19940833 Ver 1_Complete File_19940907

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
APPROVAL of 401 Water Quality Certification
Mr. George Teague
Bridge Maintenance Supt.
NC DOT
515 Camp Rd.
Salisbury, N.C. 28147
Dear Mr. Teague:
IWA
?EHNR
September 7, 1994
Stokes County
DEM Project # 94833
FILE Cnpy
You have our approval to place fill material in waters for the purpose of bridge
replacement at SR 1104, Bridge # 003, as you described in your application dated
6 September 1994. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 2732. This certification allows
you to use Nationwide Permit Number 14 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 30 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,
ston owar , r. 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
94833.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT, JR SAM HUNT
GOVERNOR DIVISION OF HIGHWAYS SECRETARY
September 06, 1994
515 Camp Rd.
Salisbury, N.C. 28147
Mr. Eric Galamb 401
W Q Certification Unit
P. O. Box 29535
Raleigh, N. C. 27626-0535
Dear Mr. Galamb':.
The North Carolina Departs
Maintenance Unit, proposes the
We believe this project can be
ISSUED
N H T
D
c.--P - 7 1994
'?m.? WATER U? kLITy S?C?°'?'_
vent of Transportation, Bridge
following project for your rev'
accomplished under Nationwid #14.
COUNTY Stokes County Bridge # 003
ROUTE SR 1104
STREAM Crooked Run Creek
DESCRIPTION Bri-g.e....64-003 Replaced..with3 lines of 142" x
91" C. M. Arch Pip Not located in wetlands,..) Less than 200
cu.yds. Rip Rap Fil i_n_waters. Drainage-Area = 6.0 sq. mi.
Average Daily flow = 7.2 cfs.--
We have attached a site location map,
planned activities. A stringent erosion a
control program will be implemented during
construction and every effort will be made
timely manner.
Our personnel are available to assist
of this project, if necessary. Should you
please call me at 704-639-7555.
and a sketch of
nd sedimentation
the project
to complete work in a
with your evaluation
have any questions,
Sincerely,
George L. Tea ue
Attch. Bridge Maintenance Supt.
GLT/sb

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]
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 : 4./
2. OWNERS ADDRESS :
3. OWNERS PHONE NUMBER ( HOME ): 7Q? 2 q 7SSS (WORK): 71'1-439 -73-5f-
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Gcr?-?? L.
- 63 9 -"7S
5. LOCATION OF PL?ED WORK (ATTACH MAP).
COUNTY :
NEAREST TOWN OR CITY: C"N c,
SPECIFIC LOCATION (INCLUDE RM NUMBERS, LANDMARKS, ETC.): 0
Scu -?l, o ? Sc 7?. S'19 1145- 1-" S- /f, //D 41 /1 el'-" G.
6. NAME OF CLOSEST" STREAM/RIVER: .? irJ lz , d a k, :? R; U c,?
7. RIVER BASIN:. A'? k;rl
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 [ ] NO [?(]
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
/\/If /6
2/3/92
.rf r l
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED : /y4Il/e-
12. DESCRIPTION/,OF?RO
WOR//K?? (ATTACH PLANS):
/i
et
13. PURPOSE OF'P
i .
WORK : 7-5
?cC e 4 /? /?•? !? i f ?i
`A _ U
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.
/y A
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 W NO [ ].
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 [?(]
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 DELINEAT=ON 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? /tea S'z"
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
ZZ
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-North Carolina
Department of Transportation
Division of Highways
George L. Teague
Bridge Maintenance Superintendent

8815-46E

515 Camp Rd. [phone] s
Salisbury, NC 28147 Fax [phone]
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Department of Transportation
Division of Highways

George L. Teague
Bridge Maintenance Superintendent

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515 C
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7555
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Salisbury, NC 28147 F. [phone]

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