19870062 Ver 1_COMPLETE FILE_19870813

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C sa ST 7Z
State of North Carolina
Department of Natural Resources and Community Development
Division of Coastal Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor David W. Owens
S. Thomas Rhodes, Secretary Director
August 13, 1987
Colonel Paul W. Woodbury
Wilmington District
Corps of Engineers
P.O. Box 1890
Wilmington, NC 28402-1890
Dear Colonel Woodbury:
In keeping with your request, this off ice has circulated to interested
state review agencies U. S. Army Corps of Engineers Public Notice .... 0385
dated June 11, 1987 which describes a project proposal by Mr. Maxie Collins of
Myrtle Beach, South Carolina. The project, involving wetland alteration to
develop a trout pond, is located on Elk Creek in Elk Township in Watauga
County.
Based on a coordinated agency review, the state interposes no objection
to the project but does strongly recommend the following conditions as
submitted by key cooperating agencies:
1) Division of Parks and Recreation, Natural Heritage Program has requested
that the applicant or the permit-letting authority do a vegetation survey
to determine the presence of - Dwarf Ginseng (Panox trifolius),
significantly rare; Carolina Saxifroge (Saxifroge caroliniona),
primarily proposed on state raise species list and Fringed Gentian
(Centiana crinita), a State Endangered species;
2) Wildlife Resources Commission, 1) recommends that the dense vegetative
buffer of mature trees and shrubs be maintained between the pond and Elk
Creek, 2) that effluent from the pond should be withdrawn from the bottom
to minimize temperature impacts on Elk Creek, 3) and strict erosion
measures must be implemented and maintained throughout the life of the
project.
3) Division of Environmental Management has issued Water Quality
Certification No. 2115 for the proposal.
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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1 '
Colonel Paul W. Woodbury
Page 2 6
August 13, 1987^i
Should you require additional input from the state on this matter, do not
hesitate to contact this office or the agencies listed.
Very sincerely,
V??dr?
R. Parker, Jr.
Inland 1404 Coordinator
JRP:jr/aw
cc: Division of Parks and Recreation
Raleigh
Wildlife Resources Commission
Raleigh /
Division of Environmental Management./
Raleigh

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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 July 21, 1987 Director
Mr. Maxie Collins
3015 Industrial Drive
Myrtle Beach, SC 29577
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Dam and Pond
Powder Horn Mountain Project
Maxie Collins
Elk Creek
Watauga County
Dear Mr. Collins:
Attached hereto are two (2) copies of Certification No. 2115
issued to Maxie Collins dated July 21, 1987.
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
original Signed BY
William C. Mitts
For R. Paul Wilms
cc: Wilmington District Corps of Engineers
A Neville Regional office
?. William Mills
Mr. David Owens
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]

Watauga County
NORTH CAROLINA
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 Maxie Collins pursuant to an
application filed on the 8th day of June, 1987 to construct a dam and
pond on Elk Creek at the Powder Horn Mountain Project.
The Application provides adequate assurance that the discharge of
fill material into a wetlands area adjacent to the waters of Elk Creek
in conjunction with the proposed dam and pond in Watauga 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 10 NTU's or less
are not considered significant).
2. That appropriate sedimentation and erosion control
measures be employed to minimize turbidity and
siltation impacts.
3. That the pond be constructed upstream of any
proposed treated wastewater discharge from this
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 21st day of July, 1987.
DIVISION OF ENVIRONMENTAL MANAGEMENT
WQC# 2115
4riginai Signed 13Y
Willi M C. Mills
W. Paul Wilms, Director
For
4?60- A.a STATF o
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 July 21, 1987 Director
Mr. Maxie Collins
3015 Industrial Drive
Myrtle Beach, SC 29577
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Dam and Pond
Powder Horn Mountain Project
Maxie Collins
Elk Creek
Watauga County
Dear Mr. Collins:
Attached hereto are two (2) copies of Certification No. 2115
issued to Maxie Collins dated July 21, 1987.
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
Asheville Regional Office
Mr. William Mills
Mr. David Owens
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
r
111
NORTH CAROLINA
Watauga 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 Maxie Collins pursuant to an
application filed on the 8th day of June, 1987 to construct a dam and
pond on Elk Creek at the Powder Horn Mountain Project.
The Application provides adequate assurance that the discharge of
fill material into a wetlands area adjacent to the waters of Elk Creek
in conjunction with the proposed dam and pond in Watauga 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 10 NTU's or less
are not considered significant).
2. That appropriate sedimentation and erosion control
measures be employed to minimize turbidity and
siltation impacts.
3. That the pond be constructed upstream of any
proposed treated wastewater discharge from this
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 21st day of July, 1987.
Original Signed Y
William C• Mills
For
R. Paul Wilms, Director
DIVISION OF ENVIRONMENTAL MANAGEMENT
WQC# 2115
1
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State of North Carolina
Department of Natural Resources and Community Development
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
June 19, 1987
Mr. R. Paul Wilms, Director
Water Quality Section
Division of Environmental Management
Raleigh, North Carolina 27611
Dear Mr. Wilms:
S. Thomas Rhodes, Secretary
The attached U. S. Army Corps of Engineers Public Notice No, 0385 dated
6/11287 describing a project proposed by Mr. Wle Collins
is being circulated to interested state agencies for comments on applicable
Section 404 and/or Section 10 permits.
Please indicate below your agency's position or viewpoint on the proposed
project and return this form by 7/8187
Very sincerely,
John R. Parker, Jr.
404 Coordinator
REPLY This office objects to the project as proposed.
-Comments on this project are attached.
This office supports the project proposal.
No comment.
Signed V&-`
Date ??P 7
Agency
JRP:j r./aw
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity / Affirmative Action Employer

