20010485 Ver 1_COMPLETE FILE_20010402

AC ADAMS-HEATH ENGINEERING, INC.
CIVIL - NV/RONMBNTAL
March 26, 2001
Raleigh Regulatory Field Office
US Army Corps of Engineers
6512 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 27615
Re: White Plains Community Water System Extensions Project
City of Mount Airy/SUrry County
Dear Sir/Madam:
® 104 15
Please find enclosed the original and one copy of the Pre-Construction Notification for the above referenced project.
The project involves water line extensions from the City's system and includes stream crossings at two locations. By
copy of this letter, we are also forwarding seven copies to the NC Division of Water Quality.
If you have any questions, feel free to call.
Sincerely,
ADAMS-HEATH ENGINEERING, INC.

Kevin Heath, P.E.
cc: NC Division of Water Quality
ATTN: John Dorney
4401 Reedy Creek Road
Raleigh, North Carolina 27607
KH/rc
TEL:[phone] NORTH MAIN STREET FAX:[phone]
GALAX, VIRGINIA 24333
O1Q485
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 12-Utility Lines
PRE-CONSTRUCTION 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 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 MUST BE
SENT TO THE NC DIVISION OF WATER QUALITY, ATTN: JOHN DORNEY, 4401
REEDY CREEK ROAD, RALEIGH, NC 27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: County of Surry
2. MAILING ADDRESS: 118 Hamby Road
SUBDIVISION NAME: White Plains Community Water System Extensions Project
CITY: Dobson STATE: NC ZIP CODE: 27017
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): Various locations within the project area in Surry County - see attached
3. TELEPHONE NUMBER: (HOME) Not Applicable (WORK) [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE
NUMBER: Agent: Adams-Heath Engineering, Inc. 119 North Main Street Galax, Virginia 24333
Phone: [phone]
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Surry - NEAREST TOWN: City of Mount Airy
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) See attached sheet listing.
6. IMPACTED OR NEAREST STREAM/RIVER: See attached list RIVER BASIN: Ararat River
7. (a) 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 NO IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES NO NO
(c) 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? NO
(a) HAVE ANY SECTION 404 PERMITS
PROJECT? YES NO NO
PERMIT AND ANY ADDITIONAL
CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES NO NO IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: N/A
(b) ESTIMATED TOTAL NUMBERS OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
None - stream channels only
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: N/A EXCAVATION: N/A
FLOODING: N/A OTHER: N/A
DRAINAGE: N/A TOTAL ACRES TO BE IMPACTED:
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
SEE ATTACHED DRAWINGS
LENGTH BEFORE: FT AFTER:
WIDTH BEFORE (based on normal high water contours): _
AVERAGE DEPTH BEFORE: FT AFTER:
FT
FT
FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER: Installation of water lines below streambeds.
ll. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 8'/z BY 1 1 DRAWINGS ONLY) Installation of concrete
encased ductile iron water lines below streambeds. Excavation and placement to be completed w/ trackhoe.
13. PURPOSE OF PROPOSED WORK: Stream crossiny-s for water lines to serve the White Plains community.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) Placement
in current location required to serve customers on both sides of streams.
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR NATIONAL
MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF 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. DATE CONTACTED:
03/30/99* - Request submitted to NCDENR for Environmental Assessment exemption.
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. DATE CONTACTED: 03/30/99 - Request submitted
to NCDENR for Environmental Assessment exemption.
BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
INFORMATION (INCLUDE PHOTOCOPY OF 401
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND? YE NO YES (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 NO NO
(b) IF YES, HAD THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES NO
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE 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].
18. 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
STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE
MAP, MAP SCALES SHOULD BE I INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET OF THEIR
EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(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?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH CAROLINA
DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED ACTIVITY IS CONSISTENT
WITH THE NORTH CAROLINA COASTAL MANAGEMENT PROGRAM,
Dennis Thompson Surrv Counjy Manager
P OR TYPE OWNER' /7 GENT'S NAME
L on S _ 7-a(
OWNER'S/AGENT'S SIGNAT E DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
ATTACHMENTS
- Vicinity Map
- Request to NCDENR for Env.
Assessment Exemption
- Site Listing/Description Sheet
- Stream Crossing Drawings
11 J / °? p O - 4038
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54.
ADAMS-H ATH ENGINEERING
JL_ CIVIL - ENVIRONMENTAL
March 30, 1999
Ms. Faith Abbott, Environmental Engineer
North Carolina Department of Environment and Natural Resources
Public Water Supply Section
P.O. Box 29536
Raleigh, North Carolina 27626-0536
Re: White Plains Community Water System Extensions Project
Surry County/City of Mount Airy
Dear Ms. Abbott:
The City of Mount Airy and Surry County Board of Commissioners are jointly applying for financial assistance
through the NC Clean Water Revolving Loan and Grant Program for the above referenced project. The project
involves extensions of Mount Airy's water system into the White Plains Community. Construction would include
approximately 61,800 LF of 16", 12", 8", and 6" water lines, a pump station, a 500,000 gallon tank and related
appurtenances and would make public water service available to an estimated 316 potential customers. The proposed
water lines would be installed within existing street right-of-ways to the extent possible in order to minimize
disturbance and the number of easements required. A project area map is attached for reference.
We believe that the project would qualify for exemption from an Environmental Assessment under the State
Environmental Policy Act. However, we are seeking your office's concurrence in this conclusion. If any further
actions are necessary on our part or if you need any additional information, feel free to call.
Sincerely,
ADAMS-HEATH ENGINEERING, INC.
NWM IiA
Kevin Heath, P.E.
KH/rc
TELEPHONE [phone] NORTH MAIN STREET FAX [phone]
GALAX, VIRGINIA 24333
WHITE PLAINS COMMUNITY WATER SYSTEM EXTENSIONS PROJECT
STREAM CROSSING INFORMATION
PLAN
SITE SHEET STREAM WORK DESCRIPTION
1 4 Stewart's Creek Water Line 103 - Installation of 80
L.F. of 8" ductile iron water line and
concrete encasement below existing
streambed. Site is located just west
of the bridge on State Route 2258
Old U.S. 601.
Un-Named tributary to Stewart's Creek
Water Line 200 - Installation of 20
L.F. of 12" ductile iron water line
and concrete encasement below
existing streambed. Site is located
south of intersection of State Route
601 Rockford Street and State Route
1359 McKinney Road.

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CONCRETL
_
ENCASE 80 L. F.
TEMP A,RY 25' EASEMENT
'
EASEMENT
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EACH SIDE F CREF H 0 EACH SIDE
\ 1 VICINITY MAP
SOURCE. USGS - DOBSON
SCALE: 1 2000'
PLAN
SCALE: 1 " = 100'
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_
FACH SIDE OF CREEK I I
980 - 980
PROFILE
HORIZ. SCALE: 1" - 100'

White Plains Water SITE I IN: Stewarts Creek
Plan & Cross COUNTY OF: Surry STATF: NC
Adjacent Property Owners. Seet>onaI View
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SCALE: 1" = 2000'
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PROTECTION 10 L.F.
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CONCRETE
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While Plains Water
Adjacent Property Owners:
NC Department of Imnsporation
HORIZ. SCALE: 1" - 100'
SITE 2
Plan & Cross
Sectional View
Line 20 Water
1030
1020
IN: Unnamed Tributary
COUNTY OF: Surry STATE: NC
APPLICATION BY:
County of Surry
SHEET 4 DAZE 01/04/00
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APPROVED STREAM CROSSING METHOD
COFFERDAM CROSSING --- TYPICA f DETAIL
TEMPORARY SAND OR
EDGE OF AGGREGATE IILL_ REMOVE -
F-01 LOWING PIPE IN'--)TAI I A IION
I I WATER
STI
#2
STF
#1 -
TEMPORARY
SILT FENCE
I-ERODIBLE BARRIER '_--_'?
ROUNDED & UNDERLAIN
i FILTER CLOTH (SAND
S, SHEET PILING, OR f? GROUND
RAP)
DEWA-TERING STRUCTURE
SHALL CONFORM TO THE
LA IFST NC EROSION &
SEDIMENT CONTROL PLANNING
& DESIGN MANUAL HANDBOOK
STANDARD 6.60.1 FOR
TEMPORARY SEDIMENT TRAP
STREAM
BACKFILL
10 ORIGINAL
GRADE
CONCRETE
ENCASED
PIPE

STEP 1) CONSTRUCTION SHALL BE DONE IN IOW FLOW PERIODS.
STEP 2) CROSSING SHALL BE ACCOMPLISHED IN A MANNER THAT WILL NOT
PROHIBI I I LOW OF STREAM.
STEP 3) INSTALL TF-MPORARY SILT FENCES 10 CONTROL- APPROACH AREAS.
S IEP 4) INSTALL NUN-ERODIBLE BARRIER WITH FILTER CLOTH AROUND CROSSING.
STEP 5 PLACE A SAND OR COARSE AGGREGATE (NCDOI x/57) FILL- INSIDE BARRIER.
STFP 6? DEWAIER WORK AREA INTO SEDIMENT TRAPPING DEVICE.
STEP 7) EXCAVATE IRLNCH & INS IAl I PIPL.
STEP 8) POUR CONCRETE ENCASEMFNT AROUND PIPE AND ALLOW TO IIARDF-N 24 HOURS
PRIOR TO BACKI=IIT OR U IIL17E PRLCAS r STREAM CROSSING PIPE (CONTRACTOR'S
OPTION).
STEP J) BACKFILL WITH EXCAVATED MA IF.RIAL TO ORIGINAL PROFILE.
STEP IO REMOVE- EXCESS FILL MATERIAL.
STEP 11 REMOVE BARRIFR AND FII11-R FABRIC.
STEP 12 RELOCATE TO OPPOSITE SIDE: OF STREAM AND REPFAT SII-PS 1--11.
STEP 13 IMMEDIATELY `;I ABILIZE & RFVEGI I A I F STREAM BANKS W/ SEED, MULCH, & STRAW.
PURPOSE:
TO EXTEND WATER SERVICE
TO IM WIIIIE PAINS COMMUNITY
WITITII: PLAINS COMMUNITY
Water System
[,:xt.cllslon
Project
IN: Stewarts Creek
COON IY UI: Surry S tATF: NC
APPI ICA I ION RY:
County of '-furry
St 4 -t_ I 1 DA IF 01 704700
NIAN
APPROVED S'I'-REAM CROSSING- METI--IOI)
FLUMI-l PIPE CROSSING --- TYPICAI_, DETAIL
TEMPORARY--
SILT FENCE
FLUME \
PIPE OR
PIPES
(yl

CRELK BANK
BEYOND
NON--ERODIBLE BARRIER
VDOT #1 COARSE
AGGREGATE (MIN.)
OR RIP RAP
FLUME
PIPE OR
PIPES
STREAM
GROUND
II
DEWATERING STRUCTURL
SHALL CONFORM TO HIE
TEMPORARY CONCRETE I ATES I NC EROSION &
SILT FENCE LNCASED SEDIMENT CONTROL PLANNING
PIPE & DESIGN MANUAL HANDBOOK
STANDARD 6.60.1 FOR
PLAN TEMPORARY SEDIMENT TRAP
T I BACKFILL
TO ORIGINAL
GRADE
CONCRETE
ENCASED
PIPE
PROFILE
STEP 1) CONSTRUCTION SHALI_ BE DONE IN LOW FLOW PERIODS
& WITH FLUME PIPE OPLRA IIONAL.
STEP 2) CROSSING SHALL BE ACCOMPLISHED IN A MANNER TIIAT
WILT NOT PROHIBIT FLOW OF STREAM.
STEP 3) INSTAIJ_ IEMPORARY SILT FENCES -10 CONTROL APPROACH AREAS.
STEP 4) INSTALL FLUME PIPE & NON ERODIBLE BARRIER.
STEP 5) DEWIER WAIN DAMMED Of-F AREA IN1-0 SEDIMENT TRAPPING DEVICE.
STEP 6) LXCAVATE TRENCH & INSTALL PIPE.
STEP BACKFILI_ WITH EXCAVATED MATERIAL & CONCRETF TO ORIGINAI_
PROFII_ E.
S I EP 8) REMOVE BARRIER & FLUME PIPE.
STEP 9) IMMEDIA IELY STABILI7F & REVFGETA-f E:_ S I-REAM BANKS I3Y SEED,
MUI-CH, & STRAW.
NOTE: 1 . 1 1 UME PIPE CROSSING METHOD TO 13L USED WHEN IN SIREAM
CONSTRUCTION WII L I AST 48 HOURS OR LESS & S LRCAM IS
I LSS THAN 15' WIDE.
IN: Various Slr(:urns
PIJRPOSI=:
TO FXTFND WA II R 5I_kVIC:E
TO WI II IE PI AIN`, COMMUNITY.
WHITE PLAINS COMMUNITY
WaLer SysLem
ExLension
Project.
FDGE OF
TER
COUNTY OF. Surry STAII: NC
APPLICATION BY:
County or "urry
SIit EI 2 - DATE 01/04/00