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HomeMy WebLinkAbout20050784 Ver 1_Complete File_20050503wArFROG ?? r >_ Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality May 20, 2005 DWQ# 05-0784 Watauga County Mr. Derek Goddard Watauga Soil and Water Conservation District Q V ? 971 West King Street L?i J Boone, NC, 28607-3468 JUN 1 2005 APPROVAL of 401 Water Quality Certification with Additional Conditip-t ENR - WATERQUALITY "DS MID STORIMATER BRANCH Dear Mr. Goddard: The Watauga Soil and Water Conservation District has our approval to conduct stream channel and bank stabilization and restoration activities, in accordance with the attached conditions, along a total of 5,300 linear feet of the Watauga River, located along N. C. Highway 105 from the Aldridge Road Bridge to the Church Road Bridge in Fosco, Watauga County, as described in your application received by the Division of Water Quality on May 3, 2005. After reviewing your application, we have determined that this activity is covered by General Water Quality Certification Number 3367, which can be viewed on our web site at http://l12o.enr.state.nc.us/ncwetlands. This Certification allows you to use Nationwide Permit Number 37 when it is issued by the U.S. Army Corps of Engineers. In addition, you should secure any other applicable federal, state or local permits before you proceed with your project, including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permit expires unless otherwise specified in the General Certification. This approval is valid only for the purpose and design that you have described in your application. If you change your project, you must notify us in writing, and you may be required to send us a new application for a new certification. If the property is sold, the new owner must be given a copy of the Certification and approval letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the conditions listed in the attached certification, as well as the additional conditions listed below: 1. The following impacts are hereby approved as long as all other specific and general conditions of this Certification are met. No other impacts, including incidental impacts, are approved: Amount Approved Plan Location or Reference Streams 5,300 linear feet Watauga River along N. C. Highway 105 from the Aldridge Road Bridge to the Church Road Bridge in Fosco, Watauga Count N?oo?cc1?Carolina ,Vatura!!y North Carolina Division of Water Quality Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone (919) 733-1786 FAX (919) 733-2496 2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet ?l/: h 2o.enr. state. nc. us/ncwetlands Customer Service Number: 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer - 50% Recycled110% Post Consumer Paper Mr. Derek Goddard Page 2, DWQ# 05-0784 May 20, 2005 2. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most recent version of the North Carolina Erosion and Sediment Control Planning and Design Manual or the North Carolina Surface Mining Manual (available from the Division of Land Resources at NCDENR regional offices or the central office), whichever is more appropriate, shall be designed, installed and maintained properly to assure compliance with the appropriate turbidity water quality standard (50 NTUs in streams and rivers not designated as trout waters by DWQ; 25 NTUs in all saltwater classes and all lakes and reservoirs; 10 NTUs in DWQ Classified trout waters). Such measures must equal or exceed the requirements specified in the most recent version of the North Carolina Sediment and Erosion Control Manual. These measures must be maintained on all construction sites, borrow sites, and waste pile (spoil) sites, including contractor owned and leased borrow pits, which are associated with the project. 3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent practicable. If placement of sediment and erosion control measures in wetlands or waters is unavoidable, they shall be removed and the natural grade restored within six months of the date that the Division of Land Resources has released the project. 4. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint of the impacts depicted in the Pre-Construction Notification. All construction activities, including the design, installation, operation, and maintenance of sediment and erosion control "Best Management Practices" shall be performed so that no violations of state water quality standards, statutes, or rules occur. 5. Sediment and erosion control measures must be implemented prior to construction and maintained on the sites to minimize sediment in downstream areas. Seeding for a temporary cover of wheat, millet, or similar annual grain or permanent herbaceous cover should occur on all bare soil within five (5) days of ground disturbing activities to provide long-term erosion control. The projects should be accomplished in stages instead of leaving large tracts exposed to further storm events. Erosion control matting should be used in conjunction with appropriate seeding on disturbed soils in steep slope and riparian areas, unless authorized under Division of Land Resources Erosion and Sediment Control approval. Matting should be secured in place with staples, stakes, or, wherever possible, live stakes of native trees. Straw mulch and tall fescue should not be used in riparian areas. In addition, because of an anticipated difficulty in establishing ground cover during the winter, reseeding should be conducted, as necessary, in the spring-time with a native annual and perennial seed mix with a temporary nursery crop of wheat, millet or other grain. 6. Only clean, large, angular rock, large woody material, or other natural stream design materials and techniques should be used for bank stabilization. Rock should not be placed in the stream channel in a manner that constricts stream flow or that will impede aquatic life movements during low flow conditions. Filter cloth should be placed behind large rock that is used for bank stabilization. Properly designed rock vanes should be constructed wherever appropriate on bank stabilization and channel realignment stream reaches to improve channel stability and to improve aquatic habitat. Root wads should be installed low enough in the bank so that a significant portion (at least one-third) the root wad is inundated during normal flows. 7. The channel must be restored to a more stable condition. However, under no circumstances should river ' Mr. Derek Goddard Page 3, DWQ4 05-0784 May 20, 2005 rock, sand or other materials be dredged from the stream channel under authorization of this permit except, if necessary, in the immediate vicinity of the eroding banks for the explicit purpose of anchoring stabilizing or flow/grade control structures or for reestablishing the natural and more stable stream channel dimensions. Streambed materials are unstable in flowing-water situations and are unsuitable for bank stabilization. Stream dredging has catastrophic effects on aquatic life and disturbance of the natural form of the stream channel can cause downstream erosion problems. The natural dimension, pattern, and profile of the stream upstream and downstream of the permitted area should not be modified by widening the stream channel or changing its depth. 8. Stabilization measures should only be applied on or near existing erosion sites, leaving other stable stream bank areas in a natural condition. Grading and backfilling should be minimized, and tree and shrub growth should be retained where possible to ensure long-term availability of stream bank cover for aquatic life and wildlife. Backfill materials should be obtained from upland sites except in cases where excess streambed materials are available. Berms are not permitted because they block the floodplain, constrict and accelerate flood flows, and often fail or impede drainage during large flood events. 9. Repairs to eroded banks should be conducted in a dry work area where possible. Sandbags or other clean diversion structures should be used where possible to minimize excavation in flowing water. Channel realignments should be constructed by excavating the new channel from downstream to upstream before connecting it to the old channel. 10. If mechanized equipment is utilized, it shall be operated from the bank whenever possible. All mechanized equipment operated near surface waters shall be inspected and maintained regularly to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids or other toxic materials. Any mechanized equipment used in the stream channel shall be clean and in proper working order. 11. As long-term stream stability is a concern with this type of work, it is strongly recommended that woody vegetation be established along stream banks where possible. Any riparian vegetation planting should be performed in accordance with the Guidelines for Riparian Buffer Restoration (littp:Hh2o.enr.state.nc.us/w[p/pdfibuffers.pd0. 12. The permittee shall provide on-site supervision of stability work including, but not limited to bank re- sloping, in-stream structure placement, and riparian zone re-establishment by an appropriately trained individual. 13. The Permittee shall monitor the stabilization work done under this Certification on an annual basis for three (3) years following the completion of the restoration efforts. This field evaluation should note the condition and stability of the measures installed and the success of any riparian zone plantings. A written report shall be provided to DWQ's Asheville Regional Office by June 1" of each year. The report must describe inspection results, include digital photographs, list the date of inspection, and describe any needed repairs or corrections. 14. The permittee must provide a copy of this Water Quality Certification and attached authorization letter to each property owner where the approved work will be performed. 15. The turbidity standard of 10 NTU (Nephelometric Turbidity Units) shall not be exceeded in streams designated as trout waters, as described in 15 A NCAC 2B .0211(k). For streams not designated as trout waters, the turbidity standard of 50 NTU (Nephelometric Turbidity Units) shall not be exceeded, as Mr. Derek Goddard Page 4, DWQ# 05-0784 May 20, 2005 described in 15 A NCAC 2B .021 l(k). Appropriate sediment and erosion control practices shall be used to ensure compliance with this standard. 16. Instream work and land disturbance within the 25-foot wide buffer zone are prohibited during the trout spawning season from October 15th through April 15th to protect the egg and fry stages of trout. 17. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of Completion" to notify NCDWQ when all work included in the §401 Certification has been completed. This certificate should be returned to the 401/Wetlands Unit of the NC Division of Water Quality at the address listed on the form. Along with the Certificate of Completion, please send photographs showing all restored stream reaches. If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a hearing. This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any questions, please telephone Daryl Lamb in the DWQ Winston-Salem Regional Office at 336- 771-4600 or Cyndi Karoly in the Central Office in Raleigh 919-733-9721. Sincerely, Alan W. Klimek, P.E. G' AWK/cdl Attachments cc: Steve Chapin, U. S. Army Corps of Engineers, Asheville Regulatory Field Office Winston-Salem DWQ Regional Office Central Files Wetlands/401 File Copy atauga County EWP 401 Authorizations Subject: Watauga County EWP 401 Authorizations From: Daryl Lamb <Daryl.Lamb@ncmail.net> Date: Wed, 25 May 2005 15:13:53 -0400 To: Ian McMillan <Ian.McMillan@ncmail.net>, Laurie J Dennison <Laurie.J.Dennison@ncmail.net> Ian and Laurie, The following 401 authorizations have been issued by WSRO effective 05/20/2005. All of these authorizations are for use of WQC# 3367 in conjunction with the USACE's NW 37. These are all Emergency Watershed Protection (EWP) projects in Watauga County being conducted by the Watauga Soil & Water Conservation District (NRCS). DWQ#'s 05-0759, 05-0760, 05-0761, 05-0762, 05-0763, 05-0764, 05-0765, 05-0766, 05-0767, 05-0768, 05-0769, 05-0770, 05-0771, 05-0772, 05-0773, 05-0774, 05-0775, 05-0776, 05-0777, 05-0778, 05-0779, 05-0780, 05-0781, 05-0782, 05-0783, 05-0784. I have attached a copy of DWQ# 05-0759 as an example since all of the above authorizations are identical except for the stream, location, and length of impact. Hard copies are being sent for the Wetlands/401 Central Office files. Best regards, Daryl Lamb Daryl Lamb NC DENR Winston-Salem Regional Office Division of Water Quality Winston-Salem, NC 27107 Voice: (336) 771-4608 ext 293 FAX: (336) 771-4630 Daryl Lamb <Daryl.LambnNCmail. net> WSRO NC DENR Content-Type: application/msword 1 050759.doc Content-Encoding: base64 1 of 1 5/25/2005 3:39 PM Triage Check List Date: 5110105 Daryl Lamb, Winston-Salem Regional Office To: Project Name: DSR #UW6-9 DWQ#: 05-0784 County: Watauga 60-day processing time: 5/3/05 7/1/05 From: Cyndi Karoly Telephone : (919) 733-9721 The file attached is being forwarded to your for your evaluation. Please call if you need assistance. ? Stream length impacted ? Stream determination Wetland determination and distance to blue-line surface waters on USFW topo maps ? Minimization/avoidance issues ? Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman) ? Pond fill Mitigation Ratios ? Ditching ? Are the stream and or wetland mitigation sites available and viable? ? Check drawings for accuracy ? Is the application consistent with pre-application meetings? ? Cumulative impact concern Comments: As per our discussion regarding revision of the triage and delegation processes, please review the attached file. Note that you are the first reviewer, so this file will need to be reviewed for administrative as well as technical details. If you elect to place this project on hold, please ask the applicant to provide your requested information to both the Central Office in Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim procedure as we slowly transition to electronic applications. Please apprise me of any complications you encounter, whether related to workload, processing times, or lack of a "second reviewer" as the triage process in Central had previously provided. Also, if you think of ways to improve this process, especially so that we can plan for the electronic applications, let me know. Thanks! MAY 3 2005 DE14 R - WATER QUAUTY t'rTiItn e.- ?.....wrv.uJUrtweiATER8R' H Office Use Only: Form Version May 2002 USACE Action ID No. DWQ No. (if any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: N Section 404 Permit ? Riparian or Watershed Buffer Rules ? Section 10 Permit ? Isolated Wetland Permit from DWQ N 401 Water Quality Certification 2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ? 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete section VIII and check here: ? 5. If your project is located in any of North Carolina's twenty coastal counties (listed on page 4), and the project is within a North Carolina Division of Coastal Management Area of Environmental Concern (see the top of page 2 for further details), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Mailing Address: Telephone Number: Fax Number: Name of project: DSR # UW6-9 E-mail Address: 2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Derek Goddard Company Affiliation: Watauga Soil and Water Conservation District Mailing Address: 971 West King Street Boone, NC 28607 Telephone Number: 828-264-0842 Fax Number: 828-264-3857 Page 5 of 12 E-mail Address: derek.,goddardPnc.nacdnet.net III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: DSR # UW6-9 2. T.I.P. Project Number or State Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 4. Location County: Watauga Nearest Town: Boone Subdivision name (include phase/lot number): NA Directions to site (include road numbers, landmarks, etc.): Aldridge Road Bridge to Church Road Bridge on NC H W Y 105 in F o s c o e 5. Site coordinates, if available (UTM or Lat/Long): W 8147' 23.7" N 36 9' 0.2" (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Property size (acres): NA Linear Project 7. Nearest body of water (stream/river/sound/ocean/lake): Watauga River 8. River Basin: Watauga (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.) 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: Agricultural, Residential Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Establishment of herbaceous vegetation. Rocky and woody stream debris removed. Stream channel restored and stabilized. 11. Explain the purpose of the proposed work: To protect structures and life. IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. V. Future Project Plans Are any future permit requests anticipated for this project? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application. N/A VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. Page 7 of 12 1. Provide a written description of the proposed impacts: Impact of 5300 feet of stream to return channel to original location and to stabilize stream banks 2. Individually list wetland impacts below: Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of wetland*** none • List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. "• 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.fema.izov. **" List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only). List the total acreage (estimated) of all existing wetlands on the property: 0 Total area of wetland impact proposed: 0 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) 1 Stabilization 5300 Watauga River 12ft Perennial * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, cte. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest doNvnstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at -,vww.uses.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, rnvw.mapqucst.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 5300 Page 8 of 12 4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.) below: Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. none List each impact separatcly and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 5. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. All precautions will be taken to reduce and avoid impacts such as care ineress and eeress as well as erosion control methods. VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. Page 9 of 12 USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at http:/ih2o.enr.state.nc.us/ncwetlands/strm,gide.litni1. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. N/A 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at (919) 733-5208 to determine availability and to request written approval of mitigation prior to submittal of a PCN. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wm/index.htm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): N/A Amount of buffer mitigation requested (square feet): N/A Amount of Riparian wetland mitigation requested (acres): N/A Amount of Non-riparian wetland mitigation requested (acres): N/A Amount of Coastal wetland mitigation requested (acres): N/A Page 10 of 12 IX. Environmental Documentation (required by DWQ) Does the project involve an expenditure of public (federaUstate) funds or the use of public (federaUstate) land? Yes ® No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233 (Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ® If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet Multiplier Required Mitigation 1 3 2 1.5 Total Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. Page 11 of 12 If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or.0260. N/A XI. Stormwater (required by DWQ) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. N/A XII. Sewage Disposal (required by DWQ) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. XIII. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules? Yes ? No Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). Exi_gency site that threatens home. Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 12 of 12 UW6-9 1888-06-3644-000 0.1100 AGATE, FRANK A. AND KATHLEEN C. 9189-4 NC HWY 105 SOUTH BANNER ELK, NC 28604 X UW6-9 1888-06-3682-000 0.1000 AGATE, FRANK A. AND KATHLEEN C. 9189-4 NC HWY 105 SOUTH BANNER ELK, NC 28604 X UW6-9 1888-16-3949-000 0.8350 ALDRIDGE, BLAN 7 ST GILES PLACE ASHEVILLE, NC 28803 X UW6-9 1888-17-4064-000 1.8400 ALDRIDGE, CHRISTOPHER S 9021 NC HWY 105 S BOONE, NC 28607 X UW6-9 1888-26-1567-000 1.5090 ANDERSON, JACK L. ANDERSON, LOUISE PO BOX 1594 BANNER ELK, NC 286041594 X UW6-9 1888-06-3438-000 0.1100 ARMSTRONG, BARBARA K 509 SLEEPY VALLEY RD APEX, NC 37523 X UW6-9 1878-96-1808-000 0.0500 AUSTIN, GREG J AUSTIN, MARJORIE J 3700 MADISON AVE GREENSBORO, NC 27403 X UW6-9 1878-76-1080-000 0.5700 AUSTIN, WILLIAM P JR AUSTIN, FRANCE 938 N CENTER ST HICKORY, NC 2 X UW6-9 1878-96-7939-000 0.1100 AUTEN, DONALD G AND EDITH 5201 HISTORIC SP DR CONCORD, NC 28025 X UW6-9 1888-06-7641-000 0.1500 BRAMUCHI, JAMES E.PHYLLIS B BRAMUC 451 PINE VILLA DR LAKE WORTH, FL 334621219 X UW6-9 1878-65-7252-000 0.3800 CAMPBELL, SHIRLEY 5016 HEATHERHILL LN APT #3 BOCA RATON, FL 33486 X UW6-9 1878-86-7743-000 0.0700 CHANNELL, JAMES R SR CHANNELL, SUE PO BOX 609 WINGATE, NC 281740609 X UW6-9 1878-96-0834-000 0.0000 DEWITT, DAVID G 7872 SADDLE CREEK TRL SARASOTA, FL 342419619 X UW6-9 1878-86-5722-000 0.1100 GEATZ, SHARON E 1313 LOVINGSTON LANE WILMINGTON, NC 28409 X UW6-9 1888-06-6567-000 0.1300 GENTRY, SHEILA A 526 WELCOME WAY BOONE, NC 28607 X UW6-9 1888-06-0625-000 0.1300 GUY, JAMES N AND CAROLYN 209 RIVER ROAD #1 BANNER ELK, NC 286049600 X UW6-9 1878-96-2915-000 0.0600 HOWE, JANE A 122 RIVER RD #2 BANNER ELK, NC 28604 X UW6-9 1888-06-8639-000 0.1640 IMLER, ANN MADEN 25188 MARION AVE APT F-208 PUNTA GORDA, FL 33950 X UW6-9 1878-87-5073-000 2.7140 J&N PROPERTIES P 0 BOX 277' BANNER ELK, NC 28604 X UW6-9 1878-76-4101-000 0.6400 JENNINGS, GARY W AND LINDA 22 ARBOR SPRINGS DRIVE TAYLORSVILLE, NC 28681 X UW6-9 1878-96-9754-000 0.2200 KELLER, CARROLL R 230 RIVER RD BANNER ELK, NC 286047523 X UW6-9 1878-86-4628-000 0.1500 KELLOGG, ROBERT KELLOGG, REBECCA JA 1220 WESTOAK DR DELAND, FL 32720 X UW6-9 1878-96-6979-000 0.1000 LARAWAY, TIMOTHY T LARAWAY, PRISCIL 3448 BAILEY RD DACULA, GA 30019 X UW6-9 1878-76-3014-000 0.5100 LOWDERMILK, ALBERT H AND PEGGY RR 1 BOX 940 BANNER ELK, NC 286049600 X UW6-9 1878-96-8952-000 0.1100 MCALPIN, BUDDY J 1542 KINGSLEY AVE #146 ORANGE PARK, FL 32073 X UW6-9 1888-06-5494-000 0.1100 MCCARTHY, DENNIS ET AL 1206 N CEDAR ST LUMBERTON, NC 283584742 X UW6-9 1888-06-6454-000 0.1000 MCCARTHY, DEN NIS ET AL 1206 N CEDAR ST LUMBERTON, NC 283584742 X UW6-9 1888-06-8487-000 0.0000 MCKINNA, DOROTHY 620 FOXWORTH LANE HOLMES BEACH, FL 34217 X UW6-9 1888-06-6525-000 0.0700 MEISSNER, JOAN F.JOAN F MEISSNER R 1209 NW 13TH AVE BOYNTON BEACH, FL 33426 X UW6-9 1888-06-1652-000 1.7500 MILL RIDGE PROPERTY OWNER'S ASS 229 CLUBHOUSE DR BANNER ELK, NC 28604 X UW6-9 1888-16-2507-000 2.0000 MILL RIDGE PROPERTY OWNER'S ASSOC 1 229 CLUBHOUSE DR BANNER ELK, NC 28604 X UW6-9 1888-06-4475-000 0.2800 NELSON, LINDA 914 FAIRGREEN ROAD GREENSBORO, NC 27410 X UW6-9 1888-06-5546-000 0.0500 NIXON, LINDA F 248-A THE PONDS RD BANNER ELK, NC 28604 X UW6-9 1878-65-8303-000 0.3800 PETERSON, ALLEN J PETERSON, BEVERLY RR 6 BOX 944 BURNSVILLE, NC 28714 X UW6-9 1888-06-4598-000 0.0900 PLATT, CLYDE A. PLATT, EVANGELINE 462 SANDPIPER DR SATELLITE BCH, FL 32937 X UW6-9 1878-96-1951-000 0.0600 PRESCOTT, CAROL HUTCHINS PRESCOTT, 138 RIVER RD BANNER ELK, NC 28604 X UW6-9 1878-97-6109-000 0.0230 PROFFIT, LISA PO BOX 2336 BANNER ELK, NC 28604 X UW6-9 1878-97-5193-000 0.5200 PROFFIT, LISA PO BOX 2336 BANNER ELK, NC 28604 X UW6-9 1878-54-8155-000 7.9900 PROPST, MARY 102 LARK CT CLAYTON, NC 27520 X UW6-9 1878-97-4185-000 0.5300 RANSON, KATHERINE BOX 546 HUNTERSVILLE, NC 28070 X UW6-9 1878-86-7784-000 0.0600 RAY, G TROY JRAND BARBARA PO BOX 1761 SANFORD, FL 327721761 X UW6-9 1888-06-4630-000 0.1100 REEDER, RONALD T 224 THE PONDS RD BANNER ELK, NC 28604 X UW6-9 1878-65-9862-000 0.7600 REYNOLDS, ELIZABETH M STEVENSON, ED 550 11TH AVE CIRCLE NW HICKORY, NC 28601 X UW6-9 1878-65-7519-000 2.0000 REYNOLDS, JOHN AND ELIZABETH STEVEN C/0 EDYTHE STEVENSON 550 HICKORY, NC 28601 X UW6-9 1878-76-6790-000 3.1160 ROSS, DOUGLAS W ROSS, BARBARA. DOUG PO BOX 351 BANNER ELK, NC 28604 X UW6-9 1878-86-6723-000 0.0800 SELLERS, JOHN W SELLERS, CAROL A HA 8896 NW 21ST ST CORAL SPRINGS, FL 33071 X UW6-9 1878-86-6783-000 0.1000 SELLERS, JOHN W SELLERS, CAROL A HA 8896 NW 21ST ST CORAL SPRINGS, FL 33071 X UW6-9 1888-06-5424-000 0.1200 SESSOMS, LOIS FENNELLY - 240 WEDGEWOOD CIRCLE N ORMOND BEACH, FL 321764755 X UW6-9 1888-06-1830-000 1.0300 SHAFFER, ROBERT L SHAFFER, MARY H HOUND EARS CLUB P. 0. BOX BLOWING ROCK, NC 28605 X UW6-9 1878-86-9881-000 0.0600 SHUTE, LAWRENCE ALAN SHUTE, LERA LY 2020 DAWNSHIRE DR GASTONIA, NC 280546474 X UW6-9 1878-76-1372-000 1.7500 SIMMONS, DWIGHT C SIMMONS, SANDRA N 308 WHISPERING PINES RD BOONE, NC 28607 X UW6-9 1878-76-3443-000 1.5000 SIMMONS, DWIGHT C SIMMONS, SANDRA N 308 WHISPERING PINES RD BOONE, NC 28607 X UW6-9 1878-76-5571-000 2.8200 SIMMONS, DWIGHT C SIMMONS, SANDRA N 308 WHISPERING PINES RD BOONE, NC 28607 X UW6-9 1878-86-0588-000 0.0000 SLEEPY HOLLOW PROPERTY OWNERS ASSN BOX 355 BANNER ELK, NC 286040355 X UW6-9 1878-97-6213-000 0.8700 STAFFORD, WILLIAM M STAFFORD, SCOTT 1691 DEVON WAY MANAKIN-SABOT, VA 231032820 X UW6-9 1878-65-5863-000 3.2500 STEVENSON, EDYTHE T 55011TH AVE CIRCLE N W HICKORY, NC 2 X UW6-9 1888-06-2501-000 0.1100 STOPHEL, HAROLD E 267 RIVER ROAD #1 BANNER ELK, NC 28604 X UW6-9 1888-06-7518-000 0.1200 SZOLLOSY, FRANK SZOLLOSY, EVA 115 N SPRING TRAIL ALTAMONTE SP, FL 32714 X UW6-9 1878-64-5451-000 2.8500 TATUM, STEPHEN D TATUM, SALLY C 653 SLEEPY HOLLOW LANE BANNER ELK, NC 28604 X UW6-9 1878-64-4759-000 8.1930 TATUM, STEPHEN D TATUM, SALLY C 653 SLEEPY HOLLOW LANE BANNER ELK, NC 28604 X UW6-9 1888-06-4699-000 0.0000 THE PONDS PROPERTY OWNERS ASSOCIATIO 9189-28 NC HWY 105 SOUTH BANNER ELK, NC 28604 X UW6-9 1888-06-3497-000 0.1400 THIEL, GOODRICH A BOX 984 ASHEBORO, NC 2 X UW6-9 1878-86-8797-000 0.0600 WALKER, WILLIAM S JR WALKER, DEBORA 101 W. MARKET STREET TIMMONSVILLE, SC 29161 X UW6-9 1878-86-9748-000 0.0600 WALKER, WILLIAM S JR WALKER, DEBORA 101 W. MARKET STREET TIMMONSVILLE, SC 29161 X UW6-9 1878-65-4311-000 5.9700 WATAUGA COUNTY 436 DEERFIELD ROAD BOONE, NC 28607 X UW6-9 1972-96-2896-000 0.54 WATAUGA COUNTY 436 DEERFIELD ROAD BOONE NC 28607 X UW6-9 1972-97-3053-000 0.75 WATAUGA COUNTY 436 DEERFIELD ROAD BOONE NC 28607 X UW6-9 1972-97-4157-000 0.54 WATAUGA COUNTY 436 DEERFIELD ROAD BOONE NC 28607 X UW6-9 1972-86-8255-000 7 WATAUGA COUNTY 436 DEERFIELD ROAD BOONE NC 28607 X UW6-9 1888-06-7694-000 0.1260 WATSON, JAKE G WATSON, CLARA M 25188 MARION AVE APT F108 PUNTA GORDA, FL 33950 X UW6-9 1888-06-1523-000 0.0400 YALE, RUSSELL E YALE, JOYCE L 6107 MALIBU DR RALEIGH, NC 276034901 X UW6-9 1 1888-06-1552-000. 0.0800 YALE, RUSSELL E YALE, JOYCE L 6107 MALIBU DR RALEIGH, NC 276034901 X uw(0-1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004: This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name lease print) Mailing Address lease print) 7 ?- J Phone Number ?3 b - r /V ?,v) Signature Date - l Lo, Name lease rint ! 6 G Mailing Address leas//e print G, ?^/ ?c. ?,? f l? Phone Number - l° Signature ZL ?? Date /- ?? ,?J? Rc, y' l.i? J uw?- LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) o J #\- t_L'*-Ij, C Mailing Address (please print) +, Phone Number Z 6S ?.S 2-S -r- 4.Qc7 ,tlG?? Si?rtature _ Date /// 7 76T- Name (please print) Mailing Address lease print) Phone Number Signature Date U t') G I LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) ?)Wt h Mailing Address (please print) 7z SA?pr (IeFE IL % 2L. Phone Number 41 - 9,Zl - ,e,S?7 Signature Date e print) KAY? e?\/ nE (lr i Mailing Address (please print) `7r7Z A6i-? ?`R??? j?- Phone Number V-11 - Yz / - Si VAn? ? fr r LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as. required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds. nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) Mailing Address (please print) -?? o 7;,x (, oc? y Phone Number -1 o y- 3 3- 4q 3 Signature "T?, Date 1 - ?-t - o S- lease print) _ V, A. (hC Mailing Address (please print)?/I, Rex- (1, 1),7 Ah", --Q Phone Number 'Id ?-/ -,2:33-- e9-3 9 `J Signature S. _ Date ?., l' JA!i 1 8 2l?? ow G-9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Ji ame (please print) Si// %C 45,V /9j i° ?E1 L ailm Address lease print) (-5i/? le 7-We- /V e c,9 /e.9 7'0.?? ?L 32 hone Number S?/ ature - r Date _ / mad SJ C016 ST Name (please print) -f -w J/ye ??6a f Mailing Address (please print) Phone Number Signature Date / V ?d UW6?1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name ( please print ) Id H f:5 ?/? /Ll CfG/?/ Mailing Address (p lease print) 2-f 'Z 117lz5 ,PADS /2,0 Name (please print) Mailing Address (please print) Phone Number Signature Date UWL-1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please nrint Addre Phone Number '1(1'-- 31?2 ?_ i4- c7? Name (please print) Mailing Address (please print) Phone Number Signature Date UW G-a LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please pri nt) Mailing Address (please print) 97Go ?'??/So?? ?'?7???Vslr?z?, /?C ??/v? Phone Number 3-5? --G?S / Signature C??c2;' Lis ;iti Date /- Z.? o.SJ Name (please print) Mailing Address (please print) Phone Number Signature Date 44 ZZ17(f- -7' V22-z?fe_,-?L 7L?rfS /S ? ? c G ?Clv?Z l i t i j 2 6 r :. UW (?,-q LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. int) VA/ [ l .? l A (Vi A U S-17i N Mailing Address (please print) g 8 `? , C -yi`T'? r S"r• Phone Number $ a g Signature VA&on ay,? Date 1 I S B S? Name ( please print ) F 8 R- N G E -S p u s-1- i• >? Mailing Address (p lease print) q :1 S --h , 7 iT,C Ig S-f- Phone Number 87a-8 3 a ?_ 2 Y S-l Si ature gA"- U, au,v,?- Date 111R/6 `i A N 1 9 2005 U W (0-9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name ( please print ) ? d 1 Vh I - /Cdfw Mailing Address (p lease print) cSA?11(19S :7?/1 Name (please print) !?l Zd / 1A1 7/i lllA 19 _ /1. 9 p 11 ?q 4' F Mailing Address (please print) DSIP-4 1JtNb- 9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) i ,1• ,, ?, ?Tn??? S RA c , J q 'e- Maili lease print N C Z-ILO ] Phone N `62`6 01L3 -ISIS eo 1-1(-os Name (please print) Mailing Address (please print) Phone Number Signature Date UW h- q t)Sp-?vw6-I LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from. any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name lease print) J e Mailing Address (please print) k l J s9-Z1 ,6,VN1 t R &K 2- 860 f Mailing Address (please print) Phone Number Signature Date UW RIP! ?L Name (please print) bco-)?-4uw (c)- I LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) f? N C'- /9 R 1 Dc Mailiniz Address (please print) '7 5 1 •• & f 'L e ?? •??c? ut Le, /U• C' Phone Number ture 1 •vz r / Date ) l 1? /G,S Name (please print) Mailing Address (please print) Phone Number Signature Date U 2005 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perfonn similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. lease print) ?n Mailing Address (please print)Q ICS, 7,e -i-_b ods Y?( ? &-> 5 •q Cow - (off Signature Date Name (please print) Mailing Address lease print) Phone Number Signature Date --XXAnh NO O PECEIVEQ Jf Al 1 0 2o65 uwe-J LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) W; l 1, & IrA S". 1. l- -I K e.t Mailing Address (p Phone Number F9 lease print) J o i W. W1 n ?.k a.T 3- 34&-3V P43-•3-46- 751 J7-. Tnz o us , ,1/e SC aye J 1 Px!3 - 21. o- 3o4o Leo S_i.grtature Date l -18 d 5 Name (please print ) N .G Q, 4200 W.2a ?c( Mailing Address lease rint Phone Number ?- J?? - 7VI Signature L j?kW Date ow ?, 01 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. ? C Name please print) 4/aizo-)-n - JT'0 PHI-- L Mailing Address (please print) 2.(,,? ieifIDCrF Phone Number sin •. ? k, r,) c 28&09 Date 1-27--05 Name (please print) Mailing Address (please print) Phone Number Signature Date Jhii - LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. jay ci??ss d? ??d fo R`ce5s Qa/9D F`Aom,/?wy (oss ge-cw 67xAavz BREM This permit does not provide confirmation that the subject site is eligible for Emergency Funds Sa6 51A, nor does it encumber funds for any repair work at this site. CSe e 4A As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print ) S -e, U A Jv u rn Mailing Address (p lease print) 53 S ?P n V No((r ai) `jAN Lr\L L Phone Number re 20? ? Name (please print) Mailing Address (please print) Phone Number Si,znature Date J r- „ u w ? -9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) r)ls -4Lnp?Yq-ti 0(otf., A-ssoC' Mailing Address (please print) Q2") -:)-g 4ghwa Ll 1 US'So(-L- ? Phone Number-&-S •q(o Si atur ?, a ?r?Lc, D?'jG.?a1 T)atP I Name (please print) Mailing Address (please print) Phone Number Signature Date P`ECEIVFD,8 ?.?.,? UW(0,9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) G bD 6 R 1 e t( A `I !-f 1 E L Name ( please print) Z-7 1.1? A 6 F 7-4 J j N1 L t- Mailing Address (please print) Po 6ay R lti Q-511EA U A p ?JE a ?--?G Zf mber 3 -3(; 610 ,- Si 05 Mailing Address (please print) P& 8 0X S/q A S (4 E (?oR 0 1J 2720q Uw6-?i LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney%s fees and any of er costs and expenses resulting from said services. 