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Home My WebLink About20010603 Ver 1_COMPLETE FILE_20010418State 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 William Boswell 292 Green Meadow Lane Whiteville, NC 28472 Dear Mr. Boswell: NCDENR NORTH CAROLINA DEPARTMENT OF ENVI RON May I, 2001 T AND NATURAL RESOURCES DWQ # 010603 Columbus County On April 19, 2001 the Division of Water Quality (DWQ) was notified by receipt of your applications regarding your plan to fill wetlands for the purpose of constructing a dam in Columbus County. Approval from DWQ is required to disturb these wetlands. Please provide seven copies of the following information and refer to the DWQ # listedabove in your reply. In particular as described in 15A NCAC 2B .0502, we will require you to report the length of stream to be impacted by the dam. Please show these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H .0500. Please call me at (919) 733-1786 if you have any questions or would require copies of our rules or procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H .0505(c). The processing time for this application will begin when this information is received. If we do not hear from you by writing within three (3) weeks we will assume you no longer want to pursue the project and will consider it withdrawn. in erel , I R. Dorney Cc: Wilmington DWQ Regional Office Wilmington Corps of Engineers File Copy Central Files Wetlands/401 Unit • 4401 Reedy Creek Road • Raleigh, North Carolina 27607 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumerpaper State 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 2001 w # 0 0lU" 63 County 1)e` t I a U" Dear Mr. On ! ?J`?' the Division of ater Quality (DWQ) was tifed b rec?jjeipt of your applications regarding your plan to fill re?laud? for t p?jrpose of it?^+County. Approval from DWQ is required to disturb these q%r . Please provide seven copies of the following information and refer to the DWQ # listed above in your reply. In particular as described in 15A NCAC 213 .0502, we will require you to 1 .nrnprty. Please show these on maps of suitable scale (for i stance 1" = 100 feet) so we can begin to determine your projects' compliance with 15A NCAC H .0500. Please call me at (919) 733-1786 if you have any que tions or would require copies of our rules or procedural materials. This project will remain on old as incomplete in accordance with 15A NCAC 2H .0505(c). The processing time for this pplication will begin when this information is received. If we do not hear from you by writi ?, within three (3) weeks we will assume you no longer want to pursue the project and will consi er it withdrawn. Sincerely, John R. Dorney C'? 1 Cc. DWQ Regional Office ? Corps of Engineers 1qi'l py C entral Files qL- &vx Wetlands/401 Unit • 4401 Reedy Creek Road • Raleigh, North Carolina 27607 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycledA 0% post consumer paper 0106 0 3 I FM ID. CORPS ACTION ID: :JATIONWIDE PERMIT kEQUESTED (PROVI DE HATIGNWIDE PERMIT NY CZ) N C-7) PRE-CONSTRUCTION NOTIFICATION APPLICAT ION FOR NATIONWIDE PERMITS THAT REQUIRE: n fTt ? 1) NOTIFICATION TO THE CORPS OF ENGINEERS tY 2) APPLICATION FOR SECTION 401 CERTIFICATION 3) COORDINATIO14 WITH THE NC DIVISION OF COASTAL MANAGEMENT SEND THE ORIGI14AL AND (1) COPY OF THIS COMPLETED FORI4 TO THE APPROPRIATE CIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN I) COPIES SHOULD BL SENT TO THE N.C. DIVISION OE' E14VI RONME 14TAI, MANAGEMENT ,SEE-AGENCY ADDRESSES SHEET) PLEASE PRINT. 1. OWNERS NAME: William BQswel1 .?. MAILING ADDRESS: ,ITY: Whiteville ZIP CODE: 28472 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM t4AILING ADDRESS ABOVE): 292 Green Meadow Lane w1,; te3zi l P Nr 28472 3. TELEPHONE NUMBER (HOME): 910-642-7275 (WORK): I. 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 IIAP OR AERIAL PHOTOGRAPHY WITH SCALE) : COUNTY: Columbus • NEAREST TOWN OR CITY: Whiteville SPECIFIC LOCA'T'ION (INCLUDE ROAD ilU14BERS, LANDMARKS, ETC.) Tj rn_xj_ght at ghort-R-ro nu-to Sales at f; rpt crossroads turn right onto Thompson Town Road SR 1428. -Access road is 292 Green Meadow Lane SUBDIVISION NAME: S'PAT'E: NC 300 yards on right at Green Meadow Lane. 6. IMPACTED OR NEAREST STREAM/RIVER: Soles Swa RIVER BASIN: Lumber River Basin 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTRNDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [ ) 140 [X) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ) NO [XI 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAI. COUNTIES), WHAT IS THE