DEPARTMENT OF THE ARMY
Wilmington District, Corps of Engineers
Post Office Box 1890
Wilmington, North Carolina 28402-1890
SAWCO87-N-095-0385
June 11, 1987 _
PUBLIC NOTICE
MR. MAXIE COLLINS, 3015 Industrial Drive, Myrtle Beach, South Carolina
29577, has applied for a Department of the Army permit TO PLACE FILL MATERIAL
IN WETLANDS ADJACENT TO ELK CREEK TO CONSTRUCT A DAM, ELK TOWNSHIP, Watauga
County, North Carolina.
The following description of the work is taken from data provided by the
applicant and from observations made during an onsite visit by a
representative of the Corps of Engineers. Plans submitted with the
application show the proposed placement of approximately 770 cubic yards of
material, dredged from emergent wetlands dominated by juncus and cattail, to
construct a 570-foot-long, 57-foot-wide, 3.5-foot-high dam. The purpose of
this work is to establish a trout pond as an amenity for the proposed Powder
Horn Mountain subdivision. Plans showing the proposed work are included with
this public notice.
The State of North Carolina will review this public notice to determine
the need for the applicant to obtain any required State authorization. No
Department of the Army permit will be issued until the coordinated State
viewpoint on the proposal has been received and reviewed by this agency, nor
will a Department of the Army permit be issued until the North Carolina
Division of Environmental Management has determined the applicability of a
Water Quality Certificate as required by PL 92-500.
This application is being.considered pursuant to Section 404(b) of the
Clean Water Act (33 U.S.C. 1344). Any person may request, in writing within
the comment period specified in the notice, thata public hearing be held to
consider this application. Requests for public hearing shall state, with
particularity, the reasons for holding a public hearing.
The District Engineer has consulted the latest published version of the
National Register of Historic Places for the presence or absence of registered
properties, or properties listed as being eligible for inclusion therein, and
this worksite is not registered property or property listed as being eligible
for inclusion in the Register. Consultation of the National Register
constitutes the extent of cultural resource investigations by the District
Engineer, and he is otherwise unaware of the presence of such resources.
Presently, unknown archeological, scientific, prehistorical, or historical
data may be lost or destroyed by work under the requested permit.
i a
-2-
The District Engineer has determined, based on a review of data furnished
by the applicant and onsite observations, that the activity will not affect
species, or their critical habitat, designated as endangered or threatened
pursuant to the Endangered Species Act of 1973.
The decision-whether to issue a permit will be based on an evaluation of
the probable impacts, including cumulative impacts, of the proposed activity
and its intended use on the public interest. Evaluation of the probable
impacts which the proposed activity may have on the public interest requires a
careful weighing of all those factors which become relevant in each particular
case. The benefits which reasonably may be expected to accrue from the
proposal must be balanced against its reasonably foreseeable detriments. The
decision whether to authorize a proposal, and if so the conditions under which
it will be allowed to occur, are therefore determined by the outcome of the
general balancing process. That decision should reflect the national concern
for both protection and utilization of important resources. All factors which
may be relevant to the proposal must be considered including the cumulative
effects thereof. Among those are conservation, economics, aesthetics, general
environmental concerns, wetlands, cultural values, fish and wildlife values,
flood hazards, flood plain values, land use, navigation, shore erosion and
accretion, recreation, water supply and conservation, water quality, energy
needs, safety, food and fiber production, mineral needs, considerations of
property ownership, and, in general, the needs and welfare of the people. For
activities involving the placement of dredged or fill materials in waters of
the United States, a permit will be denied if the discharge that would be
authorized by such permit would not comply with the Environmental Protection
Agencies' 404(b)(1) guidelines. Subject to the preceding sentence and any
other applicable guidelines or criteria, a permit will be granted unless the
District Engineer determines that it would be contrary to the public interest.
Generally, the decision whether to issue this Department of the Army
permit will not be made until the North Carolina Division of Environmental
Management (DEM) issues, denies, or waives State certification required by
Section 401 of the Clean Water Act. *The DEM considers whether or not the
proposed activity will comply with Sections 301, 302, 306, and 307 of the
Clean Water Act. The application and this public notice for the Department of
the Army permit serves as application to the DEM for certification.
Additional information regarding the Clean Water Act certification may be
reviewed at the offices of the Environmental Operations Section, North
Carolina Division of Environmental Management, Salisbury Street, Archdale
Building, Raleigh, North Carolina. Copies of such materials will be furnished
to any person requesting copies upon payment of reproduction costs.
The North Carolina Division of Environmental Management plans to take
final action in the issuance of the Clean Water Act certification on or after
July 21, 1987.

