19950669 Ver 1_COMPLETE FILE_19950110

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. H. Lamar Efird
Q. A. Efird Estate
24224 NC Highway 138
Albemarle, N.C. 28001
Dear Mr. Efird:
44
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ID F= F1
June 29, 1995
Stanly County
DEM Project # 95669
FILE COPY
You have our approval to place fill material in 0.21 acres of wetlands or waters for the purpose
of constructing a road and bridge at SR 1956 to cross the tributary of Love Creek, as you described in
your application dated 26 June 1995. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 2732. This certification allows you to use
Nationwide Permit Number 14 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 Dorney at 919-733-1786.

Sincerely,
'Z? Howard, Jr. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Mooresville DEM Regional Office
Mr. John Domey
Central Files
95669.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
11-111-1-
P
DEM ID: - 9 5 (o (r, Cl
Nationwide Permit Requested (Provide Nationwide Permit 11):
401 ISSUED
ACTION 1D:
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide uermits that require application for Section 401 certification
?i ?f 2 6
P • LAMA P, E-F71 po
?2. Owners Address: 2 4-z•Z4 1J G. Koy 13 $ ,4 geylAaLE, A)G. Z8ao I
?3. Owners Phone Number (Home): 704 - 997-- 15 (']
(Work). 7G4--
?4. If Applicable: Agent's name or responsible corporate official, address, phone number:
N R
PLEASE PRINT.
?I. Owners Name:
Nearest Town or City:
? 5. Location of work (MUST ATTACH MAP). County: STAML,y . 13 C-
L
Specific Location (Include road numbers, landmarks, etc.):_ e-2-e- ANn VoAr,* OR
S 1Z 9 5?-_ Tb C ILo 4c ?7.t R r l %'....,
?6. Name of Closest Stream/River: LOW Czeda?,
7. River Basin: Zoe-ry Qt yE4\-
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 [ ] NO
If yes, explain.
? 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: Zµ"K36 i 2oX 30 n . 71 A-
Drained:
Flooded:
Excavated:
Total Impacted: (`? • Z 1 ?} ?u,J
CFF OvER

vim Impar-fZInfiI
e e,, 6e hand d rOLW n
? 12. Description of proposed work (Attach PLANS-8 1/2" X 11" mi, ?): 7"C, Cmsnwa• A %G,.igm/ ?-
*r In T1f T2A,?a. c? . t,? rYrt Tt+na? ? ,- SHt.?c .e?•ua T C,Msrmtr A Ktu .E
U r 1u ?a-?ytE r.?/ lIJT1i J/4?1^JIh/l THE, Cli ?c? Tm Ica.. jtL - War gxeew TH&w rvsrl1sqH.
%/ 13. Purpose of proposed work: T'o A LL40LJ T'Htt'Ue .t FL,(-) F?zoti?, S R IQ S6 AN
W4 AID f. ILE A-M., OA-,.
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note
taken to minimize wetland impacts. TH I-,. is T-SHtATLxNr- ZOUdV- _ AO Y, ._r_.,
ryy ,,Irma - n?rMrMl24c C957-49 Lis t o To IA.:I , Fo Fc,?3 INAV. Wio,
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 crit'cal
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. (A,. sea, AsT csw 050M. L-)
B. If available, representative photograph of wetlands to be impacted by project. 4/A .
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. (u)-x gyPKV
E. What is land use of surrounding property? _ FAt, L o o Woop,?, YAopr? go*,, X'w-
R If applicable, what is proposed method of sewage disposal? _91A,

Owner's Signature

R AuTNoR iZEO AGENT' Date
I-"' ..
iDEM ID: c::, / ?I ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit H):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nntinnwide vermits that require application for Section 401 certification

JUL 5 1995

PLEASE PRINT.
?1. Owners Name: Q . A . i; ?' I RD Esr,Tm ( P • LAM A9, EF71 Rv
?2. Owners Address: 2 ¢ '%Z4 k • C. 14-jy 13 $ A c.BOrlAatr , AX- Z$ o0 1
?3. Owners Phone Number (Home): lol - 01 2. 1 5(67 C4-
- 7
?4. If Applicable: Agent's name or responsible corporate official, address, phone number:
? 5. Location of work (MUST ATTACH MAP). County: ?JLY ,
Nearest Town or City: Ae.afanA .t re , IJC.
Specific Location (Include road numbers, landmarks, etc.): S? ?? , CJ . E • ANn AJDAfXOR
SIZIg54 Tt, C"sc T7ut3 Dip L.o4j4 6490-
?6. Name of Closest StreanMver: Low Ca se-,
7. River Basin: Z0c-1n.Y QI yft-
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 [ ] NO
If yes, explain.
? 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
L-A?.,d amm qe 1
Filled: Z?FDK% 4 zOX3o -=
Drained:
Flooded:
Excavated:
Total Impacted: n - Z.1 A"4e
SEE OVER -

