19920299 Ver 1_COMPLETE FILE_19920101

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State of North Carolilla
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • 'Zaleigh, North Carolina 27604
James G. Martin, Governor A. Preston Howard, Jr., P.E.
William W. Cobey, Jr., Secretary December 18, 1992 Acting Director
Andy Blackmon `- \
149 Kildaire Farm Road r l \
Cary, North Carolina 27511-4545 ,-?
Dear Mr. Blackmon:
Subject: 401 Water Quality Certification
Driveway Access Project 1/ 11 Carteret County - DEM f 29 299
On 5 June 1992 you wrote to the Division of Environmental Management
requesting a 401 Water Quality Certification for your project to construct a
driveway access in Carteret County. We have been informed by the N.C. Division of
Coastal Management that this project will require a permit from the N.C. Division of
Coastal Management. We cannot continue to process your application until the
Division of Coastal Management (DCM) begins the permitting process. Therefore I
must hereby place this project on indefin.te hold until you and the Division of
Coastal Management gather the necessary information to develop an acceptable DCM
permit application. Also by copy of this letter, I am also notifying the U.S. Army
Corps of Engineers that this project will need processing by the Division of Coastal
Management.
If you believe that this decision is in error, please call me at 919-733-1786
to discuss the matter.
Since ly,
Dorney
tl?.nds and Technical eview Group
JRD/kls
dcmrev.ltr
cc: Mr. John Parker, Division of Coastal Management
Division of Coastal Management Wilmington Field Office
Wilmington DEM Regional Office
US Army Corps of Engineers Wilmington District Office
Central Files
REGIONAL OFFICES
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663-1699 919/571-4700 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
DIVISION OF ENVIRONMENTAL MANAGEMENT
MEMORANDUM
Date:
To:
From:
Through:
Subject:
July 28, 1992 uu
John Dorney WETLAND'
Planning Branch WATER UAL
James H. Gregso
Wilmington Reg Office
•
Dave Adkins
Wilmington R onal Office
Regional Office Review and Recommendations
Application for Permit for Excavation and/or Fill
Central Office Permit #92299
AM/yQuoni #92300
Carr``tteret County
Conversations with DCM personnel indicate that these two
projects will require CAMA Major Permits. This Office will
comment upon review of the CAMA Bio-reports.
JHG:92299.Jul
cc: Wilmington Regional Office Files
Central Files