-3-
All persons desiring to make comments regarding the application for Clean
Water Act certification should do so in writing delivered to the North
Carolina Division of Environmental Management, Post Office Box 27687, Raleigh,
North Carolina 27611-7687, on or before July 13, 1987, Attention:
Mr. William Mills.
Written comments pertinent to the proposed work, as outlined above, will
be received in this office, Attention: Ms. Alison Arnold, until 4:15 p.m.,
July 13, 1987, or telephone [phone].
Lq
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STATE
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor S. Thomas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
June 26, 1987
MEMORANDUM
TO: William Mills
401 Certification
Water Quality Section
?
THROUGH: Forrest R. Westall row T7
Water Quality Regio al Supervisor
FROM: Peter T. Nathanson, Environmental Tech
Water Quality Section
SUBJECT: 401 Water Quality Certification
Powder Horn Mountain Project
COE Number SAW CO 87-N-095-0385
Watauga County, North Carolina
observations conducted during a site inspection for a concurrent
NPDES wastewater discharge permit indicate that the segment of Elk
Creek which flows through the proposed Powder Horn Development is a
productive trout stream and is designated C-Trout. Further observa-
tions indicate that Elk Creek is a shallow, moderately-paced creek
subject to wide fluctuations in depth and volume. Concerns are that a
shallow, three-quarter acre pond could adversely effect downstream
water temperature and dissolved oxygen concentration to the detriment
of the native trout population.
Further, the application information fails to address whether the
proposed pond is to be constructed upstream or downstream of the
proposed wastewater discharge location. It is recommended that the
pond, if it is to be built, be located upstream of said discharge
point.
PTN:ls
Interchange Building, 59 Woodfin Place, P.O. Box 370, Asheville, N.C. 28802-0370 • Telephone [phone]
An Equal Opportunity Affirmative Action Employer