V erm ? en ro r* --f i
corn be hand drn
? 12. Description of proposed work (Attach PLANS-8 1/2" X 11" drswlnits only): _ To Cn n 1Wcr A 77-4wy - -
rl;yy
?? 1 o TH TIL,?„? [.)i4 v w /Y? t Tt tnar i=kr S HtMs .Alva 71 C,MS Rw ca- A Btu .A
w/nw S*mr. WI?ni Slgnl?l??/? TI'fc.. Gam- TMC F" w/t.c. wor sx? THAw ?,m.
? 13. Purpose of proposed work: T-o A LL, THeot.trr, T-qo?? F,, SR f4 S6 -m AIw
14. State reasons why the applicant believes that this
taken to minimize wetland impacts. _ TH u* is T
must be carried out in wetlands. Also, note
rlk- - ft-- --
e-
.. J? ?r9 ?//K7C? /M/2C LV5 4+m • LD TO IA.: u0 Ficc,?3,A,,v.
LJ/O,
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 crit'cal
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 Ki
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. (A, sear 4&T CAN 0600.110E)
B. If available, representative photograph of wetlands to be impacted by project. 4/A .
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. C15r-1-4 A0AA0,
E. What island use of surrounding property?_ FALLo-j? Wooas. YYlowLw blink . X,x•,
F. If applicable, what is proposed method of sewage disposal? _9A
Owner's Srgnatu OK AUTNo R IZED AGEA/T Date
qq
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Set ENCLOSO Pal rMPtc{ -ct*w &- AV&7AAu _jp ,,y..
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ST1M'e#w.

DEM ID: _ S ('o ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit ti):
JOINT FORM FOR
Nationwide permits that require notification to the Coups of Engineers
Nationwide aermits that require application for Section 401 certification
PLEASE PRINT.
?1. Owners Name: _
?2. Owners Address:
?3.
N LA WWI EF1 tzv
s0 ,S
2¢z24 ?.G. !-Ly 138 AtAenAWEE k)c 2$00
Owners Phone Number (Home): 70¢ - 997- 1 5(67
(Work):. '7
V4. If Applicable: Agent's name or responsible corporate official, address, phone number:
. 1 /R
? S. Location of work (MUST ATTACH MAP). County: S?rAWC.Y , l5C-,
Nearest Town or City: QL/3 .jai oc-
Specific Location (Include road numbers, landmarks, etc.):_ ANn VOAC)f Op
<> 17-) g5+ Tb C"sc T74g. np
?6. Name of Closest Stream/River: L ow CC1zew-,
7. River Basin: Zoe.-!?:,y Q1 yEir,
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS 1, or WS II? YES [ ] NOJ
? 9. Have any Section 404 permits been previously requested for use on this property? YES [) NO
If yes, explain.
? 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: Zµo?C36 4 20X30 n 71 d_ ._ 1
Drained:
Flooded:
Excavated:
Total Impacted: t") . Z I A CAA„
c'cc nvoi? -
yera tmportdn"r?
cQ? be hQ^d draLwn
? 12. Description of proposed work (Attach PLANS-8 1/2" X 11" raja on ): __To CamnLaa- A 11-ftw r-Apr
A TIf 7^/i?„e?. w 17H Tf-fn - Gwr S LLJ%r -A va ; Qu imca- A $w .E
wing S*r?E wigni 514-jw/ky or, Caus*- Tr+E F" Ott- aor 5Xe-eW THAW >uhgry.
? 13. Purpose of proposed work:- To A i,.Lc, ? - P.0
1.. u T?,e?? FLo,.9 fjtov,, S ¢ 1,7.s gn '1t7
-- fil 14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note mea lr
taken to minimize wetland impacts. To is is T 540-hnw- ROum a??ttl
Awn .r- _ Awn & Ly s,1*Y. To T/E
.. ?? ryy ..,,?zr - /,//?+/Mrz.c Goy o Cis t o To f/Z.1 )Jo Fw?3 r11iv. GJIO,
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? YE
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 so7 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. (!As 00 A&TClW 060MI Ie)
B. If available, representative photograph of wetlands to be impacted by project. 4/A .
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. (Bmw ifpm)v?
E. What is land use of surrounding property? _ FAL L o j, k/6c>as. Y*Aaw c f,6> i'lI`nx-
F. If applicable, what is proposed method of sewage disposal? __MA
. 1 6 23
Owner's Signatu ot¢ AuTNoR tZEo AGENT Date