DEM ID: f22-7/
ACTION ID:
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRO
P.O. BOX 1890 AND NATURAL RESOURC
WILMINGTON, NC 28402-1890 P.O. BOX 29535 JUN _ 5
ATTN: CESAW-CO-E RALEIGH, NC 27626-0535 992
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone [phone] wETLAnDS GPGUP
WATER QUALITY SEC I i'A
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: AIVI y .LILAC/: m,9A)
2. OWNERS ADDRESS: l/-rr??lZFiIVZM 2_t?.
9??
3. OWNERS PHONE NUMBER (HOME) : ?P19 y8/-DZ4?D (WORK) : /y-yG?--?
4. IF APPLICABLE:
PHONE NUMBER:
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : C?4KTFi? A =?-- I-
NEAREST TOWN OR CITY: >='ME'AAGn S5"L
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
??/4N A-L l?/L.ZU? LD TG2 G42Cf??2 ??.ZTy 7" S/m
6. NAME OF CLOSEST STREAM/RIVER:C12?EK
7. RIVER BASIN: N Z.4
8. IS THIS PROJECT LOCATED A WATERSHED CLASSIFIED AS TROUT,-SA, HQW, ORW,
WS I. OR WS II? YES [ NO [
9. HAVE ANY SECTION 404 PERMITS BEEN PREY OUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: ,
2/3/92
1
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED: , 69
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED:
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
13. PURPOSE OF PROPOSED WORK: f}CC SS To
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. 'T/` US14 S TING 7hIF-7 A=-"D6'?-s Q i= ;V jFETG94D 7.-C/4
ia!1Lfl?l e T /19Ns T C2aSs So s?? G[,?TL9?o .?}rc s
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES (,(j NO ( J
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES (xJ NO ( J
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? -ST)ClE ,F?z'G .e"I?L
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SGPT/G (Fdz c? ?1 TtiA L D15 iFlu O/h, .?T
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OWNER'S IGNATU DATE
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DEM ID: l Z
ACTION ID:
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMEN'
NC DEPARTMENT OF ENVIRI
AND NATURAL RESOURf
P.O. BOX 29535
RALEIGH, NC 27626-053'
ATTN: MR. JOHN DORNEY
Telephone [phone],
f
JUN - 5 1992
`; CI?It
SECiiGt;
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: zz,?IwAj
2. OWNERS ADDRESS:
/?J
/(.?![??/li 121V1 2D.
3. OWNERS PHONE NUMBER (HOME) : (WORK) :
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: , 77Av-rte ;Z?b T??v !> 3??4
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: CfiX7-?-=iiCT
NEAREST TOWN OR CITY: _-_JCMEi2/4G1?+G
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
6. NAME OF CLOSEST STREAM/RIVER:?N?V C!??EK
7. RIVER BASIN: N ?f}
-_8. IS THIS PROJECT LOCATED A WATERSHED CLASSIFIED AS TROUT;-SA, HQW, ORW,
WS I, OR WS II? YES [ NO [ ]
9. HAVE ANY SECTION 404 PERMITS BEEN PREV OUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
2/3/92
I
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED: '59
DRAINED:
FLOODEDs
EXCAVATED:
TOTAL IMPACTED:
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
13. PURPOSE OF PROPOSED WORKS f?CCFSS To /5?Di1i? ,3-??
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. 'rl'yQled/4 4C? 7=rTQG 71Y ? ?"OGES O,- 1N?TL.9r4p i?'--C?
????? /yl?sT C2yss 5a?? ??TL9??o ,4.c??c
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES (,?j NO ( j
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES (xJ NO ( j
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
a E. WHAT IS LAND USE OF SURROUNDING PROPERTY? -5--Z?*6E :%%x;49 ? 1 /
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
ScPT/G C'fdz ,G-??? Tti•4 L Dry? Pihr?T
OWNER'S IGNATU DATE
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DIVISION OF ENVIRONMENTAL MANAGEMENT
Date: July 28, 1992
To: John Dorney
Planning Branch
From: James H. GregsorY 4'
Wilmington Reg Office
Through: Dave Adkins
Wilmington R onal Office
Subject: Regional Office Review and Recommendations
Application for Permit for Excavation and/or Fill
Central Office Permit #92299
U/,.- #92300
Carteret County
Conversations with DCM personnel indicate that these two
projects will require CAMA Major Permits. This Office will
comment upon review of the CAMA Bio-reports.
JHG:92299.Jul
cc: Wilmington Regional Office Files
Central Files

DEM ID: fa!/
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
ACTION ID:
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENT
NC DEPARTMENT OF ENVIRO
AND NATURAL RESOURC
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
JUN - 5 1992
WFTLANUs 051UP
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: AIVI y az1gc1, .4xoAj

2. OWNERS ADDRESS: 1`5' ?- 49?lZ?
/y- yG??37??.
3. OWNERS PHONE NUMBER (HOME): ?/9 ` y8y D.z?O (WORK):
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: 7?)Av.r40
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : C 99-T/i?, T
NEAREST TOWN OR CITY:
?M Ei?/4Gn ?5'Gn?
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
N,'¢-L 102.Zli? LOT"ZZ P42CA971a PD.Z7y7r5/?
6. NAME OF CLOSEST STREAM/RIVER:
7. RIVER BASIN:
_._8. IS THIS PROJECT LOCATED A WATERSHED CLASSIFIED AS TROUT,-SA, HQW, ORW,
WS I, OR WS II? YES [ NO [ ]
9. HAVE ANY SECTION 404 PERMITS BEEN PREV OUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:,
*I$,--
2/3/92
I
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED: '69
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED:
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
13. PURPOSE OF PROPOSED WORK: ITGG SS Ta
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. '7866eeW S??/Z7?NG 7/Yf 0290 es
l?1ZT1El?c/+? /1'J?/sT C2aSs sa?s? Gv?TL9??o ?}.c,?s
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES (/?j NO ( ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES (x) NO ( ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? -S C E ,?4'ltrGI ? Iaw/?L
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
- 5 P7-IC- rl cy ;,1 79-14 t- D r y Lo -o!. 97
OWNER'S IGNATU DATE

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DEM ID: l Z 300 ACTION ID:
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMEN AT- Fur
NC DEPARTMENT OF ENVIR T.NX9 $Ef.'I W (? 77?
AND NATURAL RESOUR
P.O. BOX 29535
RALEIGH, NC 27626-053 JUN - 5 1992
ATTN: MR. JOHN DORNEY
Telephone [phone] WETLAZZP--)J?,
WATER OUAUTY StCI lvld
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: 2?L?miu)
2. OWNERS ADDRESS: 3czA- ZJVI RO.
3. OWNERS PHONE NUMBER (HOME) : -09 4e/-pzt,/D (WORK)
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: . 7-.)Av=j0 zb T7?v ---> 324

