19940873 Ver 1_COMPLETE FILE_19940920

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
APPROVAL of 401 Water Quality Certification
City of Mount Airy
Post Office Box 70
Mount Airy, N.C. 27030
Dear Sirs: r ?EHNR

September 21, 1994
Surry County
DEM Project # 94873
"J COPY
You have our approval to place fill material in 0.25 acres of wetlands or waters for the
purpose of sewer line construction at Smith Woods Annexation Area, as you described in your
application dated 2 September 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 Dorney at 919-733-
1786.
Sincer 1 j
4 . P eston Howa d, Jr. P
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Sale, DEM Regional Office
Mr. John Dorney
Central Files
Jeff Boyles, City Engineer
94873.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 5096 recycled/ 10% post-consumer paper
I
City of Mount Ai `
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Post Office Box 70 • Mount Airy, NC 27030 • 910-786-3542 • Fax: [phone]:
September 2, 1994
Water Quality Planning RECEIVED
Division of Environmental Management SEP 1 6 1994
NC Department of Environment, Health
and Natural Resources ©EHNR-RAL RO
Post Office Box 29535
Raleigh, NC 27626-0535
Attention: Mr. John Dorney
RE: Smith Woods Annexation Area Water and Sewer
Mount Airy, NC
Dear Mr. Dorney:

1119
_'
F `+f?.,"i?
Please find enclosed for your review one set of plans along with seven sets of
completed application forms for "Nationwide Permits that Require Application for
Section 401 Certification" for NWP 12 for the referenced project.
Also attached to this application is the cover letter of a facsimile I received from Mr.
John Thomas of the U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
on which he details the areas of concern. The numbers one through six, which are
circled, reference the areas shown on the location map. The numbers enclosed in
parentheses indicate the page number of the area on the construction plans.
Please contact me if you have any questions or wish to visit the sites.
4?
Jeff Boyles, P.E.
City Engineer
RECEIVED
SFP 19 1994
EN"'O?VM> NTAL SCIENCES
^1?, •InA 1
Enclosures
FR0 r,, _ 09.02, 1994 11;19 NO. 2 P.
9 7 ACTION ID•
>EM ID:
lationwide Permit Requested (provide Nationwide Permit #): 19 Ain TV.L
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
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. Box 1890
Wilmington. NC 28402.1890
AT1N: CESAW-CO-E
Telephone [phone]
y
WATER QV „
DIVISION OF l: AL MANAGFT?'' L
NC DEPARTMEN HEALTH,
AND NAT'IJRAI, Mg"PNMENT
'
P0. Bor. 2953
Raleigh, NC R A RO
ATTN: MR JOIN DO
Telephone [phone] - l7 8!0
)NE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
'EVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT.
'LEASE PRINT.
.. Owners Name: G i iy e or- M o o &w A t tz-Y
Owners Address: 9 0 ., _ 1'? Ova A t ?.Y N G 27030
Owners Phone Number (Home): 010 - ?8(0 - 6 432. (Work): 910 - -7640 - 354.2
If Applicable: Agent's name or responsible corporate official, address, phone number.
.? E t=f &OY t-ES P6, C rr Y 6-n1d; IA1E£2.
.. p.0. EAD-A 70
M Oy6,1 A my NC- 27030 91_O - 76 (o - 3542
Location of work (MUST ATTACH MAP). County: , S u wt?t
Neutst Town or City: M o U bK Aim
'pecific Location (Include road number, landmarks, etc.): S R 1931. S R 185 3 .
?Q. 1904 , S?. 17Ob , SQ 1'115 SR 1'1210
i. Name of Closest Sneam/River. A life eA-r R t yM
?. River Basin: YAfltu#1 - PEA Dg.F,
L Is this project located in a watr s classified as Trout, SA, HQW, ORW, WS I, or WS n? YES [ J NO M
?. Have any Section 404 permits been previously requested for use on this property? YES( ] NO ' aQ
If yes, explain.
10. Estimated total number of acres of waders of the U.S., including wetlands, located on project site:
+ AGRES -
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Me d: O - Z 5 AL V 4 R§ALCa 124 JNID a tTAtz?! S£a?EI?
Drained:
Flooded: _
Excavated:
N4 fA1.t-U10
Totallmpaeted: O. ZS aL
, FROM,
09,02,1994 11:19 NO. 2 P. 5
12. Description of proposed work (Attach PLANS-8 112" X 11" drawings only):
I N15of A LL-A- oN F c=eA:4 IT Y 5;M11-t'AJ2Y S S W SR. I 'l t
13. Purpose of proposed work:a ON J6,Y ? ??CwE -ro WA56 -WA11611
SCR-6t0?C N'f Pt.Aw-r
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, note measures
taken to minimize wetland impacts- Pals f2T r aOSSS W£f uItJDS 10 eo?N&Ww-T ?o
G.x tt?IAtr? ?wI, t-CAS-Y t?wg-t.. ? U05,50-M, &ftfAMS CD 90° OD PgopF.2 60054W
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 orproposed 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 (j NO bQ AIAI
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? S NO N IA.
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, N
B. If available, representative photograph of wetlands to be impacted by project. 0A
C. If delineation was performed by a consultant, include all data sheets relevant to the placement of the
delineation line. N/A
D. If a stormwater management plan is required for this project, attach copy. 01A
E. What is land use of surrounding property? J?X, S t 0"TIA L -, * t N C2L C - fAM 1 t.Y
F. If applicable, what is proposed method of sewage disposal? C29&4 111 r.AN t-fi4 I e-,SW62
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6512 Palls of the Neuse Road
Suite 105
Raleigh, North Carolina 27615
Phone: [phone]
Fax: [phone]
FAX COVER SHEEN'
V is ?r? ? e
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Styo ? 6f/b
(s1
Date:
Message to: r?rr, AP Xo
From:

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Total number of pages, including cover page:
If all pages are not received, please call 876-8441, ext..
?IGG < e S ti? I S 7
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