Dept of Army (29)

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 91S G1 y9.0 Z- County Guilford
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent Jen-y Forestieri
Address 2012 La Dora Court. High Point. North Carolina 27265-9511
Telephone No.
Size and Location of project (waterway, road name/number, town, etc.) Home building lot
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the undersigned permittee of the responsibility to obtain any other required Federal, State, or
local approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
By signature below, the permittee certifies an understanding and acceptance of all terms and
conditions of this permit.
Property Owner/Authorized Agent Signatur
Regulatory Project Manager Signature
Date August 11. 1995 Expiration
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
INU V Vl .
Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
NWP 26 Regional General Permit or Nationwide Permit Number.