No preview available
HomeMy WebLinkAbout19960559 Ver 1_Complete File_19960610State of North Carolina Department of Environment, Health and Natural Resources Division of Water Quality JamesB. Hunt,Jr., Governor Jonathan B. Fbwes, Secretary A. Preston Howard, Jr., P.E., Director APPROVAL of 401 Water Quality Certification Mr. Danny Tolar N.C. Dept. of Transportation P.O. Box 3279 Asheville, NC 28802 Dear Mr. Tolar: & N1.9AA C) EHNR July 17, 1996 Yancey County DWQ Project # 96965&- You have our approval to place till material in 0.02 acres of wetlands or waters for the purpose of widening an existing road at SR 1147, ,is you described in your application dated 2 July 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. If you change your project, you must notify us and you may be required to send us a new application. For this approval to be valid, you must follow the conditions listed in the attached certification. In addition, you should get any other federal, state or local permits before you go ,tread 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 hewing, send a written petition which conforms to Chapter 150B of the North Carolina Genend 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 Donley at 919-733-1786. Sincerely, J ar HOW1 Ir. P. . Attachment cc: Wilmington District Corps of Engineers Corps of Engineers Asheville Field Office Asheville DWQ Regional Office Mr. John Domey Central Files 960652.1tr Division of Water Quality • Environmental Sciences Branch 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 4? Mr. David Baker U.S. Army Corp of Engineers Regulatory Field Office 151 Patton Ave. Rm. 143 Asheville, NC. 28801-5006 Subject: S.R. 1147, Yancey Co. Dear Mr. Baker: P.O. Box 3279 Asheville, N.C. July 2, 1996 6 of V__ We are providing a package of design sketches concerning wetlands that will be impacted by this project. We have enclosed a completed N. C. D. E. M. application for your use. We are planning on replacing the existing 36'-60" cmp at Station 14+15 with a 40'-60" Flat Bottom cmp which will be located approximately 70' South of the existing pipe. This is intended to help eliminate flooding problems caused by water backing up through existing pipe from Little Crabtree Creek. Also we will construct a tail ditch from proposed pipe to Little Crabtree Creek. This is a revision to the plans I sent you on June 3, 1996. If you have any comments or questions concerning this project, please contact J.N. Jarrett or myself of this office at 704-298-2741. Thank you for your cooperation and assistance in this matter. Sincerely yours, burl R , T Qct& Danny R. Tolar District Engineer DRT:JNJ;jnj cc: Mr. Eric Galamb, Div. of Environmental Management Ms. Stephanie Goudreau, Mt. Region Coordinator RRINI I` ,Jll 1. 0 5 1996 ENVIRONN.4J_NTAI S?:iF?JC:E.S ,111 960652 DEM 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 SHOULD BE SENT TO THE N.C. DIVISION OF-ENVIRONMENTAL MANAGEMENT (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT. 1. OWNERS NAME : W • C . DEPT OF TRA-uSR7R-r7T10 U 2. MAILING ADDRESS: P, 0. 60)C 37-7 CITY: ASHEVILLE STATE: SUBDIVISION NAME: Nl"l Nc ZIP CODE: 7- 8802 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): SR_ 1 (47 RACSOM S(LV ER R . `440CEV CQ. , 3. TELEPHONE NUMBER (HOME): (WORK): Z 9 8'7-74-1 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: DM499 R. TO LA-K PO BOX 3 7- 7 4 ASfi-V(LL-E_- KC Z&Boz Z48-274( 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: YA K(cE`/ NEAREST TOWN OR CITY: McAVLLLE f (l(C ?.. 1 SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC .) : SR (47, RIWSOM S(LUER K&, 4cbr ± SoUT4 CRLq -ROM inITERsEcTiOf4 d(= SR ( (8 6. IMPACTED OR NEAREST STREAM/RIVER: UTTLE CRA-aneEE CRtEk RIVER BASIN: CAGE RWER - 7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES [ NO [ ] IF YES, EXPLAIN: UTM E CK MER q2. (s A DES(cg,4TED TAUT" SCR5W, LOZATW4 6F PRO(' PIPE tS !9 TR(BfJW 70 TW s CREW . 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [?1 7c. 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? 