19930552 Ver 1_COMPLETE FILE_19930101

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THE FOLLOWING IS A BREAKDOWN OF THE EXISTING AND PROPOSED
WETLANDS ON THIS SITE:
PRE-DEVELPOMENT:
DISTURBED DUE TO UTILITY CONSTRUCTION
TO BE RESTORED TO NATURAL GRADE (NWP12)
FILLED FOR ROAD CROSSINGS (NWP 14)
FILLED FOR HOMES AND TO PROVIDE COVER
OVER SEWERS (NWP 26)
TOTAL IMPACTED
2.25 ACRES
0.02 ACRES
0.27 ACRES
0.87 ACRES
1.21 ACRES

7
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MENNIMEMMMUM-
ON •
Please excuse this form. We thought you would prefer a speedy reply to a
formal letter. This is provided in response to your notification letter to
the O.S. Fish and Wildlife Service concerning Federally-listed endangered
and threatened species. Thin reply should be forwarded to the Corps of
Engineers Regulatory Branch.
United States Department of the Interior
FISH AND WILDLIFE-SERVICE
• Raleigh Fleld Office
Post Office Box 33726
Raleigh North Carolina 27636-3726
TO: ( O c c?- b A-4,
iet"r' fi ?jnr¢..t.(1.
O.6ox 79CoIo - c1
9-oc" AA '?-
c;-'7$C'J[-01" INSTANT REPLY
Res
u? $, M53
Date
Based on our records, there are no Federally-listed endangered or
threatened species which may occur within the project impact area.
The attached page(s) list(s) the Federally-listed species which
may occur within the project impact area.
If the proposed project will be removing pines greater than or equal
to 30 years of age in pine or pine/hardwood habitat, surveys should
be conducted for active red-cockaded woodpecker cavity trees in
appropriate habitat within a 1/2 mile radius of project boundaries.
If red-cockaded woodpeckers are observed within the project area or
active cavity trees found, the project has the potential to
adversely affect the red-cockaded woodpecker, and you should contact
this office for further information.
The Service concurs that the proposed project is not likely to
adversely affect Federally-listed endangered or threatened species,
their formally designated critical habitat, or species currently
proposed for Federal listing under the Endangered Species Act, as
amended.
Staffing limitations prevent us from conducting a field inspection
of the project site. Therefore, we are unable to provide you with
site specific recommendations at this time.
Questions regarding the enclosed information should be directed to the Corps
of Engineers' regulatory staff member who is handling this project.
44k Q Ay L
1
B o og st ate

