19950416 Ver 1_COMPLETE FILE_19950425

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
APPROVAL of 401 Water Quality Certification
Mr. R. A. Newsome, Jr.
Newsome Farms
P. O. Box 190
Cofield, N.C. 27922
Dear Mr. Newsome:
?EHNR
May 22, 1995
Hertford County
DEM Project # 95416
FILE GOP,
You have our approval to place fill material in 0.8 acres of wetlands or waters for the purpose of
expanding an irrigation system at your farm near Cofield, as you described in your application dated
30 March 1995. After reviewing your application, we have decided that this fill is covered by General
Water Quality Certification Number 2671. This certification allows you to use Nationwide Permit
Number 26 when it is issued by the Corps of Engineers.
This approval is only valid for the purpose and design that you described in your application. If
you change your project, you must notify us and you may be required to send us a new application.
For this approval to be valid, you must follow the conditions listed in the attached certification. In
addition, you should get any other federal, state or local permits before you go ahead with your
project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing,
send a written petition which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Environmental Management under Section 401
of the Clean Water Act. If you have any questions, please telephone John Domey at 919-733-1786.
Sincerely,
ston ward, Jr. P
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Washington Field Office
Washington DEM Regional Office
Mr. John Dorney
Central Files
William Boone; NRCS - Winton, N.C.
95416.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Einployer 50% recycled/ 10% post-consumer paper
UNITED STATES Natural Resources
DEPARTMENT OF Conservation
AGRICULTURE Service
Mr. David Harding
Division of Environmental Management
PO Box 27687
Raleigh, NC 27611-7687
Dear Mr. Harding:
4405 Bland Road
Suite 205
Raleigh, NC 27609
March 30, 1995
Attached is a copy of a request for a Post Minimal Effect Determination from R. A.
Newsome, Jr. in Hertford County. Please review this request and give me your
recommendations relative to approval of an exemption to the Swampbuster provision of
the Food Security Act. Please contact our biologist, Hank Henry, at [phone] if
you need more information or wish to visit the site.
appreciate your assistance in this evaluation process.
Sincerely,
Vicha4rd A. Gallo
State Conservationist
Attachment
cc: Hank Henry
William P. Boone
RSDE/QED
4PR ) 1 199
? jROryW'V rAL S,
k NCES
+UA ITEJ STATES
DEPARTMENT OF
AGRICULTURE
NATURAL RESOURCES TRYON STREET
CONSERVATION P. O. BOX 265
SERVICE WINTON, NC 27986
SUBJECT: Post-Conversion Minimal Effect DATE: March 13, 1995
Exemption Application
TO: Richard Gallo REF: mar-13.dcx
State Conservationist
The following information is being submitted as a request for a Post-Conversion
Minimal Effect Exemption by R. A. Newsome, Jr. of Cofield, N.C. which is located
in Hertford County.
Essentially what Mr. Newsome has requested is to be granted an exemption for an
.8 acre area which he cleared in the summer of 1994. This is a small area
located within a much larger area which was cleared. Mr. Newsome had filed a
1026 on the majority of the area in 1992, however he ultimately cleared further
than the 026 determination covered. As can be seen in Mr. Newsome's letter, the
exemption is being requested in conjunction with the proposed installation of a
center pivot irrigation system. A copy of the irrigation system has been
prov' ed in the packet.
The .8 a re area Mr. Newsome has cleared has been determined to be wetlands by
the ton Area Soil Specialist. The determination was carried out in
conjunction with the U. S. Army Corps of Engineers. The U. S. Army Corps
representative provided Mr. Newsome a nationwide 26 permit on the spot and
cautioned Mr. Newsome to apply for permits prior to carrying out clearing or
other activities in wetland areas. No additional action required by the Corp.
Mr. Newsome is requesting a Minimal Effect under the terms that the area not be
drained and it would be left in permanent grass to allow the irrigation
equipment to cross.
A copy of this packet has been forwarded to the U. S. Fish and Wildlife Service
for comments.
Please let me know if you need further information.
" ( ?J,, ? 1?- /. 0C e ?
William P. Boone
District Conservationist
Enclosures: Hertford County Soil Survey Map
1980-82 and 1990 USDA Air Photo of Area
County Road Map - (site map)
R. A. Newsome's Formal Request
Minimal Effect Evaluation and Worksheet
Post-Conversion Minimal Effects Determination
Irrigation Proposal (Revelle Agri Products of
Wetland Determination 11026 -- CPA 0261
The Natural Resources Conservation Service,
formerly the Soil Conservation Service,
is an agency of the
United States Department of Agriculture
Information
Murfreesboro)
An Equal Opportunity Employer
i ?
Minimal Effect Agreement
The following agreement has been developed to clarify the terms by which
the applicant {R. A. Newsome, Jr.} is willing to comply with, as part of a
Minimal Effect Exemption Application.
As part of the Minimal Effect Agreement, Mr. R. A. Newsome, Jr. agrees to
stabilize and maintain the .8 acre wetland area with a suitable grass to
prevent erosion and provide adequate ground cover which will create a
vegetative filter for the incoming surface water flow.
The area will not be grazed or cultivated in any form which could
constitute the removal of a crop.
The wetland hydrology of the area will not be altered by any artificial
drainage. i.e. - an open ditch, tile, etc. The area has been sloped to
allow surface water to exit through a swale or shallow depression type
drain which is very similar to the original landscape. The wide swale
should enhance the filtering effect of the grass sod.
It is agreed that the owner will not be required to plant or maintain trees
within the .8 acre wetland area. The area was originally cleared for the
purpose of irrigation equipment access.
I agree to the terms of the above agreement statements.
{Natural Resources Conservation Service}
{U. S. Fish & Wildlife Service}
L%-U)z -a= =?V, 31
{Landowner}

