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HomeMy WebLinkAbout19930296 Ver 1_COMPLETE FILE_19930428d ? 5r"jz State of North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27604 James B. Hunt, Jr., Govemor April 28, 1993 A. Preston Howard, Jr., P.E. Jonathan B. Howes, Secretary Director Mr. Rocky Fowler P.O. Box 853 Whiteville, N.C. 28472 Dear Mr. Fowler: Subject: Proposed fill in Wetlands or Waters Residential building lot Columbus County DEM Project # 93296 Upon review of your request for 401 Water Quality Certificftion to place fill material in 0.02 acres of wetlands or waters which are tributary to Lake Waccamaw for a residential lot located at 523 Waccamaw Shores Road in Columbus County, as described in your submittal dated 14 April 1993, we have determined that the proposed fill_ can be covered by General Water Quality Certification No. 2733 issued January 21, 1992. A copy of the General Certification is attached. This Certification may be used in qualifying for coverage under Corps of Engineers' Nationwide Permit No. 18. If you have any questions, please contact John Dorney at 919-733-1786 Sincerely, l? .?,i?-l ln r-ton Howard, Jr. P 93296.Itr Attachment cc: Wilmington District Corps of Engineers Corps of Engineers Wilmington Field Office Wilmington DEM Regional Office Mr. John Dorney Central Files Regional Offices Mooresville Raleigh Washington Wilmington Winston-Salem Asheville Fayetteville 704/251-6208 919/486-1541 704/663-1699 919/571-4700 919/946-6481 919/395-3900 919/896-7007 Pollution Prevention Pays P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telepbone 919-733-7015 An Equal Opportunity Affirmative Action Employer MEMORANDUM PRINT NAMES: Reviewer: - G- k?-,f cy, a - TO : John Dorney WO Supv. .:Q R bik-Ue 4k9i<-j(-' S Planning Branch DATE: I SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS ***EACH ITEM MUST BE ANSWERED (USE N/A FOR NOT APPLICABLE) *** PERMIT YR: 93 PERMIT NO: 0000296 COUNTY: COLUMBUS APPLICANT NAME: ROCKY D. FOWLER PROJECT TYPE: RESIDENTIAL FILL PERMIT-TYPE: NW18 COE_#: DOT #: RCD FROM_CDA: APP DATE _FRM_CDA: 04/16/93 REG_OFFICE: WIRO RIVER_AND_SUB_BASIN__#:p 3 5- (?vP c? ?-,44) STREAM-CLASS: Caw rift v r,Accs?-?- STR_INDEX_NO: .e, Ucr WL_IMPACT? : ?'N WL_TYPE :A/S WL_REQUESTED : 0, n.2 WL_ACR_EST? : 7N, WL_SCOR.E(#): //? WATER IMPACTED BY FILL?: Y/O HYDRO_CNECT?: O/N MITIGATION"?: Y/V MITIGATION TYPE: Al'q LITIGATION SIZE: WETLAND RATING SHEET ATTACHED?: Y, T R .,.CIMMENDATION (Circle One): iSSU SSUE/C(>ND DENY C' r>_J'MENT ; : A -6t- ? .f .t h . Y- ,iD Regional Office central Files DEM ID: % ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #): fig JOINT FORM FOR NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE CORPS OF ENGINEERS 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 ATTN: CESAW-CO-E Telephone (919) 251-4511 WATER QUALITY PLANNING DIVISION OF ENVIRONMENTAL MANAGEMENT NC DEPARTMENT OF ENVIRONMENT - ` AND NATURAL RESOU V P.O. BOX 29535 RALEIGH, NC 27626-05ATTN: MR. JOH N DORNETelephone (919) 733-5_ ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVI ENVIRONMENTAL MANAGEMENT. PLEASE PRINT. 