20040161 Ver 1_COMPLETE FILE_20040205

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources

r
Y
Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
Division of Water Quality
Department of Environmental and Natural Resources
Wetlands/401 Unit
Street Address: 2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604-2260
Mailing Address: 1650 Mail Service Center
Raleigh, NC 27699-1650
Contact Information: Phone #: [phone]
Fax #: [phone]
Fax To: ! (C/J,
Company:
Number of pages including cover sheet:
Notes or special instructions:
Fax
Date: - `
P W-?'c -I ?' ) ?_C? c C).,? -), i

N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands
O?OF W A T ?9pG
o ?
March 1, 2004
DWQ# 04-0161
Iredell County
Ms. Lynn Chiappelli
116 Long Boat Dr.
Mooresville, NC 28117
Subject Property: 124 Sienna Dr., Pinnacle Shores Subdivision
APPROVAL of 401 Water Quality Certification and Authorization Certificate per the Catawba River
Buffer Protection Rules (15A NCAC 2B.0243) with Additional Conditions
Dear Ms. Chiappelli:
You have our approval, in accordance with the attached conditions and those listed below, to place fill in
or to otherwise impact approximately 0.035 acre of waters and 0.03 acre of protected riparian buffers for the
purpose of placing riprap along approximately 156 linear feet of shoreline on Lake Norman, as described in your
application received on January 27, 2004. After reviewing your application, we have determined that this project
is covered by Water Quality General Certification Number 3373, which can be viewed on our web site at
http://h2o.enr.state.nc.us/ncwetlands. The General Certification allows you to use the U.S. Army Corps of
Engineers (USACOE) Regional Permit No. 198200030 when issued. This letter also serves as your approved
Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 213 .0243. Please note that
you should get any other federal, state or local permits before proceeding with your project, including those
required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed
regulations.
This Certification will expire when the associated 404 permit issued by the USACOE expires unless
otherwise specified in the General Certification. This approval is only valid for the purpose and design that you
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. No trees are to be removed from the buffer, and impacts to the ground cover shall be kept to a minimum
during the installation of the riprap.
2. The footprint of the proposed gazebo shall be less than 150-sq. ft. and shall be elevated above pervious
ground so as not to impede surface water runoff/infiltration. No trees shall be removed (unless approved) for
the construction of the structure.
3. All stormwater shall be directed as diffuse flow at non-erosive velocities through the protected stream buffers
so as not to re-concentrate before discharging into the stream (as identified in 15A NCAC 213 .0243 (5)).
None hCarolma
Naturally
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands)
Customer Service #: 1-877-623-6748
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
Coleen H. Sullins, Deputy Director
Division of Water Quality
Page 2
4. Upon completion of the project, the applicant/responsible party shall complete and return the enclosed
"Certificate of Completion" form to the Division of Water Quality's 401Metlands Unit.
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 (that
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 Alan Johnson in the Mooresville Regional Office at 704-663-1699 or
Cyndi Karoly in the Central Office in Raleigh at 919-733-9721.
Sincerely,
Alan W. Klimek, P.E.
AJ/aj
Attachments
cc: Corps of Engineers Asheville Regulatory Field Office
Duke Power lake Management
Bill Haraden - B & N Landscaping
Wetlands Unit- Cyndi Karoly
Central Files
File Copy
Page 2
4. Upon completion of the project, the applicant/responsible party shall complete and return the enclosed
"Certificate of Completion" form to the Division of Water Quality's 401/Wetlands Unit.
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 (that
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 Alan Johnson in the Mooresville Regional Office at 704-663-1699 or
Cyndi Karoly in the Central Office in Raleigh at 919-733-9721.
Sincerely,
Alan W. Klimek, P.E.