NEWSOME FARMS
P.O. Box 190 Cofeld, NC 27922
March 13, 1995
Mr. William P Boone
District Conservationist
Natural Resources Conservation Service
P O Box 265
Winton, NC 27986
Dear Mr. Boone:
We are requesting a minimal affect on .8 acre of land that
has been determined by USDA Soil Conservation Service and US Army
Corp Engineers to be wetland.
Enclosed are irrigation maps submitted by Revelle Agri-
Products, Inc. showing area proposing to irrigate.
In order for the irrigation system to work efficicently to
irrigate the full 135 acres, it is imperative to be able to
utilize this ..8 acre.
The conversion effect would be minimum because of no
additional deep ditching or attempt to lower the water table.
Permanent grass vegetation will be maintained which will provide
a better filtering system than previous wooded conditions.
The hydrology of the area will remain the same as it was
prior to clearing. Vegetation on the area proposed will
remain in grass; we are not requesting to use as cropland.
It is my request to obtain the necessary minimal effect
determination which will allow me to leave the .8 acre in a
grassed condition. The .8 acre is not intended to be grazed,
hayed or cropped.
If we do not cross this area we will lose approximately
16 acres. Appreciable amount of land will not be irrigated
due to this fact.
Also attached you will find the information you have
requested regarding the application for Post-conversion Minimal
Effects Determination.
If you need any further informtion, please give me a
call at 919-358-5461.
Sincerely,
R A "Bob" Newsome, Jr.
Fnrlc_

Post-conversion Minimal Effects Determination
1. Unknown
2. There was no water present on the site prior or during
clearing procedure.
3. Unavailable at this location
4. There were some gum trees of various sizes. There was
also small amounts of water grass in the bottom of the
drainage system.
5. See soil map attached; copy of aerial photo.
6. None - wooded.
7. See soil map attached
8. None as of yet - plan to re-establish area with grass sod
(fescue). Will allow to revert to natural vegetation.
9. Other than a slight foot deep swell - area not to be altered.
Woody-wet vegetation will prevent using. Plant something to
stabilize area - natural vegetation to restore on-sight.
Under terms of vegetation, will return to former condition
with the exception of trees.
626.66 Information from the person to assess a Post-conversion Minimal Effects
Determination:
(1) Type of wetland converted (Cowardin classification)
(2) Hydrological condition of the wetland at the time of conversion and at present
- quantity of water present
- outlet information (elevation and type)
- condition of the drainage system (if present)
- size of the contributing watershed
- size of the basin
- depth of water
(3) Climatological data prior to the conversion
- precipitation records for the year of the conversion
- precipitation records available for all previous years
- precipitation records for period during the conversion
(4) Vegetative condition at the time of conversion
- species composition
- plant density
- community diversity
- age of community
(5) Available maps, photographs or slides depicting the wetland prior to, during, and
after the conversion.
(6) Crop history information
- crop history of wetland for 5 years prior to conversion
- crop history of contributing watershed 5 years prior to conversion
(7) Soils information
- soils of the contributing watershed
- soils of the converted wetland
(8) Records on reestablishment (seeding, planting, or natural reestablishment) of
vegetation during the period of conversion.
(9) Efforts to restore the converted wetland..
- method of restoring wetland hydrology
- method of restoring wetland vegetation
- management of wetland to restore former conditions
526-60 (180-V-NFSAM, Third Ed., March 1994)
• UNITED STATES DEPARTMENT OF AGRICULTURE Form Approved -OMB No. 0560-0004
p-1026 '06 1
HIGHLY ERODIBLE LAND CONSERVATION (HELC) AND WETLAND
CONSERVATION (WC) CERTIFICATION
t. Name of Producer 2. Identification Number •
3. Crop Year
C,- -/,-? .5 ry1 J? ?1 [?
l ??-1-

