19920256 Ver 1_COMPLETE FILE_19920616

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental 'Oanagernent
512 North Salisbury Stmet • Raleigh North Carolina 27604
lames (,. Martin, Governor
William W. Cobey, Jr., Secretary
June 24, 1992
Mr. Walter T. Wilson
1030 E. Wendover Avenue
Greensboro, North Carolina 27405
Dear Mr. Wilson:
(,cork T. Everett, Ph.l ).
I)irector
Subject: Proposed Fill in Headwaters or Isolated Wetlands
New Hanover County
DEM Project 92256
Upon review of your request for Water Quality Certification
to place fill material in 0.77 acres of wetlands for residential
construction located at Quailwoods Subdivision (SR 1322) lots 66,
67 and 68 in New Hanover 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.
If you have any questions, please contact John Dorney at
919/733-1786 or 919/733-1787.
Sincerely,
e rge T. Everett
GTE:JD
Attachment
cc: Wilmington District Corps of Engineers
Wilmington DEM Regional Office
Mr. John Dorney
Central Files
Rob Moul, Land Management Group
R1 ( ,I( )N,A1 ( )I 11( ! ?
Atihcvillc I ayctt(.vill(. ??9nun tivill< I61ci)!h \V.1 1)11 lgtu11 AX/ilm1rigtun Al/moon Salcm
7(14/251-o208 914/48615.11 70-1/boa IW '+19.571 47(A) 41')!`)46-c,-181 919/395 3(XX) 419/8907(X)7
Pollution Prevention Pays
PO ko x 24515 Raleigh, Nrnth ( mo hna 6 Ic1cphunc 919 71 1 701
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,_ . + • (?B?'ll/f3 t9J 5WMA,Ad tpx.90ox 2.522
0X1dWdnyA,a, ? odA Vawl a 28402
,F,l- 999-452-0009
92x6 I Y ,#,md
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May 11, 1992
.wile 94
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John R. Dorney
?A?
Y 1
DEM
F
P.O. Box 29535
Raleigh, N.C. 27626-0535
Dear John:

4 1992

I have assembled 6 copies of a 401 Certification Request for Walter
T. Wilson, the majority owner of three lots located at the entrance
to "Quail Woods Subdivision" in New Hanover County. Specifically,
the property is located at the intersection of Murrayville Road and
Pointer Lane and constitutes the filling of .77 acre of isolated
404 wetlands which were identified by the Corps staff in August of
1986.
Up until January 22nd of this year individual lot buyers and home
builders have graded or filled the adjacent .6 acre segment of this
isolated wetland under individual NWP #26 actions. Since these 3
lots remain under Mr. Wilson's one ownership I have combined them
into this request.
By separate cover I have sent an application package to Jeff
Richter with the Army Corps and one to Jim Gregson in your DEM
Wilmington field office. Should you have any additional comments
please feel free to contact me at your convenience.
Sincerely,
RM/dm
Rob Moul, M.E.M.
Environmental Consultant
Enclosure: 6 application packages
cc: Jeff Richter
Jim Gregson, D.E.M.
Walter T. Wilson
S _ ,1f
DEM ID: Z Z S 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 ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRO ,A;
AND NATURAL RESOURC D
P.O. BOX 29535
RALEIGH, NC 27626-0535 MAY 1 4 1992
ATTN: MR. JOHN DORNEY
Telephone [phone]...
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO fF,,..1, :14 . c;;1 !'
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: W a-l$tr T, t,y ( S c +?
2. OWNERS ADDRESS: 1030 E, L^.1s-? a?o vs r v' Q
?G rJ era ? N C .
OS
3. OWNERS PHONE NUMBER (HOME): C Z.? I 6 (WORK):
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,.ADDRESS,
PHONE NUMBER : R o b K41S-.. L- (91`1) wx I
0
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : d-w a w o u A. v
NEAREST TOWN OR CITY: 43 t k1 a?.+
SPECIFIC LOCATION (INCLUDE ROAD NU RS. LANDMARKS. ETC.):
6. NAME OF CLOSEST STREAM/RIVER: SAI )< crdt, (
7. RIVER BASIN: C4 PA rt. -
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS it OR WS II? YES [ I NO [)
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES j ] NO LM
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.72 I4 G rs- c5k M4 O) 2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .77 ocre-
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED : .77 4c re--
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): t'(
O C dW N 7 sr?
/ r t w• w
13. PURPOSE OF PROPOSED WORK : re-s; h ao'.. s W ;I 1 b.e k;/+
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
??c'?1•n 1 r
IMPACTS. `ti .t S1-6 0//1/; ri o u L?4.S a D??n?x 1 " 1?1 R 5 ea)
a r._ V O wii i .1•hs._ i 0% /_ ? .r t/ice C
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 [ ] NO [X1
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 [x]
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELI EATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY. 'E 1 4 y
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. NIA ('rj/Pica.Q karj S-o/?0
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. /???.,y <o?fs ?L'/,?Jf,c? /J,wZ
D. IF A STORMWAT;R MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY. N/,4 C C' 4
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
9 x; s y',I.. 1> rAeiPrb Lee- ../ -7t-Ac..?lti...? ?/?.71L
WWA?? -re
OWNER'S 3 GNATURE DATE

