19961123 Ver 1_COMPLETE FILE_19961211

St o`brth Gain D , clrtrtIent .of ?hvi &ient;
11h,'-and atural `f'e$ources 1 • •
rvtsion o %W.
?Jrues B.,,Hunt governor ? .:
,1nithdn B:.Howes, Secretcj ?----? N
t,
3stork,owattl,.Jr., Pt, Director;
I:ayF
n
December49,1996
.R, Brunswiek'.County
WQC 40f ? roject #961123
A PROVAL of 401 Water Quality Certification
.**hard and Ms. Elizabeth Lewis
18 Becks Retreat
Savannah, GA 91411
Dear Mr. and Ms. Lewis=
You have our approval to place fill material in 0.03 acres of wetlands or waters for the purpose of
building a home at i of 24, The Arboretum, as-you described in your application dated 11 December 1996.
After reviewing yourapplication, we have dedided that this fill is covered by General Water Quality
Certification NuMb6r, 3036. This mWfiication allows you to use Nationwide Permit Number 29 when it is
issued by the Corps of Engineers
This approval is only valid foi"he purpose an d desig% 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. If total
wetland fills for this project'(now oir in the future) exceed one acre, compensatory mitigation may be
required as described in 15A NCAC 2H.0566 (h) (6j and (7). For this approval to be valid, you must
follow the conditions listed a' Ahe attached certification. In addition, you should get any other federal, state
or local permits before you go ahead with your project..,Also this approval will expire when the
accompanying 404 or CAMA permit expires unless otherwise specified in the General Certification.
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 th&..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 t Jpding unless you asic for a hearing.
This letter conmple'es the review of the bivision of Water Quality: under Section 401 of the Clean
Water Act. If you-have any questions, please telephone John Dorney at 919-733-1786.
Sincerely, -
._ ton' oward, Jr. P.E.
Attachment
cc: Wilmington District Corps pf =i6td rs
Corps of Engineers Wilmingtp Office
Wilmington DWQ Regionat Office
Mr. John Domey
Central Files
Bill Clulow; Dorothy Essey and Associates
961123.1tr
Division of Water Duality - Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Crook Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer - 50% recycled/101/6 post consumer paper

F ,T?}
CORPS ACTION.ID.
n1RTiON4TIDE PERMIT REQUESTED ( PROVIDE ' NRTI NWT Dt PERMIT #) :
IPRE ;CONSTRUCTION NC` CATION APPLICATION
F NP;TONWTDE PERMT'?`' ?'
,)' ICA,'AION TO TEX CORPS OF ffidGINE RS
)CATON' 4OR 3$CTION 401 CEItTIFICATizON,.
OORDIN24j¢ION -_WIT$ TEE NC DIVISION OF COh3m MANAGxm=T 11 SEND Tom. gRIG=NAL AND',' (1) COPY OF.THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFI(;*..OOF THE', = .RPS OF, ZNGINEMU (SEE AGENCX.ADDRESSES SHEET). SEVEN
(7) COPIES SHOULD? BE SENT TO THE'N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES ,$.HEET) „PLEASE PRINT. ?1
1. OWNERS NAME: 'Qcacs Tz
2. MAILING ADDRESS:
SUBDIVISION NAME
CITY sr?. ?Qn ESTATE :?. Z I P CODE :
PROJECT LOCATION ADDRESS, INCLUDING'SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER (HOME) s9 (WORK)
4. IF APPLICABLE: AGENT'S NAME OR RESPQNSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
1 M I
'.r
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY.A.COP.Y OF USGS TOPOGRAPHIC r.
MAP OR AERIAL PHOTOGRAPHY WITH SCALE)'; w
COUNTY : NEAREST -TQWN OR CITY :
lop
SPECIFIC LOCATION '('(INCLUDE ROAD
NUMBERS, LANDMARKS, ETC.
6. IMPACTED OR NEAREST STREAM/ RIVER: ?.>..;?
RIVER BASIN:
G?
7a. IS PROJECT LOCATEb NEAR WATER' CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HOW),'"OUTSTANDING RESOURCE WAARS (ORW), WATER
SUPPLY (WS-I OR WS-117)? , 11YES [' ] NO [ ] IF 'YES, EXPLAIN:
7b. IS THE PROJECT.LOCATED,WITH A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC) ? YES.
]. NO
[ ]
7c. IF THE PROJECT IS LOCAT WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES) THE LAND;USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS &EEN:PREV.-IOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO [X] IF YES,"PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONALINF RMATION-(INCLUDE PHOTOCOPY OF 401
CERTIFICATION) : .410
d L r ?v T .2 3 wn '44 .9 J?'2tU?
8b. ARE ADDITIONAL PERMIT REQUESTS.EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [ ] IF YES, DESCRIBE TI?IPATED WORK:
??:• 1i
I
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF ,LAND:
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
~?? i

