20060299 Ver 3_COMPLETE FILE_20061031

O?O? W A7?9
7
? r
o ` ,! . `, ?
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
DR 93
Alan W. Klimek, P.E. Director
Division of Water Quality
January 5, 2007
DWQ# 06-0299, Version 3
JAN 8 2007
Mr. P. Lee Smith
Forsyth Country Club
3101 County Club Road
Winston-Salem, NC 27104
Forsyth County
DENR - WATER QUALITY
WETLANDS AND STORWIVI'ATER BRANCH
APPROVAL of 401 Water Quality Certification with Additional Conditions - AMENDED
Dear Mr. Smith:
Forsyth Country Club has our approval, in accordance with the attached conditions, to place permanent fill in,
or otherwise impact, 130 linear feet-of perennial stream in order to reconstruct the fairway for Hole #1 on the
Forsyth Country Club golf course in Winston-Salem, Forsyth County, as described in your application
received by the Division of Water Quality (DWQ) on November 6, 2006. After reviewing your application,
we have determined that this fill is covered by General Water Quality Certification Number 3402, which can
be viewed on our web site at http://www.ncwaterguality.org,/wetlands.html. This Certification allows you.to
use Nationwide Permit Number 39 when it is issued by the U.S. Army Corps of Engineers. In addition, you
should secure any other applicable federal, state or local permits before you proceed with your project,
including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and Water
Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permit expires
unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fill for this
project (now or in the future) exceeds one acre, or total fill to perennial streams equals or exceeds 150 linear
feet, 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, as well as the additional
conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of this
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Streams 130 linear feet Unnamed tributary to Silas Creek on Forsyth Country Club property in
Winston-Salem, Forsyth County as depicted on the site location ma

Non` Carolina
Ntura!!ty
North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone [phone] FAX [phone]
2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet hftoll:www.ncwateroualitv.org
Customer Service Number: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer - 50% Recycledl10% Post Consumer Paper
Mr. P. Lee Smith
Page 2, DWQ# 06-0299, Version 3, Amended
January 5, 2007
2. Compensatory mitigation is required for cumulative permanent impacts to 130 linear feet of perennial
stream on the project site. We understand that you have chosen to contribute to the North Carolina
Ecosystem Enhancement Program (NC EEP) in order to compensate for these impacts. In accordance
with 15A NCAC 2R .0402 and 15A NCAC 2B .0242(7), this contribution will satisfy our compensatory
mitigation requirements under 15A NCAC 2H .0506(h). Until the NC EEP receives and clears your
check (made payable to: DENR - North Carolina Ecosystem Enhancement Program), stream, wetland,
and buffer impacts (including fill) shall not occur at this site. Ms. Kelly Williams should be contacted at
[phone] if you have any questions concerning the Ecosystem Enhancement Program. You have
sixty (60) days from the date of this Certification to make this payment. For accounting purposes, this
Certification authorizes the permanent fill of 130 linear feet of perennial stream in the Yadkin River
Basin, Cataloging Unit Number 03040101.
3. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Erosion and Sediment Control Planning and Design Manual or the
North Carolina Surface Mining Manual (available from the Division of Land Resources at NCDENR
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
-maintained properly to assure compliance at all times with the North Carolina water quality standards
that are applicable to Class C waters as described in 15A NCAC 02B .0211 Fresh Surface Water Quality
Standards For Class C Waters. These measures must be maintained on all construction sites, borrow
sites, and waste pile (spoil) sites, including contractor owned and leased borrow pits, which are
associated with this project.
4. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
5. No waste, spoils, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre-Construction Notification. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control "Best
Management Practices" shall be performed so that no violations of state water quality standards,
statutes, or rules occur.
6. Where riprap is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section must be
maintained. Riprap placed in the streambed must be inserted into the bed matrix to a depth sufficient to
provide the thickness of riprap required for scour protection. The elevation of the streambed must not be
increased by the placement of riprap. Placement of riprap must not result in destabilization of the
streambed or banks upstream or downstream of any crossing.

7. All construction activities associated with this project shall minimize built-upon surface area, direct
stormwater runoff away from surface waters, and incorporate best management practices to minimize
Mr. P. Lee Smith
Page 3, DWQ# 06-0299, Version 3, Amended
January 5, 2007
water quality impacts. If concrete is used with any fill material, it shall not be allowed to come in
contact with surface waters until it has cured. If any stormwater must be collected for discharge into a
stream channel, it shall not enter the stream as a point source, but shall be slowed and discharged as
sheet flow prior to entering the riparian buffer on either side of the stream.
8. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the Winston-Salem Regional Office of the NC Division of Water
Quality at the address listed on the form. Along with the Certificate of Completion, please send
photographs of the inflow and outflow sections of the culvert to document correct installation.
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, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. 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 Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4959 or Ian McMillan in the Wetlands/401 Central Office in Raleigh at 919-715-4631.
Sincerely,
Alan W. Klimek, P.E.
AWK/cdl
Attachments
cc: Mr. John Thomas, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
DWQ, Winston-Salem Regional Office
Central Files
Wetlands/401 File Copy
Ms. Denise Poulos, LSS, ECS Carolinas, LLP, 4811 Koger Boulevard, Greensboro, NC 27407
O?O? W AT FRpG
0 ii `C
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
December 20 2006
Mr. P. Lee Smith
Forsyth Country Club
3101 County Club Road
Winston-Salem, NC 27104
DEC 2 2 2006
DENR - WATEk (.QUALITY .
WEIV pB AND STOWINATER BMNCM
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Smith:
DWQ# 06-0299, Version 3
Forsyth County
Forsyth Country Club has our approval, in accordance with the attached conditions, to place permanent fill in,
or otherwise impact, 130 linear feet of perennial stream in order to reconstruct the fairway for Hole #1 on the
Forsyth Country Club golf course in Winston-Salem, Forsyth County, as described in your application
received by the Division of Water Quality (DWQ) on November 6, 2006. After reviewing your application,
we have determined that this fill is covered by General Water Quality Certification Number 3402, which can
be viewed on our web site at htip://www.ncwatergualit?org/wetlands.html. This Certification allows you to
use Nationwide Permit Number 39 when it is issued by the U.S. Army Corps of Engineers. In addition, you
should secure any other applicable federal, state or local permits before you proceed with your project,
including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and Water
Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permit expires
unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you maybe required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fill for this
project (now or in the future) exceeds one acre, or total fill to perennial streams equals or exceeds 150 linear
feet, 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, as well as the additional
conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of this
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Streams 130 linear feet Unnamed tributary to Silas Creek on Forsyth Country Club property in
Winston-Salem, Forsyth County as depicted on the site location ma

