19920246 Ver 1_COMPLETE FILE_19920101

,. STAR o
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 May 26, 1992 George T Everett, Ph.D.
William W Cobey, Jr., Secretary Director
Mr. Randy E. McCaslin
Town Manager
Town of Kernersville
P.O. Drawer 728
Kernersville, N.C. 27285-0725
Dear Mr. McCaslin;
Subject: Proposed Fill in Headwaters or Isolated Wetlands
Industrial Park Drive construction
Forsyth County
DEM Project #92246
Upon review of your request for Water Quality Certification
to place fill material in 0.86 acres of wetlands for
road construction, Industrial Park Drive located at Kernersville
in Forsyth County, we have determined that the proposed fill can
be covered by General Water Quality Certification No. 2671 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. 26.
An additional condition is that development in the industrial
park served by this road must determine whether DEM's water
supply regulations are applicable at the time of construction.
If you have any questions, please contact John Dorney at
919/733-5083.
Sincerely,
o ge T. Everett
GTE:JD
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Regional Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central, !Files REGIDNAL OFFICES
A,hcu?rnesr 1.gptgfljrd-gc Moorewillc kileigh Washington Wilmington Wimton-Salcrn
704/251-6208 919/486-1541 704/(,63-109 919/571-4700 919/94F-6481 919/395-31)(X) 919/890-7007
Pollution Prevention Pays
P0. Box 29535, Ralcigh, North ( arolina 276260535 Telephone [phone]
An I goal Op'-wn , Altirni.. tvc Aiwm Lin planer
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
IN REPLY REFER TO
Regulatory Branch
May 28, 1992
Action ID. 199202238
and Nationwide Permit No. 26 (Headwaters and Isolated Waters)
Town of Kernersville
c/o Mr. Randy McCaslin
Post Office Drawer 728
Kernersville, North Carolina 27285
Dear Mr. McCaslin:
,lUl? ? II iy??
_NrL'LMDS G"":
WATER QUALITY 51.1:x,
Reference is made to the site visit of April 14, 1992, conducted by
Mr. John Thomas of my staff at the site for the proposed extension of
Industrial Park Drive located off N.C. 66 and Macey Road adjacent to West Fork
Deep River, Kernersville, Forsyth County, North Carolina. Also in attendance
was Mr. Russell Radford of Callahan Survey Co. (consultant for site). The
purpose of this site visit was to review provided plans for construction of
the aforementioned road access, and to inspect the site for waters and
wetlands subject to Department of the Army permitting authority.
The meeting revealed that the proposed site is located adjacent to, and
above the headwaters of, West Fork Deep River. The review of the proposed
development plans provided by Mr. Russell Radford indicates that the proposed
road alignment would impact wetlands of the aforementioned tributary. A
review of the jurisdictional wetland limits and of your project plans
indicates that you propose adverse modification to approximately 0.86 acres of
wetlands above the headwaters of and adjacent to the aforementioned tributary.
For the purposes of the Corps of Engineers' Regulatory Program, Title 33,
Code of Federal Regulations (CFR), Part 330.6, published in the Federal
Register on November 22, 1991, lists nationwide permits. Authorization was
provided, pursuant to Section 404 of the Clean Water Act, for discharges of
dredged or fill material into headwaters and isolated waters provided:
a. The discharge does not cause the loss of more than 10 acres of waters
of the United States;
b. The permittee notifies the District Engineer if the discharge would
cause the lose of waters of the United States greater than one acre in
accordance with the "Notification" general condition. For discharges in
special aquatic sites, including wetlands, the notification must also include
a delineation of affected specific aquatic sites, including wetlands; and
c. The discharge, including all attendant features, both temporary and
permanent, is part of a single and complete project.
-2-
Your proposed work, involving adverse modification to less than an acre
(0.86 acre) of waters of the United States located above the headwaters of the
aforementioned tributary, is authorized by nationwide permit (NWP) provided it
