20100826 Ver 1_Individual_20101004

A74*'?"A'r
WCDENR
North Carolina Department of Environment and
Division of Parks and Recreation
Beverly Eaves Perdue, Governor Dee Freeman, Secretary
Mr. Ian McMillan
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, NC. 27699-1650
October 4, 2010
RE: Individual Permit Application Submittal
Dam Repairs
Mayo River State Park (Rockingham County)
Dear Mr. McMillan:

... . ' 4. .....
Enclosed are five copies of our application package requesting a Water Quality Certification associated with an Individual
Permit (IP) for repairs to an earthen dam within the newly renovated Mayo Mountain Access Area of Mayo River State
Park (MARI) in Rockingham County, NC. This application package consists of the following documentation: one
completed Application For Department Of The Army Permit form (ENG Form 4345), one IP Supplemental Document and
supporting documentation, one MARI park map, three GIS-generated maps, one wetland impact map, and two full-sized
sets of thirteen engineering drawings approved by the NC State Construction Office.
This proposed project consists of the repair of an earthen fill dam to address ongoing structural integrity issues associated
with the existing dam. Fill that will be placed in jurisdictional waters include the following structures composed of riprap:
check dams, apron, spillway slope stabilization, and a plunge pool. Additionally a stone filter berm will be placed around
a manhole riser, and two precast concrete manholes will form barrels within the primary spillway. The proposed full pond
elevation is anticipated to be approximately 676.6 feet. The total area of substrate disturbance for this project is
anticipated to be approximately 0.72 acres.
DPR is concurrently submitting one copy of this permit application to the US Army Corps of Engineers to request a
corresponding Individual Permit Verification per multiple consultations with Steven Kichefski/Andy Williams (USACE,
Raleigh Regulatory Office) and with Sue Homewood (DWQ WSRO). Per our conversation on August 23, 2010, 1 have
included funds transfer documentation indicating that payment of the $570 application fee has been transferred from the
Division of Parks and Recreation (DPR) to the Division of Water Quality. Please contact me if you require any additional
information.
Sincerely,
Amin K. Davis
Environmental Review Coordinator
Division of Parks and Recreation, Natural Resources Program
North Carolina Department of Environment and Natural Resources
[phone] / [e-mail]
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] \ FAX: [phone] \ Internet: www.ncparks.gov
An Equal Opportunity I Affirmative Action Employer - 50 % Recycled 1 10 % Post Consumer Paper
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Natural Resources
Lewis Ledford, Director
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APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB APPROVAL NO. 0710.0003
(33 CFR 325) EXPIRES: 31 August 2012
burden for this collection of information is estimated to average 11 hours per response, including the time for reviewing instructions, searching
F
rces, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this
or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington
'
xecutive Services and Communications Directora te, Information Management Division and to the Once of Management and Budget,
H,adquaaers,
Paperwork Reduction Project (0710-0003). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any
penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to
either of those addresses. Completed applications must be submitted to the District Engineer having jurisdiction over the location of the proposed activity.
PRIVACY ACT STATEMENT
Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and Sanctuaries
Act, Section 103, 33 USC 1413; Regulatory Programs of the Corps of Engineers; Final Rule 33 CFR 320-332 Principal Purpose: Information provided on this
form will be used in evaluating the application for a permit. Routine Uses: This Information may be shared with the Department of Justice and other federal,
state, and local government agencies, and the public and may be made available as part of a public notice as required by Federal law. Submission of
requested information is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued. One set of
original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (see sample
drawings and instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed activity. An application that is not
completed in full will be returned.
(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)
1. APPLICATION NO_ 2. FIELD OFFICE CODE 3. DATE RECEIVED 4. DATE APPLICATION COMPLETE
(ITEMS BELOW TO BE FILLED BY APPLICANT)
5_ APPLICANT'S NAME- 8. AUTHORIZED AGENTS NAME AND TITLE (an agent is not required)
First- ?Vf? Middle- Last- tqv S First- Middle- Last-
Company- WC,1 .`fSRrbc3?5?01CX?Qc 1,t( Company- N/h
E-mail Address - CLrh? 1 • dqQ i sQ hC,:W_n r, pv E-mail Address -
6. APPLICANTS ADDRESS. 9. AGENTS ADDRESS
Address - MSC 1615 Address -
City - RAe? h State - V-i C. Zip - g?"1(ag9 Country- v SA City - State - Zip - Country -
7. APPLICANTS PHONE NOs. W/AREA CODE. 10. AGENTS PHONE NOS. W/AREA CODE
a. Residence b. Business c. Fax a. Residence b. Business c. Fax
W1A 919-715-7584 919-715-3085
STATEMENT OF AUTHORIZATION
11 _ I hereby authorize, to act in my behalf as my agent in the processing of this application and to furnish, upon request,
supplemental information in support of this permit application.
A I
APPLICANTS SIGNATURE DATE
NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE (see Instructions)
Mayo River Dam Repair
13. NAME OF WATERBODY, IF KNOWN (if applicable) 14. PROJECT STREET ADDRESS (K applicable)
Unnamed Tributary to Mayo River d MgyO Address vqtyl ROqA
15. LOCATION OF PROJECT
Latitude: °N 3(0.44 t
Longitude: °W --79.`I49
City- MF' OAQr\ State- NCe zip- ??1537
16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see Instructions)
State Tax Parcel ID 791-70()q-12915 Municipality Mqy OACA
Section - Township - Ranoe -
17. DIRECTIONS TO THE SITE
Mayo River State Park is located In western Rockingham County near the towns of Mayodan and Stoneville, approximately 30 minutes north of Greensboro. From Greensboro, take Highway 220 North
to the Stoneville exk and turn left onto Hwy 220 Business towards Mayodan. Take a right onto Oki Mayo Park Road and continue kL2arWaujo L larye picnic shelter.
ENG FORM 4345, SEPT 2009
EDITION OF OCT 2004 IS OBSOLETE
O(T 4 2010
U
Proponent: CECW-OR
DEN., vyn, c. '
. aMNH
1JJ11t11JM AND
F. 18. Nature of Activity (Description of project, nclwe all features)
See attached 'IP Supplement' document.
19. ProjectPurpose (Desube the reason or purpose of the project, see instructions)
See attached 'IP Supplement' document.
USE BLOCKS 20-23 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED
20. Reason(s) for Discharge
The placement of rip rap as a check dam, apron, plunge pool, and spillway stabilization serves to dissipate
hydraulic energy, reduce substrate erosion, and is part of standard construction practices for this type of structure.
The rock and stone filter berm will allow for sediment settling and the concrete pad will fortify the outlet drain valve.
21. Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards:
Type Type Type
Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards
Riprap (143.2) Stone (450.4) Concrete (21.1)
22. Surface Area in Acres of Wetlands or Other Waters Filled (see irntnxtiorvs)
Acres Riprap apron: 0.02 acres (ac) in wetlands; Stone filter berm: 0.06 ac in wetlands, open waters; Concrete pad: 0.004 ac In wetlands, open waters.
Or
Liner Feet Rlprap check dams/stabilizabon: 491f in Jurisdictional streams; Rlprap plunge pool: 401f in in jurisdictional stream.
23. Description of Avoidance, Minimization, and Compensation (see instructions)
See attached IP Supplement' document.
24. Is Any Portion of the Work Already Complete? Yes L] No 0 IF YES, DESCRIBE THE COMPLETED WORK
25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (If more than can be erdered here, please attach a supplemental list).
Address- Please see attached 'Adjoining Property Owners' spreadsheet and map.
City - State - Zip -
26. List of Other Certifications or Approvals/Denials Received from other Federal, State, or Local Agencies for Work Described in This Application.
AGENCY TYPE APPROVAL' IDENTIFICATION NUMBER DATE APPLIED DATE APPROVED DATE DENIED
See attached 'IP Supplement' document.
Would include but is not restricted to zoning, building, and flood plain permits
27. Application is hereby made for a permit or permits to authorize the work described in this application. I certify that the information in this application is
complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the
applicant-
, 301
SIGNATURE OF APPLICANT DATE SIGNATURE OF AGENT DATE
The application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly authorized agent if the
statement in block 11 has been filled out and signed.
18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully
falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or representations or
makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statements or entry, shall be fined not more than
$10,000 or imprisoned riot more than five years or both.
ENG FORM 4345, :DEPT 20109. .
SUPPLEMENT: APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT (ENG FORM 4345, SEPT 2009)
MAYO RIVER STATE PARK: DAM REPAIR
Block 18: Nature of Activity
This proposed project consists of the repair of an earthen fill dam and associated improvements to the upper pond area.
Fill that will be placed in jurisdictional waters include the following structures composed of riprap: check dams, apron,
spillway slope stabilization, and plunge pool. Additionally a stone filter berm will be placed around a manhole riser
and two precast concrete manholes will form barrels within the primary spillway. Means and methods of compliance
with the contract documents are the responsibility of the contractor who wins the bid. The proposed full pond elevation
is anticipated to be approximately 676.6 feet. The total anticipated area of disturbance for this project is approximately
0.72 acres. Please see `Wetland Impact Map' and `Sheet C-103' drawings for more detailed information.
Block 19: Project Purpose
The purpose of this proposed project is to repair the earthen dam surrounding the lower pond area of the historic swim
beach within the newly renovated Mayo Mountain Access area of Mayo River State Park (MARI). These repairs will
be conducted to address structural integrity issues concerning the existing dam that have been ongoing for the past
several years. The NC Division of Parks and Recreation (DPR) contracted with a reputable engineering firm in 2005 to
conduct an Engineering Field Study to assess the structural integrity of the upper and lower ponds to address concerns
that overtopping of upper pond may have been threatening the structural integrity of lower pond. The Engineering
Report recommended that a "rehabilitation design should be prepared for the lower dam to be in compliance with State
Dam Safety Regulations". Please see attached `Chronological Synopsis of Work' for more detailed information.
Construction work is anticipated to begin - March 2011 and be completed by December 2011.
Block 23: Description of Avoidance, Minimization, and Compensation
Four Alternative options were considered for the proposed dam repairs: 1.) remove/breach both dams and restore
existing stream, 2.) repair upper dam, remove lower dam and restore existing stream, 3.) remove upper dam and repair
lower dam, and 4.) repair both dams (the Preferred Alternative). The Preferred Alternative was chosen primarily based
on public and political momentum to restore the area to its historic condition as part of the architecturally-significant
picnic shelter site. This alternative is not anticipated to pose significant direct, secondary, or cumulative impacts to
water quality or associated natural or historic resources since the project areas has been impounded since the mid
1900's (see attached State Historic Preservation Office letter). Additionally, the anticipated areas of soil/substrate
disturbance are situated within previously-disturbed land. Riprap structures such as check dams, apron, spillway slope
stabilization, and a plunge pool will be installed for temporary and permanent sediment/erosion control and substrate
stabilization purposes. A stone filter berm will be placed around a manhole riser and two precast concrete manholes at
the outlet of the lower pond to reduce downstream sedimentation and provide stabilization to the outlet structure.
This project is anticipated to impact approximately 1.17 acres of jurisdictional riparian wetlands due to inundation and
fill within the lower pond area. DPR plans to submit payment into NCDENR's Wetlands Trust Fund through the
Ecosystem Enhancement Program's In-Lieu Fee (EEP 1LF) Mitigation Program to offset impacts to 1.17 acres of
riparian wetlands (see attached EEP ILF letter). DPR is proposing a ''/z:1 compensatory mitigation ratio for the
following reasons: 1.) the jurisdictional wetland area has been impounded and disturbed by human development since
the mid 1900's and was only recently drained (< 5 years ago), 2.) this wetland was given a `Low' functional rating per
the North Carolina Wetland Assessment Method (NCWAM) conducted by DPR staff and verified by USACE staff, and
3.) there are no significant aquatic or other natural resources currently listed within the project area. Compensatory
mitigation is not being required for impacts to the existing bypass channel and open waters. Supplemental
compensatory mitigation to satisfy DWQ requirements is not anticipated for impacts to wetlands because project
impacts are primarily associated with re-inundation of a formerly ponded area and will be well below their required
mitigation threshold.
SUPPLEMENT: APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT (ENG FORM 4345, SEPT 2009)
MAYO RIVER STATE PARK: DAM REPAIR
Block 26: List of Other Certifications or Approvals/Denials Received From other Federal, State, or Local
Aizencies for Work Described in This Application
AGENCY TYPE OF APPROVAL IDENTIFICATION NUMBER DATE APPLIED DATE APPROVED
NC Department of Construction Drawings & SCO ID# 09-07714-01A 7/26/10 7/30/10
Administration/Insurance Specifications
NC Department of
Environment & Natural Sediment & Erosion
ROCKI 2010-020

7/2/10

7/8/10
Resources, Division of Land Control Plan
Quality
NC Department of
Environment & Natural Dam Safety Approval ROCKI-234-L 4/16/10 5/21/10
Resources, Dam Safety
d.+s ?h44,
North Carolina Department of Cultural Resources
State Historic Preservation Office
Peter B. Sandbeck, Admiaistzator
Beverly Eaves Perdue, Governor Office of Archives and History
Linda A. Carlisle, Secretary Division of Historical Resources
Jeffrcy J. Crow, Deputy Secretary David Brook, Director
June 7, 2010
MEMORANDUM
TO: Amin Davis
NC Department of Environment and Natural Resources
Division of Parks and Recreation
FROM: Peter Sandbeck OL? P
SUBJECT: Dam Repairsat Mayo Mountain Access Area, Mayo River State Park, Rockingham County,
ER 10-0973
Thank you for your letter of June 1, 2010, concerning the above project.
We have conducted a review of the project and are aware of no historic resources which would be affected by
the project. Therefore, we have no comment on the project as proposed.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36 CFR
Part 800.
Thank you for your cooperation and consideration. If you have questions concerning the above cotnment,
please contact Renee Gledhill-Earley, environmental review coordinator, at 919-807-6579. In all future
communication concerning this project, please cite the above-referenced tracking number.
Location 109 East Jones Street, Raleigh NC 27601 Maikar Address: 4617 Mail Service Center, Raleigh NC 27699-4617 Telephone/Fax: [phone]-6599
1?-
0 tem
PROGRAM
August 10, 2010
Amin Davis
NCDENR Division of Pars and Recreation
1615 Mail Service Center
Raleigh, NC 27699
Project: Mayo River State Park Dam Repair
Expiration of Acceptance: May 10, 2011
County: Rockingham
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept
payment for impacts associated with the above referenced project under the condition specified below. Please note that this decision
does not assure that the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the
responsibility of the applicant to contact these agencies ?o determine if payment to the NCEEP will be approved. You must also
This acceptance is valid for nine months from the date of this letter and is not transferable. If we have not received a copy of the
issued 404 Pcrmit/401 Certification/CAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies of the permits to NCEEP. Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www.nceep.net.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the following
table.
River
Basin CU
Location Stream (feet) Wetlands (acres) Buffer I
(Sq. Ft.) Buffer II
(Sq. Ft.)
Cold Cool Warm Riparian Non-Riparian Coastal Marsh
Impact Roanoke 03010103 0 0 0 1.17 0 0 0 0
Credits Roanoke 03010104 0 0 0 2.34 0 0 0 0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. If the regulatory agencies require
mitigation credits greater than indicated above, and the applicant wants NCEEP to be responsible for the additional mitigation, the
applicant will need to submit a mitigation request to NCEEP for approval prior to permit issuance. The mitigation will be performed
in accordance with the Memorandum of Understanding between the N.C. Department of Environment and Natural Resources and the
U.S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
cc: Ian McMillan, NCDWQ Wetlands/401 Unit
Andy Williams, USACE-Raleigh
Sue Homewood, NCDWQ-Winston-Salem
File
Sincerel
. &?Kr tZA-
William D. ilmore, PE
Director
1ZMt-0riKg... m ha"... Protect, our State,
A FA
MUM
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net
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LEGEND ;l Jr f/?? vJ ?`II r -
Q Park Boundary
0 0.15 0.3 0.6 1
Miles
0 1,450 2,900 5,800 N
Feet I
Scale: 1 2,000'
Sources: USGS (Mayodan Topographic Quadrangle) Prepared / Date: AKD/3-16-10
Dam Repairs Vicinity Ma
I North Carolina Division of y p
Mayo River State Park Parks and Recreation
Rockingham County, North Carolina L I Figure 1

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' depicted on this map were digitized from GPS data
Open Water (-0.12ac) t post-processed to sub-meter accuracy. The 'Stream/
fi Bypass Channel' centerline was derived from
Stream/Bypass Channel (875') survey data. Jurisdictional boundaries depicted were
^ .! + ?_ ,! } verified by USACE staff on 4/1/10.
0 0.02 0.04 0.08
Miles
0 165 330 660 N
Feet '
Scale: 1 200'
Sources: Meade Gunnell E&S, Rockingham County (2007 Aerial Photography) Prepared / Date: AKD/9-30-10
Dam Repairs North Carolina creatio n of Jurisdictional Delineation
Mayo River State Park ? Parks and ttecreation (FINAL)
Rockingham County, North Carolina
Figure 2
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LEGEND
Streams
O Project Area
Park Boundaries
Riparian Properties
Property Boundaries
0 0.02 0.04 0.08
Miles
0 165 330 660
Feet
Scale: 1" = 1,500'
Sources: Bing Maps, NCFMP, Rockingham County GIS
Dam Repairs
North Carolina Division of
Mayo River State Park Parks and Recreation
Rockingham County, North Carolina
correspond to 'Map ID's' on attached spreadsheet.)
/ Date: AKD/9-1-10
Adjacent Riparian Properties
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DIVISION OF PARKS AND RECREATION
August 20, 2010
MEMORANDUM
TO: Tammy Dodd
FROM: Brian Strong
CC: Owen Daniels
Fred Watkins
Amin Davis
SUBJECT: MARI Dam Re air -,Request for Funds Transfer for DWQ Water Quality
Certification L4 ( Mayo River State Park (MARI) is in need of a DWQ Major Water Quality Certification (WQC)
for proposed repairs to the dam surrounding the lower pond area. 'T'he purpose of this proposed
project is to repair the earthen dam surrounding the lower pond area of the historic swim beach
within the newly renovated Mayo Mountain Access area. These repairs will be conducted to
address structural integrity issues concerning the existing dam that have been ongoing 1'()r the
past several years.
Structures/fill that will be placed in jurisdictional waters include the following structures
composed of riprap: check dams, apron, spillway slope stabilization, and plunge pool.
Additionally a stone filter berm will be placed around a manhole riser and two precast concrete '
manholes will form barrels w=ithin the primary spillway. Means and methods of compliance with
the contract documents are the responsibility of the contractor who wins the bid. The proposed
full pond elevation is anticipated to be approximately 676.6 feet. The total anticipated area of
disturbance of this project is approximately 0.72 acres.
Please prepare a fund transfer form in the amount of $570 payable to the NC Division of
Water Quality to cover the administrative fee for the processing of this WQC request. The
WQC is required as part of an Individual Permit application that will be submitted to the US
Army Corps of Engineers for this project.

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