19930948 Ver 1_COMPLETE FILE_19930510

STROUD ENGINEERING, P.A.
HESTRON PLAZA ONE
SUITE 102 October 27, 1993
MOREHEAD CITY, NORTH CAROLINA 28557
[phone]
Mr. John Dorney
N.C. Division of Environmental Management
N.C. Dept. of Environment, Health, & Natural Resources
P.O. Box 29535
Raleigh, North Carolina 27626-0535
Mr. Scott McClendon
Corps of Engineers
Department of the Army
P.O. Box 1890
Wilmington, North Carolina 28402-1890
RE: NWP 18 Request
The Pond at Lennoxville
Beaufort, Carteret County
Dear Gentlemen,
-a
Please find enclosed street fill request for your review and
processing. If I can provide any additional information please
let me know.
Sincerely,
Ronald D. Culli her, P.E.
RDC/kw
cc: Dave Adkins, Wilmington Regional Office
P.O. BOX 2697
107 COMMERCE ST. HESTRON PLAZA ONE 2400 N. CROATAN HWY.
SUITE B SUITE 102 SUITE B
GREENVILLE, NC 27858 MOREHEAD CITY, NC 28557 KILL DEVIL HILLS, NC 27948
[phone] [phone] [phone]
DEM :
ID ? ACTION ID: _
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
t
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFIC7?TI6N TO CORPS OF ENGINEERS
NATIONWIDE PERMITS TRAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN :...... CESAW-CO-E
...Telephone (919.) 251-4511
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCE
P.O. BOX 29535• O
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY p
Telephone, (.919 ). 733-5083
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO T
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISI
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME : -111teux lb 1 1 jn-QL 0711 l
2. OWNERS ADDRESS: Zs I 1- rft't (-:?f-
3. OWNERS PHONE.NUMBER (HOME) Z8 -"=Zzc) 7 (WORK);
4. IF'APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:

.5. LOCATION OF PLANNED WORK (A TACH ) . COUNTY:-- C141ZUt?2ET
NEAREST TOWN OR CITY:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Mr-y?#L r ;{-f .:r_&Ug0&ff..Cj ?-? dP N IZ 13)0 44N'O NG5?2 1-3))
6.. NAME OF-'CLOSEST, STREAM/RIVER: ??? l@(LS C-?-I?
7. RIVER BASIN: LIP, ?L
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ j NO
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ j NO NA
IF YES, EXPLAIN. /
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATEL/?S O THE U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: I / ' A02tf-3
3/30/92

