19860162 Ver 1_COMPLETE FILE_19860818

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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 Director
August 18, 1986
Mr. John Kavanagh
Suite 155-324 West Wendover Ave.
Greensboro, NC 27402
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Roadway Construction
Country Woods Court
John Kavanagh
Guilford County
Dear Mr. Kavanagh:
Attached hereto are two (2) copies of Certification No. 1958
issued to Mr. John Kavanagh dated August 18, 1986.
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
Original Signed By.
William C. Mills
For
R. Paul Wilms
cc: Wilmington District Corps of Engineers
Winston-Salem Regional Office
Mr. William Mills
Mr. Kelly Hayes
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
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NORTH CAROLINA ^
Guilford County
CERTIFICATION
TUIS 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 Mr. John Kavanagh pursuant
to an application filed on the 17th day of July, 1986 to relocate a
small tributary to Horsepen Creek for construction of roadway.
The Application provides adequate assurance that the discharge of
fill material into a wetlands area adjacent to the waters of a tributary
to Horsepen Creek in conjunction with the proposed roadway construction
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 the applicant shall employ appropriate
sedimentation and erosion control measures 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 18th day of August, 1986.
DIVISION OF ENVIRONMENTAL MANAGEMENT
Original Signed By
Wiiliaa" C 1WO13
For R. Paul Wilms, Director
WQC# 1958

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 Director
August 18, 1986
Mr. John Kavanagh
Suite 155-324 West Wendover Ave.
Greensboro, NC 27402
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Roadway Construction
Country Woods Court
John Kavanagh
Guilford County
Dear Mr. Kavanagh:
Attached hereto are two (2) copies of Certification No. 1958
issued to Mr. John Kavanagh dated August 18, 1986.
If we can be of further assistance, do not hesitate to contact us.
vours ,
ere
originUI
Winistn C. Mai$
For
R. Paul Wilms
cc: Wilmington District Corps of Engineers
Winston-Salem Regional Office
Mr. William Mills
Mr. Kelly Hayes
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
I- ,
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 Mr. John Kavanagh pursuant
to an application filed on the 17th day of July, 1986 to relocate a
small tributary to Horsepen Creek for construction of roadway.
The Application provides adequate assurance that the discharge of
fill material into a wetlands area adjacent to the waters of a tributary
to Horsepen Creek in conjunction with the proposed roadway construction
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 the applicant shall employ appropriate
sedimentation and erosion control measures 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 18th day of August, 1986.
DIVISION OF ENVIRONMENTAL MANAGEMENT
Original Signed $y
William C. Mi#s
?y
R. Paul Wilms, Director
WQC# 1958
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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 t? X, 19 ffe Director
Date
Ape. Jahn a1J
a `Aeo.t- Ave
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µ 9A 7r,
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed RMJ&Wm CAk&t ".?Uv%
Dear My. 60an r
Attached hereto are two (2) co
issued to Me. 501.1 n k a tla riaG
, 1
s of Certification No. R
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
Pollution Prcrcntion Pnvs
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
R. Paul Wilms
Director
cc: r? District Corps of Engineers
,.Regional Of f ice
Mr. illiam Mills
mf e? / ? ?? ?o ru ?n n ?sd
C? rem ??

An Equal Opportunity Affirmative Action Employer
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NORTH A INA
Count
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 Manageme nt
Regulations in 15 NCAC 2H, Section .0500 to ?f1(?f. Je'h v? 14A ria vl
pursuant to an application filed on the day of to
?Mtoe-akg --ae Y y 9 •?.e'wbfc cw:
o-s . ??w+ The Application provides adequate assurance that the discharge of
fill material ( a wetlands area adjacent to tithe waters of
DE }y.?o BYSe in conjunction with the proposed Y'gp,jA,, C?t?b?-Yuoa- in
County will not result in a violation of applicablie Water
Qua 'ty 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 iNTU's or less
are not considered significant).
a

