19920539 Ver 1_COMPLETE FILE_19921028

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 October 29, 1992 A. Preston Howard, Jr., P.E.
William W. Cobey, Jr., Secretary Acting Director
Walter H. Johnson
Route 1, Box 53-AA
Union Mills, North
Dear Mr. Johnson:
Carolina 28167
Subject: Proposed Fill in Headwaters or Isolated Wetlands
Pond Excavation
McDowell County
DEM Project # 92539
Upon review of your request for Water Quality Certification
to place fill material in 0.795 acres of wetlands for excavation
of a pond located in McDowell County, we have determined that the
proposed fill can be covered by General Water Quality
Certification No. 2671 issued May 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.
If you have any questions, please contact John Dorney at
919/733-1786 or 919/733-1787.
Sincerely,
A. reston Howard Jr. P.E.
APH:JD
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Regional Office
Asheville DEM Regional Office
Mr. John Dorney
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
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affumative Action Employer
.?` WETLAND RATING SYSTEM WORKSHEET
Project No. or description
- - ---
Location ))
County Nearest road or town f%?''
River Basin --
Nearest stream ?_ji
and classification
Evaluator
7 ------ --- -
Agency and address
Date and time evaluated
Major Wetland Type , __-.- - -) ` "("' (-'--- `4L y-
Approximate size of wetland system 40-_-_J- a res
Approximate extent of wetlands in area acres
within miles
Thr a most commori-plant species (in order) : /,{
Soil Series (if known)
Hydrologic indicators
Direct surface hydrologic connection? YES_%
Existing Conditions
Drainage 46? S _ -
Di sturbanc vj -e ' ,-
-7 -S
Restoration potential
Restoration value
Is site known to provide habitat for rare, endangered or threatened
species? If so, list species observed or recorded.
Item Number
I. 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
11 Economic value
Score (circle one)
5
5
5 4
4 3 -- 2
2 y< 0?`>
1 0

5 4 3 2
' <
5 4 3 2 -
5 4 3 2 C1 0
5 4 3 2 0
5 4 3 1 0
5 4 3 2'f' 1 0
5 4 3 2 0
5 4 3 _ 1
Total Score
Site description and notes:
?L9
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i
MEMORANDUM ! r'
TO: John D
Planni
SUBJECT: WETLAI;
***EACH ITEM MUc
PERMIT_YR:
APPLICANT NAME:
PROJECT-TYPE:
COE_#:
RCD_FROM _CDA:
REG OFFICE:
STREAM CLASS: 0-
STR INDEX NO :
WL_IMPACT?;
( YIN
WL_REQUESTED:
HYDRO_CNECT?:/Y/N
MITIGATION?: Y?N'
MITIGATION SIZE:
ILS : /
raer :
upv:
ate
.L
)2
c
WL_TYPE : `? <<^
WL_ACR_EST?:(y/N
WL_SCORE(#): IV
MITIGATION-TYPE:
IS WETLAND RATING SHEET ATTACHED??' Y/N
RECOMMENDATION (Circle One): ISSUE ISSUE/COND DENY
COMMENTS: J `> !
cc: Regional Office
Central Files

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DEM ID:
D:
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]
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:
v112. OWNERS ADDRESS: ?/ ` /.J yX .53 - a-
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
?3 . OWNERS PHONE NUMBER (HOME): (WORK)
? 4. IF APPLICABLE:
PHONE NUMBER: AGENT'S ])TAME ¢f? RE,?PONSIBLE CORPORATE OFFICIAL, ADDRESS,

fi ) (1„?' ?.?.?
? 5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : -V-" C.' 1b y ) r-- I
NEAREST TOWN OR CITY: Y)-1 YI '07
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
?-- 1 ,e S c ? u 1- Ll a .- rYf ? r/n om - CSAG l i
6. NAME OF CLOSEST STREAM/RIVER: ?o Ll- aQ d .?
? 7. RIVER BASIN: ayQ, co L c__
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO ['-r"
V/ 9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO
IF YES, EXPLAIN.
V10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
/??= C1Cre,5 2/3/92 ,

-2-
V '1. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED :
EXCAVATED: , . _6 l1 r_ creme ?.??
TOTAL IMPACTED: /12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANSU A c2 • e.
- el e
u! ?`L L?Q r
? 13. PURPOSE OF PROPOSED WORK : cc, r e Ole
,!a 5 14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.
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 [ ]
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 [ ]
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.
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?
OWNER'S SIGN RE DATE

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DEM I D: ACT i N D:
?GSSEECTION
r art Caroling i^;il?,li'e (^so:r:eL Cc,,; .i!;I.;i JOIN APPLICATION FORM FOR
W NATIONWIDE PERMITS T AT'REQ,UIRE 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 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
_ k
ATTN: CESAW-CO-E RALEIGH, NC 27626-05351
Telephone [phone] ATTN : MR. JOHN DORNE t; EP 19!Q)
Telephone [phone]?
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT -THF,db#fttOF t
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVI?SIO9"r?`?F?`??
€? apf r
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT. ^r'
?1 . OWNERS NAME: a ? !J
/. OWNERS ADDRESS: /PJ? /.JuX ,?3 Q L?
vl"3. OWNERS PHONE NUMBER (HOME): - 3 (WORK):' ? 4. IF APPLICABLE: AGENT'S NAME REb?PONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: (
? 5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: ti's C.--b U LO •e" f{
NEAREST TOWN OR CITY: Yh lJ rl 6' 1 IJ.? .
SPECIFIC LOCATION ?1(INCLUDE ROAD N.UJMBERS, LANDMARKS, ETC.):
/6. NAME OF CLOSEST STREAM/RIVER: Ll-ckd 4 l ,i-, -K
? 7. RIVER BASIN: 00- "TQ, (,c) k 0-
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ I NO [1--r
?,/9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
acres
-''?•- 2/3/92