19920659 Ver 1_COMPLETE FILE_19920129

State of North Carolina
Department of Environment, Health, and Natural Resources

Division of Environmental Management,
512 North Salisbury Street. Raleigh, North Carolina 27604
James G. Martin, Governor A. Preston Howard, Jr., P.E.
William W. Cobey, Jr., Secretary December 14, 1992 Acting Director

Ballou Enterprises, Inc.
Post Office Drawer 9000
Morehead City, North Carolina 28557

Dear Sirs:

Subject: Proposed Fill in wetlands or Waters
Road Construction
Carteret County
DEM Project # 92659

Upon review of your request for Water Quality Certification
to place fill material in 0.07 acres of wetlands or waters for
road crossing located at northside of Galantis Drive at Brook
Street in Carteret County, we have determined that the proposed
fill can be covered by General Water Quality Certification No.
2671 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. 26.

If you have any questions, please contact John Dorney at
919/733-1786.

Sincerely,

APH:JD
Attachment

tt~~
~,~feston Howard, Jj. P.E.

cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Wilmington DEM Regional Office
Mr. John Dorney
Central Files
Steve Morrison, Land ~~roup
Asheville Fayetteville MooresvilIe Raleigh Washington Wilmington Winston-Salem
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 Telephone [phone]
An Equal Oppornm..ity AffumaUve Action Employer

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DEM ID:

126S-c;

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ACTION 10:

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JOINT APPLICATION FORM FOR .
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
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 (919) 251~4511

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WATER QUALITY PLANNING
DIVISION OF ENVIRONMEN
NC DEPARTMENT OF ENVIR
AND NATURAL RESOUR
P.O. BOX 29535
RALEIGH, NC 27626-053
ATTN: MR. JOHN DORNEY
Telephone [phone]

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
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.

,

NOV - 5 1992

1. OWNERS NAME: 15A--t (..0"- EtV~ I'R.,S cr ,;r~c.
, "

2. OWNERS ADDRESS: /?o. DIZ-A-wLl( 900
fV1otZEN-&t4-D c,r~ N.c... .:2.8'.55'7

3. OWNERS PHONE NUMBER (HOME): (WORK): ~/9 h2.-tC-r;;~/I
I
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, .ADDRESS,
PHONE NUMBER: ~V€- fI/I~~~lSolo-J
~/) m"'fJ~.-..r- GRau~ .:i+'C.
---=E' 8 oX ;:z -E:..... 2... _
tV I L.fi'11 Ai (; rc ~ IV- C. ..::2d"" ., 2-

5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: C/r~'7"&{C..,-,.
NEAREST TOWN OR CITY: lY)o(es:.f..fEkb CIty'
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
tJ<!?I2'T# .s I/)f' t7F GA-lA~rI5 l>/2-IVL.- A--r- E,12. o oK..
<:.S 7' {2. c. <;"'1 / A/ 'T"E:1l. ~ 2.. err-, O,..,J

6. NAME OF CLOSEST STREAM/RIVER: CAI..ICo c/2UK..

7. RIVER BASIN: AI~

8. IS THIS PROJECT LOCATED.-IN A WATERSHED CLASSIFIED AS TROUT @ HQW, ORW,
WS I, OR WS II? YES [(./f NO [ ]

9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [vr-
IF YES, EXPLAIN.

10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
. 7 G A<flE,5

2/3/92

,
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-2-

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11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
_ FILLED: .07
. DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED: .07

12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): fV!/,JoR- (201+;\
c/2oss/,.J C-

13. PURPOSE OF PROPOSED WORK:

N~ t-! / ..srPF.~""'- CoJJ<.I"'T!J.-/A C/ Ti 0 AJ

14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. fJ~v cS.,...fU;r:-r T/r,€our.t+ .,-;e.w:.r CA-"';,Jo, A-VOII") ,vk,eRo'-..J
wr:...rz-.tI>-,v}) ce-~,.tJr;.... cRD~r//vl- TO Dr c.uL.V~;-[;~

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 ~FFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES [ '] NO [vI' ~
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE 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 [] NO [vJ ~A--
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY OEM:
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? !lz/D2:"n-/,4-L. Or!-.:L
"

F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
-sE..v C/C.. sy'..sr-& fV\

~V~ ~O~R~o~ ~~T)
OWNER'S SIGNATURE

1e;0~7-
DATE

NATIONWIDE t4 REQUEST
MINOR ROAP CROSSING

TOTAL WETLAND AREA = .76 ACRES I

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SCALE 1"=200'

~ TOTAL WETLAND FILL AREA = .07 ACRES

ROAD CROSSING TO BE CULVERTED

LAND MANAGEMENT GROUP, INC.

