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HomeMy WebLinkAbout20061844 Ver 1_COMPLETE FILE_20061128O?0? WAT 1RQG Co r Michael Hillard 385 River Country Road Salisbury, NC 28146 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources F9 (5?(? (? D Alan W. Klimek, P.E. Duality ' ) t C'.?. v (? Division of Water Quality JAN 8 2007 DENR - WATER (QUALITY YltETLAND$ AND STORMWATER BRANCH January 5, 2007 DWQ Project # 06-1844 Rowan County Subject Property: Off Long Ferry Road, High Rock Lake Dear Mr. Hillard: You have our approval, in accordance with the attached conditions and those listed below, to place fill in or to otherwise impact/stabilize'the following as described in your application dated December 4, 2006: Amount Approved Units Plan Location or Reference Shoreline 345 (feet) 404/CAMA Wetlands acres Waters 0.016 acres Buffers - Zone 1 Not Applicable Buffers- Zone 2 (square ft. After reviewing your application, we have determined that N.C. Division of Water Quality (DWQ) General Water Quality Certification Number 3492 covers the impacts. This Certification allows you to use Regional General Permit. No. 198200030 when issued to you by the US Army Corps of Engineers (USACOE). This letter shall also serve as your approved Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 2B .0243. In addition, you should obtain or otherwise comply with any other required federal, state or local permits before you proceed with your project, including (but not limited to) those required by Erosion and Sediment Control, Non-Discharge, Duke Power, and Water Supply Watershed regulations. The above noted Certification will expire when the associated USACOE's 404 permit expires unless otherwise specified in the General Certification. This approval is for the purpose and design that you described in your application. If you change your project, you must notify the DWQ and you may be required to submit a new application. If the property is sold, the new owner must be given a copy of this Certification and approval letter and is thereby responsible for complying with all conditions. This approval requires you to follow the conditions listed in the attached Certification and any additional conditions listed below. Upon completion of all work approved by this 401 Water Quality Certification, and any subsequent approved modifications, the applicant is required to return the attached N Carofina om` Na ura!!y North Carolina Division of Water Quality 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone (704) 663-1699 Customer Service Intemet: ncwaterquality.org FAX (704) 663-6040 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper Page 2 of 2 Certificate of Completion form to the 401 Oversight/Express Review Permitting Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699- 1650. Violations of any condition herein set forth may result in revocation of this Certification and may result in criminal and/or civil penalties. If you do not accept any of the conditions of this Certification (associated with the approved wetland or stream impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of the North Carolina General Statutes, to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This Certification and its conditions are final and binding unless you ask for a hearing. Any disputes over determinations regarding this Authorization Certificate shall be referred in writing to the Director for a decision. The Director's decision is subject to review as provided in Articles 3 and 4 of G.S. 1506. This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any questions, please telephone Cyndi Karoly at 919-733-1786 or Stephanie Graham at 704-663-1699. Sincerely, L for Alan W. Klimek, P. E. Enclosures: Certificate of Completion GC 3492 cc: Ian McMillan, Wetlands Unit USACE Asheville Regulatory Field Office Becky Fox, EPA Bob Smet - PO Box 576, Badin NC 28009 Central Files Triage Check List Date: 11/30/06 Project Name: Michael Thomas Hillard DWQ #:06-1844 County: Rowan Alan Johnson, Mooresville Regional Office To: 60-day Processing Time: 11/28/06 -1/26/07 From: Cyndi Karoly Telephone : (919) 733-9721 The file attached is being forwarded to you for your evaluation. Please call if you need assistance. ? Stream length impacted ? Stream determination Wetland determination and distance to blue-line surface waters on USFW topo maps ? Minimization/avoidance issues ? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman) ? Pond fill Mitigation Ratios ? Ditching ? Are the stream and or wetland mitigation sites available and viable? ? Check drawings for accuracy Is the application consistent with pre-application meetings? ? Cumulative impact concern Comments: As per our discussion regarding revision of the triage and delegation processes, please review the attached file. Note that you are the first reviewer, so this file will need to be reviewed for administrative as well as technical details. If you elect to place this project on hold, please ask the applicant to provide your requested information to both the Central Office in Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim procedure as we slowly transition to electronic applications. Please apprise me of any complications you encounter, whether related to workload, processing times, or lack of a "second reviewer" as the triage process in Central had previously provided. Also, if you think of ways to improve this process, especially so that we can plan for the electronic applications, let me know. Thanks! 2 0 0 6 1 8 4 4 The following is an abbreviated application form for those applying for a 401 Water Quality Certification to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit GP30. This Application cannot be used for wetland or stream impacts. Please provide seven (7) copies of this application and supporting information as well as a non-refundable application fee to the Division of Water Quality of $200.00 for impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre. Applications should be sent to: Division of Water Quality Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 1. Applicant Information &1 PAIID o V 2 8 2006 LDENR • WATER QU AfND3qADSTO% AR 17-y yCk Owner/Applicant Information Name: VKIC &. 7tLAdl5 RIGIAR-t> Mailing Address: 305 1Z1vER_ C0\.tNTRY ROAD 5A-(,1 S 15WZ%(? PC 281 1 to Telephone Number: -1014 • &61, 8'1 `1 Z Fax Number: E-mail Address: 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: N /At Company. Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: II. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. You may use the diagram below to make a hand sketch of your project. Also, see the example below for guidance. Both the vicinity map and site plan must include a scale and north arrow. The footprints of all buildings, impervious surfaces, or other facilities must be included. 1. Location County: RWAN Nearest Town: 5ALtS6LyRY Subdivision name or site address (include phase/lot number): N/A Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate vicinity map is included): T_-65 To fciT SO , SOUTH co Low 1'ERR-'( 1c?1?t> (SR?1 _. RtGtkT oN UNIMIkR.KEP ROAD' C*e NFIACAeD Mittr) Pty Pt-?2T`1 AT ENS of lZbND 2. Describe the existing land use or condition of the site at the time of this application: Ut.STt06, b&,J6wPsv Pf-540EATIA-• !RUgaN*IoN. 3. Property size (acres): Aff"X • -I. e> ACM 4. Nearest body of water (stream/river/sound/ocean/lake): RECAO ROCX L-AM 5. Describe the purpose of the proposed work: To STP4ILI i?e kN Ir XISTUO & E-POMD 51-toR-FLIr4E P44,0 9" rErn, IT F't? FtMR-TI+yy- 6POS1 oN . 6. List the type of equipment to be used to construct the project: '&ot?x tAT . ?Wt AU. TRAGIb tZ OR IMCIr-i-bE 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: 131,'0 SO. FT 8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in square feet or acres: SIDS 5Q . FT . b. Please describe vegetation above the normal pool lake level and 50 feet land- ward to be impacted (number TF ees for instance): S a?Z (o tXtSTW(, TREES WILL, (fie 12r-,WV,9D "fo (ANAPLFTr- 6VAOI N& AIND 2t? RAP rltSTAr.L&TtoM . T? l?? ll9.a? Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union Army Corps Engineers Avery Clay Jackson Watauga 15 Avenue 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon rd Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 2714854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Fall Is of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Cotes Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington, NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans •Cmatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Hamett Pender Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 2514511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fish and Wildlife Service / National Marine Fisheries Service US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service Raleigh Field Office Asheville Field Office Habitat Conservation Division Post Office Box 33726 160 Zillicoa Street Pivers Island Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516 Telephone: (919) 8564520 Telephone: (828) 665-1195 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality Division of Water Quality State Historic Preservation Office 401 Wetlands Unit Wetlands Restoration Program Department Of Cultural Resources 1650 Mail Service Center 1619 Mail Service Center 4617 Mail Service Center Raleigh, NC 27699-1650 Raleigh, NC 27699-1619 Raleigh, NC 276994617 Telephone: (919) 733-1786 Telephone: (919) 733-5208 Telephone: (919) 733-4763 Fax: (919) 733-6893 Fax: (919) 733-5321 Fax: (919) 715-2671 CAMA and NC Coastal Counties Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Curr'ituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855Idlewild Road Asbe Mitchell Wilkes Kemcrsville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey 10'30'o( ?Yw ?°( I/Lfi?G1L Qu:a?t,iT? cC-rLTi F+c.?-T?orJ _ RCPPLICATION R(Z. Skr La NE STABILMATtotJ g At, Io4T oFF i uN E1 we p--( ? K16a f?Gc LAI?E M V A-CT ,,10e ST A 1311.17.ArTioN W ITt4 PIP (ZA E _ Z Doss SKow h PrzoPosr-o O1LO(Lewt416 SLOPE 2% I l?t??D ALS-o 'WMI05 -T 6 btf T 4 1 +t6 NoPmAL D 14 I ITE-W <= Agk?4 or- i wA-CT (,ENGT la Y Dt PTtk )- ? PEA i3f 35 ?` 2 X., 1125 ?T. ¢ -IE fp(z -rRl C,?t,cuLliT?oN ?.1 A-JERA6E 04L OVE-(L " LOATEAL K--pTN of 2 '6T. R*i 16EEiJ h5sLmeD. T415 cutt,? 'PRa?auc GrN ft?i?T ?V bV 2 Imp- ...... Off' 7tf? IMF MtT Agkp. i fi = ??25 5 PTI r .ji TOP- LL a- 4 LLI ti. - a qr +I VEGETATE DISTURBED AREA ABOVE SLOPE EXISTING GRADE ? CLASS 1 RIP RAP 17 A 2 EROSION CONTROL FABRIC IAKE\ ---- BOT TOM TYPICAL CONDITIONS 12" TO 36" ERODED CUT WAVE EXPOSURE 08/23/06 FOR: MICHAEL HILLARD LOCATION: ROWAN COUNTY TAX MAP 611005 RESERVOIR: HIGH ROCK LAKE PROJECT: SHORELINE STABILIZATION PROGRAM PHASE I SITE EVALUATION YADKIN, INC. - BADIN, NORTH CAROLINA DRAWING TITLE: DETAIL MINOR RIP RAP STABILIZATION 2 2 0 0 6 1 8 4 4 The following is an abbreviated application form for those applying for a 401 Water Quality Certification to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit GP30. This Application cannot be used for wetland or stream impacts. Please provide seven (7) copies of this application and supporting information as well as a non-refundable application fee to the Division of Water Quality of $200.00 for impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre. Applications should be sent to: Division of Water Quality Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 I. Applicant Information $PAI[ID 11 N O V 2 g 2006 qu.. DENR - WATER QUALITY WTUNDS AND STORMWtATER BRANCH 1. Owner/Applicant Information Name: Wu C4Ar5 , 7(ta J 15 KI L IA f-12 Mailing Address: 385 1Z1\JEV_ COUOTt2`y ROAD 5A{,l s bu(Z`( PC Sb 114 & Telephone Number: "l 04 • & 6l , 6'191, Fax Number: E-mail Address: 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: N Company. Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: II. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. You may use the diagram below to make a hand sketch of your project. Also, see the example below for guidance. Both the vicinity map and site plan must include a scale and north arrow. The footprints of all buildings, impervious surfaces, or other facilities must be included. Location County: L4WAN Nearest Town: SALAS6u.R`f Subdivision name or site address (include phase/lot number): NMi Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate vicinity map is included): ASS To bcIT- 80, SouTH oN to,46 1=LRR-'f Fcoi> (59 ZI7,o) . IZ60T oN ttNVnP,R.Y-6p (&AD_ (%f RTTAC4WV MftP) N26? g7f`I tT ENt> of RdAi?