19980086 Ver 1_COMPLETE FILE_19980203

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
1 101?WA
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 10, 1998
Forsyth County
WQC 401 Project # 980086
APPROVAL of 401 Water Quality Certification
Mr. Donald Smith
Engineering Division
City of Winston-Salem
PO Box 2511
Winston-Salem NC 27102
Dear Mr. Smith:
You have our approval, in accordance with the attached conditions, to place fill material in waters for the purpose
constructing the West Clemmonsville Road extension at SR 3011, as you described in your application dated February 2,
1998. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification
Number 3103. This Certification allows you to use Nationwide Permit Number 14 when the Corps of Engineers issues it.
In addition, you should get any other federal, state or local permits before you go ahead with your project including (but
not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply Watershed
regulations. Also this approval will expire when the accompanying 404 or CAMA permit expires unless otherwise
specified in the General Certification.
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. If total wetland fills for this project
(now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H.0506
(h). For this approval to be valid, you must follow the conditions listed in the attached certification.
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 Water Quality under Section 401 of the Clean Water Act. If you
have any questions, please telephone John Dorney at 919-733-1786.
,
Sincerely,
pstonHowa.rd, Jr.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DWQ Regional Office
Mr. John Domey
Central Files
980086.1tr
Division of Water Quality • Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone]
FAX [phone]
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CITY OF WINSTON-SALEM
PUBLIC WORKS DEPARTMENT
RO. BOX 2511, WINSTON-SALEM, NORTI I CAROLINA 27102
February 2, 1998
Ms Cyndi Bell
Division of Water Quality
Environmental Sciences Branch
4401 Reedy Creek Road
Raleigh, NC 27607
SUBJECT: West Clemmonsville Road Extension
Forsyth County
Dear Ms. Bell:
401 ISSLtEL)
Pursuant to your request, I have enclosed seven copies of the Preconstruction Notification
Application for the above subject project.
Please be advised that the three stream crossings as indicated in the NWP14 will be included in
Phase II construction plans to be finalized at some future date.
Please give me a call if you have any questions.
Thank you for your assistance.
Sincerely,
ENGINEERING DIVISION
C-1 7411
Donald 1 ? Smith, Jr.

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pc: Terry Cornett
Nk. VWU WU tNVZlUl rdX:yly-rJJ-yy?y Jan 19 5:19 P.
DEM ID ()o
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE: 40iISI!
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTilIFICATION
3) COORDINATION WITH THE.-NC 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).
1. OWNERS NAME : C/ T V OF WINS TON - SA L E
2. MAILING ADDRESS : PO 1_30x 2
SUBDIVISION NAME:
CITY: W//VST01/- SA EM
STATE : "ZIP CODE : Z7/02
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVI
MAItING ADDRESS ABOVE) :
3. TELEPHONE NUMBER (HOME):
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE
ON NAME (IF DIFFERENT FROM
(WORK) :
.TE OFFICIAL,
ADDRESS, PHONE NUMBER: -7/---/F/FY D, CD2/VET T SI?oEP/NTENDENT
a
S TRf f To D/ VISION. C /T Y Q c W IVSTfN _6AZ EM POBOIC 2511 W //tL5'TOJt/-
_in it //uL - s t^ _ 7Q.4- -11 5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY ? COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: F'DRSYTH NEAREST TOWN OR CITY: WIIV-57 N- ALFM
JAN 29 98 08 25

