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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

June 3, 2005
DWQ# 05-0704
Guilford County

Mr. Frank Wyatt
City of Greensboro
Engineering and Inspections Division
P. O. Box 3136
Greensboro, NC 27402-3136

APPROVAL of 401 Water Quality Certification with Additional Conditions

Dear Mr. Wyatt:

The City of Greensboro has our approval, in accordance with the attached conditions, to place permanent fill in
17 linear feet of perennial stream for the purpose of replacing an existing culvert, and to place temporary fill in
30 linear feet of perennial stream for the purpose of installing gravity sewer lines, in the Westminster Gardens
Cemetery in Greensboro, Guilford County, as described in your application received by the Division of Water
Quality (DWQ) on April 25, 2005. After reviewing your application, we have determined that this fill is
covered by General Water Quality Certification Numbers 3374 and 3494, which can be viewed on our web site
at http://h2o.enr.state.nc.us/ncwetlands. These Certifications allow you to use Nationwide Permit Numbers 12
and 3 respectively when they are 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 Certifications and approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or
in the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506
(h). For this approval to be valid, you must follow the conditions listed in the attached certifications, 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 the
Certifications are met. No other impacts, including incidental impacts, are approved:

Amount Approved Plan Location or Reference
Streams 47 linear feet Unnamed tributary to Horsepen
Creek located in Westminster
Gardens Cemetery, Greensboro

N~'rthCarolina
lVII/Nfl/II!!

North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center
2321 Crabtree I31vd,
Customer Service Number: 1-877-623-6748

Raleigh. NC 27699-1650
Raleigh, NC 27604-2260

Phone [phone] FAX [phone]
I nternel 11 tlp/ /: 1120.e n r.sta te, nc, u s/ncwetland s

An Equal Opportunity/Affirmative Action Employer - 50% Recycled/1 0% Post Consumer Paper

Mr. Frank Wyatt
Page 2
June 3, 2005

2. The stream channel crossing depicted in Figures 3 and 6, attached to the application, shall be at an angle
of not less than 75 degrees or more than 105 degrees (900 +/- 150) to the stream bank.

3. Soft bank stabilization methods, such as the use of erosion control matting and the planting of
appropriate ground cover, shall be utilized to the maximum extent practicable. 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 stream bottom must be inserted into the bottom matrix to a depth
sufficient to provide the thickness of riprap required for scour protection. The elevation of the stream
bottom 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.

4. In those areas where the construction corridor must be installed parallel to and closer than 10 feet to a
stream channel, 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 Swface
Water Quality Standards For Class WS-IV 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.

5. Permanent, maintained access corridors shall be restricted to a maximum width of 20 feet, including
manhole locations and vehicle turnaround areas.

6. Where joints must be placed in sewer lines within the foot print of the stream channel at crossings
having topographic and bedrock constraints, the jointed section shall either be completely enclosed in a
steel encasement pipe sealed at both ends, for aerial crossings, or encased in concrete from bank to bank,
for buried crossings.

7. If concrete is used with any fill material, it shall not be allowed to come in contact with surface waters
until it has cured.

8. Upon completion of the project, the Applicant shall complete and return the enclosed "Certificate of
Completion" form to notify NCDWQ when all work included in the S401 Certification has been
completed. The responsible party shall complete the attached form and return it to the 401/Wetlands
Unit of the NC Division of Water Quality upon completion of the project. Along with the Certificate of
Completion foml, please send photographs upstream and downstream of each stream-crossing site 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.

Mr. Frank Wyatt
Page 3
June 3, 2005

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-
4600, extension 293.

Sincerely,

Alan W. Klimek, P.E.

A WK/cdl

Attachments

cc: Todd Tugwell, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Tony Kozuch, Facilities Management Division, City of Greensboro, Greensboro, NC 27402-3136
Michael A. Iagnocco, Ralph Whitehead Associates, Inc., P. O. Box 35624, Charlotte, NC 28235

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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

June 3, 2005
DWQ# 05-0704
Guilford County

Mr. Frank Wyatt
City of Greensboro
Engineering and Inspections Division
p, O. Box 3136
Greensboro, NC 27402-3136

APPROVAL of 401 Water Quality Certification with Additional Conditions

Dear Mr, Wyatt:

The City of Greensboro has our approval, in accordance with the attached conditions, to place permanent fill in
17 linear feet of perennial stream for the purpose of replacing an existing culvert, and to place temporary fill in
30 linear feet of perennial stream for the purpose of installing gravity sewer lines, in the Westminster Gardens
Cemetery in Greensboro, Guilford County, as described in your application received by the Division of Water
Quality (DWQ) on April 25, 2005. After reviewing your application, we have determined that this fill is
covered by General Water Quality Certification Numbers 3374 and 3494, which can be viewed on our web site
at http://h20.enr.state.nc.us/ncwetlands. These Certifications allow you to use Nationwide Permit Numbers 12
and 3 respectively when they are issued by the U.S. Anny 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 Certifications and approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or
in the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506
(h). For this approval to be valid, you must follow the conditions listed in the attached certifications, 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 the
Certifications are met. No other impacts, including incidental impacts, are approved:

Amount Approved Plan Location or Reference
Streams 47 linear feet Unnamed tributary to Horsepen
Creek located in Westminster
Gardens Cemetery, Greensboro

NJ>{iliCarolina
;valllrnll!!

North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center
2321 Crabtree Blvd.
Customer Service Number: 1-877-623-6748

Raleigh, NC 27699-1650
Raleigh, NC 27604-2260

Phone [phone] FAX [phone]
Internet httpllh2oenr.statencus/ncwetlands .

An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

Mr. Frank Wyatt
Page 2
June 3, 2005

J

2. The stream channel crossing depicted in Figures 3 and 6, attached to the application, shall be at an angle
of not less than 75 degrees or more than 105 degrees (900 +/- 150) to the stream banle

3. Soft bank stabilization methods, such as the use of erosion control matting and the planting of
appropriate ground cover, shall be utilized to the maximum extent practicable. 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 stream bottom must be inserted into the bottom matrix to a depth
sufficient to provide the thickness of riprap required for scour protection, The elevation of the stream
bottom 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.

4. In those areas where the construction corridor must be installed parallel to and closer than 10 feet to a
stream channel, 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 WS-IV 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.

5. Permanent, maintained access corridors shall be restricted to a maximum width of 20 feet, including
manhole locations and vehicle turnaround areas.

6. Where joints must be placed in sewer lines within the foot print of the stream channel at crossings
having topographic and bedrock constraints, the jointed section shall either be completely enclosed in a
steel encasement pipe sealed at both ends, for aerial crossings, or encased in concrete from bank to bank,
for buried crossings.

7. If concrete is used with any fill material, it shall not be allowed to come in contact with surface waters
until it has cured.

8. Upon completion of the project, the Applicant shall complete and return the enclosed "Certificate of
Completion" form to notify NCDWQ when all work included in the 9401 Certification has been
completed, The responsible party shall complete the attached form and return it to the 401lWetlands
Unit of the NC Division of Water Quality upon completion of the project. Along with the Certificate of
Completion form, please send photographs upstream and downstream of each stream-crossing site 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.

4. Mr. Frank Wyatt
Page 3
June 3, 2005

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-
4600, extension 293.

Sincerely,

du/~

/-' Alan W. Klimek, P.E.

A WK/cdl

Attachments

cc: Todd Tugwell, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
Winston-Salem DWQ Regional Office
Central Files
Wetlands/401 File Copy
Tony Kozuch, Facilities Management Division, City of Greensboro, Greensboro, NC 27402-3136
Michael A. Iagnocco, Ralph Whitehead Associates, Inc., P. O. Box 35624, Charlotte, NC 28235

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JUN 1 5 2005

DENR - WATER QUAun .
v/ETlANDS ANO STORMW^1ER Br~~CH

401 Authorizations Issued by WSRO

Subject: 401 Authorizations Issued by WSRO
From: Daryl Lamb <[e-mail]>
Date: Mon, 06 Jun 2005 17:35:34 -0400
To: Ian McMillan <[e-mail]>, Laurie J Dennison <[e-mail]>

Ian and Laurie,
The following 401 authorizations have been issued by the WSRO, effective 06/06/2005:

DWQ# 05-0688 - East Alamance Quarry, Martin Marietta Materials
DWQ# 05-0704 - Tennyson Drive Sewer, City of Greensboro
DWQ# 05-0815 - Big Sandy Creek Stream Enhancement, NCDENR Division of Parks & Recreation
DWQ# 05-0816 - Austin Mill Phase II, Austin Mill, LLC

In addition, comments for DWQ# 05-0861, Snow Creek Restoration, have been entered into FileMaker.
This is a stream stabilization/enhancement project that meets the "deemed authorized" requirements of
WQC# 3495 and does not require written authorization from DWQ.

