19991404 Ver 1_COMPLETE FILE_19991216

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 22, 1999
Davidson County
DWQ Project # 991404
APPROVAL of 401 Water Quality Certification
Davidson West Community Dev. Corp., Inc.
4484 Highway 150 South
Lexington, NC 27295
Dear Sirs:
You have our approval, in accordance with the attached conditions, to construct a sewer line across North
Potts Creek and Swearing Creek, and to fill 0.07 acre of wetland in Davidson County as you described in your
application received by the Division of Water Quality on December 16, 1999. After reviewing your application, we
have determined that this action is covered by General*Water Quality Certification Number 3101. This
Certification allows you to use Nationwide Permit Number 12 when issued by the U.S. Army Corps of Engineers.
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, Non-Discharge and Water Supply Watershed regulations. Also
this approval will expire when the accompanying 404 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 except as modified
below. If you change your project, you must notify us and you may be required to send us a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. 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) (6) and (7). This approval shall expire when the
corresponding Nationwide Permit expires or as otherwise provided in the General Certification. 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 919-733-9646.
Sincere
rKerr tevens
Attachment
cc: Corps of Engineers Raleigh Field Office
Winston-Salem DWQ Regional Office
Dr. Alan Rice, 4484 Hwy. 150 South, Lexington, NC, 27295
File Copy
Central Files 991404
Division of Water Quality • Non-Discharge Branch
1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
hftp://h2o.enr.state.nc.us/wetiandc.htmi
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401 iSSUEL
PAYMENT ` a 1
RECEIVED.
DEM ID: CORPS ACTION ID:
NATIOMME PERM RE@i3ESTED (PROVIDE NATIOWnE PERMIT #) : l 2 p
PRE-CONSTa MON NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
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),
PLEASE PRINT.
1. OWNERS NAME: .&On ?Ie-St Commurl'?g t7e-veinovneY
2. MAILING ADDRESS : _ 4+94 N_v l 1150 0U-0
SUBDIVISION NAME: U A
CITY: '--Y STATE: _W G ZIP CODE: 272
PROJECT LOCATIO ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):,

3. TELEPHONE ER (HOME): (WORK): 3 6 - 5
7-1 1S2N -74
4. IF APPLICABLE: AGENT'S NAME OR RESP SIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER: Plr_d Alarms ;fie _ Fore?;dP-n+
44 4 N., w. is o _ o ti o ;Y-,qf on ?tC 2 72c S

5. LOCATION OF WORK
AERIAL PHOTOGRAPJI (PROVIDE A MAP,
Y WITH SCALE): PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
COUNTY : 2a v LA -ioy) NEAREST TOWN OR CITY: L -,?
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) -Tml2c3r
C LM0 ) S 1oC-nL2A n a +r1lD Ta -rc) 6m"r- Q? NO`C?? ?O S ( v-P 1c Q p?Y?X.
2,46aFl. ?nnm tW- i0ta csccl-on Of 12-OR) t 7' Rd (CR_ 17-13)
9o?,n9 Bask , The, Second Impoc{-? AYe.a is IOGr+er on swecar;r.c? Cree.4C at-
r 700f't. Cram +IV- iAa-cs A; n oC Tusseu Q (se. 2zi) and Hwy. 29
X52, I t "1) poi n? ?1or?h ftsk.
6. IMPACTED OR NEAREST STREAM/RIVER: mo4k 24s cra-a SweArl-Ag e n& e-V
RIVER BASIN: ?n Y% R; \10v-
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED 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. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
ARE OF ENVIRONMENTAL CONCERN (AEC)? N /A YES [ ] NO [ ]
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: WA
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY?
YES L ] NO [)(] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY
ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
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: 13,14 A G
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 0 ice c
10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: OTHER: 1n-jVeAQ %o ) OC f Gy-(-e y)r-f% 1 c o•o7 AC
DRAINAGE: TOTAL ACRES TO BE IMPACTED: -0.- 0 7.-A
10B. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE : N l A FT AFTER: N 1 A? FT
WIDTH BEFORE (based on normal high water contours): 0A FT
WIDTH AFTER: W/ A FT