2

10a: BER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING; 40, EXCAVATION
. At
?S.
OODII?G: OTHER:
DRAINAGE: TOTAL ACRES TO $E IMPACTED: ZZ
10b. (1) STREAM CHANNEL TO BE;IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH. BEFORE AND AFTER RELOCATION)
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based one.normal h? gh ;water contours) : FT
WIDTH AFTER: FT
AVERAGE DEPTH BEFORE:, FT AFTER: FT
(2) STREAM CHANNEL IMPAC WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE 'IN CHANNEL:
r rej
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER: ?w....,.
11. IF CONSTRUCTION OF A POND IS ?ROPaSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND?
WHAT IS THE EXPECTED POND SURFAM',AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDIN -ION OF TYPE OF
;l/2" X 11" DRAWINGS
MECHANICAL EQUIPMENT TO BE USED (ATTACH S14,
.
;
ONLY) :°
3
14. STATE REASONS WHY IT IS `BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
=''' OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
.ITiPACTS) :. .
A9g n i T t a it r. i' s i!!
r,
15. YOU ARE REQUIRED.TO CONTACT THE U.S. FISH AND-,WILDLIFE SERVICE
(USFWS) AND/OR 'NATIONAL.MARINE FISHERIES .SERVICE (NMFS.) (SEE AGENCY
ADDRESSES SHEET). REGARDING THE PRESENCE OF. ANY FEDERALLY LISTED OR
PROPOSED FOR LISTING'ENDANGERED.OR THREATMED11 SPECIES OR CRITICAL, HABITAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY,:THE PROPOSED PROJECT. DATE
CONTACTED: (ATTACH RESPONSES
FROM THESE AGENCIES.) 3
16. YOU ARE REQUIRED TO CONTACT THE 'STATE HISTORIC PRrESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEE REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WH ,I MAY BE AFFECTED BY'THE PROPOSED
PROJECT. DATE CONTACTED: i ; ,
17. DOES THE PROJECT INVOLVE AN F,-P D ?TURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
9 S??>
7
YES [ ] NO (IF N0, GO TO` 1.8
a. IF YES, DOES THE PROJECT,r,RE00 ?TION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS THE TH CAROLINA ENVIRONMENTAL,
POLICY ACT?
YES [ ] NO [ ]
b. IF YES, HAS.THE DOCUMENT BEEN REVIEWED?THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO [ J
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603.-8003, TELEPHONE [phone].
4
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL'MATERIAL .
INTO WETLANDS•
-a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PEWIT NUMBERS 14, 18, 21, 26,
.29, AND 38). ALL STREAMS (INTERMITTENT AND"PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE, MAP:,' MAP, SCALES SHOULD. BE 1 INCH EQUALS 50 FEET OR 1
INCH EQUA14;'1AQ FEET OR THEIR EQUIVALENT.
b.-It 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. ATTACH A COPY?OF,:THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND 'USE `OF'_ SURROUNDING PROPERTY?
f. IF APPLICABLE, WHAT. 'S PROPOSED METHOD OF SEWAGE DISPOSAL?
v
g. SIGNED AND. DATED AGENT' Aq,
LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF. THE'U.S?MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 4O¢ CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR R OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATERS ITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
a141- Z ?.
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OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
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AND LOCAL REQUIREMENTS. IT SHALL IN N
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