20080235 Ver 1_Application_20080204

eoSci~~~~
~~~~~~9 ~a ° o
"Practical Engineering &
Environmental Solutions"
January 30, 2008 2050 Northpoint Drive • Suite A •Winston-Salem, NC 27106
Phone: [phone] • Fax: [phone]
Mr. John Thomas e-mail: [e-mail]
Raleigh Regulatory Field Office
US Army Corps of Engineers
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
Telephone [phone]
Mr. Steve Tedder
Water Quality Regional Supervisor
Winston-Salem Regional Office NCDENR
585 Waughtown Street
Winston-Salem, North Carolina 27107
Telephone [phone]
RE: After-the-Fact Water Quality Certification
Cameron Village Phase 2, Clemmons, NC
Eagle Developing Company
4001-G Country Club Road
Winston-Salem, NC 27104
Dear Mr. Thomas and Mr. Tedder:
R[C~7'.'N-~
y~ -
JAN 3 1 2008
Regional p{{Ce
48'0235
~,
~~wui nom......
FEB 4 2.0?8
DENR - WAr~R wUkUT'~
WETLANDS AND STORUIWATER BtL1NCH
On behalf of Robert Wooten of Eagle Developing Company (Eagle), Geoscience & Technology,
P.A. (GeoSci) is pleased to submit the enclosed Preconstruction Notification Form (PCN) for an
After-the Fact Water Quality Certification for construction of culvert under a street (Cameron
Court), a residential development on the southeast side of Peacehaven Road in Clemmons, NC. The
following text contains additional information concerning the proposed project. Where the
information pertains to specific items in the PCN, the PCN section numbers are referenced.
Authorization for GeoSci to act as Mr. Wooten's agent is attached.
Back rg ound
In August 2005, Mr. Wooten contracted GeoSci to evaluate a drainage area adjacent to the northeast
corner of Cameron Village prior to possible impacts to surface water from proposed development.
Based on the NC Division of Water Quality's (DWQ) Stream Classification form that was in use
at that time, it was GeoSci's opinion that the surface water in this drainage valley classified below
the `intermittent' threshold of 19 points. That is, the observed conditions within the surface water
channel did not meet the criteria for an intermittent stream. The USGS topographic map does not
indicate surface water of any kind in this drainage. At the time of GeoSci's evaluation, August 30,
2005, the surface water within the drainage and within the boundaries of Eagle's property was
discontinuous; that is, within the approximately 150 linear feet (LF) of channel area, the linear
footage of surface water totaled approximately 100 LF. A small wetland, 3,207 ft~ or 0.0074 acres,
at the distal end of the drainage that was created by emplacement of fill in the adjacent mobile home
park was also impacted by the development. Based on our evaluation and the development plans in

2005, it was GeoSci's opinion that the proposed impacts were below the permitting threshold of
150 LF for stream impacts and 0.1 acres of wetland. Therefore, Section 404 and Section 401
permits were not applied for.
In June 2007 your office issued a Notice of Violation (NOV). Eagle seeks after-the-fact 404 and
401 Water Quality Certification and a permit for the installation of 147 LF of concrete conduit in
the intemuttent stream.
Stream and wetland impacts are stated in the PCN forms and indicated on the Sheet 2 (S2, DWQ;
S2 & S3, ACOE) ,which is an `as-built' drawing. The impacts are in proximity to the intersection
of Cameron Chase and Cameron Court. The surrounding area is primarily residential property with
some remaining farmland and wooded areas.
It appears that Nationwide Permit # 29 (GC3705) may apply to this project. Based on GeoSci's
analysis, it appears that the project is within the thresholds and criteria for this permit.
Hydrologic Conditions
Surface Water and Wetland
The drainage valley on the subject property does not contain a solid or dashed blue line, according
to the USGS "Winston-Salem West" and "Clemmons" 7.5-minute topographic quadrangle
maps. A portion of the USGS map is included on the drawing cover sheet (DWQ and Figure 1
(ALOE), Muddy Creek is the nearest downstream named tributary located approximately 1,500 feet
east of the subject property. Muddy Creek is a Class `C' water (index #12-94-0.5) according to the
NC Division of Water Quality (DWQ) basinwide stream classifications available on DWQ website
as of the date of this application.
As noted above, the drainage valley on the subject property contained approximately 100 LF of
defined stream channel with an average width of 2.5 feet. The entire length of the drainage valley on
the subject property was approximately 233 LF including approximately 84-feet of wetland. The
valley terminates against fill with a drain file that was apparently placed when the adjacent mobile
home park was built many years ago. This wetland was evaluated by GeoSci prior to the original
development of Cameron Village and was determined to be approximately 0.074 acres. The extent
of the wetland is indicated on Sheet 1 (S 1).
