20040434 Ver 1_Complete File_20040322

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources

Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality

April 23, 2004
DWQ# 04-0434
Currituck County

W, G, Hand L Investement, LLC
Clo Mr. Kendall Turnage
1248 Duck Road, Suite 201
Duck, NC, 27949

APPROVAL of 401 Water Quality Certification with Additional Conditions

Dear Mr. Turnage:

You have our approval, in accordance with the attached conditions, to place fill in 0.092 acre of wetlands in order to
construct a tennis court at the Kilmarlic Health and Racquet Club in Currituck County, as described in your application
received by the Division of Water Quality on March 22, 2004. After reviewing your application, we have determined that this
fill is covered by General Water Quality Certification Number 3402, which can be downloaded from our web site at
htto:/lh20.enr.state.nc.us/ncwetlands. This Certification allows you to use Nationwide Permit 18 when issued by the Corps
of Engineers. In addition, you should get any other fe.deral, state or local permits before you go ahead with your project
including (but not limited to) Sediment and Erosion Control, Non-Discharge, Water Supply Watershed, Coastal Stormwater
and U.S. Coast Guard regulations. Also this approval will expire when the accompanying CAMA Permit expires unless
otherwise specified in the General Certification.

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 in writing and you may be required to send us a new application for a new certification. If the
property is sold, the new owner must be given a copy of the Certification and approval letter and is thereby responsible for
complying with all conditions. If total wetland fills for this project (now or in the future) exceed one acre, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the
conditions listed in the attached certification and the additional conditions listed below:

1. You are required to return the attached Certification of Completion form to notify DWQ when all work included in
the 401 Certification has been completed;

2. Erosion and sediment control practices must be in full compliance with all specifications governing the proper
design, installation and operation and maintenance of such Best Management Practices in order to protect
surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Sediment and Erosion Control
Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures must be
such that they equal, or exceed, the requirements specified in the most recent version of the North Carolina
Sediment and Erosion Control Manual. The devices shall be maintained on all construction sites, borrow
sites, and waste pile (spoil) projects, including contractor-owned or leased borrow pits associated with the
project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Surface Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in accordance with the
requirements of the Sedimentation Pollution Control Act.

3. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint of
the impacts depicted in the Preconstruction Notice Application. All construction activities, including the design,
installation, operation, and maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur;

N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.uslncwetlands)
Customer Service #: 1-877-623-6748

fiLE COpy

Office Use Only:

Form Version October 2001

USACE Action ID No.

u 4 04~\WQNO.

If any particular item is not applicable to this project, please enter "Not Applicable" or "N/ A" rather than
leaving the space blank. 'C-

I.

Processing

1. Check all ofthe approval(s) requested for this project:
~ Section 404 Permit
D Section 10 Permit
~ 401 Water Quality Certification
D Riparian or Watershed Buffer Rules

MAN 2 2'
, w' . 2DD4

,..J.

2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide #18

3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: D N/ A

4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ~
*** Conservation Easement to NC EEP 3.765 acres

n. Applicant Information

1. Ownerl Applicant Information
Name: W. G. Hand L Investments. LLC
Mailing Address: 1248 Duck Road. Suite 201
Duck. NC 27949

Telephone Number: 252-255-0331
E-mail Address: Not available, see agent

Fax Number: 252-255-0330

2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Kendall Turnage
Company Affiliation: Environmental Professionals. Inc
Mailing Address: PO Box 3368
Kill Devil Hills. NC 27948
Telephone Number: 252-441-0239 Fax Number: 252-441-0721
E-mail Address:[e-mail]

Page 1 of8

ill. Project Information

Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.

1. Name of project: Kilmarlic Health and Racquet Club

2. T.I.P. Project Number or State Project Number (NCDOT Only): NI A

3. Property Identification Number (Tax PIN): 0124-000-0054-0000

4. Location
County: Currituck Nearest Town: Mamie
Subdivision name (include phase/lot number): Tract L Sarah E Forbes Property.
Directions to site (include road numbers, landmarks, etc.): traveling south on US 158. turn
west onto NCSR 1112. Site is approximately 400 feet north of the overhead powerline
crossmg.

5. Site coordinates, if available (UTM or LatlLong): N 36d 7' 20" W 75d 50' 13"
(Note -'- If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)

6. Describe the existing land use or condition of the site at the time of this application:
Vacant

7. Property size (acres): 14.07 acres

8. Nearest body of water (stream/river/sound/ocean/lake): Albemarle Sound

9. River Basin: Pasquotank
(Note - this must be one of North Carolina's seventeen designated major river basins, The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)

Page 2 of8

10. Describe the purpose of the proposed work: To provide area for tennis court

11. List the type of equipment to be used to construct the project:
pavers. etc.

Dump truck. Backhoe

12. Describe the land use in the vicinity of this project: Residential. golf course. restaurants.
fire station

IV. Prior Project History

If jurisdictional determinations andlor permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ill Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
USACE Jurisdictional determination by William Wescott 10/30/03.
No other wetland impacts have occurred on site.
The on site borrow pits were determined by the US Army Corps of Engineers NOT to be Sec. 10.
404 wetlands or Isolated wetlands. due to the lack of naturalization of the shoreline and the fact
they were excavated entirely in uplands.