Best regards,
Daryl Lamb

Daryl Lamb
NC DENR Winston-Salem Regional Office
Division of Water Quality
Winston-Salem, NC 27107
Voice: [phone] ext 293
FAX: [phone]

Daryl Lamb <Dary1.Lamb(a),NCmai1.nct>
WSRO
NC DENR

Content-Type: application/msword
OS0688,doc
Content-Encoding: base64

Content-Type: application/msword
OS0704,doc
Content-Encoding: base64

Content-Type: application/msword
OS081S,doc
Content-Encoding: base64

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6/7/2005 7:08 AM
I

Triage Checl{ List

Date:

4/27/05

Project Name: City of Greensboro, Tennyson Dr. Sewer
DWQ#: 05-0704
County: Guilford

Daryl Lamb, Winston-Salem Regional Office

To:

60-day processing time:

4/25/05

6/23/05

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From: Cyndi Karoly Telephone: [phone]

The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.

D Stream length impacted
D Stream determination
D Wetland determination and distance to blue-line surface waters on USFW topo maps
Minimization/avoidance issues
D Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman)
D Pond fill
D Mitigation Ratios
Ditching
D Are the stream and or wetland mitigation sites available and viable?
D Check drawings for accuracy
D Is the application consistent with pre-application meetings?
Cumulative impact concern
D
D
D

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!

w

1000 W, Morehead, Suite 200
Post Office Box 35624
Charlotte, NC 28235
[phone]
[phone] FAX

3505 Koger Blvd" Suite 205
Duluth, GA 30096
[phone]
[phone] FAX

4348 Soulhpoint Boulevard
Suite 310
Jacksonville, FL 32216
[phone]
[phone] FAX

10800 Midlothian Turnpike
Suite 302
Richmond, VA 23235
[phone]
[phone] FAX

454 S, Anderson Road
Suite135, BTC 517
Business Technology Center
Rock Hill, SC 29730
[phone]
[phone] FAX

105 Wappoo Creek Drive
Suite 4A
Charleston, SC 29412
[phone]
[phone]

3301 Woman's Club Drive
Suite 111
Raleigh, NC 27612
[phone]
[phone] FAX

6405 Metcalf
Suite 516
Overland Park, KS 66202
[phone]
[phone] (Fax)

RALPH WHITEHEAD ASSOCIATES, INC,

Consulting Engineers Charlotte Atlanta Jacksonville Richmond
Raleigh Kansas City

050704

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Rock Hill Charleston

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To: N.C, Division of Water Quality
Wetlands/401 Unit

ll-J~TI~lP~ (Q)p 1T!~m"!I:~i(
Date: 4/20/05 Job No. 3075-201
Attention: Cyndi Karoly
RE: City of Greensboro - Tennyson
Drive PCN

2321 Crabtree Blvd, Suite 250

Raleigh, NC 27604-2260
WE ARE SENDING YOU:

- ..--
X Attached Under separate cover Fa r t \,." P fl~?]c5~Wing items:
- - B ,1 , UlU U
Shop Drawings Prints
- - Specificatio~SL . ~ L
Copy of Letter Plans
- -
Change Order Samples
Copies Date No, Description
7 4/15/05 1 Tennyson Drive Sanitary Sewer Outfall, Pre-Construction
Notification Nationwide Permits No. 12 and No.3
1 4/18/05 2 Check made out to DWQ for $200 - Processing Fee

These are transmitted as checked below:

x For Approval
For your use
As requested
For Bids Due

Approved as submitted
Approved as noted

Resubmit

copies for approval
copies for distribution
corrected prints

Submit

Returned for corrections

Return

For review & comment

Prints returned after loan to us

Remarks
Hey Cyndi:

On behalf of the City of Greensboro, enclosed please find seven copies of the PCN for
the Tennyson Drive Sanitary Sewer Outfall Project. If you have any questions, please
do not hesitate to call me at [phone], ext. 1068.

Thank you. U.1u-

Copy to File; COG

Signed Michaellagnocco

If enclosures are not as indicated, kindly notify us at once

N :\PROJ\2 979-300\DWQT rans"" Ita I F ormPC N,doc

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Website:
wvvW,rwhitehead,com

1000 W, Morehead Street
Suite 200
Charlotte, NC 28208

Mailing Address:
Post Office Box 35624
Charlotte, NC 28235

704 372-1885 Voice
704 372-3393 Fax

RALPH WHITEHEAD ASSOCIATES. INC.