Project Description (PCN §III.101
Construction details are indicated on Sheet 1. The project consists of:
1) Clearing, grading and filling for the development of 18 residential building lots and
erosion/stormwater controls.
2) Placement of 147 LF of 36-inch concrete pipe (RCP) in the intermittent stream in order to fill
that area for a road base.
3) Existing wetland was excavated to construct two temporary sedimentation basins and aflared-
end-section at the discharge of the 36-inch RCP. The sediment ponds may become permanent
stormwater controls or revert to wetland status.
Wetlands Impacts (§VI.1)
The wetland impacts are confined to the wetland on the subject property. These impacts are the
result of the construction of the sediment basins described above and on S2 (DWQ, ACOE) and S3
(ACOE). Silt fences were installed on the southern subject property boundary to prevent incidental
impact on the adjacent property. Based on the as-built topography at the discharge of the
intermittent stream, it appears that the hydrology and topography is relatively the same as prior to
the impacts. Therefore, it is GeoSci's opinion that wetland status will be restored over time.

Stream Impacts (§VL4)
As indicated above, the impact to the intermittent stream is limited to the 147 LF of RCP and
incidental impacts caused by grading and excavation equipment.
Impact Justification (Avoidance and MinimizationZ„~VII:
The impacts of the sediment basins and the flared-end-section are limited to the 0.074 acres of
wetland on the subject site. Since the hydrology that created the wetland originally appears to be
intact, it is likely that the wetland will be restored over time. The original plans for this phase of the
development were to pipe the intermittent stream for its entire length, ending in the existing intake
on the adjacent property. The stream impact was reduced to 147 LF from approximately 208 LF
and the wetland area is relatively intact, except for the pre-existing vegetation. The impact to the
stream could not be avoided if the area north of the valley was to be included in the development.
The original and one (1) copy of this application are enclosed for the Corps of Engineers. Five (7)
copies are enclosed for the Division of Water Quality. A check made payable to the NC Division of
Water Quality for the application fee of $240.00 is attached to the cover page of one copy of the
application sent to the NC DWQ. Please let me know if you have any questions or require further
information with regards to this application.
With best regards,
GEOS~1*AjCE AND TECHNOLOGY, P.A.
~:~
~~
5~~,~
Carl vo enbur , ~ t-~~~
Senior Civil Engineer ~ ~ c~~ ~
Kg `d`` e~3 PF~~~dF ~k,' C.
~d~ ~"~
enclosures: PCN forms ~4g~ ~(;~~,~
Original and one (Y~copy to John Thomas, COE
Five (5) copies to Steve Tedder, DWQ
attachments: Authorization Letter from Eagle Developing to GeoSci
Check for $240.00 application fee attached to one copy sent to NC DWQ

Letter from Eagle Authorizing GeoSci as Agent

Eagle Developing, Inc
4001-G Country Club Rd.
W-S, NC 27104
Tel [phone] Fax [phone]
Attn: Peter DeVries
Eagle Developing does hereby appoint Geoscience & Technology, P. A. as our acting
agent in the case of the after the fact permit for the strean culvert at Cameron Village.
~-
Robert Wooten

PCN Application Forms

~l•
Office Use Only: Form Version March OS
oa-0235
USACE Action ID No. DWQ No.
(lt any particutar item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing ~
1. Check all of the approval(s) requested for this project: ~`'~'
X^ Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
~ 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 29 (GC37o5)
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), c e k e e:
~ _ ~~
II. Applicant Information D
FEB 4 2008
1. Owner/Applicant Information
Name: Eagle Developing Company DENF2 - WATER CIUALJIY
Maillrig Address: 4001-G Country Club Rd. Winston-Salem, NC 27104 ~T '
Telephone Number: 336.768.5432 Fax Number: 336.768.6730
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name; Carl von Isenburg, P.E.
Company Affiliation: Geoscience & Technology, P.A.
Mailing Address: 2050 Northpoinr Dr.
Winston-Salem, NC 27106
Telephone Number: 336.896.1300 Fax Number: 336.896.1020
E-mail Address: [e-mail]
Page 5 of 12

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps maybe included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Cameron Village Subdivision Phase II
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): Forsyth County Tax Block 4233 Lot 407D
4. Location
County: Forsyth Nearest Town: Clemmons
Subdivision name (include phase/lot number): Cameron Village Subdivision Phase II
Directions to site (include road numbers/names, landmarks, etc.):
The site is located on the southeast side of Peacehaven Road, approximately 0.8 miles northeast of the
intersection of Peacehaven Road (SR 1891) and Lewisville-Clemmons Road (SR 1103).
