Loading...
HomeMy WebLinkAbout19960084 Ver 1_Complete File_19960129State of North Carolina IT4 Department of Environment, Health and Natural Resources ej Division of Environmental Management low James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary p E H "F1 A. Preston Howard, Jr., P.E., Director February 6, 1996 Watauga County DEM Project # 960084 APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS Mr. Martin Bolick District Engineer N.C. Dept. of Transportation P.O. Box 1460 Boone, NC 28607 Dear Mr. Bolick: You have our approval to place fill material in 0.01 acres of wetlands or waters for the purpose of improving the road at SR 1576, as you described in your application dated 22 January, 1996 . After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number 2735. This certification allows you to use General Permit Number 031 when it is issued by the Corps of Engineers. This approval is only valid, for the purpose and design thAt you described in your application. It' you change your project, you Inust otify u?, and you may be required to send us a new application. For this approval to be valid, yogi must follow jhe conditions listed in the attached certification. Type A Soil and Erosion Control measuring shall be used for this project. In addition, y6u should get any other federal, state or local permits before you go ahead with your project. . 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 die 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 die review of the Division of Environmental Management under Section 401 of the Clean Water Act. If you have any questions, please telephone John Doruey at 919-733-1786. Attachment cc: Wilmington District Corps of Engineers Corps of Engineers Asheville Field Office Asheville DEM Regional Office M?DCSYtt?y Central Files Sincerely, stop Howard, Jr. P. 960084.1tr Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone 919-733-1786 FAX # 733-9959 An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper 61'u"O M RECEIVED ?Yj y 'A JLNT ?• tin JAN 2 91996 ENVIRONMENTAL SCIENCES STATE OF NORTH CAROLINA DEPAPUMENT OF TRANSPORTATION )Ati1ES B. HUNT JR. GOVERNOR Mr. Steve Chapin U. S. Army Corps of Engineers 151 Patton Avenue, Room 143 Asheville, N.C. 28801-5006 Dear Mr. Chapin: DIVISION OF HIGHWAYS P.O. Box 1460 Boone, N.C. 28607 GARIANI-) B. GARRFTT JR. SECRETARY January 22, 1996 The Department of Transportation is scheduled to improve to an acceptable maintenance condition an extension of SR 1576 Rhymer Branch Road in Watauga County when the necessary permits are obtained. This project will require replacing two pipes carrying small streams. These streams are unnamed tributaries to Elk Creek. Elk Creek has the DEM classification. B Tr ORW. Due to the proposed work, we are requesting a 404 Nationwide Permit. I am sending a joint application form, typical roadway section, straight line sketch with the proposed erosion control, notes on pipe installation, plan drawings and cross sections for proposed encroachments in trout stream buffer zone, and a marked county map. By copy of this letter, I am requesting Ms. Stephanie Goudreau, Mt. Region Biologist Coordinator to comment directly to you concerning the 404 Nationwide Permit request. Since a request will be made for a temporary encroachment in the