19951262 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, Freston Howard, Jr., P.E., Director
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December 20, 1995
Stanly County
DEM Project # 951262
APPROVAL of 401 Water Quality Certification
Mr. Bradley Smith
14046 Nicks Road
Norwood, N.C. 28128
FIDE COPY
Dear Mr. Smith:
You have our approval to place fill material in 0.50 acres of wetlands or waters for the purpose
of constructing a boathouse on Lake Tillery, as you described in your application dated 11 December
1995. After reviewing your application, we have decided that this fill is covered by General Water
Quality Certification Number 2674. This certification allows you to use General Permit Number 030
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. 276 1 1-7447. 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,
A. Pres on 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
951262.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Employer 50% recycled/ 1 0% post-consumer paper
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.Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require, application for Section 401 certification
WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT,
P.O. Box 1890 AND NATURAL RESOURCES ' CJ !rv_
Wilmington, NC 28402-1890 P.O. Box 29535
ATTN: CESAW-CO-E Raleigh, NC 27626-0535
Telephone [phone] ATTN: MR. JOHN DORNEY },1 f '
Telephone (919) -7-39 5083 13 3 - ?'1 S
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE COPS
SEVEN (7) COPIES SHOULD BE SENT TO TI N.C. DIVISION OF ENVIRONMENF°
PLEASE PRINT. i . I
1. Owners Name:
2. Owners Address:
3. Owners Phone Number (Home): ?7 ri 4)
(Work): (?04? S''37 .Z5.23 _
4. If Applicable: Agent's nre or responsible corporate official, address, phone number.
5. Location of work (MUST ATTACH P). County: \ --- -
Nearest Town or City: 1?Q?2 U-1
Specific Location (Include road numbers, landmarks, etc.):
VN 9 C, 2A I9A ( N iCACS IQJ_ tJ oC'w0
6. Name of Closest Strreeam/River: , - w `~ " ---------
7. River Basin: L' J? b156 rz y __-
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS 11? YES
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] Novo
If yes, explain.
='p al number of acres of waters of the U.S., including wetlands, located on project site: [? ? ?Q?? S
(2 S e S't 7-4p 1 k Z?
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
-Drained:
Excavated:
of
2.)
,, sc o re' 0

Total Impacted:L-ZEO gc
s activity _ c4pie out in?wgda?gc,?s. Aso,
us be .??tC'• ccss''?F-- '?'
,te reasons why the applicant believes that tlu
minimize wetland impacts.
ervice
S) and/or National Marine Fi ecces o Scrltica]
Wildlife Service (t:.SA ?d or threatened,SP
)a attired to contact the U. Fed?erallY listed or proposed for fisting end done so . - Vr NO
o. Have you
S) regartlmg the presence or be affected by the proposed Pr j TO CORPS.
tin the permit area that MY S SHOULD BE FORWARD
AND/OR NW regarding the presence of historic
' USFWS servation officer e you done
11avv so? NO [
?ONSES FROM l
contact the State Historic ? d nroj v
You are required. to t-area which may be affected by the propose
sties in the pe BE FORWARDED TO CORPS.
pONSE FROM THE SHPO SHOULD
in formation required by DEM• and lakes on the property.
P?dditional showing all wetlands, streams. cted by projeicL the placement Wetland delineation n ative photograph of wetlands to be imps of the
B. If available, nPte ntati performed by a consultant, include all data sheets ,elevant to
C. If delineation was ro ect attach copy-,
delineation line- plan is required for this p j 'D C ?__
is If a stormwater management
land use of surrounding prop,? dis `sal?
E, What s proposed method of sewage Po
F. If applicable, what is Date
Owner's Si lure

1
'12. Description of proposed work (Attach PLANS-8 1R" X 11" drawings only): ?crt ?(? kYxt ypp' e'
30 ,? , oy&t r o)A0_e a- ov;5?2 pkc? %j pp Q
13. Purpose-of proposed work: .5 R S
14. State reasons why the applicant believes that this activity }?us be out in wellan s. Also, dote
taken to minimize wetland impacts. S6A. "? h'i _ "nZt__c D ? ( ?E'
15. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine, Fisheries Se. r
(NMFS) regarding the presence or any Federally listed or proposed for listing endangered or threatened species or r-,
habitat in the permit area that may be affected by the proposed project. Have you done So? vrVz [
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 16
properties in the permit area which may be affected by the proposed project? Have you done so? YES [? N(-'
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? Qp< a v? ?An 0 SG
F. If applicable, what is proposed method of sewage disposal? '+- IC
C_?AA
Owner's i re D i!