20010542 Ver 1_Complete File_20010410

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STATE OF NORTH CAROLINA
010542
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415
GOVERNOR
April 6, 2001
NC DENR Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699
ATTN: Mrs. Cynthia Van Der Wiele
Wetlands/401 Unit
Dear Ms. Van Der Wiele:
LYNDO TIPPETT
SECRETARY
SUBJECT: COURTESY COPY - AUTHORIZATION NOT REQUIRED
Guilford County, Replacement of one line of 18-inch Terra Cotta Pipe under Forsyth
Drive (SR 1378).
Please find two courtesy copies of a Pre-Construction Notification Application form submitted to the
US Army Corps of Engineers in fulfillment of the "Notification" condition for Nationwide Permit 33.
If you have any questions or need any additional information, please contact Dennis Johnson or I at
[phone].
Sincerely,
14
Lenwood E. Smith, II, PWS
Division Seven Environmental Officer
cc: Mr. Eric Alsmeyer, USACE
Ms. Renee Gledhill-Earley, SHPO
Mr. Dennis Johnson, NCDOT
PHONE [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR
SECRETARY
April 6, 2001
U.S. Army Corps of Engineers
Regulatory Field Office
6508 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 27615
ATTN: Mr. Eric Alsmeyer.
NCDOT Coordinator
Dear Mr. Alsmeyer:
SUBJECT: Guilford County, Replacement of one line of 18-inch Terra Cotta Pipe under Forsyth
Drive (SR 1378).
The North Carolina Department of Transportation (NCDOT) proposes to replace one line of 45-feet
long 18-inch Terra Cotta pipe with one (1) line of 73 by 55-inch CMP Arch 50-feet long to ease
flooding of residential properties located upstream and restore aquatic life movement. No Wetlands,
High Quality Waters, or Outstanding Resource Waters occur in the project area.
The NCDOT anticipates that the pipe replacement activity will be authorized under Nationwide
Permit 3 and the pump around dewatering opertation will be authorized under NWP 33; therefore
this application is a request for written authorization to dewater the stream under NWP 33.
Enclosed please find the project site map and the pre-construction notification form for the above
referenced project. By copy of this letter we are also requesting General Water Quality
Certifications 3114 and 3290 from the NC Division of Water Quality. The project is anticipated to
begin in May and should be completed in 3 days.
If you have any questions or need any additional information, please contact Dennis Johnson or I at
[phone]. Thank you for your time and assistance.
PHONE [phone] FAX [phone]
MICHAEL F. EASLEY
GOVERNOR
?Y ga4ATFo
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
1584 YANCEMLLE STREET, GREENSBORO, NC 27415
Sincerely,
Lenwood E. Smith, II, PWS
Division Seven Environmental Officer
cc: Ms. Cynthia Van Der Wiele, NCDWQ
Ms. Renee Gledhill-Earley, SHPO
Mr. Dennis Johnson, NCDOT
LYNDO TIPPETr
SECRETARY
PHONE [phone] FAX [phone]
Vaw
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EAsLEY 1584 YANCEYVILLE STREET, GREENSBORO, NC 27415 LYNDO TIPPETT
GOVERNOR SECRETARY
April 6, 2001
State Historic Preservation Officer
Division of Archives History
4617 Mail Service Center
Raleigh, NC 27699
CS-52-31-31
ATTN: Ms. Renee Gledhill-Earley
Dear Mrs. Gledhill-Earley:
SUBJECT: Guilford County, Replacement of one line of 18-inch Terra Cotta Pipe under Forsyth
Drive (SR 1378).