CONCUR s "?^'?(y I 1
Supervisor D e
" ER
Received (0
?,,...?• Due bl 2,419 3
North Carolina Department of Cultural Resources
James B. Hunt, Jr., Govcmor Division or Archives and History
Belty Ray McCain, Secretary William S. Price, Jr., Director
NATIONWIDE *404 PERMIT REVIEW ??c 3
101YW44 uli 7
PLICANT: APPIAN CONSULTING ENGINEERS
PO Box 7966
Rocky Mount NC 27804
Project Location: NASH/Rocky Mount
Proposed Project: Construction of single-family detached dwellings
We have received the application for the above project from the tpli0 nt/Division of
Environmental Management and our comments are noted below/.
Additional information is needed (maps, photographs, other)
_V_-No comment.
We have reviewed the requested information an have no com ent.
r
Signed L?_L Z?S? 4??.
Renee Gledhill-Earley
Environmental Review Coordinator
State Historic Preservation Office
919/733-4763
Date
cc: Wayne Wright, ACOE (if comment or need info)
109 East Jones Street - Raleigh, North Carolina 27601-21107
'IO/9?
F? U-- ,
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WETLAND DETERMINATION FORM
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COORDINATORI TIME: 1 t& DATE: g 93 COUNTY: _NA6H
NEAREST TOWNi AAor -- WATERWAY: Gep ff. (iQsv? cA
QUADt p.mw QQ&a _ LOCATION: SP- 1'71.7 mow. floe[,Jc
PROPERTY OWNERt(NAME/ADDRESS) PARTY DOING WORK:(NAME/ADDRESS)?
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Y...w-.T u c. z Zit?._., ? a.?c Y rrwunr[, rJc, r?84.3. ?.??.-.•.,.:.?.
PHONE: (3A1) 443. 1$zq PHONEt (IL).Ta ?2.gs
OTHER INDIVIDUALS PRESENTt__ -
IS PROPERTY UNIFORM_ X OR SEPARATE DISCRETE. VEGETATIVE UNITS
VEGETATIONt (IN ORDER OF DOMINANCE, DRAW LINE ABOVE NON-DOMINANT SPECIES)
Talg§ SPECIES---% COVER INDICATOR GROUND COVER: SPECIES-% COVER-INDICATOR;.
i. 1. '
20 OPX&N C.4RM f/CG P 2.
3. 3.
4. 4.
s. s.
SAPLINGS/SHRUBS: 6.
1. 7.
2. 8.
3• WDODY VINES:
4. 1.
5. 2.
X OF DOMINANT SPECIES (DBL.- AC-)-r--OTHER INDICATORSt -
HYDROPHYT IC VEGETAT ION t YES_ NO,Z BASI S s -
TYPICAL,i SQCOMPLETE BELOW) ATYPICAL:-(COMPLETE BACK)
S
SERIES: AoQFoLK _ ON HYDRIC SOILS LIST: YES N0_j?„
MOTTLED: YES, , NOS„ MATRIX COLORS soYc 6& HYDRIC SOILS: YES N0=
8ASI8t W [?u C?b1QAw,w nnl rr.1 ?s.
HYDRO OGY t
INUNDATED: YES,w 'NOC DEPTH OF WATER: "
SATURATED SOILS: YES,.,_ NOS, DEPTH TO SATURATION/WATER TABLE -
OTHER INDICATORS: -
WETLAND HYDROLOGY s YES,_, NO, y BASIS o
ATYPICAL S I TUAT I ON t YES__,_ NQ„ZG NORMAL CONDITIONS: YES K NO
WETLAND DETERMINATION: WETLANDt...X _ NON-WETLAND:
PHOTOS TAKNt YESNO )4 AUTHORITY: 10, 404_ 10/404„_ NONE , <4
JURISDICTIONt ABOVE HEADWATERS ISOLATED ADJACENT_ NWP N
DETERMINED BY:. l6m ez.
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WETLAND DETERMINATION FORM
COORDINATOR(„-= TIMEi_Lo 50 DATE( ,6 /V /qtl COUNTY( - 0A&W
II??
NEAREST TOWNI Qui X m_i_ WATERWAYt !CAPE' A21 j,,t ?
CUAOt,. 2ortt lp n n..^.r LOCATIONt _ ,7r-7
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PR?'ERTY OWNERt(NAME/ADDRESS) PARTY DOING WORK)(NAME/ADDRESS)w
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PHONE( (t) &I PHONE: (S&)a, lZ - o3
OTHER INDIVIDUALS PRESENT(
IS PROPERTY UNIFORM _< OR SEPARATE DISCRETE-,--„ VEGETATIVE UNITS
VEGETAjIONt (IN ORDER OF DOMINANCE, DRAW LINE ABOVE NON-DOMINANT SPECIES)
TREESt SPECIES ---% COVER"INDICATOR GROUND COVER: SPECIES -% COVER-INDICATOR
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2. PoPL*2 A0T, Fnc. 2. 17"0 30 to F.ACw
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SAPLINGS/SHRUBS t 6.
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HYDROPHYT IC VEGETATION: YES... NO., BAS I S t -G IGCR7 r! I YN A ck&
TYPICALt2Q(COMPLETE BELOW) ATYPICAL:-(COMPLETE BACK)
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ATYPICAL SITUATION( YES. NOZc NORMAL CONDITIONS( YES , NO,
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PHOTOS TAKeNt YES_,NOS, AUTHORITY: 10. 404 K 10/404NONE.
JURISDICTION( ABOVE HEADWATERS,„ ISOLATED. ADJACENT. NWP N
DETERMINED BY t Qn..,..?
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State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A, Preston Howard, Jr., P.E., Director
August 1, 1993
Ms. Mary Daugherty
4040 Sunset Avenue
Rocky Mount, N.C. 27804
Dear Ms. Daugherty:
ID EHNR
Subject: Proposed fill in Wetlands or Waters
Residential lot fill
Nash County
DEM Project # 93552
Upon review of your request for 401 Water Quality
Certification to place fill material in 1.21 acres of wetlands or
waters which are tributary to Tar River for a residential
development located at Emerson Drive near SR 1717 in Nash County
as described in your submittal dated 25 June 1993, we have
determined that the proposed fill can be covered by General Water
Quality Certification Numbers 2664, 2732 and 2671 issued January
21, 1992. Copies of the General Certifications are attached.
These Certifications may be used in qualifying for coverage under
Corps of Engineers' Nationwide Permit Numbers 12, 14 and 26.
If this Certification is unacceptable to you, you have the
right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this Certification. This
request must be in the form of a written petition conforming to
Chapter 150B of the North Carolina General Statutes and filed
with the Office of Administrative Hearings, P.O. Box 27447,
Raleigh, N.C. 27611-7447. Unless such demands are made, this
Certification shall be final and binding.
If you have any questions, please contact John Dorney at
919-733-1786.
S' ce el
I
reston Howard, Jr. P.E.
93552.1tr i
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Raleigh DEM Regional Office
Mr. John Dorney
Central Files
Todd Borden; Appian Consulting Engineers
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
DEPARTMENT OF THE ARMY D
J
5
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890 2 6 1993
IN REPLY REFER TO July 23, 1993
Regulatory Branch
Action ID. 199303041 and Nationwide Permit Numbers 14 (Road Crossing), 12
(Utilities Lines), and 26 (Headwaters and Isolated Waters)
Paul Whitley Heirs
c/o Charles H. Whitley, et al
4040 Sunset Avenue
Rocky Mount, North Carolina 27804
Dear Mr. Whitley:
Reference your application of June 14, 1993, submitted on your behalf by
Appian Consulting Engineers, for Department of the Army authorization to
discharge fill material within waters of the United States, causing impact to
a total of 1.16 acres of wetlands adjacent to Grape Branch and above
headwaters of an unnamed tributary to the Tar-River, for construction of the
proposed-Millbrook Phase 2 residential development, on a 25.19-acre tract
northwest of S.R. 1717 (Westmount Drive), in Rocky Mount, litash County; North
Carolina.
For the purposes of the Corps of Engineers' Regulatory Program, Title 33,
Code of Federal Regulations (CFR), Part 330.6, published in the Federal
Register on November 22, 1991, lists nationwide permits. Authorization,
pursuant to Section 404 of the Clean Water Act, was provided for the discharge
of material for backfill or bedding for utility lines, including outfall and
intake structures, provided there is no change in pre-construction contours.
Authorization was also provided, pursuant to Section 404 of the Clean
Water Act, for discharges of dredged or fill material into headwaters and
isolated waters provided:
a. the discharge does not cause the loss of more than 10 acres of waters
of the United States;
b. the permittee notifies the District Engineer if the discharge would
cause the loss of waters of the United States greater than one acre in
accordance with the "Notification" general condition. For discharges in
special aquatic sites, including wetlands, the notification must also include
a delineation of affected specific aquatic sites, including wetlands; and
c. the discharge, including all attendant features, both temporary and
permanent, is part of a single and complete project.
Authorization, pursuant to Section 10 of the Rivers and Harbors Act of
1899 and Section 404 of the Clean Water Act, was further provided for fills
for roads crossing waters of the United States (including wetlands and other
special aquatic sites) provided:

-2-
a. The width of the fill is limited to the minimum necessary for the
actual crossing;
b. The fill placed in waters of the United States is limited to a filled
area of no more than one-third acre. Furthermore, no more than a total of 200
linear feet of the fill for the roadway can occur in special aquatic sites,
including wetlands;
c. The crossing is culverted, bridged or otherwise designed to prevent
the restriction of, and to withstand, expected highflows and the movement of
aquatic organisms;
d. The crossing, including all attendant features, both temporary and
permanent, is part of a single and complete project for crossing of a water of
the United States; and
e_ For fills in special aquatic sites, including wetlands, the permittee
notifies the-District Engineer in accordance with the "Notification" general
condition.
As discussed in a-conversation between Mssrs. Eric Alsmeyer of my staff
and Shawn Joyner and Michael Stocks of Appian Consulting Engineers on July 16,
1993, because of the restrictions of the nationwide permits, only.0.11 acre of
impacts can be authorized under the road crossing general permit, and
therefore, 1.03 acres of impact must be authorized under the headwaters-fills
general permit, with 0.02 acre utility line impacts and the total impact
remaining 1.16 acres.
--Your work-is authorized by these nationwide permits provided it is
accomplished in strict accordance with the enclosed conditions and provided
you receive a Section 401 water quality certification from the North Carolina
Division of Environmental Management. You should contact Mr. John Dorney,
telephone [phone], regarding water quality certification. These
nationwide permits do not relieve you of the responsibility to obtain other
required State or local approval.
This verification will be valid for 2 years from the date of this letter
unless the nationwide authorization is modified, reissued, or revoked. Also,
this verification will remain valid for the 2 years if, during that period,
the nationwide permit authorization is reissued without modification or the
activity complies with any subsequent modification of the nationwide permit
authorization. If during the 2 years, the nationwide permit authorization
expires or is suspended or revoked, or is modified, such that the activity
would no longer comply with the terms and conditions of the nationwide permit,
activities which have commenced (i.e., are under construction) or are under
contract to commence in reliance upon the nationwide permit will remain
authorized provided the activity is completed within 12 months of the date of
the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify,
suspend, or revoke the authorization.
4 4
-3-
Please note that this authorization is valid for the work described above
only, and impacts of subsequent projects on this property would have to be
considered cumulatively with these impacts, regardless of future subdivision
or ownership of the property. Questions or comments may be addressed to Mr.
Eric Alsmeyer, Raleigh Regulatory Field office, at telephone [phone],
extension 23.
Sincerely,
G. Wayne Wright
Chief, Regulatory Branch
Enclosure
Copy Furnished (with enclosure):
Appian Consulting Engineers
Attn.: Mr. Shawn Joyner
P.O. Box 7966
Rocky Mount,-North Carolina 27804
Copies Furnished (without enclosure):
Mr. Larry Odom
Nash County Planning Dept.,
Nash County Agricultural Center, Rm. 111
Nashville, NC 27856
YNIr . John Dorney
Water Quality Section
Division of Environmental Management
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687-
Raleigh, North Carolina 27611-7687