AJ/aj
Attachments
cc: Corps of Engineers Asheville Regulatory Field Office
Duke Power lake Management
Bill Haraden - B & N Landscaping
Wetlands Unit- Cyndi Karoly
Central Files
File Copy
MEMORANDUM
TO: John Dorney Regional Contact: Alan Johnson
Non-Discharge Branch WO Supervisor: Bex Gleason
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Lynn Chiappelli County Iredell
Project Number 04 0161 County2
Recvd From APP Region Mooresville
Received Date 2/5/04 Recvd By Region
Project Type shoreline stabilization
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req. ME
GP 30 water & O Y _0N F -F-11--(75) wsIV B&CA 30,832. 0.02 156.00 F
CBR Buffers O Y O Iv F--F--F-F--30,832. -552F-
Mitigation Wetland
MitigationType Type Acres Feet

Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? 0 Y 0 N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? 0 Y 0 N
Provided by Region: Latitude (ddmmss)
Longitude (ddmmss)
Comments:
Staff visited the site on February 11, 2004. Applicant request approval for shoreline stabilization
(riorap)and construction of a gazebo in the buffer. No trees in excess of 6 inches at the stump are
to be removed for either project. A large "dock" is to be constructed but to be located in the lake
(below the 760 elevation).
Recommendation: 0 Issue 0 ISSue/Cond 0 Deny
cc: Regional Office
Central Office Page Number 1
I
Date:

Triage Check List

Project Name:
DWQ#: Q u -d 1 a
County: :Xrc.o &k f
To: ? ARO Mike Parker
? FRO Ken Averitte
[91` MRO Alan Johnson
? RRO Steve Mitchell
?' WaRO Tom Steffens
? WiRO Noelle Lutheran
? WSRO Daryl Lamb
From:
Telephone : (919) -7 3 ? 11
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
CKluffer Rules (Meuse, Tar-Pamlico, atawb andleman)
? 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: -Trte-
1107
;V%A /

.t
State of North Carolina
Oepartme6t of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
WETLANDS/ 401 GROUP
D 5 2004
4 ITY SECTIpN
'7? AE-
-i? E N - R
September 25, 2000
Jimmy Chisholm
Carolina Power and Light Company
179 Tillery Dam Road
Mt. Gilead, NC, 27306
And
Joe Hall
Duke Power and Lake Management
P.O. Box 1006
Charlotte, NC, 28201-1006
0f A
Re: General 401 Water Quality Certification for Lake and Reservoir Activities
Dear Messrs. Chisholm and Hall:
The purpose of this correspondence is to clarify the provisions and process relative to NC
Division of Water Quality's General 401 Water Quality Certification Number 3280 which correspond to
the U.S. Army Corps of Engineers General Permit 198200030. We understand that you receive
numerous requests from lakefront property owners inquiring about the permit requirements for activities
they propose to conduct on the waterfront. After you have determined the property owner needs to
obtain a permit for dredging or shoreline stabilization from you, we understand they are then instructed
to obtain tha necessary 404/401 Permits. These property owners should pursue the following sequence
of events to determine their 404/401 permit needs. We have coordinated this letter with the U.S. Army
Corps of Engineers so that it relates equally to both permitting programs.
1. The U.S. Army Corps of Engineers is the lead agency and accordingly determines 404 requirements
for all projects. Applicants should first contact the appropriate Corps field office representative for
their county. To identify which counties are handled by a particular Corps regulatory field office or
to find the appropriate individual in the regulatory staff, the public can access the Wilmington
District Regulatory Homepage at www.saw.usace.arnly.mil/wetlands/regtour.litm or read from the
list on Appendix A. The Corps staff will determine if a 404 Permit is required, and if so, which
particular one. It is important that the applicant learn specifically which Nationwide or Regional
General Permit applies to their work. For lake and reservoir activities, General Permit 198200030
(also called General Permit 30 or GP 30), is often the appropriate permit. The matching General
Certification for GP 30 is the subject of this correspondence.
