19920453 Ver 1_COMPLETE FILE_19920903

STATF
?iY Vt?un Nta„t.
State of North Carolina
Department of Environment, Ilealth, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor September 10, 1992 A. Preston Howard, Jr., P.E.
William W. Cobey, Jr., Secretary Acting Director
Mr. Paul Sherwood, Senior Vice President
Halifax Memorial Hospital
Post Office Drawer 1089
Roanoke Rapids, North Carolina 27870
Dear Mr. Sherwood:
Subject: Proposed Fill in Headwaters or Isolated Wetlands
Halifax County
DEM Project # 92453
Upon review of your request for Water Quality Certification
to place fill material in 0.3 of wetlands for waterline extension
for hospital located at 250 South Church Road in Halifax 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,
reston ward, Jr?. P . E .
APH:JD
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Regional Office
Raleigh DEM Regional Office
Mr. John Dorney
Central Files
REGIONAL OFFICES
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 9 19/486-154 1 704/663-1699 9 19/57 1-4700 919/946-6481 9 19/395 -3900 9 19/896 -7007
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
MEMORANDUM
TO: John Dorney
Planning Branch
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
***EACH ITEM MUST BE ANSWERED (N/A-NOT APPLICABLE)***
INITIALS: ,
Reviewer:
WQ Supv: -L
Date:_ ILO
PERMIT_YR: 92 PERMIT-NO: 0000453 COUNTY: HALIFAX
APPLICANT NAME: HALIFAX MEMORIAL HOSPITAL
PROJECT TYPE: WATER LINE EXTENSION PERMIT-TYPE: NW12
COE_#: DOT-#:
RCD_FROM_CDA:
REG
OFFICE: APP
RRO
RIVER AND DATE_FRM_CDA:
SUB BASIN #: 08/11/92
_
U 3 d ???
STREAM-CLASS:
C
STR INDEX NO:
WL_IMPACT?:4VN
WL_REQUESTED: (J, 3 "_t
HYDRO_CNECT?: Y/N
MITIGATION?: Y/®
MITIGATION_SIZE: ?//
WL_TYPE : 5r6/-/
l fF.
P ' % WL_ACR_EST? :e 'N 6 an, s.
IAN?s.rWL_SCORE (#) : /1/aT IC A. -D
WATER ??ir
MITIGATION-TYPE: -(//,4
IS WETLAND RATING SHEET ATTACHED?: Y,Cfit)
RECOMMENDATION (Circle One): IeSJ? ISSUE/COND DENY
COMMENTS: `
rcrir? 16W f'1 74
cc: Regional Office
Central Files
4'2
I

7 q

9 ?
DENNIS K. HOYLE AND ASSOCIATES, P.C. l Z ?S 3
1500 Piney Plains Road, Suite 200
Cary, North Carolina 27511
[phone]
FAX [phone]
LETTER OF TRANSMITTAL
-----------------------------------------------
-----------------------------------------------
TO: Water Quality Planning
Division of Environmental Management
NC Deptment of Environment, Health,
And Natural Resources
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Attn: Mr. John Dorney
FROM: Randy W. Midgett, E.I.T.
DATE: August 7, 1992
SUBJECT: Engineer's Project Number 90220
Halifax Memorial Hospital
WE ARE SENDING YOU:
COPIES DATE
7 8/7/92
THESE ARE TRANSMITTED:
For approval.
NO. DESCRIPTION

1 Nationwide Permit #12 Application
COPY TO: File SIGNED:
Corps of Engineers R W. Midgett, E.I.T.

rrturi u'vo.i7% 07i[u nu, a r, 4
4 v
DEM ID:
ACTION ID:
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WATER QUALITY PLANNING
DIVISION OF ENVIRONMEN M
NC DEPARTMENT OF ENVIR T U
AND NATURAL RESOUR
P .O. BOX 29535
RALEIGH, NC 27626-053
ATTN: MR. JOHN DORNEY
Telephone [phone] WETLANDS GKI ;
7 WATER UALITY !
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: yRa/ArAX liamogiAL N 6P1TAL
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
2. OWNERS ADDRESS: f'o. pie- AW6
3. OWNERS PHONE NUMBER (HOME): (WORK) : (919) ,535_ Ol!
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: PAWe6)4
NEAREST TOWN OR CITY: t?w4.iyol'C1.: _ NP105
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS,
6. NAME OF CLOSEST STREAM/RIVER: CA!5r- 1;o*/T72:' czc
7. RIVER BASIN: /?oAA!2W
8. IS THIS PROJECT LOCAT>D IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ ] NO X]
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ) NO N1
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
6.S
2/3/92
11\VII

4 1 , v V, ? d' / L V JF- L V 11 V, L 1, V
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED:
DRAINED: p. 3 () rii,,ry i.IIVG ri Ac-Kiel"- ANA
FLOODED: -3 E'uai?/G
EXCAVATED:
TOTAL IMPACTED: Q.3
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS) : r(/?AM L?N6 a970ANIV J
f-/e??i7a4i-
13 . PURPOSE OF PROPOSED WORK: ip Pjr•wdt WA,7z 7L. s?P.9 eg,-o ; JZ44 _
2)l rer-77dlJ TO 441SP/r4t- 11JA161.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. 66AJAJUI-7-10f? -" d(/br&/ u r irla5 .44?L91 c ss1,vG
Nth
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 f?C] N/A 'rP-U rrl2
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 (y] ji/& ?c-?jy?T12
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
FROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT 15 LAND USE OF SURROUNDING PROPERTY? 114SPir4i-4FWAA.15
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
l7i!,i?a.eM:c .. irn, AJuAjit.tDA,t S.e-r iA,/.rr <.1.<7S--A4 .
?? nt
OWNER'S SIGNATURE \1 DATE
rKluIII
4 ?
u'uo. o % U7izo NU, L r, o
-15-
NATIONWIDE PERMIT # 12: UTILITY LINE BACKFILL AND BEDDING.
STATUS IN NORTH CAROLINA: ISSUED.
AUTHORIZES DISCHARGES OF MATERIAL FOR BACKFILL OR BEDDING FOR UTILITY LINES,
INCLUDING OUTFALL AND INTAKE STRUCTURES, PROVIDED THERE IS NO CHANGE IN
PRECONSTRUCTION CONTOURS. UTILITY LINE IS ANY PIPE OR PIPELINE FOR THE
TRANSPORTATION OF ANY GASEOUS, LIQUID, LIQUEFIABLE, OR SLURRY SUBSTANCE, FOR
ANY PURPOSE, AND ANY CABLE, LINE, OR WIRE FOR THE TRANSMISSION FOR ANY PURPOSE
OF ELECTRICAL ENERGY, TELEPHONE AND TELEGRAPH MESSAGES, AND RADIO AND
TELEVISION COMMUNICATION.
DOES NOT AUTHORIZE ACTIVITIES WHICH DRAIN A WATER OF THE U.S., SUCH AS DRAINAGE
TILE.
SECTION 404 ONLY.
NATIONWIDE CONDITIONS: STANDARD GENERAL CONDITIONS AND THE FOLLOWING SPECIFIC
CONDITIONS:
1. MATERIAL RESULTING FROM TRENCH EXCAVATION AND MAY BE TEMPORARILY
SIDECAST INTO WATERS OF THE U.S. PROVIDED THAT THE MATERIAL IS NOT PLACED IN
SUCH A MANNER THAT IT IS DISPERSED BY CURRENTS OR OTHER FORCES AND MUST BE
REMOVED WITHIN THREE MONTHS.
2. IN WETLANDS, THE TOP 6" TO 12" OF THE TRENCH SHOULD GENERALLY Be
BACKFILLED WITH TOPSOIL FROM THE TRENCH.
3. EXCESS MATERIAL MUST BE REMOVED TO UPLAND AREAS IMMEDIATELY UPON
'A.e COMPLETION OF CONSTRUCTION.