12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED : O
DRAINED: D
FLOODED: _ 0
EXCAVATED: O
TOTAL IMPACTED : Wi Es
13. PURPOSE OF PROPOSED WORK: (1 o'ds' Q )c %l 12_?S) b T1 ?IA,t_, L
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS SPACk 1_1 M Z 147) Qklt 'P Rnr( e,--t _ 1 c r p? r-j?_oyy, c ru U kNY A ,
C. o A), -? 4Pi A
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 N NO [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO).REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES NO [ ]
RESPONSE FROM THE SHPO-SHOULD BE FORWARDED TO CORPS.
17.....ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B._ I.F.AVAILABLE, REPRESENTATIVE.PHOTOG.RAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
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.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? ??ll?E??
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF.SEWAGE DISPOSAL?
M v rv l 'p al_:. D 0 v.-) ofyF-oar
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DEM ID: ACTION ID:
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE-PERMIT #):°
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS-THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE.PERMITS THAT-REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON,DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF•ENVIRONMENT, HEALTH,
P.O. BOX 1890 AND NATURAL RESOUR
WILMINGTON, NC 28402-1890 P.O. BOX 29535 D L5 [?J U U ??;_
ATTN: CESAW-CO-E RALEIGH, NC 27626-053 U
Telephone [phone] ATTN: MR. JOHN DORNEY 8
Telephone. (.919 ). 733-50 _j
u
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE M ROUP
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N. C. DIVI RSECTION
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: QXCC'X 1 Ina co-rA
2. OWNERS ADDRESS: ZSD f&Y-
yrt A) c- z85=;l t'
3. OWNERS PHONE NUMBER (HOME): Z8 '"_S79 ? (WORK):
4. - IF•APPLICABLE: AGENT'S NAME- OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
.PHONE NUMBER:
5. LOCATION OF PLANNED WORK (A 'TACH 4AP). COUNTY : ?a ?Z7
NEAREST TOWN OR CITY:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):.
I?1t=14#t. "T14-f...?nrj?Rsc?r? r? b? NCc?2. 131b ' ?qv,? ' NGSQ. 13
6. NAME OF CLOSEST STREAM/RIVER: ???`( L@(LS CQ.E "JC.,
7. RIVER BASIN: 17'p, CIL,L
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR. WS II? YES [ j NO ?j
9• HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ j NO
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATE S 0 THE U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: ?OC?2t?'S
3/30/92
i
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:,
FILLED : _ c.
DRAINED: a
FLOODED: 0
EXCAVATED: O
TOTAL IMPACTED : Q , j A`JS
12. DESCRIPTION, OF PROPOSED . WORK (ATTACH PLANS) Cb1US•12UGl SU( nl A 1f?
AOD 901LDJAV? PAV ANO 'Tf.AA'1Q?t ?11d% ?.. i-, -_%1-
13. PURPOSE OF PROPOSED WORK: ?.vK1S'1?2 '1 ??) t0}? ??,1J ?t ???
14. 'STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. SPAC 1{11'1 {-fi47101?1? (?r21?tL+C-f ?Anl?r Y?IT(ti. (?41C?f1tlYU?
fe U A), -1 aPi d
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 J?J NO [ J
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE-FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES NO [ j
RESPONSE FROM THE SHPO SHOULD $E.FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE-IMPACTED BY
PROJECT.
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.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?
Sll?l
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNAT ? Io z
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DEM. ID: e-N ACTION ID: _
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORK FOR v
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIR uvm
IE 7
AND NATURAL RESOUR
P.O. BOX 29535
RALEIGH, NC 27626-053 .? 8
ATTN: M.R. JOHN DORNEY wpm
Telephone,(.919). 733-50 3

WtILAIVU,) unvur
ONE (1), COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE W?FRALILIiTY SECTI?iv
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF.
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: eX Ct'X I C 0rm
2 . OWNERS ADDRESS : ZS D J r&y?
A)C 28 111
3. OWNERS PHONE NUMBER (HOME): -S-7c) 77 (WORK).
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE.,-NUMBER:
5. LOCATION OF PLANNED WORK (ATTACH MAP). COUNTY: CA Uagg r ,
NEAREST TOWN OR CITY: a .. -.
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
l M-E rlI-E =t N7?sc?nav?? bP Ncg?2 10 44710 NGSk 1.3))
6. NAME OF CLOSEST. STREAM/RIVER: I-)Al tS C1?K
7. RIVER BASIN: [A) k•1101 l l L
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS...I, OR WS II? YES [ J NO
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ J NO
IF YES, EXPLAIN.
10.. ESTIMATED TOTAL... NUMBER .OF .ACRES OF WATE?yS O THE-.U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: y ? Of )qC)2ff,:5
3/30/92
r
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE-PROPOSED PROJECT:
FILLED: _ u. I
DRAINED:
FLOODED:
EXCAVATED:
12.
DESCRIPTION OF PROPOSED WORK
00 BURZ) JOn, PAo ANO
ATTACH PLANS):
13. PURPOSE OF PROPOSED WORK: Il.vpw ?21 )m )(.s11? y) ?,?,iJ n K r?-
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED•OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACT'S. 54)Acf- 11rr11-TX71Ol?t? ?rLC`ri?C-i i?nc CPD PyoTn•? C?4Iu&Nu--)
Co ?Ni'7 iPCQ
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE..AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES NO..[ )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY,BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES NO [ )
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDTTIONAL'INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
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.
$.' WHAT IS LAND USE OF SURROUNDING PROPERTY?
Sll7l?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
u ,U I c.I ra-_ , D 0 r-) ?f ?^Ay F-o(c-l
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TOTAL IMPACTED:
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DEM ID: ACTION ID:
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORK FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE PERMITS THAT_REQUIRE SECTION 401 CERTIFICATION'CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION.401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING.
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOU
P.O. BOX 29535 D
RALEIGH, NC 27626-05
ATTN: MR. JOHN DORNE mv -8 ma
Telephone. (.919 ). 733-5
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE.4ENT E
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIV
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME:
2 OWNERS ADDRESS : ZS D J E rb-4'f ':
3. OWNERS PHONE NUMBER ( HOME) : -1 Z8 -S7) 7 (wow):