8a. HAVE ANY SECTION 9Q4 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ] NO [ ] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION) : TF}(S PERM(T RE-QUC--S f" lS ,,(INCLUDE To PREVIOUS REQUEST # 2735 8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ] NO [VI IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: A('MK 0. 7 A -- 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: t' r., G. 03 AC. 2 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: FLOODING: DRAINAGE: EXCAVATION: 0. 0?- Arc OTHER: TOTAL ACRES TO BE IMPACTED : 0, 07- A-r- 10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): LENGTH BEFORE: 3t FT AFTER: - ?? FT WIDTH BEFORE (based on normal high water contours): FT r WIDTH AFTER: 8 FT AVERAGE DEPTH BEFORE: Z FT AFTER: Z 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: KeIX VOO OF ME AMD (•«?Q STREAM CH444EL TO CREEK, 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? XIIA WHAT IS THE EXPECTED POND SURFACE AREA? &VA - 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS ONLY) : HlA 13. PURPOSE OF PROPOSED WORK: To KELP EUNtII ATE 6L000 (gG UStD ?.UHTC Acktk(G Up Tf R FKtS"r P(PC- FF<O&A MME' t.. CR B-CREE CREE 3 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (IN? LUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) : SEE # l'3) t4LL. 600-rNE 49D KE=S-ARY AA545GRES To ca mKaL ERCS(6N W(cL aE UTIL(ZM; s(Lr FMCC-5, c-RpS(aJ (bKTgoL DEV(cCS \,ArccL QE USED To KEEP SEDWC?4 rr??u QU r a= 5TRE.AMS' . 15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AN-D WILDLIFE SERVICE (USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET) 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 BTHE PROPOSED PROJECT. DATE CONTACTED: SPY TO K•C• W. R.c . 7-02-7c (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: KIA 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES [ ] NO (IF NO, 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 (I NO [I b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES (I NO [I 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. 4 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. e. WHAT IS LAND USE OF SURROUNDING PROPERTY?- AGKI CUMM- / R?5(C)C-4ML f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? 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 MANAGEMtNT PROGRAM. OWNER' /AGENT'S SIGNATURE (AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (18g.)) 7-oz-96 DATE 5 K GR(G N.C. DEPARTMENT OF TRANSPORTATION DIVISON OF-HIGHWAYS SIECONDARY ROAD SURVEY H, JECT VA U ER U, -OCATION WOR I< TYPE ep ADC BASE ??v E DF?HI t4 WORK O PRIORI. I COUNTY TOWNSI I I P cm vm DATE SCALE , 5-0 , - NOTES 4,r, R I w ; 2z. 5' CFlC H ?uG PROP -TA ?Of0O TO ?7741 C. ESC J NJ - q ?1 ----- g' --- -. ?'. q, S ON310S IVMV4NNlANJ (966150)01- 1. ?? I I , t oP 4O - 60 F(? Cf,4 r S' CR , fi r/ ?ILL To "r`c? rPL W? I ?.A?1u C6 ('MP - - I I? _. _ ( r- Fi=? 45 (?, I-??LL??? (?G ?? I FvI? d ?J M3-S7 R-t Z MT/j, NC 28740 ?U U ? I I ? I I -ILT - Mfr c UI-i LE J ..J FJ GTE G , y l 1 31A I9 ?I I? -2 1 f I ?I I ZI A wooDs O it 8 ? ?L 5) d- ? ?? I R W 1 9 7 I? lJ W J ZI G- G to FALLOW 3205 WELL RD, 04A R LOT`f E f ?! C ERZZ7 LccTL? CRi40TREE. [-CR . -? A oR(DGE I z3 O Vp??cR?a. f=UCNAI'.rAQ J .J J c-LAuu AL??f1 CHAHbLER 274 i 4- -f--1 UJL z ? ?z) I i z Ern` ? ? GE?4l?I l?r(L ??I 6 (0 I ? FL 6T C? CRlUGE I wF-T b(-CH I Z2.? ZZ.- 1181,1 t + 2 , Cox (87 LOPYOALLE IJC Zo lIQ L( LL LAw Cr (61 I I`7- C?0 (5 C- 5? MICAVILLE, NC --- ? zslss F?TEf 11 Pom E?v bs 16' . ?? - - O c L- '0 LL (F P R+ I , BOX 77 EUkW3V ILLS/ N C . 28714 ?I 361- 4,?" Fe CMP 16 IZ Y R ?I1 I III HO CF1gt UEL c ATJGE -sTA (-cE cc no 5 T- ( 6 f 3 0 R 1 W 5,CK- R 1147 11A-QCE-y co, 45 I x? d W ? s r? zz.5 ' zz.s' ?CRL E I 6- 17-96 C?KA?C , f3E??C= (a/? U?=, ?Kl? (N H' 'i7(f .- ( • Of /t,f(. State of North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management A err James B. Hunt, Jr., Governor " Jonathan B. Howes, Secretary p E H N R A. Preston Howard, Jr., P.E., Director June 17, 1996 Yancey County DEM Project # 960559 APPROVAL of 401 Water Quality Certification Mr. Danny Tolar N. C. Dept. of Transportation P.O. Box 3279 Asheville, NC 28802 Dear Mr. Tolar: You have our approval to place fill material in wetlands or waters for the purpose of widening and paving at SR 1147, as you described in your application dated 3 June 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. If you change your project, you must notify us and you may be required to send us a new application. For this approval to be valid, you must follow the conditions listed in the attached certification. In addition, you 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 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 Environmental Management under Section 401 of the Clean Water Act. If you have any questions, please telephone John Dorney at 919-733-1786. Sincerely, ston How ',Jr. P.E. Attachment cc: Wilmington District Corps of Engineers Corps of Engineers Asheville Field Office Asheville DEM Regional Office Mr. John Domey Central Files 960559.1tr 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/109/6 post consumer paper P.O. Box 3279 Asheville, N.C. June 3, 1996 Mr. David Baker U.S. Army Corp of Engineers Regulatory Field Office 151 Patton Ave. Rm. 143 Asheville, NBC. 28801-5006 Dear Mr. Baker: 96055q We are providing a package of design sketches concerning wetlands that will be impacted by this project. We have enclosed a completed N. C. D. E. M. application for your use. We are planning on replacing or extending several pipes in unnamed tributaries flowing across S.R.1147 as well as two proposed channel changes in unnamed stream flowing along said road. This stream is a tributary to Little Crabtree Creek, which is a designated trout stream. We will be working within the twenty five foot buffer zone of above mentioned stream but there will be no new construction past existing edge of shoulder except for the proposed channel changes. Please forward us your comments concerning this matter as soon as possible in order for us to request permission from Mr. Phillips to work in this area. Thank you for your cooperation and assistance in this matter. DRT:jnj Sincerely yours, Do,nhY K . -M Qct.,,, Danny R. Tolar District Engineer a? o ?6 cc: Mr. Eric Galamb, Div. of Environmental Management Ms. Stephanie Goudreau, Mr Region Coordinator Mr. Ed Ingle, Area Roadside Environmental Engineer NOTIFICATION FORM INFORMATION SHEET Nationwide permits that require notification to the Corps of Engineers Nationwide permits that require application for Section 401 certification A. NOTIFICATION- TO THE CORPS OF ENGINEERS DISTRICT ENGINEER. (REFER TO ITEM B. BELOW FOR DIVISION OF ENVIRONMENTAL MANAGEMENT APPLICATION RE. QUIREMENTS AND SPECIFICALLY NOTE NWP 26 DIFFERENCE.) Certain nationwide permits require notification to the Corps of Engineers before work can proceed. They are as follows: NWP 5 (only for discharges of 10 to 25 cubic yards) NWP7 NWP 13 (only for stabilization activities in excess of 500 feet in length or greater-than an average of one cubic yard per running foot) NWP 14 (only for fills in special aquatic sites, including wetlands, and must include a delineation of affected special aquatic sites) NWP 17 NWP 18 (required when discharge exceeds 10 cubic yards or the discharge is in a special aquatic site and must include a delineation of the affected special aquatic site, including wetlands) NWP 21 (must include a delineation of affected special aquatic sites, including wetlands) NWP 26 (only for greater than 1 acre total impacts and must include a delineation of affected special aquatic sites, including wetlands) NWP 33 (must include a restoration plan of reasonable measures to avoid and minimize impacts to aquatic resources) NWP 37 NWP •38 (must include a delineation of affected special aquatic sites, including wetlands) For activities that may, be authorized by the above listed nationwide permits that require notification, the applicant shall not begin work a. Until notified that the work may proceed under the nationwide permit with any special conditions imposed by the District Engineer, or b. If notified that an individual permit may be required, or c. Unless 30 days (calendar) have passed from the time a complete notification is received by the District Engineer and no notice has been received from the District Engineer, and required state approvals have been obtained. Required state approvals include: 1) a Section 401 water quality certification if authorization is requested for