19981259 Ver 1_Complete File_19981229

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
ILT?W'A
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 2, 1999
Union County
WQC 401 Project # 981259
APPROVAL of 401 Water Quality Certification
Mr. Bill Gilmore
NC DOT
PO Box 25201
Raleigh NC 27611-5201
Dear Mr. Gilmore:
You have our approval, in accordance with the attached conditions, for the purpose of replacing bridge 167 in Union
County, as you described in your application dated December 21, 1998. After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification Number 3103. This Certification allows you to
use Nationwide Permit Number 14 when the Corps of Engineers issues it. In addition, you should get any other federal,
state or local permits before you go ahead with your project including (but not limited to) Sediment and Erosion Control,
Coastal Stormwater, Non-Discharge and Water Supply Watershed regulations. Also this approval will expire when the
accompanying 404 or 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 and send us a new application. If the property is sold, the new owner must be given a copy of
this 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.
If. you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must
act within 60 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. 276 1 1-7447. This certification and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you
have any questions, please telephone John Domey at 919-733-1786.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
Mr. John Domey
Central Files
Sincer
oward, Jr. P.E.
981259.1tr
Division of Water Quality • Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd, Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT JR. P.O. BOX 25201, RALEIGH, N.C. 27611-5201 E. NORRIS TOLSON
GOVERNOR SECRETARY
January 20, 1999 - --- . - _?
JAN 2 I i9
Mr. John Dorney WETLA^JDs"4;
Water Quality Certification Program
4401 Reedy Creek Rd.
Raleigh, N. C. 27607
From : George L. Teague
NC DOT Bridge Mte. Supt.
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Dorney :
Attached are the requested updated forms you requested in our telephone
conversation earlier this month. If you have any further questions, please call me
at 704-639-7555.
5&14;?
GLT/sb
SEA it,
N
Man
•@ Q?rr k?a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT JR. P.O. BOX 25201, RALEIGH, N.C. 276 1 1-520 1 E. NORRIS TOLSON
GoVERIJOR
Dec. 21, 1998
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
SECRETARY
Dear Mr. Lund,
The North Carolina Department of Transportation Bridge Maintenance Unit, proposes the following
project for your review. We believe this project can be accomplished under Nationwide # 3.
COUNTY : Union County; Bridge # 167
ROUTE : S. R. 1131
STREAM : Crane Creek
DESCRIPTION : Bridge # 69-167 Replaced with 3 Lines of 142"x 91" CMPA @ 60' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 3.1 sq. miles. Average Daily Flow= 3.1 C.F.S.
Total pipe length in stream = 60 ft,
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.
cerely,
George .Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
State of North Carolina
Department of Environment .!_AN, 1 2 1998
and Natural Resources tt 3 ` ` •
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
lmN'R
_'N C i wit
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANr) NATURAL RESOURCES
December 31, 1998
Mr. George Teague
NC DOT
515 Camp Road
Salisbury, NC 28147
Dear Mr. Teague:
Re: Replacing bridge #69-167
Union County
DWQ # 981259
The Division of Water Quality has reviewed your submittal for a :i =r= ' Permit for replacing
bridges # 69-167 in Union County. Your application was not complete since the lci:gth of the culvert to
be installed was not included in the application. This information is needed by DWQ in order for us to
decide whether this project is approvable.
I can be reached at 919-733-1786 if you have any questions. Until this information: is
received, I will request (by copy of this letter) that the Corps of Engineers place this project on held.
Also, the project will be placed on hold for our processing due to incomplete information (15A NCAC
2H .0507(a)(4)). Your processing time will begin once we receive a complete application.
Sincerely,
Jo R. Dorney
W ter Quality Certification Program
Attachment
cc: Mooresville DWQ Regional Office
Wilmington District of Corps of Engineers
Asheville Field Office Corps of Engineers
John Dorney
Central Files
981259.hld
Division of Water Quality • Non-Discharge Branch
4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # a3'i-9959
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
SrATE
'tea:.: ?•
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT JR. P.O. BOX 25201, RALEIGH, N.C. 27611-5201 E. NORRIS TOLSON
GOVERNOR
Dec. 15, 1998
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
SECRETARY
Dear Mr. Lund,
The North Carolina Department of Transportation Bridge Maintenance Unit, proposes the following
project for your review. We believe this project can be accomplished under Nationwide # 26.
COUNTY : Stanly County ; Bridge # 141
ROUTE : S. R. 1231
STREAM : Pole Branch Creek
DESCRIPTION : Bridge # 68-141 Replaced with 3 Lines of 66"x 51" CMPA @ 60' Length.
Not located in wetlands.
Less than 0.007 Acres of Rip Rap fill in Waters.
