19950634 Ver 1_Complete File_19950616

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
CW*AT
?EHNR
June 22, 1995
Stokes County
DEM Project # 95634
APPROVAL of 401 Water Quality Certification
Mr. George L. Teague
Bridge Maintenance Supt.
NC DOT
515 Camp Road
Salisbury, N.C. 28147
F11, E rO?+e
Dear Mr. Teague:
You have our approval to place fill material in less than 0.01 acre of wetlands or waters for the
purpose of bridge maintenance at Bridge # 61-162 on SR 1191, as you described in your application
dated 13 June 1995. After reviewing your application, we have decided that this fill is covered by
General Water Quality Certification Number 2732. This certification allows you to use Nationwide
Permit Number 14 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 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 Environmental Management under Section 401
of the Clean Water Act. If you have any questions, please telephone John Dorney at 919-733-1786.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Raleigh DEM Regional Office
Mr. John Domey
Central Files
Sincerely,
n
estop Howard, Jr .E.
95634.1tr
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
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT. JR. DIVISION OF HIGHWAYS R. SAMUEL HUNT I I I
GOVERNOR SECREIARY
June 13, 1995
515 Camp Rd.
Salisbury, N.C. 28147
Mr. Eric Ga 1 amb RECEIVED
W Q Certification Unit
P. O. Box 29535 JUN 16 1995'
Raleigh, N. C. 27626-0535
ENVIRONMENTAL SCIENCES
Dear Mr. Galamb
The North Carolina Department of Transportation, Bridge
Maintenance Unit, proposes the following project for your review.
We believe this project can be accomplished under Nationwide 1114.
COUNTY Stokes County Bridge It 64-162
ROUTE SR 1191
STREAM North Double Creek
DESCRIPTION Bridge 64--162 a 3 @ 17'-6" span bridge replaced
with a 3 @ 12' x 7' R. C. Box Culvert.
Less than 0.01 acre Fill in Wetlands. Less than 0.01 acre fill
in waters. Drainage Area = 5.8 sq. miles. Average Daily flow =
7.3 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.
and a sketch of
nd sedimentation
the project
to complete work in a
with your, evaluation
have any questions,
Sincerely,
Geo4e L. Te ue
Bridge Maintenance Supt.
GLT/sb
Attch.
i?f

J4?
ACTION 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
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
1
WATER QUALITY PLANNING
DIVISION.OF ENVIRO GEMENT
NC DEPARTMENT OF ENV
AND NATURAL RESOCS
P.O. BOX 29535
RALEIGH, NC 27626-0535 '?11V 1 g
ATTN: MR. JOHN DORNEY:; 1995 -
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 : /Y- C • 7/ o 7"ri?.-?sPo>- fi oiv
2. OWNERS ADDRESS : S/S Ga , n/? Rc/ .
3. OWNERS PHONE NUMBER (HOME): 7x11- 413 7. 75ZZ (WORK): ;Lo?/- 6139- 7 SS S
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE
5.
DEM ID: 9 5 Gay
LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Sfo es
NEAREST TOWN OR CITY: i(a ?'I?li,r inn/
SPECIFIC.LOCA;ION (I,NCLUDE ROAD NUMBERS, LANDMARKS, ETC.
6. NAME OF CLOSEST STREAM/RIVER:
7. RIVER BASIN: R O a-M a Ke-
8. IS THIS PROJECT LOCATED 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
PROPERTY? YES [ ] NO
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
??ss 7-;?a n, o-01 Acre-
2/3/92
41,
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED : Th a.nn 41W i4cfa
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED : C&SS 7`!lo n e),d
12. DESCRIPTION OF PROPOSED WORK (A ACH PLANS): o P A-c
/? s2' i. A cvi Q
13. PURPOSE OF PROPOSED WORK:
a ?x a?
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.
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 [vl' NO [ 1.
RESPONSES FROM THE USFWS 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 SO? YES [ 1 NO
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. IF DELIN£AT=ON WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT 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?
G,JU o c%
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
/V 1A
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OWNER'S I ATURE DATE

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