10/92 8M

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LAND MANAGE.JVJENT GROUP
P.o. BOX 2522 .;::
, . WILMINGTON, N.C. 28402

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WETLAND DETERMNATION

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WILMINGTON, N.C. 2~402

UPLAND DETERMINATION

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. .. ~ua.u1)1cncu& J.:O~ u:AJ)Vlt -a:n~",:" UOI...\UD . ADJ'A~r_ wr-i -

Commenta: /()~~,lwt) R-~~~. ~~rll- fj~~1.#r1t::. ~d~c~ ~~t!41Wf

/2 .,~ +-
.

~

hcpucd By:
c...Srz1J 2: : yv/ o,(J!J(.s- OlA./

~

..;,>
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,,-,. '"

TO: John Dorney
Planning Branch

INITIALS:~
Reviewer:
WQ Supv: 'J
Date: Io.-J'-~~

MEMORANDUM

SUBJECT:

WETLAND STAFF REPORT AND RECOMMENDATIONS

***EACH ITEM MUST BE ANSWERED (N/A-NOT APPLICABLE)***

PERMIT_YR:
APPLICANT NAME:
PROJECT_TYPE:
COE_#:
RCD_FROM_CDA: APP
REG OFFICE: WIRO
- MIlUJ (/&:ft-
STREAM_CLASS: ~c..

92 'PERMIT_NO: 0000659
BALLOU ENTERPRISES, INC.
ROAD CROSSING

COUNTY: CARTERET

PERMIT_TYPE: NW1~
DOT_ # :
DATE_FRM_CDA: 11/05/92
RIVER_AND_SUB_BASIN_#: 63 ()5'" 03

STR_INDEX_NO: c.1' -? ~
WL_IMPACT?: gJ/N
WL_REQUESTED: O(t) 7
~ HYDRO_CNECT?: @/N
MITIGATION?: Y/~
MITIGATION_SIZE: ~!~

? WL_TYPE: (5L H
WL_ACR_EST?: I,@
WL_SCORE ( # ): /~/ If
MITIGATION_TYPE:~/AL

c..ttve.
",'}O'-'
er "",Il\' ,
P

IS WETLAND RATING SHEET ATTACHED?: y{N)
RECOMMENDATION (Circle One): ~ ISSUE/COND DENY
COMMENTS: A ~ I!n.ad ~ -Q".( t'~,:l'd r~ r/d'

fiFe - T

cc:

Regional Office
Central Files

WETLANDS GROUP
,.'t'.AI~~Q!!.ALlTY SECTIO~"..

..

'/

.. //0

DEM ID:

12h~r .

"

ACTION ID:

JOINT APPLICATIONFORH FOR .
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
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 (919) 251~4511

WATER QUALITY PLANNING
DIVISION OF ENVIRONMEN
NC DEPARTMENT OF ENVIR
AND NATURAL RESOUR
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]

~ti~ ~ ffi .J~
, H, " '
NOV - 5 \99'2.

-~ui)"-
WEiLANDS ~R~CT'n~!
WAIER UALlH Sf. I'>~m

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
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.

1. OWNERS NAME: 6/Yt /...0(,(", Evruz. f'R.,S cr . J:1Jc.
, '"

2. OWNERS ADDRESS: Ro. DI2-A-wu... 900
P1 o/U./of&;}j) C-I 'Y" AIL. :2. 8"'.55'7

3. OWNERS PHONE NUMBER (HOME): (WORK) : ~/9 h.2Jc- ~g/II
I
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, .ADDRESS,
PHONE NUMBER: ~V2- Me(2fllSol--J
~A/Ll m-+,..,~....., GR<v~ -PI-'C.
....::!E. 8 ox ;::l ~ 2.... _
tJl{..fi'1fIl./6ro~ IV_C. ~ 02-

5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: ClrenR-l:-1
NEAREST TOWN OR CITY: fV}o(e.t.f-!Ekb Cffy"
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
/J~I2'T# ..sl/)r t:1F GA-lAIVrIS J)/lIVL.- A-r Al2ooK.
0'1 !2-f:.'L1 IA/~~~t...crr-, <J,...J

6. NAME OF CLOSEST STREAM/RIVER:
JJ4

CA-L.I Co ceaK-..

