19990230 Ver 1_Complete File_19990311

State of North Carolina
Department of Environment
and Natural Resources
- - -Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
Mr. George Teague
NC DOT
515 Camp Road
Salisbury, NC 28147
Dear Mr. Teague:
Re: Bridge # 267
Union County
DWQ # 990230
11kT?W'J
NCDEN-R
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
August 3, 1999
On March 12, 1999 the Division of Water Quality sent a letter stating your project
was on hold since a payment was not received with the application. To date, we have not
received the mentioned information regarding this project.
If we do not hear anything from you within three weeks of the date of this letter,
we will be forced to withdraw the project.
If you have any questions, please contact Cyndi Bell at 919-733-9502.
Sinc ely,
Joh R. Domey
cc: Mooresville DWQ Regional Office
Wilmington District Office Corps of Engineers
Asheville Field Office Corps of Engineers
John Dorney
Cyndi Bell
John Hennessy
Wetlands/401 Unit 4401 Reedy Creek Road Raleigh, North Carolina 27607
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
A&4
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
March 12, 1999
Mr. George Teague
NC Department of Transportation
515 Camp Road
Salisbury, NC 28147
Dear Mr. Teague:
Subject: Bridge # 267
DWQ # 990230
Union County
On March 11, 1999, your application for a 401 Water Quality Certification for
bridge # 267 in Union County was received by the N.C. Division of Water Quality. The
Division will begin to review the project for eventual decision. However, please be
aware that beginning January 1, 1999 that the N.C. General Assembly passed legislation
requiring payment of a fee of $200.00 for this project. The 401 Certification cannot be
issued until this fee is paid. Presently the Department of Transportation and Environment
and Natural Resources are developing a process so these fees will not have to be paid
separately for each project. We anticipate that this agreement will be finalized early in
1999. However until this agreement is completed we will not be able to complete our
action on your request. Until that time, your application will remain on hold as
incomplete.
Please call Cyndi Bell at 919-733-1786 if you have any questions.
J Si
Jo nDeiy
cc: Central Files
Mooresville DWQ Regional Office
Asheville Field Office US Army Corps of Engineers
Cyndi Bell
John Dorney
Wetlands/401 Unit 4401 Reedy Creek Road Raleigh, North Carolina 27607
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/l0% post consumer paper

1 1999
warER s CROUP r
1Y SECTIv^^;?
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. JOHN DORNEY
DIV. OF ENVIROMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIROMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
Dear Mr. DORNEY,
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 # 31.
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map, and a sketch of planned activities. Astringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project , if necessary. Should you
have any questions, please call me at 704- 639-7555.
Attachments.
GLT/des
Sincerely,
George L. Teague
Bridge Maintenance Supt.
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
S IS CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) UNION COUNTY. SR #
,520, BR # 267 NEAR INDIAN TRAIL. OVER NORTH FORK CROOKED CREEK
3. TELEPHONE NUMBER (HOME) N/A (WORK) 704-639-7555
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
515 CAMP RD.
SALISBURY, N.C. 28147
704-639-75 S S
LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: UNION NEAREST TOWN OR CITY: INDIAN TRAIL
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.): 0.6
MILES SOUTH OF JCT SR # 1518 ON SR # 1520 ACROSS NORTH FORK CROOKED CREEK
6. IMPACTED OR NEAREST STREAM/RIVER: Cr-saktl CREEK
RIVER
BASIN: YADKIN
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO (X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO (X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES (X) NO( ) IF YES, PROVIDE ACTION I.D. NUMBER OF THE
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF
401 CERTIFICATION): 198200031
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES( ) NO (X) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 9.9 SQ. MILES
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION: 0
FLOODING: 0 OTHER: 0
DRAINAGE: 0 TOTAL ACRES TO BE IMPACTED: NONE
10b. (1) STREAM CHANNEL TO BE RvIPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A FT. AFTER: N/A FT.
WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS): N/A
FT.
WIDTH AFTER: N/A FT.
AVERAGE DEPTH BEFORE: N/A FT. AFTER: N/A FT.
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
OTHERS:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 %z" X 1 I" DRAWINGS ONLY): TO REPLACE
_OLD 1 SPAN (d, 40'8" TIMBER BRIDGE WITH A NEW 4 BARREL (u 12'X I I' REINFORCED
.CONCRETE BOX CULVERT 44 FEET IN LENGTH.
13. PURPOSE OF WORK: TO REPLACE OLD BRIDGE WITH NEW REINFORCED CONCRETE
BOX CULVERT.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
A
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF 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.
DATE CONTACTED: NO (ATTACH RESPONSES FROM THESE
AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTIRIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: NO
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (X) (IF NO, GO TO 18)
4.
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( )
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADUVIINSTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18,
21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1" = 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? WOODS & FARMLAND
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
AMW
OWNS S / A 'S SIGN URE DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
5.
AGENCY ADDRESSES
ENDANGERED SPECIES
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. BOX 33726
RALEIGH, N.C. 27636-3726
TELEPHONE [phone]
NATIONAL MARINE FISHERIES SERVICE
HABITAT CONSERVATION DIVISION
PIVERS ISLAND
BEAUFORT, N.C. 28516
TELEPHONE [phone]
U.S. FISH AND WILDLIFE SERVICE
ASHVILLE FIELD OFFICE
160 ZILLICOA STREET
ASHVILLE, N.C. 25801
TELEPHONE [phone]
HISTORIC RESOURCES
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, N. C. 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES
MR. JOHN DORNEY
DIV. OF ENVIRONMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIRONMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
TELEPHONE [phone]
6.