Violations of any condition herein set forth shall result in
revocation of this Certification.
This Certification shall become null and void unless the above
condition &?made LbdyL?r,?t?o of the Federal Permit J.
This the ! day of e ??
DIVISION OF ENVIRONMENTAL MANAGEMENT
') or, 19 51?e R. Paul Wilms, Director

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Greensboro News& Record
?.?. , +61,. a a nt of EnYi• ?.
?a r ?egmcation pufsuart
t° ? pn A)1
of th Published by
,
e Federal `I?a"
Water Act as amended: The activity
forwhich th GREENSBORO NEWS & RECORD, INC.
e cert?ficatioh is Sought
Y5. the fillingofanexisting drainage
Swale
which i
t
Greensboro, North Carolina
.
s
ribvtary to Horse-
"I County. Exist
:
a
.
n9 draihage'.Vyifl,: be divertetl to 'I
built in
`PrOppsed: storm drains-t..Z1
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onjunction. with a new-.street;
CQ woods c« rt
The,:pubad. is
invited
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NORTH CAROLINA, GUILFORD COUNTY
.
.
omment
on the imP7ct of the?,prto
oposed.projeet.
re water quality, q copy of the a
a
o

FFIDAVIT OF PUBLICATION
p
?i?lc
tion may be inspecteii,at the,
t
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Ild,noffice in'paielgh,
?0. Ch
dle Building
:512
N

Before the undersigned, a Notary Public of said County and State, duly commissioned, qualified, and
o
.:
.
. Salisbury
.
SSt?ret. Room 923ronthe- Wjnsto authorized by law to administer oaths, personally appeared
n-
elerti:Reglonal'Office, 8003, North
Point Boulevard
wi
,
snton-Salem,
N,C. (luring. normal Work houhours.
Comments must alsvork
Rodger Ragan -

..................
"""""""""""""""""""""""""""'•• who being first duly
in
rl, 'g no later than August 77,
1S9Any corn sworn, deposes and says:
ares er a should be yad'-
sed to thii!. N,fZ Cfv,5lon a
Fonmental Managem
Classified Advertising Manage
1
That he is
cif the Greensboro
ent,..water
QWai;ty'settl27 P.O. Box 2YI I
Raleigh, N,C. In, 7,. AnygNestions
eg .
.......... .....
News Company, a corporation, engaged in the publication of newspapers known as "Greensboro Daily
"
"
"
r
arding thie. Applicationcan be d;_ The Greensboro Record
, published, issued and entered as second class mail in the City of
News
and
733'55063 Mr. William Mills at (gig)
Ext. 113.. Greensboro in said County and State;
.
R. Paul wilrris, Director
N.C. Division ofl
F-22-86 Environmental Mgmt,J
54
- i
2. That he is authorized to make this affidavit and sworn statement; that the notice or other legal adver-
tisement, a true copy of which is attached hereto, was published in the
GREENSBORO NEWS & RECORD
on the following dates:
. .. . . ....8/. .2..../8.6
.....................................................................................
for ....... Public.. No.t.i.c.e ............................................................ and
placed through ...NC.. D.e.p.t.. N.a.t.u.r.al-Resources ...............................
3. That the said newspaper (or newspapers) in which such notice, paper, document, or legal advertisement
was published was, at the time of each and every such publication, a newspaper meeting all of the
requirements and qualifications of Section 1-597 of the General Statutes of North Carolina and was
a qualified newspaper within the meaning of Section 1-597 of the General Statutes of North Carolina.
This .......... 4 ......... day of ....A.a.g.u.s.t .................. 19..8.6....
..........................................................................
Advertising Director
..........................................................................
Local Advertising Manager
..........................................................................
National Advertising Manager
..................... ®?\` .. -`11 .....................
.\? Classified ?dvertising Manager
a AL Sworn and subscribe(br me, this .4...'.... day of A. gu 198'6"""'
=J.B. IC
ITFMAN
N. C.
cuII mi? N y Public
My commission ex pires: .... .....?..? l ......................
* ,,. Ni?...y,,,

