19960049 Ver 1_COMPLETE FILE_19960123

State of North Carolina
Department of Environment, ITkX.;Tj
Health and Natural Resources e
Division of Environmental Management
James B. Hunt, Jr., Governor AMM
Jonathan B. Howes, Secretary C) E F1
A. Preston Howard, Jr., P.E., Director
January 26, 1996
Moore County
DEM Project # 960049
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Mr. Howard Bergman
1000 Burning Tree Road
Pinehurst, NC 18374
Dear Mr. Bergman:
You have our approval to place fill material in 0.01 acres of wetlands or waters for the purpose of
constructing a home at lot 259, La Quinta Loop, as you described in your application dated 17 January
1996 . After reviewing your application, we have decided that this fill is covered by General Water
Quality Certification Number 2733. This certification allows you to use Nationwide Permit Number
18 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. A
deed restriction shall be placed on the property to restrict future wetland fill. In addition, you should
get any other federal, state or local permits before you go ahead with your project.
If you do not accept rlny of the conditions of this certification, you may ask for an adjudicator),
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,
P stop o Jr. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Fayetteville DEM Regional Office
Mr. John Dorney "
Central Files
960049.1 tr
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
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DEM ID:
q(00Vq
ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for 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 [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. Box 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]A83-/ 7P? 1-
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT Td SR%QE-' G1NEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT. t ( _ '? _
1. Owners Name:
2. Owners Address:
Owners Phone Number (Home). L ?? -DOYt' (Work):
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
5. Location of work (MUST ATTACH MAP). County: OCR
Nearest Town or City:' t??l e V 1? C '
Specific Location (Include r ad nu hers, landmarks, etc.):
Coh t L d t - l \kAd t1 UOQ
c? i Go c?S,2 1,
6. Name of Closest Stream/River.
7. River Basin:
8. Is this project located in a watershed classified as Trout. SA, HQW, ORW, WS 1, or WS II? YES [) NO [
9. Have any Section 404 permits been previously requested for use on this property? YES (] NO (??]?
If yes, explain.
10. Estimated total number of acres of waters of the U.S.,
-0 L)
wetlands, located on-Rroiect site: LaT Z- 9-
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: 50
Drained:
Flooded:
Excavated:
Total Impacted: V40 -)r?'
Ir 12. Description of proposed work (Attach PLANS-8 1/2".X 11" drawings only)
11
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13. Purpose f r posed work:
re
14. State reasons why the applicant beMA hat is activitmus " d oy ZT- taken to minims a wetland impacts. rte..A N-C/tI ?'. I &A-ht% k?1(A l lA Q!°.. V)k A Cl
1 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 specs or critical
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 NUYS 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 [ YJ 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.
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 ftT this project, attach copy.
E. What is land use of surrounding property? « Q
F. If applicable, what is proposed method of sewage disposal? o- \4u CQ n
c, We? A. In,-
Owner's Signature Date
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