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
6512 FALLS OF THE NEUSE ROAD
RALEIGH, N.C. 27615
TELEPHONE [phone]
ASHEVILLE REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
151 PATTON AVE. ROOM 143
ASHEVILLE, N.C. 28801-5006
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1000
WASHINGTON, N.C. 27889-1000
TELEPHONE [phone]
MR. STEVE BENTON
DIV.OF COASTAL MANAGEMENT
N.C. DEPARTMENT OF
ENVIRONMENT, HEALTH, AND
NATURAL RESOURCES
P.O. BOX 27687
RALEIGH, N.C. 27611-7687
TELEPHONE [phone]
FAX [phone]
WILMINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, N.C. 28402-1890
TELEPHONE [phone]
ATTN.: CESAW-CO-R
MAR 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. ERIC GALAMB
W Q CERTIFICATION UNIT
P. O. BOX 29535
RALEIGH, N.C. 27626-0535
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 # 31.
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
Geor e L.?a e
g ?
Bridge Maintenance Supt.
Attachments.
GLT/des
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
Dear Mr. Lund,
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 #3 1P
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
0orge .Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
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]
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]
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 • ?? . ?? ?rG P b G41 o h
2. OWNERS ADDRESS : S 15 Ca
bo r\, .' M.
3. OWNERS PHONE NUMBER (HOME): [ I A, (WORK): (9%4) Q'' - ? S S S
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER : G e a c a c L- -%%F4 , t
V
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : lA n'.o r
NEAREST TOWN OR CITY: Zn?',a? ?ro??\
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): b• rn,
S2,',NN- 1 S12 \SN or S\Z \S-" acs acs (zA - Fork
6. NAME OF CLOSEST STREAM/RIVER: Cl(,?\c
7. RIVER BASIN: 1 do'okv
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:
2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED:
DRAINED: O
FLOODED:
EXCAVATED:
TOTAL IMPACTED: O N E
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): T,o up IvCL oIa $
? 40? $?; -?;rb?r br'???L w???.. g new ? burrL\ Cl\Z? ??'
13. PURPOSE OF PROPOSED WORK : To\ acL 6\?, b? y c ui ??1. G n??J
R- C- to-). cNx\-Qe,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. N I A
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 [ J NO [A
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 [ ] NO [?J
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 DELINEATION 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? ?I?JoodS ?-a?v?\Rr?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
OWN S S G T DATE
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1 H I M I

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T
MAC I 1 1999
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147 WETLANDS GROUP
WATER QUALITY SECTI(
Mr. JOHN DORNEY
DIV. OF ENVIRONMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIROMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH. N.C. 27607
Dear Mr. DORNEY,
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 # ? I,
COUNTY : Union Counry : Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced %vith R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project , if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely.
George L. Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT 4):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
515 CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) UNION COUNTY. SR #
. 520. BR # 267 NEAR INDIAN TRAIL. OVER NORTH FORK CROOKED CREEK
3. TELEPHONE NUMBER (HOME) N/A (WORK) 704-639-7555
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL. ADDRESS.
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
51 S CAMP RD.
SALISBURY, N.C. 28147
704-639-7555
LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: UNION NEAREST TOWN OR CITY: INDIAN TRAIL
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.): 0.6
MILES SOUTH OF JCT SR # 1518 ON SR 4 1520 ACROSS NORTH FORK CROOKED CREEK
6. IMPACTED OR NEAREST STREAM/RIVER: CrAuktl CREEK
RIVER
BASIN: YADKIN
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES () NO (X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO (X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
N/A
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES (X) NO ( ) IF YES, PROVIDE ACTION I.D. NUMBER OF THE
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY" OF
401 CERTIFICATION): 198200031
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUI`URE? YES( ) NO (X) IF YES. DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 9.9 SQ. MILES
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
NONE
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION:
FLOODING: 0 OTHER: 0
DRAINAGE: 0 TOTAL ACRES TO BE IMPACTED: NONE
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A FT. AFTER: N/A FT.
WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS): N/A
FT.
WIDTH AFTER: N/A FT.
AVERAGE DEPTH BEFORE: N/A FT. AFTER: N/A FT.
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
OTHERS:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 '/" X 11" DRAWINGS ONLY): TO REPLACE
OLD 1 SPAN rd. 40'8" TIMBER BRIDGE WITH A NEW 4 BARREL (& 12'X I V REINFORCED
,CONCRETE BOX CULVERT 44 FEET IN LENGTH.
13. PURPOSE OF WORK: TO REPLACE OLD BRIDGE WITH NEW REINFORCED CONCRETE
BOX CULVERT.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
/A
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF 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.
DATE CONTACTED: NO (ATTACH RESPONSES FROM THESE
AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTIRIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: NO
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (X) (IF NO, GO TO 18)
4.
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( )
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADIMNNSTRATION, 116 WEST JONES STREET, RALEIGH.
NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18,
21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE I" = 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? WOODS & FARMLAND
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
OWNER'S / A S SIGN URE DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
5.
AGENCY ADDRESSES
ENDANGERED SPECIES
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. BOX 33726
RALEIGH. N.C. 27636-3726
TELEPHONE [phone]
NATIONAL MARINE FISHERIES SERVICE
HABITAT CONSERVATION DIVISION
PIVERS ISLAND
BEAUFORT. N.C. 28516
TELEPHONE [phone]
U.S. FISH AND WILDLIFE SERVICE
ASHVILLE FIELD OFFICE
160 ZILLICOA STREET
ASHVILLE, N.C. 25801
TELEPHONE [phone]
HISTORIC RESOURCES
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, N.C. 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES
MR. JOHN DORNEY
DIV. OF ENVIRONMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIRONMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
TELEPHONE [phone]
6.
