TroutWatershetCastleman

Department of Environmental Quality
Division of Water Resources
15A NCAC 02H .0506(b)(4) Water Quality Certification,
Notification of Work in Trout Watersheds
FORM: TroutWS 11-2017
Notification of Work in Trout Watersheds Form
A. Applicant Information
1. Processing
1a. Specify Nationwide Permit (NWP) number. 14 or General Permit (GP) number:
1 b. Has the NWP or GP
number been verified by the
Corps?
xx Yes No
1 c. Does the project meet all
the Conditions of the
applicable Water Quality
Certification
Xx Yes ❑ No
Please note that your project may be subject to the Sediment and Erosion Control Program andlor Trout Buffers
implemented by the Division of Energy, Mineral, and Land Resources. Find more info at:
https://deq.nc.gov/aboutldivisions/energy-mineral-land-resources/erosion-sediment-control
2. Project Information
2a. Name of project:
driveway at nuthatch and castleman road
2b. County:
Macon
2c. Nearest municipality/
town:
Franklin
Owner Information
3a. Name(s) on Recorded
Deed:
Stuart Sloan
3b. Responsible Party (for
LLC if applicable):
3c. Street address:
70 lotla St.
3d. City, state, zip:
Franklin, NC 28734
3e. Telephone no.:
828-276-1177
3f. Email address:
[e-mail]
4. Agent/Consultant Information (if applicable)
4a. Name.
4b. Business name
(if applicable).
RECEIVED
4c. Telephone no.:
4d. Email address:
B. Project Information
EQ-V,'ATFF? PES0URCE9
1. Property Identification 401 & BUFFER Pi~FlMfCrl

1 a.
Property identification no.
(tax PIN or parcel ID):
6592993035, approximately 5 acre vacant parcel to the east of 468 Castleman Drive
1 b.
Site coordinates (in
Latitude: Longitude: -
decimal degrees):
(DD.DDDDDD) (-DD.DDDDDD)
2. Project Description
2a.
Explain the purpose of the proposed project (continue on back):
The purpose of the project is to install a driveway to a building site for a single family home.
2b.
Describe the overall project in detail, including the type of equipment to be used:
Contractor will grade a driveway which will cross a small stream (1ft in width). The contractor will impound the stream and
divert it temporarily and install 30 to 40 feet of 18" diameter culvert pipe approximately 5 inches into the bed of the stream.
Stream banks at the ends of the culvert will be fortified with clean natural rock. Culvert crossing will be filled with clean dirt
and 4 inches of gravel on top-
C.
Stream Impacts: Please list all proposed impacts to the stream
1a.
Stream Name: no name
1 b.
Type of impact
Average stream
Impact length
width (linear feet)
(linear feet)
❑
Bank Stabilization - Sloping and Revegetating
❑
Bank Stabilization - Sloping and Riprap/Armoring
Bank Stabilization - Gabion Baskets / Retaining Wall
❑
Culvert Installation
Culvert Diameter: 18"
1'
30'-40'
❑
Temporary Impacts for required dewatering activities
Other (describe):
1c. Comments:

Of
Stuart Sloan14
Owner/Agent's Printed Name
ZA
Vi"--
tZ// Y( ZZ
Date
ner/Ag nt' ignature
(Agent's signature is id only if an a orization letter from the owner is
provided.)
For non -transportation projects send one (1) copy of the completed application to DWR:
If sending via US Postal Service:
NC DWR - 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.):
NC DWR - 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
For transportation projects send one (1) copy of the completed application to DWR:
If sending via US Postal Service:
DWR - Transportation Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
If sending via delivery service (UPS, FedEx, etc.):
DWR -Transportation Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604