NonethCarolina
JVatura!!y
North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone [phone] FAX [phone]
2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet http//:www.ncwaterguality.org
Customer Service Number: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Mr. P. Lee Smith
Page 2, DWQ# 06-0299, Version 3
December 20, 2006
2. Compensatory mitigation is required for cumulative permanent impacts to 300 linear feet of perennial
stream on the project site. We understand that you have chosen to contribute to the North Carolina
Ecosystem Enhancement Program (NC EEP) in order to compensate for these impacts. In accordance
with 15A NCAC 2R .0402 and 15A NCAC 2B .0242(7), this contribution will satisfy our compensatory
mitigation requirements under 15A NCAC 2H .0506(h). Until the NC EEP receives and clears your
check (made payable to: DENR - North Carolina Ecosystem Enhancement Program), stream, wetland,
and buffer impacts (including fill) shall not occur at this site. Ms. Kelly Williams should be contacted at
[phone] if you have any questions concerning the Ecosystem. Enhancement Program. You have
sixty (60). days from the date of this Certification to make this payment. For accounting purposes, this
Certification authorizes the permanent fill of 300 linear feet of perennial stream in the Yadkin River
Basin, Cataloging Unit Number 03040101.
3. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Erosion and Sediment Control Planning and Design Manual or the
North Carolina Surface Mining Manual (available from the Division of Land Resources at NCDENR-
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
maintained properly to assure compliance at all times with the North Carolina water quality standards
that are applicable to Class C waters as described in 15A NCAC 02B.0211 Fresh Surface Water Quality
Standards For Class C Waters. These measures must be maintained on all construction sites, borrow
sites, and waste pile (spoil) sites, including contractor owned and leased borrow pits, which are
associated with this project.
4. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
5. No waste, spoils, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre-Construction Notification. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control "Best
Management Practices" shall be performed so that no violations of state water quality standards,
statutes, or rules occur.
6. Where riprap is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section must be
maintained. Riprap placed in the streambed must be inserted into the bed matrix to a depth sufficient to
provide the thickness of riprap required for scour protection. The elevation of the streambed must not be
increased by the placement of riprap. Placement of riprap must not result in destabilization of the
streambed or banks upstream or downstream of any crossing.
7. All construction activities associated with this project shall minimize built-upon surface area, direct
stormwater runoff away from surface waters, and incorporate best management practices to minimize
Mr. P. Lee Smith
Page 3, DWQ# 06-0299, Version 3
December 20, 2006
water quality impacts. If concrete is used with any fill material, it shall not be allowed to come in
contact with surface waters until it has cured. If any stormwater must be collected for discharge into a
stream channel, it shall not enter the stream as a point source, but shall be slowed and discharged as
sheet flow prior to entering the riparian buffer on either side of the stream.
8. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the Winston-Salem Regional Office of the NC Division of Water
Quality at the address listed on the form. Along with the Certificate of Completion, please send
photographs of the inflow and outflow sections of the culvert to document correct installation.
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, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. 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 Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4959 or Ian McMillan in the Wetlands/401 Central Office in Raleigh at 919-715-4631.
Sincerely,
G
Alan W. Klimek, P.E.
O?
AWK/cdl
Attachments
cc: Mr. John Thomas, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
DWQ, Winston-Salem Regional Office
Central Files
Wetlands/401 File Copy
Ms. Denise Poulos, LSS, ECS Carolinas, LLP, 4811 Koger Boulevard, Greensboro, NC 27407
Ap
EOLLP
c.e.Fto?enesas
ECS CAROLINAS, LLP
Geotechnical - Construction Materials - Environmental
December 4, 2006
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Reference: Revision to Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
ECS Carolinas, LLP recently submitted a Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. This letter is to clarify that the Stream
Impact Exhibit prepared by Stimmel Associates, PA depicts the current proposed impact and a previous
unrelated impact. Additionally, a typographical error is present on page 8 of the PCN application. The
total stream impact is 130 linear feet, not 120 linear feet as shown on the table. A corrected copy of this
page is included.
I apologize for any confusion or inconvenience this has caused. Please feel free to contact me at (336)
856-7150 if you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
Denise . Poul s, SS
Principal Scientist
DEC 5 2006
WETtANDSAND STTORMWA7 R? BRAMM
4811 Koger Boulevard - Greensboro, NC 27407 - [phone] 9 Fax [phone]
1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
country club.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
associated with this nroiect.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage. multiDly lenuth X width. then divide by 43.560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 130 0.012
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13
giLLP
C^nC01_1N as
ECS CAROLINAS, LLP
Geotechnical • Construction Materials • Environmental
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Reference: Revision to Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
December 4, 2006
ECS Carolinas, LLP recently submitted a Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. This letter is to clarify that the Stream
Impact Exhibit prepared by Stimmel Associates, PA depicts the current proposed impact and a previous
unrelated impact. Additionally, a typographical error is present on page 8 of the PCN application. The
total stream impact is 130 linear feet, not 120 linear feet as shown on the table. A corrected copy of this
page is included.
I apologize for any confusion or inconvenience this has caused. Please feel free to contact me at (336)
856-7150 if you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
Denise . Poul s, SS
Principal Scientist
t7z? [9 9 V, r=
DEC 5 2006
fn sANDSTORMWAT AfswvwcM

4811 Koger Boulevard - Greensboro, NC 27407 - [phone] - Fax [phone]
1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
country club.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
associated with this project.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multi ly length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Perennial or Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 130 0.012
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13
UiLLP
CARDLI IVAS
ECS CAROLINAS, LLP
Geotechnical • Construction Materials • Environmental
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Reference: Revision to Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
December 4, 2006
ECS Carolinas, LLP recently submitted a Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. This letter is to clarify that the Stream
Impact Exhibit prepared by Stimmel Associates, PA depicts the current proposed impact and a previous
unrelated impact. Additionally, a typographical error is present on page 8 of the PCN application. The
total stream impact is 130 linear feet, not 120 linear feet as shown on the table. A corrected copy of this
page is included.
I apologize for any confusion or inconvenience this has caused. Please feel free to contact me at (336)
856-7150 if you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
Denise . Poul s, SS
Principal Scientist
1Og@TnV9%
DEC 5 2006
* go WATER d i iR"-"
4811 Koger Boulevard 9 Greensboro, NC 27407 • [phone] • Fax [phone]
1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
countrv club.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
associated with this nroiect.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage. multiply length X width. then divide by 43.560.
Stream Impact
Number
(indicate on map)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 130 0.012
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13
r
EeLLP
CAROLINAS
ECS CAROLINAS, LLP
Geotechnical - Construction Materials Environmental
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Reference: Revision to Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
December 4, 2006
ECS Carolinas, LLP recently submitted a Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. This letter is to clarify that the Stream
Impact Exhibit prepared by Stimmel Associates, PA depicts the current proposed impact and a previous
unrelated impact. Additionally, a typographical error is present on page 8 of the PCN application. The
total stream impact is 130 linear feet, not 120 linear feet as shown on the table. A corrected copy of this
page is included.
I apologize for any confusion or inconvenience this has caused. Please feel free to contact me at (336)
856-7150 if you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
Denise . Poul Is, SS
Principal Scientist
D?9%
2006
DES 5 ,
DENR?gTOi????
Vi
4811 Koger Boulevard - Greensboro, NC 27407 9 [phone] - Fax [phone]

1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
countrv club.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
associated with this Broiect.
Wetland Impact
Site Number

(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,

herbaceous, bog, etc.) Located within
100-year
Floodplain

(yes/no) Distance to
Nearest
Stream

(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage. multiDly length X width. then divide by 43.560.
Stream Impact
Number
(indicate on map)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 130 0.012
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13

giLLP
csaRO?eni?.s
ECS CAROLINAS, LLP
Geotechnical - Construction Materials - Environmental
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Reference: Revision to Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
December 4, 2006
ECS Carolinas, LLP recently submitted a Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. This letter is to clarify that the Stream
Impact Exhibit prepared by Stimmel Associates, PA depicts the current proposed impact and a previous
unrelated impact. Additionally, a typographical error is present on page 8 of the PCN application. The
total stream impact is 130 linear feet, not 120 linear feet as shown on the table. A corrected copy of this
page is included.
I apologize for any confusion or inconvenience this has caused. Please feel free to contact me at (336)
856-7150 if you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
Denise . Poul s, SS
Principal Scientist
G?
DEC 5 2006
UENR - WATER QUALITY
wF.TLANDs AND 3TORMINATER BRANCH
4811 Koger Boulevard - Greensboro, NC 27407 - [phone] - Fax [phone]
y
1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
country club.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
associated with this project.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 130 0.012
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13
EE LLP
CAROLINAS
ECS CAROLINAS, LLP
Geotechnical • Construction Materials • Environmental
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Reference: Revision to Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
December 4, 2006
ECS Carolinas, LLP recently submitted a Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. This letter is to clarify that the Stream
Impact Exhibit prepared by Stimmel Associates, PA depicts the current proposed impact and a previous
unrelated impact. Additionally, a typographical error is present on page 8 of the PCN application. The
total stream impact is 130 linear feet, not 120 linear feet as shown on the table. A corrected copy of this
page is included.
I apologize for any confusion or inconvenience this has caused. Please feel free to contact me at (336)
856-7150 if you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
Denise . Poul s, SS
Principal Scientist
%
t'ok,%@ TO
OED Woa Rt w
040
4811 Koger Boulevard • Greensboro, NC 27407 • [phone] • Fax [phone]

1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
country club.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
associated with this nroiect.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage. multiply length X width. then divide by 43.560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 130 0.012
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13
EeLLP
cA12oLINAs
ECS CAROLINAS, LLP
Geotechnical • Construction Materials • Environmental
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Reference: Revision to Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
December 4, 2006
ECS Carolinas, LLP recently submitted a Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. This letter is to clarify that the Stream
Impact Exhibit prepared by Stimmel Associates, PA depicts the current proposed impact and a previous
unrelated impact. Additionally, a typographical error is present on page 8 of the PCN application. The
total stream impact is 130 linear feet, not 120 linear feet as shown on the table. A corrected copy of this
page is included.
I apologize for any confusion or inconvenience this has caused. Please feel free to contact me at (336)
856-7150 if you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
Denise . Poul s, SS
Principal Scientist
V@[RM4 N
DEC 6 2006
DENR - WATER QUALITY
WEnMDS AND STORMWATER BRANCH
4811 Koger Boulevard • Greensboro, NC 27407 • [phone] 9 Fax [phone]

1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
country club.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
associated with this project.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 130 0.012
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13
Triage Check List
Date: 11/08/06 Project Name: Forsyth Country Club Fairway No. 1
DWQ#: 06-0299, Ver. 3
County: Forsyth
Daryl Lamb, Winston-Salem Regional Office
To:
60-day processing time: 11/06/06 - 01/04/07
From: Cyndi Karoly Telephone: [phone]
The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minim ization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
Is the application consistent with pre-application meetings?
? Cumulative impact concern

Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
Page 1 of 1
CCarter 9 ?! Y 3
From: CCarter
Sent: Friday, November 03, 2006 03:37 pm
To: Cyndi Karoly ([e-mail])
Cc: DPoulos ?, U' ?? - b
Subject: ECS Project G-13100: Forsyth County Club Wetland Permit Application
Attachments: EEP Letter.pdf; Permitting Fee Letter.pdf
Cyndi,
Thank you for returning my call so quickly. Attached is the letter I received from you with our returned check. I will
be sending you a new check via FedEx along with 7 copies of the attached EEP letter for our application. If you
have any questions, please do not hestitate to call me.
Respectfully,
Cathy L. Carter
Environmental Administrative Assistant
ECS Carolinas, LLP
4811 Koger Boulevard
Greensboro, NC 27407
[phone] office
[phone] direct
NO j?
2006
` 'gMp3T?Q???RBR?
Cy
11/03/2006
O?O? WAT ?9QG
r? r
O 'C
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
November 1, 2006
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
ECS Carolinas, LLP
Attn: Denise Poulos
4811 Koger Blvd
Greensboro, North Carolina 27407
Subject Property: Forsyth County Country Club: Fairway #1
Permitting Fee
? REQUEST FOR MORE INFORMATION
® PERMITTING FEE MISSING/INCORRECT
? RETURN OF APPLICATION PACKAGE
Dear Ms. Poulos:
CQ • i;WA
g@? 1 MPMQ
NOV 6 2006
WETLANDS AND ST EQRMWATERI BRANCH
On October 31, 2006, the Division of Water Quality (DWQ) received your application dated October 28,
2006 for the above referenced project. The DWQ has determined that your application was incomplete
and/or provided inaccurate information as discussed below. The DWQ will require additional
information in order to process your application to impact protected wetlands and/or streams on the
subject property. Therefore, unless we receive five copies of the additional information requested below,
we will have to move toward denial of your application as required by 15A NCAC 2H.0506 and will
place this project on hold as incomplete until we receive this additional information. Please provide the
following information so that we may continue to review your project.
Additional Information Requested:
? Water Quality Certification, See I. Processing, Item 2.. Please state which Permit
(Nationwide, Regional or General) number you intend to use. You may want to contact the
U.S. Army Corps of Engineers (USAGE) to determine which permit they will allow you to
use.
? DWQ requires the name of an individual shown as "Owner/Applicant" to set up the project.
? The PCN Application failed to contain the Applicant/Agent's Signature and Date. See last
page of application. (Agent's signature is valid only if an authorization letter from applicant is
provided).
? Water Body information not stated. See III Project Information, Item 7.
? Incorrect and/or missing wetland, intermittent-perennial stream and/or buffer impacts.
DWQ is unable to review this project without noted or corrected impacts reflected.
NorhCaro ma
401 Oversight/Express Review Permitting Unit Naturally
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/ 10% Post Consumer Paper
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-0299 V3
Forsyth County
? Lack of permitting fee. Please note that beginning January 1, 1999, the N.C. General
Assembly passed legislation requiring payment of a fee for all 401 applications. The fee for
applications is $200 for projects impacting less than an acre of wetland and less than 150
linear feet of streams. For projects impacting one or more acres of wetland or 150 or more
feet of streams, the fee is $475.
® Incorrect permitting fee amount. Please see above item. Your check # 5827 for $475 is herein
enclosed for fee correction. DWQ does not retain any payment unless it is in the correct
he impacts reflected (130 If) require a fee of $200.
A request for a modification of an issued permit requires re-submission of five (5) application
sets and appropriate fee. We have herein returned your modification request.
? Application was missing pages or sections of information. See Other section below.
? OTHER:
Please contact the DWQ within three weeks of the date of this letter to verify that you have received this
letter and that you remain interested in continuing to pursue permitting of your project and will be
providing the DWQ the requested information at a later date. Please contact this office in. If we do not
hear from you within three weeks, we will assume that you no longer want to pursue this project and we
will consider the project as withdrawn.
This letter only addresses the application review and does not authorize any impacts to wetlands, waters
or protected buffers. Please be aware that any impacts requested within your application are not
authorized (at this time) by the DWQ. Please call Mr. Ian McMillan or Ms. Cyndi Karoly at 919-733-
1786 if you have any questions regarding or would like to set up a meeting to discuss this matter.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/ljd
Enclosures: Check #5827 for $475
cc: P. Lee Smith, Forsyth Country Club, 3101 Country Club Rd, Winston Salem, NC 27104
Daryl Lamb, DWQ Winston Salem Regional Office
File Copy + check copy
Central Files + check copy
Filename: 060299V3ForsythCountryClub(Forsyth)_Hold Fee
10-20-'06 11;11 FROM-DENR EEP
Lee Smith
Forsyth Country Club
3101 Country Club Road
Winston-Salem, NC 27104
Project: Forsyth Country Club
9197152001
liao&,?trefp
PROGRAM
October 18, 2006
County: Forsyth
T-299 P02/02 U-863
oLo - oaRq v .3
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NCEEP will be approved.
This acceptance is valid for six months from the date of this letter. V we have not received a copy of the issued 404
Permit/401 Cerdflcation within this time frame, this acceptance will expire. It is the applicant's responsibility to sond
copies of the 404/401/CAMA permits to NCEEP. Once NCEEP receives a copy of the 404 Permit and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
following table.
River Basin Wetlands Stream Buffer Huffer
Cataloging (Acres) (Linear Feet) Zone 1 Zone 2
Unit (Sq. Ft.) (Sq, Pt.?
Riparian Non-Riparian Coastal Marsh Cold Cool Warm
Yadkin

03040101 0 0 0 0 0 300 0 0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The type and amount of the compensatory
mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or CAMA Permit. The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C_ Department of
Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
Sincerely,
rim Gilmore, PE
Director
cc: Cyndi Karoly, Wetlands/401 Unit
John Thomas, USACE-Raleigh ( n ?n
Daryl Lamb, DWQ Winston-Salem Q 7 ?" l1)
D
enise Poulos, agent (fax) AM tut" UEMIR
File NO 6
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 20 0476/ www.nceep.net
10-20-'06 11:11 FROM-DENR EEP
Lee Smith
Forsyth Country Club
3101 Country Club Road
Winston-Salem, NC 27104
Project: Forsyth Country Club
9197152001
os step
,i a x? '
PROGRAM
October 18, 2006
T-299 P02/02 U-863
v3 ol., vra99
County: Forsyth
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NCEEP will be approved.
This acceptance is valid for six months from the date of this letter. V we have not received a copy of the issued 404
Peraut/401 Certification within this time frame, this acceptance will expire. It is the applicant's responsibility to send
copies of the 404/401/CAMA permits to NCEEP. Once NCEEP receives a copy of the 404 Permit and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
following table-
River Basin Wetlands Stream Buffer Buffer
Cataloging (Acres) (Linear Feet) Zone 1 Zone 2
Unit
(Sq. Ft.)
(Sq. Fc.?
Riparian Non-Riparian Coastal Marsh Cold Cool Warm
Yadkin

03040101 0 0 0 0 0 300 0 0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The type and amount of the compensatory
mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or CAMA Permit. The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C. Department of
Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Kelly Williams at [phone],
cc: Cyndi Karoly, Wetlands/401 Unit
John Thomas, USACE-Raleigh
Daryl Lamb, DWQ Winston-Salem
Denise Poulos, agent (fax)
. File
Sincerely,
S
r.i,,n Gilmore, PE p
Director DO
w NOV 6 2006
RP torulcl- EhAA"... Pro" our .fta te"
OE:NR - WATER DUALITY
WETLANDS AND STORMWATER BRANCH
F*'I
WEI R
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699.1652 / 919-715-0476/ www.nceep.net
10-20-`06 11:11 FROM-DENR EEP
Lee Smith
Forsyth Country Club
3101 Country Club Road
Winston-Salem, NC 27104
Project: Forsyth Country Club
9197152001
off stem
. ,
PROGRAM
October 18, 2006
County: Forsyth
T-299 P02/02 U-863
V3 DIV`°2-9q
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NCBEP will be approved.
This acceptance is valid for six months from the date of this letter. V we have not received a copy of the issued 404
Peradt/401 Certification within this time frame, this acceptance will expire. It is the applicant's responsibility to send
copies of the 4041401/LAMA permits to NCEEP. Once NCE,EP receives a copy of the 404 Permit and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
following table.
River'Basin Wetlands Stream Buffer Buffer
Cataloging (Acres) (Linear Feet) Zone 1 Zone 2
Unit (Sq. Ft.) (Sq. Ft.?
Riparian Non-Riparian Coastal Marsh Cold Cool Warm
Yadkin

03040101 0 0 0 0 0 300 0 0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The type and amount of the compensatory
mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or CAMA Permit. The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C_ Department of
Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
Sincerely,
ri'm Gilmore, PE D UW
Director L/
cc: Cyndi Karoly, Wetlands/401 Unit NOV 6 2006
John Thomas, USACE-Raleigh ur,jt, 4,ATERQUALITY
Daryl Lamb, DWQ Winston-Salem WETLANDS ANDSTORMWATERBRANCH
Denise Poulos, agent (fax)
Pilo
... ... Prot" Our Std MEWR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699.1652 / 919-715-0476/ www.nceep.net
Fw: ECS Project G-13100: Forsyth County Club Wetland Permit Ap...
'D to --010,9
Subject: Fw: ECS Project G-13100: Forsyth County Club Wetland Permit Application
From: Cyndi Karoly <[e-mail]>
Date: Sun, 5 Nov 2006 17:20:25 -0500 (EST)
To: [e-mail]
Laurie - fyi - this one's on the way - in pieces!
br>
----Original Message----
From: [e-mail]
Date: Nov 3, 2006 15:36
To:
Cc: &quot;DPoulos&quot;
Subj: ECS Project G-13100: Forsyth County Club Wetland Permit Application
Cyndi,
Thank you for returning my call
so quickly. Attached is the letter I received from you with our returned check.
I will be sending you a new check via FedEx along with 7 copies of the attached
EEP letter for our application. If you have any questions, please do not
hestitate to call me.
Respectfully,
Cathy L.
Carter
Environmental
Administrative Assistant
I of 2 11/6/2006 7:19 AM
Fw: ECS Project G-13100: Forsyth County Club Wetland Permit Ap...
ECS Carolinas, LLP
4811 Koger
Boulevard
Greensboro, NC 27407
[phone]
office
[phone]
direct
Permitting Fee Letter.pdf Content-Type: APPLICATION/OCTET-STREAM
Content-Encoding: base64
Content-Type: APPLICATION/OCTET-STREAM
EEP Letter.pdf
Content-Encoding: base64
2 of 2 11/6/2006 7:19 AM
a0F W A rF-7p Michael F. Easley, Governor
G. William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
y
0 Alan W. Klimek, P.E. Director
Division of Water Quality
November 1, 2006
DWQ Project # 06-0299 V3
Forsyth County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
ECS Carolinas, LLP
Attn: Denise Poulos
4811 Koger Blvd
Greensboro, North Carolina 27407
Subject Property: Forsyth County Country Club: Fairway #1
Permitting Fee
? REQUEST FOR MORE INFORMATION
® PERMITTING FEE MISSING/INCORRECT
? RETURN OF APPLICATION PACKAGE
Dear Ms. Poulos:
On October 31, 2006, the Division of Water Quality (DWQ) received your application dated October 28,
2006 for the above referenced project. The DWQ has determined that your application was incomplete
and/or provided inaccurate information as discussed below. The DWQ will require additional
information in order to process your application to impact protected wetlands and/or streams on the
subject property. Therefore, unless we receive five copies of the additional information requested below,
we will have to move toward denial of your application as required by 15A NCAC 2H.0506 and will
place this project on hold as incomplete until we receive this additional information. Please provide the
following information so that we may continue to review your project.
Additional Information Requested:
? Water Quality Certification, See I. Processing, Item 2.. Please state which Permit
(Nationwide, Regional or General) number you intend to use. You may want to contact the
U.S. Army Corps of Engineers (USACE) to determine which permit they will allow you to
use.
? DWQ requires the name of an individual shown as "Owner/Applicant" to set up the project.
? The PCN Application failed to contain the Applicant/Agent's Signature and Date. See last
page of application. (Agent's signature is valid only if an authorization letter from applicant is
provided).
? Water Body information not stated. See III Project Information, Item 7.
? Incorrect and/or missing wetland, intermittent-perennial stream and/or buffer impacts.
DWQ is unable to review this project without noted or corrected impacts reflected.
Not hCarolina
401 Oversight/Express Review Permitting Unit lVatara111ff
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: httn://l12o.encstatc.ne.us/newetlands
An Equal Opportunity/Affirmative Action Employer- 50%Rmycled/10% Post Consumer Paper
? Lack of permitting fee. Please note that beginning January 1, 1999, the N.C. General
Assembly passed legislation requiring payment of a fee for all 401 applications. The fee for
applications is $200 for projects impacting less than an acre of wetland and less than 1.50
linear feet of streams. For projects impacting one or more acres of wetland or 150 or more
feet of streams, the fee is $475.
® Incorrect permitting fee amount. Please see above item. Your check # 5827 for $475 is herein
enclosed for fee correction. DWQ does not retain any payment unless it is in the correct
amount. The impacts reflected (1301f) require a fee of $200.
? A request for a modification of an issued permit requires re-submission of five (5) application
sets and appropriate fee. We have herein returned your modification request.
? Application was missing pages or sections of information. See Other section below.
? OTHER:
Please contact the DWQ within three weeks of the date of this letter to verify that you have received this
letter and that you remain interested in continuing to pursue permitting of your project and will be
providing the DWQ the requested information at a later date. Please contact this office in. If we do not
hear from you within three weeks, we will assume that you no longer want to pursue this project and we
will consider the project as withdrawn.
This letter only addresses the application review and does not authorize any impacts to wetlands, waters
or protected buffers. Please be aware that any impacts requested within your application are not
authorized (at this time) by the DWQ. Please call Mr. Ian McMillan or Ms. Cyndi Karoly at 919-733-
1786 if you have any questions regarding or would like to set up a meeting to discuss this matter.
Sincerely,
j
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/ljd
Enclosures: Check #5827 for $475
cc: P. Lee Smith, Forsyth Country Club, 3101 Country Club Rd, Winston Salem, NC 27104
Daryl Lamb, DWQ Winston Salem Regional Office
File Copy + check copy
Central Files + check copy
Filename: 060299 V3ForsythCou ntryClub(Forsyth)_Hold_Fee
10-20-'06 11:11 FROM-DENR EEP 9197152001 T-299 P02/02 U-863
pot
Eir 9Uis stem
.M
PROGRAM
October 18, 2006
Lee Smith
Forsyth Country Club
3101 Country Club Road
Winston-Salem, NC 27104
Project: Forsyth Country Club County: Forsyth
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NCEEP will be approved.
This acceptance is valid for six months from the date of this letter. If we have not received a copy of the issued 404
Permit/401 Certification within this time frame, this acceptance will expire. It is the applicant's responsibility to send
copies of the 404/401/CAMA permits to NCEEP. Once NCEEP receives a copy of the 404 Permit and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation art summarized in the
following table.
River'Basin Wetlands Stream Buffer 13uffer
Cataloging (Acres) (Linear Feat) Zone 1 Zone 2
Unit
(Sq. Ft.) (Sq. FO
tZi arian Non-Riparian Coastal Marsh Cold
arm
Yadkin
03040101 0 9 0 0
tOE300 0 0.
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The type and amount of the compensatory
mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or CAMA Permit, The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C. Department of
Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998,
If you have any questions or need additional information, please contact Kelly Williams at [phone].
Sincerely,
lam D. Gilmore, P8
Director
cc: Cyndi Karoly, Wetlands/401 Unit
John Thomas, USACE-Raleigh
Daryl Lamb, DWQ Winston-Salem
Denise Poulos, agent (fax)
Rt?S'?DY' bile • ? ..
AMR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699.1652 / 919-715-0476/ www.nceep,net
e

ATFA
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
November 1, 2006
DWQ Project # 06-0299 V3
Forsyth County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
ECS Carolinas, LLP
Attn: Denise Poulos
4811 Koger Blvd
Greensboro, North Carolina 27407
Subject Property: Forsyth County Country Club: Fairway #1
Permitting Fee T
i;
? REQUEST FOR MORE INFORMATION
® PERMITTING FEE MISSING/INCORRECT
? RETURN OF APPLICATION PACKAGE
Dear Ms. Poulos:
On October 31, 2006, the Division of Water Quality (DWQ) received your application dated October 28,
2006 for the above referenced project. The DWQ has determined that your application was incomplete
and/or provided inaccurate information as discussed below. The DWQ will require additional
information in order to process your application to impact protected wetlands and/or streams on the
subject property. Therefore, unless we receive five copies of the additional information requested below,
we will have to move toward denial of your application as required by 15A NCAC 2H.0506 and will
place this project on hold as incomplete until we receive this additional information. Please provide the
following information so that we may continue to review your project.
Additional Information Requested:
? Water Quality Certification, See I. Processing, Item 2.. Please state which Permit
(Nationwide, Regional or General) number you intend to use. You may want to contact the
U.S. Army Corps of Engineers (USACE) to determine which permit they will allow you to
use.
? DWQ requires the name of an individual shown as "Owner/Applicant" to set up the project.
? The PCN Application failed to contain the Applicant/Agent's Signature and Date. See last
page of application. (Agent's signature is valid only if an authorization letter from applicant is
provided).
? Water Body information not stated. See III Project Information, Item 7.
? Incorrect and/or missing wetland, intermittent-perennial stream and/or buffer impacts.
DWQ is unable to review this project without noted or corrected impacts reflected.
NQNthCaroll'na
401 Oversight/Express Review Permitting Unit J llfllCll ?l,J
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetiands
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
? Lack of permitting fee. Please note that beginning January 1, 1999, the N.C. General
Assembly passed legislation requiring payment of a fee for all 401 applications. The fee for
applications is $200 for projects impacting less than an acre of wetland and less than 150
linear feet of streams. For projects impacting one or more acres of wetland or 150 or more
feet of streams, the fee is $475.
® Incorrect permitting fee amount. Please see above item. Your check # 5827 for $475 is herein
enclosed for fee correction. DWQ does not retain any payment unless it is in the correct
amount. The impacts reflected (130 If) require a fee of $200.
? A request for a modification of an issued permit requires re-submission of five (5) application
sets and appropriate fee. We have herein returned your modification request.
? Application was missing pages or sections of information. See Other section below.
? OTHER:
Please contact the DWQ within three weeks of the date of this letter to verify that you have received this
letter and that you remain interested in continuing to pursue permitting of your project and will be
providing the DWQ the requested information at a later date. Please contact this office in. If we do not
hear from you within three weeks, we will assume that you no longer want to pursue this project and we
will consider the project as withdrawn.
This letter only addresses the application review and does not authorize any impacts to wetlands, waters
or protected buffers. Please be aware that any impacts requested within your application are not
authorized (at this time) by the DWQ. Please call Mr. Ian McMillan or Ms. Cyndi Karoly at 919-733-
1786 if you have any questions regarding or would like to set up a meeting to discuss this matter.
Sincerely,
J
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/ljd
Enclosures: Check #5827 for $475
cc: P. Lee Smith, Forsyth Country Club, 3101 Country Club Rd, Winston Salem, NC 27104
Daryl Lamb, DWQ Winston Salem Regional Office
File Copy + check copy
Central Files + check copy
Filename: 060299V3ForsythCountryClu b(Forsyth)_Hold_Fee
ECS CAROLINAS LLP 5 8 2
GREENSBORO PETTY CASH
gi ECS CAROLINAS, LLP
LLP Geotechnical • Construction Materials • Environmental V 3 p (o - O a. q
October 28, 2006
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center 1. E I VL O.
Raleigh, North Carolina 27699-1650
Reference: Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
Enclosed please find seven copies of the Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. The site is an approximate 172.75 acre
tract located on Country Club Road. Forsyth Country Club is planning improvements to Fairway #1.
Currently, there is a significant amount of drainage that sheet flows across the fairway. This has
caused erosion at the head of the drainage feature that is to be piped. The existing culvert under
Fairway #1 is either damaged, inadequate, or both. A new culvert, a new yard inlet and a new
connection to an existing City of Winston-Salem street will be installed as part of these planned
improvements. These improvements will result in the impact, by piping, to 130 linear feet of
stream channel. This impact is illustrated on the exhibits prepared by Stimmel Associates, PA
and is described in the attached PCN application.
Mitigation for the proposed impact to 130 linear feet of stream channel will be through payment, on a 1:1
basis, to the North Carolina Ecosystem Enhancement Program (NCEEP). The NCEEP acceptance letter
is included with this application.
On behalf of Forsyth Country Club, I am requesting that a 401 Water Quality Certification be issued to
authorize the impact to 130 linear feet of stream associated with improvements at Fairway #1. Thank you
in advance for your timely consideration of this matter. Please contact me at [phone] if you have
questions or require additional information.
Sincerely,
ECS Carolinas, LLP
erase M. oulos, LS
Principal Scientist
Attachments: PCN Application
401 Water Quality Certification Fee

?)( t1?; ?? t?rP14Nt?hASVfiti
4811 Koger Boulevard • Greensboro, NC 27407 • [phone] • Fax [phone]
Oct 20 2006 2:06PM FORSYTH COUNTRY CLUB 3367608187 p.6
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. '\13 © Lo ` @-9 9
(If any particular item is not applicable to this project, please enter "Not Applicable" or' N/A'.)
1. Processing
1. Check all of the approval(s) requested for this project: . . r t A-111.1
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here:
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
f)(; T P? -P 2. 006
Name: Forsyth Country Club Baby:-- a . ,
Mailing Address:
?f:7tAnq 1!: npy 1 !?"j f ;t>??4???(??
3101 Country Club Road ??trr
Winston-Salem North Carolina 27104

Attn: Mr. Lee Smith
Telephone Number: 336-768-0220 Fax Number: 336-760-8187
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Denise M. Poulos
Company Affiliation:
Mailing Address: ECS Carolinas LLP
4811 Koger Boulevard
Greensboro North Carolina 27407

Telephone Number:
E-mail Address: 336-856-7150 Fax Number: 336-856-7160
Page 5 of 13
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Forsyth Country Club - Fairway #1 Renovation
2. T.I.P. Project Number or State Project Number (NCDOT Only):
Property Identification Number (Tax PIN):
4. Location
County: Forsyth Nearest Town: Winston-Salem
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): From Winston-Salem:
West on Interstate 40. North on Silas Creek Parkway. East on Country Club Road.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 036° 06' 3.72"N 080° 17' 58.35"W
6. Property size (acres): Forsyth Country Club is approximately 172.75 acres in area.
7. Name of nearest receiving body of water: Silas Creek
8. River Basin: Yadkin/PeeDee
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site consists of Fairway #1 at the Forsyth Country Club.
The surrounding properties contain fairways and greens and buildings associated with the
country club.
Page 6 of 13
10. Describe the overall project in detail, including the type of equipment to be used: The
project consists of improvements to Fairway #1. Pans loaders, dump trucks, etc. will be
used to construct the project
11. Explain the purpose of the proposed work: The purpose of the work is to improve
conditions at Fairway #1 Currently, there is a significant amount of drainage that sheet flows
across the fairway. This has caused erosion at the head of the drainage feature that is to be
piped The existing culvert under Fairway #1 is either damaged, inadequate, or both. A new
culvert, a new yard inlet and a new connection to an existing City of Winston-Salem street
will be installed as part of these planned improvements. These improvements will result in
the impact bypiping, to 130 linear feet of stream channel.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. NWP 39 was issued by the U.S. Army Corps of Engineers to authorize
the impact to 130 linear feet of stream channel (Action ID: 200620480, dated 4/19/2006). A 401
Water Quality Certification was issued by the North Carolina Division of Water Quality to
authorize the same impact (DWQ#06-0299 dated March 13, 2006)
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
We do not anticipate that there will be future permit requests for this project.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 13
1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
country club
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
agcnciated with this nroiect.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage. multinlv length X width. then divide by 43.560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 120 0.012
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13
Open Water Impact
Site Number
(indicate on ma Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.012
Wetland Impact (acres): NA
Open Water Impact (acres): NA
Total Impact to Waters of the U.S. (acres) 0.012
Total Stream Impact (linear feet): 130
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation There are no ponds planned for the project.
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The impacts have been
limited to the extent practical while still accomplishing the objectives of improving conditions at
Fairway #1. Only 130 linear feet of stream will be effected. Other streams and wetland areas
associated with the golf course will remain in their current state.
Page 9of13
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
The applicant has requested to pay into the NCDENR Wetlands Trust Fund in order to fulfill
their compensatory mitigation requirement The applicant proposes mitigation on a 1:1 basis
for the impact to 130 linear feet of stream channel associated with improvements to Fairway
#1 A copy of the EEP letter agreeing to accept payment for the stream impact is attached. .
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Page 10 of 13
Amount of stream mitigation requested (linear feet): up to 300
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Impact Required
Zone* Multiplier hir,+;-„+:,,.,
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 13
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B.0242 or.0244, or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. The overall impervious surface percentage of
the Forsyth Country Club is less than 20%. This project will not result in an increase in
impervious surfaces
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
The Forsyth Country Club currently utilizes the City of Winston-Salem sanitary sewer system
for sewage disposal
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/newetlands. If no, please provide a short narrative description: The
project involves the renovation of existing Fairway #1 at the Forsyth Country Club. It is unlikely
that this project would result in additional development that could impact nearby downstream
water quality.
Page 12 of 13
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
O
Applicant Agent's Signature Datk
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 13 of 13
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DATED 1950, REVISED 1994 WINSTON-SALEM, NORTH CAROLINA
SCALE: I"= 2,000' CAROLINAS ECS PROJECT NO. G-13100
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NOT TO SCALE ('+?eQ`wI AW-So ECS PROJECT NO. G-13100
THE STREAM/WETLAND LOCATIONS SHOWN ON THIS MAP ARE APPROXIMATE. THEY HAVE BEEN DELINEATED BY ECS. THEY
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FIGURE 3
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STREAM/WETLAND LOCATION MAP
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FIELD NOTES PREPARED BY COUNTRY CLUB ROAD
ECS PERSONNEL WINSTON-SALEM, NORTH CAROLINA
NOT TO SCALE CAROLINAS ECS PROJECT NO. G-13100
Sti m m e I 601 N. Trade Street date; 10/25/06 job #: 06-173
Suite 200
Winston Salem, NC project: FORSYTH COUNTRY CLUB
Landscape Architecture 27101-2916
Civil Engineering scale: 1"=500' sheet 1 Of 2
P: 338.723.1067
Stimmel Associates, PA Land Planning F: 336723.1069 description: STREAM IMPACT EXHIBIT
ISTREAM IMPACT EXHIBIT
LOCATION MAP: NTS
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Suite 200
Winston Salem, NC project: FORSYTH COUNTRY CLUB
Landscape Architecture 27101-2916
Civil Engineering Scale: 1"=40'H sheet 2 Of 2
P: 336.723.1067
Stimmel Associates, PA Land Planning F: 336.723.1069 description: STREAM IMPACT EXHIBIT
EXHIBIT
Oct,19 2006 2:30PM FORSYTH COUNTRY CLUB 3367608187 p.2
Action ID: 200620480
County: Forsyth
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner: Forsyth Country Club
P. Lee Smith
Mailing Address: 3101 Country Club Road
Winston-Salem, North Carolina 27104
Authorized Agent: Jewell Engineering Consultants, PC
C. Douglas Jewell
Mailing Address: P.O. Box 2294
Kernersville North Carolina 27285
Telephone No.: [phone]
Telephone No.: [phone]
Location of property (road name/number, town, etc.): Forsyth Country Club property located off of Country Club
Road, in Winston-Salem, Forsyth County, North Carolina. The project is located adjacent to Silas Creek.
Site Coordinates: 36.1026567 °N 80.3042460 °W USGS Quad: Winston-Salem West
Waterway: Silas Creek River Basin: Yadkin
HUC: 03040101
Description of projects area and activity (see page 2 for a summary of authorized impacts): Access / maintenace road for
existing golf course as described In your revised construction plan received April 7, 2006, showing 2 lines of 59"x
S1" corrugated metal pipe arches resulting in 130 linear feet of stream channel Impact to the jurisdictional waters
of an unnamed tributary (Buena Vista Branch) of Silas Creek.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Nationwide or Regional General Permit Number(s): 39
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N. C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding verification, 96 of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact John Thomas telephone [phone]¢1, ext 25.
Corps Regulatory Official I/ fP-v1- L--- Date: 04/19/2006 Verification Expiration Date: 03/18/2007
Copy Furnished: agent
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Page 1 of 2
Oct 19 2006 2:31PM FORSYTH COUNTRY CLUB 3367608187 p.3
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area.
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
(Reference 33 CFR Part 331).
? There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
® There are waters of the US and/or wetlands within the above described project area subject to the permit requirements of Section
404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
? The jurisdictional areas within the above described project area have been identified under a previous action. Please reference the
jurisdictional determination issued on (Action 1D; ).
Basis of Jurisdictional Determination: treZ els on site that are tributaries to Silas Creek which flows into the Yadkin
River and the Atlantic Ocean. ^?
Corps Regulatory Official U l Date: 04/19/2006 Determination Expiration Date: 03/1812007
Summary of Author d Impacts and Required Mitigation
Action ID NWP / GP Otm= Rater ac Wetland ac Unim ortant Steam 1 Important Stream 1
# # Temporary Permanent Temporary Permanent Temporary Permanent Temporary Permanent
200620480 39 130

Impact Totals 0 0 0 0 0 0 0 130
Total Loss of Waters of the U.S. ac 0 Total Loss of Waters of the U.S. 1 130
Required Wetland Mitigation ac Required Stream Mitigation Of) I
Additional Remarks and/or Special Permit Conditions:
Page 2 of 2
, Oct. 19 2006 2:31PM FORSYTH COUNTRY CLUB 3367608187 p.4
Applicant: Forsyth Country Club P. Lee File Number: 200620480 Date: 04/19/2006
Smith
Att ached is: See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of A
permission)
PROFFERED PERMIT Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the pmmit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section 11 of this form
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer
within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
Oct.19 2006 2:32PM FORSYTH COUNTRY CLUB 3367608187 P.5
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved
JD (which maybe appealed), by contacting the Corps district for further instruction. Also you may provide new
information for further consideration by the Corps to reevaluate the JD.
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to areview of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional infonnation to clarify
the location of information that is alread in the administrative record.
If you have questions regarding this decision If you only have questions regarding t e appeal process you
and/or the appeal process you may contact: may also contact: M 1 ;'6e ?
John Thomas Mr. A#hw , Administrate a Appeal Review
Raleigh Regulatory Field Office Officer
US Army Corps of Engineers CESAD-ET-CO-R
6508 Falls of the Neuse Road, Suite 120 U.S. Army Corps of Engineers, South Atlantic Division
Raleigh, North Carolina 27615 60 Forsyth Street, Room 9M15
Atlanta, Georgia 30303-8801
RIGHT OF ENTRY:. Your signature below grants the right of entry to Corps of Engineers personnel, and any
government consultants, to conduct investigations of the project site during the course of the appeal process. You
will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site
investigations.
Date:
I Telephone number:
Ll
Signature of appellant or agent.
1J1 V AbI VPI ZIN LAIN A EK:
Commander
U.S. Army Engineer Division, South Atlantic
60 Forsyth Street, Room 9M15
Atlanta, Georgia 30303-3490
Oct,19 2006 2:32PM
OF 11 A SEA
0C \? QG
r
Mr. P. Lee Smith
Forsyth Country Club
3101 County Club Road
Winston-Salem, NC 27104
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
March 13, 2006
DWQ# 06-0299
Forsyth County
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Smith:
Forsyth Country Club has our approval, in accordance with the attached conditions, to place permanent fill in,
or otherwise impact, 130 linear feet of perennial stream in order to construct a road crossing for a. maintenance
access road on club property in Winston-Salem, Forsyth County, as described in your application received by
the Division of Water Quality (DWQ) on February 23, 2006. After reviewing your application, we have
determined that this fill is covered by General Water Quality Certification Number 3404, which can be
viewed on our web site at htto://www.ncwaterguality.org/wetlands.html. This Certification allows you to use
Nationwide Permit Number 14 when it is issued by the U.S. Army Corps of Engineers. In addition, you
should secure any other applicable federal, state or local permits before you proceed with your project,
including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and Water
Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permit expires
unless otherwise specified in the General Certification.
This.approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fill for this
project (now or in the future) exceeds one acre, or total fill to perennial streams equals or exceeds 150 linear
feet, 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, as well as the additional
conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of this
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Streams 130 linear feet Buena Vista Branch at a point located - 1,150 feet upstream of its
confluence with Silas Creek on Forsyth Country Club property in
Winston-Salem, Forsyth County as depicted on the project vicinity map

ft.ra in
North Carolina Division of Water Quality
Wetiands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone (919) 733-I786 FAX [phone]
2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet h3P1/:www.n=atoroual1ty.oTa
Customer Service Number: 1-877623-6748
FORSYTH COUNTRY CLUB 3367608187 P.6
An Equal Opportunity/Affimtative Action Employer - 500k Recycled/10% Post Consumer Paper
Oct,19 2006 2:33PM FORSYTH COUNTRY CLUB 3367608187 p.7
Mr. P. Lee Smith
Page 2, DWQ# 06-.0299
March 13, 2006
2. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Sediment and Erosion Control Planning and Design Manual or the
North Carolina Surface Mining Manual (available from the Division of Land Resources at NCDENR
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
maintained properly to assure compliance at all times with the North Carolina water quality standards
that are applicable to Class C waters as described in 15A NCAC 02B.0211 Fresh Surface Water Quality
Standards For Class C Waters. Such measures must equal or exceed the requirements specified in the
most recent version of the North Carolina Sediment and Erosion Control Manual. These measures must
be maintained on all construction sites, borrow sites, and waste pile (spoil) sites, including contractor
owned and leased borrow pits, which are associated with this project.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
4. No waste, spoils, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre-Construction Notification. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control "Best
Management Practices" shall be performed so that no violations of state water quality standards,
statutes, or rules occur.
5. Where riprap is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section mast be
maintained. Riprap placed in the streambed must be inserted into the bed matrix to a depth sufficient to
provide the thickness of riprap required for scour protection. The elevation of the streambed must not be
increased by the placement of riprap. Placement of riprap must not result in destabilization of the
streambed or banks upstream or downstream of any crossing.
6. All construction activities associated with this project shall minimize built-upon surface area, direct
stormwater runoff away from surface waters, and incorporate best management practices to minimize
water quality impacts. If concrete is used with any fill material, it shall not be allowed to come in
contact with surface waters until it has cured. If any stormwater must be collected for discharge into a
stream channel, it shall not enter the stream as a point source, but shall be slowed and discharged as
sheet flow prior to entering the riparian buffer on either side of the stream.
7. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the Wetlands/401 Certification Unit of the NC Division of Water
Quality at the address listed on the form. Along with the Certificate of Completion, please send
photographs of the inflow and outflow sections of the culvert to document correct installation,
. Oct.19 2006 2:33PM FORSYTH COUNTRY CLUB 3367608187 P.8
Mr: R, Lee Smith
Page 3, DWQ# 06-0299
March 13, 2006
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, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. 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 Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4959 or Ian McMillan in the Wetlands/401 Central Office in Raleigh at 919-715-4631.
Sincerely,
Alan W. Klimek, P.E.
Z_ -
AWK/edl
Attachments
cc: Mr. John Thomas, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
DWQ, Winston-Salem Regional Office
Central Files
Wetlands/401 File Copy
Mr. C. Douglas Jewell, Stimmel Associates, PA, P. O. Box 2294, Kernersville, NC 27284
C ECS CAROLINAS, LLP
ELLP Geotechnical • Construction Materials • Environmental V3 O (o - o 'a, g 01
4__AROLIr4^ October 28, 2006
Ms. Cyndi Karoly
North Carolina Department of Environment and Natural Resources
Division of Water Quality,
401 Wetlands Unit
1650 Mail Service Center E I V Cl
Raleigh, North Carolina 27699-1650
Reference: Request for 401 Water Quality Certification
Forsyth Country Club - Fairway #1
Forsyth County, Winston-Salem, North Carolina
ECS Project G-13100
Dear Ms. Karoly:
Enclosed please find seven copies of the Preconstruction Notification (PCN) application for the Forsyth
Country Club project located in Winston-Salem, North Carolina. The site is an approximate 172.75 acre
tract located on Country Club Road. Forsyth Country Club is planning improvements to Fairway #1.
Currently, there is a significant amount of drainage that sheet flows across the fairway. This has
caused erosion at the head of the drainage feature that is to be piped. The existing culvert under
Fairway #1 is either damaged, inadequate, or both. A new culvert, a new yard inlet and a new
connection to an existing City of Winston-Salem street will be installed as part of these planned
improvements. These improvements will result in the impact, by piping, to 130 linear feet of
stream channel. This impact is illustrated on the exhibits prepared by Stimmel Associates, PA
and is described in the attached PCN application.
Mitigation for the proposed impact to 130 linear feet of stream channel will be through payment, on a 1:1
basis, to the North Carolina Ecosystem Enhancement Program (NCEEP). The NCEEP acceptance letter
is included with this application.
On behalf of Forsyth Country Club, I am requesting that a 401 Water Quality Certification be issued to
authorize the impact to 130 linear feet of stream associated with improvements at Fairway #1. Thank you
in advance for your timely consideration of this matter. Please contact me at [phone] if you have
questions or require additional information.
Sincerely,
ECS Carolinas, LLP
erase M. ou os, LS
Principal Scientist
Attachments: PCN Application
401 Water Quality Certification Fee
ay .fir. ?'a
WrVA
1?RBR
4811 Koger Boulevard • Greensboro, NC 27407 • [phone] • Fax [phone]
Oct 20 2006 2:06PM FORSYTH COUNTRY CLUB 3367608187 p.6
Office Use Only' Form Version March 05
USACE Action ID No. DWQ No. V 3 Q to O--q
(If any particular item is not applicable to this project, please enter "Not Applicable" or
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here:
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. Applicant Information '- u , , O
1. Owner/Applicant Information ()FT 3 1 ZU06
Name: Forsyth CounIly Club ?. :.
fl.n ?r,nN[15itIf??gfiFhdFt/WCkI
Mailing Address: 3101 Country Club Road
Winston-Salem, North Carolina 27104
Attn: Mr. Lee Smith
Telephone Number: 336-768-0220 Fax Number: 336-760-8187
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Denise M. Poulos
Company Affiliation: ECS Carolinas LLP
Mailing Address: 4811 Koger Boulevard
Greensboro North Carolina 27407
Telephone Number: 336-856-7150 Fax Number: 336-856-7160
E-mail Address:
Page 5 of 13
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Forsyth Country Club - Fairway #1 Renovation
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Forsyth Nearest Town: Winston-Salem
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): From Winston-Salem:
West on Interstate 40. North on Silas Creek Parkway. East on Country Club Road.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 036° 06' 3.72"N 080° 17' 58.35"W
6. Property size (acres): Forsyth Country Club is approximately 172.75 acres in area.
7. Name of nearest receiving body of water: Silas Creek
8. River Basin: Yadkin/PeeDee
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.ne.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site consists of Fairway #1 at the Forsyth Country Club.
The surrounding properties contain fairways and greens and buildings associated with the
Page 6 of 13
10. Describe the overall project in detail, including the type of equipment to be used: The
project consists of improvements to Fairway #1. Pans loaders dump trucks, etc. will be
used to construct the project
11. Explain the purpose of the proposed work: The purpose of the work is to improve
conditions at Fairway #1. Currently, there is a significant amount of drainage that sheet flows
across the fairway. This has caused erosion at the head of the drainage feature that is to be
piped The existing culvert under Fairway #1 is either damaged, inadequate, or both. A new
culvert, a new yard inlet and a new connection to an existing City of Winston-Salem street
will be installed as part of these planned improvements These improvements will result in
the impact by piping to 130 linear feet of stream channel.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. NWP 39 was issued by the U.S. Army Corps of Engineers to authorize
the impact to 130 linear feet of stream channel (Action ID: 200620480, dated 4/19/2006). A 401
Water Quality Certification was issued by the North Carolina Division of Water Quality to
authorize the same impact (DWQ#06-0299 dated March 13, 2006)
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
We do not anticipate that there will be future permit requests for this Project.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 13
1. Provide a written description of the proposed impacts: Approximately 130 linear feet of an
unnamed tributary to Silas Creek will be piped as part of the renovation of Fairway #1 at the
country club
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. There are no wetland impacts
associated with this Droiect.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: Unknown
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
(acres)
#1 UT to Silas Creek pipe perennial 4 feet 130 0.012

Total Stream Impact (by length and acreage) 120 0.012
Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Page 8 of 13
Open Water Impact
Site Number
indicate on ma Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.012
Wetland Impact (acres): NA
Open Water Impact (acres): NA
Total Impact to Waters of the U.S. (acres) 0.012
Total Stream Impact (linear feet): 130
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation There are no ponds planned for the project.
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The impacts have been
limited to the extent practical while still accomplishing the obiectives_of improving conditions at
Fairway #1. Only 130 linear feet of stream will be effected. Other streams and wetland areas
associated with the golf course will remain in their current state.
Page 9 of 13
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strrngide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
The applicant has requested to pay into the NCDENR Wetlands Trust Fund in order to fulfill
their compensatory mitigation requirement. The applicant proposes mitigation on a 1:1 basis
for the impact to 130 linear feet of stream channel associated with improvements to Fairway
#1 A copy of the EEP letter agreeing to accept payment for the stream impact is attached. .
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Page 10 of 13
Amount of stream mitigation requested (linear feet): up to 300
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multiuliers.
Impact Required
Zone* r__" Multiplier AS.'*: -+.'-.
3 (2 for Catawba)
1.5
Total I I I
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 13
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. _
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. The overall impervious surface percentage of
the Forsyth Country Club is less than 20%. This project will not result in an increase in
impervious surfaces
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
The Forsyth Country Club currently utilizes the City of Winston-Salem sanitary sewer system
for sewage disposal
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No N
Is this an after-the-fact permit application? Yes ? No N
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes E] No N
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description: The
project involves the renovation of existing Fairway #1 at the Forsyth Country Club. It is unlikely
that this project would result in additional development that could impact nearby downstream
water quality.
Page 12 of 13
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 13 of 13
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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NOT TO SCALE CA RWW ECS PROJECT NO. G-13100
THE STREAM/WETLAND LOCATIONS SHOWN ON THIS MAP ARE APPROXIMATE. THEY HAVE BEEN DELINEATED BY ECS. THEY
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STREAM/WETLAND LOCATION MAP
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FIELD NOTES PREPARED BY COUNTRY CLUB ROAD
ECS PERSONNEL WINSTON-SALEM, NORTH CAROLINA
NOT TO SCALE CAROLINAS ECS PROJECT NO. G-13100
601 N. Trade Street date: 10/25/06 job #: 06-173
Stimmel soft200
Winston Salem, NC project: FORSYTH COUNTRY CLUB
Landscape Architecture 27101-2916
Civil Engineering scale: 1"=500' sheet 1 Of 2
P: 338.723.1067
Stimmel Associates, PA Land Planning F: 336.723.1069 description: STREAM IMPACT EXHIBIT
(STREAM IMPACT EXHIBIT
TOTAL SITE ACREAGE: 172.75 AC +/-
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- NO STREAM IMPACTS PLANNED
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S601 uite N Trade Street date: 10/25/06 job #: 06-173
Stimmel seta 200
Winston Winston Salem, NC project: FORSYTH COUNTRY CLUB
Landscape Architecture 27101-2916
Engineering scale: 1"=40'H sheet 2 of 2
Civil P: 336.723.IG67
Stimmel Associates, PA Land Planning F: 336.723.1069 description: STREAM IMPACT EXHIBIT
EXHIBIT
Oct 19 2006 2:30PM FORSYTH COUNTRY CLUB 3367608187 p.2
Action ID: 200620480
County: Forsyth
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner: Forsyth Country Club
P. Lee Smith
Mailing Address: 3101 Country Club Road
Winston-Salem, North Carolina 27104
Authorized Agent: Jewell Engineering Consultants, PC
C. Douglas Jewell
Mailing Address: P.O. Box 2294
Kernersville North Carolina 27285
Telephone No.: [phone]
Telephone No.: [phone]
Location of property (road name/number, town, etc.): Forsyth Country Club property located off of Country Club
Road, in Winston-Salem, Forsyth County, North Carolina. The project is located adjacent to Silas Creek.
Site Coordinates: 36.1026567 "N 80.3042460 °W USGS Quad: Winston-Salem West
Waterway: Silas Creek River Basin: Yadkin HUC: 03040101
Description of projects area and activity (see page 2 for a summary of authorized impacts): Access / maintenace road for
existing golf course as described In your revised construction plan received April 7, 2006, showing 2 lines of 5911x
Ell" corrugated metal pipe arches resulting in 130 linear feet of stream channel impact to the jurisdictional waters
of an unnamed tributary (Buena Vista Branch) of Silas Creek.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Nationwide or Regional General Permit Number(s): 39
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permitter to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to cornrnenee in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N. C. Division of Coastal Management.
This Department of the Army verification does not relieve the permitter of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding verification, of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact John Thomas telephone [phone], ext 25.
Corps Regulatory Official Date: 04/19/2006 Verification Expiration Date: 03/18/2007
Copy Furnished: agent
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Page 1 of 2
Oct,19 2006 2:31PM FORSYTH COUNTRY CLUB 3367608187 P.3
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area.
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
(Reference 33 CFR Part 331).
? There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
® There are waters of the US and/or wetlands within the above described project area subject to the permit requirements of Section
404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
? The jurisdictional areas within the above described project area have been identified under a previous action. Please reference the
jurisdictional determination issued on (Action ID: ).
Basis of Jurisdictional Determination: treZ els on site that are tributaries to Silas Creek which flows into the Yadkin
River and the Atlantic Ocean.
Corps Regulatory Official a 2 Date: 04/19/2006 Determination Expiration Date: 03/18/2007
Summary of Author ed Im acts and Required Miti ation
Action ID NWP / GP en Water ac Wetland ac Unim ortant Steam 1 Important Stream 1
# # Temporary Permanent Temporary Permanent Temporary Permanent Temporary Permanent
200620480 39 130

