20130274 Ver 2_401 Application_20130613

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NCDENR
13- Da -II+ V2
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
Pat McCrory, Governor Lewis R. Ledford, Director John E. Skvada, III, Secretary
June 12, 2013 �.�.._.
19 @19NO p
Ms. Karen Higgins
North Carolina Division of Water Quality JUN 1 1 2013
1650 Mail Service Center I
Raleigh, NC 27699 -1650 ,A, -.. -? - -r— ,�ITy
RE: Water Quality Certification Request (General Certification 3883)
Canal Gate Replacements
Pettigrew State Park (Washington County)
I
Dear Mrs. Higgins: j
Y
Enclosed are five copies of a completed application submittal package r esting a Vfaper Quality Ce_rtification
(No. 3883) which corresponds to US Army Corps of Engineers ( USACE) Nationwide Permit 3 (NWP 3). This
application package consists of the following documentation: one completed PCN form, three project area maps,
and one photo log. Please also find the enclosed journal transfer documentation indicating that payment of the
$240 application fee has been transferred from the account of the Division of Parks and Recreation (DPR) to the
Division of Water Quality.
The proposed project involves the emergency replacement of one broken canal gate in Bee Tree Canal, the
replacement of an adjacent canal gate in Bee Tree Canal, and the replacement of one canal gate and culvert in
Moccasin Canal. After installation, water control of the canal will be reestablished to maintain the lake level in
accordance with the Lake Phelps Management Plan. However, impacts to jurisdictional waters are considered
minimal due to the temporary nature of this work and the large hydrological influence of the approximately 16,600
acre Lake Phelps.
DPR is concurrently submitting one copy of this permit application to Mr. Josh Pelletier of the USACE Washington
Field Office to request a General Permit Verification under NWP 3. Please contact me if you require any additional
information.
Sincerely,
Amin K. Davis
Environmental Review Coordinator
Division of Parks and Recreation, Natural Resources Program
North Carolina Department of Environment and Natural Resources
(919) 707 -9329 / amin.davis @ncparks.gov
NORTH CAROLINA
STATE PARS
1615 Mail Service Center, Raleigh, North Carolina 27699 -1615
Phone: 919 - 707 -9300 - Internet: www.ncoarks.gov A I WIN , = �-
An Equal Opportunity - Affirmative Action Employer - 50 % Recycled 0 10 % Post consumer Paper