GENERAL LOCATION MAP
7 N ° NN 'i, i,l, ? N,
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LAND MANAGEMENT GROUP, ING

USGS TOPO MAP
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SCALE: 1 "=2000' LAND MANAGEMENT GROUP, INC
•4
U' 13
135.104 .04 - 404 AREA TO BE
FILLED =.77 ACRE
13, oo° ?' 13 (120'X280' ISOLATED WETLAND)
5.04 o0 5, 04
135.04
o ° NOTE: ALL OTHER LOTS HAVE BEEN
135 04 R 0 135.00 EITHER BUILT UPON OR SOLD
135 04 °?• o° ?3?
?• 4
135.00 ?• 135.00 Vv
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DIVISION OF ENVIRONMENTAL
Date: June 12, 1992
To: n Dorney
Planning Branch
From: James H. Gregson4t,??
Wilmington Re io ftdl Office
Through: Dave Adkins
Wilmington Re ional Office
JUN 1 619W
Subject: Regional Office Review and Recommendations
Application for Permit for Excavation and/or Fill
Walter T. Wilson
Central Office Permit #92256
New Hanover County
PROJECT DESCRIPTION: The applicant proposes to fill
approximately 0.77 acres of isolated wetlands for three
residential lots.
ADJACENT WATER BODY: Smith Creek
CLASSIFICATION: CSw
The project has been reviewed to determine impacts to water
quality. The following comments have been provided.
1. The project will require a 401 Water Quality Certification.
2. The project complies with the General 401 Water Quality
Certification No. 2671 for headwater wetlands.
This office has no objection to the project as proposed.
cc: Wilmington Regional Office Files
Central Files
5weo, nc RECEIVED,
o/ -MAYJ Is
1942
%!d6i r#lm, ?YoWA `tea oliwd 28402 Wilmington Regional offWo
919-452-0001 DEM
9WaS- .A&d 99ad, >4
aso5 WdP4&WA ,tea
May 11, 1992 qV ,,,, M Ufa?
John R. Dorney
DEM
P.O. Box 29535
Raleigh, N.C. 27626-0535
Dear John:
I have assembled 6 copies of a 401 Certification Request for Walter
T. Wilson, the majority owner of three lots located at the entrance
to "Quail Woods Subdivision" in New Hanover County. Specifically,
the property is located at the intersection of Murrayville Road and
Pointer Lane and constitutes the filling of .77 acre of isolated
404 wetlands which were identified by the Corps staff in August of
1986.
Up until January 22nd of this year individual lot buyers and home
builders have graded or filled the adjacent .6 acre segment of this
isolated wetland under individual NWP #26 actions. Since these 3
lots remain under Mr. Wilson's one ownership I have combined them
into this request.
By separate cover I have sent an application package to Jeff
Richter with the Army Corps and one to Jim Gregson in your DEM
Wilmington field office. Should you have any additional comments
please feel free to contact me at your convenience.
Sincerely,
Rob Mou1/,` M.E.M.
Environmental Consultant
RM/dm
Enclosure: 6 application packages
cc: Jeff Richter
Jim Gregson, D.E.M.
Walter T. Wilson
r
DEM ID:
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 ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. BOX 29535
RALEIGH, NC 27626-0535
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.
1. OWNERS NAME: W c-1 +,e (s a ti
2. OWNERS ADDRESS: /030 E, w`&Jdo ua r AV Q .
3. OWNERS PHONE NUMBER (HOME): (cid) :0 IDS (WORK):
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,.ADDRESS,
PHONE NUMBER : R o b 1? e•. L- 9141) 4sl,000I
o
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : AAw a. Iv D u a, v-
NEAREST TOWN OR CITY: Li I ?• , o ?•+
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS. LANDMARKS. ETC.):
6. NAME OF CLOSEST STREAM/RIVER: SM; ?-4 tree- r
7. RIVER BASIN: 64 P4 01:::?4 0-
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS It OR WS II? YES [ ] NO L4
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ NO UQ
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
. 74O) i4 C rcz ?Stc M 2
/3/92

w.
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .77 ?Grtr
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED: .77 AGrc-
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
o c dw •a
/ i
13. PURPOSE OF PROPOSED WORK: t3 rk si J??