1. OWNERS NAME: 2. OWNERS ADDRESS: Ai . r? 3. OWNERS PHONE NUMBER (HOME): ` / / -44 WORK) : s?f 6--)L- ' 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: 5. LOCATION OF WORK (MUST ATTACH MAP). COUNTY: dcreLiho NEAREST TOWN OR CITY: fI C A Q CA tv SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): ?vZ 04 C CA w-ACA/ .t' `t cyre-s " Aol. - 6. NAME OF CLOSEST STREAM/RIVER: 0/gCC 7. RIVER BASIN: 8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, 90, ORW, WS I, OR WS II? YES [ ] NO K] 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 OF THE U.S., INCLUDING WETLANDS, LOCATED ON PROJECT SITE: ILIA& OQi&' / D de 7/8/92 -2- 11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY THE PROPOSED PROJECT: FILLED: Yy rr??G? r DRAINED: FLOODED: EXCAVATED: TOTAL IMPACTED: 12. DESCcRI,P.ET ?21O/CN _.e F PROPOS D W RI (ATTACH PLANS):. 13. PURPOSE OF PROPOSED WORK: 14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE CARRIED OUT IN WE LA DS. A AJ,SO, NOTE MEA UTAKEN TO M N MIZE WETL IMPACTS. Q 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 ( J 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. ,,I APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? 3 a03 OWNER' SIGNATURE DA E 1 ode ? 6, r d /,?"-i\d0- 1 X-f`d- . 2 1?3 Udx. r OE' 9 ?/ f e"-1, `.i^,r.:r^ 'S 'm.`4.1 'v°,J4t- '2 cars mt?e^ -: . 7r7 DEPARTMENT OF THE ARMY WILMINGTON DISTRICT, CORPS OF ENGINEERS P.O. BOX 1890 WILMINGTON. NORTH CAROLINA 28402-1890 IN REPLY REFER TO April 7, 1993 Regulatory Branch Wetland Determination, Action ID. 199301778 Mr. Rocky Fowler P.O. Box 853 Whiteville, North Carolina 28472 Dear Mr. Fowler: 7 I? WETLANDS GROUP ATER 0 U1..1LITY SECTli Please reference your meeting dated March 3, 1993 with Mr. Mickey Sugg of my staff on your property located on the southwest side of State Road 1967, approximately 2.2 miles south of Lake Waccamaw Campground, adjacent to Big Island Swamp, in Town of Lake Waccamaw, Columbus County, North Carolina. The purpose of this site visit was to inspect the property for waters and wetlands subject to Department of the Army (DA) permitting authority. The site investigation revealed that waters and wetlands subject to DA permitting authority exist on the property. During the meeting, Mr. Sugg established the wetland/upland boundary by using pink flagging. As discussed, any activity that takes place landward of the boundary would not require any Federal permits. However, issuance of Department of the Army authorization must precede any placement of excavated or fill material in Section 404 wetlands waterward of the pink flags on your property. Any unauthorized activity would be a violation of Federal law. Enclosed is a copy of a Wetland Determination Form, providing specific information obtained at stations on your property. The data on this form support the delineation of wetlands on your property in accordance with the criteria set forth in the 1987 U.S. Army Corps of Engineers' Wetland Delineation Manual. If you have any questions or comments, please address them to Mr. Sugg, Regulatory Branch, Wilmington District, at telephone (919) 251-4611. Sincerely, G. Wayne Wright Chief, Regulatory Branch Enclosure ayp. ?,-gi • sue':- 5.13 LAS. p ? ' .._" S sd . , ? '. ? ..;. T .`: -Y y{. ? :Gr ?.f?v?q=p. .?.?R. ? 3'{ . :' h'58? fip^' ?i:??a ?? ?{ ???j,?