20010084 Ver 1_COMPLETE FILE_20020327

State of North Carolina
Department of Environment.
and Natural Resources n?
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Kevin Heath
Adams-Heath Engineering Inc
119 North Main Street
Galax, Virgina 24333
Dear Mr. Heath:
1 • •
WPM
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
January 24, 2001
DWQ # 010083 & 010084
On January 23, 2001, your applications for 401 Water Quality Certifications on
behalf of the City of Mount Airy for two projects in Surry County were received by the
N.C. Division of Water Quality. Please note that beginning January-1, 1999, the N.C.
General Assembly passed legislation requiring payment of a fee for all 401 applications.
Your applications are being placed on hold since no payment was received with the
package. The fee for applications is $200 for projects impacting less than an acre of
wetland and less than 150 linear feet of streams. For projects impacting one or more
acres of wetland or 150 or more feet of streams, the fee is $475. In order for DWQ to
review and process your request, you must send a check in the appropriate amount made
payable to the N.C. Division of Water Quality for each project.
Please note that if you meet our basic threshold conditions for NWP 12, for which
you are applying, you would not need written concurrence from DWQ. Please: see, the
conditions for NWP 12 on our website to see if this is the case:
http://h2o.enr.state. tic. us/ncwetlands . If you believe that you will not require written
concurrence then an application fee will not be required and we ask you send us written
notification to this effect.
Please call Robert Ridings or Cyndi Karoly at 919-733-1786 or visit our web site
at http://h2o.enr.state.nc.us/ncwetlands if you have any questions.
Sincerely,
l ?
John R. Dorney
cc: Central Files
File Copies (2)
Wetlands/401 Unit 4401 Reedy Creek Road Raleigh, North Carolina 27607
Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
ADAMS-HEATH ENGINEERING, INC.
7=w INIM CIVIL - ENVIRONMENTAL
:1)i

JAN 2 3 2MI
January 19, 2001
Raleigh Regulatory Field Office
US Army Corps of Engineers
6512 Falls of the Neuse Road, Suite 105
Raleigh, North Carolina 27615
Re: Mondovi Foods Water Line Extension Project
City of Mount Airy/Surry County
Dear Sir/Madam:
010064
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 a stream crossing at one location. 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.
tuum "
Kevin Heath, P.E.
cc: NC Division of Water Quality
ATTN: John Dorney
4401 Reedy Creek Road
Raleigh, North Carolina 27607
Jeff Boyles, P.E., City of Mount Airy
KH/sct
TEL:[phone] NORTH MAIN STREET FAX:[phone]
GALAX, VIRGINIA 24333
DWQ ID:
010084
CORPS ACTION ID: t.
I NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 12-Utility Lines
0
0
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N

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
S13ND 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: City of Mount Airy
2. MAILING ADDRESS: P.O. Box 70, 440 East Pine Street
SUBDIVISION NAME: Mondovi Foods Water Line Extension Project
CITY: Mount Airy STATE: NC ZIP CODE: 27030
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): Route 52 south of Mount Airy
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]
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.) Southeast of the Route 52
bridges across the Ararat River - crossing is of Cane Branch, about 180 feet upstream of confluence with Ararat
6. IMPACTED OR NEAREST STREAM/RIVER: Cane Branch RIVER BASIN: Ararat River
(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
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES NO NO IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
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 line below streambeds.
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 I I DRAWINGS ONLY) Installation of concrete
encased ductile iron water line below streambeds. Excavation and placement to be completed w/ trackhoe.
13. PURPOSE OF PROPOSED WORK: Stream crossings for water line to serve the Mondovi Foods facility.
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 opposite side 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 MAYBE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED:
01/16/01
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: 01/16/01
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND? YES 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 I 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.
(c) 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,
Emilv B. Tavlor. Mavor
PRINT OR TYPE OWNER'S/AGENT'S NAME
??' - '6 on 01/ 18/01
OWNER'S/AG T'S SIGNAT RE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
ATTACHMENTS
- Vicinity Map
- Request to USFWS and SHPO
for project clearance
- Stream Crossing Drawings
Ail' ADAMS-HEATH ENGINEERING, INC.
C1V1L - ENVIRONMENTAL
January 16, 2001
U.S. Fish and Wildlife Service
P.O. Box 33726
Raleigh, North Carolina 27636-3726
Re: Mondovi Foods Water Line Extension Project
Dear Sir/Madam:
This letter is being written to serve as notification of a proposed water line extension project and request clearance from
youragency.
The City of Mount Airy proposes to construct a water line extension in Sung County as shown on the attached vicinity
map. The project would involve a subaqueous water line crossing of Cane Branch. The City is applying to the Army
Corps of Engineers for a permit to complete the work. As a requirement of the Corps permit, your agency is required
to be notified of the project and asked to determine if the project could potentially impact any resource(s) under your
agency's jurisdiction near the stream crossing.
If you have any questions or need additional information, feel free to call. Thank you for your assistance.
Sincerely,
ADAMS-HEATH ENGINEERING, INC.
??WVYtt"
Kevin Heath, P.E.
TEL:[phone] NORTH MAIN STREET FAX:[phone]
GALAX, VIRGINIA 24333
ADAMS-HEATH ENGINEERING, INC.
CIVIL - BNVIROMMENTAL
January 16, 2001
North Carolina State Historic Preservation Office
4617 Mail Service Center
Raleigh, North Carolina 276994617
Re: Mondovi Foods Water Line Extension Project
Dear Sir/Madam:
This letter is being written to serve as notification of a proposed water line extension project and request clearance from
your agency.
The City of Mount Airy proposes to construct a water line extension in Suny County as shown on the attached vicinity
map. The project would involve a subaqueous water line crossing of Cane Branch. The City is applying to the Army
Corps of Engineers for a permit to complete the work. As a requirement of the Corps permit, your agency is required
to be notified of the project and asked to determine if the project could potentially impact any resource(s) under your
agency's jurisdiction near the stream crossing.
If you have any questions or need additional information, feel free to call. Thank you for your assistance.
Sincerely,
ADAMS-HEATH ENGINEERING, INC.
6
Kevin Heath, P.E.
TEL:[phone] NORTH MAIN STREET FAX:[phone]
GALAX, VIRGINIA 24333
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141 ADAMS-HEATH ENGINEERING, INC. GENERAL VICINITY MAP FIGURE
it Ic CIVIL - ENVIRONMENTAL MONDOVI FOODS WATER 1
119 North Mein Street
Tel: [phone] Fax: [phone] Galax, Virginia 24333 MOUNT AIRY, NORTH CAROLINA SCALE: r - 2000•

APPROVED STREAM CROSSING METHOD
COFFERDAM CROSSING - TYPICAL DETAIL
EDGE OF
WATER
II
STE
#2
STE
#1
TEMPORARY
SILT FENCE
TEMPORARY SAND OR
AGGREGATE FILL - REMOVE
FOLLOWING PIPE INSTALLATION
-ERODIBLE BARRIER ------
ROUNDED & UNDERLAIN?
i FILTER CLOTH (SAND
S, SHEET PILING, OR GROUND
RAP)
DEWATERING STRUCTURE
SHALL CONFORM TO THE
LATEST NC EROSION &
SEDIMENT CONTROL PLANNING
& DESIGN MANUAL HANDBOOK
STANDARD 6.60.1 FOR
TEMPORARY SEDIMENT TRAP
AM
BACKFILL
TO ORIGINAL
GRADE
-CONCRETE
ENCASED
PIPE
PROFILE
STEP 1) CONSTRUCTION SHALL BE DONE IN LOW FLOW PERIODS.
STEP 2) CROSSING SHALL BE ACCOMPLISHED IN A MANNER THAT WILL NOT
PROHIBIT FLOW OF STREAM.
STEP 3) INSTALL TEMPORARY SILT FENCES TO CONTROL APPROACH AREAS.
STEP 4) INSTALL NON-ERODIBLE BARRIER WITH FILTER CLOTH AROUND CROSSING.
STEP 5) PLACE A SAND OR COARSE AGGREGATE (NCDOT #57) FILL INSIDE BARRIER.
STEP 6 DEWATER WORK AREA INTO SEDIMENT TRAPPING DEVICE.
STEP 7) EXCAVATE TRENCH & INSTALL PIPE.
STEP 8) POUR CONCRETE ENCASEMENT AROUND PIPE AND ALLOW TO HARDEN 24 HOURS
PRIOR TO BACKFILL OR UTILIZE PRECAST STREAM CROSSING PIPE (CONTRACTOR'S
OPTION).
STEP 9) BACKFILL WITH EXCAVATED MATERIAL TO ORIGINAL PROFILE.
STEP 10 REMOVE EXCESS FILL MATERIAL.
STEP 11 REMOVE BARRIER AND FILTER FABRIC.
STEP 12 RELOCATE TO OPPOSITE SIDE OF STREAM AND REPEAT STEPS 1-11.
STEP 13 IMMEDIATELY STABILIZE & REVEGETATE STREAM BANKS W/ SEED, MULCH, & STRAW.
PURPOSE:
TO EXTEND WATER SERVICE
TO THE MONDOVI FOODS FACILITY
MONDOVI FOODS
Water Line
Extension
Project
IN: Cane Branch
COUNTY OF: Surry STATE: NC
APPLICATION BY:
City of Mount Airy
SHEET
01 /17
PLAN
APPROVED STREAM CROSSING METHOD
FLUME PIPE CROSSING - TYPICAL DETAIL
TEMPORARY
SILT FENCE
FLUME EDGE OF
PIPE OR WATER
PIPES
I L GROUND
DEWATERING STRUCTURE
SHALL CONFORM TO THE
TEMPORARY CONCRETE LATEST NC EROSION &
SILT FENCE ENCASED SEDIMENT CONTROL PLANNING
PIPE & DESIGN MANUAL HANDBOOK
FLUME
PIPE OR
PIPES
STREAM
BACKFILL
"TO ORIGINAL
GRADE
CONCRETE
ENCASED
PIPE
STANDARD 6.60.1 FOR
PLAN TEMPORARY SEDIMENT TRAP PROFILE
STEP 1) CONSTRUCTION SHALL BE DONE IN LOW FLOW PERIODS
& WITH FLUME PIPE OPERATIONAL.
STEP 2) CROSSING SHALL BE ACCOMPLISHED IN A MANNE R THAT
WILL NOT PROHIBIT FLOW OF STREAM.
STEP 3) INSTALL TEMPORARY SILT FENCES TO CONTROL APPROACH AREAS.
STEP 4) INSTALL FLUME PIPE & NON-ERODIBLE BARRIER.
STEP 5) DEWATER W/IN DAMMED OFF AREA INTO SEDIMEN T TRAPPING DEVICE.
STEP 6) EXCAVATE TRENCH & INSTALL PIPE.
STEP 7) BACKFILL WITH EXCAVATED MATERIAL & CONCRE TE TO ORIGINAL
PROFILE.
STEP 8) REMOVE BARRIER & FLUME PIPE.
STEP 9) IMMEDIATELY STABILIZE & REVEGETATE STREAM BANKS BY SEED,
MULCH, & STRAW.
NOTE: 1 . FLUME PIPE CROSSING METHOD TO BE USED W HEN IN-STREAM
CONSTRUCTION WILL LAST 48 HOURS OR LESS & STREAM IS
LESS THAN 15' WIDE.
PURPOSE:
MONDOVI FOODS
IN: Cane Branch
STATE: NC
NON-ERODIBLE BARRIER
VDOT #1 COARSE
AGGREGATE (MIN.)
OR RIP RAP
CREEK BANK
BEYOND
COUNTY OF: Surry
TO EXTEND WATER SERVICE
TO MONDOVI FOODS FACILITY.
Water Line
Extension
Project
APPLICATION BY:
City of Mount Airy
SHEET DATE 01/17V01
/ 1I
I
PROPOSED RIPRAP ZOPC
STABILIZATION--TOP OF
BANK TO EDG OF WATER
SIDE Ee)F
-?- TS PS OM --
CONCRETE l
ENCASE
40 L.F.
a
INSTALL PROP. WATER
LINE 10' OFF OF EX.
PROPERTY LINE (TYP.)
TS PS M--
P OPOSED
SI T FENCE
??- J_1?11
SOURCE: USGS - MT, AIRY SOUTH
SCALE: 1" = 2000'
PLAN
SCALE: 1 " = 100'
990 990
EX. BANK
980
PROP. 10"
WATER -
LINE 100
970
CONCRETE
ENCASE
_
U
z
a
m
w
z
a
U
OH W
980 1
RIP-RAP SLOPE
STABILIZATION -
EXTEND TOP OF BANK
TO EDGE OF WATER ON
EACH SIDE OF STREAM 970
960
PROFILE
HORIT SCALE: 1" = 100'
Mondovi Foods Water SITE 1
Plan & Cross
Adjacent Property Owners: Sectional View
NC Department of Transporation Line 100 Water
960
IN: Cane Branch
COUNTY OF: Surry STATE: NC
APPLICATION BY:
City of Mount Airy
SHEET 3 DATE 01 /i /(