4. ANY EXPOSED SLOPES AND STREAMBANKS MUST BE STABILIZED IMMEDIATELY UPON
COMPLETION OF THE UTILITY LINE.
INFORMATION:
1. ALL UTILITY LINES MUST BE COMPLETELY BURIED'SO AS NOT TO IMPACT
HYDROLOGY.
REGIONAL CONDITIONS:
1. APPLICANTS MUST NOTIFY THE DISTRICT ENGINEER AND RECEIVE FROM THE
DISTRICT ENGINEER WRITTEN APPROVAL PRIOR TO STARTING WORK.
2. THE TEMPORARY PLACEMENT OF EXCAVATED OR FILL MATERIAL IN WATERS OR
WETLANDS WILL BE FOR THE ABSOLUTE MINIMUM PERIOD OF TIME NECESSARY TO
ACCOMPLISH THE WORK.
3. STABILIZATION IS REQUIRED IMMEDIATELY ON COMPLETION OF EACH INDIVIDUAL
CROSSING.
4., THE TOTAL WIDTH OF THE ACCESS CORRIDOR, EXCAVATION, AND TEMPORARY FILL
AREA IS RESTRICTED TO NO MORE THAN 40 FEET AND MUST BE MINIMIZED TO THE MAXIMUM
EXTENT PRACTICABLE.
5. WORK PLANS MUST BE PROVIDED AND MUST BE SIZED TO $ 1/2 BY 11 INCHES.
6. RESTORATION PLANS MUST BE SUBMITTED TO THE DISTRICT ENGINEER
DESIGNATING A TIME TABLE FOR RESTORATION.

ruri
-16-
b(,ki .ol z U ;v NU, L r, (
401 CERTIFICATION DETERMINATION: GENERAL CERTIFICATION ISSUED, BUT CONDITIONED
AS FOLLOWS:
1. PROPOSED FILL OR SUBSTANTIAL MODIFICATION OF WETLANDS AND WATERS IS
LIMITED TO 40 FEET IN WIDTH AND MUST BE MINIMIZED TO THE MAXIMUM EXTENT
PRACTICABLE.
2. WRITTEN CONCURRENCE IS REQUIRED FROM THE NORTH CAROLINA DIVISION OF
ENVIRONMENTAL MANAGEMENT.
3. PERMANENT ACCESS CORRIDORS SHALL BE RESTRICTED TO THE MINIMUM WIDTH
PRACTICABLE AND MAY NOT EXCEED 10 FEET IN WIDTH EXCEPT IN LOCATIONS SPECIFIED
ON MAPS FOR VEHICULAR ACCESS PURPOSES.
4. ESTABLISHED SEDIMENT AND EROSION CONTROL PRACTICES WILL BE UTILIZED TO
PREVENT VIOLATIONS OF THE APPROPRIATE TURBIDITY WATER QUALITY STANDARD (50
NTU'S IN STREAMS AND RIVERS NOT DESIGNATED AS TROUT WATERS BY THE NORTH
CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT, 25 NTU'S IN ALL SALTWATER
CLASSES AND ALL LAKES AND RESERVOIRS AND 10 NTU'S IN TROUT WATERS).
5. WORK PLANS MUST BE LEGIBLE AND SIZED TO 8-1/2 BY 11 INCHES.
6. MEASURES SHALL BE TAKEN TO PREVENT LIVE OR FRESH CONCRETE FROM COMING
INTO CONTACT WITH WATERS OF THE STATE UNTIL THE CONCRETE HAS HARDENED.
7. ADDITIONAL SITE-SPECIFIC CONDITIONS MAY BE ADDED TO THIS CERTIFICATION
IN ORDER TO ENSURE COMPLIANCE WITH ALL APPLICABLE WATER QUALITY AND EFFLUENT
STANDARDS.
8. CONCURRENCE FROM THE NORTH CAROLINA DIVISION OF ENVIRONMENTAL
MANAGEMENT THAT THIS CERTIFICATION APPLIES TO AN INDIVIDUAL PROJECT SHALL
EXPIRE THREE YEARS FROM THE DATE OF THE COVER LETTER FROM THE NORTH CAROLINA
DIVISION OF ENVIRONMENTAL MANAGEMENT.