• 2. Describe the existing land use or condition of the site at the time of this application: lyt$T06, b£-JEI.o['SD RE%26r4TIAL• SUgDtVIMoN. 3. Property size (acres): APPRok • -1.16 ICfZES 4. Nearest body of water (stream/river/sound/ocean/lake): WAO Roc.K LA ICE 5. Describe the purpose of the proposed work: To STPPeA -I It W rMSTW& E(2bDEt7 5l O"LIIAE MD POTEUr 1T T*aVK FURT'Of9- 6POSION • 6. List the type of equipment to be used to construct the project: 'ap&_AT . 5%mA b_ -.rmci-o fL OR BJ a tkas 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: 1360 aQ. F- 8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in square feet or acres: 31 o S 5Q . FT . b. Please describe vegetation above the normal pool lake level and 50 feet land- ward to be impacted (number of trees for instance): S aX (o f Xk5ff0& TREES WILL BI? Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union Engineers Army Corps Avery Clay Jackson Watauga 15 151 Patton Avcnuc Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon rd Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 2714854 Caldwell Haywood McDowell Swain Fax: (828) 2714858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Fal Is of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bettie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington,NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans •Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Harnett Pender Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 2514511 Columbus Moore Sampson Fax: (910) 251.4025 Cumberland New Hanover Scotland US Fish and Wildlife Service I National Marine Fisheries Service US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service Raleigh Field Office Asheville Field Office Habitat Conservation Division Post Office Box 33726 160 Zillicoa Street Pivers Island Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516 Telephone: (919) 8564520 Telephone: (828) 665-1195 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality Division of Water Quality State Historic Preservation Office 401 Wetlands Unit Wetlands Restoration Program Department Of Cultural Resources 1650 Mail Service Center 1619 Mail Service Center 4617 Mail Service Center Raleigh, NC 27699-1650 Raleigh, NC 27699-1619 Raleigh, NC 276994617 Telephone: (919) 733-1786 Telephone: (919) 733-5208 Telephone: (919) 733-4763 Fax: (919) 733-6893 Fax: (919) 733-5321 Fax: (919) 715-2671 CAMA and NC Coastal Counties Division of Coastal Management Beaufort . Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Curtituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 ldlewild Road Ashe Mitchell Wilkes Kernersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surty Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey . 10I30106 MPLICP Tkoo X02 SkrL -uNE 5TIk3mZAT PA lGN. (-tel. RI U. l!t> W1` Q(= VcW?? fVr1n?` &i+ (2,OCK LAr-e mPA-c,T Aize-A CALca.ATiol4 ' i i'> 8TTjkc-tk D St?oRkt,ti N pl.Ar? NuuzS 3 5 l,l o r ('RoPa m i A ObRoact,1NE STAMI IZAMoN W11-4 RIP (ZAC tg-mi ice.. Z AosS - 5 N_ 1 Pr?t'b ?t-? ?}ko2.1? I.? N ?c,oPE t "D A?o ?}ta-w5 _f µl? G>-Q' i L i 4E PSoR At, 71 wkf Gout Nsa-mArt, F&O L ( t'Tt-m "i An.L o? I rv1P! "f? - LeNGT la '` Dt PTA x PE ?2 TES -CuGATID &L,. M -lie" eV(LAL, F.R C-? CJAT _or- avWL A?,:rO v_t- ...W*%Al- PoO-L U tz-i?$ ,:. ?T, ?S LF Stb ?U N 2- ?T. I??e y lU u15 (A_v6lei?GE ?M r 5 tj i, ?G'1' C?1JST CT ON ds? -' / tD $Tt2-t s ?'FT, ti nn aoyE fi?S =3!?S SST, ?-- T ? F . i i 3. } i • 1? "T 4 .. _ era P t4o r 'V pv? 76 `??r4i VEGETATE DISTURBED AREA ABOVE SLOPE EXISTING GRADE CLASS 1 RIP RAP 1 17 A iL05 0- or "- EROSION CONTROL FABRIC -'?