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre - Construction Notification C Form
A. Appkant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
FED Section 404 Permit ❑Section 10 Permit
1b. Specify Nationwide Permit (NWP) number. 3 or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
® Yes
❑ No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Pettigrew State Park - Canal Gate Replacements
2b. County:
Tyrrell and Washington
2c. Nearest municipality / town:
Creswell
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information 0
3a. Name(s) on Recorded Deed:
State of North Carolina
3b. Deed Book and Page No.
WA
3c. Responsible Party (for LLC if
applicable):
Z013
3d. Street address:
MSC 1615
3e. City, state, zip:
Raleigh, NC. 27699
&arch
3f. Telephone no.:
(919) 707 -9363
3g. Fax no.:
(919) 733 -1431
3h. Email address:
[e-mail] (c/o State Property Office)
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
® Agent ❑ Other, specify:
4b. Name:
NCDENR, Division of Parks and Recreation (c% Pettigrew State Park)
4c. Business name
(if applicable):
4d. Street address:
MSC 1615
4e. City, state, zip:
Raleigh, NC. 27699 -1615
4f. Telephone no.:
(919) 707 -9329
4g. Fax no.:
(919) 715 -5161
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
N/A
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Bee Tree:7764 -99 -8893; Moccasin:7762 -18 -6640
1b. Site coordinates (in decimal degrees):
Latitude: 35.774 Longitude: - 76.401
(DD.DDDDDD) (- DD.DDDDDD)
1c. Property size:
— 5,580 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Phelps Lake
proposed project:
2b. Water Quality Classification of nearest receiving water.
B;Sw,ORW
2c. River basin:
Pasquotank
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Bee Tree and Moccasin Canals originate in the northeastern and north - central and portion of Phelps Lake respectively,
and extend northeasterly from the Lake to the Scuppernong River approximately 7 miles downstream. The two existing
canal gates within Bee Tree Canal are located within a wooded Swamp Forest west of the Bee Tree Overlook platform.
The existing canal gate in Moccasin Canal is located within a wooded Swamp Forest north of the Moccasin Overlook
platform. General land use in the vicinity of the project is primarily recreational within the Park boundaries. General land
use beyond the Park boundaries is agricultural and rural residential.
3b. List the total estimated acreage of all existing wetlands on the property:
—280 acres per NC DCM mapping.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
— 17,200' per USGS GIS mapping.
3d. Explain the purpose of the proposed project:
An emergency replacement of a broken canal water gate along Bee Tree Canal and replacement of two additional gates
that aid in maintaining water levels within Lake Phelps.
3e. Describe the overall project in detail, including the type of equipment to be used:
The proposed project involves the emergency replacement of one broken canal gate in Bee Tree Canal, the replacement
of an adjacent canal gate in Bee Tree Canal, and the replacement of one canal gate in Moccasin Canal. The emergency
replacement of the gate will involve: 1.) installing a temporary ditch plug ( -45 high x 8' wide x 3' long) approximately 225
feet upstream of the the existing water gate using material from an upland spoil pile containing material that was
previously removed from the canal when an existing fish ladder was installed, 2.) dewatering the blocked portion of the
canal, 3.) removing the existing water gate to obtain its correct specifications, 4.) installing a new water gate with the
same dimensions as the broken gate, and 5.) removing the temporary canal plug. The existing 48" culvert will remain.
The three existing canal gates to be replaced have the following dimensions: the part of the round gate that blocks water
from entering the 48" culvert is 54" in diameter (including the mounting hardware and tracks). The height of the tracks on
the gate is 72" above the round gate. The three proposed gate replacements should have approximately the same
dimensions as the existing gates.
The canal gate replacement adjacent to the broken canal gate in Bee Tree Canal will involve replacing the existing gate
with another gate with the same dimensions as the adjacent broken gate. The gate replacement in Moccasin Canal will
involve replacing an existing canal gate with a new canal gate of the same size, as well as replacing an existing culvert
with a culvert 30' long and 48" in diameter. After installation, water control of the canal will be reestablished to moderate
the lake level in accordance with the Lake Phelps Management Plan. Equipment that may be used for this project
includes a back -hoe, tractor, mini - excavator, and dump truck.
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments:
❑Yes [I No ED Unknown
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): N/A
Agency /Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑Yes No ❑Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary
WI ❑ P [IT
❑ Yes
® Corps
❑ No
❑ DWQ
W2 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
[]No
❑ DWQ
2g. Total wetland impacts
2h. Comments: Impacts to wetlands considered negligible due to temporary placement of canal plug and large hydrologic
influence of 16,600 acre Lake Phelps.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -104,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Fill - Gate&
Culvert
Moccasin Canal
® PER
❑ INT
® Corps
❑ DWQ
20
30
S2 ® P ❑ T
Fill - Gate
Bee Tree Canal
® PER
❑ INT
❑ Corps
❑ DWQ
25
<1
S3 ®P ❑ T
Fill - Gate
Bee Tree Canal
® PER
❑ INT
❑ Corps
❑ DWQ
25
<1
S4 []POT
Fill - Canal Plug
Bee Tree Canal
® PER
❑ INT
❑ Corps
❑ DWQ
25
3
S5 ❑ P [IT
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and
tributary impacts
35
3i. Comments: Impacts to canal due to installation of a canal plug will be temporary.
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number —
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody type
4e.
Area of impact (acres)
01 ❑P
02 ❑P
03 ❑P [IT
04 []POT
4E Total open water impacts
4g. Comments: Impacts to 16,600 -acre Lake Phelps negligible since current water flow through broken Bee Tree gate is
minimal.
S. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
R Total
5g. Comments: N/A
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ® Tar - Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
required?
B1 ❑P ❑T
❑Yes
❑ No
B2 ❑P ❑T
❑Yes
❑ No
B3 ❑P ❑T
❑Yes
❑ No
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Gate replacement will be same dimensions of existing broken gate.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Canal plug will be removed as soon as water gates are replaced. After installation, water control of the canals will be
reestablished to maintain the lake level in accordance with the Lake Phelps Management Plan.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
❑Payment to in -lieu fee program
project?
❑ Permlttee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: WA
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in4lou fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total: buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
N/A
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
❑Yes No
❑
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
<1 %
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Well below required threshold.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
N/A
❑ Phase 11
3b. Which of the following locally - implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HOW
4a. Which of the following state - implemented sommwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006 -246
® Other. N/A
4b. Has the approved StonTrwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal /state/local) funds or the
® Yes ❑ No
use of public (federal /state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered 'yes* to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Weiland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after - the -fact permit application?
❑ Yes ® No
2c. If you answered yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes* to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
WA.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Feld Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
GIS file of rare species occurrences and USFWS designated critical habitats provided by the NC Natural Heritage
Program.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Email correspondence with NOAA -DMF staff on 2/22/13.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
® Yes ❑ No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Previous consultations with the Office of State Archeology and SHPO associated with another nearby project within the
Park. The three canl gates that will be replaced will have approximately the same dimensions as the existing gates.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? GIS data provided by http: /twww.ncfloodmaps.com/
Amin Davis
i�
6/12/13
�- j NC DPR
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version

LEGEND
— Roads
Bee Tree Canal
2' LIDAR Elevation Contours
Park Boundaries
Structures
O Gates (2)
Spoil Pile
Ditch Plug
SOURCES: NCDOT, NCFMP, USGS
50 25 0 50
N Meters
A300 150 0
SCALE: 1" = 300'
�1
l I� �lcti'
1 �
EMEM /�
1 r► �'►�1 VA
Pit
• 1�1
4
o C�
SP -2: < 1 Foot
SP -3: < 1 Foot
ST -1: 3 Feet
FOTAL Temp: 3 Feet
FOTAL Perm: 2 Feet
SITE 2 IMPACTS
CANAL GATE REPLACEMENTS
PETTIGREW STATE PARK
3
FIGURE 3