Water Quality Section
July 30, 1986
Greensboro Daily News
P. 0. Box 21967
Greensboro, NC 27420
Attn: Legal Ad Department
Dear Sir:
Please find attached a Public Notice regarding a Water
Quality Certification. Please publish the Notice one time
in your newspaper on or before August 2, 1986.
The invoice in duplicate and three copies of the
affidavit of publication should be sent to:
N.C. Division of Environmental Management
Water Quality Section
P.0 Box 27687
Raleigh, NC 27611
Attn: William Mills
Payment cannot be authorized unless the affidavit of
publication is submitted. If you have any questions, please
contact me at [phone].
Sincerely,
4&LA)%a?
William C. Mills
WCM/dkb
Attachment
i
001
Public Notice of Application for
Water Quality Certification
The North Carolina Division of Environmental Management
of the Department of Natural Resources and Community
Development has received an application from John Kavanagh,
Country Woods Development, Guilford County, for a Water
Quality Certification pursuant to Section 401 of the Federal
Clean Water Act as amended. The activity for which the
certification is sought is the filling of an existing
drainage swale which is tributary to Horsepen Creek in
Guilford County. Existing drainage will be diverted to
proposed storm drains to be built in conjunction with a new
street, Country Woods Court.
The public is invited to comment on the impact of the
proposed project on water quality. A copy of the
application may be inspected at the Department's office in
Raleigh, Archdale Building, 512 N. Salisbury Street, Room
923 or the Winston-Salem Regional Office, 8003 North Point
Boulevard, Winston-Salem, N.C., during normal work hours.
Comments must be submitted in writing no later than August
17, 1986. Any comments should be addressed to the N.C.
Division of Environmental Management, Water Quality Section,
P.O. Box 27687, Raleigh, N.C. 27611. Any questions
regarding the Application can be directed to Mr. William
Mills at [phone], Ext. 113.
"Date Paul Wilms, Director
N.C. Division of Environmental Mgmt.

BORUM & ASSOCIATES, INC.
ENGINEERS - PLANNERS - SURVEYORS
405-0 PARKWAY
GREENSBORO, N.C. 27401
MAILING ADDRESS: TELEPHONE [phone]
P.O. Box 6181 July 16 , 1986 272-3115
GREENSBORO. N.C. 27415-0181 AREA CODE 919
RECEIVED
J U L 17 1986
Mr. Bill Mills WATER QUALITY SECTION
Water Quality Section OPERATIONS BRANCH
Division of Environmental Management
N.C. Department of Natural Resources
& Community Development
P.O. Box 27687
Raleigh, N.C. 27611-7687
Dear Mr. Mills:
Enclosed are the necessary permit applications and other
information required to obtain a 401 Water Quality Certification.
The Corp of Engineers is requiring us to obtain a certificate
before they will issue their expedited permit.
Please review the project as soon as possible. If you
have any questions, or require further information, please
don't hesitate to call.
Very truly yours,
BORUM & ASSOCIATES, INC.
ze 97 f . fCI/
Kelly E. Hayes
KEH/cc
Enclosures
cc: Mr. Hugh Heine
US Army Corp of Engineers