I" I
I A

MEMORANDUM PRINT NAMES:
Reviewer : t J
.:
TO: John Dorney WQ Supv.
Planning Branch DATE : - 7 zi ?J
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
**EACH ITEM MUST BE ANSWERED (USE N,/A FOR NOT APPLICABLE) ***
PERMIT YR: 93 PERMIT NO: 0000552 COUNTY: NASH
APPLICANT NAME: CHARLES & MATTIE S,. WHITLEY - MILLBROOY
PROJECT_TYPE : SUBDIVISION FILL PERMIT-TYPE: NW2 6 q 41W I?ly Nt 11 /Z
COE #: DOT-#:
RCD__FROM_CDA: APP DATE_FIAM_CDA: 06/25/93
REG_OFFICE: RRO RIVER-AND-SUB-BASIN-#: tLT? 1a?"rr
OJ e 02-
STREAM_CLASS : STR_INDEX_N0:
WL_IMPACT? : ON WL_TYPE :
WL_REQUESTED : / Z/arxm , u2e lWd ja2,i h WL_ACR_EST? : ON
WL_SCORE(#): 1,6,f75 WATER IMPACTED BY FILL?: Y/0
HYDRO_CNECT?: aN SO MITIGATION?: Y
AM
MITIGATION-TYPE: MITIGATION-SIZE:
IS WETLAND RATING SHEET ATTACHED? Y, N
RECOMMENDATION (Circle One): (!?SU ISSUE//COND DENY/
-/-%, ?6? /4
COMMENTS : A
V
cc: Regional Office
Central Files
rl ?? C} f'
1. 11 2 6 1993
4
.
•
.
.
.
Nearest road
Hydrologically connected
S v??iv/S7a.1
? Hydrologically isolated
.
Wetland Type (select one) ? Other
? Swamp forest ? Shoreline •
Bottftland hardwood forest ? Stream channel o
? Carolina bay 0 Salt marsh
? Pocosin ? Brackish marsh
? Pine savannah
TZ ? Freshwater marsh
?
Wet flat Bog/Fen •
Q Perched ? Vernal pool
! sum
Water storage •
Bank/Shoreline 0 stabilization
<

_
< x 4. 00
Pollutant removal 2 «»
. ........... .... .
Sensitive watershed
rr

Travel corridor x 1.50 - >`
Welland score

Special ecological attributes

Wildlife habitat
» x 1.50_
= .........................

°;<< •
Aquatic life value .........