a discharge of dredged or fill material, and 2) an approved coastal zone management consistency determination if the activity will affect the coastal area. Use of NWP 12 also requires notification to the District Engineer, but work may not begin until written concurrence is received from the District Engineer. The time periods described above do not apply. Furthermore, requirements to notify the U.S. Fish and Wildlife Service (USFWS), the National Marine Fisheries Service (NMFS), and the State Historic Preservation Office (SHPO), as indicated below and on the notification form, do not apply. B. APPLICATION TO DEM FOR NATIONWIDE PERMIT SECTION 401 CERTIFICATION. Certain nationwide permits require an application to DEM in order to obtain Section 401 water quality certification. They are NWP 6, NW 12, NWT 15, NWT 16, NWP 17, NWP 21, NWP 33, NWT 34, NWP 38, and NW 40. Certain nationwide permits were issued general certifications and require no application. They are NWP 3, NWP 4, NWP 5, NWP 7, NWP 20, NWP 22, NWP 23 (requires notification to DEM), NWP 25, NWP 27, NWP 32, NWP 36, and NWP 37. The following nationwide permits were issued general certifications for only limited activities: NWP 13 (for projects less than 500 feet in length), NWP 14 (for projects that impact waters only), NWP 18 (for projects with less than 10 cubic yards of fill in waters only), and NWP 26 (for projects with less than or equal to one-third acre fill of waters or wetlands). Projects that do not meet these criteria require application for Section 401 water quality certifications. C. NOTIFICATION/APPLICATION PROCEDURES. The attached form should be used to obtain approval from the Corps of Engineers and/or the N.C. Division of Environmental Management as specified above. The permittee should make sure that all necessary information is provided in order to avoid delays. One copy of the completed form is required by the Corps of Engineers and seven copies are required by DEM. Plans and maps must be on 8 1/2 x 11 inch paper. Endangered species requirement: For Corps of Engineers notifications only, applicants must notify the U.S. Fish and Wildlife Service. and/or the National Marine Fisheries Service regarding the presence of endangered species that ma be affected by the proposed project: y U.S. FISH AND WILDLIFE SERVICE RALEIGH FIELD OFFICE P.O. Box 33726 Raleigh, NC 27636-3726 Telephone (919) 8564520 NATIONAL MARINE FISHERIES SERVICE HABITAT CONSERVATION DIVISION Pivers Island Beaufort, NC 28516 Telephone (919) 728-5090 Historic resources requirement: For Corps of Engineers notifications only, applicants must notify the State Historic Preservation Office regarding the presence of historic properties that may be affected by the proposed project. STATE HISTORIC PRESERVATION OFFICE N.C. DIVISION OF ARCHIVES AND HISTORY 109 East Jones Street Raleigh, NC 27601 Telephone (919) 733-4763 Information obtained from these agencies should be forwarded to the Corps. DEM ID: _ ACTION ID: Nationwide Permit Requested (Provide Nationwide Permit #): JOINT FORM FOR Nationwide permits that require notification to the Corps of Engineers Nationwide permits that require application for Section 401 certification WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH, P.O. Box 1890 AND NATURAL RESOURCES Wilmington, NC 28402-1890 P.O. Box 29535 ATTN: CESAW-CO-E Raleigh, NC 27626-0535 Telephone (919) 251-4511 ATM: MR JOHN DORNEY Telephone (919) 733-5083 ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT PLEASE PRINT. 1. Owners Name: W. C. DEFT OF -(RH•NS P0RTATOti1 2. Owners Address: P-O. 6&, 3Z7%-. A501E-M .LEA N c- Z880Z 3. Owners Phone Number (Home): (Work): Z 98 - 274- 4. If Applicable: Agent's name or responsible corporate official, address, phone number. Nfjkl Y R. TOCArR R0, Bak R-77 (+S44EV I LLE, t4 c Z880? 5. Location of work (MUST ATTACH MAP). County: `f fk(?1CEY Nearest Town or City: M (CA V L LL-P-, f4 C Specific Location (Include road numbers, landmarks, etc.): SR (47 , RA-AwM S(LUEZ Rd FROM Iuc SQ 50014ERLY I^OR (.Q( M(. To E.C.M. 6. Name of Closest Strearn/River. QTTLE CRA•BTREE CREED 7. River Basin: Gt l-lYo<,ij 8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS R? YES [?] NO [ ] 9. Have any Section 404 permits been previously'requested for use on this property? YES [ ] NO V J If yes, explain. 