned to the applicant.
http://li2o.enr.state.nc.us/NI)bt-ancli/wetland/basic401.html 12/12/00
NC DWQ's Wetlands Unit Page 2 of 2
What to expect following submittal of your application
You may choose to read the full text of the 401 Wetland Rules governing review of 401 Wate
Quality Certifications. In summary, once your complete application is received by the DWQ C
Office, then we have 60 days to prepare a response (a Certification, an On-Hold letter, or oth
request for additional information). Please note that if your application is determined to be
incomplete by DWQ, then the 60-day clock has not begun ticking. For example, if you did not
attach a check, provide a map, or if your PCN form does not provide sufficient information, w
inform you in writing that we cannot begin processing your application until we receive the re
material. Many applications are forwarded to the appropriate DWQ Regional Office for site-sp
review. Once a staff report is submitted, we will either issue the 401 Certification or request
information from you, based upon the recommendations of Regional Office staff.
How to Track the Status of Your Application
DWQ plans to have portions of the project database available for public access later in 1999.
the meantime, inquiries about specific projects can be directed to Cyndi Bell at (919) 733-950
Please allow one month for your application to be mailed and initially reviewed prior to makin
calls. We also ask that you remember the 60-day clock when budgeting time for project
construction. Due to the high number of applications received and staff-time limitations, we c
prioritize projects based on your construction schedule. All applications will be reviewed in th
order received.
The Wetlands/401 Water Quality Certification Unit of the Division_ of Water Quality - North _Carolina _Department
33-1786 or write NC
of Environment and Natural _Resources. For more information please call [phone]--
DENR/Division of Water Quality, Wetlands Unit, 1621 Mail Service Center, Raleigh, NC 27699-1621. For
information or comments on this Web Site please email Todd St. John - "[e-mail]"
littp:Hh2o.cnr.state.ne.iis[NDbrancil/wetland/basic401.htm1 12/12/00
Y
0107,4
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: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC
27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME:
2. MAILING ADDRESS:
's4e-t/Kn c5'ort#15cl n
/A 7S-y o ie/- /au rl ?a?nfar ??P?C .
?ve? ?,ooN
SUBDIVISION NAME
CITY: -STATE: _ ZIP CODE: _ C ha r ?? ?/ G
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER: (HOME) _ (WORK) 7 c) D 0-
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: /?nGI? `? ?u^'?Q10^ ?LS?LI C?i,?bc• Caere. 7Ot(-p?`- y??y
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.)
?w t
6. IMPACTED OR NEAREST STREAM/RIVER: _ RIVER BASIN: _ 'd
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 x NO ? IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COSTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ONO
(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?
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ? NO 60 IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): -
(b) ARE ADDIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO IF YES, DESCRIBE ANTICIPATED WORK: -
(a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: ja
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
100
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: _
FLOODING:
DRAINAGE
EXCAVATION:
_ OTHER : _
- 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:
-? - f GJ? SA,ft ?n f
LENGTH BEFORE: FT AFTERS FT IU
WIDTH BEFORE (based on normal high water contours): _ FT oar's, 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: _ CO STRUCTION OF A DAM/FLOODING:
OTHER: - 51 0.- 4, 1: n'k 5.1"b c 12'. a -h 0 -
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? - #j f)
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY I 1 DRAWINGS ONLY)
S ^
5/641e12f- S[urc. ??rL j, ,1 k ripe re pp
13. PURPOSE OF PROPOSED WORK: _ .Sab(t J ?,'. ?e
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
,/t/-A
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
I IABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED:_ n ()
16. YOU ARE REQUIRED TO CON'T'ACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT ARE
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED _AJ
17. DOES THE PROJECT INVOLVE A EXPENDITURE 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 0
(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
?I
WETLANDS: All We 1/ l c, r, d S : to p C, c I-(
(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 I INCH EQUALS 100 FEET
OF THEIR EQUIVALENT. V J 0-
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT. J?/o
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. IV 10
/
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. /V
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? _ /V) A")
(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 MANAGEMENT
PROGRAM,
OWNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
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