YES NO
4. Du the attached AD-1026A(s) list all your farming interests by county, and show current
SCS determinations? 1f "No", contact your County ASCS Office before completing this forrri.
5. Are you now applying for, or do you have a FmHA insured or guaranteed loan? t
6. Do you have a crop insurance contract issued or reinsured by the Federal Crop
Insurance Corporation?
7. Are you a landlord on any farm listed on AD-1026A that will not be in compliance with
HELC and WC provisions?
8. Has a HELC exemption been approved on any farms listed on AD-1026A because the
landlord refuses to comply?
9. List here or attach a list of affiliated persons with farming interests. See reverse for an
explanation. Enter "None ", if applicable. IA. G Y ti`--z Orl:-
If items 7 or 8 are answered "YES", circle the applicable tarm number on Au-1 u'LUA.
During either the crop year entered in item 3 above, or the term of a requested USDA loan:

YES NO
10. Will you plant or produce an agricultural commodity on land for which a highly erodible
land determination has not been made?
11. Will you plant or produce an agricultural commodity on any land that is or was a wet area
on which planting was made possible by draining, dredging, filling, or leveling or any other
means after December 23, 1985?
12. Will you, or have you since November 28, 1990, made possible the planting of any crop,
pasture, agricultural commodity, or other such crop by: (a) converting any wet areas by
draining, dredging, filling, leveling, or any other means, or, (b) improving, modifying, or
maintaining, an existing drainage system?
13. Will you convert any wet areas for fish production, trees, vineyards, shrubs, building
construction, or other non-agricultural use?
i

