19860009 Ver 1_COMPLETE FILE_19860818

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pw.
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611 -- 3
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary September 16, 1986 Director
Mr. Richard Lenhart, Agent for
B.H.I. 97
2915 Baltic Avenue
Greensboro, NC 27406
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Culvert in Stream
B.H.I. 97
Unnamed Tributary to South Buffalo
Creek
Guilford County
Dear Mr. Lenhart:
Attached hereto are two (2) copies of Certification No. 1972
issued to B.H.I. 97 dated September 16, 1986.
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
Original Sim 9y
William C. Mills
fM'
R. Paul Wilms
cc: Wilmington District Corps of Engineers
Winston-Salem Regional Office
Mr. William Mills
Mr. Bob Duff
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Eaual Oonortunity Affirmative Action Employer
A
NORTH CAROLINA
Guilford County
CERTIFICATION
THIS CERTIFICATION is issued in conformity with the requirements of
Section 401 Public Laws 92-500 and 95-217 of the United States and
subject to the North Carolina Division of Environmental Management
Regulations in 15 NCAC 2H, Section .0500 to B.H.I. 97 pursuant to an
application filed on the 18th day of August, 1986 to place a culvert in
a stream and relocate a portion of existing channel to facilitate
construction of an office park.
The Application provides adequate assurance that the discharge of
fill material into a wetlands area adjacent to the waters of a tributary
to South Buffalo Creek in conjunction with the proposed office park in
Guilford County will not result in a violation of applicable Water
Quality Standards and discharge guidelines. Therefore, the State of
North Carolina certifies that this activity will not violate Sections
301, 302, 303, 306, 307 of PL 92-500 and PL 95-217 if conducted in
accordance with the application and conditions hereinafter set forth.
Condition(s) of Certification:
1. That the activity be conducted in such a manner
as to prevent significant increase in turbidity
outside the area of construction or construction-
related discharge (increases such that the
turbidity in the Stream is 50 NTU's or less
are not considered significant).
2. That appropriate sedimentation and erosion control
measures be implemented to minimize siltation and
turbidity from the project.
Violations of any condition herein set forth shall result in
revocation of this Certification.
This Certification shall become null and void unless the above
conditions are made conditions of the Federal Permit.
This the 16th day of September, 1986.
DIVISION OF ENVIRONMENTAL MANAGEMENT
Original Signed By
William C. Wis
For R. Paul Wilms, Director
WQC# 1972

a
?a STAre a
Man ?.
paw
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611 -
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary September 16, 1986 Director
Mr. Richard Lenhart, Agent for
B.H.I. 97
2915 Baltic Avenue
Greensboro, NC 27406
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Culvert in Stream
B.H.I. 97
Unnamed Tributary to South Buffalo
Creek
Guilford County
Dear Mr. Lenhart:
Attached hereto are two (2) copies of Certification No. 1972
issued to B.H.I. 97 dated September 16, 1986.
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
Original Signed By
William C. Mine
For
R. Paul Wilms
cc: Wilmington District Corps of Engineers
Winston-Salem Regional Office
Mr. William Mills
Mr. Bob Duff
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
a
NORTH CAROLINA
Guilford County
CERTIFICATION
THIS CERTIFICATION is issued in conformity with the requirements of
Section 401 Public Laws 92-500 and 95-217 of the United States and
subject to the North Carolina Division of Environmental Management
Regulations in 15 NCAC 2H, Section .0500 to B.H.I. 97 pursuant to an
application filed on the 18th day of August, 1986 to place a culvert in
a stream and relocate a portion of existing channel to facilitate
construction of an office park.
The Application provides adequate assurance that the discharge of
fill material into a wetlands area adjacent to the waters of a tributary
to South Buffalo Creek in conjunction with the proposed office park in
Guilford County will not result in a violation of applicable Water
Quality Standards and discharge guidelines. Therefore, the State of
North Carolina certifies that this activity will not violate Sections
301, 302, 303, 306, 307 of PL 92-500 and PL 95-217 if conducted in
accordance with the application and conditions hereinafter set forth.
Condition(s) of Certification:
1. That the activity be conducted in such a manner
as to prevent significant increase in turbidity
outside the area of construction or construction-
related discharge (increases such that the
turbidity in the Stream is 50 NTU's or less
are not considered significant).
2. That appropriate sedimentation and erosion control
measures be implemented to minimize siltation and
turbidity from the project.
Violations of any condition herein set forth shall result in
revocation of this Certification.
This Certification shall become null and void unless the above
conditions are made conditions of the Federal Permit.
This the 16th day of September, 1986.
DIVISION OF ENVIRONMENTAL MANAGEMENT
Original Signed ay
William C. Mills
For R. Paul Wilms, Director
WQC# 1972