919 733 9959 PAGE.02

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WEST CLEMMD1YfWLLI_= ,QDAD EX7-,FNS101y'-1?5,q11Z0 AT
_OL l7 S41-1543 /E Y ,?DAD IS,e3Dl1) S P_°CIFIC LOCATION (INCLUDE ROAD
NUMBERS, LANDMARKS, ETC.):
6. IMPACTED OR NEAREST STREAM/RIVER.: SL F02K lVIU/?CREEK
r i
RIVER SAS IN:
Y.?ID,C?/N -Pff- DEE j
7a. IS, PROJECT LOCATED NEAR WATER CLASSIeI3D AS TZf?IJT, TIDAL SALTWATER
(SA) , HIGH QUAZ,ITY WATERS (HQW), OUTSTANDING RESOUjCt-- WATERS (ORO), WATER
SUPPLY (WS-1 OR WS-11)? YES [ j NO x IF YES, 1EXPLAIN:
i
7b. IS 79E PRCJ-C-r LOCATED WITHIN A NORT? CAROLINAIDIVISION OF COASTAL
MANAG'e'`tENT AREA OF E+WIRONMENTAL CONCZ?-llT (AEC) ? YuS [ l NO
7c. IT
THE PROJECT IS 'LOCATED WITH N A COASTAL COUNTY (SEE PAGE 7 FOR M
LIST OF COASTAL COUNTIES) , TAMT i3 ? :,;??,;: CSE JL;. N (LC? J OES+CrvATiON?
A
8a. EAVE ANY SECTION 404 PERMITS SEE.`J PR_SVIOUSLY REQUESTED FOR qSE ON
THIS PROPERTY? YES [ j ' No ? IF YES, PROVT_DEI ACTION 1.0. NUMBER OF
PR,cVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOP'L OF 401
CERTIFICATION) : -- _ - '
8b. ARE ADDITIONAL PERMIT REQUESTS EPECTED FOR THIS PROPERTY IN TIE
FUTURE? YES QQ NO ( I IF YES; DESCRIBE ANTICIPAilM WORK: THIS, EQI/ES T
1S FOR PHASE Z WHIC N /S FQf THE AI PS T 850F T OF THE 7r7wz 4.3D0 Fl
Z
TAN 79 ' qA OP: 75 919 7.73 9959 PPA-;F. Gil
ivy Lww ww CIVVJI.•1 rax•yly-fJJ-yyJy -Jan ztj ytf ?5;2U 1.U4/Ub _ .___.:.-....
QC ZOA D I&A Y TD F CD/ys T/2/1C TED rP/-- fENl,1ININ6 3_45 FT
/S r 5,6 CONS LZ4?? 7E0 D/wE Fa J'Z11 DATE.
9a. ESTIMAT,D TOTAL NUMBER OF ACRES IN TRACT OF LAND: PHA--S,T_3'_
9b. ESTIMA= TOTAL NUMBER OF ACRES OF WETLANDS LOCATE? ON PROJECT SITE:
• /Y E
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 1VD/VE _ EXCAVATION: D/VF
FLOODING : IV OIV E OTHER : NI>iNE
ORATNAG'a : /YD/VE TOTAL ACZS TO I E LXPACTBD : /V/>/V E
2.0b. (1) S'r.Z CdANNEL TO BE IMPACT= 9: TI- PROPOSED PROJECT (Z.
R LOCAT=, PR0V=E DTSTA.NCE 3027I SEFOPE AND AF 76Z P-MCCATION)
LLNGM BEFORE : /VIA T Az. :
WIDTX BEFORE (based an no=al tigh water Contours)
WIDTH AFTER
CT
AV 'RAG-' DEFT- B.EFORr : /V A4 'NIA
, c•
(2) =T3 -a rM4 W r
. (C.Y C:{ ALL THAT APPLY)
OPEN C-aNNEL RELOCATION: NIA PLACLmma OF PIPS MT (=4 NFL: N?4
CANNEL EXCAVATION: NIA CONSTRUCTION OF 0AM/E-1.00DING: V A
OTaER : i
11. I CONSTRUCTION OF A FOND IS PROPOSED, WHAT ZS T' SIZE OF; THE
WATF. mHED DF-AZNING TO THE POND? NIA
WHAT LS THE EXPECTED POND SURFACE AREA? /Y
12. OESCRIP obt OF PROPOSED WORK INCLrmrNG DISCUSSION OF TYPE OF
3
JAN 29 '98 08:26 919 733 9959 PA6E.04
Nl, UWW WW tNV 3Ul
Fax:yly-r3s-yy59 Jan 29 '98 8:20 P. 05706
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
cNLv : RN49f X Z'OASTRZIZ TION WILL 41YAMYE rZfAQ/N6, 51PZI,991N6.IN9T,4LLAT/D/1/

OFEM-51,01V CD/VrZOL DEVICES. P/PEPLACfMENT,PL,9CE/NENT DFBD.e20 W
MATc'EIAZ ANO SEELJ//Vl ANO MZIZ f AIIN6,
F0 J1fMENT US'A6E - Z2 L DD;ER, QACvPOE, M07-DE 6,0A9ER?
MOL L E,e AND TROCK S .
13. PURPOSE OF PROPOSED WORK: TO CONST,eUCT 650FT OFTHE PleOPOSED
,QDADWAY TD Sl1BL?ADE ELEVAT/ON, NOPAY11V6 WILL BE DONE
LlNOE/Z IcRASE r
14. STATE REASONS
OUT IN WETLAND .
rMpncrs) ! IVA1__
• .r
15. YOU ARE R.SQUIR= TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE.
(USFWS) AND/OR NATIONAL MARINE !FISFIERIES ScZVZCE '(NMFS) (SEE AGENCY
ADDRESSES SHEET) REGaRDI?1G TIMPRESENCE OF ANY FEDERALLY LISTED OR
PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT
IN THE' PERMIT AREA THAT MAY BE iAFFECI'-D BY THE PROPOSED PROu:CT. DATE
CONTACTED: A/ Q (ATTACH RESPONSES
FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SEPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THEI PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
- -
PROJECT. DATE CONTACTED: NO
I
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
4
JAN 29 98 08 26
WT-a IT IS aELIEVED THAT THIS ACT?'VITY MUST BE CARRIED
(INCLUDE ANY MEAST F-TS TA=- TO M'INlMIZZ WETLAiM
919 733 9959 PAGE.05