^ °: ' is-: q . .: . -2- Copies Furnished (with enclosure): Mr. Thomas Welborn, Chief U.S. Environmental Protection Agency - Region IV Wetlands Regulatory Unit 345 Courtland Street, NE. Atlanta, Georgia 30365 Ir. 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 DATA FORM ROUTINE WEi LAND OEi e.RM1NA'ON a (1!387 CCE Wetlands Daiineanon Manual) Praiec-JSite: :5R 19G71 ad?acar,I 'h 4,a 5f-.,J 5w4=,JZ i Cate: 3- 3-43 j AppiicantlCwner. ( Counr?: CeiUr,%tij5 Investigator State: Nc Oo Normal C:rcumstances exist on the site? Yes No I Community IC: Is trio site signiticantiy disturned (Atypicai Situation)? es No I ransec IC: Is trio area a potential Prociem Area? Yes No P!ot ;C: If needed. exotain an reverse.; V EGG 1 AT10 N Comment sent Soeciee Stratum naicarar Oornmenr aunt lioeciee Stratum !ndicator t . Red n.ao J e FA-_ ?. SwcGt ctww, raG 10. 3. Kw,ffcU, t FACIJ 11. s, t Z. a 13. d. 14• 7. 13. 3. 18. I Percent of Oortunant Spades that are OBI. FACN or PAC = ` >sa5o-A[_oac p s Q? (excluding AC-;. , Q, Remams: j See: National List of Plant Species that occur in Wetlands of North Carolina HYDROLOGY Recorded Oata (Describe in Remorxsl: _ Stream. L.aue, or 7de Gauge _ Agnes Photograone _ Other 40 rlooorded Oats Avatieole Weuana Hvdrotogy Inaicators: ! _ !nunaatw Saturated in Uopar 1Z Incnes j _ Water Mores _ Cntt Lines j Raid Cbservanons• Seaiment Oeoosits _ Oramage Patterns in Wetlands Oacth of Surface 'Nazar- (in.) Oxiaizaa Root Coonnats in Uopar . Z Incnes Depth to Free Water in Pit: 5-7 (in.) ?Lacai Sod Survev Oats _ FAC•Neutra est j Oacth to Saturated Sad: - (in.) other (Exctain in Romarxsl Remarxs: j I m __-"",4z?^s,?•,-i-^.a r,. -r-z. ^;^ro. ?s- .. 7S?w, ^a..ci}:;::.-r , Mau Unit Nerno (Sense and phasol: 1Jese - staid Cbservacons Irouoi' Camirnt Maccea 7vpel e• No P"ntliq 0eet:flnnnn- Osom Matrix Caicr Maras Colon Mattis Tsxturs. Canarecans. I fine es Hnn;on !Muneed Moietl IMuneell Moisrt abunaencciC?ntrost Structure +ta. Q ??4Q?? ( I I I Hyana Sod Inaiaatore: I y/Histasot _ Concretions j __ Hisao Czicedon _ Hign CrQanic Cantent in Surface Layer in Sanay Sods uifldic Cone R im H M i _ Orgamo Stre.sung in Sangy Sods ane Sods List ?Listea on Local H eg e sture ausa o _ Reaumna Conditions y _?,jated on National Hydnc Soils List Gisvea or Low-Ctiroma Colon _ Ctnsr !E=imn in Aem.rxw I Remsrtta: ?Ae4 Cen?4.As o+ d ? 1l rhaf?e?a` R°w`q`^S 72Ci^? 2- q - N dR:o So; i i`? pResr? WET LAND DEi ERMINATIDN Nyar6anyve Vegetation Preseritl Wetiand Hyaroiogy Present? Hydnc Sails Present? (9P No (Cartel Cj?jjb No No (Clrciai is :his Srtmoiing ?oint Within a 'Netiana7 ss No R.mancs: we.4?a.,,d oes or Does not meet criteria set `ortn in the 198 rmv Corps of Engineers Wetland Delineation Manuai I ?apr-u w n?.u a-?.? .+rur r DEM ID: ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #): JOINT FORM FOR NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE CORPS OF ENGINEERS 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 ATTN: CESAW-CO-E Telephone (919) 251-4511 AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE.-Ca ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT. PLEASE PRINT. 