_ l
Ri: ?' h rd Lenhart Associ .tes D`° " °'? ukanft ? C „ re Supe ^'uan
2915 Baltic Avenue Greensboro, North Carolina 27406
Telephone: J919) 275-9464
August 12, 1986
.Mr. William Mills
Water Quality Section Division of Environmental Management
North Carolina Department of Natural Resource and Community Development
P.O. Box 27687
Raleigh, North Carolina 27611-7687
Dear Mr Mills;
At the requist of Mr. Hugh Heine of the Department of the Army, Wilmington
District, Corps of Engineers, we are sending you two copies of our application
for permit to excavate and/or fill within the head waters of South Buffalo
Creek, Greensboro, North Carolina.
This work would be on two un-named tributaries to South Buffalo Creek
located near the corner of Interstate 85 and Holden Road as shown on
the enclosed drawing.
WE trust the enclosed application and attached drawing will be satisfactory
and a permit will be forthcomming.
Should you have any queations, please call me at telephone [phone].

C1
O4Sce ly
L ar
E I V
AUG 1 8 1a' V
WATER Q!IJAUTY SECTION
OPER.AtIONS

APPLICATION
FOR
PERMIT TO EXCAVATE ANDIOR FILL WATER QUALITY CERTIFICATION
EASEMENT IN LANDS COVERED 3V WATER LAMA PERMIT FOR MAJOR DEVELOPMENT
DOMINION" of Admia thw State of North ca"11" Dyarttttent of 1114, Array
(45 146,121 pwan"I of "A is Itionaraatand CentIetw Sr Devotwteene I'4, *( ??;?? 011111111111i"
(e
PNaet type at print and fill in ail blanks. If infarrrsatie'" Is not &PO'cable, so indicate by piacirq NIA in blattk.
L Apptktant Information
A. Nines
Last First Middle
B. Address 2915 Baltic Avenue
Street, P O Box ne Route
Greensboro N.C. 27406 919-275-9464
Citv -)r Town State Zip Code Phone
IL Location *(Proposed Protect.
A. County Guilford
A 1. City, town, community or landmark Greensboro
2. Is proposed work within utv limits? Yes _ No
C. Creek, river, sound or bay upon which project is located of newest named body at water to project
Unnamed Tributary to South Buffalo Creek
UL Ooscription of Proiect
New work
2 X
A. 1. Maintenance of existing project .
L Purpose of excavation or till
1. Access channel length -width depth
2. Boat basin length width depth
3. Fill area length 820 width 10 i depth 6"
4. Other length _ width depth
C. 1. Bulkhead length N/A Average distance waterward of MHW (shcreiine)
2. Type of bulkhead construction fmatenai)
D. Excavated material (total for project)
1. Cubic yards l R?fl 2. Type of material C1 av
E. Fill material to be ol.ced below MHW (see also VI A)
1. Cubic yards 2. Type of material
IV. Land Type, Disposal Area, and Construction Equipment
A. Does the area to be excavated tnclude any marshland, swamps or other wetland' Yes No X
11. Goes the discinul area include anv marshland, swamps or other wetland' Yes No
G Disposal Area
1. Location
2. Do you claim title to disoasal area'
D. Fill mitertal vtuti a of fill is to be trucked to On a6, t material to be used
E. How will ext avated material be entrapped and troucin t.onirolled'
F. Type of equipment itt he used Front end loaders, self-propelled pans and roalers.
G. Will marshland he crnswd in transporting equipment to project site' II yes, explain IM
DAF41
RAW. IW7t