1Z '¢, Z Name lease print) Mailing Address (please print) Mailing Address lease print) Phone Number Signature Date Name (please print) U W e-`1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form: This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) 1/p )0 9 ?, ?. Phone N Siena y Name (please print) ilin.9 Address (please print Phone Number t ?'?? n Signature Date g 1 ).4 /</e pep ?, Ile: UW G-./9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) ??IQ??t C o Qy1? S"d CL N 51 rY1?YlUr1s Mailing Address (please print) 30B W h t1 (en' n g P1,4 es Rd. 6 oo ne, N C? Phone Number 2 6'p? = 7 X19 hmie 69 3 =752q- wurk, Si mature ?Pf 4 4. 11y um Date ! -! 8 -Z0o5 Name (please print) Mailing Address lease print) Phone Number Si mature Date LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (E WP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent oa our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. lease Urint) zoto Name ('please mint) Mailing Address (please print) Phone Number SigLr atilre Date £0'd 9909179LI709 P104CIS WE] WV 6 V L L SOOZ 'ZZ Ajeniga j 'Aepsanl Mailing Address (pleas UW-6-9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) E-A c-/+ k e, T, S Mailing Address (please print) za y!?!, 1,-12 C 1 -e- l-n W S / Phone Number eflL 3 ?- 6 7 / 7 Date ) C ZD 6,6 J RFCE1 V ?Af! ? ? ?Opp l Signature x,-g? a,o--f Date / - A ?` UW G-9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) P_ % ` S-&- e t/C' -r Mailing Address (please print) Aye, C (-gG l e h? / r• 1&-)' Phone Number Sa 3 a- ,mil ture J Name (please print) Mailing Address (please print) Phone Number Signature Date ?r ? u U wb-q LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. -As part of the consideration for the services ieferred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners,. Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name lease print) 9,_, o t© •`?. k _L:i Mailing Address (please print) t n ??ox 35? Phone Number Si mature Date PV 1? - 05 Name lease print) Mailing Address (please print) Phone Number Signature 1 ..., Date J T r?? J J ' ='O `U utJ61 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) ---J-a A IV S? LL.?2S Mailing Address (please print) 2 RV C40B Yovs,5'y 2 1=?K /NC. 28Goy Phone Number ? ,29 - 5' 3-111;'0 , ture Date Name lease print ) Cat?o,L S?,CCS Mailing Address lease print) umber If S,?4 12i,: Signature (? &AA- ?2?? Date f// Cldy 205 0 \/\) ? --, 9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Wf ht ER R M5 0,64 'Mailing Address (please print) 191 CLu8 14oa5 E D61rc -RANNzI? F-(rf "c- Phone Number `' i-k;z g-963 - 7-?- 6? Si Date JS10,5- Name (please print) h1r7l?eg tf-ltf M. R qa-1?om Mailing Address (please print) 2 4U 7d Phone Number ?)-3 re LZ, /?'<r?_ `??r a? Date Z, 5, v5, LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Na rint a Add lease int) ,t-`, D. (a ;?d-77o1 r= Mailing Address (please print) Sc t, d - uw?--9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) 4L?& 7- Mailing Address (please print) 1-90x 13ZO yVAI.6 Phone Number i g-nature /C. J dt4( NJhA 40,11') Date 11171405" Name (please print) Mailing Address (please print) Phone Number Signature Date UW 6-1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name lease print) Mailing Address lease print) Phone Number Signature Date /I Ll Name (please print) ?.4/S ??hN?LL y S?,,5S11VI Mailing Address (please print) 6,?1{) P(A, R 3a17? Phone Number X41 - 7,2 7R Sienature i,?- "),I tee nntp 3// /?5J 1 3 200 UWo-9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name lease print) YA lo= Mailin Address lease print) 253 ?ic? z? /?'? nNN??? r??l /?i?,'• J FG D S/ Phone Number 1• Name (please print Date Mailing Address (please print) 253 Z /i - Phone Number 8.)P %?- -V1 SV %// - 7%? - I'll/Y 203 UW()-1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) Name (please print) Q ?, ??NN?NS Mailing Address (please print) Phone Number 5 The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from. any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) gfi,e'v Mailing Address (please print) &&-e Phone Number - S- 02 e Si ature Date IW, S/ Si ature Date X . ?. ?OSCo ? - slee Ar, ?6rr? Gv?? /vC ?6 ? 0 VJ (()--- 9 * LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) A??7 g? Mailing Address (please print) I -2-z o V /g s- 7-o.4-1< b Q u ye - L4,<4 - Phone Number c3 - ( - a 347.1_e Si ature Date / o ame (please print) t Ik d ECC I?- iTr- LL O 6..,1-- Mailing Address (ph Phone Number- 3 nt) / -2aU WCs T 7! 3d 7--)o - 73?--2/F Date 0 ?5 ' /1105 uw?-9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) l /hP(ZoL-L- `C Mailing Address (please print) vL-2 Poyv%,, ---24L Ale -2?°a Phone Number ?-;2-r'-9-7 4 ture 5-/Or- Name lease print) Mailing Address lease print) Phone Number Signature Date Uw(-q LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) Mailing Address (please print) Phone Number Si.nature Date ' -CE11TD JAa{l 7 9 X005 Name (please print) Mailing Address (please print) UVJ( -(3 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) ?t N /J t? ?= N rn L Mailing Address (please print) a2 0 1-1 Phone Number - t4r???P-Un? Signature /AZ ,u . T14 O 9-k? Date Ti» c=2 Name (please print) ?,tl 1yg k a c=-/-/ Mailing Address (please print) ::i-t Phone Number Urr?vk^ ,€-+?e ?? ??? 137- 1? 7 p? Si gnature L,(?? wt `? ti?.x-..- ?- Date -Ct UWG-11 q LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. ease print) fit , S IV, 0U ilim,r Address (r)lease print ber o v, 3- V s`a 6 Date /?- '14 -- 4 -S ,/Y C- R l? ?l 1 ?1 ?C a lease print) 814& 6 L 0 /V, ?c 0 1. 905 Mailing Address (please print(] 9 / 1/ /" /Z 0 A ? l J w6-9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name lease print) Mailing Address (please print) Phone Number Signature Date Name lease print) W,3 a.v Mailing Address (please print) a 'IN l rruf ,;tip l 1 ??JJ??I UW ? -9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) (,1161Q1 - Yl?l (/1?A?5? ?? Mailing Address (please print) a5? 7r1 R2io h ?9 c,-? ?' j S? Phone Number ;?9 Signature UCL,1- ? . L Date ??ZG /c?,s? Name (please print) Mailin Address lease print) Phone Number Signature Date -?J J v\1 ? -9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, ` the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name please print) S T7 r- Mailing Address (please print) c-?