1. RIVER BASIN:
8. IS THIS PROJECT LOCATED ~N A WATERSHED CLASSIFIED AS TROUT @ HQW, ORW,
WS I, OR WS II? YES [vI' NO [ ]

9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO r-vr-
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
. 7 {; A<:/lE..5

2/3/92

/

/ ..

-2-

'-

.

11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
. FILLED: .07
, DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED: .07

12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): fl1ltVoR- (204i\
cl2oJ'sltJ C-

13. PURPOSE OF PROPOSED WORK:

JJ~IA / .sr12E.Er- Cb).Af"'TfJ.-L{cTiON

14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. tJ&t.J c:S'r;U;r..r Tff-/k>u~/+ ~- C,+iV,.vt>, A-VOII') }J~/CRo'-..J
w c-rz-~f'o/j) c::ee,jJ/N(;-. c~o.s-:rnt,/r- TO DF Ct../L.r/s:,R. ~

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 ~FFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES [ '] NO [vf ~
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE 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 [] NO [vJ 7A--
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.

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? !ks':DS:IVTI.-4-L.. Of- r.
"

F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
-5E tV c.R. J't' ..s-f7:.tv\

~V~ f1o~H~o~ ~~T)
OWNER'S SIGNATURE

1~~7-
DATE

...

NATIONWIDE t4 REQUEST
MINOR ROAP CROSSING

TOTAL WETLAND AREA = .76 ACRES I

/ H/fHiIirXN): ~. .~{{::}~~~~~:::\: ';
I ' ; ."".

n / I
-- /. I
Q"ISTIM; ~/.$ MI'- . -f
-_ r<: 6'OR/W __
-- -- --

I ~1 ~i

SCALE 1"=200'

@ TOTAL WETLAND FILL AREA = .07 ACRES

ROAD CROSSING TO BE CULVERTED

LAND MANAGEMENT GROUP, INC.

10/92 SM

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LAND IVJANAGEJVJENT GROUP
P.o. BOX 2522 .;::'
, . WILMINGTON, N.C. 28402

. .'

WETLAND DETERMNATION

. .-:: ; . COOlnINA':CJt,/)c{f:i"/),,,.; ~; .1..::.; DATE; '.2!J.. Y 'J..?-COlmn: .C,....,e~R:t7-., .
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1'101'~r: OWlm&;(WJa:/AOOIU:SS) ~AaU DOING W01U:: NAMt/ADDUSS .
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VEG!1'A'1'10NI em .OIDEl or SOHINANCE. J)IWl tIll: AUOVE NOH-J)OHINJ.Nt SPECIES)
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VCtdD ~tIOI& VttUNJ); V. NOH-wE':WDa --
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,aOfOS UDHa. :m_bZO~ Aumoltft& 1.0. 404 / ~4 NONE
. JUB.ISDICn01U AIOW IlUJ)tJA%EU"':" tSOtA.tED--: ADJACENt' 13/i7 /-1,::-12-
Comments: t,JE.rz.-t~D ~"c:o ~/r#- .I?~Y&~/fr" s;-IJ/J::1re) ~d.dDWJ
~repued By:
(-\'~cJL.. r1tJR/2i.Io:'"

..

.. '

.LAND IVJANAGEMENT GROUP
P.o. BOX 2522 ;r
. WILMINGTON, N.C. 2~402

....)

UPLAND DETERMINATION

..

...

. ..:- '.. CcoIDDU:O&t

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~~~~ .gnc. 1265/

~~ ill rn ~ rn n \YJ ~
fiJ'od o/F:e !iJoro 2522 D
O)(I~, .A'"otih ~ 28402 NOV - 5 1992
fJd: 919-452-0001

rJlo/,eu P .AloaI
P..au,y fF. ~
6)f. fjJt#ten ~
~. ~ f!J~

,.",,_~~..:.-J.

November 3, 1992

7r"~
~!JJumd" ~ Y'ath
3805 Ci)f~UMIIe ~
Ci)f~, Jfe W(),'1

Mr. John Dorney
Water Quality Planning
Div. Environmental Management
N.C. Dept. of Environment, Health
and Natural Resources
P.O. Box 29535
Raleigh, N.C. 27626-0535

Dear John:

I have enclosed 7 copies of the joint application for a Nationwide
14 Permit for Ballou Enterprises in Morehead City, N. C. The
applicant wishes to fill approximately .07 acres of wetland as a
minor road crossing. Scott McClendon with the Wilmington Corps
Regulatory Branch has approved our wetland delineation.