Y. Il oubd unte of fh eituet Awe (OMM2 01
ALP,iv
3. How ft Ow.lotrrMwe or lwdulill
Otthr
4.
L I. Lot clads) N/A
Z ELwdon or loth) Mow ocean 1140 vat:
3. Soil two and W w"
4. Type of building facilities or strw:ures
S. Sewap ditoosal and/or waste water treatment A. Exisam Maned
it. Describe
IL Land Clasuftcation (arde enei DEVELOP'D TRANti rlfJN k:. COMMUNITY RURAL
CONSERVATION OTMtR ?. (SeeCAMA Local Land UaPlan Synowh)
VI. 1'artiining to Fill and water pwnty N/A
A. Don the orooosed ornlect :r valve the placement of fill owatertats hetow -eltt 'ttgh water? Yes.ma
L 1. Will any runoff or discharge enter adjacent waters as a result of orwect activity of planned uw of the
area following oratect cornobtion; Yes-No
2. Type of diachuae .?
3. Location of diwhartfe
VIL PtemM rase of shoreline erWon lif known): N/A
VUL Ust pwmk numbers and isew dates of orevious Department of Array Cerpt of Enoneers or State pwnw a for N/A
tta k in preiecs area, if applicable:
13L La vo of title reouired to cowofets pow t: 30 days
X. M adddew to the comoiered aeoiicatlon first, die followiwtt item wme be osewidg?d:
A. Attach a coot' of the deed (with State aoplication only) or other instrument under which ao*tcantt
daitws title to the affected of cowty. OR It avoicant b not claiming to be the owfm of said property,
Own forward a cony of the deed of 0~ instfum"t under which the owner clauns title Out written
permission from the owner to carry out the oroiect on his land.
L Attach an accurate wwk plat drawn to scale on 8'h X 1 t" white pacer (sm instruction booklet for
details). Note: Original drawings preferred • only h.gh quality copies dcceoted.
C, A cony of the atiohuuon and plat must be served uoon adiscant rtoartan landowners by teWstered at
mlified mail or by outlicattnn (G.S. 111229 (d))Enter date served
0. List names and comolete addresses of the rtoartan landowners with oreowty adloitwng applicant's.
Such owners have 30 days to which to submit comments to accedes listed bellow.
u?„e Reel American 335 Church Street Greensboro. N.C. 27401
XL Cttrtifttatien revuiren.ent: I certify that to the hest of rly knowledge, the proomed activity compttes
with the State of North Caroltnats approved coastal management prostram and will be conducted -n a
Manner consistent with such orogram.
XIL
Any permit issued pursuant to this aoolteatinn will allow only the devdooment described to this appli
cation and plat. Acolicants should therefore describe in the aoolicatton and plat all anticipated dev
opwtent activities, including construc:ion, excavation, rMins..aodland cisarint. „ /'
DATE July 17. 1986
D&F42 SEE REVERSE SIDE FOR MAIL164G IMSTRUCTIOIVS

PLEASE BE SURE THAT: - 006 coops an rlattw *-N/
-.42 tolwks are taw In
- You haw siWud bolt =Via
H vow bar any questions O'.nw di yaw ftawd f1sw eiNIN
Mail gas copy to:
District Engineer
Wilmington District Caps of Engineers
P. O. sox 1890
Wilmington, N. C 23402
(Note. attach Corps transmittal iette•. t
Phone: [phone]
AND
Mail owe copy to Your regiona. field office •s indicated on tre mao below
From north side of Partdke Riwr is Seale Ow.
Washington Regional Off lice
Department of Natural Romreot and Comwwtwity Onakpowo
y 1302 North Market Sweet
Washington, N. C. 27»9
Phone [phone]
F•nm soutle side of Pamlico River to ?enderl0ngwr Cou ply &w:
0,vnton of Marine Fisheries
iep•rtnsent of Natural Resources and Cowswssanity'Devdopw,M
P n. Boa 759
titgref%ead Citv, N C. 29557
Phone 919172b•7021
- -f_o?-Pender. New Ha"ve*-And Brun%wick tounttet -- -- - --
Wilmington Regional Office
Department of Natural RevvIrtrt and Co-mumty DriPMooment.
Ail* ?.`t- 19 8