1. OWNERS NAME: 2. OWNERS ADDRESS: ` 0 WATER QUALITY PLANNING DIVISION OF ENVIRONMENTAL MANAGEMENT NC DEPARTMENT OF ENVIRON AND NATURAL RESOURCE r? ?YJ P.O. BOX 29535 U RALEIGH, NC 27626-0535 ATTN: MR. JOHN DORNEY 4 Telephone (919) 733-5083 I 3. OWNERS PHONE NUMBER (HOME): y / S -14W ` y?yl WORK) : `Vr _ 6- 4. IF APPLICABLE: PHONE NUMBER: 5. LOCATION OF WORK (MUST ATTACH MAP). COUNTY: NEAREST TOWN OR CITY: .LAICe k1A Q- CA f4-(- SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): S aZ .(//4 c CA ywAa/ S Acres IQ, - 6. NAME OF CLOSEST STREAM/RIVER: 7. RIVER BASIN: CG' ?/4c C /C??UG' Z 8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA,1QW, ORW, WS I, OR WS II? YES [ ) NO [() 9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES [ ) NO IF YES, EXPLAIN. 10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S".",,?INCLUDING WETLANDS, LOCATED ON PROJECT SITE: "lI/-dam p f) 0Q('? (i JQ ? ?? ? p/t¢GL. ? ?? 7 / 8 / 9 2 _2_ cv?a lav? 12. DESCRIPT ON F PROPOS D W (ATTACH PLANS):, 11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY THE PROPOSED PROJECT: FILLED: )`y DRAINED: FLOODED: EXCAVATED: TOTAL IMPACTED: ltdV 13. PURPOSE OF PROPOSED WORK: -,A 14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE CARRIED OUT IN WE LA S. ASO, NOTE MEA U? TAKEN TO M NIMIZE WETLAN-D IMPACTS. Zz b(- 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 ( j 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? /? F. I APPLZCAB E, WHAT IS d' '524a PROPOSED METHOD OF SEWAGE DISPOSAL? 4v-k 3 ?? 3 OWNER' SIGNATURE DA E r^ i s? d o J ?? r? l.-fl-- - 1 1? ,3 (ju?'t V ^ OE' \ C? 9 y? I? r DEM ID: ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #): 0 JOINT FORM FOR NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE CORPS OF ENGINEERS 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 ATTN: CESAW-CO-E Telephone (919) 251-4511 ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CO ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT. PLEASE PRINT. 1. OWNERS NAME: 2. OWNERS ADDRESS: O 3. OWNERS PHONE NUMBER (HOME): WATER QUALITY PLANNING DIVISION OF ENVIRONMENTAL MANAGEMENT NC DEPARTMENT OF ENVIRON AND NATURAL RESOURCE ` L5 lJ P.O. BOX 29535 RALEIGH, NC 27626-0535 1993 ATTN: MR. JOHN DORNEY Telephone (919) 733-5083, /: to cti , 91- 4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: 5. LOCATION OF WORK (MUST ATTACH MAP). COUNTY: do-eLihil" TOWN OR CITY: A Ce A tCA Aj- SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): 6. NAME OF CLOSEST STREAM/RIVER: 7. RIVER BASIN: 0,4c c ?C; UG' CL' 8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, QW, 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 IF YES, EXPLAIN. 10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, LOCATED ON PROJECT SITE: /a 641TV Qty ?Qi c(, OACO- .! 7/8/92 /o /W -2- 11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY THE PROPOSED PROJECT: Yy ?? ?? r FILLED: DRAINED: FLOODED: EXCAVATED: TOTAL IMPACTED: r r 12. DESCRIPT ON F PROPOSED W RF (ATTACH PLANS):, 13. PURPOSE OF PROPOSED WORK: 14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE CARRIED OUT IN WE LA S.?,Al.SO, NOTE MEA U? TAKEN TO M N MIZE WET` IMPACTS. A ". L - A Q /? ZZ? 6 ? 9 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. 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. I APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? cr?L 3 ?? 3 OWNER' SIGNATURE DA E Z(/da r i C> • /-So''\-,o ' 1 r X.J`v , OE' ^j