19960485 Ver 1_COMPLETE FILE_19960517

State of North Carolina IN1.9pt
Department of Environment, 17 Health and Natural Resources a
Division of Environmental Management
A&4 James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
p E H N R
A. Preston Howard, Jr., P.E., Director
June 4, 1996
Montgomery County
DEM Project # 960485
APPROVAL of 401 Water Quality Certification
Mr. Thomas Riley
Route 1, Box 910
Springwood Road
Mt. Gilead, NC 27306
Dear Mr. Riley:
You have our approval to construct an addition to a boat dock over 126 square feet of waters at
Lots 24, 25 26 and 27 at 910 Springwood Road, as you described in your application dated 17 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.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Wilmington DEM Regional Office
Mr. John Dorney
Central Files
960485.1tr
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
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960485
DEM ID:
401 ISSUED
ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit ft
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,RECEIVED
AND NATURAL RESOURCES
P.O. Box 29535 MAY 1 7 1996
Raleigh, • NC 27626-0535
A MR JOHN DORNEY ENVIRONMENTAL SCIENCES
Telephone (919) -733508313 3
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
PLEASE PRINT.
1. Owners Name: Thomas A. Riley
2. Owners Address: Rt 1 BOX 51 0 St]r i n?wnntl Rr7 Mt Gilead., NC 973UA
3. Owners Phone Number (Home): 910 - 4 3 9- 9 4 8 9 (Work): 910-431-06 44
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
N/A
5. Location of work (MUST ATTACH MAP). County: Montgomery
Nearest Town or City: Mt Gilead
Specific Location (Include road numbers, landmarks,etc.): 910 Springwood Rd
portions of Lots #24, 26 and 27 and all of Lot 25
6. Name of Closest Stream/River. Lake Tillery (Pee Dee River)
7. River Basin: Pee Dee
8. Is this project located in a watershed classified as-Trout, SA, HQW, ORW, WS I, or WS IN YES [ ] NO [X]
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [)1
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
142 foot waterfront
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
° Filled: 216 Sa feet
mt3
H? Drained:
00
¢ Flooded:
i > a
M d Excavated:
__,.?? Total Impacted: 216 sq feet

12. Description of proposed work (Attach PLANS-81/2" X 11" drawings only):
see attached (addition to existing boat dock)
13. Purpose of proposed work: improve existing facilities
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts. it-'s a hna t- hnu G e
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? YES [ ] NO [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS. N/A
16. You are required to contact tho 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. N/A
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? r e s i d e n f i a l and r e r raa t- i nn a l
F. If applicable, what is proposed method of sewage disposal?
May 14,1996
Owners Signature Date

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