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APPLICATION
FOR
PERMIT TO EXCAVATE ANO/OR FILL WATER OUALITY CERTIFICATION
EASEMENT IN LANDS COVERED 3Y MATER CAMA PERMIT FOR MAJOR DEVELOPMEM
ospteds am of AdoiniUratloe Snit Of film" ea/NMsa peparttri En l ttw Anwar
(GS 1464121 (cDeperara s ilof Naa 1turlad ftwunlltet and co i utolt c taco"." (33 cflt 209.3 0-3291 abo" otiditt
Please type a taint and fill in all blankL If infornution Is not applicable, 10 indicate by placYq N/A in blank.
Applicant Information
A. Nauss Middle
Last First
B. Address 2915 Baltic Avenue
Street, P O. Box or Route
Greensboro N.C. 27406 919-275-9464
Litv,)r Town State Zip Code Phone
IL Location of Proposed Protect:
A. County Guilford
IL 1. City, town, community or landmark Greensboro
2. Is proposed work within city limits? Yes-NO
C. Creek, river. wand or bay upon which protect is located or nearest named body of water to project
Unnamed Tributary to South Buffalo Creek
IIL Description of Project
A. 1. Maintenance of existing project 2. New work X
9. Purpose of excavation or fill
1. Access channel length_width depth
2. Boat basin length-width depth
3. Fill area length $? 201width 10' depth 6"'
4. Other length width depth
C. 1. Bulkhead length NA ? Average distance waterward of MHW (shcroune)
2. Type of bulkhead construction (material)
0. Excavated material (total for protect)
1. Cubic yards 189.0 2. Type of material C1aY
E. Fill material to be placed below MHW (see also VI A)
1. Cubic yards 2. Tyoe of raterial
IV. Laid Type, Disposal Area, and Construction Equipment
A. Does the area to be excavated include any marshland, swamps or other wetland' Yes No X
S. Does the dispnwl area include any marshland. swamps or other wetland' Yes No
C. Disposal Area
1. Location
2, Do you claim title to disposal area'
0. Fill material siNACe if fill is to be trucked in On Gi tP matPri al n he Lsed
E. How will cxuvawd material be enti4ooed and erosinn contriilled'
F. Type of equioment it) he used Front end loaders, self-propelled pans and roalers.
G. Will marshland he crossed in transporting equipment to protect site' if Yes, explain *W
D&F41
It". 10/78
.II.

