20030320 Ver 1_COMPLETE FILE_20030318

SHEET CONTRACT
] OF 22
Clty of round Loc s i uests
COG Water c 73-2033
GDOT Traf 73-2606
GDG/Guilf 73-2084 COG Wet r 73-8855
Tanks r
GDOT St 73-2569
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FORE YOU DIG! BE
NE--CALL CENTER CONTACT 0
1-800-632-4949
1
CITY OF GREENSBORO
ENGINEERING DESIGN DIVISION

Existing Manhole i/6" (labeled)....
~ Pr used Manhole 1/6' . np
~1
~elecommunicatiens Manhole 1/B" (labeled)...... (T~
vV - - ~~~V ~ ~ , Exist. Curb Inlet 5/32"-5/64"
v ~ Prop. Curb Inlet 5/32"-5/64°
~ _ C` Teiephone 9ooth 3/16 5/16
I, i , ~ Al~regs Exist. Telephone Or Power Pole 3/32"..,..
~ ~ ~ A, rare / ~ 4 Prop. Telephone Or Power Pole 3/32"
0 City Of Greensboro 51gna] Pole 3!32" (labeled) ~ ~
Guy Wire 3/32"....
. ~ ~r~ r
Exist. Hydrant 3/32" a
y Prop. Hydrant 3/32" ~
I J Water Valve '/32" (labeled)
i Traffic Engic~eering Signal Box 5/64" ~
1 Gas Valve 3/32" ~
Grate or Drop Inlet (D.I.) 3/32'

Right Of Nay Monument 3/32"....,..•
Iron Pipe 3/64' . ,F,.
• Meter 5/64",..•
Electrical Outlet 5/64" (labeled) ~~~fc`.
Telecommunications Box Or Pedestal 5/64" (labeled).....
Exist. Precise Traverse Point 7/64" (labeled) ~'p,o
W 1 > " s Tree 1 4" (labeled) rio 18 Or Les / •
'~cJ Over 20" Tree 5/16" (labeled)
i W 0 Shrub 5/32" ~5
i, ~ pP ,'~i X ti Clean Out i/i6"-1/32" (labeledl.•••~••~ ~ r~~c o.
0 1~'~~ 6 k ~I~, ~ ~yh Light Pole 3/32" (labeled)......... ~ ~6,
I' t,' r- 5P I i~ N ~W;7Rj
a w ~ ' Wheelchair Ramp (City Of Greensboro Std. N418)....
f Control Of Access tine 5116° - - ~ - I
1~ fp• ti Exist. Water Line (labeled) --p -
r ~ 11 Prop. Water Line (labeled)....
i ii \ ~ - - _ ~j
'j ~ ~ ' txist. Sanitary Sewer Oabeledl _ . _-----~.$S '1
~ r'~~oP• Sanitary sewer (labeled) ,
' ~ ~ / ~J ~ ~ - ~ ~ ~o / ~ ~ I ~ g y ~c~ Exist. Ri nt Of via d*
1,, E o i 9 ~ sw G I r / ; Sw Fl7 c; `~TRPp Proposed Margin
~i, ea ~ - ~o f , = 556 ~ ~ ~I,y , ~ ~ ~ v ~ _ z~ Easement (labeled)
~It - ~ SA ~ ~ ~ % ~ ~ tiFy ~ 1 ~ - q ~ _ - ~Ck ~ ~ _ - - I, _ y ~ . '~,TFA~ ~ I . • Temporary Construction Easement.... E.-- - ~ >t z ~ i ~
i= ~ ~ s4 1~ _ ~ AO ~2 CHjM . ~ ~ ~-~-r-------- -I t / ssa 1 ~ ~~r~~~ 13' q _ _ ) - - q rE. ~ i. ~ _Q , ~ ~ ~i` % 22', Exist. Dirt Stree~
. - ~ ~ a ~ 0 - ~r, E~ ' U 9F ~,0ii~ Sq ~ ~ .y.__.~
I. A ~ aP , ~ ~ - ~ isSQ - i ~ ti DoE j.- r ~ ~I q F ~ ~ _ ~ rl ~ ~ ~ ~ exist. Payment . _.ti _ _ ~ 6 _ -
o ~ i~ ~li ~ ~ ~ _ _f,_ ~ - \ ~ ~ ) ~ Exist. Curb (labeled) - - - -
l o 2 ~9 ~yP Q~~~ %r~ ~ u - Exist. Curb 6 Gutter (labeledl • • . • • • . • • • • • • . • • . , .