Consulting Engineers

Charlotte Atlanta Jacksonville Richmond
Rock Hill Charleston Kansas City Raleigh

050704

I,

April 15, 2005

CERTIFIED MAIL
RETURN RECEIPT REQUESTED

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U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615

Attention:

Ms. Andrea Wade

Subject:

Pre-Construction Notification
Nationwide Permits No. 12 and No, 3
Tennyson Drive Sanitary Sewer Outfall
Greensboro, North Carolina
RWA Project No, 2979-300

Dear Ms. Wade:

On behalf of the City of Greensboro (COG), Ralph Whitehead Associates, Inc.
(RW A) is submitting the attached Pre-Construction Notification (PCN) form with
supplemental information (Attachment A), and accompanying figures and
supporting information, to request the issuance of Department of the Army
Section 404 Nationwide Permit (NWP) No. 12 and NWP No.3. for the installation
of a sanitary sewer outfall, and a culvert replacement, respectively. The COG
has retained RW A to act as its agent in matters related to wetlands permitting for
this project. Reference Attachment A for an Agent Certification of Authorization.
Figures referenced in the ensuing discussion are included in Attachment B.

, The project involves the installation of a 2,125 linear foot (If), a-inch diameter
sanitary sewer line and a 240 If, 4-inch diameter sanitary sewer lateral through
Westminster Gardens Cemetery. The 8-inch line will extend northwest from a
proposed manhole on Tennyson Drive to an existing manhole west of the
cemetery (Figure 1). The 4-inch lateral will extend from the cemetery office
building south to the a-inch line. The proposed manhole on Tennyson Drive is
currently a lift station, which is to be converted to a manhole. The sanitary sewer
outfall is proposed pursuant to NWP No. 12, In addition, the COG plans to
replace a 40 If, 36-inch diameter corrugated metal pipe (CMP) culvert at
Cemetery Driveway with a 54-inch reinforced concrete pipe (RCP) culvert of
equal length, with the addition of flared end sections. The culvert replacement is
proposed pursuant to NWP No.3. This project will also involve the installation of
manholes, and clearing of wooded areas.

J

Ms. Andrea Wade
April 15, 2005
Page 2 of 4

As described below, permanent losses of waters of the U.S. proposed as part of this project
would be de minimus. However, open cutting of the channel may be required for installation of
the 4" lateral sanitary sewer. In addition, a general condition of the Section 401 Water Quality
Certification (WQC) cannot be adhered to. Namely, due to steep topography and limited space
available, the edge of the construction corridor will be within 10 feet of the stream top-of-bank
between stations 16+00 and 17+50. Therefore, the COG is also submitting this PCN for
authorization pursuant to WQC No. 3374 and WQC No. 3376.

Purpose and Need

The purpose of the sanitary sewer installation is to remove a lift station between two residential
lots on Tennyson Drive. The purpose of the culvert replacement is to alleviate flooding of
residential property on Tennyson Drive due to the inadequate size of the existing culvert
beneath Cemetery Driveway.

Jurisdictional Waters of the U.S,

Jurisdictional waters of the U.S. in the project corridor included one stream channel (Stream 1)
(Photographs 1 and 2, Attachment C). Stream 1 is an unnamed, perennial tributary of
Horsepen Creek. In the project area, Stream 1 ranges in width from 4 to 8 feet, measured at
the top-of-bank. Stream 1 has bank heights of between 2 and 4 feet. Stream 1 had flowing
water at the time of the July 14, 2004 site visit. Riparian vegetation includes tulip poplar
(Liriodendron tu/ipifera), slippery elm (Ulmus rubra), multiflora rose (Rosa multiflora), poison ivy
(Toxicodendron radicans), sensitive fern (Onoe/ea sensibilis), greenbriar (Smilax ro tun difo/ia) ,
Virginia creeper (Parthenocissus quiquefo/ia), and spicebush (Lindera benzoin).

No wetlands are present in the project area. Reference Attachment D for a Routine Wetland
Determination data form.