Y. rsl m" Ut,e at Pmfi t Apo Mncfte)
A. L trbaet_?.? -
-
2 Caffig"rcisl VV
3. MoninB OweiGeRwtt er lrsdttstrisl
Oths? - -
4.
L I. Lot siarisl N/A
2. KWWWW of IWO above mm hislh w"
3. Soil type MW tsxwm
4. Type of building faeiltttes or strt tyres
S. Sewage disposal and/or waste water treatment A. Existing Planned
B. Desaibe -
6. Land Clasufieatton (etrcle one) OEVELOf D TRA84?s tl#JN k:. COMMUNITY RURAL
CONSERVATION OTHLA ?. (See CAMA Local Land Use Plan Synoosis)
VL hRain4% to Fill and Water Quality N/A
A. Does the prooosed orntect :rwolve the olaeern.rnt of fill materiab helow r"errt !+,Zh ,rater? Y:s.No
L 1. Will any runoff or discharge enter aducent water as a result W oromet activity or planned ust of the
area following protect comaittion-I yes-ma
2. Type of discharge
3. Loatton of discharge
VII. Pbeetst raw of shoreline erosion lif knarn): N/A
VUL Litt pwmk numben and issue dates of previous Department of Army Cnrfss of Enprtsers or State parts a for N/A
vowk In project area, if applicable:
13L Lttegdt of d ow mquked to comofete a -i- t: 30 days
X In adtdWw to fife co- to' wd amMieation farm, Ilse faile ring itswte wag be a wiled:
A. Attach a coot' of the dead (wkh Stets sookabon oniy) or other instrument undo which aoplwAnt
Gkiews title to the affected pi cowty. OR If aoolicant Is not claiming to be the owner of sad property,
than forward a cony of the deed at other instrument under which the owner claims title plus written
permission from the owner to carry out the D"kict on his land.
L Attach an accurate work alai drawn to scale on 81/3 X 11" whits parser (see inuructton booklet for
details). Note: Original drawings preferred • only h.tih Quality copses acceoted.
C. A copy of the apolvcatton and plat must be served uoon adiacent r,oartan la Wowews by tegtstered of
certified mail or by outhcatton (G.S. 111229 (d))Enter date served
0. List names and cemolete addresses of the r,oartan landowners with orooerty adjoining atsol,cant's.
Such owners have 30 davs in which to submit comments to aeencta listed briar.
R1 „P RP11 Am r; can 335 Church Street Greensboro, N.C. 27401
XL Colification requirement: I certify that to Ilse best of my knowledge, the proooscd activity compiles
with the State of North Camltnah approved coastal management propam and will be conducted in a
nt mvw consistent with such program.
XIL Any permit issued purstunt to this aoolscatinn Will allow only the develooment described to this appli
cation and plat. Aoolicants should therefore describe in the aoolication and plat all anticipated devyoptsent activities, including construction, excavation, filli ji-an4 jand clearing, ' ?-_ ,
DATE July 17. 1986
SEE REVERSE SIDE FOR MAILING INSTRUCTIONS

PLEASE BE SURE THAT: - Bode mew an c0
n4yr
- M blanks are f111sd In
- You haw MVW body wpin
if you bare any atustlard PI-no cWt yew
Mail 2w copy to:
District Engineer
Wilmington Oistrict Corps of Engineers
P. O. Box 1890
Wilmington, N. C. 28402
(Note: attach Corps transmittal fettr. t
Phone: [phone]
AND
Mail o0e Copy to Your regiona. field offices indicated on We reap beiov.:
- e?s+ea St0.?
From north rids of Pandke Rhwr is Sao aw.
eetrne z Washington Regior.W OHbe
Department of Natural Resorrmu and CastawrAty Dwtaiieptwat#
., 1502 North Market Street
Washington, N. C. 27M
Phone [phone]
"lot
` i
C?
F•nm souto% side of Pamlico River to PetWw/OqWgwCoaoll
0:viston -if Marine Fisheries y ?•
roilQ/rtmMt Of Natural Resouret s and Cowtnsunity DereiOpown
P 0. Bas 759
Mgrehead City. N C. 28557
Phone 9 a 9/72b• 7021
>tiaKr?cst ,
FW Fender. New-Hanover ind 8runsrrick Counties-
Wiimington Regional Office
Department of Natural Resnurrs-~ and Co?nmuntty Develnpment•
ui 198 CIC>
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DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
August 19, 1986
IN REPLY REFER TO
Regulatory Branch
SUBJECT: File No. SAWC086-N-041-0499
i 2 i 1986
Mr. William Mills
Water Quality Section ?;, 3T T'/ SECTION
Division of Environmental Management ?,t,?? F,T? LI ?SECT
North Carolina Department of Natural
Resources and Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Dear Mr. Mills:
Enclosed is the application of Mr. Richard Lenhart Agent for a
Department of the Army permit and State Water Quality
Certification to place fill material within the headwaters and/or
adjacent wetlands of an unnamed tributary to South Buffalo Creek
in Greensboro, Guilford County, North Carolina. Your receipt of
this letter verifies your acceptance of a valid request for
certification in accordance with Section 325.2(b)(ii) of our
administrative regulations. We will not announce this proposal by
public notice; therefore, there will not be an opportunity for
coordinated advertisement.
We are considering authorization of the proposed activity
pursuant to Section 404 of the Clean Water Act, and we have
determined that a water quality certification may be required
under the provisions of Section 401 of the same law. A Department
of the Army permit will not be granted until the certification has
been obtained or waived.
In accordance with our administrative regulations, 60 days
after receipt of a request for certification is considered a
reasonable time for State action. Therefore, if your office has
not acted on the request by October 12, 1986, the District
Engineer will deem that waiver has occurred.
Questions or comments may be addressed to Mr. Hugh Heine,
telephone [phone].
Sincerely,
Char s W. Ho lis
hief, Regulatory Branch
Enclosure
-2-
Copy Furnished:
Mr. John Parker
Division of Coastal Management
North Carolina Department of Natural
Resources and Community Development
Post Office Box 27687
Raleigh, North Carolina 2761'1-7687
„?• APPLICATION
FOR
PERMIT TO EXCAVATE ANO/OR FILL WATER QUALITY CERTIFICATION
EASEMENT IN LANDS COVERED 8Y WATER CAMA PERMIT FOR MAIOR DEVELOPMENT
p»tt/oWun of AdOWW?ati" Snte N No" c4fe" pgeRttiwit M On Arrwy
(45 146,121 A "Afti1? YH&VOW Steseur m MO C? Inatlty .lvelww? cam R of I pill I 201 ?WANSIM 01111111M
(GS
Pleavt type or print and fill in all bianki If informatiew is rotes applicable, do indicate by piacirq NIA in blaatk.
L Apokant Informatjon
A. Name R H T 97 Ri rhnrri Tan ar+-?gorni-
Last First Middle
B. Address 2915 Baltic Avenue
Street, P O. Boa or Route
Greensboro N.C. 27406 919-275-9464
City )r Town State Zip Code Phone
IL Location of Proposed Project.
A. County Guilford
L 1. City, town, community or landmark Greensboro
2. Is proposed work within city limits? Yes X No
C. Creek, river, sound or bay upon which project is located or neatest named body of water to project
Unnamed Tributary to South Buffalo Creek
IIL Description of Proiect
A. 1. Maintenance of existing project 2. New work X
L Purpose of excavation or till
1. Access channel length width depth
2. Boat basin length-width depth
3. Fill area length 820 width 10' depth 6'
4. Other length width depth
C. 1. Bulkhead length N/A? Average distance waterward of MHW (shereaine)
2. Type of bulkhead construction (material)
0. Excavated material (total for protect)
1. Cubic yards ]S_JQ 2. Type of material clay
E. Fill material to be oloced below MHW (see also VI A)
1. Cubic yards
2. Type of material
IV. Laved Type, Disposal Area, and Construction Equipment
A. Does the area to be excavated include any marshland, swamps at other wettandi Yes No X
B. Does the dispnsal area include any marshland. %wamps or other wetland' Yes No
C. Disposal Area
1. Location
2, Do you claim title to disposal area'
0. Fill material vbuit.e if loll n to be trucked in - On si to matari al to be used
E. How will exiavated material be entrapped and erounn i.onlmlledi
F. Type of equipment to he uwd Front end loaders, self-propelled pans and roalers.
G, Will marshland he crnswd in tranwortin` equipment to protect site' 11 yes, explain 'Kr
DAF?1
am. to/7l