V. Future Project Plans

Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
No. this fill application will be the only request. All remaining 3.765 acres of 404 wetlands to be
placed under a conservation easement to NC EEP.

VI. Proposed Impacts to Waters of the United StateslWaters of the State

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.

Page 3 of8

1. Wetland Impacts

Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
(indicate on map) (acres) (yes/no) (linear feet)
1 fill 0.092 yes gentle slope in cleared
area.

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httP.;!L~J!<ill~'&'Q.y'.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)

List the total acreage (estimated) of existing wetlands on the property: 3.857 acres
Total area of wetland impact proposed: 0.092 acres

2. Stream Impacts, including all intermittent and perennial streams N/A

Stream Impact Length of Average Width
Site Number Type of Impact* Impact Stream Name** of Stream
(indicate on ma ) (linear feet) Before 1m act
N/A N/A N/A N/A N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wa1l, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the origina1 and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
~,JJ.~g[,,gQy'. Severa1 internet sites also allow direct download and printing of USGS maps (e.g., ~JQP_Q?;Qn~_&QID.,
www.mapquest.com. etc.).

Cumulative impacts (linear distance in feet) to all streams on site: N/A

3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the u.s.

Open Water Impact Area of Name of Waterbody Type of Water body
Site Number Type of Impact* Impact (if applicable) (lake, pond, estuary, sound,
(indicate on map) (acres) bay, ocean, etc.)
N/A N/A N/A N/A N/A

*

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.

4. Pond Creation (Existing borrow pit to be reconfigured into Stormwater basin)
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): IZI uplands D stream D wetlands

Page 4 of8

Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): Excavator. bulldozer. dump trucks

Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): Stormwater basin for development
NC DWO stormwater permit applied for by Bissell Professional Group
Size of watershed draining to pond: to be converted to stormwater basin (see stormwater
permit and plans Bissell Professional Group)
Expected pond surface area: 0.6 acres

vn. Impact Justification (Avoidance and Minimization)

Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Upon investigating the potential for an additional tennis court. the other tennis courts were
shifted around in various site arrangements. In order for the stormwater controls to work
properly and to minimize wetland fill areas. the most practical alternative was the present design
solution. Other fill possibilities would have resulted in elevated wetland impacts on the site. and
further clearing. This area was the closest to the stormwater basin for stormwater conveyance
through the proposed stormwater system. Due to the large stormwater basin and septic system
no upland areas were remaining that could support this use and still be centralized the
development and stormwater controls.

VIII. Mitigation

DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
andlor upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.

Page 5 of8

If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h20.em.state. nc. uslncwetlandsl strmgide. html.

1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
andlor map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e. g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
The entire remaining 3.765 acres of 404 iurisdictional wetlands will be placed under a
permanent conservation easement to NCEEP. This will be recorded prior to fill activities.

2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP web site at http://h2o.enr.state.nc.us/wro/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
***Conservation easement to NC EEP: 3.765 acres
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested ( acres): NI A
IX. Environmental Documentation (DWQ Only)

Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?

Yes 0

No X

If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEP A1SEP A)?
Note: If you are not sure whether a NEP A1SEP A document is required, call the SEP A
coordinator at [phone] to review current thresholds for environmental documentation.
Yes 0 No X

Page 6 of8

If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes D No D N/A

X. Proposed Impacts on Riparian and Watershed Buffers (nwQ Only)

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.

Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
Yes D No X If you answered "yes", provide the following information:

Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

Zone* Impact Multiplier Required
(square feet) Mitigation
1 N/A 3 N/A
2 N/A 1.5 N/A
Total N/A N/A

*

Zone I extends out 30 feet perpendicular from near bank of charmel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.

If buffer mitigation is required, please discuss what type of mitigation is proposed (i. e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration I Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
N/A

XI. Stormwater (nwQ Only)

Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
36.77% of the site will be impervious. A NCDWO stormwater permit has been obtained from the
Washington Regional office for the development activities. SW # 7031011

Page 7 of8

XII. Sewage Disposal (DWQ Only)

Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
On Site septic system will serve the development. State and local approval will be required prior
to construction. Bissell Professional Group (engineer) will apply for these permits as necessary.
xm. Violations (DWQ Only)

Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes D No X

Is this an after-the-fact permit application?
Yes D No X

XIV. Other Circumstances (Optional):

It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside. of the applicant's control).
No time or sequencing constraints known by applicant.