j ~ j' FpP i~ w ~ CHI NEY CENTE ©lV~ ~ iY CENTE ©~Vb FUTURE ~ ~ i n ~ / _ ,i~ / ~ Prop. Curb 6 Gutter (shaded 6 labeled) • ~ • • ~ • • • • • ~ ~ ~ ~ • ~ •
li ~ ~pN ~ i ~ N I ---~--_i S Q I ¢ r i 1 Ire ~ZP 2 a a I 20" FORCE MAIN c r ~ V ~ Surve Line
~P 2 0 ~ P w : P ~ L- if \ _ BY OTHERS aN., y
~I ~ ~ ,~i ~ i' \ u (I ~ ©0 ii Ij z ~ A~,~ ~ Slope Line . „ ; ~ ~
~ _ L---- - . . . ,r _ z - ~ - Center Line - ~ / / ~'.:A
V I 1~1 - 19 ~ ' Exist. Storm Sewer (labeled) ~ ,~20 NOAPlApAY Nq
~ ~ I 1 ~ ~ Q Prop. Storm Sewer (labeled)
lI \ il~~ 5A fs~~a ~ _ 2 ~ ..•rq \J \ Gas Line (lobeled)
'i ~ ~ I 1 r p , \ Transmission Line 6 Tower
1 Qo i n ion Ca le (labeled) --T-
Underground Telecommu scat b ~ ~ ~o~ ~ ~
h o" ~ SAN. SEWER Underground Power Line....... , -p-- EX. 2 \
i a`° FDRCE MAIN P37110 ~ EX. 16 JAMESTOWN ROAO Fence (labeled) • • • • • • • • • • • ---X-
l~ °e°/~h a,~ SANITARY SEWER OUTFALL p m Railroad -F-I-F--F-
I i ati~~ ~ c ' o~ ~ Bridge (Prop. Solid 6 Exist. Broken)
_ ~ • ~ o N ~ ro Box Culvert (Prop, Solid 6 Exist. erokeN
n n
.S L--_---------- Guard Rail..........• t
. Llo~inea fln C7nahac f~AhB~Ptil
I WNWtHAt o ---1' - / SR 1541 Woods Line . .
/ Exist. House....,...... . . . . .
VICINITY MAP NTS Temporary Silt Fence.... Jvv%e NV'
Erosion Control Device (C06 Std. No. 215 6 432) .
BID DATE:
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f ~ ~ ~ r r ~ • Q v Q ~ TEMP. SEDIMENT BASI ~ ~ 2 e ~
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JOHN A. DOBBS k WILLIAM F. WICKER ~ p~ ~ $ / ~ ~ ~ ~P a ~ ~ / r DB 4311 PG 819 y~ ~ ~ CR I ~ ~ i/ ~di 4~ ~ i~
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NOTES: ~ e e a a J, Q ~ e~ / f i / / i~
N TALL NEW LINE WITH PLUG TO BE ; s• ~ ~ 1. CORE & I S r 0 p e~~~3~ / / / r(_- ~ ~ / i ~ /
REMOVED AT SUCH TIME AS CITY ABANDONS 1 , ~ i . ~ I QQ i s• ~ ~ 7 / ~ - O / 1~• / / ~
OLD STATION. ~~~mW ~ / J i i / / i ~
2. CUT & PLUG TO BE COORDINATED WITH CITY r , MH 14 , W o„ o" rar - / / O / /
AT SUCH TIME AS EXISTING STATION IS 3+65.51 I TEMPORARY CHANNEL ` ~ ~ ~ ~ NOT I,I, i o ~ 5R / ~ ~ i
ABANDONED. cROSSINc - coc sTD. 213/214 ~ p r ~ ~
3. COG STD. 215 r ~ , EXIST]NG ~ ~ ~ , ,
I t5• Rc T BE ABANDONED _ ~ ~ ~ ~ , - i / 1. ~ % / ~
EXISTING MH , - - - ~ ~ - - Z / - ~ / STABIL]Z / ~
7+46.42 _ ~ " o ~ 1 _ - o ~ - , CONSTf~.UCTION / , ~ / ~ ~ ~
+ ~EXISTI G 8" SANITARY ~ „ ~ ~ /
~ a r ~ --1-T - R N ~ ~ 8" ~ - 70 6 ARAN E
+ PROPp5E0 , , EXISTING DOMED r I - ~X~, / / _ _ _ _
ARY E.LP. , MH CUT do PLUG EXISTING 8" SANITARY SEWER SANtT ss _ zs-- - CoG STD. 2to ~ / I / ~ - ~ ~ ~ -p
ss ss ss ss ss ss Suess ss ss _ EXISTING 8" SANITARY, SEWER LINE , , EXIST! 8" SANITA - -
® Ex SEWER LINE ' , , TO BE ABANDONED ~ Td BE ABANDON - ~ ~ - ~ / i ~ P
~ - ~ - ~ - ~ 2~ ti • ~ ~ X. F ~ I \
~ ; CUT & PLUG " ~ / i / ~ / ~
EXISTING ~ COG STD. 210 / CUT i3C PLUG MH ~ ~ ~ ~
COG STD. 210 , ~ TO BE ABANDONF / ~ ~ i ) ~
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`r,SS10 o po WILLIAM E. MITOiELL ASSOCIAMS REVISIONS TYPE CONTRACT CONTRACTOR D 2 Q JTRACTOR AS-BUILT AUTH. DATE BENCH MARKS JOB No. P -3711-C CITY OF GREENSBORO
A L * 1_19-99 SHOW EXIST. STORM ROADWAY
CIVIL ENGWEERING • SURVEYING • LAND PLANNING DRAIN THROUGH Si 07480 2-11-03 COG COMMENTS SEWER oEsIaNm By ENGINEERING DIVISION
125 S. UM STREET SUITE 100-8 oorrsr. SURVEY By GALLIMORE DAIRY ROAD O.F. S"EETN0•
WATER GREENSBM, NC 27+01 [phone] f)IEgCED BY NEW LIFT STATION NORTH FROM
M EM z 3-Zo•o3 SIDEWALK
SCALE: 1'-40' HOR. 1'-4' AVERT. 1 OF 5 30" O.F. WEST 746' -

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CONSTRUCTION SEQUENCE: ~ CONTFACT SHEET
UMl (MATE 3 OF
APPROX ONE 000 Z ~ AR FL ~ 1. Obtain approval for sediment & erosion control plan.