41 JlP
V,
r. btlstgdad Um of hoiret Apo (DUCOe)
A. L Mt?am
2 Q2"wl`l*rcW Xv
3. Meutitlf Ows lots nsm or frjW ld
L Other
IL I. Lot Amen) NIA
_. Smadon of loth) aboee man high aratfr
3. Soll t"m and tazttartt
4. Type of building facilities or st wWres
S. Sewage disposal and/or waste .rater treatment A. Exisunq Manned
Q, [ascribe
L Land 0asuf!catten (ctrde one) DEVELOF 0 TRANIIUNA:. COMMUNITY RURAL
CONSERVATIU!'+ OTMlR .? (See CAMA Local Land Uw Plan Synopsis)
VL Pwuinirq to Fin and `Auer Qwljty N/A
A. Does the proposed ornlect :r,volve the olacernent of fill nsateriaM htfow -"em !,,3h water? Yom-No
L 1. Will any runoff at discharge enter adjacent waters ah a result of prosect activity or planned use of die
area following project completion' Yes_-No.
VIL
VUL
2 Type of discharge
S. Location of dil[.*artle
huelet rate of thorNine session lif knoern): N/A
Liar prmit wArA n and ismae dates of previous Oeclartnrnt of Array Corps of Engineers r State pule for N/A
OL LW40 d glow nouired to comolete won t. 30 days
X M addidest to the Ce 101eted 400wation feria, the faMetrie heats Wiest be orewided:
A. Attach a cony of the deed (with State application only) or other inutunient under, which acow4nt
claims title to the affected oecoerty. OR if mWicant b not claiming to bt the owner of said ptovertV.
wt# in project antis, if apolicabie•.
Own forward a copy of the deed or other Wdvu wewt under whim the owner clans tide plus written
prmission from the owner to carry out the project on his land.
L Attach an accurate work plat drawn to scale on 8'h X 11""its pane. (see instruction booklet for
detaiis). Note: Original drawings preferred • only high Quality copses accepted.
C. A copy of the aopleeatlon and plat fault be served upon adiacenl r,partan landowners by tegimared Ar
certified nail or by puth,-atsnn (G.S. 111229 WIEnter, date served
D. Liu names and complete addresses of the riparian landowners with property adjoining soplicant's.
Such owners have 30 davs in which to submit corwments its agencies listed below.
R1„e Re11 American 335 rhi,rch Street Greensboro. N.C. 27401
XL Cotification repuirermmi; 1 ctfldy that to the best of my knowledge, the procoted activity comptjes
with the State of North Carolinas approved coastal rnanmemment propam and will be conducted •n a
mamter consistent with such program.
XIL Any persist stvied purswnt to this aooljcatiort will allow only the development described in this appli
cation and plat. Aooliunts should therefore describe in the acelicatson and plat all antjupated devy.
oprwent activities, including construe:ion, excavation, fillilg_aadjand clearing.
DATE -July 17. 1986
f>ri SEE REVERSE SIDE Ff]It MAW-64G IMSTRUCTIO14S

8

PLEASE BE SURE THAT: - 9od+ cosies an cdsplr-'
- M blanks an I'Mad In
You haw std beds Q*W
K vow bare any gt,atlonr vl..- s dl yaw tojl?wd fAw AIMAIL
Mail gm copy to:
District Ernjineer
Wilmington District Corps of En=ineers
P. O. Box i 890
Wilmington, N. G 23402
(Note. attach Corps transmittal ;ette-l
Phone. [phone]
AND
Mai) one copy to your regions, field office .s indicated on the trap below
From north side d ftmilks Akw is Sslaas Nw.
Washington Regional Off=
Department of Natural ROMMMas and CaMWAAdly p1111111116111p?
1502 North Matta Street
Washington, N. C- 27U9
Phone [phone]ti1
F-isrn soutl• side of Pamlico River to petWMJC %dOW Camay ?t
U'vision mf Marine Fisheries
eep•rtment of Natural Resources and C,owuenstsity 0ereiopsstemtt
o O. Box 759
Morehead City, N C. 29557
Phone [phone]
Fee Pender, New Hanover and Brunswick Counties.
Wilmington Regional Office
D"artment of Nattiral Reuwirr?-i and Coi*munity DrtNooment.

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