'~~ L~~41 ?_

A13plicantlAgent's Signature Da e
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

Page 8 of8

MAR-l0-2004 WED 03:59 PM R LAWSON CONSTRUCTION CO FAX NO. 252 255 0330
e~r1012eG4 16: SS ~5244Hl721 EJNIRCINMENTAL. PROPES

Agent Authorization Letter

P. 02
PAGE 62

~
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t.
\1

I,

I, Rob IAIWS{ln) hereby autllorize Env.irQnm,cmtal Professionals, Inc. ' apply
for a Nationwide #18 application and provide information on Iny be 'air On
the Kilmarlic Health and Racquet Club in Currituck County~ NC.

B.Q1l1lWSi11l.
Name
A'~~~ grv'N.Y.
----ZlB~. ._~.........______
Title~r' fbrW, 0, Hand L Illvestm~nts, L,L.C.
1.." !2G'"' ;1(LL
.' ~. f),
- -~~ ....."-'- -_...~ -
Signature ~-..

~_'""..'""~_w.."_,,___...._____........

31'/ tJ '()C,/
- -~

g_"'i"~___-""I_

Date

:3 ..
Date: )t....) g .; o&{ .

To: D ARO
D FRO
D :MRO
D RRO

From: !J,i/tJ.IlJ.- .,

Triage Check List

Project Name: ____ K: / ffIO,f h I~ .J- ~
DWQ#: -
County: ~
&fYl'lt.. (., ~

Mike Parker .
Ken Aventte
Alan Johnson
Steve Mitchell

~ WaRO
D WiRO
D WSRO

Tom Steffens
Noelle Lutheran
Daryl Lamb

Telephone: (919) 71 J -I 7 ~ ,

The fIle attached is being forwarded to your for your evaluation.
Please call if you need assl~tance.

D Stream length impacted
D Stream determination
D Wetland determination and distance to blue-line surface waters on USFW topo maps
~ Minimization/avoidance issues
D Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman)
D Pond fill
o Mitigation Ratios
D Ditching
D Are the stream and or wetland mitigation sites available and viable?
Scheck drawings for accuracy
D Is the application consistent with pre-application meetings?
D Cumulati:ve impact concern

Comments: P.lb +kr~ A.-, o+Le, kaJu'4! 4"-'~ ~
I\JO~ h ~J4.^J 'lfJUJn., .~;...,..J-.
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~oSsilo<.. J(/1.:n.~-4 ~~ (l)\ vJeS-t- ~,'t:k ~
10/ bC'I.\I~MnuJ-?

TO

ENVIRONMENTAL PROFESSIONALS, INC.
Planning For A Better Environment
P.O. Box 3368
KILL DEVIL HILLS, NORTH CAROLINA 27948

[phone]
FAX [phone]

Toh.1'I. {Jamey
/
,/UC J)WQ

VeJ I L-ert-t'.p / (' e:L i-/cJ1<-

[b@IlIl@w @~ 1lW&[}D@[N]OIlIl&[b

DATE

JOB NO.
G.2 ~;;l.O tb

f!) 1.'<<
n A f\ .~ ::::J; ~r RE:

ATTENTION

~

cl11I'111 .
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;

WE ARE SENDING YOU .xAttached 0 Undw s~patate cover via
>
o Shop drawings 0 Prints 0 Pli'lns

o Copy of letter

o Samples

the fOllo~g items: . ,'.

l.g::~e~allo.es 2004

)

o Change order

o

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COPIES DATE NO. DESCRIPTION ""-;ii
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(. . Otuk. 7-q /V C j) C"v ;e '!tOY f ~ CJCJ,(!jO
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.

THESE ARE TRANSMITTED as checked below:
~ For approval
o For your use

o Approved as submitted
o ,Approved as noted

o Resubmit
o Submit

copies for approval

>

o As requested

copies for distribution

o Returned for corrections.

o Return

corrected prints

o For review and comment

o

o FOR BIDS DUE

o PRINTS RETURNED AFTER LOAN TO US

REMARKS

. .__n.._;,' __<__

-- --'-.,----..

~ ----"'-'._,,~~..........

-=<C""",",~"'.r.m-..__.,.",_,...._____.__~__..___._

SIGNED, ~ ~

If enclosures are not as noted, kindly notify us at once.

COpy TO

MEMORANDUM

TO:

John Dorney
Non-Discharge Branch

Regional Contact:
WQ Supervisor:
Date:

tom Steffens
roger thorpe

SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS

Stream Impacts (ft.)

..
I I

Is Wetland Rating Sheet Attached? 0 YON Did you request more info? 0 YON
Have Project Changes/Conditions Been Discussed With Applicant? 0 YON

Is Mitigation required? 0 YON

Recommendation: 0 Issue 0 Issue/Cond 0 Deny

Provided by Region: Latitude (ddmmss)

Longitude (ddmmss)

Comments:

Issue n/c

cc:

Regional Office
Central Office

Page Number 1