19960778 Ver 1_COMPLETE FILE_19960403

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James6. Hunt,Jr., Governor
Jonathan a Howes Secretary
A. Preston Howard, Jr., P.E., Director
APPROVAL of 401 Water Quality Certification
Mr. Jeanette Vaughn
48081 Randalls Church Road
Norwood, NC 28128
Dear Mr. Vaughn:
Al T I FA
44
ID EHNR
August 27, 1996
Stanly County
DWQ Project # 960778
You have our approval to place fill material in waters for the purpose of constructing a seawall, pier
and gazebo at Lake Tillery, as you described in your application dated 19 August 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. 276 1 1-7447. 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,
PPrton Howard, Jr. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Feld Office
Mooresville DWQ Regional Office
Mr. John Dorney
Central Files
960778.1tr
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
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DEM Il?: ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #1):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
Vrfl-N 1NGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMEisrr OF THE ARMY
P.O. Box 1890
Wilmington, NC 28402-1890
ATM CESAW-CO-E
Telephone [phone]
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPART)-ENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
ENVIRONMENTAL SCIENCES BRANCH
4401 Reedy Creek Road
Raleigh, H.C. 27607
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
pI EASE 7) CO IES SHOULD BE SENT TO THE N.C. DMSION OF E..WIRONMENTAL MANAGEMENT.
1. Owners Name: L° x ?'?t a-.? a
2. Owners Address: ?r^ %,I)
3. Owners Phone Number (Home): uy (Work): _ c -ZW-' - gn J-ef D
4. If Applicable: Agent's name or responsible corporate official, address, phone number. '
5. Location of work (MUST ATTACH MAP). County: -La- ti A ? .
Nearest Town or City: O ej O _ /11
Specific Location (Incl de road numbers, landmarks, eic.):
1

t
U-1 1:.
6. Name of Closest Strearn/River.
7. River Basin: ee , ee
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ J NO [
9. Have any Section 404 pennits been previously requested for use on this property? YES (] NO LL, /
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:
Rooded: i
Excavated: -
Total Impacted: n? A'
t Z. Description of proposed work (Attach PLANS-S 1 =" X 11" drawings only):
r
13. Purpose of proposed work:
14. State reasons why the applicant believes that this a;.dvity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
15. You are required to contact the US. Fish and WilE a Scrvice (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed c. 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 ANTD/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. You are required to contact the State Historic Rmservation 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 FORA*ARDED TO CORPS. '9-
17. Additional information required by DEM:
A. Wetland delineation map showing all wetlands, streams, and lakes on the pro n . /i /?
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. A/ 4_
D. If a stormwater management plan is required for this project, attach copy. NA
E. What island use of surrounding property?,/)-:-
F.
If applicable, what is proposed method of sewage disposal? Al t:
Owner's Signature U Date

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