LAND USE PLAN ( LUP) DES] GNA'I'ION? No 8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ] NO [ )q IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION) : 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ) NO [X) IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 120 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 30 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: .1 EXCAVATION: •1 FLOODING: .3 OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: .5 10b. (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 WIDTH AFTER: FT AVERAGE DEPTH BEFORE: FT AFTER: FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: CHANNEL EXCAVATIO14: 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? 10 acres WHAT IS THE EXPECTED POND SURFACE AREA? 1.5 acres 12. DESCRIPTION OF PROPOSED WORK I14CLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY) : Construct farm pond with backhoe and dozer. Backhoe to Pxcavata and construct dam Plans are to use spillway to requlatP water level. 13. PURPOSE OF PROPOSED WORK: Sediment trap/basin and wildlife farm irrigation pond. - 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): Best sui cI l are -- 15. YOU ARE REQUIRED TO CONTACT AND/OR 14ATIO14AL MARINE FISHERIES SHEET) REGARDING THE PRESENCE OF LISTING ENDANGERED OR THREATENED AREA THAT MAY BE AFFECTED BY THE 3/26/01 THE U.S. FISH AND WILDLIFE SERVICE (USFWS) SERVICE (NMFS) (SEE AGENCY ADDRESSES ANY FEDERALLY LIS'T'ED OR PROPOSED FOR SPECIES OR CRITICAL HABITAT IN THE PERMIT PROPOSED PROJECT. DATE CONTACTED: (ATTACH RESPONSES FROM THESE AGENCIES.; 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE C014TACTED : 3 126 1-01 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES (I NO M (1 F 140, GO 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 [] 110 H . b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ J NO ( j IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING C014PLIANCE 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 (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS: a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 19, 18, 21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. 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. N/A e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Cropland, Pasture, Woodland f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. 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 ENVIRONMENTAL MANAGEMENT (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. c e6 ly- OWNER'S/AGENT'S SIGNATURE DATE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (18g.)) C. O r 610 1997 ` 01 \b ? 131• 1.6 } ,• ? _ " ? 1 ? \ S 1760 1' ? 4 _ O o ? . ' e Bra k ? a 1319 ? ` Ot 1730 - --530 'r 131 ? `' 6 , IJ22 V s '? t 6 1002 k / Z•esIEr11 Pg 17_19 ?? 171_ BD ' R 093 6 4 D • -d 1 1721 e 1 1772 O . A 1120 \ 66 13 1002 '' \1 1534 1397 1.6 U ? v 3? 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M `? `%' ?' /' R t f3 ( jhJ "'( lid 14 S'S 10 i 75`13 It c- 17 'AW x5867 '?, ` , '?. ,?-et, ?,a,<•. .:? .? ;?? > ? _. ? i_ t? ?- - ? •it+ 5. j'q ff^ ?•f. , CY 4 9.1 1 ? •{ ? 4 ? 3 I i ?=??`'s .(f a. tic??'-? }?7CT -- ? a ? ??A???!?. ?•V Pc • ? 1.1 r 0 ?Vl 0 aM. if 91%1 %1 ' 01 0603 C)l I t:M ID: ` CORPS ACTION ID: -- 9- ' 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 : MI'T' REQUESTED T'ED (PROVIDE tJF:'I'IUIIWIDE PERMIT N) :IAT70JJWIPREDE = PCONSTRUCTION NOTIFICATION APPLICATION SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORId TO THE APPROPRIATE i.-I) COPIES SHOULD BE SE:II'1' '1'O '1'1IE: IJ . C . I)I V I S IUIJ of' ENVIRONMENTAL I-IANAGEMENT YIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN ;SEE -AGENCY ADDRESSES SHEET) PLEASE PRINT. 1. OWNERS NAME: William Boswell ?. MAILING ADDRESS: 292 Green Meadow Lane SUBDIVISION NAME: 11Y; Whiteville STATE NC ZIP CODE: 28472 PROJECT LOCATION) ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM :AILING ADDRESS ABOVE) 292 Green Meadow Lane _ W h i t P v i l l ey-NC 98,17? 