2. Application for GP 30 involves submittal of detailed plans, location maps, and other supplemental
information explaining the nature and scope of the work to the Corps. If the work is determined to
comply with all conditions of GP 30, the Corps will then issue a "tear sheet" to the applicant, either
on-site or by mail, that qualifies as the Corps' written confirmation that the proposed work complies
with this regional general permit. It is important for applicants to note that GP 30 always requires
written concurrence from the Corps.
Non-Discharge Brands 2321 Crabtree Blvd Parkview Raleigh, North Carolina 27604,1,
Telephone [phone] Bldg FAX [phone]
An CquA 0r4%orMK4y Attomatrve Adorn E-nN-"cr 50% reCyde4V10% post conwnrer (W"

3. If the Corps tells an applicant that no 404 is required for their project, then no 401 Certification is
required. However, applicants should note that projects located within the Neuse River, Tar-Pamlico
River, or Randleman Reservoir Basins may require approval of Buffer Rules for projects within
these watersheds. In such cases, the applicant should call the appropriate DWQ Regional Office
staff (Appendix B) to discuss the project. The Regional Office staff may elect to perform a site visit
to review the site conditions and discuss the buffer approval or variance process.
4. If the Corps requires a 404 Permit, then a 401 Water Quality Certification is required. In the case of
GP 30, DWQ has a matching General Certification (GC 3280), which is attached. The first thing the
applicant should do is carefully read GC 3280 to determine whether written concurrence is required.
Written DWQ concurrence is required if the activity involves any fill, dredging or excavation of
waters or wetlands. This includes any waterward extension of the shoreline, excavation of boat
basins (even during lake draw-down periods), bank stabilization practices that involve any new fill in
waters (including any amount of new rip-rap placement), boat ramps involving placement of fill in
waters, and new dredging. Activities which do not require written concurrence for GC 3280 include
seawall repairs that do not require any new fill in waters, and the placement of pilings for docks,
piers and boathouses. It is vital that the applicant understands the difference between "No 401
Required" versus "No Written Concurrence for the 401 Required." No 401 is required only if no
404 is required. If a404 is required, a401 is always required. If the scope of work falls below the
thresholds for written concurrence on the 401„ the conditions of GC 3280 still apply, and the
applicant does not have to submit a formal request for approval from DWQ for their specific project.
However, the applicant is still required to follow all of the conditions of GC 3280, which you can
copy for them or they can download from our web site. A speed limit sign is a useful analogy to
explain this - a driver needs to look for and obey the speed limit sign on a road, but does not have to
obtain a letter from a police officer saying he has permission.to drive down the road.
5. If a project does require written concurrence for GC 3280, then the applicant must provide a written
application to the Division of Water Quality. We have prepared a special link entitled "A Lake
Dweller's Guide to the 401 Water Quality Certification Process" on the 401/Wetlands Unit web site
at http://h2o.enr.state.nc.us/newetlands . This site contains information to guide the applicant
through this process, including links to the Pre-Construction Notification (PCN) application form.
Copies of the appropriate web pages are attached herein for you to provide to applicants without
internet access. If the applicant has already filled out a PCN form for the Corps, they can simply
copy this PCN form for DWQ. In brief, the applicant is required to provide seven copies of the PCN
form, an application fee made out to the Division of Water Quality ($200 if total impacts fall below
1 acre of waters/wetlands and 150 linear feet of streams, $475 if above these thresholds), and good
quality vicinity and local maps depicting the impact. The reason we require seven copies is that we
act as a state clearinghouse, and provide copies to five other agencies, which saves the applicant
from this requirement. Provided that the applicant has included all of the required information,
applications such as these are quickly issued by DWQ. The GC 3280 applications that are placed on
hold are usually deficient in maps. Applicants can save themselves time by preparing good maps
with scales and north arrows. The vicinity map must clearly depict their property within the county
or city. The site map must clearly show their property boundaries, and the location, nature and
extent of the impacts. USGS topo maps are typically the most useful type of site map for individual
property owners to use as a base for their site map. Impacts must be quantified on the snap and in the
form as an area (i.e. 0.5 acres, not just shoreline length). If an applicant needs help filling out the
application form, they should contact the appropriate DWQ Regional Office Staff, or Cyndi Karoly
at [phone] in the DWQ Central Office.