trout water buffer zone, I am also requesting Ms. Goudreau comment directly to me concerning the encroachment. Also, by copy of this letter, I am requesting a 401 Certification from the Division of Environmental Management for this project. We would like to begin construction when the necessary permits are obtained. If additional information is required, please let me know. Your early review and consideration will be greatly appreciated. Yours truly, Martin L. Bolick District Engineer Ack LAr,l Page 2 Mr. Steve Chapin Ext. SR 1576 Rhymer Branch Road January 22, 1996 MLB:JMB Enclosures cc: Ms. Stephanie Goudreau, Mt. Region Coordinator, NC WRC Mr. Doug Miller, P.E., Regional Engineer, DEHNR Mr. Eric Galamb, Water (duality Certification Unit, DEM Mr. W.E. Hoke, P.E., Division 11 Engineer Mr. Neil Trivette, Area Roadside Environmental Engineer Mr. Johnny Brown, County Maintenance Engineer l 11. NUMBER OF ACRES OF WATERS OF THE U.S-; tNCLOING WETLANDS, IMPACTED BY THE PROPOSED PROJECT: FILLED: DRAINED; FLOODED: EXCAVATED: 0 TOTAL IMPACTED I ,q, k 4 12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS) Alp 4 c r a a o ,? .??? ?- • _/-2 /"-- T/afn - - ?/1L , /I7 S `Tf7 r? -l 7 S A 13. PURPOSE OF PROPb§FD WORK: r:?L'' LC it ?lI1?91ru7ErvgNCG, 14. STATE REASONS WHY THE APPLICANT BELtkVE§ THAT THIS ACTIVITY MUST BE CARRIED OUT fN WETLANDS: ALSO; NOTE MEASURLg TAXER TO MINIMIZE WETLAND IMPACTS. 774(-cF- PVprC ?l/F?n TD A(' L?btQl' iini ?/7 Td ?1, /?CCFO%?91?/ c 15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE 9ERO CE tNSFWS) ARID/OR kATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE OR 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: HAVL YOU DONE SO? YES t j NO W RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS. 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? HAVE YOU DONE SO? YES ( ) NO RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS. 17: ADDITIONAL INFORMATION REQUIRED BY DEM: A. WETLAND btLtNEATION MAP SHOWING ALL WETLANDS; §TREAHS, AND LAKES ON THE PROPERTt s 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. tF A §TORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH COPY. E• WHAT I§ LLD USE OF SURROUNDING PROPERTY? 0&/ 4?57/46 F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? IVIA OWNER'S SIGNATURE DATE DER The ACTION IDs i NATIUNwioz vzrnaa JOINT APPLICATION POR14 f'Ok NATIONNiff$ kPi4iik THAT REQUIRL? NOTIFICATION TO CORPS bP' ENGINEERS NATIOU01bg P*RMIT6 THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE NATIONWibil kRMIT11 *MT "QtltRt INDIVIDUAL SECTION 401 CERTIFICATION WILMINGTON bISTRIC* ENGINEER CORPS OF ENGINEERS DEPARTMENT OF THE ARMY P:O: box logo WILMINGTON, Nd" 20402=1890 ATTN! CESAW-CO=E Telephone (919) 251-4511 WATER QUALITY PLANNING DIVISION OF ENVIRONMENTAL MANAGEMENT NC DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES P.O. BOX 29535 RALEIGH, NC 27626-0535 ATTN: MR. JOHN DORNEY Telephone (919) 733-5083 ONL (1) COPY bf tHtS COMPLETED APPLICATION SHOULD of SENT TO THE CORPS OF ENGINEERS. SMN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL HAAAGEMLNT. PLEASE PRINT. 1. OWNERS NAME ! _ n?PA2 TA7 z p z" A?spDe TR 7-10 `i, 2. OWNERS ADDRESS ! , 14 6P 0 2?!,66 7 3. OWNERS PHONE NUMBER ( HOME) s (WORK) ! 