I 100-YE 2. Instill stabilized construction entrance; install 15" storm drains
I and protect inlets with stone filters; begin clearing; instolt silt fence.
~kik GR10 ~ TEMP. SEDIMENT BASIN
N.C• 3. Continue dearing; begin sewer installation. AREA DISTURBEO=0.09 A
4 - - s ~ 15'Lx7.5'Wx2'0 - - 4' WEIR
; - j-~~~~ 4. Instill temporary stream crossing for installation of sewer across creek.
1 - 5. instill silt fence around exist. junction box; install rock check dam &
earth berm across old channel bed at low end of pump station site. SEDIMENT BASIN
~ AREA DISTURBED=0.11 AC 15'LK7.5'Wx2'D
OOOWAY _ _ - , _ ~ 1TS OF FL JOHN A. DOBBS & WILLIAM F. Wlq(ER 6. Begin site grading for pump station. 4 WE[R
- - - - ~ A~ LIM DB 4311 PG 819
OX1M APPR ACL-94-7001-1025-5 7. Complete sewer installation; remove temporary stream crossing; ToP OF B . permanentl seed all disturbed areas. ~ ~ ~ • • ~K . ' .
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~ 8. Compete grading and pump site improvements; permanently seed all _ -
H - disturbed areas; install naming.
ss ss ss
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~ ~ CE ~ MENT PROPOSED 30" RCP SILT FEN 25 PERMANENT EASE 7 SANITARY SEWER e 9 / .E' o Z 8 E, I W W
a °m a SANITARY SEWER 5 6 ~E~ ~
v 2 12.5' 3 PERMANENT EASEMENT a _
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o USE EXISTING RIP-RAP FOR - - -E- -E- -E- -E- -E- -E- E E E- I - - M X11 E E A EMENT MH 2 EPLAC~ NSTRUCT[ON E S BAH ~ 4 _ / i
i 1 COG STD. 213, 10 10 TEMPORARY CO 0 1+20.09 o R[P-RAP STD. 22 9+14.40 _
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P 3711 B - - - -~~~--~~--.rte--~~--~ -
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WILLIAM E. MITCH ASSOCIATES p ppFESS~ ~ y Q REVISIONS TYPE CONTRACT CONTRACTOR 1 RACTOR AS-BUILT AUTH. OATS BENCH MARKS JOB NO. P -3711-C CITY OF GREENSBORO ~•K»
S * 1-19-99 SHOW EXISTING STORM DRAIN
CIVIL ENGINEERING • SURVEYING • LAND PLANNING 48 mROUGK SITE ROADWAY oESIa+m BY ENGINEERING DIVISION
4 , 2-11-03 COG COMMENTS < fh E1, SEWER 125 S. ELM STREET SUITE 100-B GiNE
GREENSBORO, NC 27401 336 379-0515 qM Mid WATER CONST• SURVEY By GALLIMORE DAIRY ROAD O.F. SHEET NO. CtECICED BY FROM NEW LIFT STATION NORTH 3,530'f y OF g
3- 20-03 S IDEWALK
SCALE: 1'40' HOR. 10'4' VERT.
I

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` CONTRACT SHEET
4 OF
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8' SANRARY SEWER STIMMEL ASSOCUITES- / ' . APPROXDI1ITE LOCATION OF FUTURE (FROM / APPROXIMATE - - ~ -
SEWER EX'IDrSION PLAN !PROFILE - AIRPARK SOUTH DATER 8-15-01) LIMITS OF FL OpDWAY
MAY OR MAY NOT BE OONSIRUCIED AS SHOWM /
N.C. GRID
Q ff`` ~ ,
TEMP. SEDIMENT BASIN f V ~ ~ TEMP. SEDIMENT BASIN AREA OISTURBEO-0.09 A »
. AREA DISTURBED=0.11 AC / O f 15'Lx7.5'Wx2'0 ~ cp
15'Lx7.5'wxz'o 4. wEIR CONTACT 48 HOURS 4' HEIR Q f
BEFORE DIGGING _ - _ _
. ~
Fl ROPTIC ~ ~ , ,
ARKER _ ~ PRpp
T~OF. fin' LINE MH ~ rpP OF
SILT FENCE ~ ~ P-3711-C S[LT FENCE BgNK ~ 20+13.79 _
SILT FENCE / 0 5 ~ - -
k 5 TEMPORARY CONSTRUCTION EASEMENT - - E - - E - - E - E - - E - - E - E - E / ~ - - -E- -E- -E- -E- -E- -E- -E- E- _
E--E-- - - -T \ ~f` \
~ PERMANENT EASEMENT PROPOSED 30' RCP SANITARY SEWER oa FIBER TIC MARKER 25 E~ ~ ~ ~ ~ PR ~E~ ~
PROPOSED 30' RCP ~ RMANENT EASEMENT 12.5 PE 3p RCP_Sq \ ~E`
SANITARY SEWER ~ pe / - - - -E- -E- -E- _ NlTgRY ~ ~E`
~ - - - -E- -E- -E- -E- -E E- -E- - ~ - - - E / 4 - - -E- -E- -E- -E- -E E E- \ ~R ~ S \ \ E~ `
_ - - -E- - E E E E Y CONSTRUCTION EASEMENT -E- -E- -E- E E- ~ sops o 10' 10 TEMPORAR E e ~ E ~ ~ \ ~ ~ 5 TE ' . 9 ~ E~ MPp
MH 5 TEMPORARY CHANNEL CROSSING ~m E ~ ~ \ ~ RARY • . .`E ~ ~CpNST
COG STD. 213 214 FIBER OPTIC 14+64.40 3s" SYCAMOR ~ \ 25' E ~ RucT ti ~ E ~ pfR ~ E IpN f
STABILIZE Wi RIP-RAP MARKER ~ E ~ 12.5 MgNf ~ ~ASEM F ~ NT f E~ ENT E~ p f ASfMf
/ ~ ~E~ RMgN NT E~ 4' SYCAMORE ` fN T f E `
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FO APPROXIMATE LOCATION OF FORCE MAM (FR011 STANdEI ASSOCIATES- MARKER ~ ~yj g~ E7(1D~SION PLAN ~ PROFILE - A6tPARK SOUTH DATED: B-15-01) _ ~E~ \ ENT E~
~ 80e„ 3 ° 'QF' 807„9 - - - ~ TEMPO ~E~ '``E~ - _ RARY ~
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CA RO
Q' ESSi o ao` o~ ti REVISIONS TYPE CONTRACT CONTRACTOR AS-BUII Y AS-BUILT AU7H. DATE BENCH MARKS .aa No. P -3711-c CITY OF GREENSBORO "K"
WILLIAM E. MITCHELL ASSOCIATES # * -19-99 SNOW EXISTING 54- RCP THROUGH SI ROADWAY oesIaNEo BY ENGINEERING DIVISION
CIVIL ENGINEERING • SURVEYING • LAND PLANNING 480 y 7-00 SNOW EXISTING FIBER OPTIC CABLE w SEWER corisr. suHVEr BY GALLIMORE DAIRY ROAD 0. F. SHEET NO.
125 S. Ells STREET SUITE 100-8 rh to ~v -07-03 94OW ADDITIONAL FIBER OPTIC MARXERS, G' wE UTIUM s oaSMG YET WELT. WATER CHECKED BY FROM NEW LIFT STATION NORTH 3,530't 3 OF 5