RECEIVED
DEPARTMENT OF THE ARMY
Wilmington District, Corps of Engineers JUN 15 1987
Post Office Box 1890
Wilmington, North Carolina 28402-1890 WATER QUALITY SECTION
OPERATIONS BRANCH
SAWC087-N-095-0385 June 11, 1987
PUBLIC NOTICE
MR. MAXIE COLLINS, 3015 Industrial Drive, Myrtle Beach, South Carolina
29577, has applied for a Department of the Army permit TO PLACE FILL MATERIAL
IN WETLANDS ADJACENT TO ELK CREEK TO CONSTRUCT A DAM, ELK TOWNSHIP, Watauga
County, North Carolina.
The following description of the work is taken from data provided by the
applicant and from observations made during an onsite visit by a
representative of the Corps of Engineers. Plans submitted with the
application show the proposed placement of approximately 770 cubic yards of
material, dredged from emergent wetlands dominated by juncus and cattail, to
construct a 570-foot-long, 57-foot-wide, 3.5-foot-high dam. The purpose of
this work is to establish a trout pond as an amenity for the proposed Powder
Horn Mountain subdivision. Plans showing the proposed work are included with
this public notice.
The State of North Carolina will review this public notice to determine
the need for the applicant to obtain any required State authorization. No
Department of the Army permit will be issued until the coordinated State
viewpoint on the proposal has been received and reviewed by this agency, nor
will a Department of the Army permit be issued until the North Carolina
Division of Environmental Management has determined the applicability of a
Water Quality Certificate as required by PL 92-500.
This application is being considered pursuant to Section 404(b) of the
Clean Water Act (33 U.S.C. 1344). Any person may request, in writing within
the comment period specified in the notice, that a public hearing be held to
consider this application. Requests for public hearing shall state, with
particularity, the reasons for holding a public hearing.
The District Engineer has consulted the latest published version of the
National Register of Historic Places for the presence or absence of registered
properties, or properties listed as being eligible for inclusion therein, and
this worksite is not registered property or property listed as being eligible
for inclusion in the Register. Consultation of the National Register
constitutes the extent of cultural resource investigations by the District
Engineer, and he is otherwise unaware of the presence of such resources.
Presently, unknown archeological, scientific, prehistorical, or historical
data may be lost or destroyed by work under the requested permit.

a

r

-2-
The District Engineer has determined, based on a review of data furnished
bythe'applicant and onsite observations, that the activity will not affect
species''Or"their critical habitat, designated as endangered or threatened
pursuant to the Endangered Species Act of 1973.
The decision-whether to issue a permit will be based on an evaluation of
the probable impacts, including cumulative impacts, of the proposed activity
and its intended use on the public interest. Evaluation of the probable
impacts which the proposed activity may have on the public interest requires a
careful weighing of all those factors which become relevant in each particular
case. The benefits which reasonably may be expected to accrue from the
proposal must be balanced against its reasonably foreseeable detriments. The
decision whether to authorize a proposal, and if so the conditions under which
it will be allowed to occur, are therefore determined by the outcome of the
general balancing process. That decision should reflect the national concern
for both protection and utilization of important resources. All factors which
may be relevant to the proposal must be considered including the cumulative
effects thereof. Among those are conservation, economics, aesthetics, general
environmental concerns, wetlands, cultural values, fish and wildlife values,-
flood hazards, flood plain values, land use, navigation, shore erosion and
accretion, recreation, water supply and conservation, water quality, energy
needs, safety, food and fiber production, mineral needs, considerations of
property ownership, and, in general, the needs and welfare of the people. For
activities involving the placement of dredged or fill materials in waters of
the United States, a permit will be denied if the discharge that would be
authorized by such permit would not comply with the Environmental Protection
Agencies' 404(b)(1) guidelines. Subject to the preceding sentence and any
other applicable guidelines or criteria, a permit will be granted unless the
District Engineer determines that it would be contrary to the public interest.
Generally, the decision whether to issue this Department of the Army
permit will not be made until the North Carolina Division of Environmental
Management (DEM) issues, denies, or waives State certification required by
Section 401 of the Clean Water Act. The DEM considers whether or not the
proposed activity will comply with Sections 301, 302, 306, and 307 of the
Clean Water Act. The application and this public notice for the Department of
the Army permit serves as application to the DEM for certification.
Additional information regarding the Clean Water Act certification may be
reviewed at the offices of the Environmental Operations Section, North
Carolina Division of Environmental Management, Salisbury Street, Archdale
Building, Raleigh, North Carolina. Copies of such materials will be furnished
to any person requesting copies upon payment of reproduction costs.
r
The North Carolina Division of Environmental Management plans to take
final action in the issuance of the Clean Water Act certification on or after
July 21, 1987.
??tF
-3-
All persons desiring to make comments regarding the application for Clean
Water Act certification should do so in writing delivered to the North
Carolina Division of Environmental Management, Post Office Box 27687, Raleigh,
North Carolina 27611-7687, on or before July 13, 1987, Attention:
Mr. William Mills.
Written comments pertinent to the proposed work, as outlined above, will
be received in this office, Attention: Ms. Alison Arnold, until 4:15 p.m.,
July 13, 1987, or telephone [phone].