1-0 Recreation/Education
2

Economic value >
x

::::

<
a n o 0 o a o n o 0 0 • o • • • o • • • • o • ::.....,•.. .o • • a o • • • o • o • • o + o o • • ? • • • • • • • • o •
Wetland area .- 15 acres Wetland width " 70 feet
Fax #: [phone]
Telephone: [phone]
APPIAN CONSULTING ENGINEERS
841 S. Wesleyan Blvd.
P.O. Box 7966
Rocly Mount, North Carolina 27804-0966
Nr9rM (AthLt )A 01 v tt,ltoA)) oFENV . AU,
GENTLEMEN:
WE ARE SENDING YOU THE FOLLOWING:
? Prints/Plans ? Estimates
? Permit Applications ? Change order
LETTER OF TRANSMITTAL
DATE Z-2- JOB NO. 9z-tto
ATTENTION 1 Q ?
? D ?E?I
!
c
RE: ? ? ? D SG
C

Permit Applications
THESE ARE TRANSMITTED as checked below:
For approval ? Bid Tabulation Distribution ? Boundary Survey needed - see attached
? For your use ? Approved permits for your files/records ? Easement needed - see attached
? As requested ? For Review and Comment ? Topographical survey needed - see attached
? Forward to Appian your Performance Bond, Labor and Materials Bond and Insurance Certificates
? For your signature, then return to Appian/
? For your processing with:
? Permit Applications
? Appian Chk #
? Financial Responsibility form
? As discussed
? Plans
in the amount of $
?
aA?d
JUN 2 5 VM
COPIES DATE NO. DESCRIPTION

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-7 SST L &A) 1 ,S F6R- WPrb t+p 5 Pin rr
R?e c? 4= 450 - 0i&2Noe65 pmu tr)

REMARKS PL665c f f" Q\+«.435CV ME, A4A IQUA 5 k-1 V 19M r Pp" /??c/K ?l ? /NyVJ
V?EET?-tV?S G6% (TS, tr- Y'aJ J4,AoF QuE5b&Af5 APSE C,4-L..
? Contracts
? Specifications
COPY TO SIGNED: R` ' ` ?u &Mew
N?,?v2 COPY
DEN IDt ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #)t
002HT FORM FOR
NAT20NW2= PERMITS TAT REQUIRE U022FICA220M TO TSE CORPS OF NWG2MEER8
NATIONWIDE PERMITS THAT REQUIRE APPLICATION FOR-SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTNt CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENT
NC DEPARTMENT OF ENVIRO
AND NATURAL RESOURC
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTNt MR. JOHN DORNEY
Telephone [phone]
tLlm u W?r? q
JUN 2 51993
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
S. leJff?7?Et/l
ENVIRONMENTAL MANAGEMENT. PLEASE PRIaT.
C,//APUE'S wHY f w ? MATTI_? . .,
1. OWNERS NAMEt
_Uh vxRE7TE;'1
p t d. F>4 b I C A f9 uq NT1-1 it, GE q-- 0 t fw- In s? Ry W • aAUfH7iC i uiF E
2. OWNERS ADDREsst 4040 Sunset Avenue
Rocky M, mint, NC 77804
3. OWNERS PHONE NUMBER (HOME)t - (WORK.)t (9 ''3-182u
4. IF APPLICABLEt AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: A ian Consulting Engineers. PO Box 7966, Rocky--Mount
NC 27804 -r9-l-9-F9-72-7703, Attn: Todd Borden
5. LOCATION OF WORK (MUST ATTACH MAP). COUNTY: Nash
NEAREST TOWN OR CITYt Rocky Mount, NC
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Off Fm-ftcs n nrj%gg 1/4 mile north of i r intprcr+ritnn with Wact mmint_
Drive (SR 17171
6. MANE OF CLOSEST STREAM/RIVER: Grape Branch (C-NSW)
7. RIVER BASIN: Tar-Pamlico River Basin
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ) NO [X)
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( NO [ X)
IF YES, EXPLAIN. -
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITES 2.25 ,
7/8/92

-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED:
SEE ATTACHED
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS-8 1/2- X 11- DRAWINGS ONLY):
Construction of single-family detached dwellings and annnriatad
roads and utilities
13. PURPOSE OF PROPOSED WORX: To build homes for famili -s and roads
to access them
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES-TAKEN TO MINIMIZE WETLAND
IMPACTS. Sandberg Lane and Westbury Lane are par of.a network of
wetlands on the northern portion of this site.
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES x) NO-( )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
SEE ATTACHED
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES IX) NO ( i
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
SEE ATTACHED
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
ATTACHED
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
NOT ATTAINABLE
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF.THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY. N/A
8. WHAT IS LAND USE OF SURROUNDING PROPERTY?
Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Publir Sewer
? • r q3
OWNER' SIGNATU ? DATE