20161153 Ver 1_Approval Letter_20170209

PeOrpory. 9, 21017
CleMmons Town ,Cent.er L'K
Aum'Stovoy Hankins
Northcross
Dfi.Vei$Uite D,
Humersvifle NC '28,07
8,
ROY: (QQfEk
MICHAEL $.'REOAX
'S, JAY, ZIMMEWAN
f D.
I 11"Vetoll
DWR, 1016-11.5-3:
Forsyth C-opnty
Approval of Individual "A4o1 Water,04pifty Certliicaikion
With A+Gtditianal Coriditibils
Clemmons'Town Cent r'ShQppipg,C
r
U$ACE.Aclion 1Q.,N W-12111
1 11 Action -11:1 Q10'' 1,00
Dear M .,Hankinsl
This a,pordval. i
contested aspl,
hearing to the
calendar days,...
llles$, contested. , Thiscurt l' -,#100 can ah be
WOU(sin Petition for Ohradministrative
krvoWh At, OAH) Within slaty ( 1 60),
The petition may be faxed tothe" OAH.,
provided ,the original grid ,otwtop
y of
,the petitiowalong with artyapplicalbte QAH filingfi, ' I
- i fee ''I e, rec'. vg4, b
business days foll following the fqxe,,os,,mission:,..
by the OAH WOW five (5)
ow a
"State of Noah "Ga"'rolfna � �ngitonrnerital {#u"8187
450 W. Hanes Mill Poadj Suite A,'Winst onSafem, North Garolft 27105'1
Phone: 33V7.6-9800 k FAX, 336-776-9797

Maung address fort ",AH
if seWirig Via Q Po is , Servfc .
Offide of Ad Al161�trative Hearings
6714 -Mail Service Center..
RMei8h, .NC 27699-67,14:
Ciemmons 6wn Center
avua�• 1�z�:�
tndi�idual �ertifi'cat�an �V1tQGq(t4(},i�4
• Page 2: �+t 8,
'Oob,{z}.copy, of:the petition must alsra be -served to pENft
ilV lliam. F Lariat, Gengral Counsel;
D+
part
pent.of �nvirgr�men and Nptural Resu rtes
1fit?1 Ma%1 Servide irenter
tat gh, ivG 7 9 Q6,, 1
Unlss•.suGh a pettloh is' #il+etl thls,Cortlfictiorr;shatt be final and binding.
This certification completes alae revie., offihe DiviSion under s`ection:401 ofthe Clean Water Act:
onA 15A NCAC.02H .05.0Q. Contact Sue Homewood •at: '647'6-9`693 6t
sue hcsmewaod ;r�cdenr gov if'you Barre any q:uestldh dr Omcerns
Sincerely ;
ENCLaSURE
FOO na n*,I61153G7ernhi,4d1_IC'

r
Ciemftidm Town Genfer
C wk,# a.6, is,
individual Certif cation,#wC2G004084
Page 3 of 8;
NORTH CAROLINA 40;1 WATER QUALITYCERTIFICATION
The State: of North Carolina certifies°'th`at this activity will not uiolate the applicable portions of
ectlons 301, 3.Q2 303, 3U6, 3,t77 of the Public: Laws 92 -500 -and PL 95=217 Ifcondu,cted in
accordance with the application; the, supporting documentation; and' conditions hereinafter siet
forth.
This approval requires you to follow the. conditions t(sted in the certification bellow.;
Conditions of Certification.
�. The followin9,impa 'S,ars hereby approved prow derl '.,at a.11 Of tE o at erspeeific canditiQn .
of'the Certification are met. No either impactsare approv+ d, including incidental im,pacts,
IS A- NC 4f✓ 02H QSQ 04 and/o'r" {c)]
Type oaf trrtpact`
Amount Appraued
furk$4,("units]
Perimanent
Amount Approved
Temporary
Stream'
Site SA (intermn tten
574 (linear feet)
00. feet)
Site SB. (perennial)
19 (linear feet)
(Ilnear feet)
bite SG (per..enn al)
44(,10 feat)
12 (linear feet)
404/4QI Wetlands
Site 1/VA
(1.054 t'acres);
Q (acres)
Site UVC
p (135 (acres)
Q.0003 (acres)
Site WC .(conversion)
0.0167(acres)
0 (acres)

r
1$, Anne. time application cif fertilizer to re-establish vegetation is allowed in disturbed areas
iritiudir�g riparian buffers, but is.restricted,ta na ch er than {feet from tap of bank of
strearns. Any, fertilizer application must comply with: all other f=ederal, State and Local
regulations. j15A NCAC 02B .023.11
2. This serf fication grants permission to the director or ani authorized representative of the
Director, upon, the presentation of proper credentials; to enter the property during norm;aI
business, hours: [.15A NCAC; 02H .0502(e)]

Nvn-compliance with or- the p ndlt'rcirts herein set forth; may, result in neva aticrn t f`
this Certificaticin and may also result n cri nhal an.dlor`:eivil p'enatties,
OHI h.

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