19960973 Ver 1_COMPLETE FILE_19961004

State of North Carolina
Department of Environment,
Health and Natural Resources 1 • •
Division of Water Quality
10
J Gove rnor
Secretary
Jonathan B. Howes, I D E F1
A. Preston Howard, Jr., P.E., Director
October 18, 1996
Montgomery County
DWQ Project # 960973
APPROVAL of 401 Water Quality Certificationi
Mr. Douglas Sinrmes
Route 1, Box 3113
Mt. Gilead, NC 27306
Dear Mr. Sinrmes:
You have our approval to cover wetlands or waters for the purpose of constructing a boathouse at your
lot on Lake Tillery, as you described in your application dated 4 October 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 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 Howard, Jr. VP
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Fayetteville DWQ Regional Office
Mr. John Dorney
Central Files
960973.1tr
Division of Water Quality • Environmental Sciences Branch
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
DIrTm V 9 6 0 9 7 ACTION ID:

Nationwide Permit Requested (Provide Nationwide Permit #):
IM!
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]
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
ENVIRONMENTAL SCIENCES BRANCH
4401 Reedy Creek Road
Raleigh, N.C. 27607
ATTN: MR. JOHN DORNEY
Telephone [phone]
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:
2. Owners Address:
I,

3. Owners Phone Number (Home): ' 1 L f .( t (W?rk): ,? ?_
11.1(1c'?1J1a- OVI" -A?l FLa (MrirN h}am?r. n, CrSs
4. If' Applicable: Agent's name or responsible corporate official, address, phone number. '
5. Location of work (MUST ATTACH MAP). County: ' ?
Nearest Town or City:
Specific Location (Include road numbers, landmarks, etc.): c ti ?Z. F' I,- I,
n .
6. Name of Closest Strearn/River:
7. River Basin:
8. Is this project located in it watershed classified as Trout, SA. HQW, ORW, WS L 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., including wetlands, located on project site:
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project.
RECt--1VED
Filled:
Drained: - Ou"T 0 4 1996,
:NVIRONMENTAL SCIENCES
Flooded:
Excavated: '
Total Impacted:
12. Description of proposed work (Attach PLANTS-S 1i'-" X I1" drawings only):
t ? ?l
zy?
13. Purpose of proposed work:
. Sute reasons why'& applicant believes that this a:tivit must a carried out in wttiands. Also, note mea$ures
taken to minimize wetland impacts. "i
15. You are required to contact the US. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Servi(
(NMFS) regarding the presence or any Federally listed o. proposed for listing endangered or threatened species or critic
habitat in the permit area that may be affected by the proposed project. Have you done so? . YES [ ) NTO [
RESPONSES FROM THE USFWS Al\'D/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Pmservation Officer (SHPO) regarding the presence of histor
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.
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the propcrry.
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?
F. If applicable, what is proposed method of sewage disposal?
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Owner's Signature

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