Please find a Pre-Construction Notification Application form attached for you review. If you have
any questions or need any additional information, please contact Dennis Johnson or I at (336) 375-
5589. Thank you for your time and assistance.
Sincerely,
Lenwood E. Smith, II, PWS
Division Seven Environmental Officer
cc: Mr. Eric Alsmeyer, USACE
Ms. Cynthia Van Der Wiele, NCDWQ
Mr. Dennis Johnson, NCDOT
PHONE [phone] FAX [phone]
DWQ ID: _ CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 3 and 33
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC 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 MUST BE SENT TO THE NC DIVISION OF WATER QUALITY,
ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC
27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: NC DEPT OF TRANS Division of Highways - 7- Bridge Department
2. MAILING ADDRESS: 4261 Camp Burton Road
SUBDIVISION NAME N/A
CITY: McLeansville STATE: North Carolina ZIP CODE: 27301
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER: (HOME)
(WORK) [phone]
4 IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Agent: Lenwood E. Smith II PWS Division Environmental Officer
4261 Camp Burton Road McLeansville NC 27301
[phone]
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Guilford - NEAREST TOWN: Jamestown
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ECT.) One line of 18-inch
Terra Cotta Pipe under Forsyth Drive (SR 1378). The crossing is approximately 1300 feet south north of
the intersection of Forsyth Drive with Wayne Road (SR 1381).
6. IMPACTED OR NEAREST STREAM/RIVER: unnamed tributary to Reddicks Creek
RIVER BASIN: Cape Fear
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ? NO X IF YES, EXPLAIN:.The water is designated as WS-IV
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? NO X
(c) 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? No
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROJECT? YES ? NO X IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT
AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): _
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO X IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: N/A
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: N/A EXCAVATION: N/A
FLOODING: N/A OTHER : N/A
DRAINAGE : N/A TOTAL ACRES TO BE IMPACTED: N/A
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A AFTER: N/A
WIDTH BEFORE (based on normal high water contours): N/A
AVERAGE DEPTH BEFORE: N/A AFTER: N/A
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER: Five (5) linear feet of steam impacts. Placement of temporary impervious dikes within the
unnamed tributary
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
Replacement of one line of 45-feet long 18-inch Terra Cotta pipe with one (1) line of 73 by 55-inch CMP
Arch 50-feet long to ease flooding of residential properties located upstream. Road construction
equipment.
13. PURPOSE OF PROPOSED WORK: To replace a currently undersized pipe and ease flooding of
residential properties located upstream. Restore aquatic life movement through burial of the newpipe
one-foot below the elevation of the streambed.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
No wetlands are present within the proposed impact area.
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE 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: No federally protected aquatic species are known from the Cape Fear basin within
Guilford County. The property to be impacted is currently maintained as a golf course; therefore habitat
for federally protected species is not present within the impact area..
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. DATE CONTACTED April 6, 2001
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES X NO ? (IF NO, GO TO 16)
(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 X
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE 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 ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET
OR THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? Commercial/Residential
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US 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 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,
1 Z4??1,2-
6 6 a/
OWNER'S/AG NT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: Seven County: Guilford Project ID: 5.4952
River Basin: Cape Fear Bridge No: Not Applicable
Route: SR 1378 Stream: unnamed tributary to Reddicks Creek
Water Quality , Criteria:
Yes No
Stream Crossing Blue Line On USGS r r
ORW r-, rFt
WSI r7l, c
WS II,III OR IV, Crossing Within 0.5mi of W. S. Critical Area r- IF,,,
Roadway Criteria:
Route Designation-
Additional Site Information:
Yes No
Arterial Urban 17 R'
Arterial Rural r f
Is a Hazardous Spill Basin Required?
Yes No
fff
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
Sc?c?i c?'r-C .
EROSION CONTROL FLAN
County ?Gt,r(dvf`t?? Route
Project
Bridge fi;:;2C
Replacement of ( PC with Prpl":2C-
Rip Rap sediment dam required? CY.E,S NO
Stilling basin required? YES if yes show size and location
on plans!
Excavate to remove
Install silt fence as needed.
Install I (M 3'X ?'S^ "• backfill and contact landscape for
seeding.
COMMENTS
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View of the stream channel upstream from the pipe being replaced
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Inlet of the pipe to be replaced
Inlet of the pipe to be replaced
View of the stream channel downstream from the pipe being replaced