4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
5 . LOCATION OF PLANNED - WORK (ATTACH . COUNTY : 1A Z eZ T
NEAREST TOWR OR CITY: ?P)
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Rr-PARR. r1-? . nJjERsc-?r? a? bW N cIZ 1310 AN10 NGS?2 131
6. NAME OF CLOSEST STREAM/RIVER:??S C12.E'IL
7. RIVER BASIN: W k l l lt?
8. XS THIS•PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ j NO jt4
9: HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY.? YES [ J NO
IF YES, EXPLAIN. /
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATE S O THE U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: 14C1??
3/30/92
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED : 0.)
DRAINED: 40
FLOODED: 0
EXCAVATED: 0
...TOTAL IMPACTED: D , 1?1 s
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS) : GbIUST"!a G"( I3U((rv A 1f..
flnap BUil.b)i)&- PAC ANO -1'1-ANS11tbok) TE) j4jA)r?-- C1lC ('4ZJ4At
13. PURPOSE OF PROPOSED. WORK : O 4.0 fzA )c L ( ? /??'Y\j) IA,I? n 1 /( (?
14. STATE REASONS WHY..THE.APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. SW1ACk I ? m 0 a7i oue t?rrnr m-r (Z ?? r r-ppy t, cw I L31 &Nu ,
to vN)-7 PtA
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 N NO*[ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES NO [ ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH-OF WETLANDS TO BE IMPACTED BY
PROJECT.
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.
E.. WHAT IS LAND USE OF SURROUNDING PROPERTY? ?ESI 1? 1?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNATURE D TE
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DEM ID: ACTION ID: _
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORK FOR
NATIONWIDE PERMITS THAT,REQUIRE NOTIFICATION TO CORPS--OF ENGINEERS
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIR TH,
AND NATURAL RESOUR fj (?
P.O. BOX 29535 ?j v l5 _.U ?J
RALEIGH, NC 27626-053
ATTN: MR. JOHN DORNEY ?- 8 in
Telephone.-(.919). 733-5 3
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT "`'=m:dj
ENGINEERS.. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME:
2. OWNERS ADDRESS:
3. OWNERS PHONE NUMBER (HOME): Z8 - f7 /7 (WORK):
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
5. LOCATION OF PLANNED WORK (AT.ZACH ). COUNTY: 1, I4tZ T
NEAREST TOWN OR CITY: i52t?1?
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
??r-w R: t l-F . tirj?izs?r? av?-? 6F N c 2 13) o 44v,o NGSk 131
6. NAME OF CLOSEST, STREAM/RIVER: ????( L04S CQ.E?1-
7. RIVER BASIN: W k 1 T,? l p
S. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HOW, ORW,
WS Ij... Oit,. WS . II? YES [ ] NO
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ J NO ?Q
IF YES, EXPLAIN.

10. ESTIMATED TOTAL NUMBER OF ACRES OF WATE S OF-THE U.S-., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: AUC-S
3/30/92

Y
-2-
12.
FILLED: a.
DRAINED: Q
FLOODED:
_
EXCAVATED :
O
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
DESCRIPTION OF PROPOSED WORK
10b BUBO) A)/',- PA?n APJn -1
ATTACH PLANS):
13. PURPOSE OF PROPOSED WORK: plA) X
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS... ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. SPAa 1 ?1?11?T?71OAI? ()rZCr 914 m oc-3 r-rg ' C?4Iue?
(ooNt-1'PA
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 N NO [ )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES NO [ )
RESPONSE.FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
D...IF A•STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF.SURROUNDING PROPERTY? F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
M v ,v c. c ra-L. , ' -)y'-) of
?2 I o z
SIGNATURE ATE
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED.BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT'OF THE DELINEATION LINE.
TOTAL IMPACTED:

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DEM ID: 70 ACTION ID:
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORK FOR. r
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E DIVISION.OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. BOX 29535
RALEIGH, NC 27626-05 D v U U L5 '
Telephone [phone] ATTN: MR. JOHN DORNE
Telephone (.919). 733-5 10 _ 8
.ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT T
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N. C. DIV SIONy?j LANDS GROU%'
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT. R URLITYSi"";;:
. ?...?.? s.... .
1. OWNERS NAME:. ?XCC'X 1?
k> 1 c0yY*%
2. OWNERS ADDRESS: zSD J rav+
!l) c-
??