C 27401 [phone] qM M\~ 3 03 E GREENSBORO, N SIDEWALK SCALE 1--40' HOR. 1'=4' T.
1

'J.wuttall.dwg Mon Mar 03 13:33:01 2003
FA

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671
April 15, 2003
City of Greensboro
Attn: Mr. Allan E. Williams, PE
Director of Water Resources
P.O. Box 3136
Greensboro, NC 27402-3136
Alan W. Klimek, P.E., Director
Division of Water Quality
DWQ Project No. 03-0320
County: Guilford
Page 1 of 2
Subject Property: Contract 1999-03, Sanitary Sewer Improvements, Gallimore Dairy Road, Greensboro, NC
East Fork Deep River [03-06-08,17-2-(0.3), WS-IV (water supply)]
APPROVAL of 401 Water Quality Certification with ADDITIONAL CONDITIONS
Dear Mr. Williams:
You have our approval, in accordance with the attached conditions and those listed below, to impact 130 feet of streams
for the purpose of constructing the sewer system, as described within your application dated February 24, 2003. After
reviewing your application, we have decided that the impacts are covered by the N.C. Division of Water Quality (DWQ)
General Water Quality Certification Number(s) 3374 (GC3374). The Certification(s) allows you to use Nationwide
Permit 12 when issued by the US Army Corps of Engineers (USACE). In addition, you should obtain or otherwise
comply with any other required federal, state or local permits before you go ahead with your project including (but not
limited to) Erosion and Sediment Control, Non-discharge, Water Supply regulations. Also, this approval will expire when
the accompanying 404 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 you may be required to 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 fills for this project (now or in the future) exceed one acre of wetland or 150 linear feet of stream, 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 atfached certification and any additional conditions listed below.
Conditions
1. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return the attached certificate of completion to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
2. Sewer Systems
The project shall comply with 15A NCAC 2H .0219(i)(2)(G) and all other State, Federal and local sewer system
regulations.
3. Water Quality Certification
The proposed project must comply with all of the conditions of General Water Quality Certification (GC) 3374.
Violations of any condition herein set forth may result in revocation of this Certification and may result in criminal and/or
civil penalties. This Certification shall become null and void unless the above conditions are made conditions of the
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
North Carolina Division of Water Quality, WETLANDS / 401 UNIT
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands
Page 2 of 2
Federal 404 and/or coastal Area Management Act Permit. This Certification shall expire upon expiration of the 404 or
CAMA permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or stream impacts),
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. 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 Water Quality under Section 401 of the Clean Water. If you have any
questions, please telephone John Dorney at 919-733-9646 or Bob Zarzecki at 919-733-9726.
Attachments: Certificate of Completion
GC 3374
Cc: William E. Mitchell, William E. Mitchell & Associates, Suite 100-13, 125 S. Elm St., Greensboro, NC 27401
USACE Raleigh Regulatory Field Office
DWQ Winston-Salem Regional Office
File Copy
Central Files
DWQ # 030320
Date: April 15, 2003
bz
Sincerely,

Office Use Only: Dorm Version October 2001
USACE Action ID No. DWQ No. 0 a 0A 9
FTC
If any particular itern is not applicable to this project, please enter "Not Applicable" or >t-ather than
leaving the space blank. M 14 ,A, qk
1. Processing rr?T?R 2,O`)-
1. Check all of the approval(s) requested for this project: s
2 Section 404 Permit ?CTlOlv
? Section 10 Permit
? 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: N\MP IZ
3. If this notilication is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: B
ty/A 4. If payment into the North Carolina Wetlands Restoration Program (NCWIZP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
LI. Applicant I11fol7nation
1. Owner/Applicant Information
Name: n-cY of 6VEEQF 0
Mailing Address: F-0 - SOX 313
Gl?EUJS rAf 0. C. 27402- 313
ATTV A11atA E. 1Ni(.l vie, piveAee VJa esouvice
Telephone Number: 3--Xo-3-7*S - Zo55 Fax Number: 33%0 -4-12 - (a36!2-
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: - %I lLL J'A'M E . M V-rGNrs 11r
Company Affiliation: W1[ -iA.M E-- M1TGNE:l L. A55oc1A11?5
Mailing Address:SUIT; 100-15
t2r-, 5. ELM ST.
6tzEEt 1SftF-o, N-c- 2-74o 1 -
Telephone Number _33? -379 -bSt?j
E-mail Address:
Fax Number: 33G-379 -6515
S
Page 5 of 12
Ill. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities trust be included. If possible, the maps and plans should
include the appropriate USGS "Topographic Quad Map and NRCS Soil. Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than I l by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers fttll-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plaits are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Cot ll 9 99 -03 --5NrArtAW( 5EW 1=fZ OUTFAt...t_
t Pf2b\/E M E
2. T.I.P. Project Number or State Project Number (NCDOT Only): 0A
3. Property Identification Number (Tax PIN): "A
4. Location
County: 6011?folzta Nearest Town:
Subdivision name (include phase/lot number): M/A
Directions to site (include road numbers, landmarks, etc.): Og ?G&L _%&4C'V_V PpateY
X17 (5, tz,155?) e I Cow I EAST of t A, c . RWY. CA>
5. Site coordinates, if available (UTM or Lat/Long): N/AI. _
(Note _ if project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates Ior each crossing of a distinct waterbody.)
6. Describe the existing laud use or condition of the site at the time of this application:
EXIST. 1Zt=51J?EtJTIILL GDMMEI??tl?L € (+?D?ZCz?L 05C-5
7. Property size (acres):
8. Nearest body of water (strewn/river/sound/ocean/lake): EA6T Fc>V-K- DEgr Pq
9. River Basin: CAPE F1=,&Y,
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at l?ttp //1?2o air,st<ilc..nc us/ad uiil/i»aps_/..)
Page 6 of 12
10. Describe the purpose of* the proposed work: oV B)C%sT. 5F-WAaE
t..t1; T STA-Lt ", 6P-AVt-7Y 5F-WEKS f FaZGE P,tpt?.l ea,S p. Kt?St3t?T O? _
WtQ5t,3tN6 I-4a -nAvzou6t-1 GlzEu isomo
11. List the type of equipment to be used to construct the project: '[Tib•GK f3,6?GKt-b _
f>uL CoZE_ F,, Flz4 'T o-4P LoAu;vR , MA MV-%AL QEUVEKY `tTLt CS
12. Describe the land use in the vicinity of this project: ?X1 S'T• KEStb Et?Ct1?l. ,
COMMER,OA,L 4 1tytn7 zA- Mrz-5 -
1V. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action I1.) Number, DWQ Project Number, application date, and date permits mud
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buMr impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plazas
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
t?0
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is ticeded for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Wetland Impacts is /A
Wetland Impact
Site Number
(indicate on tna p)
Type of ttnpact* Area of
Impact
(acres) Located within
100-year Floodplain**
es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

: List each impact separately and identify temporary impacts. hnpacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FNMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FNMA Map Service Center at 1-800-358-9616, or
online at
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
'T'otal area of wetland impact proposed: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Natne** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(pleasespecify)
1 5?AM ctW& 35 E. FOV K MF-r V-W 40' 'P>~Rtc NNIA L
'20. r ` 15 Ur E. l'or-(=. PYEEP lzaVB 20' i KSvAmA U
it I S VT I_vwa 13P:A-WCH I p t INTER.M I TMN"r
4 " 14 30 V-17 5- D OPFAW CM-1 1 ' Pl~K? NNA-1-
tt tt ?,rj S.SUFFALDGM l:l=. 20' PEF?ENNIAL

" List each impact separately and identify temporary impacts. Impacts include, but are not limited to, culverts and associated rip-nap,
darns (separately list impacts due to both structure and flooding), relocation (include linear feet belbre and after, road net loss/gain),
stabili7'16011 activities (centent wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If strearn relocaiion is
proposed, plans and ptoliles showing the linear fix)tprint for both the original and relocated streams must be included.
** Stream names can be lbund on USGS topograpifle maps. If a strearn has no name, list as UT (unnamed tributary) to the nearest
dowustremtt wanted stremn into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
usg"._goV. Several internet sites also allow direct download and printing of USGS snaps (e.g., wwNN lororone.coni,
etc.).
Cutnulative impacts (linear distance in feet) to all streams on site: 130
Page 8 of 12
R 1A 3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on nta ?)
"Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

# List each iminct separately and identiij- temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
N/A 4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., darn/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local storinwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area: _
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
cIT`( '_E&lp, `CD F,.F-wCQ-M -->eW ER. l=Acti.%T1le:5 fotz V?1tb6tJ?t.S? 7140. 1r0371E
OF '5lE5W R, LWE5 15_MA%W q p.1-ot?G 6Y-(S'nQ(f- )COM25 ; Wt-I V-t- OLXFA L t-114ys/
Wit= MA05 Gt' S STV-tiAMS T!-tr Ii: )kk.E uo AN/AtL4 S ALTVP-KkT1V65 ID66T
f OM ONtr S1bE T 79 -
, 0-1?J?K . 'MEN 15 No OV?t?ALL 1ZDUT5 Fby- rywf I'
`jRaT WbOLDtJ'T CROSS `CNE i? STREAMS
VIII. Mitigation
DWQ - In accordance with 15A NCAC 21-1 .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
1tgl)L8l12o.Ci1r,statc..>>c.us/1]MOlands/stride.litn1l.
V1 /,% 1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected strearn and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
W/? 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at I?tt1? //1?2 cnr,sta?c usA rp/indc.Aitm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of strearn mitigation requested (1i-rear feet):
Amount of buffer mitigation requested (square feet): _
Amount of Riparian wetland mitigation requested (acres): -
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. E=nvironmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes [ff No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of' the National or North Carolina Environmental Policy Act (NETA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No EIT
tjrPr If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
14 /A X. Proposed Impacts on Riparian. and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 ("Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ? If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
*
Lone Impact
(square feet)
Multiplier Required
Mitigation
1 3
2 1.5
Total
* zone I extends out 30 feet perpendicular from near tn. nk of channel; Zone 2 extends ml
additional 20 Ibct from the edge of zone 1.
Page I I of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buller Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
t4lQ XI. Stonnwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
1I/A X.II. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
WA XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No ?
Is this an after-the-fact permit application?
Yes ? No ?
9 lA XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing. that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
AL14AI E ZZU'AA5, pIRECTaJ-Z
-k k Ap -9 Date
(Ag 's signature is valid on if an au izatiorr letter from the applicant is provided.)
'a r
5
Page 12 of 12
el ?,t
2000 FT• ??` 'o• /? o°V \\ > , ;, 1 iI 1 ?L
l \ p ^ a0?
e / BM O 1 e ?1 I/ ??/ I??
89
30
4Ga!Aljn d'
98
- .;: lam- I ? L ?, _ ?` --_. ? ? - ?, \ ?° ?-j/••,, • ,? - ,? ? o , v1 _ ?,_?C(\\? ?- ?',???4 ti •\•.::-.
?L \ ( 10 G?foli?e i • , ?$ 4 ?c-' ! :. U??fr , a.l ;• '
Albert Pick `0
,t????9? ?' J 9j?/? ,? ?.? •? 90 _ \ _ ?,
Pump Station Q" oo I ?? C. •. ;; \ 9-04 • °_y +.?
ti•?\, ? C ? ?? ? lljt J 11 1 ?-? - - Q '? /••? \ ?? ?ias I. ?? o r?„ ? ••? ,-?? /(y O JI ? ?/ ? _. i;I ?? ?; ?^?
?? ? `11?``\\??) i `, ? D / D ` L? _ i ?lJ??\• • • /?-_ ' • • e17u?im rode ? ? ? - `T / 6 ? ! I 1 FF"
Ch :.ass ° / > u
/Proposed 1. 0 O ••? \\ /?9?? c ; j 1 /t:-:..I (tent \
j Gravity Sewer 1 U ?. S ?? ??? ?i`?- - )- ?•• / (`? +?( M ?;\1
•? ' 0 ?; s 1? '•% :/ ' -;-. _ °?;??? '! ; l ail
J,,
J (\,?'`` j •? - h o? ./ 8M1 r\ n \ \` k• j C nDel , • .) .KKKCL?`
' -'j aUln10/
G ) y) ))
( \New Pump i `°'SO'. ? _ -=?;•. ,\ ??
ation Chimne Rock R
St os B9o C - -
71
Roadside _ HornadaY Road `al P `i- x,=Ci
r ( .-- 1 O\ \ ?? Force Main',
V Off-Rua d „ - Connect to South
?? , 1 w ?` i •` ?l ` n '
• _ \ ?J ?r + / ?J f
M Roadside xf`? Buffalo Cr Sewer _) . .
Force ain
`" ++
.I ,-Force Main -
a -L-,
If _ , v ? / l ? ? I ? ? ? .. ..? ?? eh - G tUy?oS ? y? lI ?- , ???-• n ? /--?/ l . , . ? i
0 -
a,o Figure 1. Albert Pick Pump Station
and Sewerllne Robert J. Goldstein & Assoctntes, Inc.
??;? Replacement, Project Location Map, ENVIRONMENTAL CONSULTANTS
? , ? \ l ? C Guilford County, N.C. 8480 Garvey Drive
ll 1 00
J)o//. Raleigh, North Carolina 27616-3175
SCALE: 1 " = 2,000 Feet (919) 8 72-1174
WILLIAM E. MITCHELL ASSOCIATES
CIVIL ENGINEERS-LAND PLANNERS-SURVEYORS
April 1, 2003 401
Mr. John Dorney
401 Water Quality Certification Program
N.C. Division of Water Quality
401 Wetlands Certification Unit
1650 Mail Service Center
Raleigh, N.C. 27699-1650
RE : DWQ # 03-0320
City of Greensboro
Guilford County
Sanitary Sewer Outfall Improvements
Dear Mr. Dorney,
moo
o?