"YES" for any one of these items, sign and date in item 14 below. Circle the applicable tract
If answers to items number on AD-1026A, or list tract number in item 12 on AD-1026A. ASCS will refer this AD-1026
10, 11, 12, or 13 are to SCS for a determination. DO NOT sign in item 16 until SCS determination is complete.
"NO" for all of these items or SCS determinations are complete, complete item 16.
I hereby certify that the above into r tion, and th
14. Signature of kno edge and belief.
P d et?
on attached AD-1026A's, is true and correct to the best of my
of ASCS Representative
ro uce
Date Referred
15. Referral To SCS Enter a NI if a SCS determination is needed because 9
(Completed by ASCS) "Yes" is answered in item 10, 11, 12, or 13. 1 / - 7- T L?
c-
NOTE: Before signing in item 16, Read AD-1026 Appendix.
I hereby certify that the above information, and the information on attached AD-1026A's, is true and correct to the best of my
knowledge and belief. It is my responsibility to file a new AD-1026 in the event there are any changes in my farming
operation(s). In signing this forL?,so fy t hat I have received and will comply with the compliance requirements on
AD-1026 Appendix.
16. Signature of 11
Producer l /CC?'j? Date 1 ! --F w
17. Remarks:
..r...•..u .. wc-rc nnov
.O.A.
I Conservation Service
SCS-CPA-026
(June 91)
HIGHLY ERODIBLE LAND AND WETLAND
CONSERVATION DETERMINATION
Name of USDA Agency or Person Requesting Determination
Gf rrs
..?,..., a uv±ur v conntcm c i Amn
FIELD NO.(s) TOTAL ACRES
Is soil survey now available for making a highly erodible land determination? Yes El", No C]
Are there highly erodible soil map units on this farm? Yes Cia' No ?
List highly erodible fields that, according to ASCS records, were used to produce an agricultural commodity in any
;top year during 1981-1985. cfNe
List highly erodible fields that have been or will be converted for the production of agricultural commodities and,
according to ASCS records, were not used for this purpose in any crop year during 1981-1985; and were not
snrolled in a USDA set-aside or diversion program.
TU;? u;,.tit„ c.r.rchto i nnri riatorminatinn was completed in the: Office ? Field mer
OCf?T1AAt II _ WCTr AWn
FIELD NO.(s) TOTAL ACRES
Are there hydric soils on this farm? Yes No ?
Wetlands (W), including abandoned wetlands, or Farmed Wetlands (FW) or Fanned Wetlands Pasture (FWP).
Wetlands may be farmed under natural conditions. Farmed Wetlands and Farmed Wetlands Pasture may be
farmed and maintained in the same manner as they were prior to December 23, 1985, as long as they are not IvA
abandoned.
. Prior Converted Cropland (PC). Wetlands that were converted prior to December 23,1985. The use, management,
drainage, and alteration of prior converted cropland (PC) are not subject to the wetland conservation provisions uriless NA
the area reverts to wetland as a result of abandonment.
,. Artificial Wetlands (AW). Artificial wetlands includes irrigation-induced wetlands. These wetlands are not subject N/
to the wetland conservation provisions.
i. Minimal Effect Wetlands (MW). These wetlands are to be farmed according to the minimal-effect agreement signed ti
at the time the minimal-effect determination was made.
1. Mitigation Wetlands (MIW). Wetlands on which a person is actively mitigating a frequently cropped area or a wetland
/V O+
converted between December 23, 1985 and November 28, 1990.
r. Restoration with Violation (RVW-year). A restored wetland that was in violation as a result of conversion after
November 28. 1990, or the planting of an agricultural commodity or forage crop.
t. Restoration without Violation (RSW). A restored wetland converted between December 23, 1985 and
November 28, 1990, on which an agricultural commodity has not been planted.
i. Replacement Wetlands (RPW). Wetlands which are converted for purposes other than to increase production, x,A'
where the wetland values are being replaced at a second site.
). Good Faith Wetlands (GFW+year). Wetlands on which ASCS has determined a violation to be in good faith and the
wetland has been restored.
I. Converted Wetlands (CW). Wetlands converted after December 23, 1985 and prior to November 28, 1990. In any
fi
A14
ts.
year that an agricultural commodity is planted on these Converted Wetlands, you will be ineligible for USDA bene
2. Converted Wetland (CW+year). Wetlands converted after November 28, 1990. You will be ineligible for USDA
1
510 _
program benefits until this wetland is restored. -
3. Converted Wetland Non-Agricultural use (CWNA). Wetlands that are converted for trees, fish production, shrubs,
cranberries. vineyards or building and road construction.
4. Converted Wetland Technical Error (CWTE). Wetlands that were converted as a result of incorrect determination
/V
h,. cr.-q
5. The planned alteration measures on wetlands in fields /V A- are considered maintenance and are in compliance
with FSA.
6. The planned alteration measures on wetlands in fields are not considered to be maintenance and if
.......,u-.t ...;it -- ti,. -.. to hacnme a Converted Wetland (CW1. See item 22 for information on CW+year. / / ,
7 The wetland determination was completed in the office ? field p;,;5rn`d was delivered? mailed[B"10 the person on_7
3. Remarks. /.,'... c ?Ateo
' Pi-S `i ?PIc' () Pi,c J iGl tcY
d z. c •' 4z C i- ?'• R_ ?2fj -
9. 1 c'ertyjy !hut the whore determination is correct and adequate Jor use in determining 30. Signature of SCS District Conservationist 31. Dat
e droph % ; nr C'.4DA prcunder- nornirs. and that ire hvdrt)logy. soils, and r " ,? I + ?
hydrnphctic' ' e etutiun tinder rtormul circumstances exist on art all l areas as outlined as 001 1 // 200
tNerlunds. !? :rmerl Wetlands'. and Farmed lt'edandc Pasture.
Assistance and programs of the Soil Conservation Service available without regard to race, religion, color, sex, age, or handicap.
SCS Copy
1. Name and Address of Person 2. Date of Request
Z
,/)D v 3. County 1 (1
o IV ?'- 279zZ0i90
?T SGT 70 ?r?
5. Farm No. and Tract No.
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..? 1wJ:.. ..? t.--... .._i'. g?G- .J•t??;-. a,. -scY?f•^?ti1t? 4` Ai?, is lfC?..?. .;•%e *•..:^?:??i ..' ?
526.44 SCS-CPA-33 Wetland Documentation Record, Vegetation Data Routine
Met hoo
U.S. OVARnEMr OF AaweuL.- _ SCS-CPA-33 t. t7wneui,anausar
SOL COMatafllAT MUNW46 244
2. CoumyrState
WETLAND DOCUMENTATION RECORD 3. Field Inv szgator
VEGETATION DATA 4. Site Identdication No.
"°01
ROUTINE METHOD
5. (Tract No.. Farm No.. Plus Site No.)
CHECK APPROPRIATE IIHVESTiGATION TYPE CHECK SITE SUE (Check Sba) CHECK
I. On-Site Evaluation 2. < 5 acres
3. Reference Site 4. > 5w-
S. Method of determination visual estimate V/ ? u. i ransom - -
-7. Transect No. (One fora ;or transom).
L st the 3 dominant species In each wyststton layer, Ilat 5 species if only 1 or z teyers are present
z HERBS
Species % COW Indicator Species % Cover Indicator
A
l/
lvpr?leq
N Sea
Zt?
0.C,
R c ,?.b r..
wr
0
f0.
..strcf.s ?G, Alfas 15'
c w
L? uIA&M 6e st . 5 ?s c

