19990047 Ver 1_Complete File_19990120

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
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NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 2, 1999
Stokes County
WQC 401 Project # 990047
APPROVAL of 401 Water Quality Certification
Mr. M.C. Shaffner
NC DOT
2125 Cloverdale Avenue
Winston-Salem, NC 27103
Dear Mr. Shaffner:
You have our approval, in accordance with the attached conditions, for the purpose of paving SR 1691, as you
described in your application dated January 20, 1999. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 3103. This Certification allows you to use Nationwide Permit
Number 14 when the Corps of Engineers issues it. In addition, you should get any other federal, state or local permits
before you go ahead with your project including (but not limited to) Sediment and Erosion Control, Coastal Stormwater,
Non-Discharge and Water Supply Watershed regulations. Also this approval will expire when the accompanying 404 or
CAMA permit expires unless otherwise specified in the General Certification.
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 send us a new application. If the property is sold, the new owner must be given a copy of
this Certification and approval letter and is thereby responsible for complying with all conditions. If total wetland fills for
this project (now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC
2H .0506 (h). For this approval to be valid, you must follow the conditions listed in the attached certification.
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 Water Quality under Section 401 of the Clean Water Act. If you
have any questions, please telephone John Domey at 919-733-1786.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DWQ Regional Office
Mr. John Domey
Central Files
pSinc ely,
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r on Howard, Jr. P.E.
990047.1tr
Division of Water Quality • Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd, Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer 9 50% recycled/10% post consumer paper

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STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT JR. E. NORRIS TOLSON
GOVERNOR SECRETARY
January 15, 1999
Stokes County - SR 1691
SUBJECT: Drainage Permits - Division of Water Quality
Mr. John Dorney Attn: Cindy Bell
Water Quality Planning
Division of Water Quality
NC DEHNR
4401 Reedy Creek Road
Raleigh, NC 27607
Dear Cindy Bell,
--------------
utl .WTI 2019:-9-9-7
?JI
In an effort to obtain the necessary drainage permits, we are providing a package of design plans for
the paving of Stacy Rothrock Road (SR 1691) in Stokes County. In order to pave Stacy Rothrock Road it
will be necessary to replace, add, and/or extend the drainage pipes on this road.
By copy of this letter, we are also seeking approval from the NC Wildlife Resources Commission as
well as the US Army Corps of Engineer, therefore we are submitting the enclosed material to them.
If you have any questions, comments or need additional information after reviewing this material,
please contact our office at [phone]. Thank you for your cooperation in this matter.
MCS:laj
Enclosures
Respectfully,
M.C. Shaffner
District Engineer
c: Mr. D.B. Waters, Division Engineer
Mr. David Spainhour, Stokes County Maintenance Engineer
File
Division of Highways • Division Nine • District Two • 2125 Cloverdale Avenue, Winston-Salem, NC 27103
Telephone [phone] Fax [phone] • Courier Box 13-12-04

DEM ID:
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) :
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 COASTAL MANAGEMENT
SEND THE 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
SHOULD BE SENT TO THE N. C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE AGENCY
ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: NC DEPARTMENT OF TRANSPORTATION
2. MAILING ADDRESS: 2125 CLOVERDALE AVENUE
SUBDIVISION NAME
CITY: WINSTON-SALEM STATE: NC ZIP CODE:
27103
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER (HOME):
(WORK) :
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICAL, ADDRESS,
PHONE: M.C SHAFFNER
2125 CLOVERDALE AVENUE
WINSTON-SALEM NC 27103 [phone]
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: STOKES NEAREST TOWN OR CITY: DILLARD
SPECIFIC LOCATION (INCLUDING ROAD NUMBERS, LANDMARKS, ETC.):
FROM DILLARD NC, TAKE NC 772 SOUTH FOR APPROX. 1 MILE, SR 1691 ON LEFT
6. IMPACTED OR NEAREST STREAM/RIVER: DAN RIVER
RIVER BASIN: ROANOKE RIVER BASIN
1
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA),
HIGH QYALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ® NO ? IF YES, EXPLAIN: OUR PROJECT IS
WITHIN A WATER SUPPLY WATERSHED PROTECTED AREA.
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? NO
7c. 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? N/A
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ? NO ® IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ? NO ® IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: N/A
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
N/A
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
N/A
FILLING: 0 EXCAVATION: 0
FLOODING: 0 OTHER: 0
DRAINAGE: 0 TOTAL ACRES TO BE IMPACTED
n
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: FT. AFTER: _
WIDTH BEFORE (based on normal high water contours):
WIDTH AFTER: FT.
AVERAGE DEPTH BEFORE: FT. AFTER:
FT.
FT.
FT.
2
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION E] PLACEMENT OF PIPE IN CHANNEL ?
CHANNEL EXCAVATION ? CONSTRUCTION OF A DAM/FLOODING ?
11
OTHER ? EXPLAIN:
IF CONTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY): GRADE, BASE, PAVE STACY ROTHROCK ROAD (SR 1691) IN STOKES COUNTY
13. PURPOSE OF PROPOSED WORK: TO IMPROVE ROAD CONDITIOINS
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS): THIS ROAD WILL BE STABILIZED IN THE UPCOMING MONTHS
(FISCAL YEAR 1999-2000) BECAUSE OF SAFETY FACTORS THE CAREFUL WORK OF
THE NCDOT FORCES WILL MINIMIZE IMPACTS TO WETLAND AND/OR TROUT
STREAMS.
15. YOU ARE REQUIRED TO CONTACT THE U-S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES
SHEET) 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: 01-15-99
AGENCIES.)
(ATTACH RESPONSES FROM THESE
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: 01-15-99
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES ? NO ® (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 ?
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES ? NO ?
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT
REGARDING COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY
ACT.
QUESTIONS REGARDING THE STAE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGE77; DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREED, 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 STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET
OR 1 INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
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. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND US OF SURROUNDING PROPERTY? N/A
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
4
NOTE. WETLANDS OR WATERS OF THE U. S. MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTON 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (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.
OWNER'S/AGENT
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DATE
(AGENT'S SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (18g.))
PROPOSED DRAINAGE CROSS LINE TREATMENT
ALONG:STACY ROTHROCK ROAD SR:1691, STOKES COUNTY
LOCATED: FROM DILLARD NC, TAKE NC 772 SOUTH FOR 1 MILE, SR 1691 ON LEFT.

STATION EXISTING
DESCRIPTION
LGTH/DIAM/TYPE REPLACEMENT
DESCRIPTION
LGTH/DIAM/TYPE
SECTION TYPE
LEFT/RIGHT

COVER
SKEW
(APPROX)
11+75 24'-12"RCP 40'-18"RCP FILL/FILL MIN 1' 90°
20+00 NONE 40'-18"RCP FILL/FILL MIN 1' 90°
31+50 NONE 40'-18"RCP FILL/FILL MIN 1' 90,
38+50 NONE 40'-18"RCP FILL/FILL MIN 1' 90,

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