19950341 Ver 1_Complete File_19950330

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
Mr. George Teague
Bridge Maintenance
NC DOT
515 Camp Road
Salisbury, N.C. 28147
Dear Mr. Teague:
FILE COPY
You have our approval to place fill material in waters for the purpose of bridge maintenance at
Bridge # 117, SR 2902, as you described in your application dated 28 March 1995. After reviewing
your application, we have decided that this fill is covered by General Water Quality Certification
Number 2745. This certification allows you to use Nationwide Permit Number 3 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,
on Howard, Jr. P
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
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April 10, 1995
Forsyth County
DEM Project # 95341
95341.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An yual Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
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s RECEIVED
401 ISSUED MAR 3 01995
STATE OF NORTH CAROLINA ENVIRONtE I7 SCIENCES
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT. JR. DIVISION OF HIGHWAYS SAM HUNT
GOVERNOR SECRETARY
March 28, 1995
Mr. Eric Galamb
W. Q. Certification Unit
P. O. Box 29535
Raleigh, N. C. 27626-0535
Dear Mr. Galamb :
515 Camp.Rd.
Salisbury, N. C. 28147
The North Carolina Department of Transportation Bridge
Maintenance Unit, proposed the following project for your review.
We believe this project can be accomplished under Nationwide # 3.
COUNTY Forsyth, Bridge 117
ROUTE SR 2902
STREAM South Fork, Muddy'Creek
DESCRIPTION Bridge 62-117 replaced with Bridge. Not located
in Wetlands. No fill in Waters. Drainage Area = 43.0 sq. mi.
Ave. Daily Flow = 43.0 CFS.
We have attached a site location map, and a sketch of
planned activities. A stringent erosion and sedimentation
control program will be implemented during the project
construction and every effort will be made to complete work in
a timely manner.
Our personnel are available to assist with your evaluation
of this project, if necessary. Should you have any questions,
please call me at 704-639-7555.
Attach.
GLT/sb
Sincerely,
George L. Tea ue
Bridge Maintenance Supt.

DEM ID: q 5 31-4 I
401 ISSUED
ACTION ID:
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS .
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL
NC DEPARTMENT OF ENVIRO
AND NATURAL RESOURC Ti
P.O. BOX 29535
RALEIGH, NC 27626-0535?1PL
ATTN: MR. JOHN DORNEY
T 1 h [phone]
MANAGEMENT
U

ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE`CORPS"0F'
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: NZ, 6-F
2. OWNERS ADDRESS : _-5/-5-
3. ?rf ,
OWNERS PHONE NUMBER (HOME) : ?del- 9 39-755-S (WORK) : 7d5i - 639- 753-5-
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: s
NEAREST TOWN OR CITY: GJ YY
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
6. NAME OF CLOSEST STREAM/RIVER: yacJ??? ni(/?.?
7. RIVER BASIN: Xa d k 1 r-1
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ J NO [
_. 1
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [v]'
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
2/3/92
4? . r J i>
A 4
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: e
DRAINED: 4
FLOODED: D
EXCAVATED: O
TOTAL IMPACTED: D /
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): a /Q? lace D-lel
30 ?Da? N _ fir.
/ /'a a S"= g" F?..,rll c ., w" /qq-u3 -5
13. PURPOSE OF PROPOSED WORK : e ? c Q d?d L 22. n , i
N? 8.-; d vim.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. /Y
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 A FECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES [ ] NO [ ,
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
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 [vj?
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
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?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
J
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