20041878 Ver 1_Complete File_20041122

401 Authorization: DWQ# 04-1878
Subject: 401 Authorization: DWQ# 04-1878
From: Daryl Lamb <[e-mail]>
Date: Thu, 06 Jan 2005 17:43:39 -0500
To: Cyndi Karoly <[e-mail]>
Cyndi,
The following 401 authorization has been issued by WSRO, effective 01/06/2005:
DWQ# 04-1878, Ginger Mendenhall
Best regards,
Daryl
Daryl Lamb
NC DENR Winston-Salem Regional Office
Division of Waste Management, UST Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone] ext 293
FAX: [phone]
Daryl Lamb <[e-mail]>
NC DENR
WSRO
1 of 1 1/10/2005 2:18 PM
MEMORANDUM
TO:
SUBJECT:
John Dorney
Non-Discharge Branch
Regional Contact: Daryl Lamb
WQ Supervisor: Steve Tedder
Date:
WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Ginger Nlendenliall
Project Number 04 1878
Recvd From APP
Received Date 11/22/04 Recvd By Region
Project Type dredging for pier to boat and fish
County Davidson
County2
Region Winston-Salem
Certificates Stream
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
GP30 Waters O Y O N F__ 12-118.5 Nv o f 30,703.
F_ F-O Y _0N ??F__ F__ F_ F_
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y ON Did you request more info? O Y ON
Have Project Changes/Conditions Been Discussed With Applicant? O Y O N
Is Mitigation required? O Y O N Recommendation: O Issue O Issue/fond O Deny
Provided by Region: Latitude (ddmmss) 354215 Longitude (ddmmss) 801803
Comments:
cc: Regional Office
Central Office Page Number 1
Triage Check List
Date: Z I CG Project Name: F tin g< V' n1 n C-J:c '1??
DWQ#: c` - I - 18
County: To: ? ARO Kevin Barnett ? WaRO Tom Steffens and Kyle Barnes

? FRO Ken Averitte ? WiRO Noelle Lutheran
? MRO Alan Johnson 4 WSRO Daryl Lamb
? RRO Mike Horan
From: Telephone : (919)

The file attached is being forwarded to\?our for your evaluation.
Please call if you need as?Istance.
? Stream length impacted L
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, 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:

_b; sco _?
l?Gt:? Wl?rra `?ps,i Ftitr?{cyio.? 'IG -406 `,tac,d ( -?? -?.Xd t?t1
The following is an abbreviated application form for those applying for a 401 Water
Quality Certification to impact FERC (Federal Energy Regulatory Commission)
regulated lake shore or bottom under the U.S. Army Corps of Engineers Permit
GP30. This Application cannot be used for wetland or stream impacts. Please
provide seven (7) copies of this application and supporting information as well as a
non-refundable application fee to the Division of Water Quality of $200.00 for
impacts of to lake bottom of less than 1 acre and $475.00 for impacts to lake bottom
of greater or equal to 1 acre.
Applications should be sent to:
Division of Water Quality Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
IL Applicant Information
1. Owner/Applicant Inf
Name:
Mailing Address:
n
R F. rr.--' F. 0 W FM B
NOV 2 2 2004
DE14R - WATER QUALITY
Vi ETLANDS AND STORIAVATER BRANCH
Telephone Number:6--7`?5-?-1D Fax Number: --
E-mail Address: LknlGzN oc?-Be L5r 'M . a at
2. Agent 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: OV j?-
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
II. 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. You may use the diagram below to make a hand sketch of
your project. Also, see the example below for guidance. Both the vicinity map and
site plan must include a scale and north arrow. The footprints of all buildings,
impervious surfaces, or other facilities must be included.
1. Location 77DQM4?5cn / _ ?
County: Nearest Town: 1
Subdivision naive or site address (include phase/lot number): S
Directions to site please include road numbers, landmarks, et?j (This isn/ot
ngcessary if an gdequate vicinity map is ipcluded):-Ni t??ot? 0 S©qMn t)
2. Describe the existing land use or condition of the site at he t e of this
application: 5,p0(LCl Once ,I rl eve,. <<Se , h+ "- hT_'A
3. Property size (acres): _q `f y 33?`16 x 14D ,,A
4. Nearest body of water (stream/river/sound/ocean/lake): 41 khTMK LGK`-?
5. Describe the purpose of the proposed work ?456,
6. List the type gf?equipmAnt to be used to construct the project: O? lkgel- Mmp,
7. Amount of impact (including all excavation, backfill, rip r;
etc.) below the normal pool,Jake level in square Feet or acres:,
..' . L f, i / ? L?_( _ .. 4 F? - ( _. _. A, 4?
8. a. Amount of i ipact (includ:
retaining walls, etc.) above the
square feet or acres:
t' C?DD X ? fi 3)2D 1r1Cf?? ?a??? lY.-?,
I clearing, back fill, excavation, rip rap,
al, pool lake level and 50 feet land-ward in
b. Please describe vegetation above the nonnal pool lal?e level and 5 ` feet ?land-
ward to be impacted (number of trees for instance): D I AMC
D
Applicant/A ent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Lake (Full Pond)
Full Pond -`
Shoreline fXCra'
- f
3?y
t- ?l\JI
Cry ?(' 1C?O r'
i-1D
Please approximately sketch the following information on this plan
(please provide dimensions for each item, such as 10 ft. x 100 ft):
1) All proposed vegetation clearing (provide dimensions)
2) Location of rip rap or fill to be placed above the Full Pond elevation
3) Location of rip rap or fill to be placed below the Full Pond elevation
4) The location of any proposed structures such as buildings, retaining
walls. docks, etc.
5) The location of any excavation or dredging below the Full Pond
elevation.
B) Location of construction access corridors.
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Davidson Co., NC
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