DIVISION OF PARKS AND RECREATION
MEMORANDUM
TO: Tammy Dodd
FROM: Brian Strong
CC: Doug LeQuire
Amin Davis
June 5, 2013
SUBJECT: PETT Emergency Canal Gate Replacements - Request for Funds Transfer for
DWQ Water Quality Certification
Pettigrew State Park (PETT) is in need of a DWQ Water Quality Certification (WQC) for
impacts to canals associated with the replacement of two canal gates and installation of a
temporary ditch plug in Bee Tree Canal, and replacement of one canal gate and 48 inch culvert in
Moccasin Canal. After replacement of the canal gates and removal of the ditch plug, water
control of the canals will be reestablished to moderate the lake level in accordance with the Lake
Phelps Management Plan.
Please prepare a fund transfer form in the amount of $240 payable to the NC Division of Water
Quality to cover the administrative fee for the processing of this WQC request. The WQC is
required as part of a permit application that will be submitted to the US Army Corps of
Engineers for this project.

PETFIGREW STATE PARK: 13ee Tree canal Crate Re
Zkk
- VL--
It Alt d
+.
F �►
Photo 1: Canal gates needing replacement facing east (downstream). Photo 2: Canal facing west towards Lake Phelps (upstream).
Emersencv repair needed for broken sate on the right.
pip IN " '+ 1 ► + ;a. li t .i�+
Iii
rs'n
Photo 3: Canal and fish ladders facing east (downstream). Proposed Photo 4: Canal near Bee Tree Overlook and origin with Lake Phelps facing
canal plug —25 feet upstream (west) of this area. I west (upstream).

-- . . ,
JOURNAL ADJUSTMENT CODE SHEET Page 1 of 2
U t N K DOCUMENT ID: BATCH TOTAL: $ 240.00
ENTRY TYPE: BUDGET CODE: 14300
OURNAL VOUCHER E] APP CODE: m DEPOSIT NO
CASH TRANSFER TOTAL DEBITS: $ 240.00
BUDGET CREATION GL EFFECTIVE DATE: , TOTAL CREDITS: $
ENCUMBRANCE ADJ (current month)
COMMITMENT ADJ DATA TYPE CODE: ❑1 CLOSED PERIOD ADJUSTMENT
Line
coMPA
ACCOUNT
CENTER
AMOUNT
DR
CR
LINE
DESCRIPTION
A C
RULE
1
1601
535120
12802814
240.00
DR
401 Permit Pettigrew
JUSTIFICATION: 401 PERMIT FOR PETTIGREW STATE PARK
Prepared by:
CC: LARRY SUTTON & Original permit request being sent to appropriate DWQ staff Approved
INSTRUCTIONS: Preparer must complete the following: Type of Entry, Page,
Budget Code, Deposit No. (if applicable), Total Debits, Total Credits, Line
Number, Company, Account, Center, Amount, DR/CR, Prepared By, Date and
Justification. All forms must be reivewed and approved by authorized
individual in the preparer's division. Every line must be valid and funds must
be available Prior to submittina the entry to be keyed.
DENR OC2
Date: 6/11/13
1)ODD Date: 6/11/13
All validations are complete.
Entered by:
Date:
70
rev. 1 -1 -10

OSC -313
REFERENCE#999-
REQUEST FOR TRANSFER OF FUNDS BETWEEN
BUDGET CODES
DATE: 6/11/2013
Please transfer funds between the budget codes indicated below:
From: To:
Budget Code:
14300
24300
Amount:
$240.00
$240.00
Signature:
Controller, DENR

JOURNAL ADJUSTMENT CODE SHEET Page 2 of 2
U t N K DOCUMENT ID: BATCH TOTAL: $ 240.00
ENTRY TYPE: BUDGET CODE: 24300
OURNAL VOUCHER [:] APP CODE: m DEPOSIT NO.
CASH TRANSFER TOTAL DEBITS: $
BUDGET CREATION GL EFFECTIVE DATE: TOTAL CREDITS: $ 240.00
ENCUMBRANCE ADJ (current month)
COMMITMENT ADJ DATA TYPE CODE: ❑1 CLOSED PERIOD ADJUSTMENT
u #e
OMPA
ACCOUNT
CENTER
AMOUNT
CR
DESCRIPTION
RuE
1
1602
435100095
2341
240.00
CR
401 Permit Pets rew
JUSTIFICATION: 401 PERMIT FOR PETTIGREW STATE PARK
Prepared by: ,JZar Date: 6/11/13
CC: LARRY SUTTON & Original permit request being sent to appropriate DWQ staff Approved b nWPJY VOM Date: 6/11/13
INSTRUCTIONS: Preparer must complete the following: Type of Entry, Page,
Budget Code, Deposit No. (if applicable), Total Debits, Total Credits, Line
Number, Company, Account, Center, Amount, DR/CR, Prepared By, Date and
Justification. All forms must be reivewed and approved by authorized
individual in the preparer's division. Every line must be valid and funds must
be available prior to submitting the entry to be kkeved.
All validations are complete. a
Entered by:
Date:
DENR OC2 rev. 1 -1 -10