-,P LAKE\ -- eoTr -- OM TYPICAL CONDITIONS 12" TO 36" ERODED CUT WAVE EXPOSURE 08/23/06 FOR: MICHAEL HILLARD LOCATION: ROWAN COUNTY TAX MAP 611005 RESERVOIR: HIGH ROCK LAKE PROJECT: SHORELINE STABILIZATION PROGRAM PHASE I SITE EVALUATION YADKIN, INC. - BADIN, NORTH CAROLINA DRAWING TITLE: DETAIL MINOR RIP RAP STABILIZATION 2 2 0 0 6 1 8 4 4 The following is an abbreviated application form for those applying for a 401 Water Quality Certification to impact FERC (Federal Energy Regulatory Commission) regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit G.P30. This Application cannot be used for wetland or stream impacts. Please provide seven (7) copies of this application and supporting information as well as a non-refundable application fee to the Division of Water Quality of $200.00 for impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom of greater or equal to 1 acre. Applications should be sent to: Division of Water Quality Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 1. Applicant Information $PAID NOV282006 F fa 1 y DENR - WATER QUALITY W"MDSAN STORMWATERBRANCH 1. Owner/Applicant Information Name: VKie4Ar5t. TF Ad) S lka L A-F_f> Mailing Address: 385 1Z1vE1?_ CoLt.NTrzY (2>AD ?l?rt,i5 ?u2Y N C 28 IA& Telephone Number: `16c • to (a t , 81 `i Z Fax Number: E-mail Address: 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: N A Company. Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: II. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. You may use the diagram below to make a hand sketch of r your project. Also, see the example below for guidance. Both the vicinity map and site plan must include a scale and north arrow. The footprints of all buildings, impervious surfaces, or other facilities must be included. Location County: L4WAN Nearest Town: 5P(,?S45uR`Y Subdivision name or site address (include phase/lot number): NM! Directions to site please include road numbers, landmarks, etc. (This is not necessary if an adequate vicinity map is included): ?65 To fr'IT 80, SoUTh aN toNG PERR-`I (SCR ZIZo) , R16tkT oN lJN vKP,RKE p RoA D (SEt: NTUAG&D MRI-) PVO MAij t T END OF RoAA?D 2. Describe the existing land use or condition of the site at the time of this application: IYu5T10(r bEI1Ew('SP (26506r tAL_ SueiDtVtMoN. 3. Property size (acres): APF"Y- • 7.'e> ACRES 4. Nearest body of water (stream/river/sound/ocean/lake): HIC49 RocK L AR-_, 5. Describe the purpose of the proposed work: To STP41W TE AN ?X15Ttldb (r RopE?> 5k4o9-fit PA E A44D P (w7 ?.T tT ft Fue21't FC-R- ?Ros ?oN . 6. List the type of equipment to be used to construct the project: VDW_,t,T . $ M A?U. TRAC.To IZ OR BAC,-{AbE 7. Amount of impact (including all excavation, backfill, rip rap, retaining walls, etc.) below the normal pool lake level in square feet or acres: . 1360 5;Q. FT 8. a. Amount of impact (including all clearing, back fill, excavation, rip rap, retaining walls, etc.) above the normal pool lake level and 50 feet land-ward in square feet or acres: 3 t o 5 5Q*. FT. Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) b. Please describe vegetation above the normal pool lake level and 50 feet land- ward to be impacted (number of trees for instance): S aR (o &X151 tNG TAWS WIGI, 6e US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union US Army Corps of Engineers Avery Clay Jackson Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon rd Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington, NC 27889-1000 Carteret" Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans •Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Hamett Ponder Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fish and Wildlife Service / National Marine Fisheries Service US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service Raleigh Field Office Asheville Field Office Habitat Conservation Division Post Office Box 33726 160 Zillicoa Street Pivers.lsland Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516 Telephone: (919) 8564520 Telephone: (828) 665-1195 Telephone: (252) 728-5090 North Carolina State Age ncies Division of Water Quality Division of Water Quality State Historic Preservation Office 401 Wetlands Unit Wetlands Restoration Program Department Of Cultural Resources 1650 Mail Service Center 1619 Mail Service Center 4617 Mail Service Center Raleigh, NC 27699-1650 Raleigh, NC 27699-1619 Raleigh, NC 276994617 Telephone: (919) 733-1786 Telephone: (919) 733-5208 Telephone: (919) 733-4763 Fax: (919) 733-6893 Fax: (919) 733-5321 Fax: (919) 715-2671 LAMA and NC Coastal Counties Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Ponder Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kernersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey