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HomeMy WebLinkAbout19990229 Ver 1_Complete File_19990312~" ~i Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality Mazch 2, 2007 DWQ # 99-0229 Forsyth County CERTIFIED MAIL -RETURN RECEIPT REQUESTED Mr. Pat Ivery, PE NCDOT, Division 9 North Carolina Department of Transportation 375 Silas Creek Pazkway Winstori-Salem, NC 27127 Dear Mr. Ivery: On Mazch 5, 1999, you requested a 401 Water Quality Certification from the Division of Water Quality (DWQ) for your project SR 4000 located in Forsyth County. We wrote you on March 12, 1999 discussing concerns that we have regarding the design of the project and placing it on hold until those concerns aze addressed. Therefore we aze, returning your application. Once you have collected sufficient information to have a complete application (please see our hold letter for the missing information), you will need to reapply for the DWQ approval. Your file is hereby retired and will not be reviewed until our eazlier concerns are addressed. Please contact me at 919-733-5694 if you have any questions or would like to discuss this matter. erely, ?~6L ~~ John Hennessy y ;YyG Transportation and Permitting Unit cc: DWQ Winston-Salem Regional Office US Army Corps of Engineers Raleigh Field Office Central Files File Copy NQp~~~hCarolina Transportation Pertnitiing Unil ~VUlllCQ~~t~J 1650 Mail Service Center, Raleigh, North Carolina 27699-1650 2327 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone: 919-733-17861 FAX 919-733-6893 /Internet httol7h2o.enrstate. naus/ncwetlands An Equal OppodunitylAffirtnative Action Employer- 50 % Recycled110% Post Consumer Paper V,~ 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 ,: h,, ,:, . .~.w_ . / • • Fs,. ~~~~~ . NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES March 12, 1999 Please call Cyndi Bell at 919-733-1786 if you have any questions. inc r \ ~ ~' v Joh .Domey Mr. George Teague NC DOT 515 Camp Road Salisbury, NC 28147 Dear Mr. Teague: Subject: Bridge #62-536 DWQ # 990229 Forsyth County On March 11, 1999, your application fora 401 Water Quality Certification for a culvert # 536 in Forsyth County was received by the N.C. Division of Water Quality. The Division will begin to review the project for eventual decision. However, please be aware that beginning Januazy 1, 1999 that the N.C. General Assembly passed legislation requiring payment of a fee of $200.00 for this project. The 401 Certification cannot be issued until this fee is paid. Presently the Department of Transportation and Environment and Natural Resources are developing a process so these fees will not have to be paid separately for each project. We anticipate that this agreement will be finalized early in 1999. However until this agreement is completed we will not be able to complete our action on your request. Until that time, your application will remain on hold as incomplete. cc: Central Files Winston-Salem DWQ Regional Office Raleigh Field Office US Army Corps of Engineers Cyndi Bell " ' Domey Unit 4401 Recdy Creck Road Raleigh, North Carolina 27607 Telephone 919-733-1756 FAk # 733-9959 .n Equal Opportunity Affirmative Action Employer ~ 50% retycled/10`Yo post consumer paper ~\ MAR. 5, 1999 515 Camp Rd. Salisbury, N. C. 2817 Mr. KEN JOLLY U. S. Amry Corps of Engineers 6512 FALLS OF THE NEUSE ROAD RALEIGH, N. C. 27(15 Dear Mr. JOLLY, The Nonh Carolina Department of Transponation Bridge Maintenance Unit. proposes the following project for }'our review. We believe This project can be accomplished under Natiomvide # 1~. COUNTY : FORSYTH COUNTY, CULVERT # 53( ROUTE S. R. 4000 STREAM : LEAK FORK CREEK DESCRIPTION : Bridge # 62-536. EXTEND ~l BARREL REINFORCED CONCRETE BOXED CULVERT (ail 7' X 10' BY 12 ADDITIONAL FEET. Not located in wetlands. Less than O.ll I. Acres of Rip Rap fill in waters. Drainage Arca =~tsq. miles. Average Daily Flow =y_~ C.F.S. Total CULVERT length in stream = 113 FT He 2 IN We have attached a site location map . and a sketch of planned activities. A stringent erosion and sediutentation control program will be implemented during the project constniction and even 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 7ou - haveany questions. please call meat 70~{- 639-7515. Sincerely, George Teague Bridge Maintenance Supt. Attachments. GLT/des ~} - _. DEM ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT # ): PRE-CONSTRUCTION NOTIFICATIONS APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: 1) NOTIFICATION TO THE CORPS OF ENGINEERS 2) APPLICATIONS FOR SECTION 401 CERTIFICATION 3) COORDINATION WITH THE N. C. DIVISION OF COASTAL MANAGEMENT SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORtvt 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. I. OWNERS NAME: NORTH CAROLINA DEPARTMENT OF TRANSPORTATION 2. MAII.ING ADDRESS: BRIDGE MAINTENANCE UNIT S 1 S CAMP RD. SALISBURY, N.C. 28147 PROTECT LOCATION ADDRESS. (INCLUDING SUBDMSION NAME) _FORSYTH COUNTY. NEAR WINSTON-SALEM. N. C. ON SR 4000 OVER LEAK FORK CREEK TELEPHONE NUMBER (HOME)_N/A (WORK) 704-639-7555 4. [F APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS. AND PHONE NO. GEORGE L. TEAGUE BRIDGE MAINTENANCE SUPERINTENDENT 515 CAMP RD. SALISBURY, N.C. 28147 704-639-7555 5. LOCATION OF WORK (PROVIDE A MAP. PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY:_FORSYTH NEAREST TOWN OR CITY:_WINSTON- SALEM SPECIFIC LOCATION, (INCLUDING ROAD NUMBERS, NAMES, LANDMARKS, ETC.): 0.2 MILES SOUTH OF JCT OF SR 16R6 AND SR 4000 OVER LEAK FORK CREEK ON SR 4000 f). 6. IMPACTED OR NEAREST STREAM/RIVER: LEAK FORK CREEK RIVER BASIN: YADKIN 2. 7a. IS PROJECT LOCATED NEAR WATER CLASS[FED AS TROUT. TIDAL SALTWATER (SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-Il)? YES O NO (X) IF YES, EXPLAIN: 7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES O NO (X ) 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 Aa. HAVE ANY SECTION 40A PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES O NO (X) IF YES, PROVIDE ACTION LD. NUMBER OF THE PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 101 CERTIFICATION): Sb. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES O NO (X) IF YES, DESCRIBE ANTICIPATED WORK: 9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: "I ~~ SC • M. 9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: 0 EXCAVATION: 0 FLOODING: 0 OTHER: 0 DRAINAGE: 0 TOTAL ACRES TO BE IMPACTED: NONE IOb. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION): i~ LENGTH BEFORE: N/A FT. AFTER: N/A FT. WIDTH BEFORE (BASED ON NORMAL HIGH WATER CONTOURS):N/A WIDTH AFTER: N/ AVERAGE DEPTH BEFORE: N/A FT. AFTER: N/A FT. 3. IOb. (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE [N CHANNEL: CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING: 11. 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 I2. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF bIECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8'/" X I I" DRAWINGS ONLY):_EXTEND EXISTING 4 BARREL 7' X Ill' CULVERT BY I2 (NEW OVERALL LENGTH WILL BE l43'2") -(WIDTH ALONG CENTER LINE OF ROADWAY IS 48'5" ) 13. PURPOSE OF WORK: TO EXTEND EXISTING CULVERT BY 12' . I4. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS): N/A l~. 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:_NO (ATTACH RESPONSES FROM THESE AGENCIES.) l6. YOU ARE REQUII2ED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTII2IC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: NO 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES O NO (X) (IF NO, GO TO 18) 4. l7. a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES O NO (X ) U. b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES O 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 STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADIMINSTRATION, 116 WEST JONES STREET, RALEIGH. NORTH CAROLINA 27603-8003, TELEPHONE NO. 919-733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION [F PROPOSED ACTIVITIES INVOLVES THE DISCHARGE OF EXCAVATED MATERIALS INTO WETLANDS: a. WETLANDS DELINEATION MAP SHOWING ALL WETLANDS, STREAb1S, LAKES AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS l~. 18, 2I, 26, 29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MllST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE I" = 50' OR 1" = 100' OR THEIR EQUIVALENT. b. IF AVAILABLE, REPRESENTIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT. c. IF DELINEATION WAS PERFORMED BY A CONSULTANT. INCLUDE ALL DATA SHEETS RELEVANT TO PLACEMENT OF THE DELINEATION LINE. d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. e. ~1'I-IAT IS LAND USE OF SURROUNDING PROPERTY? SHOPPING CENTER f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE. NOTE: WETLANDS OR WATLRS OF TFIE U.S. MAY NOT BE IMPACTED PRIOR TO: I) ISSUANCE OF A SECTION d04 CORPS OF ENGINEERS PERMIT, 2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND 3) (TN TFIE TWENTY COASTAL COUNTIES ONLY) A LETTER FROM THE NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED ACTIVITY IS CONSISTENT \VITII TI IE NORTIi CAROLINA COASTAL MANAGEMENT PROGRAM. OW 'S / _ S SIG ATURE DATE (AGENT'S STGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS PROVIDED (IRg.) ) 5, AGENCY ADDRESSES ENDANGERED SPECIES U.S. FISH AND WILDLIFE SERVICE RALEIGH FIELD OFFICE P.O. BOX 13726 RALEIGI-I, N. C. 2761(,-3726 TELEPf-ZONE 919-R56-d520 NATIONAL MARINE FISHERIES SERVICE HABITAT CONSERVATION DIVISION FIVERS ISLAND BEAUPORT. N.C. 2R5IG TELEPHONE 919-72R-5090 U.S. FISH AND \VILDLIFE SERVICE ASIIVILLE FIELD OFFICE 160 ZILLICOA STREET ASHVILLE, N.C. 25RI11 TELEPHONE h2R-665-1125 HISTORIC RESOURCES STATE 1-IISTORIC PRESERVATION OFFICE N. C. DIVISION OF ARCHIVES AND HISTORY 109 EAST JONES STREET RALEIGH, N.C. 27601 TELEPHONE 919-733-4763 STATE REGULATORY AGENCIES MR. JOHN DORNEY. DIV. OF ENVIRONMENTAL MANAGEMENT N. C. DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES 4401 REEDY CREEK ROAD RALEIGH, N. C. 27607 TELEPHONE 919-733-1786 6. CORPS OF ENGINEERS FIELD OFFICES: RALEIGH REGULATORY FIELD OFFICE U.S. ARIvfY CORPS OF ENGINEERS 6512 FALLS OF THE NEUSE ROAD RALEIGH. N. C. 276li TELEPHONE 919-876-8441 ASHE Vll.LE REGULATORY FIELD OFFICE U.S. ARMY CORPS OF