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IN REPLY REFER TO
Regulatory Branch
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
June 4, 1987
SUBJECT: File No. SAWC087-N-095-0385

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:
Enclosed is the application of Mr. Maxie Collins for a
Department of the Army permit and a State Water Quality
Certification to place dredged material in wetlands adjacent to
Elk Creek to construct a dam, Power Horn Mountain subdivision, Elk
Township, Watauga 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 August 4, 1987, the District Engineer
will deem that waiver has occurred.
Questions or comments may be addressed to Ms. Alison Arnold,
telephone [phone].
Sincerely,
a e W. Htorvy ie Regulranc h
Enclosure
-2-
Copy Furnished (without enclosure):
Mr. John Parker
North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
q op
` .' APPLICATION SWC,O$q+N- N S _ o-S Cjj
FOR
PERMIT TO EXCAVATE AND/OR FILL WATER QUALITY CERTIFICATION
EASEMENT IN LANDS COVERED BY WATER CAMA PERMIT FOR MAJOR DEVELOPMENT
Department of Administration State of North Carolina Departme6t,of the Army F
(GS 146.12) Department of Natural Resources and Community Development Corps of rAgIAie 44*lfninglgpo l trict
(GS 113-229,143-215.3(a)(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 in blapkAl
61 J4 ti's°r
I. Applicant Information
Collins Maxie
A. Name
Last First Middle
B. Address 3015 Industrial Drive
Street, P. O. Box or Route
Myrtle Beach, SC 29577 [phone]
City or Town
State
Zip Code Phone
11. Location of Proposed Project:
A. County Watauga
B. I. City, town, community or landmark Elk Township -
2. Is proposed work within city limits? Yes No X
Elk Creek
C. Creek, river, sound or bay upon which project is located or nearest named body of water to project
III. Description of Project
A. 1. Maintenance of existing project 2. New work proposed Dam
B. Purpose of excavation or fill
I . Access channel Icngth width depth
2. 13o.it basin length width depth
3. Fill area 32490 Ft length 570 FT width 57 Ft depth 3.5 Ft
4. Other length width depth
C. I. Bulkhead length N/A Average distance waterward of MHW (shoreline)
2. Fype of bulkhead construction (material)
D. Lxcavated material (total foS project)
1. Cubic yards 770 Yd 2. Type of material alluvial rock with light brown silty sand
E. [-'ill material to be placed below MHW (see also VI. A)
1. Cubic yards N/A 2. Type of material
IV. Land Type, Disposal Area, and Construction Equipment:
A. Dues the area to be excavated include any marshland, swamps or other wetland? Yes X No
B. Does the disposal area include any marshland, swamps or other wetland? Yes No N/A
C. Disposal Area N/A
1. Location
2. Do you claim title to disposal area?
O. Fill material source if fill is to be trucked in from site
E. How will excavated material be entrapped and erosion controlled? drainage swales, rock filter dams,
silt fence
I . I ype u1 equipment to be used tracked eauipment
G. Will marshland be crossed in transporting equipment to project site? If yes, explain No
• _ V.. Intended Use of Project Area (Describe)
VII
VIII. List permit numbers and issue dates of previous Department of Army Corps of Engineers or State permits for
work in project area, if applicable: None
IX. Length of time required to complete project: _ 1 month
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 8!/2 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. 113-229 (d))Enter date served N/A
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.
None
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.
XII. 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 5/20/87
icant's Signature
A. 1. Private
2. Commercial
3. Housing Development or Industrial
4. Other Pond with dam
1. Lot size(s) size of impoundment
2. Elevation of lot(s) above mean high water
3. Soil type and texture alluvial rock with light brown silty sand
4. Type of building facilities or structures N/A
5. Sewage disposal and/or waste water treatment A. Existing N/A Planned
B. Describe
6. 'Land Classification' (circle one) DEVELOPED TRANSITIONAL COMMUNITY
CONSERVATION OTHER (See CAMA
VI. Pertaining to Fill and Water Quality:
Plan Synopsis)
A. Does the proposed project involve the placement of fill materials below mean high water? Yes No X
B. I. 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 creek water from dam overflow pipe
3. Location of discharge dam overflow pipe
Present rate of shoreline erosion (if known): N/A
D&F-62 SEE REVERSE SIDE FOR MAILING INSTRUCTIONS
Rev. 10/78

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