FF I /zlo Y7)v4/(,t /4041E fiqpj?
C )g"l,y (?vuuN/ ?J, L .
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Saute S *m
Sawa bl.l
S*X ENCL,oyey Pte, I'A-.F-Icd s?,rxr one IiuF pn r, .

M
-M ID: _ IJ lO I ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit t!):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nntionwide aermits that require application for Section 401 certification

JUL. 5 1995

PLEASE PRINT.
?I. Owners Name:
?2.
?3.
N- LAMAIZ EFIXo
Owners Address: 2 `f-ZZ4 1J • C. I- jy 13 $ 4L.Se 1gaLE /??? ZBoo 1
Owners Phone Number (Home): _ -704- 99Z- 154>
(Work): '7C4-
?4. If Applicable: Agent's name or responsible corporate official, address, phone number:
. I /R
? 5. Location of work (MUST ATTACH MAP). County: SticsyLy tj C,
Nearest Town or City: ALA AL e , ?) C,
Specific Location (Include road numbers, landmarks, etc.): ANn DM-)I OR
S ?Z1 q ?J9- -- Tt' C " S C T7U A fi r 1
?6. Name of Closest Stream/River: I- ON4 62436e
7. River Basin: ?oY ?I Vim.
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 [ ] NO
If yes, explain.
? 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: ZµoX36 ZOX3o t7. ZI ALw 1
Drained:
Flooded:
Excavated:
Total Impacted: ('? • Z 1 ?4 ?,J
SEE OVER -

V" i m pe r1bnfi i
coon be h4elel d•-awn
Ul/ ? l;. Description of proposed work (Attach PLANS-8 1/2" X I I" drawines only): _ To C Y1.tT r- A 27-4ony r=-
.? 1D l}f Tnw„?. cJ.4,. tV 17H T ,- SHLDS •a?Na T C,Mt17utca- A Btu .E
U t n? S?wnE w?Oni Sog?,?1/U? 7-H?, C, Tr+E F;" -itu- aor gxeew TMna, >t',ANx.
? 13. Purpose of proposed work:_ To A LLo0 THeo &.u T?,e,pp Roo Rom SR 14-5k -M
Q7XuT-1W1 ActwLe 1- .._ Oe.... e- n. _ -r- - - -
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note mea trr
taken to minimize wetland impacts. T14 q. IS TN,r SNpr- Qpum-
or_ ? t B+wb icy IJwy, To T/E
PS )4fts . t o To be IA:1 ifo Frccr?3 I MiU.
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 crit'cal
habitat in the permit area that may be affected by the proposed project. Have you done so? yp
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 histo 'c
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. (As 8©r A T csw 060ml-JE)
B. If available, representative photograph of wetlands to be impacted by project. 4/A .
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. ( 54Q% AVA o,?
E. What is land use of surrounding property? _ FAt, L Woops, rn op)Lc Aim• /'And
F. If applicable, what is proposed method of sewage disposal? _ 1J
Owners signature- OK AuTNo R UP-0 AGENT Date
44
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p DEM ID: _ 1 ? (?11? ? ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Niktionwide aermits that require application for Section 401 certification