Drainage Area = 0.67 sq. miles. Average Daily Flow = 0.67 C.F.S.
Total pipe length in stream = 60 ft,
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.
Sincerely,
George L. Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
State of North Carolina r ' AL
Department of Environment 1 '?. 1998 ` •
and Natural Resources ?..o
Division of Water Quality
James B. Hunt, Jr., Governor N-C E"R
Wayne McDevitt, Secretary NORTH CAROLINA DEPAR"; MG!,•;T •7F
A. Preston Howard, Jr., P.E., Director ENVIRONMENT AND NATURAL RESOURCES
December 31, 1998
Mr. George Teague
NC DOT
515 Camp Road
Salisbury, NC 28147
Dear Mr. Teague:
Re: Bridge # 141
Stanly County
DWQ # 981258
The Division of Water Quality has reviewed your submittal for a 404%401 Permit for replacing
bridge # 141 in Stanly County. Your application was not complete since the total amount of impact and
mitigation was not included in the application. This information is needed by DWQ in order for us to
decide whether this project is approvable.
I can be reached at 919-733-1786 if you have any questions. Until this information is
received, I will request (by copy of this letter) that the Corps of Engineers place this project on hold.
Also, the project will be placed on hold for our processing due to incomplete informaior, (15A NCAC
211.0507(a)(4)). Your processing time will begin once we receive a complete application.
Attachment
cc: Mooresville DWQ Regional Office
Wilmington District of Corps of Engineers
Asheville Field Office Corps of Engineers
John Dorney
Central Files
Sincerely,
R. Dorney
'4ater
Qua
lity Certi ica /on Program
981258.V!d
Division of Water Quality • Non-Discharge Branch
4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 9 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality

James B. Hunt, Jr., Governor NC ENR
Wayne McDevitt, Secretary Q. Preston Howard, Jr., P.E., Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 31, 1998
Mr. George Teague
NC DOT
515 Camp Road
Salisbury, NC 28147
Dear Mr. Teague:
Re: Replacing bridge #69-167
Union County
DWQ # 981259
The Division of Water Quality has reviewed your submittal for a 404/401 Permit for replacing
bridges # 69-167 in Union County. Your application was not complete since the length of the culvert to
be installed was not included in the application. This information is needed by DWQ in order for us to
decide whether this project is approvable.
I can be reached at 919-733-1786 if you have any questions. Until this information is
received, I will request (by copy of this letter) that the Corps of Engineers place this project on hold.
Also, the project will be placed on hold for our processing due to incomplete information (15A NCAC
2H .0507(a)(4)). Your processing time will begin once we receive a complete application.
Sincerely,
4rWter R. Dorney
J4 0J
Quality
Certification Program
Attachment
cc: Mooresville DWQ Regional Office
Wilmington District of Corps of Engineers
Asheville Field Office Corps of Engineers
John Dorney
Central Files
981259.hld
Division of Water Quality • Non-Discharge Branch
4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper

o
Dec. 21, 1998 V lid
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N.C. 28801-5006
Dear Mr. Lund,
The North Carolina Department of Transportation Bridge Maintenance Unit, proposes the following
project for your review. We believe this project can be accomplished under Nationwide # /-
COUNTY: Union County; Bridge #167
ROUTE: S.R. 1131
STREAM: Cane Creek
DESCRIPTION: Bridge #69-167. Replaced with 3 lines of 142" X 91" CMPA. Not located in
wetlands. Less than 0.02 acre Rip Rap fill in waters. Drainage Area = 3.1 Sq. Miles.
Ave. Daily Flow = 3.1 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.
Sincerely,
George L. Teague
Bridge Maintenance Supt.
GLT/des
attach.
DEM ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
515 CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) U
?jc M SPA 1131 Cape Creak
3. TELEPHONE NUMBER (HOME) (WORK) 704-639-7555
IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS.
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
515 CAMP RD.
SALISBURY, N.C. 28147
704-639-7555
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: U t\*% o•n NEAREST TOWN OR CITY: S a c?. 3 b Y?1
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.):
g1 W S? 1131 0 1 Mi. N%r , 31c7 SR 1113 acr.,Jr
CQ.N? CR£1-
6. IMPACTED OR NEAREST STREAM/RIVER: C a vN-1- Cre+,
RIVER BASIN: CCAO CR W OG?
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO (V IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO V
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
NIA
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( ) NO V IF YES, PROVIDE ACTION I.D. NUMBER OF TI-If
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF
401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES( ) NO (V IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: GV?-
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING:
FLOODING: A
DRAINAGE:
EXCAVATION:
OTHER:
TOTAL ACRES TO BE IIvIPACTED:-Nux
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED
LENGTH BEFORE-„ q-h FT/--- AFTER:
WIDTH BEFORE (BASED ON NORMAL HI
WIDTH AFTER: FT.
