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(
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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 .
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EXISTING GRADE
CLASS 1 RIP RAP
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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