10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: 0• (0 Ac 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project: Filled: 0.0? AC Drained: Flooded: Excavated: 0.03 A-C- Total Impacted: 0.05 AC 12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): SEU EtUK PIPES -(0 BE R(?'CAE.EPZ'CLEtIEb lK 0NN/W&Z T(Z(BU (AR(_S. TXC) ('RCP(TSM CJ4A4414EL 13. Purpose of proposed work: _(0 tom- L(7Pr-(E -HIE-- W(DEIU(Q6 /+90 fft (W6 OF sR (47, M44SU?A 5 (LU ER RD, 14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also note measures taken to minirpize wetland impacts. S( 4(:1UG- ; ALL (RO(J714C-: Af CD IUELESSMY M51SURES 7?1 KML GRdS(0f A44D 5ED(M64M7IQf4 W(LL BE. URLIKEO. 15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine. Fisheries Servic (NMFS) regarding the presence or any Federally listed orproposed for listing endangered or threatened species or critic, habitat in the permit area that may be affected by the proposed project. Have you done so? YES [ ] NO [V RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.ctx'7 7d 909RC 16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of histori properties in the permit area which may be affected by the proposed project? Have you done so? YES [ ] NO [v RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS. 17. Additional information required by DEM: A. Wetland delineation map showing all wetlands, streams, and lakes on the property. 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. If a stormwater management plan is required for this project, attach copy. E. What is land use of surrounding property? AGR(COM)RE ` RES(D Ei TA L F. If applicable, what is proposed method of sewage disposal? L,ti R. fd 6-03 -96 Owners Signature Day E c ? r>R P N.C. DEPAPTM?NT 'OF TRANSPORTATION D IVI SON OF-HIGHWAYS SIECONDARY ROAD SURVEY OCATIO N =?`;(A t-iC 50 50(1If TO Ff .0,M, WOR I< TYPE c7P U--- WORK IT Y IZ COUNTY TOWN 5111 P CRA?TREE DATE 5-3f-96 SCALE i'' = 5Q' NOTES 4s' Riw ; 2,2. s' cFlCN ?r?? f7-41 (0-'1-00 TO ? 7?? e 3 f sC IC?fC7ri (•O( ??( PROF PREPARED BY S NJ -- q F ---- 9 --? - - - --- - C Q YA ucc S TATLoN_ I4 h_?zESENT_s_I_zE---__ P-r?OP sCt?_-.?-t_E- .-NO-EE ct?of P(FE /4 -;- 50 - X48" Fe, ux f' --- ----- - Z4 + 40 Z5 '- 18 " AMP ---- - - - ---? ---- , ? -- 37-f Z1 CAP ?? ,, 43+05 '- 30, lao --- 43+4-5 ZG'- I z " Ct? F CRw PIP E 45+44 - - - --Z4" M?rA ----- - ---- coo?u pt PE 4-? too --- 40'- 18 " CM P -- -- --- - --- ------- _ P.I Pr ? 41 _ 50 + 50 DkvlY PIPE 55+43 -- ,- i ,, c? P CRESS P (F E s? f 6S -- ---- - - - - _ ... - Z0 ?- (8'' cme - --------------- - --- - t?Rw? PIPE -------- -- ----- - --- --- ----- -- < «7 OR K ORDER' OWNER OF PO F: EMC c ST ATM 16+79 1' +OZ ZZ (5 `7 ?3?72 ?I+ZS ?3+8z 48 t 4a DISTANCE FROM CENTER OF PROPOSED PROJECT EFT RIGHT 10 13 T?' W 19' )4' IV 1v' TELE r/ ------------- rr it f ob ,v EK MV(Ek it TALE It rl ------------ 11 rr ------------ rl rr EROSION CONTROL DETAILS AND SPECIFICATIONS Std, # Symbol P_ aye 245.03 Temporary Silt Ditch 245.05 -------------------------- Temporary Diversion Aso __ VI-2 893.01 Temporary Silt Fence 890.05 245.01 Temporary Slope Drain with Earth Berm Silt Basin T e A _ .......... 4 -- (------ VI-8 245.02 yp ...... ................ ..... - Silt Basin Type B --------- VI - 10 892.04 -- ..................................... Temporary Rock Silt Check Type-A --- - 12 895.10 Temporary Rock Silt Check Type-B 892.01 Temporary Rock Sediment Dam Type-A 892.02 89 --------- .._ Temporary Rock Sediment Dam Type-B -------- ___ VI -18 --- VI - 20 7.01 Rock Pipe Inlet Protection ------- --------------- -----• --- ?° °° -- VI - 22 894.01 Rock Silt Screen ................... ...................... °°? -- --- VI - 24 45.04 Stilling Basin .._._._. v1 d Rock Inlet Protection: 896.01 Type A -: --A) V1 _ - 30 ____ 896.02 Type B ..............................• B E -- OR -- B )) VI -- - 32 --- 896.03 Type C ............................... C -- OR -- C ) VI - --- 34 NeE OUTLET EQER61 D(SStjP4TdP ERa S ICJ lU CO RTRO (_ r?i/{TT l h! G Echc RUER (Hms RpU(N? FGR VI-1 March, 1993 vES/GN dig S/L T/?S/.? C?yECkED ,El%E.Ey S?D.?n) G?'t?E.v7- .5;t?v G'!_E,s????6v v!/7? Cv/?A A Z/ 7-0 I 'i 2T r LEA'67X of lI/S7-4,f&S D AREA LCt L E,1167-IV of .visrzlRBEz) 48,5,4 2640 (.5,B,2 4Eiv67;S1 aF 21157'11,eBED AKEA 3°c L CNG7 :V aF ??sr?,eB? D AREA ?bc (S. 1q. 2 P) ROADWAY DITCH AND MEDIAN LINING GUIDELINES Percent of Grade Type of Lining Recommended 0 Straw and Tack 1 2 Erosion Control Matting 3 4 Synthetic Roving 5 greater Stone VIII- 2 March, 1993 LAwr?c_?(cC- M IUI E N QLL( FIELD . I & 1 ' C R 5 R'WI I u 131 LL LH-WS FALLOW I LAVl ?z9 - z20 36' 60 FB CAP I )3 5 ?J I ,L L LT CA,r,fQ3 fiRE ?.B 5) © I I UWLE`,'!. 1JOTED , ? 9 ?Id SI-4EL?? RQ.?I ?ISQ?1 ? ? I ?. ZQJ_57 ? J ? U I ? I_L.I R-f Z i ?RE? N MT"/ NC ? O _ Z 28740 it Z A 8 ?NOODs (<C 5) J I? I I zl6- 00 y I I I' rArLLOW 220S WELL RD, 9 71 cNAR LorrE f f C R/W ?W ? 28227 U M-a CRAOTRM CR . -> eR(C)GE i z3 #- Ip ® Z O . I iz IV SETT-' DEA-?f vVLzq 3P?R??R>? PU CN?t•?l?! ZI 6 - 6(o - i (85-363 F?---- R AT+ WL ??1DQES i ? ? I S 6R ?_ I? O Y cLAUDE ALMA cHANDLCfZ I w?? b? rcN Z74 - 6?4- ?`. ZZ.j r ZZ.,j r R+ z Cox (37 BU?2?(SV(Ll-E, tiff Z871q- ? l `?' I w J V IC' I J (?( LL CAWf ?N Iz9- ZZO _. ('I?oP CFIE?,?(?iC-L c f cl-!?IGC ? 17 ? ?E Pt ok Z 'O' (..L ?i 3'r i io 5i MICAMLE, NC 0 Lrl,?;???_!.?c? F X?(LL(? I1oLC_(F=(EL.U 771 ?UNSVfLLE? NC. 28714 zs?ss ° I GR 9R_ _.._ ._ ?I T 36'= 48" FQ clue 16 .?' Pt?P CFI??(?lEL CNANG? 15 ; TA (?;foc TO 5TA I6+30 R I RIw --- ? 15I i z I ?z wEr I ? DITCH zs ?- r8'c??c-P I REPCAcE W MA 30'- 30 I lZ WOODS G0 I ?o G? Y _ O { I. I' MRS , R P. s«VCR I I C Z I I' • . IC4-/ I . I b I it I I I R? I R ARS3ARR QUCKA-PAK l I 185- 363 I` ? I GUF,u? U l!_LE NC 2871¢ „?? ? OW GE I Z ? 5 95' O 13ETri1 L)E-AW WI -SOW ZI6- 610 WOOD S (5 e S) 1V4 O? MRS , R . N . ?(NEk R/w l I ,? 1981 \ 2z-5 R? J 5' OZ- BET-1 ? DEAQ w(LsorJ woaLS Z 16 - G f O CT VICK C' 5) i.I I ?a I i II 10 x I. ¢5 70 MRS- R. u, --If L-Qu (8 8 i ?q?x I? I CULT IT . ? 3 ( f I X R/vl I RlVq I? ?I f x ?I I w?ppS ? 3 0 I x i6(8 urms WCODS zl 6- 6 (Q cR DR c P(?? !(3 (? --Me 0 O(EJT? t UEA wiLS0 Ir w 45L?! I x I `3Zil ?JC 5) V?U.f?.( IIQ 7 x I I I iX 1 O Raw I v? Z x 0 ?? r r I ZZ ? / C.? (3E DEFLQ I I (9 8l? X PSTUV"F 165-z4S 9 PASTU RE MATTREW Zf8- I k?F??cE ?t!ITN 30'- Z4'" c?P ? (7D FrLLOW Iv I ' x I I ? I? 3 8 L? x (Sa S) I'° 81 'x' Ot r I x 36 I (0 7 vJ I I? I? x 1015 R/ TRACT- LIkl(F-_ GIETTY DEAQ Wf LEW Pk? T!? `? = z ( 6. 6 10 IW IZ 1 iz 9 MARIOti oAKIFAF z3z- X25 ? I 1 Z , BOX 175 BUf MEVILLE/ NC, / I I R Z8 714 MFfT -(iFW 4 FRA kfCW 1?o I I KLLL? LA 11 l4 ?Aut?l zo6-3Z¢ ?a?e? ?(CJUNG I ( z?4 -zo t `i s? tz 4 + ?, BOY 1C48 OP (SUUE / Nc, E1P I 10, ct?e I ? / T SU1TOfJ (? , I YY 6 ;?'crxF CR r K+ 2, Lax 118 "CNtP 9 J, >?Ukxf`;MEr-, NC / 30'-gi0 i of ?Er?f1CE m(T-K 4Q'- 2( "COP foC Eli( (- f (? r ? 1-t (= H U ru-ri- LCk kj EE( 60' R(v,! I I PIA?iTER l42 I - (,? Jo' Z4 "c?cP I '? ; ? z 1c /447TH EW KELLY 4 Ux I I-?- (3Em OEAQ w(t-sigi z(8- zoZ 41 I I 10 71 R/ ? LA?? 16? -245 VW MERGE R 2, Boy\ I l BURQSV I LLE? NC Za7/4- PAETURL- 4- Lo Iy 91E 60 I ?I } II 1 (3 I ? Q O ?? 5) 4 1I1 ?'l ro 8 f I I Mf?TTHCU.? "Qclu KELLI SAc(: RE6A KOgE TS I Il dl Z53 -S75 ? ? , ? Q? Z06-32? I Q-1 I 1 4199 0, G( K H V4 5 eUKN`-UI?LE, ??c 28714 4 ?l 9 7 8?? ` U ? GoCQR?TON , f=CA 3343 I ' IS w- ? ?.nwti A STEEL C G ?? r( EEK 3z? MM 00Q Q(*LEA F DZ- Z z - 425 (94c D2 4 C?I 1? 0 1 TJ' !.7 13 ,3AcK 4 R?-:QA ROUERTS Z53 575 l I R J I I I 53 I iIO it I (4 ROBERT ? PATR(CfA P,4kE{2 234-(53 70 , I ( o IJ M/?gTHEW (W kECLy ?I .?IF MAIL Z? 6 - Z4 5 ( ( tAC S 17 I R? rl I + .?itL DR ? ! I ? So"-(B???NrP ( I 9o 6Q i I 15 ?5(3 5) ?CQRG.E ? C?AG?(S ` z35 - ,35 PC eox 46 M(CAVILLE, Oc- Z8755 ?I Is8 ? I1 ? (57 I 7 /6I (0 14 RGUERT- ? p,,T (c(A EAkrzR 3 z34 - ?S3 i ?- (67 (CESC-RUC- DR. ?U(??[SUILLE, Svc 2871q IJ?_ ?I I ?x,56 zo (8"cMP R/W 9 8I RIv G-(2 Q I -- y Ip.f cmP ?ACk REPA MERTS (3 I I o ?I z 53 -57 5 ?, I S 5 I 9(?0 i RIW ` 'RIW ?5. GEORGE ? GLA-D?S LUCHp?I JAQ (?- D s) Rf ?G ial 14 ROBERT" 4 PR7R(C(A EAkEk I ? ?6 z? 0 7 I 30'" Dl3L I?AFLE 1611? ? ?P 7 8 ?Z?- 44L I RAW WhCT U?IE? i4> w?6ol 88 ( oOUERT PA rH A BAkER z'4 - 6 53 , 60 , A VN Z -P to Go -P H ? N W RB r L ` ? I'KU l' r ? N.C. DEPAPTMENT OF TRANSPORTATION D IV) SON OF - H IG HWAY5" "Ss J?J 6 05 5 9 SECONDARY ROAD SURVEY n (? [ d ? ` JUN 10 OC =? ?t? ?C0 SOU ((t fd ?, 0, M, WOR I< TYPE t*Rt4 WORK O RDFR IT Y COUNTY `-f?