rvk? uwu wu Glvvat-l rax•yly-r??-y7?y Jan ej 21:11 P.06/06 _.. __ ...._ :... .........
YES V NO (J (IF NO, GO TO 18)
a. IF YES,-DOES THE PROTECT REQUIRE PREPARATION OF AN ENVIRpQlENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT? /
YES (J NO (1j
b. IF YES, HAS THE DOCUMENT BEEN REVIZ-gW THItI UGei THE NORTH CAROLINA
DEPARTMENT OF ADtk2NISTRATION STATE=CLEARINGHOUSE?
i ,
YES (] NO { I
IF ANSWER. TO 17h IS YESTHEN SUBMIT AP9ROPRIAT= DOCUMENTATION FROM T.'
STATE CLEARINGROUSE.TO DIVISLON"QF ENVIRONMENTAL AGgib?IT REGARDING
COMPLIANCE WITH Tz.= NORTH CAROLZa?fA ENVIRONMENTAL; PO ICY ACE. I
QUESTIONS, REGARDING THE STATE Cr,oARI:VGRCUSE ZSVIZW. ?llcc__Ss SRO i BE
DIRECTED TO MS. C:-ZYS BAGGETT, DIRECTOR STAT5 CLEARINGHOUSE, NOR71
CAROLINA DEPARTMENT OF ADMINISTRATION, 115 WEST JON S ST:Z_r'T, RAILEIGE,
NOR=-E CAROLINA 27603-8003, TELa?HONE [phone],1
IS., THE, . FOLLOWING 2TEMS''SHO= BE INCLUDED' WITH TldS APPLICATSOI IF .......
PROPOSED ACTIVITY'°Ii7VOLVES'THE DISCHARGE. OF EXCAVATiD OR FILE'MATERIAL
INTO WETLANDS:
a. WB,TLAND DELINEATION MA2 SHOWING ALL m. iS, STREAMS, LAKES
AM PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMiBERS 11, 18, 21, 26,
2 9, AND 3 8). ALL STREAMS (INTRM-TTcNT AND PE.4MANENT) ON T.tm PROPERTY
=ST BE SHOWN ON ==%. MAP. MAP SCALES Sa-ODU BE I INGt?' EQUALS SO FEET OR 1
INCE EQUALS 100 FEET OR THEIR EQUIVALENT. i
b. IF AVA"LA3LE, REPRES-0TATIVB 2HOTOGRAPR OFIWETLANDS TO BE
IMPACTED BY PROJECT.
c. IF DELZNZ EATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELIN'EATION' LINZ.
d. ATTACH A COPY OF THE STORMWATFR MANAGEMENTIPLAN IF REQUIRED.
e . WHAT IS LAND USES OF SURROUNDING PROPERTY. I °/2E51,0Z VT/A L
i
Z. IF APPLICABLE, WHAT IS PROPOSED METHOD OF IEWAGa DISPOSAL? N
5
JAN 29 '98 08:27
919 733 9959 PAGE. 06
ivt, uww wW u4vJt.„1 rdx•yl5-fJJ-77D7 Jdn [`9 ?10 25;LL 11.U1/Ul --
g. SIGNED A.NID DATED AGENT A=ORIZATION LETTER, IF APPLICABLz.
MOTS: WETLANDS OR WATERS OF TEE U.S. MAY NOT BE IMPACTED PRIOR TO:
L) ISSUANCE OF A SE.CTIONc404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 D=SION OF
m ZROHmarrAL MANAGEMENT (WATER QUALITY) CERTIFZCATION, APED
3) (IM = TWBNTY COA.STAL COONTZES ONLY) , . A LETTER FROM TEE
NORT$ CAROL= DIV=SIGN OF COASTAL MANAGMU= STATING THE PROPOSED
ACTIVITY IS CONSISTMM WITS Ti NORTE CAROLMM COASTAL MANAGE3imm
PROGRAM.
OwrrER. ? s
(AGENT'S SIGNATURE VALID ONLY
IF A=ORIZATION LETTER FROM
TE- OWNER IS PROVIDED (18g.))
a? I99?
DATE
i
i
6
JAN 29 '98 08 28
919 733 9959 PAGE.01

