19950136 Ver 1_Complete File_19950215

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
AAT4000
?EHNR
February 15, 1995
Stokes County
DEM Project # 95136
APPROVAL of 401 Water Quality Certification
Mr. Mike Shaffner
Acting District Engineer
NC DOT
2125 Cloverdale Avenue
Winston-Salem, N.C. 27127
FiLL
Dear Mr. Shaffner:
You have our approval to place fill material in wetlands or waters for the purpose of road
maintenance at SR 1422, as you described in your application dated 9 February 1995. After reviewing
your application, we have decided that this fill is covered by General Water Quality Certification
Number 2735. This certification allows you to use General Permit Number 031 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,
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
95136.1tr
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
:?sy ?+'? _ 5130
DEM ID: ACTION ID:
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT #):
JOINT APPLICATION FORM FOR ?`//??ii
XATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEEA3)"Ilse]?
NATIONWIDE PERMITS TEAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS TEAT 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 ENVIRONME HEATH-
P.O. BOX 1890 AND NATURAL RESOURCES
WILMINGTON, NC 28402-1890. P.O. BOX 29535 IF _-
,
ATTN% CESAW-CO-E RALEIGH, NC 27626-0535
Telephone [phone] ATTN: ?gt. JOHN DORNEY e
Telephone [phone]
ONE (1) COPY OF THIS C014PLETED 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 : A/G-Z)O T
2. OWNERS ADDRESS: 212S C4pvt4a44tr
/tdc.?GtE
3. OWNERS PHONE NUMBER (HOME):
(WORK): 240
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,. ADDRESS,
PHONE NUMBER: -V/irk C SNAFF.? ?r IACT%t/G DisTiyicT C.ri?riif/t i4 1?_
S.
6. NAME OF CLOSEST STREAM/RIVER: DA,? lefil6
7. RIVER BASIN: ROA,1046 *y A454/
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HOW, ORW,
WS I, OR WS II? YES (?j NO ( )
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( ) 110 (Vf
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE:
3/30/92
LOCATION OF PLANNED WORK (ATTACH MAP). COUNTY: S TO/?E S
NEAREST TOWN OR CITY: C01_41'?Vx7y ul --
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): /. Mez-ss
<ONf -111CC'T . OA4 l?/%I/i/.t/?A?.t?02Th? C/120L/?/.4ISTOA?LrT /'OGfiYa) /%?E GI??

11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE. PROPOSED PROJECT:
FILLED: D
DRAINED: 0
FLOODED: •O
EXCAVATED: O
TOTAL IMPACTED: D
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
13. PURPOSE OF PROPOSED WORK: TD 0//E fOrf.-01' CLLt/??TiO?/-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. ?i P44'o !?/,occ 96- .oweb iv 7w aoca.? ?? /1od?.3?s ?i?i,tCcrt >Fsfep
/99S ^ 9G BECAsiSE of WNE?6 /T F,vLLS B.r/ 1*e APiD.f?i Lis r. T7 kr cl4esFy4
it .rJi i' s.4 O/?
FCACS
•QoH T 5;9fe.4,05-.
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 TAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES (V) 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 ( ) NO [V)
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY. A11A
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. )VIA
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. /1//4
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY. )?A
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? II
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
ya.
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT, JR. DIVISION OF HIGHWAYS
GOVERNOR
2125 Cloverdale Avenue
Winston-Salem, NC 27103
February 2, 1995
Division 9
District 2
Stokes County - SR 1422
RECEIVED
FEB 0 919951
ENVIRONMENTAL SCIENCES
gRE01V N
R. SAMUEL HUNT I I I
SECRETARY
Subject: Drainage Permits - Division of Environmental Management -
Above listed County and Secondary Road
Mr. John Dorney
Water Quality Planning
Division of Environmental Management
NC Dept. of Environment, Health, and Natural Resources
P.O. Box 29535
Raleigh, NC 27626-0535
Dear Mr. Dorney
In an effort to obtain the necessary drainage permits, we are
providing a package of design plans for grade, drain, base, and pave
of Gray Circle Road (SR 1422) in Stokes County. Work to be performed
includes replacement, and/or extension of pipes as shown on the
attached plans.
By copy of this letter, we are also seeking approval from the NC
Wildlife Resources Commission and the US Army Corps of Engineers and
are submitting the enclosed material to them.
Please review this material, and if additional information is
needed, or if you have any comments, please contact our office at
[phone]. Thank you for your cooperation in this matter.
Respectfully,
?eJ444'a Z'Al
Mike C. Shaffner
ACTING DISTRICT ENGINEER
MCS:ttn
ENCLOSURES
cc: Mr. Douglas B. Waters, Division Engineer
Mr. Don C. Alderman, Stokes County Roadway Maintenance Engineer
File
G
Cray Circle Road (SR 1422)
PROPOSED DRAINAGE CROSS LINE TREATMENT
ALONG SR 1422 Stokes COUNTY
LOCATED: 1.8-Miles South-West from the Virginia/North Carolina(Stokes County)
line on SR 1432, Gray Circle'Road (SR 1422) is on the left.

STATION EXISTING
DESCRIPTION
DIP.M/LGTH/TYPE REPLACEMENT
DESCRIPTION
DIAM/LGTH/TYPE'
SECTION TYPE
LEFT/RIGHT

COVER
SKEW
(APPROX)

19 + 80 INo Existing Pipe 44, / 18" / RCP ( Cut / Fill 1' - 1' ( 900
34 + 70 140, / 18« 1 RCP
' 481/ 18", / RCP Fill /Cut 31 - 1' 900
45 + 75 I30' / 18" /
RCP 48,% / 1 " / RCP I 1 u 41 - 21 I goo

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DRAINAGE PERMIT STA 19+80
GRAY. C' E RD-. SR 2
scAu: NTS APPROVED BY
ORAWN BY TTN
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DRAINAGE PERMIT - 57A 45+751
.GRAY.- CIRCLE- RD. 22
scALa: N T APPROVED BY DRAWN BY TT11
DATE: 2 -1 - 95'1 MCS
-
STOKES COUNTY
DRAWING NUMBER
3 or 3

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