19960471 Ver 1_COMPLETE FILE_19960515

State of North Carolina
Department of Environment,
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Health and Natural Resources
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Division of Environmental Management A4
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James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary p E H N FTL
A. Preston Howard, Jr., P.E., Director
May 23, 1996
Montgomery County
DEM Project # 960471
APPROVAL of 401 Water Quality Certification
Mr. Tommy Blake
P.O. Box 224
Candor, NC 27229
Dear Mr. Blake:
You have our approval to impact 145 square feet of waters for the purpose of constructing a boat
shed at lot g79-,Woodrun Development on Lake Tillery, as you described in your application dated 15
May 1996. 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. 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,
'Jr.P. ?Prn Howar , E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Fayetteville DEM Regional Office
Mr. John Dorney
Central Files
960471.1tr
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 500% recycled/10% post consumer paper
ACTION ID:
)EM ID:
;ationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of
for Section 401 certification Nationwide permits that require application
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WILMINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL- MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
PO• Box 1890 AND NATURAL RESOURCES 401 ISS(JE??tl Wilmington, NC 28402-1890 P.O. Raleigh, Box 29535
NC 27626-0535
ATTN: CESAW- CO-E 4511 ATTN: MR. JOHN DORNEY
Telephone [phone] Telephone [phone] ? 3 3 - 1114 SENT TO
CORPS OF ENG ONE (1) COPY OF THIS COMPLETED APPLICATION N CSDIVIS ON OF ENVIRO ENTAL MANAGEMENT.
SEVEN (7) COPIES SHOULD BE SENT TO THE
PLEASE PRINT. )
1. Owners Name:
2. Owners Address: _
3. Owners Phone Number (Home): iT 7y ?? (Work):. rl??
4. If Applicable: Agent's name or responsible corporate official, address, phone number:
5. Location of work (MUST ATTACH MAP). County:
. f .
Nearest Town or City: /7- RV
/ ? T ?, /? ? d
Specific Location (Include road numbers, landmarks, etc.): L A tr re- T( /l2
nn
?, 6. Name of Closest Stream/River:
h d classified as Trout, SA, HQW, ORW, WS I, or WS II . I- L `' 7. River Basin: YES [ ]

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NO M
Is this protect located to a waters e
2
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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., including wetlands, located on project site:
, 11
Number of acres of waters of the U.S., including wetlands, impacted by the proposed project
Filled:
Drained:
Flooded:T?

Excavated:
?? 5 5 f 7 -
Total impacted:
10
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