- TOWNSI I I P ck :EE DATE 5-3f-76 SCALE I '' = 5O'' NOTES 45' RlLO EACH ?fL? PROP frr} 10+00 TO f7-A 6 f5C5 PREPA RED BY S NJ (+. z 1% NOTIFICATION FORM INFORMATION SHEET Nationwide permits that require notification to the Corps of Engineers Nationwide permits that require application for Section 401 certification A. NOTIFICATION. TO THE CORPS OF ENGINEERS DISTRICT ENGINEER. (REFER TO ITEM B. BELOW FOR DIVISION OF ENVIRONMENTAL MANAGEMENT APPLICATION RE- QUIREMENTS AND SPECIFICALLY NOTE NWP 26 DIFFERENCE.) Certain nationwide permits require notification to the Corps of Engineers before work can proceed. They are as follows: NWP 5 (only for discharges of 10 to 25 cubic yards) NWP 7 NWP 13 (only for stabilization activities in excess of 500 feet in length or greater-than an average of one cubic yard per running foot) NWP 14 (only for fills in special aquatic sites, including wetlands, and must include a delineation of affected special aquatic sites) NWP 17 NWP 18 (required when discharge exceeds 10 cubic yards or the discharge is in a special aquatic site and must include a delineation of the affected special aquatic site, including wetlands) NWP 21 (must include a delineation of affected special aquatic sites, including wetlands) NWP 26 (only for greater than 1 acre total impacts and must include a delineation of affected special aquatic sites, including wetlands) NWP 33 (must include a restoration plan of reasonable measures to avoid and minimize impacts to aquatic resources) NWP 37 NWP-38 (must include a delineation of affected special aquatic sites, including wetlands) For activities that may, be authorized by the above listed nationwide permits that require notification, the applicant shall not begin work a. Until notified that the work may proceed under the nationwide permit with any special conditions imposed by the District Engineer, or b. If notified that an individual permit may be required, or c. Unless 30 days (calendar) have passed from the time a complete notification is received by the District Engineer and no notice has been received from the District Engineer, and required state approvals have been obtained. Required state approvals include: 1) a Section 401 water quality certification if authorization is requested for a discharge of dredged or fill material, and 2) an approved coastal zone management consistency determination if the activity will affect the coastal area. Use of NWP 12 also requires notification to the District Engineer, but work may not begin until written concurrence is received from the District Engineer. The time periods described above do not apply. Furthermore, requirements to notify the U.S. Fish and Wildlife Service (USFWS), the National Marine Fisheries Service (NMFS), and the State Historic Preservation Office (SHPO), as indicated below and on the notification form, do not apply. B. APPLICATION TO DEM FOR NATIONWIDE PERMIT SECTION 401 CERTIFICATION. Certain nationwide permits require an application to DEM in order to obtain Section 401 water quality certification. They are NWP 6, NWP 12, NWP 15, NWP 16, NWP 17, NWP 21, NWP 33, NWP 34, NWP 38, and NWP 40. Certain nationwide permits were issued general certifications and require no application. They are NWP 3, NWP 4, NWP 5, NWP 7, NWP 20, NWP 22, NWP 23 (requires notification to DEM), NWP 25, NWP 27, NWP 32, NWP 36, and NWP 37. The following nationwide permits were issued general certifications for only limited activities: NWP 13 (for projects less than 500 feet in length), NWP 14 (for projects that impact waters only), NWP 18 (for projects with less than 10 cubic yards of fill in waters only), and NWP 26 (for projects with less than or equal to one-third acre fill of waters or wetlands). Projects that do not meet these criteria require application for Section 401 water quality certifications. 