20011234 Ver 1_COMPLETE FILE_20010815

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nnicnaei r, tasiey, toovernor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
August 29, 2001
Montgomery County
DWQ Project # 011234
APPROVAL of 401 Water Quality Certification
John & Nancy Seivers
684 Springwood Drive
Mt. Gilead, NC 27306
Dear Mr. Seivers:
You have our approval, in accordance with the attached conditions, to place fill material in 300 square feet of waters for the
purpose of stabilizing the shoreline at your home on Lake Tillery, as you described in your application dated August 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 General Permit Number 030 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 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 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). For this approval to
be valid, you must follow the conditions listed in the attached certification. This approval shall expire when the corresponding
Nationwide Permit expires or as otherwise provided in the General 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 Danny Smith at 919-733-9716 or Ken Averitte at our Fayetteville Regional Office at 910-486-1541.
Attachment
5lncerely,
e o cc: Corps of Engineers Wilmington Field Office
Fayetteville DWQ Regional Office
File Copy
Central Files
Wetlands/401 Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Ph: [phone] Fax: [phone]
"A
WQ1=t
Customer Service
1 800 623-7748
0A vvntCA micnaei r. tasiey, uovernor
Q William G. Ross Jr., Secretary
0 ?y North Carolina Department of Environment and Natural Resources
> Gregory J. Thorpe, Ph.D.
4 Acting Director
Division of Water Quality
August 28, 2001
Montgomery County
DWQ Project # 011234
APPROVAL of 401 Water Quality Certification
John & Nancy Seivers
684 Springwood Drive
Mt. Gilead, NC 27306
Dear Mr. Seivers:I'
You have our approval, in accordance with the attached c ditions, to pla refill material in 300 square feet of waters for the
purpose of stabilizing the shoreline at your home on Lake ' , as you described in your application dated August 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 General Permit Number 030 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 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 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). For this approval to
be valid, you must follow the conditions listed in the attached certification. This approval shall expire when the corresponding
Nationwide Permit expires or as otherwise provided in the General 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 Danny Smith at 919-733-9716 or Ken Averitte at our Fayetteville Regional Office at 910-486-1541.
Sincerely,
Gregory J. Thorpe, Ph.D
Attachment
cc: Corps of Engineers Wilmington Field Office
Fayetteville DWQ Regional Office
File Copy
Central Files
Wetlands/401 Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Ph: [phone] Fax: [phone]
WOW.
?Dtr
Customer Service
1 800 623-7748
DWQ Project No.: County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved.within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent
modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division of Water Quality,
1621 Mail Service Center, Raleigh, NC, 27699-1621.This form may be returned to DWQ by the applicant, the applicant's
authorized agent, or the project engineer.lt is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature: Date:
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature: Date:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e., Engineer, Landscape
Architect, Surveyor, ect.) in the State of North Carolina, having been authorized to observe (periodically, weekly, full
time) the construction of the project, for the Permittee hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built within
substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature Registration No. Date
r? .w
DWQ ID: 1234 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 TO NC DIV. OF WATER QUALTIY FOR SECTION 401 CERTOCATION
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 P TYPE.
1. OWNER'S NAME:
2. MAILING ADDRESS:
SUBDIVISION NAME :h ors
CITY: Art, lF;4/ STATE'_^/If _ZIP CODE: j:-)L-.7jQ(
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
1- -/ (WORK) i91/ it ?
3. TELEPHONE NLJIvlEi;: (HOME)
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
S. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AEP4AL PHOTOGRAPHY WITH SCALE):
__.. NEAREST TOWN:
COUNTY: W6
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.)
6. IMPACTED OR NEAREST STRE
RIVER BASIN:
.f
(a) IS PROJECT LOCATED NEAR WATER CLASS ffIED AS TROUT, TIDAL SALTWATER. (SA),
HIGH QUALITY WATERS (HQW), OUTST?G RESOURCE WATERS (ORW), WATER
SUPPLY (WS4 OR WS-In? YES NO IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DMSION OF COAST
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES NO V
(C) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LANI}USE PLAN (LUP) DESIGNATION?
?V /d
8. (a) HAVE ANY SECTION 404 pERNGTS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES NO -!:L IF PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
(b) ARE ADDITIONAL PERM(,T REQUESTS EXPECTED FOR TIES PROPERTY IN THE
FUTURE? YES NO `/ ff YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND:_ 1/2
(b) EST04ATED TOTAL E$ OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
a w// g:
10. (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/F7.OODING:
OTHERM.
0 • 4
11. IF CONSTRUCTION OF A FOND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND?
WHAT IS THE E VECTED POND SURFACE AREA?
12. DESCRvmoN OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
+=f^? lfd" raid
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERS 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:
16. 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: ______.-,
17. DOES THE PROJECT INVOLVE AN EXPEND T? OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO ( V7 (IF NO, 00 TO 18)
(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 DEPARTMENT YES, HAS THE DOCUMENT
'TMENT OF ADMINISTRATION STATE CLEARINGHOUSE??YES( CAROLINA
IF ANSWER 17b 1S 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 BAGOM, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINIS71RATION,1 16 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
vua
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMME WETLAND IMPACTS)
A
•. Yr.- -.
18. THE FOLLOWING INVOLVES THE DISCHARGE OF EXCAVAWITH THIS TED OF M MATERIAL INTO PROPOSED
ACTIVrIY VI'T'Y IN INVOLOL
WETLANDS:
(?) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON TIC 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 PEST 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 DELD MAT1ON LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED•
(e) WHAT IS LAND USE OF,#URROUNDIN? PROPERTY?
(fl IF APPLICABLE, WHAT IS PROPOSED METHOD SE)VAGE DISPOSA?? 4 J,
t A
(8) 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
CIDtTIFTCAMON, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH STATING THE PROPOSED
ACTIV CAROLINA IS CONSISTENT WITH TIE NORTH HCCAROLINA COASTAL MANAGEMENT
A
PROGRAM.
11
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uJ .
OWNER'S/ PENIS SIGNA DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS
PROVIDED).
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