19960488 Ver 1_COMPLETE FILE_19960521

State of North Carolina
Department of Environment, LT-K?F'A
Health and Natural Resources 0
Division of Environmental Management
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AL
James B. Hunt, Jr., Governor -0
Jonathan B. Howes, Secretary E-3 C
A. Preston Howard, Jr., P.E., Director C
June 4, 1996
Stanly County
DEM Project # 960488
APPROVAL of 401 Water Quality Certification
Mr. Gordon J. Brown
416 Moss Spring Road
Albemarle, NC 28001
Dear Mr. Brown:
You have our approval to impact 264 square feet of waters for the purpose of constructing a boat
house at 23212 Swift Island Road, as you described in your application dated 21 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 Asheville Field Office
Mooresville DEM Regional Office
Mr. John Domey
Central Files
Sincerely,
ston AHowar )VP.
960488.1tr
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

900488 SS,UUE
DEM ID: ACTION ID: i??? ?0030
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 WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
P.O. Box 1890 AND NATURAL RESOURCES
Wilmington, NC 28402-1890 P.O. Box 29535
ATTN: CESAW-CO-E Raleigh, NC 27626-0535
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone (919) -r„ 5003 13 3 - 01 ?•'
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: Gordon J. Brown
2. Owners Address: 416 Moss Spring Road, Albemarle, NC 28001
3. Owners Phone Number (Home): 704-982-5770 (Work): 704-982-3792
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
5. Location of work (MUST ATTACH MAP). County: Stan y
Nearest Town or City:
Albemarle,
Specific Location (Include road numbers, landmarks,' etc.): ?a /?v aCrncc p" r1m= Ri j,7cr PridgQ
left on first road(River Run Rd.) left onto Swift Island Rd, to 3rd house from end of
dead end road. House number 23212 Swift Island Rd.
6. Name of Closest Stream/River: Lake Tillery/Pee Dee River
7. River Basin:
Pee Dee
8. Is this project located in a watershed classed as-Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO [X]
9. Have any Section 404 permits been previously requested for use on this property? YES [ J NO [X-]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
Lake Tillery has 5000 acres
. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
101 1
N
Wn,.
Filled: 264'
Drained:
Flooded: _
Excavated:
Total Impacted: 764' ,E 9C
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12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
13. Purpose of proposed work:
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts.
Access to water for recreational purposes with pontoon
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 [ X]
RESPONSES FROM THE USFWS AND/OR NMFS 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 [ ] NO [ X]
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 for this project, attach copy.
E. What is land use of surrounding property? Residential and recreational
F. If applicable, what is proposed method of sewage disposal? Tndi vi aua1 septic tanks
1
5/16/96
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Owner's Signatu Date

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Gordon J. Brown Open sided boat house for pontoon
416 Moss Spring Rd. 12' x 22' with 3' deck on each
Albemarle, NC 28001 side and on land end.
704-982-5770/704-982-3792 Max. distance to water = 25'