19930809 Ver 1_COMPLETE FILE_19930922

State of North Carolina
Department of Environ ent,
Health and Natural Resources
Division of Environmental M nagement
James B. Hunt, Jr., Govern(
Jonathan B. How,:-.,s, Secret
A, Preston Howard, Jr., RE,
l rv
Director
September 27, 1993
Ms. Elizabeth Whitehurst
Rt. 4, Box 874
Hertford, N.C. 27944
Dear Ms. Whitehurst:
Subject: Proposed fill
Road crossin
Perquimans Cg
o
DEM Project #
Upon review of yoi
to place fill material
tributary to Perquimans
Perquimans County as de
1993, we have determine
General Water Quality C
Certification is attach
qualifying for coverage
No. 14.
If this Certificat
to an adjudicatory hear:
days following receipt (
the form of a written pr
Carolina General Statut(
Hearings, P.O. Box 2744'
demands are made, this (
If you have any
1786.
93809.1tr
Attachment
cc: Wilmington Distri,
Corps of Engineer
Washington DEM Rei
Mr. John Dorney
Central Files
P.O. Box 29535, Raleigh, Nc
An Equal Opportunity A
?EHNR.
in Wetlands or Waters
my
93809
request for 401 Water Quality Certification
1350 square feet of wetlands which are
River for road crossing located at SR 1357 in
cribed in your submittal dated 21 September
that the proposed fill can be covered by
rtification No. 2732. A copy of the General
d. This Certification may be used in
under Corps of Engineers' Nationwide Permit
_on is unacceptable to you, you have the right
ng upon written request within thirty (30)
f this Certification. This request must be in
tition conforming to Chapter 150B of the North
s and filed with the Office of Administrative
Raleigh, N.C. 27611-7447. Unless such
ertification shall be final and binding.
stions, please contact John Dorney at 919-733-
Sincerely,
reston Howard, J . P.E.
it Corps of Engineers
f Washington Field Office
lional office
Carolina 27626-0535 Telephone [phone] FAX [phone]
ative Action Employer 500k recycled/ 10% post-consumer paper
n0 F, /) C?
DEM ID: c? ACTION ID:
Nationwide Permit Requested (Provide N a ionwide Permit #): ,l
?S'
JOINT FORM FOR
sG
Nationwide permits th at require notification to the Corps of Engineers
Nationwide permits tha require application for Section 401 certification
WILMINGTON DISTRICT ENG ER WATER QUALITY PLANNING
CORPS OF ENGINEERS ' DIVISION OF ENVIRONMENTAL AbIAGEMENT.
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRO ? T ,
4'
P.O. Box 1890
Wilmington, NC 28402-1890 AND NATURAL RESOURCES D Lr
P.O. Box 29535
ATTN: CESAW-CO-E Raleigh, NC 27626-0535 ;Qi,
Telephone [phone] ATTN: MR. SOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED PLICATION SHOULD BE SENT TO THE OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SE TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: !- -4- /X-
2. Owners Address: 13-1,

3. Owners Phone Number (Home): - (Work):
4. If Applicable: Agent's name or respon ible corporate official, address, phone number:

5. Location of work (MUST ATTACH M ). County: f er?r?.; .nR hs ?? cl nu
[Nearest Town or City:

Specific Location (Include road numbers, I

i
F
e ?? J-3 S 7
landmarks, etc.): j c -a Le
l
5. Name of Closest Stream/River: b Le n , a'. s . j,-A
7. River Basin:

8. Is this project located in a watershed c ssified as Trout, SA, HQW, ORW, WS I, or WS H? YES [ ] NO [?T
9. Have any Section 404 permits been pri viously requested for use on this property? YES [ ] NO [Pl'
If yes, explain.

