19951021 Ver 1_Complete File_19950921

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
September 28, 1995
Surry County
DEM Project # 951021
APPROVAL of 401 Water Quality Certification
Mr. Daniel Holderman
Bridge Maintenance Superintendent
NC DOT
1296 Prison Camp Road
Newton, N.C. 28658

Dear Mr. Holderman:
You have our approval to place fill material in waters for the purpose of replacing Bridge # 264,
SR 1606, as you described in your application dated 18 September 1995. After reviewing your
application, we have decided that this fill is covered by General Water Quality Certification Number
2735. This certification allows you to use General Permit Number 031 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 Domey at 919-733-1786.
Sincerely,
r ton Ho rd, Jr. 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
951021.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmativo Action Employor 50%recyclod/ 10% post-consumer papor
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. STAFF
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT. IR.
GOVERNOR
DIVISION OF HIGHWAYS
SAm HUNT
S EC: RETA RY
September 18, 1995
1296 Prison Camp Road
Newton, N. C. 28658
Mr. Ken Jolly, Office Manager
U. S. Army Corps Of Engineers
Raleigh Regulatory Field Office
6512 Falls Of The Neuse Road, Suite 105
Raleigh, N. C. 27615
Dear Mr. Jolly:
The North Carolina Department Of Transportation Bridge
Maintenance Unit, proposes the following project for your
issuance of a Section 404 Permit. The project involves a
designated mountain county in Western North Carolina and we
believe this project can be accomplished under General Permit
SAWC082)-N-000-0031.
COUNTY: Surry
BRIDGE: # 264 Surry, SR 1606
STREAM: Tributary to Ring Creek
DESCRIPTION: Replace existing bridge with 1 line of
103"x71" CMPA. Approx. 200 CY of fill
material below normal highwater.
No trout, HQW, nor wetlands involved.
With a copy of this letter, we are also requesting a concurrence
letter from the Wildlife Resources Commission and requesting issuance
of 401 Water Quality Certification from the N. C. Division Of
Environmental Management.
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 704-466-5525.
Attachment: Sincerely,
CC-Ms. Stephanie Goudreau
S. B. Hudspeth
File
M ..
SEP 2 1
I
l_LT ` S'uI

Daniel D. Holderman
Bridge Maint. Sup't.

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: W .7o 2724 77oj
2. OWNERS ADDRESS:
Zc3
3. OWNERS PHONE NUMBER (HOME):
(WORK) : 7a4 -qlnlo- 55Z5-
4. IF APPLICABLE: AGENT' OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
5.
6. NAME OF CLOSEST STREAM/RIVER: %2113)&77-?-,Zy 7z? ?iyci c=2c'z/?
7. RIVER BASIN:
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO [?I
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [-T
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
,UoZ.) C?
2/3/92
LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Su2?4,
NEAREST TOWN OR CITY: Lcrz? l 47f
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT: /-)M
FILLED:
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED:
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS) : ?ZC=/????rF Cz u? r7 IJl?
T7?? ?iZ hG/c= u>i rL/ "V- 7
13. PURPOSE OF PROPOSED WORK: ?C??rfc ?i?Z?.ciziZrlcL.y JBficc?Jr
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. 4-)14
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 [ ] NO [?j 4/4
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 [ ?r
RESPONSE FROM THE SHPO SHOULD BE ATTACHED. Na
17. ADDITIONAL INFORMATION REQUIRED BY
A. WETLAND DELINEATION MAP SHOWING
THE PROPERTY.
DEM •
ALL.WETLANDS, STREAMS, AND LAKES ON
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? uwd )s, Fr7c?v?J /??/SZ??ZG
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
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