TroutWS11-2017Form-Warwick

State of North Carolina
Department of Environmental Quality
Division of Water Resources

15A NCAC 02H .0506(b)(4) Water Quality Certification,
Notification of Work in Trout Watersheds
FORM: TroutWS 11-2017

Water Resources
Environmental Quality
Notification of Work in Trout Watersheds Form
A. Applicant Information
1. Processing
1a. Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1b. Has the NWP or GP number been verified by the Corps? Yes No
1c. Does the project meet all the Conditions of the applicable Water Quality
Certification Yes No
Please note that your project may be subject to the Sediment and Erosion Control Program and/or Trout Buffers
implemented by the Division of Energy, Mineral, and Land Resources. Find more info at:
https://deq.nc.gov/about/divisions/energy-mineral-land-resources/erosion-sediment-control
2. Project Information
2a. Name of project: Warwick Creek Bank Repair
2b. County: Haywood
2c. Nearest municipality / town: Waynesville
3. Owner Information
3a. Name(s) on Recorded Deed: Warwick, Tom, Kathy & Dennis
3b. Responsible Party (for LLC if
applicable):
3c. Street address: 22 Jenkins Rd
3d. City, state, zip: Waynesville, NC 28785
3e. Telephone no.: 8285088000
3f. Email address: [e-mail]
4. Agent/Consultant Information (if applicable)
4a. Name: N/A
4b. Business name
(if applicable):
4c. Telephone no.:
4d. Email address:
B. Project Information
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 8609-59-3464
1b. Site coordinates (in decimal degrees): Latitude: Longitude: -
(DD.DDDDDD) (-DD.DDDDDD)
2. Project Description
2a. Explain the purpose of the proposed project (continue on back):
Stabilize creek bank and protect soil around a utility pole.
2b. Describe the overall project in detail, including the type of equipment to be used:
Use a KX040 mini excavator to repair creek bank and help return the flow of water to its original path. Stabilize creek bank
soil and tamper banks to a genital 1:3 slope as much as possible. Once grading is complete we’ll seed the ground and lay
coir matting along the water line steaked down with oak stakes.
C.Stream Impacts: Please list all proposed impacts to the stream
1a. Stream Name: Cove Creek
1b.
Type of impact Average stream
width (linear feet)
Impact length
(linear feet)
Bank Stabilization - Sloping and Revegetating 10’ 60’
Bank Stabilization - Sloping and Riprap/Armoring
Bank Stabilization - Gabion Baskets / Retaining Wall
Culvert Installation Culvert Diameter: ______________
Temporary Impacts for required dewatering activities
Other (describe): ____________________________________________
1c. Comments:
Dennis Warwick
Owner/Agent's Printed Name
_______________________________
Owner/Agent's Signature
(Agent's signature is valid only if an authorization letter from the owner is
provided.)
02/14/2024
Date
For non-transportation projects send one (1) copy of the completed application to DWR:

If sending via US Postal Service: If sending via delivery service (UPS, FedEx, etc.):
NC DWR - 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
NC DWR - 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604

For transportation projects send one (1) copy of the completed application to DWR:

If sending via US Postal Service: If sending via delivery service (UPS, FedEx, etc.):
DWR - Transportation Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
DWR - Transportation Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604