ENGINEERS li l PATTON AVE. ROOM 143 ASHEVILLE, N. C. 28801-5006 TELEPHONE 828-271-4854 WASHINGTON REGULATORY FIELD OFFICE U.S. ARMY CORPS OF ENGINEERS P.O. BOX 1000 WASHINGTON. N.C. 27889-1000 TELEPHONE 919-975-1616 WILMINGTON REGULATORY F[ELD OFFICE U.S. ARMY CORPS OF ENGINEERS P.O. BOX 1890 MR. STEVE BENTON DIV.OF COASTAL MANAGEMENT N.C. DEPARTMENT OF ENVIIiONMENT, HEALTH, AND NATURAL RESOURCES P.O. BOX 27687 RALEIGH, N. C. 27611-7687 TELEPHONE 919-733-2293 FAX 919-733-1495 WII.MINGTON, N. C. 28402-1890 TELEPHONE 910-251-4511 ATTN.:CESAW-CO-R MAR. 5, 1979 5I S Camp Rd. Salisbury, N. C. 2R 147 Mr. JOHN TFIOMAS U. S. Army Corps of Engineers 6512 FALLS OF THE NEUSE ROAD RALEIGH, N. C. 27(,15 Dear Mr. THOMAS, The North Carolina Department of Transponalion Bridge Maintenance Unit, proposes the following project for your review. We believe this project can be accomplished under Nationwide # 14. COUNTY : FORSYTH COUNTY, CULVERT # 536 ROUTE S. R. 40110 STREAM : LEAD FORK CREEK DESCRIPTION : Bridge # 62-536, EXTEND 4 BARREL REINFORCED CONCRETE BOXED CULVERT (n? 7' X 10' BY 12 ADDITIONAL FEET. Not located in wcllands. Less than 11.01. Acres of Rip Rap fill in Waters. Drninage Arca =~-~`sq. miles. Average Daily Flow=~~1 C.F.S. Total CULVERT length in slrcam = 143 FT Rc 2 IN We have mtachcd a site location map , and a sketch of planned activities. A stringent erosion and scdimenlation control program will be implemented during the project consiniclion and every effort will be made in contplclc work in a timely manner. Our personnel arc available m assist with your evaluation of This project , if necessary. Should you have any questions, please call me al 7lW- (,39-7555, Sincerely, / ~. G gc9.. Tcaguc Bridge Maintenance Supt. Altachmcnts. GLT/dcs MAR. 5, 1999 515 Camp Rd. Salisbury, N. C. 2K 147 Mr. ERIC GALAM6 W Q CERTIFICATIONS UN[T P.O. BOX 29535 RALHIGI-I. N.C. 27C2C-0535 Dear Mr. GALAMB, The North Carolina Department of Transportation Bridge Maintenance Unil, proposes the following project for your review. We believe this project can be accomplished under Nationwide # 14. COUNTY : FORSYTH COUNTY, CULVERT it 536 ROUTE S. R. 41100 STREAM : LEAK FORT: CREEK DESCRIPTION : Bridge # 12-53C. EXTEND 4 BARREL REIMORCED CONCRETE BOXED CULVERT (r~ 7' X 10' BY 12 ADDITIONAL FEET. Not located in wetlands. Less than 11.01 Acres of Rip Rap fill in Waters. Drainage Arca =~1-esq. miles. Average Daily Plo~e =y~1 C.F.S. Total CULVERT Icngih in stream = 143 FT ~ 2 IN 1Vc have attached a site location map , and a sketch of planned activities. A stringent erosion and sedimentation control program will be implenrenicd during the project constniction and every effort will be made to complete work in a timely manner. Our personnel are available In assist with your evaluation of this project , if necessary. Should you have any questions, please call me at 7U4- G39-7551. Sincerely, ,~~:~a~ George Tcaguc bridge Maintenance Supt. Attachnrents. GLT/des 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 (919) 251-4511 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 (919) 733-5083 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: IV~ ~ • ~~~~• o~ Tf~,nS Por~c,"II ~ (\ 2. OWNERS ADDRESS: S I S Carv,n R~aU 3 • OWNERS PHONE NUMBER ( HOME ) : N ) F~ ( WORK) : ~10y1 (,3~1 - ~ S S5 4. IF APPLICABLE: PHON 5 AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL. ADDRESS. 