19950119 Ver 1_Complete File_19950206

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
4oo
February 15, 1995
Stokes County
DEM Project # 95119
APPROVAL of 401 Water Quality Certification
Mr. Mike Shaffner
Acting District Engineer
NC DOT
2125 Cloverdale Avenue
Winston-Salem, N.C. 27127

Dear Mr. Shaffner:
You have our approval to place fill material in wetlands or waters for the purpose of road
maintenance at SR 1715, Rothrock Road, as you described in your application dated 1 February 1995.
Aft-.r 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 th--
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,
'?P ?ston 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
95119.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Employer 50% recycled/ 1 0% post-consumer paper
JAMES B. HUNT. JR.
GOVERNOR
?1_' d FFR - 6 1895
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS R. SAMUEL HUNT I I I
SECRETARY
2125 Cloverdale Avenue Ninston-Salem, I1C 27103 95119
February 1, 1995
Division 9
District 2
Stokes County - SR 1715
Subject: Drainage Permits - Division of Environmental -Management -
Above lizted County and Secondary Road
1,1r . John Dorney
Ilate.r Quality Planning
Division of Environmental ianagement
11C Dept. of Environment, Heal ti:, and i1a`.:u_ al Resour c ..L
P.O. Bo:: 29535
Raleigh, ITC 2762,6-0535
Dear ?Mr . Dorsey
in an effort to obtain the necessary drainage permits, w are
providing a package of design plans for grade, drain, base, and pave
of Rothrock Road (SR 1715) in Stokes County. :10 ;ror:: to be- done on
pipes. M11 e:isting pipes will be retained.
By copy of this letter, we are also see]:ing approval frcm the 1C
?iildlife Resources ColT.missJon and the US Army Corps of Engineers and
are submitting the enclosed material to them.
Please review this mate-rial, and if additional info Lmation
needed, or if you have any comments, please contact our office at
[phone]. Thank you for your cooperation in this matter.
IMCS:ttn
F
ENCLOSURES
Rc pc_Ctf ,,,11
C. Sh-' - f
'CTII1G DISTRICT ?I1rI:1EE
cc. Ir. 'Iouglas B. Haters, D4 Vi Si 0n Enryne r
Mr. Don C. Alderman, Stokes County Roadway llaintenanc -ngineer
File
G
n
Rothrock Road (SR 1715)
PROPOSED DRAINAGE CROSS LINE TREATMENT.
ALONG SR 1715 Stokes COUNTY
LOCATED: From Walnut Cove North on US 311 to NC 8g; right onto Rothrock Road(SR 1715
approx. 1. 9 mi es from US 311 aanc NU 8V intersection.
EXISTING
DESCRIPTION
STATION DI3I?/T..GTH/TYPE REPLACEMENT
DESCRIPTION
DI.M/LGTa/TYPE'
SECTION TYPE
LEFT/RIGHT

COVER
SnEW
(z?PROX)

10 + 50 1 48' / 18" / RCP JRetain Existing Pi e Cut / Fill 1 It - 1? 1 1350
30-+ 50 1441. / 18" / RCP (Retain Existing Pi te Cut./ Fill 1 1' - 1' 190°
37 + 20 1 60' / 18', / RCP (Retain Existing Pi e Fill / Cut ( 3' - 1' 1900
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DRAINAGE PERMIT - ST,a 37+20
ROTH ROCK RD. SR 1715
WAM- N T AP"OVW sY oMA" BY TTN
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DEH ID: C I I G
NATIONWIDE PERMIT APPLIED FOR
ACTION ID: _
(PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORH FOR
XATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
UATIONWIDE PERMITS THAT .REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890.
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL'MANAGEHENT-.-- -
NC DEPARTMENT OF ENVIRONMENT; HEALTH,
AND NATURAL RESOURCES i'?
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: N 207'
2. OWNERS ADDRESS: 2t 7-T CLOVER_bAL.E AVF?+/GIE
3. OWNERS PHONE NUMBER (HONE):
(WORK): lTio? 76/-2-g/0
4. IF APPLICABLE: AGENT'S NAME OR-RESPONSIBLE CORPORATE OFFICIAL,, ADDRESS,
PHONE NUMBER: lybrE G SHAFF.+?ER ?rXT/,vl? ??lr,?GT E-+?Cr??E )
2/ -7.5" C4 y y61q P
tA6/5roll Sig[ E.?1 fry c 2 7/ 2 7 -
0 7&- 24
5. LOCATION OF PLANNED WORK (ATTACH MAP). COUNTY: STD/`E 5
NEAREST TOWN OR CITY: GA1A1,41U-r C00?7
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): S 5'
Gi10,• FO.QSYTH ? S7yAY S CQ",V7-Y 4416 06? G--C 311 /?OTNiPGLK ROAD \? S)
T
6. NAME OF CLOSEST STREAM/RIVER: ?iLd/ R/!/ ES C.PF?5*
7. RIVER BASIN: O/r-&-
IF YES, EXPLAIN.
PROPERTY? YES [ ]
S. IS THIS PROJECT LOCATED D,IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
( ]
WS I, OR WS II? YES (?) NO
9. .HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
Ii0 ( J ]
r
,04iF .'
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: AlIlAt
3130/92
)l . 'Al
-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED: 0
DRAINED: 0
FLOODED:Z
EXCAVATED: n
TOTAL IMPACTED: n
12. DESCRIPTION OF PROPOSED WORK` (ATTACH PLANS) ji?QDE , t-k4,. /??tSTA.e
13. PURPOSE OF PROPOSED .WORK: 'j0 1N1120f/E /PoAip rCY?i?%T/yit/S
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. TH/s ROB D Wt[L BE MVE7 IV THE AA5,04f/.t/A 14OidrHS 6!::1.64L yE4R_MtX-1996)
Rl=C4sf sC= OF m "cyF iT FAtt S O.v rVF min QiTY G is T . t° CA/rrFNL G./p?Qir _OP
(1/C 1?OT FO/1 C E S /di[ c rl/i?/,yi z C- ?%N??9 c TS TO !?/F rC?tt/7? ?, ?D? T/?d GI i STiP?-?MS.
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 (Vf NO ( )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES ( ) 140 (`? J
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEH:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY. 41114
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. 41/14
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE. PLACEMENT OF THE DELINEATION LINE. 411,4
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY. A//,4
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? /?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEW GE DISPOSAL?
OWNER'S SI TURE DATE
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