19941030 Ver 1_COMPLETE FILE_19941110

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
?EHNR
November 10, 1994
Guilford County
DEM Project # 941030
APPROVAL of 401 Water Quality Certification
City of High Point
P:O. Box 230
High Point, N.C. 27261
FILE Corr
Dear Sirs:
You have our approval to place fill material in 0.02 acres of wetlands or waters for the purpose
of water line construction at the City of High Point for Northwest Water Improvements Project, as you
described in your application dated 4 November 1994. After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification Number 2664. This certification
allows you to use Nationwide Permit Number 12 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 30 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 Domey at 919-733-1786.
Sincerely,
ston Howard, Jr.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
David Schuman; Black & Veatch
941030.Itr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
A !P 1
1\10V - 4 1994
BLACK & VEATCH
110 West Walker Avenue, Asheboro, North Carolina 27204-0728, [phone], Fax: [phone]
High Point, North Carolina B&V Project 24521.300
Northwest Water Improvements B&V File B
November 1, 1994
Water Quality Planning
Division of Environmental Management ?1 ?`SSU?
NC Dept. of Environment, Health and Natural Resources
P.O. Box 29535
Raleigh, NC 27626-0535
Subject: Nationwide Permit #12
Attention: Mr. John Dorney
Gentlemen:
We are applying for the Corps of Engineers Nationwide Permit #12 for the
City of High Point Northwest Water Improvements Project. The following
items are enclosed:
• Seven copies of the completed Joint Form.
• Seven 8-1/2" X 11" profiles of each stream crossing.
• Seven copies of a map showing project location.
• Seven copies of a USGS flood prone map with project location
shown.
Please contact us if you have any comments or questions.
Very truly yours,
B ACK & VEATCCH
David A. Schuman
DAS
Enclosure
: Permit Requested (provide Nationwide Permit #):
JOINT FORM FOR gp CI y JCS
Nationwide permits that require notification to the Corps ft_e2s
Nationwide permits that require application for Section 401 ce n
WIIIAINGTON DISTRICT ENGINEER W ISMR QUALM F..N PLANNING AL MANAG
.T Q
CORPS OF ENGINEERS OF ENVIRONMENT, 13,0
DEPARTMENT OF THE ARMY NC DEPARTMENT = i
P.O. Box 1890 AND NATURAL RESOURCES
Wilrnin on, NC 28402-1890 P.O. Boa. 29535 Nov - 41 Q4
AM.-CO-E Raleigh, NC 27626-0535 j
Telephone [phone] ATTN: Telephone MR. (919) SOHN 733-5083 DORNEY LyA ETLANns O
UALITY ^ ON
fE (1) COPY OF THIS COMPLETED APPLICATION IVISION OF ENVIR THE M?MANAGEMENT.
VEN (7) COPIES. SHOULD BE SENT
EASE PRINT.
Owners Name• City of High Point
Owners Address:
(Work): (_910)883-3289
Owners Phone Number (Home):
If Applicable: Agent's name or responsible corporate official, address, phone number.
Location of wort. (MUST ATTACH MAP). County: niiiifny-ri
rarest Town or City: High. Po i'n t
In the fnlln
xcific Location (Include road numbers, landmarks, etc.):
Roads*, 1556, 1715, 1818, 1840,1844 1845, and 1856, r
SR 1715, 2500 feet south.of SR 1850
Name of Closest Stream/River.
River Basin' -Cape l
.
. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or W5 II? YES [ NO [ 1 N/A
Have any Section 404 permits been previously requested for use on this property? YES [ 1 NO 'Id
.
If yes, explain. 0.02
.0. Estimated total number of acres of wat= 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 projects
FMed:
Drained:
Flooded:
Excavated: 0.02
Total Impacted:
,ription of proposed work (Attach PLANS-3 1/2" x I I" urawings uniyi:
installation of. 16" and 12" Diameter pipelines
3. Purpose of proposed work: Water sup 1
4. State reasons why the applicanl
iken to minimize wetland impacts.
hone Frncinn control
that this activity must be carried out. in wetlands. Also, note measures
s a linear project that must cross several small stream
measures as described in the specifications will be performed:
5. You are required to contact the U.S. Fish and Wildlife Service (USFWS) and/or National Marine Fisheries Service
KWS) regarding the presence or any Federally listed orproposed for listing endangered or threatened spV . or critical
abitat in the permit area that may be affected by the proposed project. Have you done so? YES NO Ems'
:ESPONSES 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 f historic
properties in the permit area which may be affected by the proposed project? Have you done so? YES [Y NO [0e
tESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS. N7 e-
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? 4, ' Residential and Farmland
F. If applicable, what is proposed method of sewage disposal? N/A

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