APPLICATION RECEIVED SEP 181985
FOR
PERMIT TO EXCAVATE AND/OR FILL WATER QUALITY CERTIF1CATtON
EASEMENT IN LANDS COVERED BY WATER LAMA PERMIT FOR MAJOR DEVELOPMENT
Department of Administration State of North Carolina Department-of the Army
(GS 146.12) Department of Natural Resources and Community Development Corps. of Engineers, Wilmington District
(GS 113-229,143-215.3(a)(1), 143-215.3(c), 113A-118 (33 CFR 209.3.20-329)
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank.
1. Applicant Information -
A. Name Kavanagh B . John
Last First Middle
B. Address Suite 155 -324 West Wendover Avenue "
Street, P. O. Box or Route
Greensboro, North.Carolina 27402 919-272-9904
City or Town State Zip Code ' Phone
if. Location of Proposed Project:
A. County Guilford
B. 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 nearest named body of water to project
111,000 !north of'Horsepen Creek
tit. Description of Project
A. 1. Maintenance of existing project 2. New work
B. Purpose of excavation or fill
1. Access channel N/A length width depth
2. Boat basin . N/A length width depth
* 3. Fill area 2 2? 5 0 0 sc; . f t. length 7 5 0` width 3 0' depth _ 61
4. Other . length ____-_-..i-width depth
C. 1. Bulkhead length N/A Average distance waterward of MHW (shoreline) N/A
2. Type of bulkhead construction (material) N/A
D. Excavated material4total for project)
1. Cu_._ yards - 7 , 0 0 0 C . Y : 2. Type of material Structural Fill
E. Fill material to be placed below-Mt'tnP(see also VI. A)
1. Cubic yards ±3.3 C . Y . 2. Type of material Structural Fill
1V. Land Type, Disposal Area, and Construction Equipment:
A.. Does the area to be excavated include any marshland, swamps or other wetland? Yes No X '
B. Does the disposal area include any marshland, swamps or other wetland? Yes No
C. Disposal Area On site
1. Location
2. Do you claim title to disposal area? yes
D. Fill material source if fill is to be trucked in N/A
E. How will excavated material be entrapped and erosion controlled? Standard erosion control
measures as approved by the City of Greensboro Erosion Control Dept.
F. Type of equipment to be used Bulldozers, pans, etc.
G. Will marshland be crossed in transporting equipment to project site? If yes, explain No
* NOTE: We propose to fill an existing dry ditch with
compacted structural fill
D& F-B 1
Rey. 10/78
•V. Intended Use of Project Area (Describe)
A. 1. Private N/A
2. Commercial N/A
3. Housing Development or Industrial Single family residential
4. Other N/A
B. 1. Lot size(s) 12,000 sq. ft. or greater
2. Elevation of lot(s) above mean high water 6' or greater
3. Soil type and texture CeB2 , CeC 2 , CrC
4. Type of building facilities or structures Single -family brick and or frame houses
S.' Sewage disposal and/or waste water treatment A. Existing -- - Planned Public Sewer systen
` B. Describe sanitary sewer extension
6.1Land Classification! (circle one) EVELOPE TRANSlflbNAL COMMUNITY . RURAL
CONSERVATION OTHER -- (See CAMA Local Land Use Plan Synopsis
VI. Pertaining to Fill and Water Quality:
A. Does the proposed project involve the placement of fill materials below mean high water? Yes X Nom..
B. 1. Will any runoff or discharge enter adjacent waters as a result of project activity or planned use of the
area following project completion? Yes X No - - -
2. Type of discharge storm runoff
3. Location of discharge ±1,000 south into Horsenen Creek
VII. Present rate of shoreline erosion (if known): N/A
Vill. List permit numbers and issue dates of previous Department of Army Corps of Engineers or State permits for
N/A
work in project area, if applicable:
IX. Length of time required to complete project: one (1) year
X. In addition to the completed application form, the following items must be provided:
A.-Attach a copy of the deed (with State application only) or other instrument under which applicant:
claims title to the affected property. OR if applicant. is not claiming to be the owner of said property,
then forward a copy of the deed or other instrument under which the owner claims title plus written . ',
permission from the owner:to carry out the project on his land.
. B. Attach an accurate work plat drawn to scale on 834 X 11" white paper (see instruction booklet for
details). Note: Original drawings preferred only high quality copies accepted.
C. A copy of the application and plat must be served upon adjacent riparian landowners by registered or
certified mail or by publication (G.S.1 13-229 (d))Enter date served
D. List names and complete addresses of the riparian landowners with property adjoining applicant's.
Such owners have 30 days in which to submit comments to agencies listed below.
XI. Certification requirement: I certify that to the best of my knowledge, the proposed activity complies
with the State of North Carolina's approved coastal management program and will be conducted in a
manner consistent with such program.
X11. Any permit issued pursuant to this application will allow only the development described in this appli-
cation and plat. Applicants should therefore describe in the application and plat all anticipated devel-
opment activities, including construction, excavation, filling, and land clearing.
DATE ?T_
Appli is Si ature
D&F-82 SEE REVERSE SIDE FOR MAILING INSTRUCTIONS

