19920114 Ver 1_COMPLETE FILE_19920101

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State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor
William W. Cobey, Jr., Secretary
April 16, 1992
Andrea Kevser
Public. Works Department
City of Winston-Salem
Box 2511
Winston-Salem, North Carolina 27102
Dear Mr. Keyser:
Subject: Proposed Fill in Headwaters
.edge Garden Seger Outfall
Forsyth County
DEM Project # 92114, COE #
George T. Everett, Ph.D.
Director
or Isolated Wetlands
199201084
Upon review of your request for Water Quality Certification
to place fill material in one acre of wetlands for sewer line and
outfall structure located.at Salem Lake, Winston-Salem, Forsyth
County, we have determined that the proposed fill can be covered
by General Water Quality Certification No. 2664 issued January
21, 1992. A copy of the General Certification is attached. This
Certification nay be used in qualifying for coverage under Corps
of Engineers' Nationwide Permit No. 12.
If you have any questions, please contact John Dorney at
919/733-1786 or 919/733-1787.
Sincerely,
-,e rge T. Everett
GTE:JD
y,ttacbment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Regional Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
RRAONAL 0Fl1CIs
Asheville Fayetteville Moorcwdle Itilewh Wa.hinktt)n Wilmington V,in.ton-salcm
704/251-6208 919/486-1i41 704i003-1691) 919/ 71 47(X) ))19/946-(481 91`)/395-3'XX) 919:8%7(X)7
Pollution Prevention Pays
P0. Box 29535, R.ilcigh. North Carolina 276260535 Tclcphonc 919 733 7015
An [goal Opp-rtuni , -\r.:.m..o- \--- F. npkvci

April 9,1992
MEMORANDUM
TO: John Dorney
THROUGH: M. Steven Mauney
FROM: Ron Linville
Subject: 401 Certification Review
City of Winston-Salem
NW12 #92114
? v
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u?ty?-Y?t?t
After a site visit on 920408 of this site, It does not appear that there
will be a significant impact from the installation of this sewer line
which will tie into an existing sewer line in the same wetland area.
The water classification is WS-III for this Salem Lake watershed. The
lake is also recreationally used for fishing, boating, walking and horse
trails. The only disturbance in the actual area of impact was from
some ATV traffic. There were many small flowering plants observed of
various species. There are no known species of concern in this area to
my knowledge.
Recommendation: Approval of project as designed.
MSM/rl
c c: WSRO
Central Files
.r 6

X
WETLAND RATING SYSTEM WORKSHEET
Project No. or description _S /? Ge-ja, ?)JJ?Zl
Location
County .T,i Nearest road or town
River basin i J , .
Nearest strea ms`s and classification /,/S ZT
Evaluator ,Zi1'1d,%1'--
Agency and address -Dz "97 - (,,.3.5 /cU
Date and time evaluated g? ?fya,.,"l 12. LIS y
Major Wetland Type_
Approximate size of wetland system acres
Approximate extent of wetlands in area acres
within miles
Three most common plant species (in order):
Soil Series (if known) ,r-7
Hydrologic indicators,'
Direct surface hydrologic.connection? NO 67

Item No. Score ( circle one)
I. Location/Landscape
1. Natural area buffer 5
2 Sensitive watershed 5 4 2 1 0
3 Dispersal corridor system 5 4 3 (Z 1 0
II. Ecological Values
4 Special ecological attributes. 5 4 3 2 1
5 Wildlife habitat 5 4 3 2 ® 0
6 Aquatic life 5 4 -3 2 (1 0
7 Water storage 5 4 3 Q 1 0
8 Streambank stabilization 5 4 3 1 0
9 Removal of pollutants 5 0 3 2 1 0
III. Human Values
10 Outdoor recreation/education 5 4 3 1 0
11 Economic value 5 4 3 2 1 0
Existing Conditions
Drainage
Disturbance
Restoration potential
Restoration value
Is site known to provide habitat for rare, endangered or
threatened species? f so, list species observed or recorded.
Total score
r
Site.description and notes:
1?y a-,- d cat,?A-,, - 6 0,,-- Q- 'S
23
I CAROkINA
/ I REIDSVILLE 37 ML
W ) '74 STOKESDALE 14 MI. 1
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,off ?
r 7.5 MINUTE SERIES (TOPOI,.
GREENSBORO 22 Ml.
576. 11660000,FEET 577) a KERNERSVILLE 4.1 ML 1578

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PUBLIC WORKS City of W1nkon-&Iem
DEPARTMENT
February 24, 1992
Mr. John Dorney
Water Quality Planning Division
of Environmental Management
N.C. Dept. of Environment, Health and
Natural Resources
P.O. Box 29535
Raleigh, NC 27626-0535
Dear Mr. Dorney:
Enclosed, as requested, are seven copies of a completed 401 Water
Quality Certification application for Sedge Garden Outfall. An
additional copy has also been sent to the Corps of Engineers. If
you have any questions, please contact me at [phone].
Sincerely,
ENGINEERING DIVISION
1,!5
A; 70 1,
Andrea Keyser
Project Engineer
AK/ ac
Attachments
Box 2511, Winston-Salem, North Carolina 27102
bIL N
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
IN REPLY REFER TO February 19, 1992
Regulatory Branch
CESAW-C092-J-034, Nationwide Permit No. 12
Action ID. 199201084

T 4k?-k

/ s. rea Keyser
Post Office Box 2511 W lrr
Winston-Salem, North Carolina 27102
Dear Ms. Keyser : 4,41) Coo
Please reference your meeting on October 4, 1991, with Mr. John Thomas of
my staff at the site of the proposed Sedge Garden Outfall located off
S.R. 2662 adjacent to Kerners Mill Creek (Salem Lake), Winston-Salem, Forsyth
County, North Carolina. The purpose of this meeting was to discuss plans for
the aforementioned sewer outfall project, and to inspect the site for waters
and wetlands subject to Department of the Army permitting authority.
City of Winston-Salem
C O M And
The plans and profiles received on February 5, 1992, for the
aforementioned project revealed that you propose construction of a
18 inch sanitary sewer below natural grade from the Kerners Mill - Fiddlers
Creek Interceptor to Ray West Drive within a 40' construction easement
adjacent to Fisher Branch. Also your plans and profiles showed other sections
of proposed sewer outfall either located on high ground or elevated over
waters of the United states without discharge of fill into regulated areas.
For the purposes of the Corps of Engineers' Regulatory Program, Title 33,
Code of Federal Regulations (CFR), Part 330.6, published in the Federal
Register on November 22; 1991, lists nationwide permits. Authorization,
pursuant to Section 404 of the Clean Water Act, was provided for the discharge
of material for backfill or bedding for utility lines, including outfall and
intake structures, provided there is no change in pre-construction contours.
Your work is authorized by this nationwide permit provided it is
accomplished in strict accordance with the enclosed conditions. Please be
aware that this authorization does not relieve you of the responsibility to
obtain any other required or local approval. You should contact Mr. John
Dorney, North Carolina Division of Environmental Management, [phone],
to obtain the necessary section 401, Water Quality Certification prior to
starting work.
This verification will be valid for 2 years from the date of this letter
unless the nationwide authorization is modified, reissued, or revoked. Also,

-2-
this verification will remain valid for the 2 years if, during that period,
the nationwide permit (NWP) authorization is reissued without modification or
the activity complies with any subsequent modification of the nationwide
permit authorization. If during the 2 years, the nwp authorization expires or
is suspended or revoked, or is modified, such that the activity would no
longer comply with the terms and conditions of the nwp, activities which have
commenced (i.e., are under construction) or are under contract to commence in
reliance upon the nwp will remain authorized provided the activity is
completed within 12 months of the date of the nwp's expiration, modification
or revocation, unless discretionary authority has been exercised on a
case-by-case basis to modify, suspend, or revoke the authorization.
Thank you for your time and cooperation. If you have any questions,
please contact Mr. Thomas, Raleigh Regulatory Field Office, telephone (919)
846-0648.
Sincerely,
G. Wayne Wright
Chief, Regulatory Branch
Enclosure
Copies Furnished (without enclosure):
Mr. John Parker
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 276:81
Raleigh, North olina 27611-7687
Mr. John 'rney
Water ality Section
Divi on of Environmental Management
No Carolina Department of Environment,
ealth, and Natural Resources
ost office Box 27687
Raleigh, North Carolina 27611-7687
Regional Office Manager
North Carolina Department of Environment,
Health, and Natural Resources
8025 North Point Boulevard
Winston-Salem, North Carolina 27106
Jar
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 (919)'733-5083
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: City of Winston-Salem
2. OWNERS ADDRESS: P.O. Box 2511, Winston-Salem, NC 27102
3. OWNERS PHONE NUMBER (HOME):
(WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: N/A
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Winston-Salem
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
South of I-40 running along the southern borderof Salem Lake
6. NAME OF CLOSEST STREAM/RIVER: Fisher Branch and Salem Lake
7. RIVER BASIN:
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [X1 NO [ 1
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [X1
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
1 acre
2/3/92
i
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED: Net = 0
TOTAL IMPACTED: 1 acre
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): Installation of
an 18" and 12" V.C. and D.I. Sanitary sewer outfall
13. PURPOSE OF PROPOSED WORK: To provide sewer service to surrounding area.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT'THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. The proposed sewer line must cross wetlands to tie in to an
existing outfall. Construction shall take place within a 40-foot
corridor and erosion control devices are to be installed as indicated
on the attached plans.
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 [ ]
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? Single-family Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
OWNER'S SIGNATURE DATE
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® North Carolina Wildlife Resources Conhwisj?
v U ,y
512 N. Salisbury Street, Raleigh, North Carolina 27604-1188, 9191Charles R. Fullwood, Executive Director
"AY 1 41992
MEMORANDUM ;
L WETLANDS GKJE%%:VY e
TO : John R. Dorney WATER QUALITY SECT ON
Division of Environmental Management
FROM: Dennis Stewart, Manager
Habitat Conservation Program
DATE: May 12, 1992
SUBJECT: Comments on Section 401 Water Quality Certification for
Section 404 Nationwide Permit requests
Biologists on the Wildlife Resources Commission staff have
reviewed the subject permit application and we are familiar with
habitat values of the project area. Our comments are provided in
accordance with provisions of the Fish and Wildlife Coordination
Act (48 Stat. 401, as amended; 16 U. S. C. 661-667d).
Based upon information provided, it is our opinion that
Section 401 Water Quality Certification can be issued without
significant impacts on fish and wildlife for the following
projects:
City of Winston-Salem, Forsyth County
2. Southeastern Jurisdiction Administrative Council, Lake
Junaluska, Haywood County (ID# 92174)
3. Transcontinental Gas Pipe Line Corp., Iredell and Rowan
Counties, (ID# 92178)
4. NCDOT Bridge No. 26 over Cypress Creek on NC 53, Pender
County
5. NCDOT Bridge No. 239 over Mulberry Creek on SR 1369,
Caldwell County
6. NCDOT Pipe Replacement 0.9 miles west of SR 1506 on SR
1505, Yadkin River, Caldwell County
7. NCDOT Pipe Replacement 1.15 miles west of SR 1506 on SR
1505, Yadkin River, Caldwell County