19920735 Ver 1_COMPLETE FILE_19920101

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State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor A. Preston Howard, Jr., P.E.
William W. Cobey, Jr., Secretary December 23, 1992 Acting Director
Mr. David H. Walker
Watershed Forester
Asheville Watershed
3374 North Fork-Left
Black Mountain, North
Dear Mr. Walker:
Fork
Carolina 28711
Subject: Proposed Fill in Wetlands or Waters
Road crossing
Buncombe County
DEM Project # 92735
Upon review of your request for Water Quality Certification
to place fill material in 0.05 acres of wetlands or waters for
road crossing located near Bee Tree Lake (BT-2 and BT-1)in
Buncombe County, we have determined that the proposed fill can be
covered by General Water Quality Certification No. 2732 issued
January 21, 1992. A copy of the General Certification is
attached. This Certification may be used in qualifying for
coverage under Corps of Engineers' Nationwide Permit No. 14.
If you have any questions, please contact John Dorney at
919/733-1786.
Sincerely,
reston Howard, J . P.E.
APH:JD
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Asheville DEM Regional Office
Mr. John Dorney
Central Files REGIONA1 C*MCES
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
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

DEM ID: ? 2- ACTION ID:
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
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 ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIR aTg1w AND NATURAL RESOUR
P.O. BOX 29535
RALEIGH, NC 27626-053
ATTN : MR. JOHN DORNEY - 17 IV
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE W4w*§QkwYSECTI0N
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT.
PcSLnCEX?A3 S. EPRINTT..
1. OWNERS NAME : , W l 1
2. OWNERS ADDRESS:
3. OWNERS PHONE NUMBER (130M£) : 70Y- L• G 4 -?J 9 (WORK) :
4. IF APPLICABLE: AGENT'S P
PHONE NUMBER:
CORPORATE OFFICIAL, ADDRESS,
??? ?-
5. LOCATION OF PLANNED WORK (ATTACH MAP). COUNTY:
NEAREST TOWN OR CITY: aIli, . ltc?g QO A/ G;
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
'? t?, -r-, / A / -/ I7 ..... U 1 . n n • i 0 _ l( / - Z- M,2y A.^ 2,11 1 - I -
6. NAME OF CLOSEST STREAM/RIVER: a4j - 7'? tnwh
7. RIVER BASIN:
8 IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
S I OR WS II? YES pC ) NO [ )
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ) NO kK)
IF YES, EXPLAIN.
INCLUDING
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S.L"
WETLANDS, LOCATED ON PROJECT SITE: 3 O ? ?-?
3/30/92
k *44 ,
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED:
12. DESCRIPTION OF PROEOSED, WORK. (ATTACH ,PLANS):
13.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. A/,+-t- c 1.--2 ,7J,- - 0,,,-h 0 G 1- w 9.
r
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 [ ] NO ( )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
t"` 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 ( J 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. `j
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. NPr
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. N k
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY. /J A
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
NA
OWNER'S SIGNATURE DATE

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DEM ID: ACTION ID: _
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT
JOINT APPLICATION FORK FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
J
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 ENVIRONMENT
NC DEPARTMENT OF ENVIRO
AND NATURAL RESOURC
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
,y
1 71992
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 : -cSI L LZ `
2. OWNERS ADDRESS:
,a
3. OWNERS PHONE NUMBER 010MLJ : )OY-L4 4-j7.S C- q (WORK)
4. IF APPLICABLE: AGENT'S !
PHONE NUMBER:
IBLE CORPORATE OFFICIAL, ADDRESS,
i%tn?.,,+.?I? ?o .
5. LOCATION OF PLANNED WORK (ATTACH ). COUNTY:
NEAREST TOWN OR CITY: Qc /1/ G:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
7 ?-v 0 A/ -.0 A - Cf_ I . Y1n a-n RT L ^-o., rn 9.< 1-l
6. NAME OF CLOSEST STREAM/RIVER: ?.ex_ T'v?t- CJ2
7. RIVER BASIN:
8 IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
(;Z :L OR WS II? YES VI NO ( )
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( J NO ,EiCJ
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S. INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: 3/30/92