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
6512 FALLS OF THE NEUSE ROAD
RALEIGH, N.C. 27615
TELEPHONE [phone]
ASHEVILLE REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
151 PATTON AVE. ROOM 143
ASHEVILLE. N.C. 28801-5006
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1000
WASHINGTON, N.C. 27889-1000
TELEPHONE [phone]
MR. STEVE BENTON
DIV.OF COASTAL MANAGEMENT
N.C. DEPARTMENT OF
ENVIRONMENT, HEALTH, AND
NATURAL RESOURCES
P.O. BOX 27687
RALEIGH, N.C. 27611-7687
TELEPHONE [phone]
FAX [phone]
WILMNGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, N.C. 28402-1890
TELEPHONE [phone]
ATTN.: CESAW-CO-R
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. ERIC GALAMB
W Q CERTIFICATION UNIT
P. 0. BOX 29535
RALEIGH, N.C. 27626-0535
Dear Mr. GALAMB,
The North Carolina Department of Transportation Bridge Maintenance Unit, proposes the folloNying
project for your review. We believe this project can be accomplished under Nationwide # 31.
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project , if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
Geor e??a e
g ?
Bridge Maintenance Supt.
Attachments.
GLT/des
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
Dear Mr. Lund,
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 #3 1 ?
COUNTY : Union County ; Bridge # 267
ROUTE S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project constriction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project , if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
6 "`
orge .Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
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]
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]
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 • ?? . ,?? ?rG p b e ? g4 i o h
2. OWNERS ADDRESS: s i s Co, N\, tk.
Sa\? s b?Ar? ? ?1 C
3. OWNERS PHONE NUMBER (HOME): ? I k (WORK): (9p4) Qcj - ? SS S
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: G-eaicQrc L. -i'tDRjht.
N.C. b a- . of I?Cwhr?ll?-A;h-
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : lA n'%Q r
NEAREST TOWN OR CITY: 7n?'?a? ?ra??
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): b• ryn;
6. NAME OF CLOSEST STREAM/RIVER:
7. RIVER BASIN: 1 d?? ?v
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:
Nbowf--
2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: D
DRAINED: O
FLOODED:
EXCAVATED:
TOTAL IMPACTED: ? N E-
12. c?DESCRIPTIO 1N OF PROPOSED WORK (ATTACH PLANS) : 11TH r(1 6cu o?c\ I
1
V ??/ SIl ;,bkr ??1 Of1C v.1 M' °1 nRw Li knf(t\ a, k7.I N 1\'
R .c . ?"ZN' f- k .\') "c--k \ :?w T 1 P ,,, .. ?1- '? 4%-k i
13. PURPOSE OF PROPOSED WORK : '?o\acc\? 1?? G c W.\?. c ??\ni
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. N / A
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 A
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 [ ] NO [?I
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 DELINEATION 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? Wwo?s ?- C-af rh\a??
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
OWNEIV S S G T DATE

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MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. JOHN DORNEY
DIV. OF ENVIROMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIROMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
Dear Mr. DORNEY,
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 # A
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map, and a sketch of planned activities. Astringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project , if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
gue
7!ague4(
Bridge Maintenance Supt.
t
Attachments.
GLT/des
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
515 CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) UNION COUNTY. SR #
1520, BR # 267 NEAR INDIAN TRAIL. OVER NORTH FORK CROOKED CREEK
3. TELEPHONE NUMBER (HOME) N/A,
(WORK) 704-639-7555
IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
515 CAMP RD.
SALISBURY, N.C. 28147
704-639-7555
LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: UNION NEAREST TOWN OR CITY: INDIAN TRAIL
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.): 0.6
MILES SOUTH OF JCT SR # 1518 ON SR # 1520 ACROSS NORTH FORK CROOKED CREEK
6. IMPACTED OR NEAREST STREAM/RIVER: Croaktl CREEK
RIVER
BASIN: YADKIN
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO (X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO (X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES (X) NO( ) IF YES, PROVIDE ACTION I.D. NUMBER OF THE
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF
401 CERTIFICATION): 198200031
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES () NO (X) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 9.9 SQ. MILES
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION:
FLOODING: 0 OTHER:
DRAINAGE: 0 TOTAL ACRES TO BE IMPACTED: NONE
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A
FT
AFTER: N/A FT.
WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS): N/A
FT.
WIDTH AFTER: N/A FT.
AVERAGE DEPTH BEFORE: N/A FT. AFTER: N/A FT.
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
OTHERS:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 81/2" X 11" DRAWINGS ONLY): TO REPLACE
OLD 1 SPAN (? 40'8" TIlVIBER BRIDGE WITH A NEW 4 BARREL (a-, 12'X I F REINFORCED
.CONCRETE BOX CULVERT 44 FEET IN LENGTH.
13. PURPOSE OF WORK: TO REPLACE OLD BRIDGE WITH NEW REINFORCED CONCRETE
BOX CULVERT.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
N/A
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF 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.
DATE CONTACTED: NO (ATTACH RESPONSES FROM THESE
AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: NO
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (X) (IF NO, GO TO 18)
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES() NO ( )
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADRVIINSTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18,
21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1" = 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? WOODS & FARMLAND
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
OWNS S / AdEN't'S?SIGNMURE DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
5.