53?6 4. IF APPLICABLi! AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER! /,!'IA2T//L/ G Rr? L/l L? A622A4c- /L) C 0.7 9. LOCATION OF PLANNED WORK (ATTACH MAP). COUNTY t NEAREST TOWN OR CITY! 6a0/U.E. SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): _ X7-a),5 /6AJ 6. NAME OF CLOSEST STREAM/RIVER: Tr2(Q TO IZFy I. RIVER BASINi yAD/C/Nr,(?EE lo ., o.'' Io THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW, WS I, OR WS Ill YES (>() NO ( ) 9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YEN t ) NO IM IF YES EXPLAINt 10. $STIMATEb TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS LOCATED ON PROJECT SITE: 0. U I 3/30/92 STATE OF NORTH CAROLINA L i 21- -'A L =f ' SUBJECT- - - '- . PROJECT DEPARTMENT OF TRANSPORTATION ?Xf !'tZ 1 C- 5?lO 1r14, N m?t? 5RR? Y1A7- AN6A DIVISION OF HIGHWAYS , COUNTY H 1,.i"VVA At OI+I L/JUr? f Kt 1,A rl CU O ( L.0 c- ......-,. ....... P. O. BOX 25201 RALEIGH. NORTH CAROLINA 27611 CHECKED BY DATE STR NO SHEET_ OF_ I r;rr1F.Rim rlrrrr?; ()rr ruts Tr1r1 ("(MTROL Si 1 t R-?!7 ltl '1'}'Fr' S (•Ii11 }, F+ rr?rl.^,ti"ilrtnr'1 hn t}lp r ?,• '''" fneh by h11Y.en lirnnn. tnn of n/l h}1„ P I it feet 1,Y tllt ^^ fP°t fit) 1r?SS nhlipYlrj.^F tlotr+rl. l . TThArA •"lopp Prot. ert.ion tr?'atmr,,f is rn trim GQctintl 1017. of the and 1990 Stanrlarrl SP-r•?f; r(ad' GPction 8F8 arld Shrlrctnrr?s wi1.1 he fnllo(a^rl. ti-ons for Roads the prn Ar.t mug- nrlY rn,f Sri a1 obtained frnrn J t be clean befni- hei.rlcr (laced. r'"n?rllly thn nrrlrnr of in^l 1llnhinTl of she ?rnsi.on cntttrnl m? ?^rlrn^, (11 1 1 },n aC Fni 1 n(Irr . T'^ITirnr"1yy .z[If T`1^11... ?.1i-,II I`^ iTIF(t11inrI l,nfnr'r? r'i°.1Y1T1O atlrl Cllt,l,)tll(rl 1,^7t11? `') 1 f T"^t1rn! ?T1.1 'T'ninrr,i ?YY Si I 1 Ili hr•hn.7 S111i I h? ins'1 111?r) after 1 )^•1 ;r1q nn -l l,nfnrn arlrli.11 'rr,TnRnr;,Y ?h(, 1F, Y r !li t r•h r'},nr');s ;,11-11. l hr? i nel-a 1 1 er) ,r- r'r,nn ?.7 rli hr'lll i tlr? i _• r'^hnl,) 1) -d ri ?r-, rlllhlr?t'. %111(1 itlf^f' T?Yn)f*r•tl nTl (•1111 h- rlntln %1.^, ^.nntl 1^ f- te n p i T• r, i^ i r l^ h -1) 1^ -1 . S-rlin!7 :11)(1 nthnY >,^rmnllrl,l ^1n`lnrl ,lhinl fllf?hir-?.. ?r-p fn 1?n jrpl`)nrn^ilhnrl ;,? ?nnT1 .?.-. T 1 ,l. 11t?It1t1-??tccxliNn ?ernr?ll>a#x_r?•_xnnta.;??xrrn•rlc,r? E?tvslvtl /+ItU_??;v111t?rrntlc?1 ?vlhttc?l, rr,nt? fit Al i 1'II? t'Aht,ll tt?f - -- OA ni Ilhrr 06- nrrllc?Vr;rl htt -- ?'M??,E t1 Ii1Fr1?niirn F.IMr111n At 6 1t,IrIr=I i't?.alrln?r- - - fic;r+?ih i.3a` r:r l v l r ?„ ? . i'i ??,1 ? 1 ?•;- ?'- ---- . _ .._...-- ,SWa.A 'IML-11u11c it l :?•?Tii.rT?I. 2?1?3.tJ;l rblr,hvl?ly SIII I-Ilic?lt I of filthily rAvn'r-lo l 1 ?l Sri, hr?l 1 •11 _ 17 y 5111 t'r,rrt?lt 900.11r TP.1t Pointy 8loph I)lnlt I wills 11'.01...... -111-- III 00,01 :-n?111 f IAtI,1 5111 h0§111 Type A 24?.t1? 1.1.1 01.441111 ,,.?.11,1?111.11, .{ X111 b§91H tr he 8 09? tl4 ?fotrlnb1aY r ?.._;1........t1.11/ ...... ........1/.:. ._.?.,, ty I1ock , Sill t , ?arlc I 99q.IU TOntlJolmy hook fill) Cllrrk tylm-B 11 "t-10. 00 0.111 1 OIt,ndMy hvr,I( SAtlllnntil I)nfvl l o-A Y@Ittubihly rlocic Sc,clhnertl Clntlt type-b 11, 097.01 11n6k hit?oi 11,191hoinvii0it 'tyh(t-n .... E "P 7100- 11hek h11)h 11,1011'rclac9lnt, bq4.61 TY1,?-q dock §111 ,....:..?..:....? §cteAlt 245,04 511111ItU ..........,..1...1.... OtIr31rt .1 rlfjf;k 1111 ......................??„?,,.,:,.._, . , ?1 alblt,cuv?1: 13ge.ol YYt1to /1 , As5•?2 t on .