6. NAME OF CLOSEST STREAM/RIVER: I-ra~ . FDCF ~,Y~c~ 7. RIVER BASIN: ~ q a~'~ v~ 8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW, W5 I, OR WS II? YES [ ] NO [)(] 9. HAVE ANY SECTION 404 PERMITS BEEN PROPERTY? YES [ ] NO IF YES, EXPLAIN. PREVIOUSLY REQUESTED FOR USE ON THIS CX] 10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: N~N~ 2/3/92 LOCATION OF PLANN D WORK (ATTACH MAP). COUNTY: Fo< ~~ NEAREST TOWN OR CITY: W'~nr on- Soc cYV~ SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.): ~,a m ,\ r So~,.~~ ~ 3~ ~C <R IC,~C a.,,~ SRUaao ~..~s„ I en\~ ,.~- -2- 11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT: FILLED: C~ DRAINED: O FLOODED: C\ EXCAVATED: p TOTAL IMPACTED: ~~0(\I ~ 12. DESCRIPTION OF PROPOSED n r, i i ~ (ATTACH PLANS): 1,y ~~ ~ ~nc ~l . ~,~ a ~ 4 5(~ 5 rr R,k~~ c-~ , ~ a u C 13. PURPOSE OF PROPOSED WORK ~co ~~.\~~~ -~k,~\;~~ ~u\v~r~ ~Y lay 14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS. N I 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 [ ] 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 [~Q 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? S~o~~~ng Czv~'fCY' F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? L~1 ~~,~, 3 -S~-yY OWNE ~S~ ATURE DATE S ~~ .~ ` I~._ ~~. __ \ _ ~. ~ \ _ \, ~ 6 ~ I L~"= ~ I` ul ~ _ ~ I~ ~ ,'~ ~ ~ ~ \\ \ STANLEY / j ~~~ \ Z -' l '~ L VILLE ~i ~ ~ S ~ L N ~. I ~~ l _~ __ r 1 a 1 I e~~. ~'r v I ,~ ~ \ ~. ~ ' \ I 9,.~ ~'~ h ~ ~ ~.-T.v ..~,.. w~ 1 I ~,.:~ v~ ,,~,~.- r ~: ~ , .. ~r vh ~~ ~- /( ~~~,1 ~,~ I 3 ~. r `I .a. `. j I /~r ~ I ? ., ~u. _ - , ' s~ "- / ~ WINSTON-SALEM\~ ~ ~ \ .--. - ~ s. ~.... _ ~ /{O V~ mil- ~ i p/5(_ J 'I ~ I { .m. ~-- ri ~,, ~ _ ,I .i u ~ I ~ ~ _e .sue ''-~~bi rr+\\\V a li:` ~ ~ i;, ._. _.i \ ~ yY. i ~ ~~ / ~~m Y \ ~~` ~ i ! ....m _ it ~` _ ....0 ~~ \ ~ ~, \ V ~ v-i i W \ ® I ~ ~ I 77// 0 ~a&.unoNS y ~ ~ ~_~ ~ I ~~ y.,- _ s Ju ,:~. / ~ _. North Carolina '\ -~ % ~' ~'' ~ v ~ ~ k ~ k +~''~~ ~ ~ ~ °+ ~ Department of Transportation >~- C.,,1 V ~t• # S 3 (~ F Division of Highways _ - ~~ i George L. Teague LJI~ S R y ~ ~~ ~ Bridge Maintenance Superintendent ~~~tl. 1 515 Camp Rd. 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S n~ m ~ ~ n .~ : `- : r.O ~ ^ _ ~r _ o ~ ~ c _ ,~ _ r r i--j B a~ " V' 1 ~ "'{ '~' c r. ~ c ~ w d ~~ c _ _ l ~~ J ~ s ~ ~ ~ , s _ ~ U s < < / _L ~ ~ 1 .1~ o X ,' T ~ ~, ~7 c w ~- ~ ~ ~ ~ s ~ v . ~ \ ?'; - `~ ~ ~. ~ ~, ~ .~~_ ~~ ~ ~ ~/' ~ \ `: \ 1, ~~ - °d'i !. \ y__- ~ ~~~ PRO~'~C'SED `\ cuARpRAn_~ CAT ~~ .~' ,\ '~ ~~ \ v~ ~ ~i -~ ~ 1 ~ ~ ~I_ .~ ~~1 ry. iw . ,0~.~ -~_ __ ~~ W . - - - - ~ `~~ COI - ~ \ ~ \• `- v+ -_~ ~ __-~- c\ \ lREM~E) ~\ ~ \ l ~x~;a ~, ~ .. ~~ ~ DELTA = REMOVE EXlS WATER METEI SEWER rorlrlE ~, 5 ~q•15'Viir~' E_ ~L - 85.~0' i ~ ^ ___-- ~~, F. ~~. .~-- .a ,e-. ,~- LdL'- _ ~_-__z -- Tc - _,~), Ir ~~~-" I ~~ DI VIP.TER LI~ ~,;~..,' Ne~3-1~1\ I°~-L- -_-- -- itii` a ~,-~ ~_ ~ ~t + ~ .. ~ ,...PROP ~,~~C~ ~- ~~ ~ _ - ~~-~,~ -r=~~ ~~ # ~ - -- ~` 150 T P - __ -~ m _ _-- ~_-'~_ _~: __---- ~- _\T-r -_~Lj ~ \v~~ _ ..- ~ 1 - - _ ~ ~--~k ~- _~- - - ~`- -- ~ ~ la/ ~k~~h`\4Y~ ~oJ~C0.~\~~ry~~ L North Carolina Department of Transportation Division of Hiehways George U. Teague Bridge Maintenance Superintendent Sly Camp Rd. ~d~ (704) 639-7555 Salisbury, NC 28147 kt Pax (704) 639-7582 f -' .' 11. ._'1 nAVID ~EWIS [,v,lver~ ~kl2r~ Ib~ 1=i S3~ SR y~0~ Forsy~~ Cv. RUr~~ 1~1\ ~~G~ ,~~~ ~, WILSON, JIB. ., ~~ L