AGENCY ADDRESSES
ENDANGERED SPECIES
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. BOX 33726
RALEIGH, N.C. 27636-3726
TELEPHONE [phone]
NATIONAL MARINE FISHERIES SERVICE
HABITAT CONSERVATION DIVISION
PIVERS ISLAND
BEAUFORT, N.C. 28516
TELEPHONE [phone]
U.S. FISH AND WILDLIFE SERVICE
ASHVILLE FIELD OFFICE
160 ZILLICOA STREET
ASHVILLE, N.C. 25801
TELEPHONE [phone]
HISTORIC RESOURCES
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, N.C. 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES
MR. JOHN DORNEY
DIV. OF ENVIRONMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIRONMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
TELEPHONE [phone]
6.
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
6512 FALLS OF THE NEUSE ROAD
RALEIGH, N.C. 27615
TELEPHONE [phone]
ASHEVILLE REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
151 PATTON AVE. ROOM 143
ASHEVILLE, N.C. 28801-5006
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1000
WASHINGTON, N.C. 27889-1000
TELEPHONE [phone]
MR. STEVE BENTON
DIV.OF COASTAL MANAGEMENT
N.C. DEPARTMENT OF
ENVIRONMENT, HEALTH, AND
NATURAL RESOURCES
P.O. BOX 27687
RALEIGH, N.C. 27611-7687
TELEPHONE [phone]
FAX [phone]
WILMINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, N.C. 28402-1890
TELEPHONE [phone]
ATTN.: CESAW-CO-R
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. ERIC GALAMB
W Q CERTIFICATION UNIT
P. O. BOX 29535
RALEIGH, N.C. 27626-0535
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 # 31.
COUNTY : Union County; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map, and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
li? ?
Bridge Maintenance Supt.
Attachments.
GLT/des
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
Dear Mr. Lund,
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 #11,
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
6VP?ge .Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
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]
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]
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• e h? . ?? ?"r G nr P b i T VA i o N
2. OWNERS ADDRESS: Sly Cra
b
3. OWNERS PHONE NUMBER (HOME): ? A, (WORK): (9%4) Qcc - ? SSS
4. IF APPLICABLE:
PHONE NUMBER: C.
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
? c a ? L • ?eac;u c
n end . of -Tv'c
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : lA n'r,r
NEAREST TOWN OR CITY: Mr\1'110-1111
T? g?\
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): 'D.
S ov.??- (2?c -!$'QT S12 151'i or 512 1 S -.o h c'CN T- c V
6. NAME OF CLOSEST STREAM/RIVER: C'Fooc.(?, CY`?k
7. RIVER BASIN: d?? kv
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:
u 01Vt
2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: D
DRAINED: O
FLOODED:
EXCAVATED:
TOTAL IMPACTED: y F-
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): Ts' rlplaCt, OW\ I $ ?Q r
cr ' bY' i C? u i
c, W i „ire1 Cl. \-11% 1\'
13. PURPOSE OF PROPOSED WORK : 'To\ acc ?o\? b? ?. G t W ??? G n?W
RC- goy cu`?e,c?
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. ?J / A
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 [A
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 [ J NO [?I
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 DELINEATION 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? %J'.?S ?r

F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
OWN S S G T DATE
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I
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. JOHN DORNEY
DIV. OF ENVIROMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIROMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
Dear Mr. DORNEY,
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 # 31.
COUNTY : Union County; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project , if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
gue
7!ague4k
Bridge Maintenance Supt.
Attachments.
GLT/des
1; s
??rS
DEM ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
515 CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) UNION COUNTY, SR #
20, BR # 267 NEAR INDIAN TRAIL, OVER NORTH FORK CROOKED CREEK
TELEPHONE NUMBER (HOME) N/A
(WORK) 704-639-7555
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
515 CAMP RD.
SALISBURY, N.C. 28147
704-639-75 S S
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: UNION NEAREST TOWN OR CITY: INDIAN TRAIL
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.): 0.6
MILES SOUTH OF JCT SR # 1518 ON SR # 1520 ACROSS NORTH FORK CROOKED CREEK
6. IMPACTED OR NEAREST STREAM/RIVER: CrAUktl CREEK
RIVER
BASIN: YADKIN
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO (X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO (X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
N/A
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES (X) NO( ) IF YES, PROVIDE ACTION I.D. NUMBER OF THE
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF
401 CERTIFICATION): 198200031
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES () NO (X) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 9.9 SQ. MILES
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION: 0
FLOODING: 0 OTHER: 0
DRAINAGE: 0 TOTAL ACRES TO BE IIvIPACTED: NONE
10b. (1) STREAM CHANNEL TO BE M PACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A
FT. AFTER: N/A FT.
WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS): N/A
FT.
WIDTH AFTER: N/A FT.
AVERAGE DEPTH BEFORE: N/A FT. AFTER: N/A FT.
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
OTHERS:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 %z" X 11" DRAWINGS ONLY): TO REPLACE
OLD 1 SPAN n, 40'8" TIMBER BRIDGE WITH A NEW 4 BARREL (d, 12'X I F REINFORCED
.CONCRETE BOX CULVERT 44 FEET IN LENGTH.
13. PURPOSE OF WORK: TO REPLACE OLD BRIDGE WITH NEW REINFORCED CONCRETE ,
BOX CULVERT.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND RvIPACTS):
N/A
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF 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.
DATE CONTACTED: NO (ATTACH RESPONSES FROM THESE
AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: NO
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (X) (IF NO, GO TO 18)
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( )
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADRVIINSTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18,
21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1" = 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? WOODS & FARMLAND
IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
OWNS S / AdEl?f'S?SIGN&hME DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
5.