-A) yp" b ... ........1......... 13 .1,....:.. Jul-- ull .. 0 ? ?. Oga.03 YYh" L .. ?•LF b?I ....................1. r ?r1? 11 blEolt t.lner ?:? Plpe OUEIat rtierey r,f4Irm6r lei Rip pep • • • • Pl?o ci I Pk X17 Irrlrr nk?11) 1 l??t (c,li 'I I1 I? , 111 T'r. M 1X; My f •' Lr,r„ I 11111-1r, , ,I ? ir,? w l r,r. 11• .1 . 1 I'?'r I 11,.. ,1. Add- p __ -_ OA:vG uJgtl Cs? y f,go 5 too N 4 o0 n .Trey P I E ? n ? 0 I 3-te> o - __ Z. f O O Q?•,??.,PF ARAtirh ',i•nir, ?• inn, - I I I I L /O P, 6 4 a i P ?fSe ? T ?I C ? t 1 1 1 f lip t? 0 n v 0 0 \" 0 11,14 v \ , Z? '? AA -.p. 9.1 1n F n 0 R ,S inn 1 rr L. f ? •/F I J / Pil r l1 /I/1 /,.. 1 1s 1 i I y r-? I I r F v 0 i y,,,.I' i7 ono !1 ? •J 1 n n i/ f00 `, Oz ",Vmr, / el 0 no 0 U D 7 V P iG fn0 °I' I i . i?i?'? ° '..'fir A:'(: r" ?'? .. l•? .__ - -?.?{ -?•"?? -fir y4.n V J J ? .1 J r R 1 r? V i _27) i i 440- o ?1: CI O ... __ .. _. _._. .. -_.. _. .. - _. .-... -.? «,?. a_ - -. -. TI-I /nj I r ? J ml ? S S_ t ? yS v ^,1 /? 1 7 6 R j /11_ ?:.'; 12,4:11 r? 41 7.6 J / d y- ", .: tiu ? ?yJ J 5-it o (; ,Y v? iG/±5-7 PIPE INSTALLATION 1. Install erosion control devices. In streams, where necessary, rock silt screens will be used and installed prior to pipe replacement or any work being done to channel. 2. Remove material and existing pipe while limiting, as much as possible, material and sediment from entering a stream and/or escaping from project. 3. Prepare pipe foundation while again taking care to limit, as much as possible, material and sediment from entering a stream and/or escaping from project. Where possible, new grade will be below existing stream bed. If needed, bedding material will be clean stone. 4. Place the new pipe and compact backfill. 3. Install slope protection on outlet and inlet ends of pipe. Also complete installation of erosion control measures and perform maintenance as needed on existing measures. 6. Establish permanent vegetation as soon as possible. 7. Remove rock silt screens as soon as possible after vegetation is established. Prior to removal of rock silt screens any accumulated silt must be removed. SUGARLOAF MTN. 13'!? 1323 a 1306 w322 ` 395 r 1359 !?. .6 q 1 ?\ 1 1324 Crq - - 1353 1367 \ q 6 - 13.'5 ?- 132/ 1333 • \ 102 P a 1 J55ER 'O N I3L, 1 ?, S 3 N 1L :Jfi i.cxs ,6 N 1359 / 1'6 1306 2 1320 .4 356 139'2 1102 q 7 0 ?? 1358 ;-- '---• i ®e ,355 •? ;?- - ? a 1.328' 3 1353.' / WONE POP. 12,971 HOWARD KNOB SQUTH 131 3`' talon to ?. ELEV.4445 .8 1391 40• ° 1357 Adana p --? N 194 r? ,'L i 1 7 411 1508 _7 I 357 15050 9 _ Rudwrwood 9 Z S 221 .6 A A a7i ROCKY MTN 194 ??_ ELEV. 4078 Q 1508 / ` AP .3 -5/ 4 / 221 ?A ?' •? 321 _ _ - L Q c? 1569, 1576 _ O ?0 1 10 105 1...14 9 1634 -' - `;'? - \ `•O .` ?;,?, .? / 1508 .d -550 1523 . 1 I5 Of3.3 w I P 1550 1549 14 1514 M 16 . 1508 0 116_45 -? 1547 27! i 1653 .8- rj 1 3: 151 1 .7 1525 be)E3 • 3 151 I / \ 15A I c 1532 \ 1 1?1538 +-1 " 1 14 L 1 ;41 6 7-11 1 b31 1_Q9 Ib17 1540 D• ?? 'i---- i539 1.0 •- LAT TOP MTN.., 1 14 - , 1552 L At, --.- ." 1 541 1 - ?Jb . 0 ELEV. 4595 - , Fp 1e16-' ? DUGGER ? ------ MAST KNOB MTN.0' n 6 1530 to • _ 1.7.?.. J 7 1526 =y?? '1607 --. \- ROCK ,y° 15X? r LITTLE \ - l SAMPSON MTN. DUGGER MTN. ` ID . 7 N 221 ' .y ,45 _ • ;;? 1529 \ , (4 !LQ WING ROCK - ' 3 BYP hidal' 1.i26 oQ WATAUGA 1212 i f BL6 I \ 1 32i ; 563 \ F4S ?..?.?.?..?.?._?