3. TELEPHONE NUMBER (HOME): 910-642-7275 (WORK): 9. IF APPLICABLE: .AGEN'1"S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, ['HONE NUMBER: 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Columbus NEAREST TOWN OR CITY: Whiteville SPECIFIC LOCA'T'ION (INCLUDE ROAD rTl :1 U M B E R S, L A4 Dhl A R K S, ETC. ) _ Turn right at Short B ro_--ALt-tB-Sx-1-0 s a t first crossroads turn right onto Thompson Town Road SR 1428. -Access road is n -< D 300 yards on right at Green Meadow Lane. 6. IMPACTED OR NEAREST STREAM/RIVER: Soles Swa RIVER BASIN: Lumber River Basin 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTkN DING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [ ) 140 ( X) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ) NO [X) 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL COUNTIES), WHAT 1S -1-11L LAND USL: PLAN (1,111)) DESIGNA-1-1014? No 8a. HAVE ANY SECTION 104 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ J NO [X) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES ( ) NO (XI IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 120 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 30 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: .1 EXCAVRTION: .1 FLOODING: .3 OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: .5 10b. (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 WIDTH AFTER: FT AVERAGE DEPTH BEFORE. FT AFTER: FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE 114 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? 10 arrp? WHAT IS THE EXPECTED POND SURFACE AREA? 1.5 acres 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY): Construct farm pond with backhoe and dozer. Backhoe to exravata and construct dam Plans are to use spillway to rpanlatp wai-p-r level. 13. PURPOSE OF PROPOSED WORK: Sediment trap/basin and wildlife farm irrigation pond. _ 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): Best suited larp -- 15. YOU ARE REQUIRED TO CONTACT AND/OR NATI014RL MARINE FISHERIES SHEET) REGARDING THE PRESENCE OF LISTING ENDANGERED OR THREATENED AREA THAT MAY BE AFFECTED BY THE 3/26/01 THE U.S. FISH AND WILDLIFE SERVICE (USFWS) SERVICE (NMFS) (SEE AGENCY ADDRESSES ' ANY FEDERALLY LISTED OR PROPOSED FOR SPECIES OR CRITICAL HABITAT IN THE PER11IT PROPOSED PROJECT. DATE CONTACTED: (ATTACH RESPONSES FROM THESE AGENCIES.) 16. YOU ARE REQUIRED TO CON'T'ACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEE'T') REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHlCII MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3126/01 --- 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES [ ) NO M (IF 140, GO TO IS) a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES H NO [) . b. IF YES, HAS THE DOCUMENT BEE14 REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ) NO H IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF E14VIROIIIIENTAL MANAGEMENT REGARDING COMPLIANCE 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 (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR 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 STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. 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. N/A e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Cropland, Pasture, Woodland f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. 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 ENVIRONMENTAL MANAGEMENT (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 -"? - O 6 DATE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED ( 18g .) ) n I 610 ''/.? 61319 :ii a 1__09; y4 01 \A • 5 • ,• ?' lar ? Le 1360 ,}3 ?? 6 0 kl - at 1519 1 1t1 !734 _33p ? tsl R ?. t.t ' f 1311 !•• its .6 V ? ? 131 , G++`k W 347 ] ti eSkErn Pr°n9 131 ? i . _ " agcy h ? ? - ' 1 . J !733 ? - ioo3 w A Mount a -d 1 Istl , 1337 ` 1320 'a .7 ? ' 1316 1447. ?M1 ??! ? ,347 ] 3 1003 y 1 •, 1329 .a `1 1 7 1"4 Ip07 y 137! J _ .? 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WHITEVILLE _, fy KW. 5,563 912 1 Iro7 ?J -7 IV,IIRO 1W 1916 1.1 "J Red RuR •`? •_ ` t 1411 1413 190] 1 9 Ifi . ? t0 1911 •.. wS 1411 lot 1 Y 1910 BRUNSWICK Ho 9y Hill ' 1914 ry -;? • 1 ¢r I '/ ?Or. 221 1913 21 ( V C ??? + 1 ? ? t 9" 0 V ? 5 S1 A 6 \9 11 115 n LLD / 1 1919 ' 131]. 11 1626 1130 NOPitY w1.7 .- 1 `? - nn O t ] b -3 !J 1233 "• \.1 f :1 .9 1166 /1169 1 ? CoLni611s C-ty 1176 G 427 +10 y 1004 o t 6 11N .?M A' II " .7 343 9 -? 1 tYr' 1?3 I M6 '? / ? u 11 1 ? ? 1 7-0 11 ? 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X - 1?f [ 1. 1 • / ?Gv Y ^, { \ / f q? may`'{. 3 YS yy'?Y/k r I tr% 9.1 6.5 .'?"`?.? ."•"y?.''1. f "/ ,;:,Vti??'*? --.[, Rpm-"'::;''w ,?' ??arr ? ATfL4 "!••.. /fir, PC ,.'?/1 "'r S•'Qy 3 ! 1 X 4V - 5.9 1'7.3 low- 01 06 03 0 ti 11:M ID: CORPS ACTION ID: I014k1IDE RMIT kEtUESTEI) (PROVIDE TjA'PI GNW iDE PERMIT 9 P+RE-CONSTRUCTION NOTIFICATION APPLICATION CD FOR NATIONWIDE PERMITS THAT REQUIRE: I) 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 YIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN 1) COPIES SHOULD 13L SE 111 TO THE N.C. DIVISION OF ENVIRON111:34TAI, MANAGEMENT ;SEE-AGENCY ADDRESSES SHEET) PLEASE PRINT. rn a c rn rri CD -?-I 1. OWNERS NAME: William BoSwel1 MAILING ADDRESS: 292 Green Meadow Lane ITY; Whiteville STATE SUBDIVISION NAME: NC ZIP CODE: 28472 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE) : 292 Green Meadow Lane wh; tavi LiTNr 28472 3. TELEPHONE NUMBER (HOME): 910-642-7275 (WORK): I. IF APPLICABLE:. AGENTS 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: Columbus NEAREST TOWN OR CITY: Whiteville SPECIFIC LOCA'T'ION (INCLUDE ROAD itUMBERS, LANDMARKS, E'[C.) T ivrn_right at ShDrt Hzo .-A,11t8-Sa1US- at rmot crossroads turn right onto Thompson Town Road SR 1428. Access road is 300 yards on right at Green Meadow Lane. 6. IMPACTED OR NEAREST STREAM/RIVER: Soles Swamp RIVER BASIN: Lumber River Basin 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (IiQW), OUTSTF-TIDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES ( ) NO (X) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERII (AEC) ? YES [ ] NO [}{J 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAI. COUNTIES), WHAT IS -1-11L LAND USE: PLAN (LUP) DESIGNATION? No 8a. HAVE ANY SECTION 101 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ] NO [X) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): 81b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES ( ) 110 (X] IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 120 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 30 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: •1 EXCAVATION: •1 FLOODING: .3 OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: .5 1Ob. (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 WIDTH AFTER: FT AVERAGE DEPTH BEFORE: FT AFTER: FT (2) STREAM CHANNEI, 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? 10 acres WHAT IS THE EXPECTED POND SURFACE AREA? 1.5 acres 12. DESCRIPTION OF PROPOSED WORK I14CLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 112" X 11" DRAWINGS ONLY) : Construct farm pond with backhoe and dozer. Backhoe to excavate and construct dam Plans are to use spillway o regulate water level. 13. PURPOSE OF PROPOSED WORK: Sediment trap/basin and wildlife farm irrigation pond. _ 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): Best suited = 1 are 15. YOU ARE REQUIRED TO CONTACT AND/OR NATIONAL MARINE FISHERIES SHEET) REGARDING THE PRESENCE OF LISTING ENDANGERED OR THREATENED AREA THAT MAY BE AFFECTED BY THE 3/26/01 THE U.S. FISH AND WILDLIFE SERVICE (USFWS) SERVICE (NMFS) (SEE AGENCY ADDRESSES ANY FEDERALLY LISTED OR PROPOSED FOR SPECIES OR CRITICAL HABITAT IN THE PERMIT PROPOSED PROJECT. DATE CONTACTED: . (ATTACH RESPONSES FROM THESE AGENCIES.) 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEEP) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH I4AY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3/26/01 -- 17. DOES THE PROJECT INVOLVE AN EXPENDI'T'URE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES O NO (4 (IF 140, GO TO 18) a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUA14T TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES (1 110 (1 b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES (1 NO H IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF EIAVIR01114ENTAL MANAGEMENT REGARDING COMPLIANCE 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 (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS: a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 19, 18, 21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. 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. N/A e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Cropland, Pasture, Woodland f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. 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 ENVIRONMENTAL MANAGEMENT (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. ' 0?'?ZLC OWNER'S/AGENT'S SIGNATURE DATE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (18g.)) 0 r 410 ??` / p119 :?r .? . .... 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CORI'S ACTION ID. :IATIONWI PERMIT kEQUESTED (PROVIDE JJATI C,N4l IDE PERMI'P II) : PRE-CONSTRUCTION NOTIFICATION APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: =0 ^p 1) NOTIFICATION TO.THE CORPS OF ENGINEERS n 2) APPLICATIO14 FOR SECTION 401 CERTIFICATION I'?°1 3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT m m :lf SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORI4 TO THE APPROPRIATE CIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN ? ?) COPIES SHOULD 13E -SLAT TO THE N.C. 01 V I SI ON OF' ENVIRONMENTAL MANAGEMENT ;SEE-AGENCY ADDRESSES SHEET) PLEASE PRINT. 1. OWNERS NAME: William Boswell MAILING ADDRESS: 292 Green Meadow Lane SUBDIVISION NAME: 1.1TY: Whiteville STATE: NC ZIP CODE: 28472 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): 292 Green Meadow Lane Whi tP-ri 1 1 e, NC ?8472 3. TELEPHONE NUMBER (ROME): 910-642-7275 (WORK) : 9. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PRONE NUMBER: -_- 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE) : COUNTY: Columbus NEAREST TOWN OR CITY: Whiteville SPECIFIC LOCA'T'ION (INCLUDE ROAD NUMBERS, LANDMARKS, E`PC.) _ Turn_T-i_ght at short _Hr0.--AU-t 0 -5; a1e_ at i crossroads turn right onto Thompson Town Road SR 1428. Access road is 300 yards on right at Green Meadow Lane. 6. IMPACTED OR NEAREST STREAM/RIVER: Soles Sw RIVER BASIN: Lumber River Basin 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTA-LADING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [ ) 110 [ X) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ I NO [X) 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAI. COUNTIES), WHAT IS TIIE LAND USE PLAN (LUP) DES]GNA'l'1ON? No 8a. HAVE ANY SECTION 101 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ) NO [X) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 901 CERTIFICATION). 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES ( ) 110 [Xl IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 120 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 30 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: .1 FLOODING: .3 DRAINAGE: EXCAVATION: .1 OTHER: TOTAL ACRES TO BE IMPACTED: .5 1Ob. (1) STREAM CHANNEL TO BE I1PACTED 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 WIDTH AFTER: AVERAGE DEPTH BEFORE: FT AFTER: FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: CHANNEL EXCAVATION: OTHER: FT CONSTRUCTION OF A DAM/FLOODING: 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? 10 acrps WHAT IS THE EXPECTED POND SURFACE AREA? 1.5 acres 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: S 1/2" X 11" DRAWINGS ONLY): Construct farm pond with backhoe and dozer. Backhoe to Pxravat-P and construct dam Plans are to use spillway to regulate water level 13. PURPOSE OF PROPOSED WORK: Sediment trap/basin and wildlife farm irrigation pond. 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): Best suited place- 15. YOU ARE REQUIRED TO CONTACT AND/OR NATIONAL MARINE FISHERIES SHEET) REGARDING THE PRESENCE OF LISTING ENDANGERED OR THREATENED AREA THAT MAY BE AFFECTED BY THE 3/26/01 THE U.S. FISH AND WILDLIFE SERVICE (USFWS) SERVICE (NMFS) (SEE AGENCY ADDRESSES ANY FEDERALLY LISTED OR PROPOSED FOR SPECIES OR CRITICAL HABITAT IN THE PERMIT PROPOSED PROJECT. DATE CONTACTED: (ATTACH RESPONSES FROM THESE AGENCIES.) 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3/26/01 17. DOES THE PROJECT INVOLVE AN EXPENDI'T'URE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES () NO M (IF 140, GO 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 [] 110 O b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES (I NO [ ) IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE 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 (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR 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 STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. 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. N/A e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Cropland, Pasture, Woodland f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. 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 ENVIRONMENTAL MANAGEMENT (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 (18g.)) 0 ~ 410 /''_, c. - ?R'0O i.U, biflf 1993 ?O OI \b 9EE o . i?a _^ 6 ?•', 151. Le 9 !? ^ 1 b Ins 71 v .D 311 ?y A I IS10 ,1?t p 170 .v I S Hill I? ]!' 4 1161 J 724 Z2 al Ok I s'. o 1570 530 'f 171 a '^ Mt. Zqn Ch. S v 1715 9 v Ili. Ina 1) _ ,? 1.1 Int v F• it. 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'i 337 pL62 ?Ins L.7 , t ?, fAS WHITEVILLE _ 3 1 ?::.F. rl». 3.56J 7 I5?1 1003 u F 1 7 1323 7 5 fll? a 1114 1 134 a •+, !7 912 J U 1311 9 -' A 191] 190] 'J ^ai 13 7 0 170 13? 9 5 -I S4s • b A Ivia ti ,d .? R•d T B- •7 l10 t. e \ .• s , ?12 7 1 s1? .1 7 t t 640m ?o i^: ... of 9AIU01 t I 1923 "" 190] I $ ! 1 15 79 1005\5 ° 1433 i 5 f'C.. 9 ii '.J «pm0 '_ '[ Is 1 ' p Lo rS 1526 A 11 P"n{ y9 ::.: to Ifll ... !+?! 13D t \ _ {1F. :. 1944 n 1434_ 1504 7'7 76 6 2 ..:.91' ' i ;T N b 1 ? 1 145 701 I 14 1"4 1 L}r Ls `i?-'• .:.., CS% 14 3 .• \4 r. 13 - y U LF? L}IZ 2 ?riah FA9 \b 1'... 1910 1443 CHAroP URN 1003 1911 Ti 1 Ins Grob .1 L1 .•ls .6 7 1111 6 ;? _11? ) 2 i'i J I_A29 U4! 7 4 19 3, 9 7 A .? 5 r !31? ? - 1 .1. . Is- 15 cedar ra _1={ i • BRUNSWICK Ha y Hill ' t7 111 1111 1 n •c 4 j tr 7 roI.77]' 1 14 913 ..L •1 _32 ? I1 1 !2 . T .oo er 1412\O \? 1431 I] 51 Z 4 \.9 •? I1 5 1? 1171 .1 1..I9x y b 37 4 1430 Npp?y 1. 1 ,112 1J !.2 ,111 t. R 'w 1170 lies I.1? 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I '' lie OL- s 9 rc % ? 3 1 `e 1 # ` vL G 7+ J 4L T ( @p} WA. i 4• r b' l - 1 q 'w 1,73 3 n?? -- ?riZ - IYL II p 4f t * hr?. H 1 ?? { ? r.. t" '.- • fir.' ? ? ?• 1 1? *Ly,!?.o-, '.(? t,,1( sF r? L4 01 0603 J --- _- CURPS ACTION ID: ?_- 14"M ID: _ ; iATI ONW I DE PERMIT kEQUESTED l PROV I LE Nf:'r I GNW I DE PERMIT N) PRE-CONSTRUCTION NOTIFICATION APPLICATION FOR ;NATIONWIDE PERMITS THAT REQUIRE: m m 1) NOTIFICATIO14 TO THE CORPS OF ENGINEERS 2) APPLICATION FOR SECTION 401 CERTIFICATION fm ;;Ef 3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT C7 ---i SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORI4 TO THE APPROPRIATE riELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN I) COPIES SHOULD BE SLAT TO THE H . C . DIVISION OF ENV I RONME:NTAI. MANAGEMENT ;SEE -AGENCY ADDRESSES SHEET) . PLEASE PRINT. 1. OWNERS NAME: William Boswell MAILING ADDRESS: 292 Green Meadow Lane SUBDIVISION NAME: I`rY: Whiteville STATE: NC ZIP CODE: 28472 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): 292 Green Meadow Lane Wh; teov; I I e., Nr 28472 3. TELEPHONE NUMBER (HOME): 910-642-7275 (WORK): 1. IF APPLICABLE:. AGENT'S NAME OR RESP014SIBLE 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: Columbus NEAREST TOWN OR CITY: Wh iteviIIe SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LAN DhIARKS, ETC.) _T=n-sight at short Bzo__ku_to SaleS_; at: tirst crossroads turn right onto Thompson Town Road SR 1428. Access road is 300 yards on right at Green Meadow Lane. 6. IMPACTED OR NEAREST STREAM/RIVER: Soles Sw RIVER BASI14: Lumber River Basin 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OU'T'S`I'A14DING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [ ) 140 [X) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERT] (AEC)? YES [ ) NO [X) 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAI. COUNTIES), WIIAT IS THE LAND USE PLAN (lAJP) DESIGNA'l'ION? No 8a. HAVE ANY SECTION 401 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES f ) NO [X) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORI-IATIO14 (INCLUDE PHOTOCOPY OF 901 CERTIFICATION) : 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ) NO [X) IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 120 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 30 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: •1 EXCAVATION: •1 FLOODING: .3 OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: 10b. (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 WIDTH AFTER: FT AVERAGE DEPTH BEFORE: FT AFTER: FT (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? 10 ac-re? WHAT IS THE EXPECTED POND SURFACE AREA? 1.5 acres 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY) : Construct farm pond with backhoe and dozer. Backhoe to excavat and construct dam Plans are to use spillway to regillate water level. 13. PURPOSE OF PROPOSED WORK: Sediment trap/basin and wildlife farm irrigation pond. _ 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): Best suited place 15. YOU ARE REQUIRED TO CONTACT AND/OR NATIO14AL MARINE FISHERIES SHEET) REGARDING THE PRESENCE OF LISTING ENDANGERED OR THREATENED AREA THAT MAY BE AFFECTED BY THE 3/26/01 16. YOU ARE REQUIRED TO CONTACT (SHPO) (SEE AGENCY ADDRESSES SHE THE U.S. FISH AND WILDLIFE SERVICE (USFWS) SERVICE (NMFS) (SEE AGENCY ADDRESSES ANY FEDERALLY LISTED OR PROPOSED FOR SPECIES OR CRITICAL HABITAT IN THE PERMIT PROPOSED PROJECT. DATE CONTACTED: (ATTACH RESPONSES FROM THESE AGENCIES.) THE STATE HISTORIC PRESERVATION OFFICER. ET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE COIITACTED: 3/26/01 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES O NO M (IF IJO, GO TO 18) a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AI4 ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES (] 110 (] b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES [] NO [] IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE 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 (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS: a. WETLA14D DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON THE PROPERTY (FOR NATIO14VIIDE PERMIT NUMBERS 19, 18, 21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. 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. N/A e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Cropland, Pasture, Woodland f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. 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 ENVIRONMENTAL MANAGEMENT (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. 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J _ t 010603 J I TM ID: L S CORPS ACTION ID: :IA'rI DE PERM1'1' REQUESTED (I,ROVIDE HATIC,NWIDE PERMIT 9) : PRE-CONSTRUCTION NOTIFICATION APPLICATION =- FOR NATIONWIDE PERMITS THAT REQUIRE: C7 1) NOTIFICATION TO THE CORPS OF ENGINEERS f'r'I R 2) APPLICATION FOR SECTION 401 CERTIFICATION rn 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 l) COPIES SHOULD 13E SENT TO THE N.C. DIVISION Of' ENVI RONMENTAL MANAGEMENT ;SEE -AGENCY ADDRESSES SHEET) PLEASE PRINT. 1. OWNERS NAME: William BQswe11 MAILING ADDRESS: 292 Green Meadow Lane ITy: Whiteville S`1'ATE SUBDIVISION NAME: NC ZIP CODE: 28472 PROJECT LOCATION ADDRESS, 114CLUDIIIG SUBDIVISION NAME (IF DIFFERENT FROM :MAILING ADDRESS ABOVE) : 292 Green Meadow Lane - Whitt-Ville, Nr 28d72 3. TELEPHONE NUMBER (HOME): 910-642-7275 (WORK): 1. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PRONE NUMBER: 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC IMAP OR AERIAL PHOTOGRAPHY WITH SCALE) : COUNTY: Columbus NEAREST TOWN OR CITY: Whiteville SPECIFIC LOCATION (INCLUDE ROAD (UMBERS, LANDMARKS, ETC. ) _ Turni-ght at Short Ham.-,"_te---SaIeSat f-i_'s-t .crossroads turn right onto Thompson Town Road-SR-1428. Access road is 300 yards on right at Green Meadow Lane. 6. IMPACTED OR NEAREST STREAM/RIVER Soles Swamp RIVER BASIN: Lumber River Basin 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (11QW), OUTSTAI7DING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [ ) 140 [X) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL C014CERII (AEC)? YES [ ) NO [XJ 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAI. COUNTIES), WHAT IS THE LAND USL•: PLAN (LUP) DESIGNATION? No 8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ) NO [X) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT A14D ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 901 CERTIFICATION) : 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ) NO [X) IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 120 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 30 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: •1 EXCAVATION: •1 FLOODING: .3 OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: 10b. (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 WIDTH AFTER: FT AVERAGE DEPTH BEFORE: FT AFTER: FT (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? 10 acres WHAT IS THE -EXPECTED POND SURFACE AREA? 1.5 acres 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 112" X 11" DRAWINGS ONLY) : Construct farm pond with backhoe and dozer. Backhoe to excavate and construct dam Plans are to use spillway o rpgulat-P wat-Pr level. 13. PURPOSE OF PROPOSED WORK: Sediment trap/basin and wildlife farm irrigation pond. _ 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): Best suited 1 ar-a 15. YOU ARE REQUIRED TO CONTACT AND/OR NATIONAL MARINE FISHERIES SHEET) REGARDING THE PRESENCE OF LISTING ENDANGERED OR THREATENED AREA THAT MAY BE AFFECTED BY THE 3/26/01 THE U.S. FISH AND WILDLIFE SERVICE (USFWS) SERVICE (NMFS) (SEE AGENCY ADDRESSES ` ANY FEDERALLY LISTED OR PROPOSED FOR SPECIES OR CRITICAL HABITAT IN THE PERMIT PROPOSED PROJECT. DATE CONTACTED: (ATTACH RESPONSES FROM THESE AGENCIES.) 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3/26/01 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES (j NO M (1F 140, GO 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 () ?4O (j b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO H IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF E14VIR01114ENTAL MANAGEMENT REGARDING COMPLIANCE WITH THE NORTH CAROLINA EIIVIROIIIIEIITAL 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 (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS: a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PO?JDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. 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. N/A e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Cropland, Pasture, Woodland f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. 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 ENVIRONMENTAL MANAGEMENT (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 (18g.)) r 4 610 b 1p92 G of 1 E T _Il. ? 1773 i ' S c 111 '? a n , C 15 1540 1543 `? 