CONSISTENCY DETERMINATION: CONSISTENT IN COASTAL AREA SUBJECT TO THE FOLLOWING
CONDITIONS:
1. SHOULD ALL OR PART OF THE DEVELOPMENT ACTIVITY BE LOCATED WITHIN AN
AREA OF ENVIRONMENTAL CONCERN (AEC) AS DESIGNATED BY THE NORTH CAROLINA COASTAL
RESOURCES COMMISSION, A COASTAL AREA MANAGEMENT ACT (CAMA) PERMIT IS REQUIRED
FROM THE NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT UNLESS THE APPLICANT IS
A FEDERAL AGENCY. IF THE APPLICANT IS A FEDERAL AGENCY AND ALL OR PART OF THE
DEVELOPMENT ACTIVITY IS LOCATED WITHIN AN AEC, A CONSISTENCY DETERMINATION
PURSUANT TO 15 CFR 930 MUST BE PROVIDED TO THE NORTH CAROLINA DIVISION OF
COASTAL MANAGEMENT AT LEAST 90 DAYS BEFORE THE ONSET OF THE PROPOSED ACTIVITY.
2. TO BE ELIGIBLE FOR THIS PERMIT, ALL UTILITY LINES MUST Be EITHER
COMPLETELY ELEVATED OR BURIED SO AS NOT TO IMPACT HYDROLOGY.
3. REMOVAL OF TEMPORARY EXCAVATED OR FILL MATERIALS IN WATERS OR WETLANDS
AND STABILIZATION IS REQUIRED IMMEDIATELY ON COMPLETION OF EACH INDIVIDUAL
CROSSING.
4. PROPOSED FILL OR SUBSTANTIAL MODIFICATION OF WETLANDS AND WATERS IS
LIMITED TO 40 FEET IN WIDTH UNDER THIS PERMIT AND MUST BE MINIMIZED TO THE
MAXIMUM EXTENT PRACTICABLE.
5. PERMANENT ACCESS CORRIDORS SHALL BE RESTRICTED TO THE MINIMUM WIDTH
PRACTICABLE AND MAY NOT EXCEED 10 FEET IN WIDTH EXCEPT IN LOCATIONS SPECIFIED
ON MAPS FOR VEHICULAR ACCESS PURPOSES.
6. ESTABLISHED EROSION CONTROL PRACTICES SHALL BE UTILIZED TO PREVENT
VIOLATIONS OF THE APPROPRIATE TURBIDITY WATER QUALITY STANDARD (50 NTU'S IN
STREAMS AND RIVERS NOT DESIGNATED AS TROUT WATERS BY THE NCDEM, 25 NTU'S IN ALL
SALTWATER CLASSES AND ALL LAKES AND RESERVOIRS AND 10 NTU'S IN TROUT WATERS).
7. THE APPLICANT MUST RECEIVE WRITTEN CONCURRENCE FROM THE NCDEM THAT THE
PROPOSAL IS CERTIFIED UNDER THE SECTION 401 WATER QUALITY CERTIFICATION
PROGRAM.
i 8. IF THE PROPOSED ACTIVITY IS WITHIN THE NORTH CAROLINA COASTAL AREA, THE
APPLICANT MUST RECEIVE WRITTEN CONCURRENCE FROM THE NORTH CAROLINA DIVISION OF
COASTAL MANAGEMENT THAT THE ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA
COASTAL MANAGEMENT PROGRAM.
s/rt
\jA G'rA-rG I- N? " I-, - - Pleasant Hill
?•I later i 48
((// 1" Gas,, 6 Seaboard
Vugihna G 39 At `1 {'u,A,/? ^? - 'H.,unnA'r- umberr
11111 r' f r' wn i Uri.. I, 7
r •E 4 I a Bullock !?Townsville " • ,t Wrse I 7 '.
l II 9 Sr r. ?, n, 1 1 a :SA Act ) 7 IGaryiburg
7 r S ?j e .? IS ,
5 I ?
/ s7orau o V A N .e 1 7 Norlina 5 I 5 a uUlel Roano et apld o etdon IsA N f
Oak Hill ?I Mac 1 6 Rhta SVilk r ] 7" 10
Williamsboro agewa un Vaughan 1
IS A ,? :?