Impacts to Waters of the U.S,

This project will involve two primary impact areas, as follows (Figures 3, 4, 5, and 6):

1. Station 18+00 - The COG proposes to replace a 40 If, 36" CMP with a 40lf, 54" RCP
with flared-end sections beneath Cemetery Driveway. On the east side of Cemetery
Driveway, the flared-end section will result in approximately 17 If of impact to Stream 1
(Photograph 1). The culvert will be buried one-foot below the bottom elevation of the
streambed. The existing downstream riprap pad and matting will be repaired as needed
(Photograph 2). Replacement of the culvert will also involve minor tailditching to
remove accumulated sediment at the culvert openings. It is anticipated that these
maintenance activities would be authorized by the requested NWP No.3. In addition,
the COG proposes to install the 8" sanitary sewer line beneath the culvert via boring
and jacking methods. Reference Figure 5.

2. Near Station 13+25 - The COG plans to bore under Stream 1 in order to install the 4"
lateral sewer line. However, shallow rock observed in this vicinity may dictate that the
installation be conducted by open cutting the channel. The 30 If of stream channel
impacts associated with open cutting would be temporary. It is anticipated that these

~

Ms. Andrea Wade
April 15, 2005
Page 3 of 4

potential impacts associated with utility line activities would be authorized pursuant to
the requested NWP No. 12. Reference Figure 6.

M i n im izati on/M i ti gation

As previously described, impacts associated with the proposed project's NWP No, 3 and No, 12
activities would be de minimus. Permanent impacts, totaling 17 If, would result from the
installation of the flared end section associated with the culvert replacement and minor
tailditching. In order to minimize impacts to waters of the U.S., the COG plans to install the 8"
sanitary sewer line beneath the Cemetery Driveway replacement culvert by boring and jacking
methods, thereby avoiding potential impacts to the stream channel. The COG also intends to
bore beneath the stream for installation of the 4" lateral line, if practicable. As indicated on
Figure 6, the ductile iron lateral line will be installed to avoid having a joint within the footprint
and/or within two feet of the banks of the stream channel. In addition, an anti-seep collar shall
be placed along this lateral sewer line. In the event that the lateral line cannot be bored
beneath the stream and an open cut method is employed, the crossing has been designed to be
close to perpendicular to the channel, and the stream berm would be reestablished to pre-
construction contours and stabilized.

The proposed temporary construction corridor width has been limited to 40 feet. The
construction corridor is narrower (15 feet) on the north side (Le., stream side) of the proposed
sewer than the south side (25'), providing an additional undisturbed buffer for much of the
stream length. The edge of the construction corridor is at least 10 feet from the top-of-bank of
Stream 1, except between Stations 16+00 and 17+50, where steep topography dictates that the
edge of the construction corridor be within 10 feet

Due to the de minimus project impacts to waters of the U.S" it is anticipated that the
incorporation of the numerous impact avoidance and minimization design elements described
above will serve as adequate mitigation.

Activities on the project site involving impacts to waters of the U.S. will be required to follow the
General Conditions of the Nationwide Permits (Federal Register Vol. 67, No. 10; Tuesday,
January 15, 2002), applicable Wilmington District Regional Conditions, and applicable State
consistency conditions.

Possible sedimentation of the stream during and immediately following the construction phase
of this project will be minimized by strict implementation of, and compliance with, State-
approved sediment and erosion control plans.

Cultural Resources and Protected Species

Based on the limited permit area, potential impacts to cultural resources are considered remote.

A search of the North Carolina Natural Heritage Program (NCNHP) database provided existing
information concerning the potential occurrence of threatened or endangered species within
Guilford County, North Carolina. This database indicates that the Bald Eagle (Haliaeetus

Ms, Andrea Wade
April 15, 2005
Page 4 of 4

/eucocepha/us) is the only federal and/or state threatened or endangered species known to
occur in Guilford County,

An assessment of potential Bald Eagle habitat (see description below) in the study area was
conducted during the field review on July 14, 2004. Appropriate habitat for the bald eagle was
not identified.

Bald Eaqle (Ha/iaeetus leucocephalus)
The bald eagle is associated with coasts, rivers, and lakes, usually nesting near large bodies of
water where it feeds. Nesting habitat in the southeast usually occurs in large pine or cypress
trees. The bald eagle is listed as a current record for Guilford County. The proposed project is
not expected to impact large bodies of water and no areas resembling the habitat requirements
for this species were observed in the project area.

Considering the lack of potential habitat in the project area, the likelihood that the bald eagle is
present is concluded to be remote.