5. LOCATION OF PLA
COUNTY: (f)9?
NEAREST TOWN OR
SPECIFIC LOCATI
WORK (ATTACH MAP).
(INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
6. NAME OF CLOSEST STREAM/RIVER:.IN?V C/?EK
7. RIVER BASIN: /
8. IS THIS PROJECT LOCATED A WATERSHED CLASSIFIED AS TROUT;-SA, HQW, ORW,
?WS I, OR WS II? YES [lr NO [ J
9. HAVE ANY SECTION 404 PERMITS BEEN PREY USLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
2/3/92
1-
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED: .69
DRAINED:
FLOODED:
EXCAVATED: _
TOTAL IMPACTED:
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):

13. PURPOSE OF PROPOSED WORK: ? cC,--SS To SF!:
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. J1`1D u6H S'lf3747::7-WG 7/W57 V2967-=rS Qt- kJ 'J'Lr9trD 7,fc fc
/?..Z:T??G?/?-i? /1'lGlsT C2yss Suh? 6v?TL9?vo ,?1rG?,•?t
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES ('(J NO ( )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES (x) NO ( )
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SHPT/C rlya2 FoC---J7't-f4 ?- D.?y%.10 O/hc?7T
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OWNER'S IGNATU DATE
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DEM ID: 9 ZZgS
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION

WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
ACTION ID:
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRON 11 Hr-ATT-H
AND NATURAL RESOURCE
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY JUN - 5 199?
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO T
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISI
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
r
Vl_affEF_tWL1 1Y
1. OWNERS NAME: /?IVrJL/ ,L?L/QC/? /J/IO/y
2. OWNERS ADDRESS:
2 C - d
3. OWNERS PHONE NUMBER (HOME) : 'P19 ` yd/-O, 2410 (WORK)
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: D,4V-r4p sG?Q?F- ,
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : CAGz-TI -r=. r
NEAREST TOWN OR CITY: ?M FAA2,n =3E:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
^j A-L 010-nUtt--- LD 7'"Z,2 G j1CN ?2 ?027y S/m
6. NAME OF CLOSEST STREAM/RIVER: CA50K
7. RIVER BASIN: (V?/}
1
8. IS THIS PROJECT LOCATED A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ NO [ ]
9. HAVE ANY SECTION 404 PERMITS BEEN PREY OUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:,
I:%`"-
2/3/92

1
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED: '69
DRAINED:
FLOODEDt
EXCAVATED:
TOTAL IMPACTEDs
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
13. PURPOSE OF PROPOSED WORK:
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. `rMleGN S 7?T?G 7fY ?OGEs dr- ;V4579 ,O 7sC?
L7?E441*tf 447017- C2vss So?? 6v?rP.9-•?0 ,?,c s
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES (?j NO ( j
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES (xj NO ( j
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? --5rf?&?E 112a /4- .P 1aw/-.V-L
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
ScPric CFd'2 ?-
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OWNER'S IGNATU DATE
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DEM ID: `Z 2 9I tog:i ITJ
JOINT APPLICATION FO Q!RG n iri
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGIN>:`E
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVI
P.O. BOX 1890 AND NATURAL RESOU E3L
WILMINGTON, NC 28402-1890 P.O. BOX 29535
ATTN: CESAW-CO-E RALEIGH, NC 27626-05 Telephone [phone] ATTN: MR. JOHN DORNE
Telephone [phone] ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT T
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME : Aiw y zC Z, 4C'/z mw)
2. OWNERS ADDRESS : f?-Ili/ZA-Z M RT]•
3. OWNERS PHONE NUMBER (HOME): (WORK): 4. IF APPLICABLE:
PHONE NUMBER:
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : Cf}GL-Y??'? 4=:* I
NEAREST TOWN OR CITY: ;_c--7mgL-A 2x
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Z,0 7- v _ G4 f2CN4,c;2 P02?TS
6. NAME OF CLOSEST STREAM/RIVER:.?N?U
7. RIVER BASIN: NZ4
8. IS THIS PROJECT LOCATED N A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES NO [ ]
9. HAVE ANY SECTION 404 PERMITS BEEN PRE-V3OUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:,
?? 2/3/92