----`ti ? •b \\ ? ? 15:x.3 ?? ?. r ) f ?' E`1c i S2 /57(, 8000(-/2 /31MAA P 12o q ? - \ Gtr f) V04 U 6 Fi COO /U T" \ D W E L L C 0 U N T Y Ago DEH ID: b oc9 ACTION IDs N&CLUNW106 t'C.stt1J: .?r?. :..': '.' t, JOINT APPLICATION FORM FOR #ATIONWjb* OERliit $HAT REQUIRL? NOTIFICATION TO CORPS OP ANQINEERS 19ATIOR0109 O*RHITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE NATIONWID9 ?9RNITS tMT AftUtRL? INDIVIDUAL #RCTION 401 CERTIFICATION It WILMINGTON bISTRICt ENGINELR WATER QUALITY PLANNING CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT bEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIPINMRRT, BLTti..._...- P.O: box logo AND NATURAL RESOU C r WILMINGTON, NC 28402=1090 P.O. BOX 29535 ------_~ ATTNf CESAW-CO=E TRALEIGH, NC 27626-053 Telephone (919) 251-4511 ATTN: MR. JOHN BORNE -JAN? Telephone (919) 733-5083 ONL (1) COPY bf THts COMPLETEb APPLICATION SHOULD hE SENT TO THE'ftAP'S dF ENGINEERS. 6M9 (1) COPIES SHOULD BE SENT TO THE N.C. bIVISION OF ENVIRONMENTAL MANAGEMENT. PLEASE PRINT. i. OWNERS NAME 1 /? 2E101,41Z Nf-(Q EL ri?.4A _SP6,P TA 770 h 2. OWNERS ADDRESSf ? A& 14(P0 5 3. OWNERS PHONE NUMBER ( HOME) ! (WORK) ! 7?''- J l?5 5 3?? 4. IF APPLICABLLf AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER f • • %+9W1Zi_11U L ?r? L/Glf a62A/?' IQC 2n?/ 0.7 k 5. LOCATION OF PLANNED WORK (ATTACH MAP). COUNTYf zolr%A/,/r' fl NEAREST TOWN OR CITYf PtioluE SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): EX 7_Q),5 /0 AJ ,?R 1 cE76 R N ymF2 RRAIVC H /10,412 //I/Ivr/VC 4AP1f0A lln q F66k 6. NAME OF CLOSEST STREAM/RIVER: (?lUnIIQYYI?YJ 11 (Q TO f_;:?Lk/ C 2EF y 1. RIVER BASINf VA01cIN ; ,PEE n,=_ c o.'' IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HOW, ORW, WS 1, on Ws Ii? YES (>() NO ( ) 9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES ) NO (X) IF YESy EXPLAIN: 10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS k LOCATED ON PROJECT SITE: D 0 I A 012E 3/30/92 -2- 11. THE NUMBER OF ACRES OF PROPOSED PROJECT: WATERS Of THE U.S.; INCLUbING WETLANDS, IMPACTED BY P?'ILLEO DRAINED FLOODED: EXCAVATED: Q ' TOTAL IMPACTED! 12.Q / 12. DESCRIPTION Ofr PROPOSED WORK (ATTACH PLANS); in ? S .I?n ?i?6?I/YJ S STS ? i- ?? 13. PURPOSE OF PR6M§f;0 f4ORK: ZL/ S ? L4 ?????? ?A IJ> IN g0ce, c/cI (--- 14. CARR STATE REA§ONS WHY THE APPLICANT BELiBVE9 THAT TNfS ACTIVITY MUST BE IED OUT fN W§TI"bS: ALSOi N E IMPACTS. i 11=CF PjP -r OT MEASURES TAKEN TO 17), cc n -rn , , - - - _ _ _ MINIMIZE WETLAND 15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE NSFWS) AND/Oft NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE OE 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: HAVE YOU DONE SO? YES t j NO M RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS. 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? HAVE YOU DONE SO? YES ( ) NO RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS. 17: ADDITIONAL INFORMATION REQUIRED BY DEM: A. WETLAND bkLfNEATION MAP SHOOING ALL $MTLANDSj STREAMS, AND LAKES ON THE PROPERTk B: IF AVAILABLE] REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. b. it A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH COPY. to WRAT I$ LAND USE OF SURROUNDING PROPERTY? RUT RQ/ - I F. IF APPLICABLE+ WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? Al A OWNER'S SIGNATURE DATE