AGENCY ADDRESSES
ENDANGERED SPECIES
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. BOX 33726
RALEIGH, N.C. 27636-3726
TELEPHONE [phone]
NATIONAL MARINE FISHERIES SERVICE
HABITAT CONSERVATION DIVISION
PIVERS ISLAND
BEAUFORT, N.C. 28516
TELEPHONE [phone]
U.S. FISH AND WILDLIFE SERVICE
ASHVILLE FIELD OFFICE
160 ZILLICOA STREET
ASHVILLE, N.C. 25801
TELEPHONE [phone]
HISTORIC RESOURCES
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, N.C. 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES
MR. JOHN DORNEY
DIV. OF ENVIRONMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIRONMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
TELEPHONE [phone]
6.
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
6512 FALLS OF THE NEUSE ROAD
RALEIGH, N. C. 27615
TELEPHONE [phone]
ASHEVILLE REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
151 PATTON AVE. ROOM 143
ASHEVILLE, N.C. 28801-5006
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1000
WASHINGTON, N.C. 27889-1000
TELEPHONE [phone]
MR. STEVE BENTON
DIV.OF COASTAL MANAGEMENT
N.C. DEPARTMENT OF
ENVIRONMENT, HEALTH, AND
NATURAL RESOURCES
P.O. BOX 27687
RALEIGH, N.C. 27611-7687
TELEPHONE [phone]
FAX [phone]
WILMINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, N.C. 28402-1890
TELEPHONE [phone]
ATTN.: CESAW-CO-R
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. ERIC GALAMB
W Q CERTIFICATION UNIT
P. O. BOX 29535
RALEIGH, N.C. 27626-0535
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 # 31.
COUNTY : Union County; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
Geor e L.?a e
g ?
Bridge Maintenance Supt.
Attachments.
GLT/des
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
Dear Mr. Lund,
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 #3 1,
COUNTY : Union County; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
orge .Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
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]
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]
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 C • e?? , ?? ?rCA f'YT' P e r } G? i o ??
2. OWNERS ADDRESS: 515
3. OWNERS PHONE NUMBER (HOME): ? I A (WORK): (9%4) Qcj - ? SSS
4. IF APPLICABLE:
PHONE
5.
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL. ADDRESS.
6. NAME OF CLOSEST STREAM/RIVER:
7. RIVER BASIN: 1 d\ \?'•kv ,
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:
Nowt
2/3/92
LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : U n•%ar
NEAREST TOWN OR CITY: Y?aia? Tra??`
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): b• rn;les
5ov.N\- (§, ??Y S12 15th or _S'' \S-" c?.crc?? s NlwrA , V a,

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: D
DRAINED: O
FLOODED:
EXCAVATED:
TOTAL IMPACTED: "'s N F-
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): Tt? U P-6ci. oIa $ Par.
® ?z' ? ?cn cr b?'•? tie, W? nrrt (w1.\'l?? t\'
13. PURPOSE OF PROPOSED WORK : "?o f e\ o.cc\? by ?. G t W ??1? a n?W
R • C ?o?. c y.?.l e,c-ar
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. NJ J A
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 [ J NO [\in.
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 [ J NO [?J
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 DELINEATION 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? VJooc?s C'a?w.\ar?
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
9??--fco ?' 3-9-?7
OWN S S G T DATE
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b
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. JOHN DORNEY
DIV. OF ENVIROMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIROMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N. C. 27607
s
LM C 1999
P
WETLANDS G3i0UP
WATFR OUALITY SECTf?s
Dear Mr. DORNEY,
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 # 31.
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project , if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
-
George L. Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
515 CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) UNION COUNTY. SR #
J520, BR # 267 NEAR INDIAN TRAIL, OVER NORTH FORK CROOKED CREEK
3. TELEPHONE NUMBER (HOME) N/A (WORK) 704-639-7555
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS.
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
515 CAMP RD.
SALISBURY, N.C. 28147
704-639-7555
LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: UNION NEAREST TOWN OR CITY: INDIAN TRAIL
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.): 0.6
MILES SOUTH OF JCT SR # 1518 ON SR # 1520 ACROSS NORTH FORK CROOKED CREEK'
6. IMPACTED OR NEAREST STREAM/RIVER: Croaktl CREEK
RIVER
BASIN: YADKIN
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO (X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO (X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
N/A
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES (X) NO( ) IF YES, PROVIDE ACTION I.D. NUMBER OF THE
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF
401 CERTIFICATION): 198200031
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES () NO (X) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 9.9 SQ. MILES
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
NONE
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION: 0
FLOODING: 0 OTHER: 0
DRAINAGE: 0 TOTAL ACRES TO BE IMPACTED: NONE
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A FT. AFTER: N/A
WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS): N/A
FT.
WIDTH AFTER: N/A FT.
AVERAGE DEPTH BEFORE: N/A FT. AFTER: N/A FT.
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
OTHERS:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 %2" X 11" DRAWINGS ONLY): TO REPLACE
OLD 1 SPAN (a? 40'8" TIMBER BRIDGE WITH A NEW 4 BARREL (a),, 12' X 11' REINFORCED
.CONCRETE BOX CULVERT 44 FEET IN LENGTH
13. PURPOSE OF WORK: TO REPLACE OLD BRIDGE WITH NEW REINFORCED CONCRETE
BOX CULVERT.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
N/A
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF 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.
DATE CONTACTED: NO (ATTACH RESPONSES FROM THESE
AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: NO
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (X) (IF NO, GO TO 18)
4.
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES() NO ( )
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMNSTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18,
21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1" = 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? WOODS & FARMLAND
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
Amw?Zcod? 3 - 6 - <?<)
OWNS S / A 'S SIGN PURE DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
5.