0 - '(9 7S Hill ? IIQQ .T' ? 15}1 1773 5 24 2.2 }Sr 011 ? 1519 ' 5334 171 4\ ^ VA M1. T4on Q 120 17]7 ,`,, 6 ,.. 1.1 t!]1 v 6, its ? 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SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE WIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN 7) COPIES SHOULD BE SE11T TO THE N.C. DIVISION O['' ENVIRONMENTAL MANAGEMENT (SEE -AGENCY ADDRESSES Slll•:E'I') PLEASE PRINT. I. OWNERS NAME: William Boswell ?. MAILING ADDRESS: 292 Green Meadow Lane SUBDIVISION NAME: 'ITY: Whiteville STATE: NC ZIP CODE: 28472 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF.DIFFERENT FROM NAILING ADDRESS ABOVE): 292 Green Meadow Lane _ Whi tevi 1 l e., Nr 2$?j72 3. TELEPHONE NUMBER (HOME): 910-642-7275 (WORK): 1. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: -S ame- 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Columbus NEAREST TOWN OR CITY: Whiteville SPECIFIC LOCATION (INCLUDE ROAD iIUMBERS, LANDMARKS, ETC.) Ttirn.ri-ght- at Short $xq__ --JW-t??a.j aS at =S-t crossroads turn right onto Thompson Town Road SR 1428. Access road is 300 yards on right at Green--Meadow- Lane. 6. IMPACTED OR NEAREST STREAM/RIVER: Soles Swa RIVER BASIN: Lumber River Basin 7a. IS PROJECT LOCATED DEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTF-LADING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS- II)? YES [ I 110 [XI IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ I NO [XI 7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAI, COUNTIES), WHAT IS TIIE LAND USE PLAN (1,01') DESIGNATION? No 8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ I NO [XI IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFOR14ATION (INCLUDE PHOTOCOPY OF 901 CERTIFICATION): 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ] 110 [Xl IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 120 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 30 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: .1 EXCAVATION: •1 FLOODING: .3 OTHER: DRAINAGE: TOTAL ACRES TO BE IMPACTED: .5 10b. (1) STREAM CHANNEI. 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 WIDTH AFTER: AVERAGE DEPTH BEFORE: F'P AFTER: FT FT (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPE14 CHAN14EL RELOCATION: PLACEMENT OF PIPE 114 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? 10 acres WHAT IS THE EXPECTED POND SURFACE AREA? 1.5 acres 12. DESCRIPTION OF PROPOSED WORK I14CLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY): Construct farm pond with backhoe and dozer. Backhoe to exravata and construct dam Plans are to use spillway to regulate water level 13. PURPOSE OF PROPOSED WORK: Sediment trap/basin and wildlife farm irrigation pond. 19. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): Best suited DlacP 15. YOU ARE REQUIRED TO CONTACT AND/OR NATIO14RL MARINE FISHERIES SHEET) REGARDING THE PRESENCE OF LISTING ENDANGERED OR THREATENED AREA THAT MAY BE AFFECTED BY THE 3/26/01 THE U.S. FISH AND WILDLIFE SERVICE (USFWS) SERVICE (NMFS) (SEE AGENCY ADDRESSES ANY FEDERALLY LISTED OR PROPOSED FOR SPECIES OR CRITICAL HABITAT IN THE PERMIT PROPOSED PROJECT. DATE CONTACTED: (ATTACH RESPONSES FROM THESE AGENCIES.) 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 3/26/01 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES ( ) NO (4 (1 F 140, GO 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 (j 110 H b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES (I NO ( J IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE 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 (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS: a. WETLAND DELI14EATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 19, 18, 21, 26, 29, AND 38). I:LL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE I14PACTED BY PROJECT. 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 STORMWP.TER MANAGEMENT PLAN IF REQUIRED. N/A e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Cropland, Pasture, Woodland f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATERS OF THE U.S. 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 ENVIRONMENTAL MANAGEMENT (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 (18g.) ) ° i,; - E u:._ ' G 17Q' `Rico /- 6r -IN: 610 ?.I 1319 1 .y 1047 SrG of \ e E 4 '? a . 1?4 .? I• e ? ? .'? V3Q P37 ? to y V• '` .9 ? `6 ?•• 11 5 w ? 1340 1u ?. ? Y I7 y 4. U'. c IC \S y' a?7 ill .1744 T' A 1741 4 2.2 Ot ke ISty 1 v Is3o - _ 131 ON .. A Ms. Tne Ch. } v 17.3 e ? _ - 1330 7. t?32 w J.! 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