3. S APLMGtSi tRUSS 4. WOODY VI NES
Species % Caw Indicator Sped" % cover Indicator
/S
Tct c ?. -
LOn 1G?%
?O
?C

5c , t. ; Z DfJ?

1- % d observed dominant species that are OBL and I-AGW L
wist
3. % of observed dominant species that are FACU and UPL O 4. Hydrophytic vegetation criteria 0 Yes fl No
Remarks: T, 4 e-v i 5 6e. (or, cr 3.0 ct^ r4 . r _F, r cercs -. f-r
J V A-
0. rr.?
<oe
I -ny,t \") C" r Pa . ( /moo rr n v
526-44 (180-V-??TFSAIM, Third Ed., Feb. 1994)
525.47 SCS-CPA-36 Wetland Doaxnaftation Retard, Hydrology Data Routine
Method
e.e. wAsTa" OF AGOPAruaE Stser4.x oirr Vr+o.s.r /U?•^'sa++..P a¢rn.S
eoa Cor all"y"= TEA"f 2 M
c C.4LJ^r Sy
WETLAND DOCUMENTATION RECORD 1 Fac', vwcq c NRCs So.(
Sc? :st ?I ?^ r 4 w" r L,OF_
._() ?arQ p C
HYDROLOGY DATA i sere Awvic=crl pw . 4
ROUTINE METHOD o f - 20 - 95-
r KG. =r.+r %C-
1. On-Site Eratuation ye 3 2 Feier.nce So
3. Surface drainage features ant ? Yes ? Ic 4 Siiararr!a &a -Go *r-- eYXW t ? Yes [Z NO
New xw^4 2 l?Q
?
Attach dw4rrpdon. beatbn map. 4radolkws. x-sections, airs oxiftm ar+e =ms d
1 - month ---A (in% 2 Ncrssa' (sr; = S mw rarrre and number
rot ?-
4. Prior.reekau+tall(in) (?ain2A S. tiers iii ::.rlv'ta"-iraww. .etc)

os =.bfY y? --
1. Watermarks h
0 2 Oo:?# 11Mt! }?er ScAie.amt 4,4044'r Or. pla.?Ts n O
r
a. Waiarstained leaves h p I vCS Flixl,%t A+or rholcg ical i1•d iCaZoTt A.
v?
ay
s
r
a->^
6`?osa t?.?:??Ss to i:?t ?oot9 ?
7. Other doa,nrntatioa f? ¢ ?j o x C O C?? r c? i o s !i0 r ¢s u- •-dt root c ta1A n .-1-'4_S
ox,dr>_eB