10. Estimated total number of acres of 4
, ters of the U.S., including wetlands, located on project site:
11. Number of acres of waters of the U. including wetlands impacted by the proposed project:

Filled: - ??
Drained:
Flooded:
Excavated:
Total Impacted:
i
j a I #
12. Description of proposed work (Att ch PLANS-8 1/2" X 11 drawings only): a ©?`a.; v?
U
13. Purpose of proposed work:
14. State reasons why the applicant beeves that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. f
15. You are required to contact the U. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any erally listed or proposed for listing endangered or threatened species or critical
habitat in the permit area that may be ected by the proposed project. Have you done so? YES V}--- NO [ ]
RESPONSES FROM THE USFWS /OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the tate Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which ma be affected by the proposed project? Have you done so? YES [f?NO [ ]
RESPONSE FROM THE SHPO SHO D BE FORWARDED TO CORPS.
17. Additional information required b
A. Wetland delineation map sho
B. If available, representative pl
C. If delineation was performed
delineation line.
D. If a stormwater management
E. What is land use of
F. If applicable, what is
DEM:
ing all wetlands, streams, and lakes on the property.
tograph of wetlands to be impacted by project.
y a consultant, include all data sheets relevant to the placement of the
Ian is required for this project, attach copy.
i
g property? :2123 A "I
method of sewage disposal? Ale
c'
Owner's
Date
-143
1

q
Qy
?o
PERQUMl1NS COU
Imile 2
5

U.S. NUMBERED HIGHWAY 17
N.C. NUMBERED HIGHWAY t>
HARD SURFACED ROAD
IMPROVED GRAVEL ROAD
IMPROVED DIRT ROAD
DIRT ROAD
RAILROAD
BRIDGE
COUNTY BOUNDARY -
MIINICIPAI RnIINnARY
3

?s
'G> E'fi
lko i

F i
j

IN 1)
9
DEM ID:
ACTION ID:
7
Nationwide Permit Requested (Provide Nati o wide Permit #):
J INT FORM FOR s'G
Nationwide permits that equire notification to the Corps of Engineers ?Q
Nationwide permits that quire application for Section 401 certification
WILMINGTON DISTRICT ENGINE R WATER QUALITY PLANNING
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY DIVISION OF ENVIRONMENT MANAGEMENT
NC DEPARTMENT OF ENV IRO ` H$AUH,
P.O. Box 1890 AND NATURAL RESOURCES
Wilmington, NC 28402-1890 P.O. Boy 29535
ATTN: CESAW-CO-E Raleigh, NC 27626-0535 E
Telephone [phone] ATTN: MR. SOHN DORNEY
.-

Telephone [phone]
WETLAND-'G,10-
(1) COPY OF THIS COMPLETED
ONE PLICATION SHOULD BE SENT TO T CtNGINEERS.
SEVEN (7) COPIES SHOULD BE SENT O THE N.C. DIVISION OF ENVIRONIvIENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: !- -?
2. Owners Address: -1
3. Owners Phone Number (Home): 264 - 3 64-3 (Work): l?rl4?2?-
4. If Applicable: Agent's name or responsi le corporate official, address, phone number:

5. Location of work (MUST ATTACH M ). County: taell "a-" cJ
Nearest Town or City: m

Specific Location (Include road numbers, l dmarks, etc.): e,, c.,

6. Name of Closest Stream/River:
7. River Basin:
8. Is this project located in a watershed cla ified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO [li]'
9. Have any Section 404 permits been prev ously requested for use on this property? YES [ ] NO [q'
If yes, explain.

10. Estimated total number of acres of watt s of the U.S., including wetlands, located on project site:
11. Number of acres of waters of the U.S., cluding wetlands, impacted by the proposed project:

Filled:
`
G
Drained:
Flooded:
Excavated:
Total Impacted:
i
r
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): / o o ??c? ;,n
1 .?
?o7a: ?a L r? jlJtr?
13. Purpose of proposed work: _I T--r2 QLIO"f h_ 1, /„4 a_ c.,a? Yo p o 01
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. J%-. e : -Y' o 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 [-]---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 [v]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? A r "r, /Q A N(
F. If applicable, what is proposed method of sewage disposal? n_ //4-
0
Owner's
w ?? g -i ?,-q-3
Date

cpaOX
A
17
HERTFOR
9
L
6` q
O
17 p°
PERQUIMANS C
Imile 2
5
O

U.S. NUMBERED HIGHWAY 17
N.C. NUMBERED HIGHWAY 37
I
HARD SURFACED ROAD
IMPROVED GRAVEL ROAD
IMPROVED DIRT ROAD
DIRT ROAD
RAILROAD
BRIDGE
COUNTY BOUNDARY - --- -
MUNICIPAL BOUNDARY

tiOY, (r' I
4 F-
QG
2IS
F?
3
m? ? 1

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