AGENCY ADDRESSES
ENDANGERED SPECIES
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. BOX 33726
RALEIGH, N.C. 27636-3726
TELEPHONE [phone]
NATIONAL MARINE FISHERIES SERVICE
HABITAT CONSERVATION DIVISION
PIVERS ISLAND
BEAUFORT, N.C. 28516
TELEPHONE [phone]
U.S. FISH AND WILDLIFE SERVICE
ASHVILLE FIELD OFFICE
160 ZIL.LICOA STREET
ASHVILLE, N.C. 25801
TELEPHONE [phone]
HISTORIC RESOURCES
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, N.C. 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES
MR. JOHN DORNEY
DIV. OF ENVIRONMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIRONMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
TELEPHONE [phone]
6.
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
6512 FALLS OF THE NEUSE ROAD
RALEIGH, N.C. 27615
TELEPHONE [phone]
ASHEVILLE REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
151 PATTON AVE. ROOM 143
ASHEVILLE, N.C. 28801-5006
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1000
WASHINGTON, N.C. 27889-1000
TELEPHONE [phone]
MR. STEVE BENTON
DIV.OF COASTAL MANAGEMENT
N.C. DEPARTMENT OF
ENVIRONMENT, HEALTH, AND
NATURAL RESOURCES
P.O. BOX 27687
RALEIGH, N.C. 27611-7687
TELEPHONE [phone]
FAX [phone]
WILMINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, N.C. 28402-1890
TELEPHONE [phone]
ATTN.: CESAW-CO-R
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. ERIC GALAMB
W Q CERTIFICATION UNIT
P. O. BOX 29535
RALEIGH, N.C. 27626-0535
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 # 31.
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
Geor e?a e
g ?
Bridge Maintenance Supt.
Attachments.
GLT/des
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
Dear Mr. Lund,
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 #3 1P
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map, and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
orge .Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
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 WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT, HEALTH,
P.O. BOX 1890 AND NATURAL RESOURCES
WILMINGTON, NC 28402-1890 P.O. BOX 29535
ATTN: CESAW-CO-E RALEIGH, NC 27626-0535
Telephone [phone] 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. 11 1. OWNERS NAME : N • (? ,?? . ?? ?rG Y'VV p b T G4 i o h
2. OWNERS ADDRESS: S l 5 cv,
3. OWNERS PHONE NUMBER (HOME): j (WORK): (104) Qcc - ? SS S
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: GearQe L. -"ev, gt,
1V •C• n-e4. o& "TfGr.c-Ac ri ?A+o,
S Ls Ic G Vin 0 Rck
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : 1.1 n'?o r
NEAREST TOWN OR CITY: 7n?,'?a? Tra??
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): b• rn.L37
_Sov.??- ICY 512 \syi or SiZ \S-" c>.crS-41??r1?• 'For
?.? oo?t ? ? c eek
6 . NAME OF CLOSEST STREAM/RIVER: C ttuv& C (`?k
7. RIVER BASIN: ? d\ dkv
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO M
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:
2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: D
DRAINED: O
FLOODED:
EXCAVATED:
TOTAL IMPACTED: o F-
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): To rtplc?cu I S a>1
® ?}o' $" A; ?.bcr br'? d ?e w ?11? \`?ncw' 1 ?i bocre\ Cl\? k ??'
?•C.. '?"l?. t'\w??1 e`C?( ?1??? rn ?Y nuY1-? o"? ?t'1 r
13. PURPOSE OF PROPOSED WORK: -T% t p?acs C?\?, 1?? '4 t W ??\. c n?W
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. _N / R
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 [A
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 [ ] 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 DELINEATION 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? W wo ,V
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
a W-1 3
OWN S S G T DATE
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MAR 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. JOHN DORNEY
DIV. OF ENVIROMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIROMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
a !?? L3
IJ J 44
MAR 1 11999
•>
V ':F PT;
Dear Mr. DORNEY,
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 # A
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map, and a sketch of planned activities. Astringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
George L. Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
515 CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) UNION COUNTY. SR #
,520. BR # 267 NEAR INDIAN TRAIL. OVER NORTH FORK CROOKED CREEK
3. TELEPHONE NUMBER (HOME) N/A (WORK) 704-639-7555
IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS.
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
515 CAMP RD.
SALISBURY, N.C. 28147
704-639-75 5 5
LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: UNION NEAREST TOWN OR CITY: INDIAN TRAIL
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.): 0.6
MILES SOUTH OF JCT SR # 1518 ON SR # 1520 ACROSS NORTH FORK CROOKED CREEK
6. IMPACTED OR NEAREST STREAM/RIVER: G-94 W CREEK
RIVER
BASIN: YADKIN
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO (X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO (X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES (X) NO( ) IF YES, PROVIDE ACTION I.D. NUMBER OF THE
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF
401 CERTIFICATION): 198200031
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES () NO (X) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 9.9 SQ. MILES
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION:
FLOODING: 0 OTHER: 0
DRAINAGE: 0 TOTAL ACRES TO BE INWACTED: NONE
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A FT. AFTER: N/A FT.
WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS): N/A
FT.
WIDTH AFTER: N/A FT.
AVERAGE DEPTH BEFORE: N/A FT. AFTER: N/A FT.
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
OTHERS:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 '/2" X 11" DRAWINGS ONLY): TO REPLACE
OLD 1 SPAN (d), 40'8" TIMBER BRIDGE WITH A NEW 4 BARREL (? 12'X I F REINFORCED
.CONCRETE BOX CULVERT 44 FEET IN LENGTH.
13. PURPOSE OF WORK: TO REPLACE OLD BRIDGE WITH NEW REINFORCED CONCRETE
BOX CULVERT.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
A
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF 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.
DATE CONTACTED: NO (ATTACH RESPONSES FROM THESE
AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTIRIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: NO
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (X) (IF NO, GO TO 18)
4.