In response to your letter dated March 21, 2003, I am enclosing 7 sets of
blueprints for the portion of outfall lines along the East Fork of Deep River
that drains into the Randleman Dam Reservoir. This project began with our firm
in 1997, when we first prepared plans for the City of Greensboro for a small
pump station located adjacent to Deep River north of Gallimore Dairy Road. We
were in the process of obtaining permits for construction when the City
decided to relocate its large pump station at Albert Pick Road in order to
accdate widening of I-40. In 1998, we prepared plans to extend an outfall
line from the pump station site at Gallimore Road to the Albert Pick Road pump
station and proceeded with additional permitting. A Nationwide Permit 12 was
issued by the Corps of Engineers effective from October 1, 1998, to October 1,
2000. Permanent and temporary easements were obtained by the City for
construction of the lines, but the project bid date was delayed. The Corps NWP
12 Permit expired, and in anticipation of proceeding with the project, a new
NWP 12 Permit was issued effective February 13, 2001, to February 11, 2002.
Again, the project bid was delayed and the NWP 12 Permit has expired. The City
is now in the process of preparing to take bids and begin the project. In
order to be in compliance with the NWP 12 Permit, I contacted the Corps
regarding another extension of the prior permit. At this point, the City asked
that the new Permit include several stream crossings not included in the
original Permit. As a result, the Corps requested that we start with a new
Permit Notification. When the new Notification Form was being completed, I
needed assistance from your office, and it was suggested that I send a
"courtesy" copy to DWQ. This prompted a request for the enclosed plans in
order to evaluate impacts with Randleman Buffer Rules, which were established
in January, 2000. The project is located approximately 4,000 feet north of the
uppermost reaches of the Randleman Dam Reservoir, drains into a water quality
pond located south of Gallimore Dairy Road and then into High Point Lake, all
of which lies in what is generally referred to as the High Point Watershed.
125 S. ELM STREET ¦ SUITE 100-B ¦ GREENSBORO, NC 27401 ¦ [phone]
In selecting the route for the proposed outfall line in 1998, we were very
careful to stay far enough away from the existing wooded / vegetated buffer
along Deep River so that no clearing of the buffer would be required. All
construction would be in an area once cultivated and which is now fallow.
Given the time and effort to prepare the plans and obtain easements, we are
hoping that what we have is acceptable to DWQ.
We appreciate your consideration of this request, and if you need any
additional information or any clarification, please call me at 336-379-0515.
Thanks.
Yours truly,
William E. Mitchell, P.E.
U.S. ARMY CORPS OF ENGINEERS %400py
Wilmington District
Action ID: 200120364 County: Guilford
GENERAL PERMIT REGIONAL AND NATIONWIDE VERIFICATION
Property
owner: City of Greensboro
Authorized
Agent: William E. Mitchell
Address: P.O. Box 3136,
Greensboro, North Carolina 27402
Telephone: [phone]
Address: 2105 Enterprise Road, Suite 210
High Point, NC 27262
Telephone: [phone]
Size and Location of Property(Waterbody, Highway name/number, town, etc.): City of
Greensboro's Gallimore Dairy Road Sewer Outfall project, located off of Gallimore Dairy Road,
north toward the I-40 / NC 68 interchange, adjacent to East Fork Deep River, near Greensboro, in
Guilford County, North Carolina.
Description of Activity: Proposed sewer outfall project resulting in approximately 0.20 acres of
impacts to the jurisdictional waters of East Fork Deep River. Re-issued of Action ID
199821339, dated October 1, 1998 and expired October 1, 2000. .
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
X Nationwide Permit Number NWP 12
Any violation of the conditions of the Regional General or Nationwide Permit referenced above may
subject the permittee to a stop work order, a restoration order, and or appropriate legal action.
This Department of the Army Regional General / Nationwide Permit verification does not
relieve the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies before
beginning work. If you have any questions regarding the Corps of Engineers regulatory program,
please contact John Thomas at telephone number (919) 8A-8441, extei4on 254
Regulatory Project Manager Signature
Date February 13, 2001
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CF:
U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Action ID: 199821339 County: Guilford
GENERAL PERMIT REGIONAL AND NATIONWIDE VERIFICATION
Property
owner: City of Greensboro
Authorized
Agent: William E. Mitchell
Address: P.O. Box 3136, Greensboro, NorthAddress: 2105 Enterprise Road, Suite 210
Carolina '27402 I?gv,e-e-vis6t,,ro,v? h-Point, NC 27262
Ga `l L{ D 9
Telephone: [phone]
Telephone: [phone]
Size and Location of Property (Waterbody, Highway name/number, town, etc.): City of
Greensboro's Gallimore Dairy Road Sewer Outfall project, located off of Gallimore Dairy Road,
north toward the I-40 / NC 68 interchange, adjacent to East Fork Deep River, near Greensboro, in
Guilford County, North Carolina.
Description of Activity: Proposed sewer outfall project resulting in approximately 0.20 acres of
impacts to the jurisdictional waters of East Fork Deep River.
_ X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
X Nationwide Permit Number NWP 12
Any violation of the conditions of the Regional General or Nationwide Permit referenced above may
subject the permittee to a stop work order, a restoration order, and or appropriate legal action.
This Department of the Army Regional General / Nationwide Permit verification does not
relieve the permittee of the responsibility to obtain any other required Federal, State, or local
.approvals/permits. The permittee may need to contact appropriate State and local agencies before
beginning work. If you have any questions regarding the Corps of Engineers regulatory program,
please contact John Thomas at telephone nuntber/[phone], extension 5.
Regulatory Project Manager Signature
Date October 1 1998 ! Expiration October 1, 2000
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
9
CF:
hrQ# __- ?-3--0 326 Triage On-Hold. Letter 2.0 Staff Contact Date
Plan Detail Incomplete
? Please provide a location map for the project.