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ROAD S . R. 2136
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DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402.1890
July 24, 1986
IN REPLY REFER TO
Regulatory Branch
SUBJECT: File No. SAWC086 N-041-0435
Mr. William Mills
Water Quality Section
Division of Environmental Management
North Carolina Department of Natural
Resources and Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Dear Mr. Mills:
R ?CEIVED
,IUD 2 8 1986
l1'ti)! ii VUAi. I y sEcrto,,,
iiP RAT', 'NS BRANCH
Enclosed is the application of Mr. John B. Kavanagh for a
Department of the Army permit and a State Water Quality
Certification to place fill material in an unnamed tributary to
Horsepen 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 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 Spetember 16, 1986, the District
Engineer will deem that waiver has occurred.
Questions or comments may be addressed to Mr. Hugh Heine,
telephone [phone].
Sincerely,
tCha s W. Hollis
hief, Regulatory Branch
Enclosure
-2=

~ BoRUM & ASSOCIATES, INC.
ENGINEERS - PLANNERS.- SURVEYORS
t r.
405-D PARKWAY pe`pn? 77
GREENSBORO. N.C. 27401 ?Jlik? r-
MAILING ADDRESS: TELEPHONE [phone]
P.O. BOX 6161 July 16 , 1986 272-3115
GREENSBORO. N.C. 27415.0161 AREA CODE 919
Mr. Bill Mills
Water Quality Section
Division of Environmental Management
N.C. Department of Natural Resources
?. & Community Development
P.O. Box 27687
Raleigh, N.C. 27611-7687 - -
Dear Mr. Mills:
Enclosed are the necessary permit applications and other
information required to obtain a 401 Water Quality Certification.
The Corp of Engineers is requiring us to obtain a certificate
before they will issue their expedited permit.
Please review the project as soon as possible. If you
have any questions, or require further information, please
don't hesitate to call.
Very truly yours,
BORUM & ASSOCIATES, INC.
Kelly E. Hayes
KEH/cc
Enclosures
cc: Mr. Hugh Heine'
US Army Corp of Engineers
APPLICATION RECEIVED SEP 181985
FOR
PERMIT TO EXCAVATE AND/OR FILL WATER QUALITY CERTIFICATION
' EASEMENT IN LANDS COVERED BY WATER - LAMA PERMIT FOR MAJOR DEVELOPMENT
Department of Administration State of North Carolina Department-of-the Army
(GS 146-12) Department of Natural Resources and Community Development Corps of E6g' lneers, Wilmington District
(GS 113-229, 143-215.3(x)(1), 143-215.3(c), 113A-118 . (33 CFR 209.320-329)
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A M blank.
1. Applicant Information
:A. Name Kavanagh B. John
Last First Middle
B. Address Suite 155 -324 West Wendover Avenue
Street, P. O. Box or Route
Greensboro, North Carolina 27402 919-272-9904
City or Town State Zip Code ' Phone
I1. Location of Proposed Project:
A. County Guilford
B_ 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 nearest named body of water to project
11,400 !north of Horsepen Creek
III. Description of Project
A. 1. Maintenance of existing project 2. New work
B. Purpose of excavation or fill
1. Access channel N/A length width depth
2. Boat basin N/A -length-Width-depth 3. Fill area 22 , 500 sq. ft. length 750' width 30' depth h'
.4. Other length width_ depth
C. 1. Bulkhead length N/A Average distance waterward of MHW (shoreline) N/A
2. Type of bulkhead construction (material) N/A
D. Excavated material2:7;000 total for project) -
1. Cubic yards C_. Y . , 2- Type of material Structural Fill
E. Fill material to be placed below-MRW(see also VI. A)
1. Cubic yards ?33 C.Y. 2. Type of material Structural Fill
IV. Land Type, Disposal Area, and Construction Equipment:
A.• Does the area to be excavated include any marshland, swamps or other wetland? Yes No _ X '