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( )
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADUVIINSTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18,
21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1" = 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? WOODS & FARMLAND
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE RvMACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
AMW?,-7 - - 7?
OWNS S / A 'S SIGN 'LURE DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
5.
AGENCY ADDRESSES
ENDANGERED SPECIES
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. BOX 33726
RALEIGH, N.C. 27636-3726
TELEPHONE [phone]
NATIONAL MARINE FISHERIES SERVICE
HABITAT CONSERVATION DIVISION
PIVERS ISLAND
BEAUFORT, N.C. 28516
TELEPHONE [phone]
U.S. FISH AND WILDLIFE SERVICE
ASHVILLE FIELD OFFICE
160 ZILLICOA STREET
ASHVILLE, N.C. 25801
TELEPHONE [phone]
HISTORIC RESOURCES
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, N.C. 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES
MR. JOHN DORNEY MR. STEVE BENTON
DIV. OF ENVIRONMENTAL MANAGEMENT DIV.OF COASTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIRONMENT, N.C. DEPARTMENT OF
HEALTH, AND NATURAL RESOURCES ENVIRONMENT, HEALTH, AND
4401 REEDY CREEK ROAD NATURAL RESOURCES
RALEIGH, N.C. 27607 P.O. BOX 27687
TELEPHONE [phone] RALEIGH, N.C. 27611-7687
TELEPHONE [phone]
FAX [phone]
6.
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
6512 FALLS OF THE NEUSE ROAD
RALEIGH, N.C. 27615
TELEPHONE [phone]
ASHEVILLE REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
151 PATTON AVE. ROOM 143
ASHEVILLE, N.C. 28801-5006
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1000
WASHINGTON, N.C. 27889-1000
TELEPHONE [phone]
WILMINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, N.C. 28402-1890
TELEPHONE [phone]
ATTN.: CESAW-CO-R
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. ERIC GALAMB
W Q CERTIFICATION UNIT
P. O. BOX 29535
RALEIGH, N.C. 27626-0535
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 # 31.
COUNTY : Union County; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project , if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
li? ?
Bridge Maintenance Supt.
Attachments.
GLT/des
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
Dear Mr. Lund,
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 #3 1,
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map, and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
orge .Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
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]
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]
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 :
2. OWNERS ADDRESS: s is ca v t ? N .
3. OWNERS PHONE NUMBER (HOME) : ? f I'\ (WORK) : (?pH) Qc? - ? SSS
4. IF APPLICABLE:
PHONE
5.
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL. ADDRESS-
6. NAME OF CLOSEST STREAM/RIVER: C'Eooe(? Cc`?k
7. RIVER BASIN: \J 'J\ \'\?' \C:v
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:
NoI\ff--
2/3/92
LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : lA h''o r
NEAREST TOWN OR CITY:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): 1J• rn;les
51114\j0;\-- C?, "Z?"cY 512 \ S 1ci or 5\Z \ S -" ac"c ?"c s M Z'Aa ' 'E o Y

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: D
DRAINED: O
FLOODED:
EXCAVATED:
TOTAL IMPACTED: I N E
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): Ta r[aIaCL o
new u 6Qcrtl Cl11

13. PURPOSE OF PROPOSED WORK : "To \ v,cc 6\? b? ?. a C W ??? G n?W
R • C - ?o? c y.`? c.c-? .
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. N 1R
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 [41,
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 [ ] 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? VJ oo? S lk
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
OWN S S G T DATE

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MAR I 1 1999
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MAR. 8, 1999 ws s''"`
515 Camp Rd.
Salisbury, N. C. 28147
Mr. JOHN DORNEY
DIV. OF ENVIROMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIROMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
Dear Mr. DORNEY,
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 # N.
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
? -
George L. Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATIONS APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATIONS FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET), SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: BRIDGE MAINTENANCE UNIT
515 CAMP RD.
SALISBURY, N.C. 28147
PROJECT LOCATION ADDRESS, (INCLUDING SUBDIVISION NAME) UNION COUNTY, SR #
1520, BR # 267 NEAR INDIAN TRAIL, OVER NORTH FORK CROOKED CREEK
3. TELEPHONE NUMBER (HOME) N/A
(WORK) 704-639-7555
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
AND PHONE NO.
GEORGE L. TEAGUE
BRIDGE MAINTENANCE SUPERINTENDENT
515 CAMP RD.
SALISBURY, N.C. 28147
704-639-7555
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: UNION NEAREST TOWN OR CITY: INDIAN TRAIL
SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.): 0.6
MILES SOUTH OF JCT SR # 1518 ON SR 4 1520 ACROSS NORTH FORK CROOKED CREEK
6. IMPACTED OR NEAREST STREAM/RIVER: Croc W CREEK
RIVER
BASIN: YADKIN
2.
7a. IS PROJECT LOCATED NEAR WATER CLASSIFED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO (X) IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO (X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES (X) NO( ) IF YES, PROVIDE ACTION I.D. NUMBER OF THE
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF
401 CERTIFICATION): 198200031
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES( ) NO (X) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 9.9 SQ. MILES
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION: 0
FLOODING: 0 OTHER: 0
DRAINAGE: 0 TOTAL ACRES TO BE IMPACTED: NONE
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: N/A FT. AFTER: N/A FT.
WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS): N/A
FT.
WIDTH AFTER: N/A FT.
AVERAGE DEPTH BEFORE: N/A FT. AFTER: N/A FT.
3.
10b. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
OTHERS:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 ''/z" X 11" DRAWINGS ONLY): TO REPLACE
OLD 1 SPAN n. 40'8" TIMBER BRIDGE WITH A NEW 4 BARREL (d 12'X 11' REINFORCED
,CONCRETE BOX CULVERT 44 FEET IN LENGTH
13. PURPOSE OF WORK: TO REPLACE OLD BRIDGE WITH NEW REINFORCED CONCRETE
BOX CULVERT.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
N/A
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) REGARDING THE PRESENCE OF 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.
DATE CONTACTED: NO (ATTACH RESPONSES FROM THESE
AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: NO
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (X) (IF NO, GO TO 18)
4.
17. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( )
17. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADIMINSTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369.
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS
INTO WETLANDS:
a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18,
21, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE
PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1" = 50'
OR 1" = 100' OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? WOODS & FARMLAND
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
OWNS S / AdENf'S'SIGN&hJRE DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION
LETTER FROM THE OWNER IS PROVIDED (18g.) )
5.
AGENCY ADDRESSES
ENDANGERED SPECIES
U.S. FISH AND WILDLIFE SERVICE
RALEIGH FIELD OFFICE
P.O. BOX 33726
RALEIGH, N.C. 27636-3726
TELEPHONE [phone]
NATIONAL MARINE FISHERIES SERVICE
HABITAT CONSERVATION DIVISION
PIVERS ISLAND
BEAUFORT, N.C. 28516
TELEPHONE [phone]
U.S. FISH AND WILDLIFE SERVICE
ASHVILLE FIELD OFFICE
160 ZILLICOA STREET
ASHVILLE, N.C. 25801
TELEPHONE [phone]
HISTORIC RESOURCES
STATE HISTORIC PRESERVATION OFFICE
N.C. DIVISION OF ARCHIVES AND HISTORY
109 EAST JONES STREET
RALEIGH, N.C. 27601
TELEPHONE [phone]
STATE REGULATORY AGENCIES
MR. JOHN DORNEY
DIV. OF ENVIRONMENTAL MANAGEMENT
N.C. DEPARTMENT OF ENVIRONMENT,
HEALTH, AND NATURAL RESOURCES
4401 REEDY CREEK ROAD
RALEIGH, N.C. 27607
TELEPHONE [phone]
6.
CORPS OF ENGINEERS FIELD OFFICES:
RALEIGH REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
6512 FALLS OF THE NEUSE ROAD
RALEIGH, N.C. 27615
TELEPHONE [phone]
ASHEVILLE REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
151 PATTON AVE. ROOM 143
ASHEVILLE, N.C. 28801-5006
TELEPHONE [phone]
WASHINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1000
WASHINGTON, N.C. 27889-1000
TELEPHONE [phone]
MR. STEVE BENTON
DIV.OF COASTAL MANAGEMENT
N.C. DEPARTMENT OF
ENVIRONMENT, HEALTH, AND
NATURAL RESOURCES
P.O. BOX 27687
RALEIGH, N.C. 27611-7687
TELEPHONE [phone]
FAX [phone]
WILMINGTON REGULATORY FIELD OFFICE
U.S. ARMY CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, N.C. 28402-1890
TELEPHONE [phone]
ATTN.: CESAW-CO-R
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. ERIC GALAMB
W Q CERTIFICATION UNIT
P. O. BOX 29535
RALEIGH, N.C. 27626-0535
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 # 3 1.
COUNTY : Union County; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area = 9.9 sq. miles. Average Daily Flow = 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
Geor e?a e
g ?
Bridge Maintenance Supt.
Attachments.
GLT/des
MAR. 8, 1999
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Steve Lund
U. S. Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, N. C. 28801-5006
Dear Mr. Lund,
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 #3 1,
COUNTY : Union County ; Bridge # 267
ROUTE : S. R. 1520
STREAM : NORTH FORK CROOKED CREEK
DESCRIPTION : Bridge # 69-267 Replaced with R. C. BOX CULVERT 44' Length.
Not located in wetlands.
Less than 0.02 Acres of Rip Rap fill in Waters.
Drainage Area= 9.9 sq. miles. Average Daily Flow= 8.9 C.F.S.
Total CULVERT length in stream = 44 ft,
We have attached a site location map , and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you
have any questions, please call me at 704- 639-7555.
Sincerely,
orge . Teague
Bridge Maintenance Supt.
Attachments.
GLT/des
DEM ID: 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]
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]
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. l
1. OWNERS NAME : N • Z ?? . ?? G `Rr P 6l T G? i o h
2. OWNERS ADDRESS: S l5
b
3. OWNERS PHONE NUMBER (HOME): ? f A, (WORK): (9%4) Qcj - ? S 5 S
4. IF APPLICABLE:
PHONE NUMBER: C.
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
?cqc L. -'eas,uc
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: UA
NEAREST TOWN OR CITY: Yn?'?a? Trg?\
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): b•
5 ov,?? <,5, ICY SI2 \ s N or S \z \ S - ? o r-'cr'v c 11\'4.- V
6. NAME OF CLOSEST \SSTREAM/RIVER : C t,614V& C t `?k
7. RIVER BASIN: 1 d\ \'? V,,
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ I NO [\,I
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:
?/ 01V?.
2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: D
DRAINED: O
FLOODED:
EXCAVATED:
TOTAL IMPACTED: o F-
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS) : T13 rlp?RCL n?a s Pa h
(ii? 40, I" A - rbcr- - br'? ale, w,?? , new L4 4,. rYt1 Q, ??? ? ??'
13. PURPOSE OF PROPOSED WORK : '? o ?\ o,cc 6\? b? c, t i ??1. G n?W
R C goy c uAQ t'4 .
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. N / P
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 [A
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 [ ] 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 DELINEATION 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? 1IJoo?S 6

F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
6"A--
OWN??S S G T DATE
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