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CITY OF WINSTON-SALEM
PUBLIC WORKS DEPARTMENT
RO. 13OX 2511, WINSTON-SALEM, NORTH CAROLINA 27102
January 13, 1998
Mr. John R. Dorney
Division of Water Quality
4401 Reedy Creek Road
Raleigh, NC 2760
ATTN: rs.Cindy Be .
SUBJECT: West Clemmonsville Road Extension
Forsyth County
Dear Mr. Dorney:
Sal
Enclosed please find the information requested by your office for the subject project.
Please call if I can be of any assistance.
Sincerely,
ENGINEERING DIVISION
CSI Z? `?
Donald L. Smith, Jr., P.E.
DLS/ac (p
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CITY OF WINSTON-SALEM
PUBLIC WORKS DEPARTMENT
P.O. BOX 2511, %VINSTON-SALEM, NORTH CAROLINA 27102
January 19, 1996
Mr. John Thomas
U.S. Army Corps of Engineers
6512 Falls of the Neuse Road
Suite 105
Raleigh, NC 27615
SUBJECT: Preliminary Plan
West Clemmonsville Road Extension
From Old Salisbury Road to NC 150
Dear Mr. Thomas:
I would like to meet with you at your earliest convenience to
inspect the project site for waters and wetlands subject to
Department of the Army permitting authority.
I have enclosed a 1" = 400' plot of the subject project.
Please give me a call at 910/727-2141 concerning your itinerary.
Thank you for your attention.
Sincerely,
ENGIN ERING DIVISION
Donald L. Smith, Jr., P.E.
DLS/ac
pc: Jack A. Leonard

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 199602021 County Forsyth
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent City of Winston-Salem c/o Mr. Donald L. Smith
Address Post Office Box 2511. Winston-Salem. North Carolina 27102.
Telephone No. [phone]
Size and Location of project (waterway, road name/number, town, etc.) New road extension of
West Clemmonsville Road located off of West Clemmonsville adjacent to Sides Branch south
of Winston-Salem. in Forsyth County. North Carolina.
Description of Activity
Proposed new road construction of the West Clemmmonsville Road Extension including three
single complete project crossings of three separate tributaries of Sides Branch resulting in less
that 0.33 acres of impacts to the jurisdictional waters of Side Branch subject to Department of
the Armv hermit authoritv.
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 14 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 appr riate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date March 4. 1996 Expiratio ate Jant
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CITY OF MSTON-SALEM
PUBLIC WORKS DEPARTMENT
P.O. BOX 2511. WINSTON-SALEM. NORTH CAROLINA 27102
November 3, 1997
Mr. John Thomas
U.S. Army Corps of Engineers
6508 Falls of The Neuse Road
Suite 120
Raleigh NC 27615
RE: Request for Extension NWP14
West Clemmonsville Road Extension
From Old Salisbury Road to NC 150
Forsyth County, North Carolina
Dear Mr. Thomas:
Pursuant to our conversation, enclosed please find a copy of the Nationwide Permit Number 14
issued March 4, 1996, for the subject project.
Funding for this project has been delayed, consequently construction has not started. Please
issue a new two-year permit for this work.
Thank you for your assistance.
Sincerely,
ENGINEERING DIVISION
Donald L. Smith, Jr., P.E.
DLS/ac
PC: Jack Leonard, City Engineer
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 199820206 County Forsyth
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent City of Winston-Salem c/o Mr. Donald L. Smith
Address Post Office Box 2511. Winston-Salem. North Carolina 27102
Telephone No. 910-727-2141
Size and Location of project (waterway, road name/number, town, etc.) New road extension of
West Clemmonsville Road located off of West Clemmonsville adjacent to Sides Branch, south
of Winston-Salem- in Forsyth County. North Carolina.
Description of Activity
Proposed new road construction of the West Clemmonsville Road Extension including three
ogle complete project crossings of three separate tributaries of Sides Branch resulting in less
than 0.33 acres of impacts to the jurisdictional waters of Side Branch subject to Department o
the Army hermit authority. (Re-issue of Action ID 199602021. dated March 4. 1997)
XSection 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
NWP 14 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 appro riate State and local agencies
before beginning work. / 7 _11'?
Regulatory Project Manager
Date November 17. 1997
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.