B. Does the disposal area include any marshland, swamps or other wetland? Yes-No
C. Disposal Area on site
1. Location
2. Do you claim title to disposal area? yes
0. Fill material source if fill is to be trucked in N/A
E. How will excavated material be entrapped and erosion controlled? Standard erosion control
measures as approved by the City of Greensboro Erosion Control Dept.
F. Type of equipment to be used Bulldozers, pans, etc.
G. Will marshland be crossed in transporting equipment to project site? If yes, explain No
* NOTE: We propose to fill an existing dry ditch with'
compacted structural fill
D & F-B 1
Rev. 10/78
V. Intended Use of Project Area (Describe)
A. 1. Private N/A
2. Commercial N/A
3. Housing Development or Industrial Single family residential
4. Other N/A
B. 1. Lot size(s) 12,000 sq.ft. or greater
2. Elevation of lot(s) above mean high water 6' or greater
3. Soil type and texture CeB2, CeC 2 , CrC
4. Type of building facilities or structures Single -family brick and/or frame houses
Planned pub is sewer systei
S.• Sewage disposal and/or waste water treatment A. Existing
` B. Describe sanitary sewer extension
6. (Land Classification! (circle one) EVELOPE TRANSITIONAL COMMUNI-ff RURAL
CONSERVATION OTHER (See CAMA Local Land Use Plan Synopsi!
VI. Pertaining to Fill and Water Quality:
A. Does the proposed project involve the placement of fill materials below mean high water? Yes X No
B. 1. Will any runoff or discharge enter adjacent waters as a result of project activity or planned use of the
area following project completion? Yes X No
2. Type of discharge storm runoff
3. Location of discharge +1,000 south into Horsepen Creek
VII. Present rate of shoreline erosion (if known): N/A
Vill. List permit numbers and issue dates of previous Department of Army Corps of Engineers or State permits for
work in project area, if applicable: N/A
' ?IX. Length of time required to complete project: one(T) year
X. In addition to the completed application form, the following items must be provided:
A. Attach a copy of the deed (with State application only) or other instrument under which applicant
claims title to the affected property. OR if applicant is not claiming to be the owner of said property,
then forward a copy of the deed or other instrument under which the owner claims title plus written . <.,l
permission from the owner,to carry out the project on his land.
13. Attach an accurate work platdrawn to scale on 83/2 X 11" white paper (see instruction booklet far
details). Note: Original drawings preferred only high quality copies accepted.
C. A copy of the application and plat must be served upon adjacent riparian landowners by registered or
certified mail or by publication (G.S.'113-229 (d))Enter date served
D. List names and complete addresses of the riparian landowners with property adjoining applicant's.
Such owners have 30 days in which to submit comments to agencies listed below.
XI. Certification requirement: I certify that to the best of my knowledge, the proposed activity complies
with the State of North Carolina's approved coastal management program and will be conducted in a
manner consistent with such program.
X11. Any permit issued pursuant to this application will allow only the development described in this appli-
cation and plat. Applicants should therefore describe in the application and plat all anticipated devel-
opment activities, including construction, excavation, filling, and land clearing.
DATE 7- ?G 8
plicant's Si ure
D&F-82 SEE REVERSE SIDE FOR MAILING INSTRUCTIONS
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