Thank you for your prompt attention to this matter. If you have any questions or need additional
information concerning this project, please contact either of the undersigned at [phone].

Sincerely,
RALPH WHITEHEAD ASSOCIATES, INC.

ql.!:~\~a~o~rn

Senior Environmental Specialist

g ceo, P,W.S.
ger/Senior Scientist

CC: Guy Ingle, COG

AHK/MAI:ak

Attachments: Attachment A: Pre-Construction Notification Form & Agent Certification of
Authorization
Attachment B: Figures
Attachment C: Photographs
Attachment D: Wetland Determination Data Form

ATTACHMENT A

PRE-CONSTRUCTION NOTIFICATION FOMI &
AGENT CERTIFICATION OF AUTHORIZATION

AGENT CERTIFICATION OF AUTHORIZATION

I A I LJo.,JJ.UY ~I./j I (, e. , representing the City of Greensboro, hereby
certify that I have authorized Michael A. IagnoccQ, P.W.S. of Ralph Whitehead Associates.

Inc., to act on the City's behalf and take all actions necessary in the processing, issuance,

and acceptance of this permit and all standard and special conditions attached.

We hereby verify that the infomlation submitted in this application is true and accurate to

the best of OUT knowledge.

1.4~/L""
~ Applicant'''-: ature
ti,t} JOE=-
Date

Agent's signatur

~
Date

Completion of this fann will allow the agent to sign all future application correspondence,

~~@~uw~~

APR 2 5 2001

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,

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" , iI' :-_1 I

Office Use Only:

Form Version May 2002

US ACE Action ID No, D\VQ No,
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/ A".)

05070Lt

I. Processing

1. Check all of the approval(s) requested for this project:
[2.] Section 404 Permit D
D Section 10 Permit D
[2.] 401 Water Quality Certification

Riparian or Watershed Buffer Rules
Isolated Wetland Permit from DWQ

2. Nationwide, Regional or General Permit Number(s) Requested: NWP No, 12 and 3

3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: D

4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section Vlll and check here: D

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: D

II, Applicant Information

1. Owner/Applicant Information
Name: Frank Wyatt
Mailing Address: City of Greenshoro
Engineering and Inspections Division
P,O Box 3136
Greensboro, NC 27402-3136
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: Frank,WvaU@l:!reenshoro-nc.l:!ov

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: Michael A. Ial:!nocco, PWS
Company Affiliation: Ralph \Vhitehead Associates, [ne,
Mailing Address: 1000 W. Morehead Street, Suite 200
Charlotte, NC 28208

Telephone Number: 704-372-1885 Fax Number: 704-372-3393
E-mail Address: michael.iagnoceo(Wrwhitehead,eom

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: Tennyson Drive Sanitary Sewer Outfall

2, T.I.P. Project Number or State Project Number (NCDOT Only): N/A

3. Property Identification Number (Tax PIN): N/A

4. Location (See Figure 1)
County: Guilford Nearest Town: Greensboro
Subdivision name (include phase/lot number): N/ A
Directions to site (include road numbers, landmarks, etc.): From Raleigh, take 1-40 West
to Greensboro, Merge onto E Lee St/NC-6 W via Exit 128 toward US-29 N/US-220 N,
Turn Slight Right onto Hackett Street. . Turn Left onto Gorrell Street. Merge onto N
OHenrv Blvd.lUS-220 N/US-29 N, Turn right onto E Wendover Ave/US-70 W/US-220
N, Take the US-70 W/US-220 N ramp, Merge onto E Wendover Ave, Take the
Beniamin Pkwv N exit. Merge onto Beniamin Pkwy, Stav straight to go onto .Joseph
M, Bryan Pkwy, Take the Westridge Rd exit. Turn right onto Westridge Rd, Turn Left
onto 'Whitehurst Rd, Turn right onto Tennvson Dr,

5. Site coordinates, if available (UTM or Lat/Long): 36,l1860N,79,85290W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)

6, Property size (acres): N/A - Linear Proiect

7. Nearest body of water (streamlriver/sound/ocean/lake): Horsepen Creek

8. River Basin: Cape Fear
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h20.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 project area is located within the Guilford County
\Vestminister Gardens Cemetery, The project area is currently partially developed,
and includes wooded areas and maintained lawn, Land use in the vicinity of the project
is comprised primarily of commercial and residential areas,