is accomplished in strict accordance with the enclosed conditions. Please be
aware that this authorization does not relieve you of the responsibility to
obtain any other required or local approval. You should contact Mr. John
Dorney, North Carolina Division of Environmental Management, [phone],
to obtain the necessary Section 401, Water Quality Certification prior to
starting work.
This verification will be valid for 2 years from the date of this letter
unless the nationwide 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 authorization, 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.
Please be reminded that no excavated or fill materials may be placed in
any waters or wetland areas without prior Federal permit authorization.
Please contact this office for any future proposed impacts in any water or
wetland areas subject to Department of the Army permitting authority.
Thank you for your time and cooperation. If you have any questions,
please contact Mr. Thomas, Raleigh Regulatory Field office, telephone (919)
846-0648.
Sincerely,
G. Wayne Wright
Chief, Regulatory Branch
Enclosure
-3-
-je
copies Furnished (with enclosure):
Callahan Surveying Co., Inc.
c/o Mr. Russell Radford
935 East Mountain Street, Suite I
Kernereville, North Carolina 27284
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
Mr. John Dorney
Water Quality Section
Division of Environmental Management.
North Carolina Department of
/? Environment, Health and
V Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
TO:
THROUGH:
FROM:
May 6,1992
MEMORANDUM
John Dorney
M. Steven Mauney
Ron Linville -
MAY 1 219®Q
WETUTADS GRwir,
WAFER QUALITY S? C !; iN
Subject: 401 Certification Review
City of Kernersville Industrial Park Roadway
After a site visit on 920505 of this site, it appears that there are
some concerns with this project that should be considered in the
roadway design. This area of the watershed is subject to potential
impacts from interstate highway traffic to the north and four lane
traffic to the west. This general area has a heavy concentration of
truck traffic due to several large terminals located on Hwy 66 South.
The new industrial park will probably contribute significant parking
lot runoff to this watershed section as it will probably be closer to the
stream than any other pollutant runoff source other than I-40.
Additionally, more development is anticipated south of this site as
Hwy 66S is now three and four laned to Bunker Hill-Sandy Ridge Rd.
The I-40 Bypass also crosses this riparian ecosystem which is shown
on the attached map. Zoning approved business development at the
intersection of Hwy 66 and I-40 Bypass is anticipated. Hwy 66 South
(and possibly North), I-40 and I-40 Bypass comprise the busiest
trucking corridor through Forsyth County as this area of is the
trucking "hub" of the Piedmont Triad. The classification for this
segment of the Deep River is WS-III due to High Point's Oak Hollow
Lake. The Lake is used for fishing, boating, walking and picnicking,
etc. There are no known threatened or endangered species in this
area to my knowledge.
Recommendation: WSRO recommends that if this road is an
economic necessity that it would be better to span this section of the
river with a bridge type structure in order to disrupt the wetland area
as little as is possible. This should help in returning the area to its
natural condition, thereby recovering the filtering capabilities of this
stream section which includes small finger or headwater tributaries.
If spanning the wetland is not practicable and if the City owns the
industrial park, it may be appropriate to require permanent wet
detention ponds for all newly developed sites. The biodiversity and
integrity of this watershed system should be protected as holistically
(systematically) as possible due to potential cumulative impacts to
High Point's water supply. The wildlife and aquatic values for this
corridor may be more significant than expressed in the attached
rating which reflects the size of the project in relation to the area that
would remain in the wetland system.
MSM/rl
c c: WSRO
Central Files