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.osoo °N 80.3731 °W
6. Property size (acres): 5.4
7. Name of nearest receiving body of water: Muddy Creek
8. River Basin: Yadkin
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this annlication:
The property is graded and is prepared for residential development and is adjacent to a multi phase residential
development and an older mobile-borne community. The surrou~uling area is primarily residential with some
agricultural land.
Page 6 of 12

10. Describe the overall proiect in detail, including the type of equipment to be used:
Applicant has installed 147' of 36-inch Class IV RCP culvert in the existing intermittent stream discharging to a
temporary sediment trap. Typical excavation equipment, such as trackhoes, backhoes, and bulldozers was used.
11. Explain the purpose of the proposed work:
The purpose of the project is fill the stream valley to provide roadway access to lots at the north end of the
subdivision.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
To our knowledge, no jurisdictional determinations and/or permits have been requested and/or obtained for this
project.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated for this project.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach -a separate sheet.
1. Provide a written descrintion of the nronosed imnacts:
The wetland was impacted by excavation, grading and the installation of two temporary sediment cotnrol basins.
Existing vegetation was removed during this process; however, the hydrology of the area has not changed and the area
will probably revert to wetland status over time. The impact to the intermittent stream consists of installation of 147 LF
of 36-inch RCP culvert in order to fill the area for the roadway.
Page 7 of 12

2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)
001 Excavation, fill, grading Forested No 1500 0.074

Total Wetland Impact (acres) 0.074
3. List the total acreage (estimated) of all existing wetlands on the property: 0.074 (see text)
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acres e, multi 1 len h X width, then divide b 43,560.
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Im act Impact
Length
linear feet Area of
Impact
acres
002 UT to Muddy Creek Culvert Intermittent 2.5 feet 147 0.0084

Total Stream Impact (by length and acreage) 147 0.0084
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dyed 'n , floodin ,drains e, bulkheads, etc.
Open Water Impact

Site Number
indicate on ma
Name of Waterbody
(if applicable)

Type of Impact Type of Waterbody

(lake, pond, estuary, sound, bay,
ocean, etc. Area of

Impact
acres
No open water impacts

Total Open Water Impact (acres) 0.0
Page8of12

6. List the cumulative im act to all Waters of the U.S. resultin from the ro'ect:
Stream Im act (acres): 0.0084
Wetland Irri act (acres): 0.074
O en Water Im act (acres): o.o
Total Im act to Waters of the U.S. (acres) O.os2
Total Stream Impact (linear feet): 147
7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ©No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): lva
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): NA
Current land use in the vicinity of the pond: lvA
Size of watershed draining to pond:lvA Expected pond surface area: lvA
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It maybe useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Development of the the residential lots was not economically feasible unless the stream valley was filled and piped in
order to provide access to lots at the north end of the project. The existing wetland, which has been impacted by
grading operations should revert to a wetland as viable as the pre-existing one. See text for more explanation.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
httn://h2o.enr.state. nc.us/ncwetlands/strm~ide. html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Based on the apparent total wetland impact of less than 0.1-acres and less than 1 SO GF of stream impacts,
mitigation is not proposed.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): None
Amount of buffer mitigation requested (square feet): None
Amount of Riparian wetland mitigation requested (acres): None
Amount ofNon-riparian wetland mitigation requested (acres): None
Amount of Coastal wetland mitigation requested (acres): None
Page 10 of 12

IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federaUstate) land? Yes ^ No X^
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No ^
If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No Q
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* I ~n^ImpaotQ4` I Multiplier I Required
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. None proposed
Page 11 of 12

XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
Total site acreage is 5.4. Existing impervious area is zero. Proposed impervious area is approximately 1.1 acres or
20.4%. Impervious acres includes paved roadways, estmated driveways for 16 lots, and estimated housing footrints for
16 lots. Two of the proposed 18 lots will probably not be developable. There are two temporary sediment basins at the
southern property line (see Sheet 2), which will become permanent Stormwater detention ponds.
XII. Sewage Disposal (required by DWQ)
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.
Wastewater disposal will be provided by Town of Clemmons to the local POTW.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No ~
Is this an after-the-fact permit application? Yes Q No ^
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
httu://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
The proposed project will encompass the entire tract; therefore, there is no room for additional development.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
~~
,.~- (~Sc* h~ivirJ~ o l~~S 7
-~i~plic nt/ ge 's Signature Date
(Agettt's,~ignature s valid only if an authorization letter from the applicant is provided.)
Page 12 of 12