State of North Carolina
Department of Environment 0 •
and Natural Resources
Winston-Salem Regional Office
James B. Hunt, Jr., Governor NCDENR
Wayne McDevitt, Secretary OF LAND RESOD cAROu' DErMRTM6NT OF
ENT AND N O'UR,u. REZOURcm
LAND QUALITY SECTION
LETTER OF APPROVAL
December 12, 1997
City of Winston-Salem
Engineering Division
Attention: Terry Cornett
Post Office Box 2511
Winston-Salem, NC 27102
Ladies and Gentlemen:
This office has reviewed the subject sedimentation and erosion control plan. We find the plan
to be acceptable and hereby issue this letter of approval. This plan approval shall expire three (3)
years following the date of approval, if no land-disturbing activity has been undertaken, as is required
by Title 15A NCAC 4B .0029.
Be advised that Title 15 NCAC 4B.0017(a) requires that a copy of the approved erosion
control plan be on file at the job site. Also, you should consider this letter to give the Notice required
by GS 113A-61(d) of our right of periodic inspection to insure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Program is performance oriented, requiring
protection of the natural resources and adjoining properties. If following commencement of this
project it is determined that the plan is inadequate to meet the requirements of the Sedimentation and
Pollution Control Act of 1973 (North Carolina General Statute 113A-51 through 66), this office may
require revisions to the plan and its implementation of the revisions to insure compliance with the Act.
Please note that this approval is based in part on the accuracy of the information provided in
the Financial Responsibility Form which you have provided. You are requested to file an amended
form if there is any change in the information included on the form. In addition, it would be helpful
if you notify this office of the proposed starting date for this project. Please notify us if you plan to
have a preconstruction conference, we will plan to attend.
AR4 Wens h#. .. 4zt--* W:n.rn..?Ce1e.w A-#h !`e.v.l:ne 7'71117 Tele.J.n..e 0/1L771?l.1Y1 WAY o1(L771_"A1
-2-
City of Winston-Salem
December 12, 1997
"The land-disturbing activity described in this plan may be subject to the approval of
other Local, State or Federal agencies. This could include the Division of
Environmental Management under storm water or water quality regulations, the U.S.
Army Corps of Engineers under Article 404 jurisdiction, county, city or town agencies
under other local ordinances, or otber approvals that may be required. This approval
cannot supersede any other permit or approval."
Please be aware that if more than five acres are to be disturbed by this project, you will be
covered by the enclosed general stormwater permit NCGO1000 (Construction Activities). You
should first become familiarized with all of the requirements for compliance with the enclosed general
permit.
Your cooperation is appreciated and we look forward to working with you on this project.
Sincerely
Liddy LEonard, C. .E.S.C.
Assistant Regional Engineer
LML/csh
Enclosure
cc: WSRO File
• • • • • • • • • • • • • •
PROJECT NAME: West Clemmonsville Rd. - Phase I - Project #95007
LOCATION: Forsyth County
RIVER BASIN: Yadkin-Pee-Dee
WATER CLASSIFICATION: Other
SUBMITTED BY: City of Winston-Salem
DATE RECEIVED BY L.Q.S.: November 14, 1997
•••••••••••••••••••••••••••••••••
U.S. ARMY CORPS OF ENGINEER
WILMINGTON DISTRICT U
Action ID. 199820206 County Forsyth
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent City of Winston-Salem c/o Mr. Donald L. Smith
Address Post Office Box 2511 Winston-Salem, North Carolina 27102
Telephone No. 910-72 7-2141
Size and Location of project (waterway, road name/number, town, etc.)
West Clemmonsville Road located off of West Clemmonsville. adjacent New road extension of
to Sides Branch, south
of Winston-Salem. in Fo rsyth Cou nty, North Carolina.
Description of Activity
Proposed new road cons
truction o
f the West
Clemmonsville R
oad Exten
sion including three
angle complete project c rossings of three sep arate tributaries o f Sides Branch resulting in less
than 0.33 acres of impac ts to the j urisdictiona l waters of Side B ranch sub ject to Department of
the Armv hermit authori ty. (Re-i ssue of Act ion ID _19960202 1 domed M arch 4. 1997)
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 14 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 appro riate State and local agencies
before beginning work. / __'?
Regulatory Project Manager S
Date November 17. 1997
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.