Thank you for your attention. If you have any questions, please telephone John Dorney at 919-733
9646 or Cyndi Karoly at [phone]. .
Sincerely,
John Donley

The Basics of the 40 Water Quauty ?.e?uncauc?n recess
401 Water Quality Certification Program -- The Basics
Section 401 of the Clean Water Act delegates authority to the states to issue a 401 Water Quality
Certification for all projects that requite a Federal Permit (such as a Section 404 Permit). The "401" is
essentially a verification by the state that a given project will not degrade Waters of the State or
otherwise violate water quality standards. The following is a basic outline of the 401 review process in
North Carolina:
When do you need to request a 401 Water Quality Certification?
If the U.S. Army Corps of Engineers determines that a 404 Permit is required because your
proposed project involves impacts to wetlands or waters, then a 401 Water Quality Certification is also
required. The Corps also determines which type of permit is applicable to your work, a Nationwide,
Regional, Generalor Individual Permit. For each of the Nationwide, Regional or General Permit, a
matching General Certification must be issued by DWQ in order for the Permit to be valid. An Individual
401 Water Quality Certification is necessary if an Individual 404 Permit is required. Once the Corps has
determined which type of permit you should request, you can read the matching General Certifications
on the DWQ web page. Please read the applicable Certifications very carefully, and note whether or not
written concurrence/notification is required by DWQ. If written concurrence/notification is not required,
and your project meets all of the conditions of the General Certification, you do not need to submit a
formal application or receive a signed 401 Water Quality Certification for your particular project. If the
General Certification states that written concurrence is necessary, please note the following steps
necessary to obtain your 401 Certification.
Fill out a Pre-Construction Notification
In North Carolina, you use a single form to request both a 404 Permit and 401 Certification. This
PCN Form can be downloaded directly. Please note, this form will be revised later in 1999 when the
final versions of the new Nationwide Permits are issued. Just follow the instructions on the form. You
should also include a cover letter explaining your project, and enclose a vicinity map and a site map (to
scale) depicting all the proposed impact areas. You are also encouraged to provide any supporting
documentation available, such as correspondence received from the Corps of Engineers or
photographs. Remember, the more clearly you describe your project, the more quickly we can review
your application. You will need to submit this application to the Corps and provide seven copies of the
entire application to DWQ. If you do not provide seven copies, your application will be returned as
incomplete. DWQ will distribute the copies to five other state agencies, as well as the appropriate DWQ
regional office, which saves you time and expense.
MTER QUALITY PLANNING Fax:[phone] May 15 '01 1005 P. 02/04
LAKE AND RESERVOIR ACTIVITY.' CERTIFICATION
GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE FOR CORPS OF
ENGINEERS REGIONAL PERMIT NUMBER 193200030 (TVA, OR FERC
REGULATED PUBLIC UTILITIES) AND REGIONAL. PERMIT 198200079 (COE
LAKE AND RESERVOIR MAINTENANCE REPAIR AND CONSTRUCTION
ACTIVITIES) AND NEUSE/TAR-PAMLICO/RANDLEMAN 13UPF.ER RULES.
This General Certification is issued in conformity with the requirements of
Section 401, Public Laws 92-500 and 95-217 of the United States and subject to the
North Carolina Division of Water Quality Regulations in 15A NCAC 2H, Section .0500
and 15A NCAC 213.0200 for the discharge of fill material to waters and wetland areas
as described in the Wilmington Districts Regional (General) Permit Number 198200030
and Regional Permit Number 198200079 and for the Neuse, Tar-Pamlico and Randleman
Buffer Rules (15A NCAC 213 .0233-0299 and .0250). This Certification replaces Water
Quality Certification (WQC) Number 2674 issued on January 21, 1992 and Water
Quality Certification Number 3099 issued on February 11, 1997. This WQC is rescinded
when the Cogs of Engineers re-authorizes these Regional General Permits or when
deemed appropriate by the Director of the DWQ.