Crlh, aosP I,erPS,

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r'?o,< Cor• c e .. `r? ?? r
o asses-"
i r ? ror n.
J6' 0.
.? S i ?'? t S a? 1?? a c? wc? e v s of
C_ 0
f (Dab P Qtn
W 1.,
t S tarty-rrat-? w -e,
ca (l e c? r G? cv dal . (L y
& Were wetland h"WiMr entena met?
Water Tabis Cbsw+rsar's
Rieffaft: or??rS S??t WX{r2 f?•SL?<? ?Yif??- LOrrr?q c?etC?,. wAS
Berm 6-,14 rs r??c s rruC o'T JJa,RA
a c Uc? ?wrGl'? 1-c _eQ s cOPJ P6 s *,_ aI h ¢a? of fl a od
?or?,? ?S a ?r-y P t cai.a?? ?-(a..? s ?rt4?;?. .
c?
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o -'a-.-`.
No r aJox C-Far
1 ^ tf n, oT
ha s s e-.4P wrt?,
CL Iray
(180-V-,\'FA.%L Third Ed Ftb. Imo) 526-47

526.46 SCS-CPA-35 Wetland Documentation Renard, Soils Data Routine and
Comprehensive Method
ILL OBARTNUfr OF A010M UM SCSCaA3S 1. Crrneutanduser f
UK cOnsavanow canal 2.94 A12 -/.S J %J. / 'Q. Y /3•
2 Counly,11100
WETLAND DOCUMENTATION RECORD 3. ReW ktvs>tgaor
SOILS DATA cc- ,-r, g , r IIj C
ROME AND COMPREHENSIVE METHOO I I 4. • iderltifieat-1 Jio. Date
p/ - ZJ
1. Cln-erte Evak aDon )/,e5 12 Reference Sit.
3. Soil Map unit (syntboi aril namo) :50t k
4. UAW County hydric sod yes S. issued • tclusion on County ists ' & lsted National hydra sod
7. Sol series and phase observed in fieid I different from County Soi Survey map (i Known)
ty -'vric lLi ya Auk
Profile description
Depth Terturs Natrbt Color Mottles
'
7- I Y'/ "
ca..

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WORK SOIL INDICATORS YES NO
1. Histoad
Fs and W cmxretions
3 Hstie r.
4. High is cor gent in surface layer of sandy sods
5. oration
& EaWgunition t
7. ft!ucw. cgndrtiuns
or low chr ma maM oobrs •x
-a.-?Sca(?P Pas1?',or, f\aa? v a"r12 r f D? ??oociD pia i t1
526-46 Y (180-V-NFSAM, Third Ed., March 1994)
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Carr.MO? ?iS?/?c.( ?Q.?DX COtiCP.vYr-?'C"!Or•f,
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. County '/`!'r" f u <:. 1
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent ?? • i?? r' \ ' ' !.. :
Address (-?x 196
^'?rE`??i' /??• ?. 1 ???,Z•Z
Telephone No.
J . ?\ rr
Size and Location of project (waterbody ;road name/number, town, etc.) t?'r ' OL ?' °_ r.• r r l'r:C
10 . rl 111 1 /C rlPr*(n t,ur; - h S' 6C, C 1C' (fi'r` Y /l i t"?i)r ?'\ t r( \.. (tf
nl ant ?Ir_: t .1;, t,fr[rtrirr?f!! '?r:?:r?fr:?b `?•', (?r't??.?
Description of Activity fi=n r r,1\u-%'
r !i tlr f-ArrI.ILI ':._?.,»: :"l(i ?r'?,II-r t t'i`t 1 eft 'P
R
Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
M-1 + r , Regional General Permit or Nationwide Permit Number.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above may subject the
permittee to a stop work order, a restoration order, and/or appropriate legal action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve the undersigned
permittee of the responsibility to obtain any other required Federal, State, or local approvals/permits. The permittee
may need to contact appropriate State and local agencies before beginning work.
By signature below, the permittee certifies an understanding and acceptance of all terms and conditions of this
permit. ?..?----
Property Owner/Authorized Agent Signature J '? ?--, ?' j Zo
Regulatory Project Manager Signature 1">j?
Date .-i 0 " -c; Expiration Date o 97 '
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE.ATTACHED TO
THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form 591
Dec 1993
' \ t4 `?1+r.4rrti k w X t ?. 7 i??i r ti '»r
DEPARTMENT OF NATURAL RESOURCES
AND COMMUNITY DEVELOPMENT
RALEIGH, NORTH CAROLINA
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