19920506 Ver 1_COMPLETE FILE_19921015

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State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street - Raleigh, North Carolina 27604
James G. Martin, Governor October 19, 1992 A. Preston Howard, Jr., P.E.
William W. Cobey, Jr., Secretary , Acting Director
Mr. Randy McCaslin
Town Manager
City of Kernersville
Post Office Drawer 728
Kernersville, North Carolina 27284
Dear Mr. McCaslin:
Subject: Proposed Fill in Headwaters or Isolated Wetlands
Industrial Drive sewer interceptor
Forsyth County
DEM Project # 92506, COE # 199203600
Upon review of your request for Water Quality Certification
to,place fill.material in 0..23 acres of wetlands for Industrial.
Drive sewer installation (3600 feet) located at Kernersville.in
Forsyth County, we have determined that the proposed fill can be
covered by General Water Quality Certification No.. 2664 issued
January 21, 1992. A copy of the General Certification is
attached. This Certification may be used in qualifying for
coverage under Corps of Engineers' Nationwide Permit No. 12.
If you have any questions, please contact John Dorney at
919/733-1786 or 919/733-1787.
Sincerely,

APH:JD
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Regional Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
P. E.
REGIONAL OFFICES
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663-1699 919/571-4700 919/946-6481 919/395-3900 919/896-7007
reston Howard, r.
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
MEMO INITIALS:
.Tip L-
Reviewer:
TO: John Dorney WQ Supv:
Planning Branch Date:LZJ?L
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
***EACH ITEM MUST BE ANSWERED (N/A-NOT APPLICABLE)***
PERMIT_YR: 92 PERMIT--NO: 0000506 COUNTY: FORSYTH
APPLICANT NAME: TOWN OF KERNERSVILLE - INDUSTRIAL DR. IN
PROJECT-TYPE: SEWER LINE PERMIT-TYPE: NW12
COE_# : / 17,2 O ? 60z0 DOT-#:
RCD_FROM CDA: APP DATE_FRM CDA: 09/08/92
REG_OFFICE: WSRO RIMER AND_SUB_BASII3 #.: COF- o 3-d6-od0`
STREAM CLASS: 0 S-- W
STR_INDEX_NO: Ir1 --0
WL_IMPACT?: ON
WL_REQUESTED: O.;k3
HYDRO_CNECT?: &N
WL_TYPE : 574H F7'11 4
WL_ACR_EST? : ON
WL_SCORE(#):/ /
MITIGATION?: Y& MITIGATION TYPE:
MITIGATION SIZE:
IS WETLAND RATING SHEET ATTACHED?: ON
RECOMMENDATION (Circle One): /ISSUE SSUE/COND DENY
COMMENTS : i J ecJ a? ?,ti ? Co ? S, Z&&_dw
cc: Regional Office C?? S ?.,, ?- co..?? ,S?a??• t.,?a.?'e,i
Central Files
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//LV+r??'1. Cd 1W i f?? d?-Y I r?Lr,?, C.Oy?Q • TI d 1?? Q?,drl _
5...
WETLAND RATING SYSTEM WORKSHEET
Project No. or description- f ZS-O r
Location
County. J?cv_f w Nearest road or town 9,0- ?
River basin a- C ,0 F Index Number 17 - ( i
Nearest stream 3eW t1d4r4 and classification Ws-.m:L
Evaluator L;?
Agency and address- (J s 2 U/ 2)e
Date and time evaluated 7 ?? JZ /f?d0 - /r30
Major Wetland Type ST l3 H -1-- r-7-6H
Approximate size of wetland system S acres
Approximate extent of wetlands in area /0 acres
within J. miles
Three most common plant species (in order):
i
Soil Series (if known)
Hydrologic indicators Aa A„ 'ale T-_,Sj JJ eyee ',lca_'_ S,n-0t...,q(
Direct surface hydrologic tonnettion? NO ooh
P
Existing Conditions
Drainage k3 a.?'
Disturbance (, psV_* _oty, Se
Restoration p tential
Restoration value
Is site known to provide.habitat for rare, endangered or
threatened species?p )c-If so, list species observed or recorded.
Item No.
I. Location/Landscape
1 Natural area buffer
2 Sensitive watershed
3 Dispersal corridor system
II. Ecological Values
4 Special ecological attributes
5 Wildlife habitat
6 Aquatic life
7 Water storage
8 Streambank stabilization
9 Removal of pollutants
III. Human Values
10 Outdoor recreation/education
11 Economic value
Score (circle one)
5 0
5 4 3 l 0
5 4 3 S
1 0
5 4 3 2 1
5 4 3 2 0
5 4 3 `
2 0
5
5 4
4
3 3 1
dD 1 0
0
5 4 3 2 1 0
5 4 3 2 Q) 0
5 4 3 2 1
Total score 14
Site description and notes:
5 e-- V '&r.s 1 't v m-_ 4y ( ca l
rA.-ba 0,
a? w a. s
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13
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DEM ID: ACTION ID:

JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE TIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT RE SFCTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS TH f DTI ,'IND'IVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTR NE ER\aj
'
CORPS OF ENGINEER C Q
DEPARTMENT OF THE GRp?
P.O. BOX 1890
WILMINGTON, NC 284 -1
ATTN: CESAW-CO-E
Telephone (919) 251-
WATER QUALITY PLANNING
1bIVIJON OF ENVIRONMENTAL MANAGEMENT
ARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. BOX 29535
RALEIGH, NC .27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: Town of Kernersville
2. OWNERS ADDRESS: P.O.Box Drawer 728
Kernersville, N.C. 27284
3. OWNERS PHONE NUMBER (HOME): (WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Randy McCaslin, Town Manager
Town of Kernersville
P.O.Drawer 728
Kernersville. N.C. 27284
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth County
NEAREST TOWN OR CITY: Kernersville
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
UP to Deep River
6. NAME OF CLOSEST STREAM/RIVER: Deep River
7. RIVER BASIN: Cage Fear
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO [xA
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [xx]
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0.23 acres
2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED: 0.23 Excavated then restored
TOTAL IMPACTED: 0.23 acres
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): Installation
of approx. 36oo L.F. 8'" Sanitary Sewer Line
13. PURPOSE OF PROPOSED WORK: To Provide Sanitary Sewer service to a
growth area in the Town of Kernersvill
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. The Sewer service area is so located as to require the routing
of a Sanitary Sewer line across streams at several locations.
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES [ ] NO [ ] N/A
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE _SO? YES [ ] NO [ ] N/A
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. By U.S. Army Corps of
Engineers Representative
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? Undevelned at this time
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
VIA Collection System to City/County Utilities Comm. Waste
Treatment Plant.
'S S OATURE
DATE

-DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
IN REPLY REFER TO September 28, 1992
Regulatory Branch
SUBJECT: CESAW-C092-J-034, Nationwide Permit No. 12
Action ID. 199203600
City of Kernersville
C/O Mr. Randy McCaslin
Town Manager
Post Office Drawer 728
Kernersville, North Carolina 27284
Dear Mr. McCaslin:
Through coordination with Mr. Russell Radford of Larry L. Callahan
Surveying Co. (consultant for site), we have learned of your plans for the
proposed Kernersville Sewer Improvement project located off Industrial Park
Drive adjacent to an unnamed tributary to the West Fork Deep River,
Kernersville, North Carolina. Reference is also made to the site visit
conducted.on August 25, 1992, by Mr. John Thomas of my staff at the site of
the proposed sanitary-sewer project. Also in attendance was Mr. Radford. The
purpose of the site visit was to review plans for the aforementioned sewer
outfall project, and to inspect the site for waters and wetlands subject to
Department of the Army permitting authority.
The site visit revealed and the plans / profiles for the aforementioned
project provided with a notification application form showed that you propose
construction for the Kernersville sanitary sewer below natural grade within a
40' construction easement adjacent to an unnamed tributary to the West Fork
Deep River. Also your plans and profiles show other sections of proposed
sewer outfall either located on high ground or elevated over waters of the
United States without discharge of fill into regulated areas.
For the purposes of the U.S. Army Corps of Engineers' Regulatory Program,
Title 33, Code of Federal Regulations (CFR), Part 330.6, published in the
Federal Register on November 22, 1991, lists nationwide permits.
Authorization, pursuant to Section 404 of the Clean Water Act, was provided
for the discharge of material for backfill or bedding for utility lines,
including outfall and intake structures, provided there is no change in pre-
construction contours.
9`
d?' . e.%
-2-
Your work is authorized by this nationwide permit provided it is
accomplished in strict accordance with the enclosed conditions. Please be
aware that this authorization does not relieve you of the responsibility to
obtain any other required or local approval. You should contact Mr. John
Dorney, North Carolina Division of Environmental Management, [phone],
to obtain the necessary Section 401, Water Quality Certification prior to
starting work.
This verification will be valid for 2 years from the date of this letter
unless the nationwide authorization is modified, reissued, or revoked. Also,
this verification will remain valid for the 2 years if, during that period,
the nationwide permit authorization is reissued without modification or the
activity complies with any subsequent modification of the nationwide permit
authorization. If during the 2 years, the nationwide permit authorization
expires or is suspended or 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 12 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.
Thank you for your time and cooperation. If you have any questions,
please contact Mr. Thomas, Raleigh Regulatory Field Office, telephone
[phone].
Sincerely,
G. Wayne Wright
Chief, Regulatory Branch
Enclosure