The State of North Qarolina certifies that the specified category of activity will
not violate applicable pottiohs of Sections 301, 302, 303, 306 and 307 of the Public Laws
92-500 and 95-217 if conducted in accordance with the conditions hereinafter set forth.
Conditions of Certification:
Activities which nequure approval under either of these General Permits but
do not result in fill, dredging or excavation of waters or wetlands (such as
docks, piers or boathouses) do not require written concurrence from the
Division of Water, Quality as long as they comply with all other conditions of
this General Ccrtification. However, Condition No. 5 is applicable to all
streams in basins ?xith riparian area protection rules:
2. In accordance with North Carolina General Statute Section 143-215.3D(e),
any request for \?ritten concurrence for a 401 Water Quality Certification
must include tliq appropriate fee. If a project also requires a CAMA Permit,
one payment to both agencies shall be submitted and will be the higher of the
two fees. The fee shall be collected and distributed between the two agencies
in accordance with agreements reached between the Division of Water
Quality and the:Division of Coastal Management;
3. Activities which result in fill, dredging or excavation of waters or wetlands
under this Gencritl Ccrtirrcatiuu iCyuitc %vi- tcn concurrencc ltum the Di-visi.orn
of Water Quality:
4. Measures shall be taken to prevent live or fresh concrete from coming in:,,
contact with waters of the state until the concrete has hardened;
WATER QUALITY PtAtVING Fax:[phone] may 15"01'?'?`10:06 P: Jld4y` '
12. Concurrence from DWQ that this Certification applies to an individual project
shall expire three years from the date of the cover letter from DWQ or on the
same day as the expiration date of, the corresponding Regional Permit
195200030 or 193200079, whichever is sooner,
13. When written concurrence is required, the applicant is required to use the
enclosed Certification of Completion form to notify DWQ when all work
included in the 401 Certification has been completed.
Non-compliance with or violation of the conditions herein set forth by a specific
fill project shall result in revocation of this Certification for the project and may result in
criminal and/or civil penalties.
The Director of the North Carolina Division of Water Quality may require
submission of a formal application for itdividual certification for any project in this
category of activity, if it is determined that the project is likely to have a significant
adverse effect upon water quality or degrade the waters so that existing uses of the
wetland or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications
prior to a Certification decision if deemed in the public's best interest by the Director of
the North Carolina Division of Water Quality.
Effective date: 1. June 2000
DIVISION 01J WATER QUALITY
By
Kc.rr T. Stevens
Director
WQC # 3250
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
I. Applicant Information
Ow
Telephone Number: off - 8(ob Fax Number: '70q- 7?l 9,?,? 3
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent hA sigggtory authority, for the owner/applicant.)
Name: W? (// fG"
Company Affiliation:
Mailing Address: I
Telephone Number: 0 - L - d fiL Fax Number: l e L -
E-mail Address: W f"'? My e&w%
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
4 -4
WATER ]f ITY FNllVmw r ax?j17-(1?-?aat - , ., '••?,ay.... . .