+ I I ? arson 7 ALT anenlon Sunnysidc 1 5 7 Lis lac n
tozboro 96 l0 e n
i Lewis 7 39 A R R E I N 1 4 4
a l / 4 48 ahal + At• I ???
laksda GRAN LE 11,40" I ?.4 creraone ao1 ' L,Greek 7 43 Mille
k $url 9h 7 a
R?' ISA Berea 9 7 6 I M.,m, M,n J
,
i ?• t Henderson+ Elberon 585 Arco s/?.Ao.l BrinkleyvillJ e 561 9 Tille e
r
0, + XfOrd I a AlT 1 Gilibutgz I a' %1 4 (A
S
blake I J ^ 71 Inca ssex Scalhsville 031 75 5 rel 561
J
Provident I I 7 , i0 Epson ` AI rI 6-^ I/ 7Hotlistel H A' L 1 6 F X 5
?. 1MOnah -1 oKilhelll / / 6 ` I, Ringwood 6 7 5 Spring Ho
?RoU emon 5
7 s _ r l 39 ] I ( • 'Wood .?,\ 4 7 eat O Enfield 10
i CAM'S' em / Ingleside Cenlervil Glenview
\1 /L'IAe , Hester S it 561 7 Avenlon - -J
Bah' i slihn•
56 n^r Wilton,
s6 F R A` L I N I 9 14 4 -? '
H 501 Q•butnel? / +Louisburg 9 1 1 43 AA J 5 ?Whilakers IJ
1,nq..i ., )jt 7 4 Rasenealh,
IS 16 cS 15 Cretdmoor Franklinton 56 O 1-,561 56 / Castalia Cold Rock " `
nt
HAJ•'G, c r O. Batll \ 5
ihside 10 5 X8031 Maplevillc boro q
SA Red )015 1 Lawrnce 7
a? 39 Sal 7 10 Dortr.h e 1) oPity Mount
7 1 {?v? m f1 )\1 YounSV,lIe t0 IU ? d A "S7 Y -- 7 - I
5 I A 5 .' ?,? _ 9 l7 5 t
T 5 Du?II7Q111•,1 leR Re7 6
MomeYC 7 O ?, r` / 4, M
i. ?WakL FOlesl ew Hoe Spit
5 98 s II t' 7 Bu n R cYR E-•D-G- E G\
/- Oak Grove F .LAA1,11S rdv S 7 r 4 'r•rrNs F{0pe 5 ashvillc 7 i
7 rl
s, ur I?•'^ i? Tu n?' 6 98 ? 64A J ?+ 1 J?" ?s?? SCaSeI `') t
Dilboa illy 5 ?•
.,.?„hIn0i. 7 M +Tat?ora
:q •
... - 10 se? 0 Rolesvilic 7 Pearces /4 6 91 J\ -?I ? Pnnc
^ 55 I '-D-,
Pdot . r I 7 t/ a f 7
75A J3 ?.
7 Ntl o +-it f?r.chunlh/, 9 401 ` J I. 6A 73 - r'`?1 1_./g \ ? IPSbu(6 4.1
owls Glove (' ?sd w 1//I J
A ? i EWake liclU 1 7 97 5 6 Slanhopc s / ? ' ? A it Contto
11f r 1 15,? Sa : 6
\\\\ , 7 4 . 2 Mi brook + lizard Lick 6 6 561 co?nu, 10
J (. r _ to I RaJeigh..6a J ;• ?S ?: 4 a'. re, I5 / Elm City `I Tnwn s Pmelnns 7
IJ MOlflsvd pl ?, - i 7 J J 'D Ion s 16q ?',"• ?/ 58 GeeA 1\ 6 7 1
it / 77 ''•?arX , 7 - 4C-ilNwEaefe 'J 64B iddlesea •B.ailey ??,4 ul„ 4 1, 5* a Wllbanks , 7t4 7 1 J ' B
t K iRhldale Rock en e I a 79 \7(71 i Simi 764 +'f' 47 Mac£lesl,eld Crisp
rr ^, e +
64', 7 - i / 71 7 \ ? a Rock Att SI Ns_ .7 6 /Falkland ?V
6 1 q .a.. ' `_" !? ,? 1•'''' /? 6 7 r Tidge r _ 7t \ A
r WIISOn ,
., Apee J f..rAr• ao; -i 5 7s uckh0r1j 71 "1?\?l u
J/ 0 '1•/; J', Au burn.Ci.aArcherI, i Cr°s4sroa s 4 30lJ7. ??_ - 61 y ` unlam Bluce
']? 1 Lod Ce 7 42 I fti??? SJ V
6 \ 1 '???i rF Toddy 171
IMII 55 11/?? 5? I S ra oga •?al 1 a
Gamer clay on \ 6 ::
• I 6 Mccullets m 70\?.• f 39 aLucama 9 -- 9
Q (lri 1 75 j. Black CieelN S C d "'Y ?T
I fly nRs //?3 \ a III/ o %.T g6 1 7
5 ?01 „ )II a ,y ?? \ 9 'S xr111 StanlonsburP N 3' 4
f1ir,•{,?,. 0 T 0 N" enl I" - WalslonburR farmvlllet'
Willow SpiloR3 0 H \-1., S? Bagley
r/ •i N •'
i?%,FbnuaY Vanna •„ ' 6 1111 A? Mir.rt, f 777 5 Eureka 6 1 i 91 I7 11 5 7M
I L \ 10 )Se
h ?" l 9 50 1U Wilson's It M\70A` y I tl SJ Fremont 58
• 55
U
' Duncan ' Pinkney
/ a e` ??1 Smilhliel ? ` '? R E 7 R
6 v i' p. Pine Level Pikcvil c G E
Z, alrheate Springs' 70A 1 '
\ 7 a ng,e ` 111 l6rlr.. ' 7 4 F'nncelonSa? Palelown I "\7 Snow 1141 4 O'mon°
saulsloq
au. J-aS"' K,pl,nR 1 10 111 L 7 ?''i J
13 4-- la!
ev s' ` \ Four Oak 10
s . \ + `16 1 ooker 1,01 I e ?` . ?? l.? 5 A 6 ]
Q ' .Liy LOG 1 / I 171
Owes 01 c.. •Y .'I DIs+ ?{Sh
u
711 19 5 I 4 Ctee-? Coals \, 1``\\r 3 10 Rosewood 7- 7 3Of 0 `? 158 ,
net + A S At IA ?'
Ullinglon b;lo 27 , J * r ` ryy 58
7 t, /
A R EE t] T 701
5 e Dawson
\ 10 s'vMouan ]0 6 +Sy Institut
r r i f\ 5 f`,,. 7 I \ IS e.,,ro.,,u. I0"N T1- ?t 7
e„ul•u.,.,,nj .r VV A Y. Ale N O La Grange
2
Erw, ° pu 13 h] v l ? 7 Ca eel' 7' T ..,CAROLINA 4') K
IA BunnleveP' 7 5 17 Gronlham Ill 5 I '? , \ S 7 - *t')
o A A 7 ?\\? II! luudley 11 Seven 6 'C.-II ..no.?? lg''G
?,• S in d CSS N.- 'j
70 t_
prongs 710 17 ) 17 92 a ,\ H wtop Grove I I] I C1111. of rho N* y
obbeisville 't s' Al I
7 Linde A..rn,b.v. i 1 1 ' I7 55
ar,rn.u.wnd a .\ 7'? .. 6 5 J
wr I• `?% cod % 5
1 Fivers Su?oplown ' IMOuntS ''' L E a N 0 I R
?,Lrnn m;
I
r
M

?? AI

t /
w
4LO L/
?? ? s o 0 o e
4 .`
Jf /L 5 0 0 0 M
l
.YO'BB /
B .OO.BL'.Yr H 'J
C /
•l 4
0 n ? p4
C ? o
O
y? f
Y m/ j
5000M
•
(AJt <??j C H 3
/ I CST`
m -ix
/L// myis ?• i-a
/ D o N V W
Z + J
/ N II o i? .. ?N m
rS rri I I IaZ ?Dy
x X m z CS + 0 3 a OD A Z y a Vily Imo` D °v Ll
f1A, (?1 nv w m
I a,? 3
21Z. ;o
/,may c J^? d X A ?` 7l Ll'?I I z A
D
D
?? ` ,• > ^? ?I •I i
}•• _ -DI
/'OZ R (w R ym 126' DID I D
4 3 AIA
12' SS mlml 96.55'
S
r-rq
to I S ti
X G) mm
_ 5 -+D? I ---
_ EXISTIN ' 24Z t=o m
m ---?_ SS m°m (nn ?d z X ?x
I< ..
79.72 _r -RE \E x > f m D A ml M ?i rn
o ?' - 'j > to c:3 Ir z EXISTING 11 z
?3 % 4' SS
?? 1 V mmD D2 im0 u Z rq I'D x F6
- r - me
cn am: r-
a s ° ° ? cp m co I`n• ?Fy'I I ° t7
+ + OL z
l w?r? O?-O 2n _
2 Z I M D £
ow m m 1 tea; I z :r
r Z AImA
70
c4 WD ? <D I D SNIo
m
,'O X m m I I r °; I
m x
A.r. °? ?°'= A I l
1 z m m m I DI-4
m
` m D T8, S SI mZ4.83' In
I px
0 ZI
rrnDi --J c' -
1 D }Y w ( .?-- m -L--
N II C] ` II n N
?D I Z
? O? Ll
w r I HH
N A
II 2
c m II m m
M
r D
h _r
m + I O_ N N
m W
N
111bbb °: r
z
D m m
-1 N w
m I D
A ?
r n m
0
ri ' <
N r
-1 <
1 m
z
Ll tl N n
N
m C3
0
0-% 0 1 z
r- -4
D W A
m °
I -1
Z ?
n ci
? N :O
COD 3
r z ?
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
` P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-18,00
N REPLY REFER TO September 28, 1992
Regulatory Branch
Action ID. 199202706 and Nationwide Permit No. 12 (Utility Line
Backfill and Bedding)
Halifax Memorial Hospital
Attn: Mr. Paul G. Sherwood
Senior Vice President
Post Office Drawer 1089
Roanoke Rapids, North Carolina 27870
Dear Mr. Sherwood:
Reference the application of August 7, 1992, submitted on your behalf by
Dennis K. Hoyle and Associates, P.C., for Department of the Army authorization
to discharge fill material within waters of the United States, impacting 0.3
acres of wetlands adjacent to Chockoyotte Creek, for backfill and bedding for
water and sewer line connections at the Halifax Memorial Hospital expansion in
Roanoke Rapids, Halifax County, North Carolina.
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.
Your work is authorized by this nationwide permit provided it is
accomplished in strict accordance with the enclosed conditions. This
nationwide permit does not relieve you of the responsibility to obtain any
required State or local approval. You should contact Mr. John Dorney of the
North Carolina Division of Environmental Management at [phone]
regarding a State Water Quality Certification.
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
A-
-2-
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.
Questions or comments may be addressed to Mr. Eric Alsmeyer, Raleigh Field
office, Regulatory Branch, telephone [phone], extension 23.
Sincerely,
G. Wayne Wright
Chief, Regulatory Branch
Enclosure
Copy Furnished (with enclosure):
Dennis K. Hoyle and Associates, P.C.
Attn: Mr. Randy W. Midgett, E.I.T.
1500 Piney Plains Road, Suite 200
Cary, North Carolina 27511
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