JUL 5 1995
_.n,n
PLEASE PRINT,
?I. Owners Name:
?2. Owners Address:
?4. If Applicable:
N • LA M Alm ?t=1 tLo
?3. Owners Phone Number (Home): 704 - 0192. • 1 5( 7
A
,tZ4 fJ • r- 1-k.?
$s name or responsible corporate official, address, phone number:
? 5. Location of work (MUST ATTACH MAP). County: _ SI Awl I/ , A3 C-
A
Nearest Town or City:
Specific Location (include road numbers, landmarks, etc.): S??? s . E . A?vrJ OA?11 OR
C 17 1'n =A ? - -
I V,
1P
?6. Name of Closest Stream/River: L ow CIS
7. River Basin: Z0c4::.Y Q1 vfir,_
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO1
? 9. Have any Section 404 permits been previously requested for use on this property? YES [ J NO )kl
If yes, explain.
? 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
L-,i 'jo?i+d / o, S-f,-to,r•. ?ennc i'
Filled: Z*?K% 4 7-OX 30 n 7 1 A-
_ 1
Drained:
Drained:
Flooded:
Excavated:
Total Impacted:
/?1C- Z800
(Work): - 7 - -
SEE- OVER -
vv`..1' imper-tn o,-ti
ce+n be in 4,ef dr,Lw n
?" 12. Description of proposed work (Attach PLANS-8 1/2" X 11,L &swiags only): To Carl rkjja- A W-07Y ffiy-
D T1+ 2Avta. tJ6v w 17H T parr SHWU A Jb T6 4)vU1)wcs- A $w &.6
Urn, Sn,y1 Wl?T1i 5A4-JA111VV Ti. G1.,*. Tm emu. gtu:Wor Exczw TNl+as &WAggy.
? 13. Purpose of proposed work:_ ro A LLo,,? THeotlt.?t qoo If ,, SR asp 'TD AN
F7Xo.Tl W4 /'1'1o t, Le ASM., Ida.... 4r n.. -?- _ _
- - - - v roc ?? ?c I'p2. G ??? ??.
14. State reasons why the applicant believes that this activit
y must be carried out in wetlands. Also n mires
taken to minimize wetland impacts. T1.1 1s IS T-f4c -5hvk ??r- Qotiffo .L... ote
.- .., r'¢r - ••/ t M 140174C Lo Z )I* [.o To U 11/2.: 1 ' Pic, Frccr ? 3 , Wi?v. Wio,
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regardmg the presence or any Federally listed or proposed for listing endangered or threatened species or crit cal
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [ ) NO Pq
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 histo 'c
properties in the permit area which may be affected by the proposed project? Have you done so? YES [ ] N s ( )
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. (AS Bear A& X CAw 060ml,0)
B. If available, representative photograph of wetlands to be impacted by project. 4/A .
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. CB16,1% A»awv
P
E. What is land use of surrounding property?FALLo&J, k/oopk, Mop1LC /716?
R If applicable, what is proposed method of sewage disposal? _ ?f/A
Owner's Signature--'o R AvTNo v ?Ze0 AGEnlT- Date

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.°UEM ID: _ 1? C G Q
Nationwide Permit Requested (Provide Nationwide Permit #):
ACTION ID:
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide uermits that require application for Section 401 certification
ii..:; l i.
J U L 5 1995

PLEASE PRINT.
?1. Owners Name: . A . 4=-g' I izN ES LA LAW %A9, E-P Ro
?2. Owners Address: 2 +X24 )J . C. K-oy 13 $ ,q -BanAai:- , PC- 2$00 I
?3. Owners Phone Number (Home): 704 - 9192. ^ 11563-,7 (Work).. 7C4-- -
?4. If Applicable: Agent's name or responsible corporate official, address, phone number:
tqA
? 5. Location of work (MUST ATTACH MAP). County: this , 3 C,
Nearest Town or City: L (JL
Specific Location (Include road numbers, landmarks, etc.):_ 5K 1t15(, AA O AIOAr* OR
SIZIR54 71> Cast: T7u13 Dp L,OU4 C
?6. Name of Closest Stream/River: L m6 C1z49%::,
7. River Basin: ZgS:!?y Q1 vES,%-
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 IN
If yes, explain.
? 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
2,0-?and / o 's -f..tom-. t?,.,.+nc
Filled: Zµ°x% 4 2ok30 n 71 d.. _ r 1
Drained:
Flooded:
Excavated:
Total Impacted:
SEE OVER -