?. Please show all stream impacts including all fill sloes, dissipators, and bank stabilization on the site plan. ???d
a Please show all wetland impacts including fill slopes on the site plan.
impacts on the site plan. l? R. ??-? A?l
Please indicate all buffer
.30 u? ?
2 (f -/D .SSb A-
? Please indicate proposed lot layout as overlays on the site plan. /eJ
? Please indicate the location of the protected buffers as overlays on the site plan. / X/6tae.
AQ 5k" ? Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan. /?1 Q f?`?
Q Please provide cross section details showing the provisions for.aquatic life passage. f,Wt ?® V J+?S
a Please locate any planned sewer lines on the site plan. (V 1°
r`te'
? Please provide the location of any proposed stormwater management practices as required by GC
? Please provide detail for the stormwater management practices as required by GC
L Please specity'the percent of project imperviousness area based on the estimated built-out conditions.
? Please indicate all stormwater outfalls on the site plan.
? Please indicate the diffuse flow provision measures on the slte plan. .
? Please Indicate whether or not the proposed impacts already been conducted.
$) Avoidance and/or Minimization Not Provided
0 The. on the plans does not appear to be necessary. Please eliminate the or provide additional information as to why
It is necessary.forthis project
? This Office believes that the labeled on the plans as can be moved or reconfigured to avoid the impacts to the Please
revise the plans to avoid the impacts,
This Office be that the `Is bWsdon the plans sr _ can be moved or reconfigured to minimize the impacts to the Please
revise the plans to minimize the impacts.
? The stormwater discharges at the location an the plans labeled will not provide diffuse flow through the buffer because .Please
revise the plans and provide calculations to show that diffuse flow will be achieved through the. entire buffer. If it is not possible to achieve. diffuse .
flow through the entire buffer then. it may be necessary to provide stonnwater management practices that remove nutrients before the stomtwater .
can be discharged through the buffer.
>) Other
a The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland impact was requested. Please provide $
This additional fee must be received before your application can be reviewed:
? Please complete Section(s) on the application.
O Please provide a signed copy of the application.
? Please provide copies of the application, copies of the site plans and other supporting information. -
} Mitigation
p of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The plan must conform
to the requirements in 15 A NCAC 2H.0500 and must be appropriate to the type of impacts proposed.
? Please indicate which 404 Permit the USACE would use to authorize this project.
S '' ??°vM 6(i v?5.
CqYju?tC' Yv?
¦ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired.
X _ El Agern
i Print your name and address on the reverse ? ? Addresse
so that we can return the card to you. B, Received by (Printed'Name) C. Date of Deliver!
¦ Attach-this card to the back of the mailpiece,
or on the front If space permits. Xr. W16
D. 1sdeC" a d' item 1? .? Yes
1. Article Addressed to- If YE er AW add elowc ? No' ,
25
City of Greensboro '
Post Office Box 3136
Greensboro, NC 27402
DWQ# 03-0320 - Guildford County ! 3. Service Type
2. Article Number
(11ansferfrom service labeo
,n 3811; August 20
Cart ed Mail ? Express Main
? Registered ?Ieturn Receipt for Merchandisi
Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
7022 3150 2004 9315 274
Domestic Retum Receipt
102595-t+'
iD STATES POSTAL SERVICE. First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
Sender: Please print your name; address, and ZIP+4 in this box •
NC DENR Division of Water I
Wetlands/401 Certification uniittuality f
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
OF WAT�c9 Michael F. Easley, Governor
Q William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
j r Alan Klimek, P.E., Director Division of Water Quality
March 21, 2003
DWQ # 03-0320
Guilford County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED rf c;?fco
Of
City of Greensboro QR ?
Attn: Allan E. WilliamsPost �'trt 5Z�43
ffice Box 3136
GreenOsboro NC 27402-3136
Dear Mr. Williams:
On March 18, 2003 the Division of Water Quality (DWQ) was notified by receipt of your
application regarding your plan to fill waters for the purpose of sanitary sewer outfall improvements in
Guilford County. Approval from DWQ is required to disturb these areas. Please provide 7 copies of the
following information and refer to the DWQ # listed above in your reply. Please show these on maps of
suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects' compliance with
15A NCAC 2H.0500.
1. Please indicate all buffer impacts on the site plan. The Randleman Buffer Rules allow
parallel impact in Zone 2 (from 30 to 50 feet from the stream) but not in Zone 1 (within 30
feet of the stream). Please provide a plan, which complies with this rule.
2. Please contact the Winston-Salem Regional Office (Steve Mauney) or Bob Zarzecki in
Raleigh (919-733-9726) if you would like a site visit to discuss the Randleman Buffer Rules
and stream origins.
Please telephone John Dorney at 919-733-9646 if you have any questions or would require
copies of our rules or procedural materials. This project will remain on hold as incomplete in
accordance with 15A NCAC 2H .0505(c). The processing time for this application will begin when this
information is received. If we do not hear from you by writing within three (3) weeks we will assume
you no longer want to pursue the project and will consider it withdrawn.
JRD/bs
Sincerely,
cc: Winston-Salem DWQ Regional Office
Raleigh Corps of Engineers
Central Files
File Copy
Mitchell Associates, 125 South Elm St. Suite 100-B, Greensboro, NC 27401
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax),(http://h2o.enr.state.nc.us/ncwetiands
Program