-3-
Copy Furnished (with enclosure):
Callahan Surveying Co., Inc.
C/O Mr. Russell Radford
935 East Mountain Street, Suite I
Kernersville, North Carolina 27284
Copies Furnished (without enclosure):
Mr. John Parker
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. John Dorney
Water Quality Section
Division of Environmental Management
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Regional Office Manager
North Carolina Department of
Environment, Health and
Natural Resources
8025 North Point Boulevard
Winston-Salem, North Carolina 27106
C?`ti k ?gg2
do Nei
e
?c Gp?p?ta 11
ID:

ACTION ID:
It)_9-

WTIONWIDE PERMITS THAT REQUIRE OTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT RE t;SSECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS TH QPIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTR NEER WATER QUALITY PLANNING
CORPS OF ENGINEER > DIVISION OF ENVIRONMENTAL MANAGEMENT
DEPARTMENT OF THE ?. v NC,DEPARTMENT OF ENVIRONMENT, HEALTH,
P.O. BOX 1890 ??`yp???; ?V?C AND NATURAL RESOURCES
WILMINGTON, NC 284 -1 P.O. BOX 29535
ATTN. CESAW-CO-E RALEIGH, NC .27626-0535
Telephone (919) 251-:51 ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: Town of Kernersville
2. OWNERS ADDRESS: P.O.Box Drawer 728
Kernersville N.C. 27284
3. OWNERS PHONE NUMBER (HOME): (WORK): (919) 996=3121
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Randy McCaslin Town Manager
Town of Kernersville
.P.O.Drawer 728
Kernersville N.C. 27284
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth County
NEAREST TOWN OR CITY: ernersville
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
UP to Deep River
6. NAME OF CLOSEST STREAM/RIVER: Deep River
7. RIVER BASIN: Cape Fear
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO M
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ] NO [xx]
IF YES, EXPLAIN.
10. ESTIMATED*TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0.23 acres
2/3/92
11.
12.
13.
14.
CARR
IMPA
15.
(USF
OR
SPEC
PROP
16.
(SHP
MAY
17.
-2-
NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROP SED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED: 0.23 Excavated then restored
TOTAL IMPACTED: 0.23 acres
DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): Installation
of approx. 36oo L.F. 8'" Sanitary Sewer Line

PURPOSE OF PROPOSED WORK: To Provide Sanitary Sewer service to a
growth area in the Town of Kernersvill
STATE REASONS WHY THE APPLICANT BELIEVES THAT T IS ACTIVITY MUST BE
IED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN 0 MINIMIZE WETLAND
CTS. The Sewer service area is so located t require the routing
of a Sanitary Sewer line across streama at se veral locations.

YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WI LDLIFE SERVICE
WS) AND/OR NATIONAL MARINE FISHERIES SERVICE ( S) REGARDING THE PRESENCE
NY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDAN GERED OR THREATENED
IES OR CRITICAL HABITAT IN THE PERMIT AREA THAT M AY BE AFFECTED BY THE
OSED PROJECT. HAVE YOU DONE SO? YES [ ] NO [ ] N/A
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE AT TACHED.
YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC RESERVATION OFFICER
0) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SID? YES [ ] NO [ ] N/A
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WE TLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT , INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LIN E. By U.S. Army Corps of
Engineers Representative
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED OR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? ndevel ed at this time
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SE WAGE DISPOSAL?
VIA Collection System to City/County Comm. Wasterwater
Treatment Plant.
OWNER'S ;'011-AT A
URE DATE