5. Impacts to any stream length in the Neuse and Tar-Pamlico River Basins
requires written concurrence from DWQ in accordance with 15A NCAC
2B.0233 and 15A NCAC 2B .0259. New development activities located in
the protected 50-foot wide riparian areas (whether jurisdictional wetlands or
not) within the 1\euse and Tar-Pamlico River Basins shall be limited to "uses"
identified within and constructed in accordance with 15A NCAC 213 .0233
and 15A NCAC 213.0259. 'All new development shall be located, designed,
constructed, and. maintained to have minimal disturbance to protect water
quality to the maximum extent practicable through the use of best
management practices;
6. That appropriate sediment and erosion control practices which equal or exceed
those outlined in' the most recent version of the "North Carolina Sediment and
Erosion Control lplanning and Design Manual" or the "North Carolina Surface
dining Manual" whichever is more appropriate (available from the Division
of Land Resources (DLR) in the DENR Regional or Central Offices) shall be
in full compliance with all specifications governing the proper design,
installation and operation and maintenance of such Best Management
Practices in order to assure compliance with the :appropriate turbidity water
quality standard;
7. Rip-rap shall be (Iinstalled adjacent to bulkheads in freshwater Lakes to ensure
protection of agt)atic habitat. Construction over -wetlands shall be elevated at
least three feet above any wetlands, and floating structures shall not rest
periodically on the bottom:
8. All sediment an t rosion control measures placed in wetlands or waters shall
be removedc natural grade restored after the Division of Land
Resources has released the project;
9. If an environmental document is required, this Certification is not valid until a
Findine of No Sjgnficant Impact (FONSi) or Record of Decision (ROD) is
issued by the State Clearinghouse. All water quality-related conditions of the
FONSI or ROD Shall become conditions of this Certification:
10. Piers and boat houses shall be constructed to provide for storage and removal
of sc\k-agc rather than allowing r;lw waste or other sewage to be disposed
directly into surface waters-,
11. Additional site- pccific conditions may be added to projects proposed with
fill Under this Certification in order to ensure compliance with all applicable
Wdtcr quality unQ ci fluent staiwards;
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 OVAOAA IU_ 0(1-
County: DUCLO Nearest Town:
Subdivision name or site address (include phase/lot number4,
Directions to site please include road numbers, landmarks, etc. This is of
necessary if an adequate vicinity_i?ap is included):_ " IS'o W WO Ats
2. Describe the existing land use or condition of the site at the time of this
application:
3. Property size (acres): ± (w
4. Nearest body of water (stream/river/sound/ocean/lake): f / Vd/Z`1gCa'?---
5.
6. List?the type of equipment to be }used to construq the
7. Amount of impact (including all excavation, backfill, rip rap,
etc.) beloyP thg normal pool lave level in square 1;eetAor acres:,
8
b. Please describe vegetation above the normal pool lake love and 50 feet land-
ward to]je impactedhWmt er of trees for instance):
?6?4' 0
Applicant/Agent's Si re 16atc
(Agent's signature is MIlidd only if an authorization letter from the applicant is provided.)
a. Amount of impact (including all clearing, back fill, excavation, rip rap,
retaining walls, etc.) above th ormal poopake leve an 50 feet land-ward in
?? O_ I ?Guc'
square feet or acres:- A-1
/b? ?pO? " Dr3? °d

C9 40-d
Son
2z???_2
_04 t., I
PEA w,
Please approximately sketch the fopowing information on this plan
(please provide dimensions for each Item, such as 10 ft. x 100 ft):
1) All proposed vegetation clearing (provide dimensions).
A Location of rip rap or fill to be placed above the Fuit Pond-elevation
8) Location of rip rap or fill to be placed below the Fuq Pond elevation
4) The location of any proposed structures such as buildings, retaining
walls, docks, etc.
6) The location of any excavation or dredging below the Full Pond
elevation.
6) Location of construction access corridors.
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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
S) 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.
0) Location of construction access corridors.
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee lredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabamrs Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alieghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Curzituck Jones Pitt
US Army Corps Of Engineers Bertie Darn Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Cmatan National Forst Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Hamett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wahhington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Office Box 33726 160 Zillicoa Street Pivers Island
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
North Carolina State Agencies
Division of Water Quality Division of Water Quality State Historic Preservation Office
401 Wetlands Unit Wetlands Restoration Program Department Of Cultural Resources
1650 Mail Service Center 1619 Mail Service Center 4617 Mail Service Center
Raleigh, NC 27699-1650 Raleigh, NC 27699-1619 Raleigh, NC 27699-4617
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
CAMA and NC Coastal Counties
Division of CoastalManageme?t Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
38551dlewild Road Ashe Mitchell Wilkes
Kernersviile, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey