19960352 Ver 1_COMPLETE FILE_19960415

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
LT.WYWA
'T4
[D EHNR
April 26, 1996
Forsyth County
DEM Project # 960352
APPROVAL of 401 Water Quality Certification
Mr. K. Todd Isenhour
Robertson & Isenhour Properties, Inc.
3401 Healey Drive
Winston-Salem, NC 27103
Dear Mr. Isenhour.
You have our approval to place fill material in 0.3 acres of wetlands or waters for the purpose of
constructing a street at SR 1310 (Wellesley Place subdivision), as you described in your application
dated 9 April 1996. After reviewing your application, we have decided that this fill is covered by
General Water Quality Certification Number 2671. This certification allows you to use Nationwide
Permit Number 26 when it is issued by the Corps of Engineers.
This approval is only valid for the purpose and design that you described in your application. If
you change your project, you must notify us and you may be required to send us a new application.
For this approval to be valid, you must follow the conditions listed in the attached certification. In
addition, you should get any other federal, state or local permits before you go ahead with your
project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing,
send a written petition which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Environmental Management under Section
401 of the Clean Water Act. If you have any questions, please telephone John Dorney at 919-733-
1786.
Sincerely,
(,rte
e on How , Jr. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
Qene Johnson; Gene Johnson and Associates
960352.1tr
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 500% recycled/10% post consumer paper
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
A4?j
E3 FE F=1
April 26, 1996
Forsyth County
DEM Project # 960352
APPROVAL of 401 Water Quality Certification
Mr. K. Todd Isenhour
Robertson & Isenhour Properties, Inc.
3401 Healey Drive
Winston-Salem, NC 27103
Dear Mr. Isenhour:
You have our approval to place fill material in 0.3 acres of wetlands or waters for the purpose of
constructing a street at SR 1310 (Wellesley Place subdivision), as you described in your application
dated 9 April 1996. After reviewing your application, we have decided that this fill is covered by
General Water Quality Certification Number 2671. This certification allows you to use Nationwide
Permit Number 26 when it is issued by the Corps of Engineers.
This approval is only valid for the purpose and design that you described in your application. If
you change your project, you must notify us and you may be required to send us a new application.
For this approval to be valid, you must follow the conditions listed in the attached certification. In
addition, you should get any other federal, state or local permits before you go ahead with your
project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing,
send a written petition which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 276 1 1-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Environmental Management under Section
401 of the Clean Water Act. If you have any questions, please telephone John Dorney at 919-733-
1786.
Sincerely,
IJ ? 1
e on Howat, Jr. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
Gene Johnson; Gene Johnson and Associates
960352.1tr
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
!r
6ow M. Johnson and Associates
Consulting Engineers
1421 Pinecroft Road
Minton-Sales, NC 27104 (910) 764 IW
TO p ??g a 1 i T----r
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WE ARE SENDING YOU n Attached ? Under separate cover via
LUE17FEM Old UMARSUMO TALC
? Shop drawings ? Prints ? Plans ? Samples ? Specifications
? Copy of letter ? Change order

COPIES
DATE
NO. DESCRIPTION
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THESE ARE TRANSMITTED as checked below:
Q For approval ? Approved as submitted
? For your use ? Approved as noted
? As requested ? Returned for corrections
? For review and comment ?
? FOR BIDS DUE 19
REMARKS
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Lr? ti7 'l J 07C
? PRINTS RETURNED AFTER LOAN TO US
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[7 Resubmit copies for approval
? Submit copies for distribution
? Return corrected prints
COPY TO
SIGNED:
the following items:
iP,
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]?C-
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: Q ver-?-Sor1 ?- I Ste! {?001 ?rcpcr+i e5 a In `' . --
2. OWNERS ADDRESS: 5401
L Z-7 1 0
3. OWNERS PHONE NUMBER (HOME) -a4 to (WORK) : Q 10 -1a5-9 - >3 Z I
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: . 7 J I e o e Pres'de?r? ftaC
a +426ac- u. S o ?l°
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: or
NEAREST TOWN 0 CITY: -
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
6. NAME OF CLOSEST STREAM/RIVER: MjZ Grfe
7. RIVER BASIN:
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES ( ) NO V1
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( J NO [)C)
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0.3 acme 2/3/92
Ir
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: 0.3 acre
DRAINED:
FLOODED:
EXCAVATED: -----
TOTAL IMPACTED: o . 3 a c/'e
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Res.-jelo? i a l 5 ufg d i ?i*si o'a
13. PURPOSE OF PROPOSED WORK : 51488-? c:?- 17 S tr44 C ?) - o Yl
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN Lifl-i- LgDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTSCu / o F
... ?r? ss sire aIl? _ -L- V
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 [l
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 [x]
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? -es, lo'n
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF ,SEWAGE DIS
OWNEJR-? SIGNATURE
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WfNSTO(d SALEM, NC
JUG 191995
PUBLIC WORKS + 0"%r* `/I1",' 61U@1RCTIONS
DEPARTMENT Cityof Winston- 1 1°??HULS REVS, Aug IL O,R
A
I7E V EL_"PoMEM-117 F=§E RM I T
PERMIT 95223262D DATE 07/19/95 INSPECTOR TERRITORY 41
---------- ----------
LOCATION FRANKLIN RD BLOCK 4613 LOT 51C
--------------------------------- ------- ------------------
JURIS LV SUBDIV SUBID
---- ----------------- ------------
OWNER NAME ROBERTSON & ISENHOUR PROP OWNER PHONE [phone]
--------------------------- ----------------
OWNER ADDRESS PO BOX 2080, ADVANCE NC 27006
--------------------------------
CONTR NAME SAME CONTR PHONE ( ) -
--------------------------- ----------------
CONTR ADDRESS SAME CONTR LICENSE
-------------------------------- -------
'rise Of Property AS PER APPROVED DEVELOPMENTAL FLANS
--------------------------------------------
Acres Graded 12.0 Site Acres 60.7
------ ------
FEE 1265.00
This permit is not valid unless
stamped or certified paid by the
City Tax Collector
x ?-4Z A
BY:
MINDIE RUSSELL
YNP
This permit is void unless the authorized construction is started within six
months or after start of construction, project stops for twelve month period
INSPECTIONS COPY 810 NCNB Plaza, Winston-Salem, North Carolina 27101
0--
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action IDJ? Z County Forsyth
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent Rohertson & Isenhour Properties
Address 3401 Healy Drive `t'ins`-' Sale,, North Carolina 27103
Telephone No.
Size and Location of project (waterway, road name/number, town, etc.) Access road
construction for proposed Wellesley Place Subdivision located off of Franklin Road. adiacent toto
Mill Creek Lewisville Fors}J County. Nor h Carolina,
Description of Activity
Access road includes ri•?o crossings of bank to bank jurisdiction of the above headwaters of Mill
Creek resulting in approximately 0.04 acres of impacts to the referenced -jurisdictional waters
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
NWP 26 Regional General Permit or Nationwide Permit Number.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the undersigned permittee of the responsibility to obtain any other required Federal, State, or
local approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
By signature below, the permittee certifies an understanding and acceptance of all terms and
conditions of this permit.
Property Owner/Authorized Agent Signature
Regulatory Project Manager Signature
Date August 3 1995
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.