If you should need any additional information, please contact me at
your convenience.

Steve M rison
Environmental Consultant

SM/dm
Enclosure:

7 application packages

cc: Ballou Enterprises, Inc.

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
3411 Arendell Street · Morehead City, North Carolina 28557

James G. Martin, Governor November 24, 1992
William W Cobey, Jr., Secretary

..r~f~~~~t\ON

Roger N. Schecter
Director

Ballou Enterprises, Inc.
P. O. Drawer 900
Morehead City, NC 28557

RE: DEM ID# 659-92, Nationwide Permit Application for an activity located in Morehead
City, Carteret County.

Dear Sirs:

The North Carolina Division of Coastal Management has reviewed the above referenced application
for a Nationwide Permit dated October 30, 1992, pursuant to Section 307 of the Coastal Zone
Management Act of 1972 as amended. Based upon our review, we have determined that the proposed
activity is consistent with the North Carolina Coastal Management Program provided the following
conditions are met:

1. The activity described in the above referenced application qualifies to receive one of
the Nationwide Permits described in 33 CFR Part 330 with the exception of Numbers
17, 21, 24, and 34 which were found inconsistent with the North Carolina Coastal
Management Program.

2. A 401 Water Quality Certification is received, where required, from the North
Carolina Division of Environmental Management.

This letter does not relieve you of the responsibility to insure that all other State authorization and/or
permit requirements are met prior to implementation of the project. Please feel free to contact me at
[phone] if you have any questions or need further assistance.

Sincerely,

~=~.tt~~

District Manager

CSJ/dh
cc: Preston P. Pate, Jr.
Steve Benton, Consistency Coordinator
Wilmington District Engineer; ATfN: CESAW-CO-E
John Dorney, OEM/Raleigh

Po. Box 769, .....1ort:head City, North CAlrolina 28557 ldephone 919.726.7021

An Equal Opportunity Affirmative Action Employer

DEM ID:

c;~SJ '

v

NO COfJU~JjENT
--

(Due to time constraints and staffing limitations, we
are ~~ble to gather the information necessary for
provlql!!S" comf!1ents. lhis position implies neither
appr~rt9lill~r>ro\lill Qf {!;all pr~~Qt}

'/

.. //.

JOINT APPLICATION
NATIONWIDE PERMITS THAT REQUIRE NOTIFICA S
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 (919) 251~4511

WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAG '1
NC DEPARTMENT OF ENVIRO '11! ~~ftl. W ~ r~\,.
AND NATURAL RESOURC , ~ ", :
P.O. BOX 29535 .' ;
RALEIGH, NC 27626-0535 NOV - 5 \992.,;\
A'l"l'N: MR. JOHN DORNEY ,
Telephone [phone]
ONE (1) COpy OF THIS COMPLETED APPLICATION SHOULD BE SENT TO
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF

:2. 8".5'5

ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.

1. OWNERS NAME:
2. OWNERS ADDRESS:

'/rti..Oe-L Ev~f'R. sr' J:,..;c.

3. OWNERS PHONE NUMBER (HOME): (WORK) :

-,
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, .ADDRES ,
PHONE NUMBER: ~V2... fI/leJf!~tSt:J"";
~jj m/fiV~""" G~~ ~.
.....:::E. 8 ox ::z ~ 2... _
VJ 1l..fi111l11i "' ~ jV.C. .:2.J>'" 0 2-

5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Ct+2n(l.~1
NEAREST TOWN OR CITY: fV)Drer.(.f~A-h Cltr
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
JI.,J~/2.r# oS 1/)1 of GA-lAI"'nS /)/uvr:... A--r E,/2. o oK.
~7 /2. s:~.,-- / A/~R...!' Lc?-I C,J

6. NAME OF CLOSEST STREAM/RIVER:
tv'4

CALI Co c:::/!.aK..

1. RIVER BASIN:
8. IS THIS PROJECT LOCATED ~N A WATERSHED CLASSIFIED AS TROUT @ HQW, ORW,
WS It OR WS II? YES [0' NO []
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO rvr-
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
. 7 ~ /+-C/l..E..5
2/3/92