AVERAGE DEPTH BEFORE: FT AFTER: WA FT lq/A (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL ELEVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
TO THE POND? KL /A"
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT
TO BE USED (ATTACH PLANS: 81!" X 11" DRAWINGS ONLY):
13. PURPOSE OF PROPOSED WORK: ??? i xV t?
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): S; Y) C e
nn-? S ufcae.r,f Co- r b4ween +Vi Co-c-"eir'1Glin ? +yie-
x nul vn r+- on ilor- 1 Rolls +y-> L-' f6r b.cranc,
Y12A4 to t' -r0S5 to -the- of he-y- s,naa- to To 12 to t hg x,'?f? n J
r-yray-Jo sawovc. R2 o - Rci o w Jt be as e, _ _i_ n .ra ru4 ri1 n n<5, + ho
b41??C ?? m? ni ?C, v,%e-hlc,??°- t rr, Packs. ? -
15. 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: N ZH
16. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
i
cToss'?,noar

(STATE) LAND? YES [)(] NO [ J (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT
PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT?
YES [ l NO [Xl
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
ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003, TELEPHONE
[phone].
17. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY
INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS:
a. WETLAND 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 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR
EQUIVALENT.
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. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? lFcur lm Of Y1q ?G Ga 11 L
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? WA
g. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, IF APPLICABLE. W / A
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, AND
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGEMENT
(WATER QUALITY) CERTIFICATION.
216199
OWNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18G.))
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TRANSMITTAL NOTICE
Wright & Associates
4190 HWY 16, SOUTH
NEWTON, NC 28658
[phone]
PAYMENT
RECEIVED
TO: NCDENR 17:.
r:
Division of Water Quality, Wetlands Unit
1621 Mail Service Center 0
Raleigh, N.C. 27699-1621 SS0611
WE ARE SENDING YOU: M ATTACHED
THE FOLLOWING ITEMS:
SHOP DRAWINGS
® PRINTS
© PLANS
C3 SAMPLES
C3 SPECIFICATIONS
I3 COPY OF LETTER
CI COPY OF MAP
IZI CHANGE ORDER
L7 UNDER SEPARATE COVER VIA
COPIES DATE NO. DESCRIPTION
1 Cover Letter requesting 401 Water Quality Certification for Davidson West
Community Development Corporation, Inc. Sewer System to serve Tyro Area.
7 Pre-construction Notification Form with site maps attached.
1 Check $200 application fee.

THESE ARE TRANSMITTED AS CHECKED BELOW:
lKX For Approval C3 Approved as noted 0 Resubmit copies for approval
0 For your use 0 Approved as submitted E3 Submit copies for Distri.
C7 As requested C= Returned for correction M Return copies for prints
XX For review and F-3 For bids due -_,19
comment
Remarks Please, review the PCN form so we can acquire a 401 certification on this project. Thank You.
DATE: 12/8/99
vnnar?? 248-001
A

Signed Luis Calderon
copies: File
'A
4190 Hwy. 16 South - Newton, NC 28658 - [phone] - Fax [phone]
December 8, 1999
NCDENR
Division of Water Quality, Wetlands unit
1621 Mail Service Center
Raleigh, NC 27699-1621
x
Subject: Request for a 401 Water Quality Certification for Davidson West Community
Development Corporation, Inc. to serve the Tyro Area with public sewer.
Dear Mr. John Dorney:
In order to serve this area with public sewer we are proposing a 6-inch forcemain sewer line
along Tyro Rd. (SR 1213). This forcemain will be tying into an existing gravity sewer system
located off Hwy. 29. To accomplish this connection there will be two different creek crossings.
The first crossing will be on a tributary branch of North Potts creek at approximate 0.47 miles
heading east from the intersection of Helmstetler Rd. (SR. 1208) and Tyro Rd. (SR. 1213).
The second crossing will be on Swearing Creek located 0.13 miles heading north east from the
intersection of Tussey Rd. (SR.1221) and Hwy. 29 (SR. 1147) (See maps attached). Please
review the PCN form in which we are requesting the Nationwide Permit # 12. We have also
submitted 2 copies of this information to the Corps of Engineers for approval.
If there is any other information that you may need, please do not hesitate to let me know.
Thanks.
Sincerely,
L. ;-, oa? I &Uviz ?-
Luis G. Calderon
CIVIL ENGINEERS