WETLAND RATING SYSTEM WORKSHEET
Project No. or description kely a___r,_,: IIp kQ J , _ Ar.4 ?- ? %Aa?-•
Location
County La-,rs,, 4L Nearest road or town h?dy 66-S k- u; I(e Nt .
River basing PQa„i Index # j 7-„3 .. 1
Nearest strew _6As F,,k ?Decn ja,, and classification__0,S__j33_- (0;
Evaluator R. Agency and addresses E m / kJ s 90
Date and time evaluated s- /77a.,., g 1 i??
Major Wetland Type ( ukk
Approximate size of wetland system 0,8' acres
Approximate extent of wetlands in area acres
within ;Z miles (w; 4, _ ,-A Co 4_.
Three most common plant species (in or/der): /
'Re /Va /mil (J ?aa o PP? //I'? / /. I '?( (J? /?o cad /?.??. ?(r• o ?ar e..
Soil Series (if known)-, ?e. ha?/ce / ,ct?? soy ( Sw?e4 o F F,,,ry ?,,
Hydrologic indicators & DQ,,a
Direct surface hydrologic con ectfon? ES NO
Existing Conditions
Drainage _Mv
Disturbance,
Restoration potent
Restoration value

Is site known to provide habitat for rare, endangered or
threatened species?If so, list species observed or recorded.
Item No.
1. Location/Landscape
1 Natural area buffer
2 Sensitive watershed
3 Dispersal corridor system
II. Ecological Values
4 Special ecological attributes
5 Wildlife habitat
6 Aquatic life
7 Water storage
8 Streambank stabilization
9 Removal of pollutants
III. Human Values
10 Outdoor recreation/education
li Economic value
Score (circle one)
5
QS 4 3 2 1 0
5 4 3 1 0
5 4 3 2 k (V
5 4 3 0
5 4 -3 (P i 0
5 4 3 2 1M 0
5 4 3 (?} 1 0
5 4 3 ?j 1 0
5 4 3 2 m 0
5 4 3 2 1®
Total score , a, o tJFA/Z 1,s n-101-
Site description and notes: P°??
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13 Rj-. ? law f a-. 0 &? k'ra\?o"3 f` k i- 2do.??
e e?"v' l?e 0 0 u;
so
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rr=
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TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS 70 SEE YOU URGENT
RETURNED YOUR CALL
N.C. Dept. of Environment, Health, and Natural Resources

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TOWN OF KERNERS VILLE

P.O. Drawer 728
Kernersville, N.C. 27285-0728
April 29,,1992
310

Water Quality Planning
Division of Environmental Management
N. C. Department of Environment, Health and
Natural Resources
P. O. Box 29535
Raleigh, North Carolina 27627-0535
Attn: Mr. John Dorney
r/ zz??
Subject: Nationwide Permit (Section 26) and Section 401
Certification Proposed Town of Kernersville Roadway
Project, Forsyth County, North Carolina
Dear Sir:
Please find enclosed six (6) copies of the "Joint Application
Form for Nationwide Permits..." with supporting information
`covering proposed construction of Industrial Park Drive by the
Town of Kernersville. Routing of the proposed roadway is such
that approximately 0.86 acre of wetlands will be impacted. The
application and supporting information describe the location and
limits of wetlands adjacent to West Fork Deep River.
I have also forwarded a seventh set of copies of the material
described above to the W-knot4on- Salem Regional..office for their
concurrent review and comment(s).
The U. S. Army Corps of Engineers representative for this area,
Mr. John Thomas, has inspected the route for the proposed
roadway. Mr. Thomas determined that the limits of the wetlands
extends from Station 14 + 75 to Station 17 + 50, a roadway length
of 275 feet. Larry L. Callahan Surveying Co., Inc., the roadway
design consultant, has determined that within the defined
wetlands the roadway fill section encompasses 0.86 acre.
Scheduling for this roadway project calls for construction to
begin by mid-June and for bids to be opened on May 28th, 1992.
It is therefore requested that we receive your approval as soon
as possible. If you desire and if it will expedite the process,
Thomas W. Prince, Mayor
Randy E. McCaslin, Town Manager
134 East Mountain Street
Telephone [phone]
FAX [phone]
ALDERMEN
Larry Brown-Max Coltrane-Richard Lain-Marion Martin-Robert Prescott
A '.N
we will hand carry the information from agency to agency to
obtain their comment or approval. You may contact our engineer,
Mr. Russell Radford at [phone].
Thank you for your prompt consideration in this matter.
Sincerely,
la, z:_- A 2VA'4az.
Randy E. McCaslin
Town Manager
enclosure(s)
REM/dm
cc: Winston-Salem Regional Office
Attn: Mr. M. Steve Mauney
Larry L. Callahan Surveying Co., Inc.
Bob Campbell, Public Works Director, Town of Kernersville

CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
P.O. BOX 1890 AND NATURAL RESOURCES
WILMINGTON, NC 28402-1890 P.O. BOX 29535
ATTN: CESAW-CO-E RALEIGH, NC 27626-0535
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone [phone]
DEM ID: -e ACTION ID:
JOINT APPLICATION FORM FOR
ION INEON WIDE PRMITS THAT REQUIRE SECTIONA401NCETO THE RTIFICATIONICONCURRENCE
WIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILDISTRICT ENGINEER WATER QUALITY PLANNING
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: TOWN OF KERNERSVILLE
2. OWNERS ADDRESS: P. 0. DRAWER 728
KERNERSVILLE, NORTH CAROLINA @&@*%
ATTN: MR. RANDY E. McCASLIN TOWN MANAGER
3. OWNERS PHONE NUMBER (HOME): (WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: RANDY E. McCASLIN, TOWN MANAGER
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: FORSYTH
NEAREST TOWN OR CITY: KERNERSVILLE
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
PROPOSED ROADWAY PROJECT IS LOCATED EAST OF N.C. HWY. 66 AND WEST OF
MACEY GROVE ROAD (SR 2601), CONNECTING THE TWO WHEN COMPLETED.
6. NAME OF CLOSEST STREAM/RIVER: WEST FORK DEEP RIVER -- CLASS WS III
7. RIVER BASIN: CAPE FEAR
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO [X]
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [X]
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0.86 Ac.
2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: 0.86 Ac.
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED: 0.86 Ac.
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
CONSTRUCTION OF ROADWAY WITH CURB AND GUTTER, STORMWATER PIPING SYSTEM
AND OTHER APPURTENTANCES
13. PURPOSE OF PROPOSED WORK: TO PROVIDE FOR THE ORDERLY GROWTH AND IMPROVE
TRAFFIC FLOW IN THE TOWN OF KERNERSVILLE
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. ROUTING OF THE ROADWAY NECESSITATES CROSSING APPROXIMATELY 275
LINEAL FEET OF WETLANDS ADJACENT TO WEST FORK DEEP RIVER, A SMALL URBAN
STREAM AT THE POINT/REGION OF CROSSING.
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 [ ] NO [ ] NOT REQUIRED
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
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 [ ] NO [ ] NOT REQUIRED
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY. SEE ATTACHMENTS
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. SEE ATTACHMENTS
- D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
-COPY. NOT REQUIRED
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? COMMERCIAL/INDUSTRIAL
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
NOT APPLICABLE
OWNER'S S' ?(ATURE DATE
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DEM ID. ?jt??y
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&VA;4
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 ENG j
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-18
ATTN: CESAW-CO-E
Telephone [phone]
R? -~1`R QUA ?ITY PLANNING
DDI ION F EW NVIRONMENTAL MANAGEMENT
?4?1V DEPART NT OF ENVIRONMENT, HEALTH,
AND NA URAL RESOURCES
0 - P.O. BOX 2 535
WEfI`j?l1.RALEIGH, Nd 27626-0535
WATER ATTN : MR. JOHN DORNEY
Telephone [phone]
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.
OWNERS NAME: TOWN OF KERNERSVILLE
2. OWNERS ADDRESS: P. 0. DRAWER 728
KERNERSVILLE, NORTH CAROLINA @&@*%
ATTN: MR. RANDY E. McCASLIN, TOWN MANAGER
3. OWNERS PHONE NUMBER (HOME): (WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: RANDY E. McCASLIN, TOWN MANAGER
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: FORSYTH
NEAREST TOWN OR CITY: KERNERSVILLE
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
PROPOSED ROADWAY PROJECT IS LOCATED EAST OF N.C. HWY. 66 AND WEST OF
MACEY GROVE ROAD (SR 2601), CONNECTING THE TWO WHEN COMPLETED.
6. NAME OF CLOSEST STREAM/RIVER: WEST FORK DEEP RIVER -- CLASS WS III
7. RIVER BASIN: CAPE FEAR
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO [X]
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [X]
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0.86 Ac.
2/3/92
I

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
. FILLED: 0.86 Ac.
DRAINED:
FLOODED:
EXCAVATED: _
TOTAL IMPACTED:
0.86 Ac.
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
CONSTRUCTION OF ROADWAY WITH CURB AND GUTTER, STORMWATER PIPING SYSTEM
AND OTHER APPURTENTANCES
13. PURPOSE OF PROPOSED WORK: TO PROVIDE FOR THE ORDERLY GROWTH AND IMPROVE
TRAFFIC FLOW IN THE TOWN OF KERNERSVILLE
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. ROUTING OF THE ROADWAY NECESSITATES CROSSING APPROXIMATELY 275
LINEAL FEET OF WETLANDS ADJACENT TO WEST FORK DEEP RIVER, A SMALL URBAN
STREAM AT THE POINT/REGION OF CROSSING.
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 [ ] NO [ ] NOT REQUIRED
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
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 [ ] NO [ ] NOT REQUIRED
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY. SEE ATTACHMENTS
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. SEE ATTACHMENTS
D. IF A STORMWATER MAN
-COPY. NOT REQUIRED
E. WHAT IS LAND USE OF
F. IF APPLICABLE, WHAT
NOT APPLICABLE
AGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
SURROUNDING PROPERTY? COMMERCIAL/INDUSTRIAL
IS PROPOSED METHOD OF SEWAGE DISPOSAL?
OWNER'S ST"NATURE DATE