-Iool. -15 -'4 C NCAUD Phone Number b • ?o ?AII?C?'C1? C_ Signature Q \ Date 1 DJe Name (please print) Mailing Address (please print) Phone Number Signature Date Q 1AJ 6- y LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Mailing Address lease print) Lxrrn ??j Phone Number Lj4ana(??2- Itl1/L f(K 6g?oz\-,] A J QJ/ Si mature Date Name (please print) Mailing Address (please print) Phone Number Signature Date x ,- 1. `L,G? ow6'1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September -8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other cots and expenses resulting from said services. Name please print) Mr. Buddy) WAIpin 1542 Kingsley Avenue - #146 Mailing Address (please print) Oranre Park, FL 32073-4547 Mailing Address (please print) Phone Number Signature Date Name (please print) Vi VJ 1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name ( please print ) `-P I:N Iq tS P R- 1 &y Mailing Address (p lease print) lob 06, /?/- 2Z5'10M sTi ,L?/yl R?o?? /l.C??r3s 6 Phone Number Signature Date J, 4 Z?osf Name (plea Mailing Address (please print) A,, 1 Phone Number C\w:!) SimatureLa ? cam-, Date ? k Zln G b uwG-q LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name lease print) ?t c 11 i Yinn _ Mailing Address (please print) '. 7 O r / ?GIrnc-, ??. 1 ,3 C3 'C t:? r l y, C 11?? F 13414.7 Gjgl - 7`78 -4 ??cJ Z Phone Number Si mature Date -1- Name (please print) Mailing Address (please print) Phone Number Simature Date l? .J; i, Lt,? ,U'p?-? LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name please print) ??i Se-? (cL LC Address (please print) Mailin lease Phone Number ?)U S%3 Z? b Date i A? f j r?- J 16/7 Name lease print) L& r n ?)c? 1 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) J1 J n Mailing Address (please print) ,.I-/ O u ?? ., l 'r?> ?_? ?, -e- C r? v?; ?P Phone Number L? - 3R?? - ?75G Si,nature Date zkc _ LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. Name (please print) Mailing Address lease rint Phone Number Signature Date As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. U1,J (',-- ? LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. i n Name lease print) t-1 N -Dlq 1 , / \,/D 0 Mailing Address lease rint a S ?u Phone Numberq(,9_? (/_/ Name (please print) Mailing Address (please print) Phone Number Signature Date ?11921IJ5 uw(,rq LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. I . Name lease print) ck- Mailin Address lease print Fa- 12-L Phone Number33b -315-- o R a? C -044 0- 2 . e6 3 lP o /V' Si gnature Date Name (please print) Mailing Address (please print) Phone Number Signature Date _ ?;ii j 9 2 j? V v v ? ' LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the \Vtau-a County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name '(please print) R\\ ,_, c?- 9, g= Mailiniz Address (please print) Pb ?o l 4U Q rm ,.re N 'Z g 60--L Phone Number 0zb 2 taq-3 04 e-1,1- ll'l ture n n Date Name (please print) Mailing Address (please print) Phone Number Signature Date [i?r'1 ; 01/28/2005 09:35 8289634925 M1LL RIDGE PAGE 02 V w (?o ' q LANDOWNER PERMIT FOR. EMERGENCY WATERSHED PRO'I "CTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Co kmissioners, the Watauga County Soil and Water Conservation District and/or their agents to ej er upon our land for the purpose of repairing the flood damage caused by the flash floods on ;eptember 8 and September 17, 2004 in Watauga County. We do further authorize those perso: ; designated by the Watauga County Commissioners as Contracting Officer and/or Alternatt Contracting Officer to act as agent on our behalf with regard to obtaining permits as req red for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, i tall needed measures, seed and mulch, and perform similar emergency watershed pro ction work necessitated by the floods of Septemb.-r 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for th purpose of maintaining the emergency works for the period of 1 year from the date of comp :tion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Eme ;ency Funds nor does it encumber funds for any repair work at this site. rees to hold tuga County as set forth nd expenses Name (please print) Mai- Aalr"e P"Ptp .-. 7 C. Mailing Address (please print) CA-0 C`1-L,?L'? IISF •? ' • ?o? ogsze' .5c v?y -t Z ;y ?f Cam, Name (please print) Mailing Address (please print) Phone Number Signature Date RECEIVED JAN 12 9 2009; As part of the consideration for the services referred to herein, the landowner a harmless and indemnify Watauga County Commissioners, Watauga County, Wa Soil and Water Conservation District and all their agents, servants and employer herein from any and all damages, claims, attorney's fees and any other costs resulting from said services. LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. I . Name please print) I-?16A L. (Zoe lease print Phone Number ` )L- A 1U lUts2. Y (I [?( 06L- Q C Z e6 Name (please print) Mailing Address (please print) Phone Number Signature Date Uw 6J9 LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name (please print) , aY- 5 Mailing Address (please print) ! 9'rejc-) RJ. 2,5tnhelt_f nel'-' Phone Number 6,5 - 7109 9"?-,5 - 9ia?1?-d A-) Signature 1 f cal Date i Name lease rint ! Mailing Address (please print) 2-5-o& 5. i?, ,.,,,t , Soy In g ?ie (, M O 1 ? Phone 1-7 - 99Z--33 Date i l z81a5 W ? 2 ? zoos UW G-? LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. Name ( please print ) Cz -IDC O- PG Mailing Address (p lease print) ?Z `1 k0? / ?? f7 2??TCCG 8cx/ ?L .437 22-1 = 779-1171 Date /-ab, 05"" Name (please print) V19 A/ G6 Z- /A/E T 1'4fi T Mailing Address (please print) ?6? ?f?n/ppiPE?- D,? bEAc?f,JrL 3z93rl Phone Number 17 73 - 7/ Signature ?j-4 GCck c? ? tz? Date ?? Pz`/Li y oD?E 65 : ?7 0 77Ve poNbs ?? , ppnpeg (e?ls LANDOWNER PERMIT FOR EMERGENCY WATERSHED PROTECTION (EWP) The undersigned landowners hereby grant permission to the Watauga County Commissioners, the Watauga County Soil and Water Conservation District and/or their agents to enter upon our land for the purpose of repairing the flood damage caused by the flash floods on September 8 and September 17, 2004 in Watauga County. We do further authorize those persons designated by the Watauga County Commissioners as Contracting Officer and/or Alternate Contracting Officer to act as agent on our behalf with regard to obtaining permits as required for the performance of repairs. This permit includes the right to spread soil, remove and dispose of debris, install needed measures, seed and mulch, and perform similar emergency watershed protection work necessitated by the floods of September 8 and September 17, 2004. This permit also includes the right of ingress and egress on the land for the purpose of maintaining the emergency works for the period of 1 year from the date of completion. Work areas covered by this permit are sketched on the reverse of this form. This permit does not provide confirmation that the subject site is eligible for Emergency Funds nor does it encumber funds for any repair work at this site. As part of the consideration for the services referred to herein, the landowner agrees to hold harmless and indemnify Watauga County Commissioners, Watauga County, Watauga County Soil and Water Conservation District and all their agents, servants and employees as set forth herein from any and all damages, claims, attorney's fees and any other costs and expenses resulting from said services. ` Name lease print) Mailing Address (please print) O? l0 L-'7 V- v, 1 (D ?j ?j?y? IL I"C Phone Number ? Zi? 6 0 Signature Date' - - C? Name /?,?? ! ! ?j lease rant ,.