Impact Totals 0 0 0 0 0 0 0 130
Total Loss of Waters of the U.S. ac 0 Total Loss of Waters of the U.S. 1 130
Required Wetland Mitigation ac Required Stream Mitigation (If) I
Additional Remarks and/or Special Permit Conditions:
Page 2 of 2
Oct 19 2006 2:31PM FORSYTH COUNTRY CLUB 3367608187 p.4
Applicant: Forsyth Country Club P. Lee File Number: 200620480 Date: 04/19/2006
Smith
Att ached is: See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of A
permission)
PROFFERED PERMIT Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
A: D-TITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit:.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
C : PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer
within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
Oct 19 2006 2:32PM FORSYTH COUNTRY CLUB 3367608187 P.5
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved
JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new
information for further consideration by the Corps to reevaluate the JD.
i
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional information to clarify
the location of information that is alread in the administrative record.
Emilio
MR
.-
or-MEMO
If you have questions regarding this decision If you only have questions regarding the appeal process you
and/or the appeal process you may contact: may also contact: M
John Thomas Mr. Affinff , Administrate a Appeal Review
Raleigh Regulatory Field Office Officer
US Army Corps of Engineers CESAD-ET-CO-R
6508 Falls of the Neuse Road, Suite 120 U,S, Army Corps of Engineers, South Atlantic Division
Raleigh, North Carolina 27615 60 Forsyth Street, Room 9M15
Atlanta, Georgia 30303-8801
RIGHT OF ENTRY:. Your signature below grants the right of entry to Corps of Engineers personnel, and any
government consultants, to conduct investigations of the project site during the course of the appeal process. You
will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site
investigations.
Date:
I Telephone number:
A
Signature of appellant or agent.
DIVISION ENGINEER:
Commander
U.S. Army Engineer Division, South Atlantic
60 Forsyth Street, Room 9M15
Atlanta, Georgia 30303-3490
Oct 19 2006 2:32PM

A 7ER
LGI QG
-1
`C
Mr. P. Lee Smith
Forsyth Country Club
3101 County Club Road
Winston-Salem, NC 27104
FORSYTH COUNTRY CLUB 3367608187 p.6
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
March 13, 2006
DWQ# 06-0299
Forsyth County
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Smith:
Forsyth Country Club has our approval, in accordance with the attached conditions, to place permanent fill in,
or otherwise impact, 130 linear feet of perennial stream in order to construct a road crossing for a maintenance
access road on club property in Winston-Salem, Forsyth County, as described in your application received by
the Division of Water Quality (DWQ) on February 23, 2006. After reviewing your application, we have
determined that this fill is covered by General Water Quality Certification Number 3404, which can be
viewed on our web site at http://www.ncwaterguality.ora/wetlands.html. This Certification allows you to use
Nationwide Permit Number 14 when it is issued by the U.S. Army Corps of Engineers. In addition, you
should secure any other applicable federal, state or local permits before you proceed with your project,
including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and Water
Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permit expires
unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fill for this
project (now or in the future) exceeds one acre, or total fill to perennial streams equals or exceeds 150 linear
feet, 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, as well as the additional
conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of this
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Streams 130 linear feet Buena Vista Branch at a point located --1,150 feet upstream of its
confluence with Silas Creek on Forsyth Country Club property in
Winston-Salem, Forsyth County as depicted on the project vicinity m

lem, Caro
dVatura[?a
North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone [phone] FAX [phone]
2321 Crabtree Blvd. Raieigb,NC 2 7 604-2 2 60 IntemettMpli.www.mwalerguallty.gM
Customer Service Number, 1-877-623-6748
An Equal Opportunity/Atfismative Action Employer- 501k Recycled/10% Post Consumer Paper
Oct 19 2006 2:33PM FORSYTH COUNTRY CLUB 3367608187 p.7
Mr. P. Lee Smith
Page 2, DWQ# 06-.0299
March 13, 2006
2. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Sediment and Erosion Control Planning and Design Manual or the
North Carolina Surface Mining Manual (available from the Division of Land Resources at NCDENR
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
maintained properly to assure compliance at all times with the North Carolina water quality standards
that are applicable to Class C waters as described in 15A NCAC 02B.0211 Fresh Surface Water Quality
Standards For Class C Waters. Such measures must equal or exceed the requirements specified in the
most recent version of the North Carolina Sediment and Erosion Control Manual. These measures must
be maintained on all construction sites, borrow sites, and waste pile (spoil) sites, including contractor
owned and leased borrow pits, which are associated with this project.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
4. No waste, spoils, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre-Construction Notification. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control "Best
Management Practices" shall be performed so that no violations of state water quality standards,
statutes, or rules occur.
5. Where riprap is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section must be
maintained. Riprap placed in the streambed must be inserted into the bed matrix to a depth sufficient to
provide the thickness of riprap required for scour protection. The elevation of the streambed must not be
increased by the placement of riprap. Placement of riprap must not result in destabilization of the
strearbed or banks upstream or downstream of any crossing.
6. All construction activities associated with this project shall minimize built-upon surface area, direct
stormwater runoff away from surface waters, and incorporate best management practices to minimize
water quality impacts. If concrete is used with any fill material, it shall not be allowed to come in
contact with surface waters until it has cured. If any stormwater must be collected for discharge into a
stream channel, it shall not enter the stream as a point source, but shall be slowed and discharged as
sheet flow prior to entering the riparian buffer on either side of the stream.
7_ Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the Wetlands/401 Certification Unit of the NC Division of Water
Quality at the address listed on the form. Along with the Certificate of Completion, please send
photographs of the inflow and outflow sections of the culvert to document correct installation.
Oct 19 2006 2:33PM FORSYTH COUNTRY CLUB 3367608187 P.8
Mr: R Lee Smith
Page 3, DWQ# 06-0299
March 13, 2006
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, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. 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 Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4959 or Ian McMillan in the Wetlands/401 Central Office in Raleigh at 919-715-4631.
Sincerely,
Alan W. Klimek, P.E.
AWK/cdl
Attachments
cc: Mr. John Thomas, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
DWQ, Winston-Salem Regional Office
Central Files
Wetlands/401 File Copy
Mr. C. Douglas Jewell, Stimmel Associates, PA, P. O. Box 2294, Kernersville, NC 27284
a-'T F
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Eco?ystem
PROGRAM
October 18, 2006
Lee Smith
Forsyth Country Club
3101 Country Club Road
Winston-Salem, NC 27104
Project: Forsyth Country Club County: Forsyth
o to - o a.g q
tffl@ U.-AMIR I
OCT g Q 206
UENR - wATF.R QUAL11 Y
WETLANDS AND STORM0TER BRANCH
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the
applicant to contact these agencies to determine if payment to the NCEEP will be approved.
This acceptance is valid for six months from the date of this letter. If we have not received a copy of the issued 404
Permit/401 Certification within this time frame, this acceptance will expire. It is the applicant's responsibility to send
copies of the 404/401/CAMA permits to NCEEP. Once NCEEP receives a copy of the 404 Permit and/or the 401
Certification an invoice will be issued and payment must be made.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
following table.
River Basin Wetlands Stream Buffer Buffer
Cataloging (Acres) (Linear Feet) Zone 1 Zone 2
Unit (Sq. Ft.) (Sq. Ft.)
Riparian Non-Riparian Coastal Marsh Cold Cool Warm
Yadkin

03040101 0 0 0 0 0 300 0 0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation for the permitted impacts
up to a 2:1 ratio, (buffers, Zone 1 at a 3:1 ratio and Zone 2 at a 1.5:1 ratio). The type and amount of the compensatory
mitigation will be as specified in the Section 404 Permit and/or 401 Water Quality Certification, and/or CAMA Permit. The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C. Department of
Environment and Natural Resources and the U. S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
Sincerely,
t am D. Gilmore, PE
Director
cc: Cyndi Karoly, Wetlands/401 Unit
John Thomas, USACE-Raleigh
Daryl Lamb, DWQ Winston-Salem
Denise Poulos, agent (fax) ®?W
File
Reston
... F ... Protect Our .Stag
MUM
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net
DETACH AND RETAIN THIS STATEMENT
THE AT.ACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELCW. IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT DESIRED
ECS CAROLINAS LLP GREENSBORO PETTY CASH
DESCRIPTION
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NO 6 2006
AMOUNT
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WEPONW ANO ST WWA ER BRANCH