Very tmper1b,,fir
cQ„ be h-MAd dra-wn
? 1,2. Description of proposed work (Attach PLANS-8 1/2" X 11" drawi_ n_ $S only); _ To CaylcTps, AQ '/&jww
- w ID Tl? T>t?„em. 0 #' w 17r t T SOOT S Ht?s .a?Na T C.)vts 1h?t c7- A Btu
- 017W S*Tn ksloni 5oa??lut T't?E, Gtr- Tmc Fi" wit., ,war E'Xevw THlw &'AM.
? 13. Purpose of proposed work:_ To A t Lot 7 rl T.?rp F1.o?9 61-1y, S R 1q S6 '7th ?5 4rv
?XL1T1hJl Aor jLr l- .._ 1??... G .... --- .
14. State reasons why the applicant
taken to minimize wetland impacts.
that this activity must be carried out in wetlands. Also, note
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.. ?. ?? •rti ?/ C91 - /l)/1, AJ74-* LV5r40J* l S 7-5 I/Z.• ( , wo Fh(..,3 $ Rx. wle,
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 softies or crit'
habitat in the permit area that may be affected by the proposed project. Have you done so? yE
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORW j NO Ica]
ARDED 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 project7 Have you done so7 YES [ ] NO Ki
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. (A,, 19©r As Z CAW uaE)
B. If available, representative photograph of wetlands to be impacted by project. hVA .
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. UTAX A00M ., E. What is land use of surrounding property? _ FAL L , -J ? WooAk, YYl op/Le Arc. /60-
F. If applicable, what is proposed method of sewage disposa17 1J/, N
Owner's Stgna O 'K AuTNo R iZEO AGENT Date

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,.,DEM ID: ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide aermits that require application for Section 401 certification

J U L 5 1995
PLEASE PRINT
?1. Owners Name:
?2.
?3.
N • LA MA9, Gri Ro\
Owners Address: 24-'?-Z'+ M . C. .-ox 139 At-BO?wEr- )Jc- Z$t>o ?
Owners Phone Number (Home): -7O4 " 9192.' 1 567 (Work): ' )C4- -
?4. If Applicable: Agent's name or responsible corporate official, address, phone number:
k1A
? 5. Location of work (MUST ATTACH MAP). County: NLy A3C,
Nearest Town or City: A?? IJL.
Specific Location (Include road numbers, landmarks, etc.):_ cj . 1^ • ANn /UDJI?Jf OR
SrZrg?4 -rte C"sc T7146op L,oU4 C.Le&-
?6. Name of Closest Stream/River: LOW ClzegW--
7. River Basin: Zoe- e Qt yft--
8. Is this project located in a watershed classed 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 [ ] NO
If yes, explain.
? 11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed ptolqe-l
t:
L-A p "W 1 o .S-frtc?,,.. Filled: Z%'ox34 4 2okso -= ^-71 A-..,),\
Drained:
Flooded:
Excavated:
Total Impacted: t" ) . Z 1 #4 ct4,,-2
SEE OVER -
V vm i m pe r-I•e A-f t
C,,,, be hand Description of proposed work (Attach PLANS-t3 1/2" X I t ° &AWlnas only): To C;msTxtja- A Tl,,e)ry -
??____?? loT>L? ILwvra MPF
. cJ,gv 1100 /1H Tt+nar i??err SHt c -Ava T awlhutr A $w ,g
wilu Sa-,-rt Wl?l1i ?Jo4wl?llUl 7^/ , Gi?gC- Tru` ri" j#LL .wer EXce
w TN1Lw Ar3qy.
? 13. Purpose of proposed work: To A i,Lo ? -1 Heout u A Iq s rn -m AN
Ej srIW4 AoL14.C lVl, OA.. 41
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note
taken to minimize wetland impacts. _ TO is is T SftLTMAr kOUOE _ Anti ,,"J-1 ._,?.. -r-
3W41, ,?aa - riiwimrZc Gc?S D 4A?s to To ? t?Z? 1 /?!, Fiu.?? . c,Jid,
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or cnt'I
habitat in the permit area that may be affected by the proposed project. Have you done so? YES
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED T j NO ca
O CORPS.
16. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [ I NO K)
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. Additional information required by DEM:
A. Wedand delineation map showing all wetlands, streams, and lakes on the property. (As 8©r A&T CAW V&SMi.JE)
B. If available, representative photograph of wetlands to be impacted by project. WA .
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line.
D. If a stormwater management plan is required for this project, attach copy. C$Elw q,,
E. What is land use of surrounding property? _ FAt. L o,J, k1C C>&%- IMopttX , .
F. If applicable, what is proposed method of sewage disposal? _ 9/A
? - ?S
Owner's Signature R AuTNoie iZEO /ANT ` Date

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