-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED: /,) ; N ./{
12. DESCRIPTION OF PROROSED, WORK. (ATTACH,PLANS) :
13. PURPOSSCF 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. ytl-t c LJ2 1( r..v?? ll: ?.? jor[tivw.fL ,. 91. J., I J L.
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 ( ] NO ( ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
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 ( ) 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
l
THE PROPERTY. `j
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. N A-
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. N k
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY. N A
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? l?lJp
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
NA
.4 lZ?
OWNER'S SIGNATURE DATE

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State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor George T. Everett, Ph.D.
William W. Cobey, Jr., Secretary r J / D irecttoor
Pr A/ Ilt let
337y
Dear Sir or Madam:
SUBJECT; 4Q1 WATER QUALITY CERTIFICATION
Let County, COE Project # -
y
The Division of Environmental Management (DEM) received a
letter from the Corps of Engineers (COE) stating that your
project qualified for a Nationwide Permit. Please be advised
that the Nationwide Permit is not valid until a 401 Water Quality
Certification has been issued by the Division. General
Certifications have been issue by the Division for most of the
Nationwide Permits, however, several of the General
Certifications require written concurrence from the Division
before the Nationwide Permit is valid.
If you are utilizing Nationwide Permit # 26 and your fill
activity is equal to or less than one-third (1/3) of an acre you
are not required to obtain written concurrence. Otherwise please
complete the attached form (except for conditions 15 and 16) and
send six additional copies (a total of seven copies) so that the
review of your request can be initiated.
If you have any questions, please call me or Mr. John Dorney
at 919-733-1786.
Sincerely,
A
Eric Galamb
Applic.ltr .
cc: DEM Regional Office
Mr. John R. Dorney
RI-GIONIAI. UITICES
Asheville Iayetteville Nloores\illc Raleigh \Vashi11,"ton Wilmington V,inston-Salem
704/211-6208 919/4661541 7(14/03-Io99 919/571-4700 919/9466481 919/395-39W 919/896-7(X)7
Pollution Prevention Pays
P.O, Box 2953 Raleigh, N4nth Carolina 27626-0535 Telephone [phone]
\" I'J'A O"ponninm Vtnmdliv, v. a?a? I mplnccr
f 11L.
-2-
Your work is authorized by this NWP provided it is accomplished in strict
accordance with the enclosed conditions, and those recommended in the attached
October 28, 1992 WRC letter. This NWP does not relieve you of the
responsibility to obtain any required State or local approval. Information
regarding issuance of a Section 401 Water Quality Certification may be
obtained through Mr. John Dorney, Division of Environmental Management, at
[phone].
This verification will be valid for 2 years from the date of this letter
unless the NWP authorization is modified, reissued, or revoked. Also, this
verification will remain valid for the 2 years if, during that period, the NWP
authorization is reissued without modification or the activity complies with
any subsequent modification of the NWP authorization. If during the 2 years,
the NWP authorization expires or is suspended or revoked, or is modified, such
that the activity would no longer comply with the terms and conditions of the
NWP, activities which have commenced (i.e., are under construction) or are
under contract to commence in reliance upon the NWP will remain authorized
provided the activity is completed within 12 months of the date of the NWP's
expiration, modification or revocation, unless discretionary authority has
been exercised on a case-by-case basis to modify, suspend, or revoke the
authorization.
Questions or comments may be addressed to Mr. David Baker in our Asheville
Regulatory Office at [phone].
Enclosure
Copies Furnished (without enclosure):
Mr. John Parker
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
N.C. Wildlife Resources Commission
Mickey Clemmons
Route 1, Box 624
Waynesville, North Carolina 28786
Sincerely,
G. Wayne Wright
Chief, Regulatory Branch
vMr. John Dorney
Water Quality Section
Division of Environmental Management
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687

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North Carolina Wildlife Resources Commission 9-
512 N. Salisbury Street, Raleigh, North Carolina 27611, 919-733-3391
Charles R. Fullwood, Executive Director
October 28, 1992
Mr. Robert Johnson, Office Manager
U.S. Army Corps of Engineers
Regulatory Branch
Room 75, Grove Arcade Building
Asheville, North Carolina 28801
SUBJECT: A review of an application by Mr. David Walker of the
Asheville Watershed to install a timber bridge on Bee
Tree Creek, Asheville, Buncombe County.
The N.C. Wildlife Resources Commission (NCWRC) has reviewed
the information provided by Mr. Walker and we are familiar with
habitat values of the project area. An onsite investigation was
conducted on October 9, 1992 to further assesses potential
construction impacts on wildlife and fisheries resources. These
comments are provided in accordance with provisions of the Clean
Water Act of 1977 (33 U.S.C. 466 et seq.), and the Fish and
Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C.
661-667d.).
The applicant proposes to use 7 black locust stringers set
on log abutments placed on the stream bank and tied into the bank
with anchor logs. Large stone, placed in the creek in the past
to make a ford, will be moved and used as rip-rap on the upstream
bank of the crossing.
Bee Tree Creek is not a Designated Public Mountain Trout
Water (DPMTW). However, this stream offers good habitat for
trout and supports a good wild rainbow trout population. No
federal or state listed threatened or endangered species are know
to be present at this site.
The NCWRC is concerned over potential adverse impacts to
aquatic resources in this drainage. The NCWRC will not object to
the issuance of the permit provided the following conditions are
met by the applicant:
A"-
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1) Temporary ground cover (e.g. hardwood mulch, straw, etc.)
should be placed on all bare soil during construction.
Permanent vegetation in these same areas should be established
within 15 days of project completion to provide long term
erosion control.
2) Riprap placed for bank stabilization should not be placed
below normal water elevation so as to maintain natural
substrate in the stream. Also, riprap should be kept to a
minimum so as to retain riparian vegetation, which we prefer
for bank stabilization where practical.
3) Construction within the 25-foot buffer zone is prohibited
during the trout spawning period of January 1 to April 15 in
order to protect the egg and fry stages from sedimentation.
4) When removing the old ford, some boulders should be left in
the stream to break up the water flow and provide fish
habitat.
Thank you for the opportunity to review and comment on this
project. If there are any questions regarding these comments,
please contact Mr. Micky Clemmons at 704/452-0422.
Sincerely,
Micky Clemmons,
District 9 Fisheries Biologist
cc: Ms. Stephanie Goudreau, Mt. Region Habitat Coordinator
y
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DEM ID: 22-? / ACTION ID:
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORA FOR
NATIONWIDE PERMITS TEAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS TEAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
V
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENV 11 I 14 T w13'???
P.O. SOX 1890 AND NATURAL RESO iii
WILMINGTON, NC 28402-1890 P.O. BOX 29535
ATTN: CESAW-CO-E RALEIGH, NC 27626-05 7
Telephone [phone] ATTN: MR. JOHN DORNE
Telephone ( 919) 733-5 83 wrn A140S UP?ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT T CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: W
2. OWNERS ADDRESS:
3. OWNERS PHONE NUMBER (SOML): 70`1-L1,4-PS G4 (WORK)
4. IF APPLICABLE: AGENT'S t
PHONE NUMBER:-?-
CORPORATE OFFICIAL, ADDRESS,
5. LOCATION OF PLANNED WORK (ATTACH ). COUNTY: 1-^?.??1_- a? Co
NEAREST TOWN OR CITY: i a G:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
/` ?-- 113
'7 - -- / A / ) _ . G _ _ - 4 _ Yh .. A- A Q ,-_ J n.. n : , r w 4 Z i _ I
6. NAME OF CLOSEST STREAM/RIVER: ``_T ?L. CAL
7. RIVER BASIN: Cn? &kAx 7?
8 IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
(;ns OR WS 117 YES V ) NO ( J
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( J NO (iC)
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S. INCLUDING
WETLANDS, LOCATED ON PROJECT f 1,TE : ?2 b ?'/??? c '30, 3/30/92

i
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED: 12. DESCRIPTION. OF
13. PURPOSE OF-PROPOSED WORK: lm??'G i7 n ,,i, n .-
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. V,1-6 c lw a2 0, ---A .., I- . - - - &- -- /, . _'I) n i - A

4 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 ( ) NO ( )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
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 ( ) 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. U f
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. N Pr
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. A k
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY. N,4
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? I1'(aj, '-A? to a'L' , 11
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
IVA
ak
OWNER' S SIGNATURE DATE

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