19940867 Ver 1_Complete File_19940919

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 Supt.
NC DOT
515 Camp Road
Salisbury, N.C. 28147
Dear Mr. Teague:
FILE Conq
You have our approval to place fill material in 0.02 acres of waters for the purpose of road
maintenance at SR 1140, bridge # 12, as you described in your application dated 15 September 1994.
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„
stop Howard, Jr.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Domey
Central Files
94867.1tr
X715TA
ID EHNR
October 20, 1994
Davie County
DEM Project # 94867
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
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9Y9(-7
JAMES B. HUNT, JR.
GovERNoR
0?1.

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
September 15, 1994

Mr. Eric Galamb
W Q Certification Unit
P. O. Box 29535
Raleigh, N. C. 27626-0535
Dear Mr. Galamb :
SAM HUNT
SECRETARY
515 Camp Rd.
Salisbury, N.C. 28147
The North Carolina Department of Transportation, Bridge
Maintenance Unit, proposes the following project for your rev' w
We believe this project can be accomplished under Nationwid Ik3.
COUNTY : Davie County Bridge # 12
ROUTE SR 1140
STREAM : Bear Creek
DESCRIP 1J',0N---:- ---,J?x\dge 60-012 Replaced with Bridge Not
to in wetlanr[? Less than 0.02 acres Rip Rap fill in
waters. Drainage Area = 19.3 sq. mi. Average Daily flow = 19.3
cfs.
We have attached a site location map,
planned activities. A stringent erosion a
control program will be implemented during
construction and every effort will be made
timely manner.
Our personnel are available to assist
of this project, if necessary. Should you
please call me at 704-639-7555.
11>
A t t c h .?
GLT/sb??
and a sketch of
nd sedimentation
the project
to complete work in a
with your evaluation
have any questions,
Sincerely,
Georg L. ea e
Bridge Maintenance Supt.

DEM ID:
ACTION ID :
JOINT APPLICATION FORK FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER.
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERM= THAT- REQUIRE. INDIVIDUAL.. SECTION 401 CERTIFICATION
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE. SEMI TO TF-r, CORPS OF
ENGINEERS. SE7M (7) COPIES SHOULD BE SENT TO THE N.C_ DIVISION OF
ENVIRONMENTAL. MANAGEM E IT PLEASE- ?RINT.
1. OWNERS NAME: //, C - lJ5?2 l , d 7- 7; -a.,1.s /)o,.
2. OWNERS ADDRESS : 3/S 4:111"n ?V,
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 MANAGEMENT'
NC DEPARTMENT OF ENVIRONMENT", HEALTH,
AND NATURAL. RESOURCES
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
3. OWNERS PHONE NUMBER (HOME): 711W'42?-;75373- (WORK):
7? ?3J` 7
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE. CORPORATE OFFICIAL, ADDRESS,
PHONE
5.
6,. NAME: OF CLOSEST STREAM/_RIVER_ Sa?-7 ?I ??k?iy
7. RIVER BASIN: Y"? ?rN
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA,. HQW, ORW,
WS L, OR WS II? YES [ ] NO [X1
9. HAVE ANY SECTION 404- PERMITS: BE'n'g- PREVIOUSLY REQUESTED FOR USE. ON THIS'
PROPERTY? YES [ 1 NO -[XJ
IF YES`, EXPLAIN..
10. ESTIMATE TOTAL. NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
2/3/92
LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : ?Q fj f°e
NEAREST TOWN OR CITY:
SPECIFIC LOCATIOV (INCLUDE ROAD NUMBERS, LANDMARKS, ETC..):
//,?ZD Qv?r P?,?_. Grime.

-2,
11. NUMBER OF ACRES: OF WETLAND IMPACTED BY THE" PROPOSED PROJECT:
FIr-r _
DRAINED:_
FLOODED:
EXCAVATED:
TOTAL IMPACTED /Yslve_
3-
1Z- DESCRIPTIONOF PROPOSED VORK (AT' ACH PLANS) : / A, 0-/'/
T/,xJ?_. c??_ ee-P ! 1/ i Ille- ? 3- SO a_,-r "F11-0111 a_
13. PURPOSE/. OF PROPOSED WORK :
14. STATE REASONS WHY TI- APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED. OUT IN WET -ANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE. WETLAND
IMPACTS.
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USrWS) 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 AFFECTED BY THE'
PROPOSED PROJECT. HAVE YOU DONE SO? YES [ ] NO [x].
RESPONSES FROM THE USFWSS 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 30? YES [ ] NO [X]
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 ' EETILANDS. TO 3E: IMPACiti,..D.. BY
PROJEC'Z.
C. I DELINEATION WAS PERFORMED BY A CONSULTANT-, INCLUDE ALL. DATA SHEETS
RELEVANT TO- THE`PLACEMENT' OF THE DELINEATION LINE-
D. IF A STORMWATER MANAGZMENT.PL.AN IS REQUIRED FOR THIS PROJECir ATTACH
COPY..
E_ WHAT IS LAND USE. OF SURROUNDING PROPERTY? l??/''7 ?a-r+4
F- IF APPLICABLE:,. WHAT- IS PROPOSED METHOD OF SEWAGE" DISPOSAL?
1,11A
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'?L/Y61 Q1 ISJ!SV ON 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 WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT' OF- ENVIRO ,
P.O. B01_1890 AND NATURAL RESOURC D
WILMINGTON, NC 28402-1890 P.O. BOX 29535
ATTN: CESAW-CO-E RALEIGH, NC 27626-0535 9 1994 r
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone [phone]
WETLANDS TG-R-0 dDp -?
ONE (1) COPY OF THIS. COMPLETED APPLICATION SHOULD BE_ SENT TO THE-e° ? IT SECTfOpJ
ENGINEERS. SEVEN. (7) COPIES SHOULD BE SENT TO TIM N.C_ DIVISION OF
ENVIRONMENTAL MANAGEI'=. KEASE' PRIN7.
1. OWNERS NAME : t ejo l , d j- 7;'-a is Or,, 7Z&/Aa-rl
2. OWNERS ADDRESS :
Sc- is a?V . /Y. C 2 8/57
3. OWNERS PHONE NUMBER (HOME): (WORK) : 7&f 5/, /jj, 7-EKS-
4. IF APPLICABLE:
PHONE
5.
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
6. NAME OF CLOSEST STREAM/. RIVER: ?o c c.??j Jib iiX
7. RIVER BASIN:. Y ?j k I?N
8_ IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO [X]
9. HAVE ANY SECTION 404- PERMITS BEEN PREVIOUSLY REQUESTED FOR USE. ON THIS-
PROPERTY? YES [ J NO [XI
IF YES,. EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE.
/ Af All-',
2/3/92
LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: a.y ''e
NEAREST TOWN OR CITY:
Mac s v/?!
SPECIF C LQCATIOF (INCLUDE ROAD NUMBERS, LANDMARKS, ETC,): GcI? at ??7`, (4,$, 1051 Jh/ S,fi? 11z'14
burr l?, ?? Gs??
.W ' ,
-2-
11. NUMBER OF ACRES: OF WETLAND IMPACTED BY THE: PROPOSED PROJECT.
FILLED
DRAINED:_
FLOODED:
EXCAVATED:
TOTAL. IMPACTED Nsev?e.
12_ DESCRIPTIONG?OF- PROPOSEDr /W1ORK t(n ATTACHH PLANS) :
T m? 3-
? O ?C ? QJ r Li / Y Guy _J? a rr G s/ ??id 4 e _
13. PURPOSE.. OF PROPOSED WORK: )-a
14. STATE REASONS WHY THE. APPLICANT BELIEVES THAT THIS ACTIVITY MUST' BE
CARRIED OUT IN WE7L-=S. ALSO, NOTE MEASURES TAKE'''N 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 AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES [ ] NO [X ].
RESPONSES FROM THE USFWwS AND/OR NMFS SHOULD BE ATTACHED.
15. 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 [x ]
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_ I DELINEATION WAS PERFORMED BY A CONSULTANT—, INCLUDE ALL DATA SHEETS
RELEVANT' TO THE PLACMSENT" 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?
/"-?r1'17 Z- 0-1,' 4
F.. IF` APPLICABLE, WHAT-IS. PROPOSED METHOD OF SEWAGE: DISPOSAL7
d! !(, 9
0 S SIGN RE DATE
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