3.
OWNERS PHONE NUMBER (HOME): ZB -S7) :Z ('WOFEIC y;-
"
4.
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:

5. LOCATION, OF PLANNED WORK (A TACH . ) . COUNTY: C1 QaZEr
NEAREST TOWN OR CITY:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LAND'MARKS', ETC.):
K -nA =G.IUZERSC?rr J 6P N SE 1310 010 NCGS ) 3 I

6. NAME OF CLOSEST- STREAM/RIVER:??`jS C12.??-1C
7. RIVER BASIN: h? N 1
8. IS_THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT,, SA, HOW, ORW,
WS I, OR WS II? YES [ j NO
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ J NO
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS I 0 THE U.S., INCLUDING
WETLANDS," LOCATED ON....PROJECT. SITE:' /4C12?
3/30/92

r
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED: O
DRAINED: O
FLOODED: 0
EXCAVATED: Q
TOTAL IMPACTED: Q
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS),: Cb ST"I BU(LA2d A' lr r
13. PURPOSE OF PROPOSED WORK: (1_oA1S1 r,()c--l
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS.. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.' SPACk I ? ri` `? 14?i OI?Te (? Cttrt ?C"i Z4,?or rwr-? ?x,? ? I cat ??IVU?
(D v nJ 1-r 'P[ 4
1S. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE.
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED-OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO?. YES NO [ ]
RESPONSES FROM" THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE. HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES NO ( j
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A.. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
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.
E. WHAT IS LAND USE _OF SURROUNDING PROPERTY??5?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
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DEM ID: ACTION ID:
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORK FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE.PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
P.O. BOX '1890 AND NATURAL'RESOURLCE
WILMINGTON, NC 28402-1890 P.O. BOX 29535 (5 ATTN: C
ESAW-CO-E RALEIGH, NC 27626-05315
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone. (.919 ). 733-50NOV ' 1993
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO 4A
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N. C. DIVI R U4i1TY S?t'
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: ?XGC'X 1 e
2. OWNERS ADDRESS : ZS C J rprv
3. OWNERS PHONE NUMBER (HOME):-? -5-7 /7 (WORK):
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
5. LOCATION OF PLANNED WORK (ATTACH MAP). COUNTY: CAQtZEr
NEAREST TOWN OR CITY:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
_??,C?B. ' i?-1-f rt17?iZSt?cr? r ? 6F N tz 1310 44NIO NG5?2 Is 1
OF CLOSEST-STREAM/RIVER:
6. NAME.
7. RIVER BASIN: W k1 CU
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ) NO
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ J NO /A
IF-YES, EXPLAIN. / ,
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATE S O THE U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: Sill AC12ff
3/30/92
P,
-2-
11. NUMBER OF ACRES OF-WATERS OF THE U.S., INCLUDING WETLANDS,.IMPACTED BY
THE PROPOSED PROJECT:
FILLED : O
DRAINED: O
FLOODED:
EXCAVATED: Q
` TOTAL IMPACTED: (n
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS) : CbA)U 49LKa pollL A 1('-z
Anb. Ru?tzlx)G PAO ANO :Cf-ANS1lta?l) ?°a ?c??n)?^. ci1L C,214pt
13. PURPOSE OF PROPOSED WORK: o ?1 S'1 11) 1 )2 L• S) 467V) CAdt? n t ,) /( ???
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED..OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. SPACE ? i m t'1-47infive noreirr-r
1S. 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 DQ NO ( )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES NO ( ]
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
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.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?"
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
JQ 0Ltk"_&. 1 o 2,? 13
SIGNATURE ATE
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