- Mailin Address lease print) Phone Number c or1? r. • +Lao.tav Si.atk?1 .m?` ..r?.++astsrwt TYPICAL VIEW STREAM FLOW OBSTRUCTION POST FLOOD CONDITION i ? -j Watauga EWP Practice Standard 3 ROCK DEBRIS IFAVAILABLE ON SITE or ROCK RIP RAP IN EXCESS OF 100lbs per stone Stream Channel Gcotcxtile Fabric Filtcr Cloth Toed in minimum 1 Coot each end Profile View Notes DEREK GODDARD, DISTRICT TECHNICIAN WATAUGA SOIL and WATER TYPICAL VIEW OBSTRUCTIONS REMOVED STREAM CAPACITY RESTORED ,... . - "`5 ^d -l t .. r 7-r n ra, .y?vw T.. j.?.?,;. "!"'^z"'.7??rr??+w.?!++?+????' zTe "'7?_? TY, ? ? f s d + ? , ?'SA t .,, krr1? y ?ss'?? .r+??1? 5..?'' J' ??? r .J T? ; ?x.i ', r.?1 , r ?r"c i ?? s '"T "{????? ?'?f ? ?;'?dY "t'r?? fY''`?d+e? .w;? i r.? .. ?1't ? _. r ? 4- ?p;,?r ? ,? ? s a t , ?,.?i.?" ??. err ' 'rS.. r'? ,??? ,x? r _ °' "'? ,fit r? z,?? G •` k, .t f ? ,{ TAT M 1, ?.f -f'V?r ?-ay??, M,? :'o ..a /.rM1?r??r .*'• ??,f°?.. n?.-,+ r a i? 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I 11. ?L?? 1 ? I ?' ''--? -14 _ ?\ ;,•%?/ - ?z?j• ,:=__i x',111//i'==??`.. -JITLIA?;P.t y)xlk \, -s E! 128 47'30* "29 j 131 c.s TO u.s. 27, 432xcm E • ,wrt•i0•-GLJIOG.C•t f?.nvlr, ?[f iO.r, v?•G..,.•-.!!f t MILE A(lAn rl ACSIFWATin1 4 V [Fwd: [Fwd: [Fwd: STream Clearing Activities]]] Subject: [Fwd: [Fwd: [Fwd: STream Clearing Activities]]] From: Cyndi Karoly <cyndi.karoly@ncmail.net> Date: Wed, 16 Mar 2005 15:58:57 -0500 To: Laurie J Dennison <Laurie.J.Demiison@ncmail.net> fyi - so please note that fees are waived when you create these files - perhaps a brief handwritten note in the file jacket, or we can add a copy of this message Subject: [Fwd: [Fwd: STream Clearing Activities]] From: Tom Reeder <tom.reeder@ncmail.net> Date: Wed, 16 Mar 2005 15:43:18 -0500 To: Cyndi Karoly <cyndi.karoly@ncmail.net> Cyndi - In answer to your question yesterday it appears that the fees are being waived for the EWP associated 401s. Subject: [Fwd: STream Clearing Activities] From: Alan Klimek <alan.klimek@ncmail.net> Date: Wed, 16 Mar 2005 15:37:40 -0500 To: Tom Reeder <Tom.Reeder@ncmail.net> Yes, the fees are being waived. See attachment. Alan -------- Original Message -------- Subject:STream Clearing Activities Date:Mon, 28 Feb 2005 09:40:08 -0500 From:"Robin W. Smith" <robin.w.smith(a,ncmail.net> Organization:NC DENR To:Alan Klimek <Alan.Klimek(c-Oncmail.net>, Jim Simons <Jim.Simonsnncmail.net>, David Vogel <David.Vogel0ncmail. net> CC:Johanna Reese <Johanna.Reese(aDncmail.net>, Nann Guthrie <Nann.Guthrieoncmail.net> •1.5 ?A'11: Attached is an electronic copy of the letter and information sheet sent to the 19 counties and one town that have contracts with NRCS for stream clearing projects. Those letters went out over the Secretary's signature on Friday. We will hand-deliver a memo containing the same basic information to the mountain area legislators tomorrow. We are also working with the Governor's Office on a news release; I am not sure how soon that will go out. Give me a call if you have any questions. Thanks for working toward getting meetings set up. Robin. 1 of 2 3/17/2005 6:46 AM [Fwd: [Fwd: [Fwd: STream Clearing Activities]]] >r Robin W. Smith <robin.w.smith(a?ncmail.net> Assistant Secretary of Planning & Policy Office of the Secretary NC DENR Content-Type: message/rfc822 ;[Fwd: [Fwd: STream Clearing Activities]] Content-Encoding: 7bit Content-Type: message/rfc822 j [Fwd: STream Clearing Activities] Content-Encoding: 7bit Content-Type: a lication/msword EWP letter to counties.doe' Content-Encoding: base64 :Stream-Clearing Activities-3.doc 2 of 2 Content-Type: application/msword Content-Encoding: base64 3/17/2005 6:46 AM I0 February 25, 2005 Page 1 of 2 February 25, 2005 RE: Emergency Watershed Protection Stream-Clearing Projects Dear I know that County experienced stream damage as a result of the fall hurricanes. Our department would like to work closely with your county to insure that stream restoration projects receiving state and federal funds under the Emergency Watershed Protection (EWP) program move as smoothly as possible through the environmental review and permitting process. I have enclosed for your information a brief summary of the types of permits and approvals that may be required for these projects. For projects that involve work directly affecting the streambed, the United States Army Corps of Engineers will be the primary environmental permitting agency. For those projects, our staff in the Division of Water Quality and the Division of Land Resources play a supporting role and issue related state approvals. I have asked our staff to meet with all of the western counties, either individually or in small groups, to talk about each county's proposed stream restoration projects and answer your questions about permit requirements. Our staff will ask the Corps of Engineers and Soil and Water Conservation staff to join in those meetings in an effort to put together a plan of action for reviewing and approving stream restoration projects as quickly as possible. You should receive a telephone call from DENR staff soon to talk about a date and time that would be convenient to meet and talk about your projects. I have also directed our staff to waive fees for state water quality certifications (under Section 401 of the Clean Water Act) and for approval of erosion and sedimentation w February 25, 2005 Page 2 of 2 control plans for stream-clearing projects funded under EWP. Fees will be waived for all EWP permit s requested by September 1, 2005. I hope these efforts will ease the burden on county governments already challenged by the demands of reconstruction and recovery. If we can help you in any other way, please do not hesitate to call. I have asked Assistant Secretary Robin Smith to be aprimary contact on these projects for DENR; you can reach Ms. Smith at (919) 715-4141. The enclosed information sheet also provides contact information for DENR staff in both the Asheville and Winston-Salem Regional Offices and for the Corps of Engineers office in Asheville. Sincerely, William G. Ross, Jr.