20151138 Ver 1_More Info Received_20151112

Montalvo, Sheri A
From: Adam Carter <wetlandsolutionsnc @gmail.com>
Sent: Thursday, November 12, 2015 12:20 PM
To: Montalvo, Sheri A
Subject: Re: FW: Avery Pond Subdivision
Attachments: Signed Agent Auth Letterll_9_2015.pdf, Pgl PCN NW29.pdf
Hi Sheri,
Attached is the signed Agent Authorization letter that you requested and the first page of the NW29 PCN
denoted.
Thank you,
Adam
On Thu, Nov 12, 2015, 13:15 Montalvo, Sheri A <sheri.montalvogncdenr.gov> wrote:
Adam,
Just following up on my prior email as this project is still on hold awaiting the agent auth and the NW number
to be used.
Thanks
Sheri
From: Montalvo, Sheri A
Sent: Tuesday, November 03, 2015 11:53 AM
To: [e-mail]
Subject: Avery Pond Subdivision
Importance: High
Adam,
We have received the PCN and fee for the above referenced project. With your name on the signature page we
require an agent authorization form to filled out and I have attached one for your use that you can email back
to me once completed. Also, which nationwide number is this application applying for? None was listed on the
PCN. Once these two items have been addressed I can take this application off hold and forward it through the
review process.

Thanks
,Sher% MowtaLvo
401 & Buffer Permitting Unit - Administrative Assistant
Department of Water Resources
Division of Environmental Quality
919 - 807 -6303 (office)
sheri.montalvo(i�ncdenr.gov
512 N. Salisbury St., Ste 942 -G1, Raleigh, NC 27604
1617 Mail Serive Center
Raleigh, NC 27699 -1617
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Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
1 -' ' ^..
Pre- Construction Notification (PCN) Formifil NOV __ 15
1 2 2015
A. Applicant Information LENR WATER RESOURCES
1. Processing
1 a. Type(s) of approval sought from the Corps:
Section 404 Permit Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number.
1 c. Has the NWP or GP number been verified by the Corps?
_X yes No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
401 Water Quality Certification — Regular Non -404 Jurisdictional General Permit
X 401 Water Quality Certification — Express Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
Yes X No
For the record only for Corps Permit:
Yes X 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.
X Yes No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
Yes X No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes X No
2. Project Information
2a. Name of project:
Avery Pond Subdivision
2b. County:
Harnett
2c. Nearest municipality / town:
Chalybeate Springs, Address Chalybeate Springs Rd
2d. Subdivision name:
Andrews Farm Subdivision
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Joseph Fuman Andrew. Jr
3b. Deed Book and Page No.
deed 02109 pg 0576
3c. Responsible Party (for LLC if
applicable):
Little Cross, LLC Attn: Hugh Surles
g
3d. Street address:
126 Brandon Dr,
3e. City, state, zip:
Lillington, NC 27546
3f. Telephone no.:
919 - 552 -2884
3g. Fax no.: