19951221 Ver 1_Complete File_19951120

RECER IED
O yAA?°
. NOV 2 P 1995
ENVIRONMENTAL SCIENCES
'°?a : m'.
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT. JR.
GOVERNOR
DIVISION OF HIGHWAYS R. SAMUEL HUNT III
SECRETARY
November 8, 1995
515 Camp Rd.
Salisbury, N. C. 28147
Mr. Eric Galamb
W Q Certification Unit
P. O. Box 29535
Raleigh N. C. 27626-0535
Dear Mr. Galamb:
The North Carolina Department of Transportation Bridge Maintenance Unit, proposes the following
project for your review. We believe this project can be accomplished under Nationwide # 14.
COUNTY : Forsyth County Bridge 37
ROUTE : SR 1920
STREAM: Buffalo Creek
DESCRIPTION: Bridge # 62-037 Replaced with 3 @ 120" C.M. Pipe. Not located in Wetlands.
Less than 0.01 acre Rip Rap fill in waters Drainage Area = 4.7 sq. mile. Ave.
Daily Flow =5.0 C.F. S.
We have attached a site location map, and a sketch of planned activities. A stringent erosion and
sedimentation control program will be implemented during the project construction and every effort will
be made to complete work in a timely manner.
Our personnel are available to assist with your evaluation of this project, if necessary. Should you have
any questions, please call me at 704-639-7555.
Sincerely,
George ?LTeCe
Bridge Maintenance Supt.
GLT/sb
attach.
0

DEM ID: 9 ,5p 21 _ _ 401 i SuED 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. MANA E1= •?.v
NC DEPARTMENT OF ENVIRONMENT IFA?, W N
AND NATURAL RESOURCESi
P.O. BOX 29535
RALEIGH, NC 27626-0535--,,",j
! 'J
ATTN: MR. JOHN DORNEY
Telephone [phone] WETLANDS Gfa's'
WATER QUALITY SrL'`:
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: /y G • ??T d 7?/ a.?s,:>'r 7?-?im?
2. OWNERS ADDRESS: S'/S
7? G39'7??5
3. OWNERS PHONE NUMBER (HOME): 70','V-40-7-10Y (WORK):
4. IF APPLICABLE:
PHONE
AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY : s j(4-k
NEAREST TOWN OR CITY: Gcrr?a.,?y`?v
SPECIFIC, LOCATION INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): 6•3 ?%
??s f a f -c . N-c. 8 ea ?. ex 4.1 o cn? s 2c
6. NAME OF CLOSEST STREAM/RIVER: 7-dwN ro,. k G?''u-k
7. RIVER BASIN: I1 &Hdike
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO [-
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:
lvo-&
2/3/92

_2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED:
DRAINED: G
FLOODED: e
EXCAVATED: D
TOTAL IMPACTED: /V
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): dr 3
4-
up r t-6,' 6,' , up
5 (w )S ?e ?
IS =`) W i 3 C 11t?p S e I20 G^ c ?j? w 1? 1. a wu.d ur.1 l
13. PURPOSE OF PROPOSED WORK: To )?ca! 6
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.
A
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USF4S) 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 [AFFECTED BY THE-
PROPOSED PROJECT. HAVE YOU DONE SO? YES [ I
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?
[ I
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 DELINEATION 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? ,(j ads ? t-?Imd
F. IF APP ICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
n?
OWNER'S IGN URE / DATE

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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
A4; t-el
ID EHNR
November 28, 1995
Forsyth County
DEM Project # 951221
APPROVAL of 401 Water Quality Certification
Mr. George Teague
Bridge Maintenance Supt.
NC DOT
515 Camp Road
Salisbury, N.C. 28147
FILE CO ?V
Dear Mr. Teague:
You have our approval to place fill material in 0.01 acres of waters for the purpose of replacing
Bridge # 37 on SR 1920 over Buffalo Creek, as you described in your application dated 8 November
1995. 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 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 Environmental Management under Section 401
of the Clean Water Act. If you have any questions, please telephone John Dorney at 919-733-1786.
S' cerely,
Wr s ton H ard, E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Domey
Central Files
951221.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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