14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. -tkf- Sw ?1/TIi c.U 4c.S Q OP/aver 1 i l?l RS c•...? 4/chf...1 r
J/..L ._ .- V 1 w i. i J•/.?._ i • n /_ / ... t/ice 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 [ ] NO [A
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 [X]
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELI EATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. V/A C-t
yP S-o i 0
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. /qr,.,7 e„fs ,C'/,,,??,?
D. IF A STORMWAT MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY. hr/,4 ? L.?c.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?STi?.? *./y /?effl?s
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Wes- ? ?,/s••?
OWNER'S S GNATURE DATE
GENERAL LOCATION MAP
LAND MANAGEMENT GROUP, INC
USGS TOPO MAP
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K l North Carolina 512 N. Salisbury Street, Raleigh, North Carolina 27604-1188, 919-733-3391
Charles R. Fullwood, Executive Director
MEMORANDUM
TO: John Dorney, Division of Environmental Management
Department of EH&NR
FROM: Richard B.. Hamilton ?,(GAi??r??v.
Assistant Director
DATE: June 9, 1992
SUBJECT: 401 Water Quality Certification for Walter T.
Wilson, wetlands associated with Smith Creek,
New Hanover County, North Carolina.
The Wildlife Resources Commission has reviewed the subject
document and professional biologists from our staff are familiar
with the habitat values of the project area. Our comments are
provided in accordance with certain provisions of the Fish and
Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C.
661 et seq.), the North Carolina Environmental Policy Act (G.S.
113A-1 et seq., as amended; 1 NCAC 25), and the Coastal Area
Management Act ( G.S. 113 A-100 through 113A-128).
The applicant, Walter T. Wilson, is requesting 401 water
quality certification to fill .77 acres of 1404' wetlands under
the jurisdiction of the U.S. Army Corps of Engineers. The
purpose of this work is to fill lots for residential
construction. The wetlands in question are located in a
subdivision and are a portion of a wetland area which is larger
than one acre. These wetlands support a variety of wildlife
resources and serve as important water filtration and recharging
areas. Although the acreage impacted is to be small, the
Wildlife Resources Commission cannot support the destruction of
wetlands for residential development and ask that the
certification be denied. The cumulative effect on overall
wetland resources from numerous small projects cannot be
discounted.
Thank you for the opportunity to comment on this project.
If we can be of further assistance, please contact us.
RBH/lp
cc: The Honorable R. G. Sowers, III
Bobby Maddrey, District 2 Wildlife Biologist
I? r
w.

DEM ID: 7 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 ENVIR,
AND NATURAL RESOUR
P.O. BOX 29535
RALEIGH, NC 27626-053
ATTN• MR JOHN DORNEY
MAY 1 4 199?_
Telephone • (919) 733-50 3 WETLi`N ,
WATER UAl.i!r
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: w a.li-tr T, l.y , I S c ti
2. OWNERS ADDRESS: 1030 AF, L,Ja,.? )o der v' 2
dG0 L n1 ora N C .
3. OWNERS PHONE NUMBER (HOME): ` Z? I S (WORK):
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,•ADDRESS,
PHONE NUMBER: R ob_ -1` -a,, I-- ---_-(_q Iq_) *s%x_-oo-*
o
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : t „? a w o u a. t
NEAREST TOWN OR CITY: L.s w. ow
SPECIFIC LOCATION (INCLUDE ROAD NU RS. LANDMARKS. ETC.):
6. NAME OF CLOSEST STREAM/RIVER: SM; 1-4 cret,?
7. RIVER BASIN: (f 4 P't ?q r
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS It OR WS II? YES [ ] NO [)
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ J NO CM
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
. 7? IQ C r2 ?,Stc /'Yt l? ?,
2/3/92
d , .W4
A
w
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: • 77 oGrc?
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED: , 77 Acct--
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): c r??
?ioDe Se S -fa -r:11 's /^Y.S At 6Lj Ai s
13. PURPOSE OF PROPOSED WORK: S;
hox'.s W;I1 & A,-14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT INWETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. L 5-A 4/,1.,'fr 0 A J t?a.S g Prnu4 /l S C...d 4ff-*..,,1 r
:v hRL . Iii// /.-Sr S Ve ,-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 [ ] NO [A
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 [X]
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELI EATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. tilA C-t
rPiC Soi,0
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. /QrMy D. IF A STORMWAT MANAGEMENT PLAN IS REQUIRED FOR THIS/ PROJECT, ATTACH
COPY. N/ 4 (c 7
E. WHAT ISLAND USE OF SURROUNDING PROPERTY? £STi?•? Si ?S Ic. ??+-.. ?y /?w?tS
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
WA* - ? ljel,!; ?
OWNER'S SIGNATURE DATE
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