1P C. NOTIFICATION/APPLICATION PROCEDURES. The attached form should be used to obtain approval from the Corps of Engineers and/or the N.C. Division of Environmental Management as specified above. The permittee should make sure that al] necessary information is provided in order to avoid delays. One copy of the completed form is required by the Corps of Engineers and seven copies are required by DEM. Plans and maps must be on 8 1/2 x 11 inch paper. Endangered species requirement: For Corps of Engineers notifications only, applicants must notify the U.S. Fish and Wildlife Service and/or the National Marine Fisheries Service regarding the presence of endangered species that may be affected by the proposed project: U.S. FISH AND WILDLIFE SERVICE RALEIGH FIELD OFFICE P.O. Box 33726 Raleigh, NC 27636-3726 Telephone (919) 856-4520 NATIONAL MARINE FISHERIES SERVICE HABITAT CONSERVATION DIVISION Pivers Island Beaufort, NC 28516 Telephone (919) 728-5090 Historic resources requirement: For Corps of Engineers notifications only, applicants must notify the State Historic Preservation Office regarding the presence of historic properties .that may be affected by the proposed project. STATE HISTORIC PRESERVATION OFFICE N.C. DIVISION OF ARCHIVES AND HISTORY 109 East Jones Street Raleigh, NC 27601 Telephone (919) 733-4763 Information obtained from these agencies should be forwarded to the Corps. DEM ID: _ ACTION ID: Nationwide Permit Requested (Provide Nationwide Permit #): JOINT FORM FOR Nationwide permits that require notification to the Corps of Engineers Nationwide permits that require application for Section 401 certification WILMINGTON DISTRICT ENGINEER CORPS OF ENGINEERS DEPARTMENT OF THE ARMY P.O. Box 1890 Wilmington, NC 28402-1890 ATM: CESAW-CO-E Telephone (919) 251-4511 WATER QUALITY PLANNI NG 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 ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT PLEASE PRINT. 1. Owners Name: W. C. DEPT of -(RI+MS PORTAT70t,.1 2. Owners Address: P.O. 60k 3279 _ A5ffEV1LLE. C- Z880e- 3. Owners Phone Number (Home): (Work): Z 98 - ?-74- 4. If Applicable: Agent's name or responsible corporate official, address, phone number. D&WY R , TOUR P.O. Bak 3 ?--77 (+S44EVI LL.E, Mc Z886Z .5. Location of work (MUST ATTACH MAP). County: `?fk(?1CEY Nearest Town or City: A4 I CA V (LLEf f l C Specific Location (Include road numbers, landmarks, etc.): SR ( (4-7RA-AWM !5 UE(Z Rd,, FRM I IC 80 SOUTHERLLe (=0R (.G( M(. TO E.O.M. 6. Name of Closest Stream/River. LITTLE CRABTREE CREEP 7. River Basin: CA14E RIDER 8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS H? YES (4 NO [ ] 9. Have any Section 404 permits been previously'requested for•use on this property? YES [ ] NO If yes, explain. 10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: Q. (0 «c 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project: Filled: 0.C? AC Drained: Flooded: Excavated: 0.03 A-C Total Impacted: 0 -0 S A•C 12. Description of proposed work (Attach PLANS-8 12" X 11" drawings only): SEU Q6Z L PIPES Z BE RC?CAE IEXTaa)P-b (9 0Ntil14MED M BOAR(` TUId PRGpCTSM Cf-fAUJ4F-L 13. Purpose of proposed SR (47, 2144SWA S(LUER R0- 14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also note measures taken to minirnpize wetland impacts. S[ Af 1U G- ; ^LL RO(fTIK C DLO IuECCSS6RY M 5 SVRC-S 7() GJN7ROL CR+7S(09 A44D 5ePI tE4MVC*4 WLl_ BE U-(7Q7-E0 . 15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine.Fisheries Servic (NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or criticz habitat in the permit area that may be affected by the proposed project. Have you done so? YES [ ] NO [v RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.<VP7 ZC 9CWRc 16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of histod properties in the permit area which may be affected by the proposed project? Have you done so? YES [ ] NO [v RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS. 17. Additional information required by DEM: A. Wetland delineation map showing all wetlands, streams, and lakes on the property. 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. If a stormwater management plan is required for this project, attach copy. E. What is land use of surrounding property? AGMOLTURE - RES(D E-NM L F. If applicable, what is proposed method of sewage disposal? C-03-76 Owners Signature Dal A _ __ 74?7 ?f9B. /9 lvZ- ii