FT.
AVERAGE DEPTH BEFORE: FT. AFTER: FT.
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: x_ CONSTRUCTION OF A DAM/FLOODING:
OTHERS: RL`4`arc 6?? ?t •c\, W.a? t ?+ntt C
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? NO 0 f,,
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MEHAN-ICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 '/" X 11" DRAWINGS ONLY). R t f
oQ? ac.S' A*,o.?t? ??,ayt ??;?1. 3 1:??s d? I'1?'' x ctt'' Cil?hfl
13. PURPOSE OF WORK:?J? e.C c o `? 4-c • S M? tr r; ,? G 4i:?1. 3
Vic Z?; VA-11' )e °C \ V -?
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
Nlk
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR
LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE
PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: (ATTACH RESPONSES FROM THESE AGENCIES.)
i 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTIRIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: %Z -21 -`? E
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES k4 NO " (IF NO, GO TO 18)
4.
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES() NO 0
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMIMSTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADRVIINSTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18,
21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE I-= 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE MIPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? U}otia,r 1
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
NI A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
' /2 zl-SAO,
O S / S SIG ATURE DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
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Division of Highways
_ George L. Teague
Bridge Maintenance Superintendent
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515 Camp Rd. - [phone]
637- G, u G` Salisbury, NC 28147 1 F. [phone]
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981259
Dec. 21, 1998
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N.C. 28801-5006
Dear Mr. Lund,
The North Carolina Department of Transportation Bridge Maintenance Unit, proposes the following
project for your review. We believe this project can be accomplished under Nationwide # 3.
COUNTY: Union County; Bridge #167
ROUTE: S.R. 1131
STREAM: Cane Creek
DESCRIPTION: Bridge #69-167. Replaced with 3 lines of 142" X 91" CMPA. Not located in
wetlands. Less than 0.02 acre Rip Rap fill in waters. Drainage Area = 3.1 Sq. Miles.
Ave. Daily Flow = 3.1 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.
Sincerely,
George L. Teague
Bridge Maintenance Supt.
GLT/des
attach.
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
515 CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) U r\*1 o r\ CO
?)c 10 Sy, 113 I Oahe. Creck
3. TELEPHONE NUMBER (HOME) (WORK) 704-639-7555
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS.
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
515 CAMP RD.
SALISBURY, N.C. 28147
704-639-7555
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: L) t\*% ova NEAREST TOWN OR CITY: S a _ . 3 b YV
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.):
g1 W S?_ 1131 O '1 Mi. ?lor?1. ACT SR I13-3
acr.?Jr
C01*NL lzsll
6. IMPACTED OR NEAREST STREAM/RIVER: C a +,-c, C-ftl- k
RIVER BASIN: CG?R W Os
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO (%? IF YES. EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO V
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
NIA
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES(') NO V IF YES, PROVIDE ACTION I.D. NUMBER OF THE
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF
401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( ) NO (V IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: Q o ?YY ?_
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING:
FLOODING:
DRAINAGE: ?
EXCAVATION:
OTHER:
TOTAL ACRES TO BE IMPACTED:-Afqt'6
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: IV / I\ FT. AFTER:
WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS): FT.
WIDTH AFTER: FT.
AVERAGE DEPTH BEFORE: FT. AFTER:
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: x/ CONSTRUCTION OF A DAM/FLOODING.-
OTHERS: R gc'- 6\ ' \im, ? 1; vet r__ h T C
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
/ -
DRAINING TO THE POND? N b W 4'
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 '/" X 11" DRAWINGS ONLY): Rt qC?
13. PURPOSE OF WORK: Re Q 1 e.Cti o ?? ?-? • S -? n.? cr b r , c ?,/ ??. 3
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
Nlk
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR
LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE
PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: (ATTACH RESPONSES FROM THESE AGENCIES.)
i 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTIRIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: %Z -2(-<7`rj
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES k4 NO '' (IF NO, GO TO 18)
4.
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES() NO 0
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMIINSTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE NO. 99-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS. STREAMS. LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14. 18,
21, 26. 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE I-= 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE DvIPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT ISLAND USE OF SURROUNDING PROPERTY? UJOt,aJ- 1
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
NJ I A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
14-A 0
O S / T S SIG 'ATURE DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
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1u?I North Carolina
Department of Transportation
Oo S Q 11 ` Division of Highways
George L. Teague
?9 f? 1 +f? ?4 ' \\\ Bridge Maintenance Superintendent
627 lV•\
_ 1 \ V ? - [phone]
U h l `y Qua f?\Cl 515 Camp Rd.
7 Fax [phone]
F Salisbury , NC 28147 -
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