10. Describe the overall project in detail, including the type of equipment to be used:
The proposed project consists of the installation of a 2,125 linear foot (It), 8-inch
diameter sanitarv sewer line and a 240 If, 4-inch diameter sanitary sewer lateral
throu!.?h \Vestminster Gardens Cemetery (see Fi!.?ures 3 and 4 for plan views). The 8-
inch line will extend northwest from a proposed manhole on Tennyson Drive to an
existinl.? manhole west of the cemetery (Fil.?ure 1), The 4-inch lateral will extend from
the cemeterv office buildin!.? south to the 8-inch line, The proposed manhole on
Tennyson Drive is currently a lift station, which is to be converted to a manhole, The
sanitarv sewer outfall is proposed pursuant to NWP No, 12, In addition, the COG
plans to replace a 40 If, 36-inch diameter corru!.?ated metal pipe (CMP) culvert at
Cemetery Drivewav with a 54-inch reinforced concrete pipe (RCP) culvert of equal
lenl.?th, with the addition of flared end sections, This proiect will also involve the
installation of manholes, and c1earin!.? of wooded areas. Equipment to be used includes
backhoes, excavators, and other tvpical heavy construction equipment.

11. Explain the purpose of the proposed work: The purpose of the sanitary sewer installation
is to remove a lift station between two residential lots on Tennyson Drive. The purpose
of the culvert replacement is to alleviate floodin!.? of residential property on Tennvson
Drive due to the inadequate size of the existin!.? culvert beneath Cemetery Driveway.

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.
No previous jurisdictional determinations or permits have been issued for this project.

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.
No future project plans are bein!.? considered at this time, Appropriate notification will be
provided should future impacts to waters of the D.S, be proposed,

..

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. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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.

1. Provide a written description of the proposed impacts: The proposed proiect consists of
the installation of a sanitarv sewer outfall, extending 2,125 linear feet from Tennyson
Drive west through Westminster Gardens Cemetery to an existing manhole.
Permanent losses of waters of the V,S. proposed as part of this project would be de
mill im liS, However, in the event boring is not feasible, open cutting of the channel
would be required at one location for installation of the 4" sanitarv sewer lateral.

2. Individually list wetland impacts below:

Wetland Impact Area of Located within Distance to
Site Number Type ofImpact... Impact 1 DO-year Floodplain...... Nearest Stream Type of Wetland"'''''''
(indicate on map) (acres) (yes/no) (linear feet)

... List eaeh impact separatcly and identifY temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, ete. For dams, separately list impacts due to both structure and flooding.
...... 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved locall1oodplain maps, Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at hllp:llwww.fema,\!ov,
......... List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc,) Indicate if wetland is isolated (determination of isolation to be made by USACE only),

List the total acreage (estimated) of all existing wetlands on the property: 0,0
Total area of wetland impact proposed: 0,0

3. Individually list all intermittent and perennial stream impacts below:

Stream Impact Length of A verage Width Perennial or
Site Number Type of Impact* Impact Stream Name" of Stream Intermittent?
(indicate on map) (linear feet) Before Impact (please specify)
Stream I Culvert 17 U.T. Tributary of 4' Perennial
Horsepen Creek
Temporary U.T. Tributary of
Stream 1 excavation 30 6' Perennial
and backfill Horsepen Creek

*

List each impact separately and identify temporary impacts, Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gab ions, 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.
** Stream names can be found on USGS topographic maps, If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows, USGS maps are available through the USGS at 1-800-358-9616, or online at
WWW,t1SgS,gov, Several internet sites also allow direct download and printing of USGS maps (e.g" WWW.tonozone.com,
www.mapqtlest.com. etc,).

Cumulative impacts (linear distance in feet) to all streams on site:
The only permanent impact, totalinl! 17 If, would result from the installation of the
flared end section associated with the proposed culvert replacement (Fil!ure 5), Some
minor tailditchinl! may also take place at this location, Thirty (30) If of temporary
excavation and backfill would occur in the event that subsurface conditions prohibit the
intended borin!! of the sewer lateral, forcinl! the stream to be open cut for sewer
installation (Fi!!ure 6).

4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: N/A - no open waters will be impacted by
this project.

Open Water Impact Area of Name of Water body Type of Water body
Site Number Type of Impact* Impact (lake, pond, estuary, sound,
(indicate on map) (acres) (if applicable) bay, ocean, etc.)

*

List each impact separately and identify temporary impacts, Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc,

5. Pond Creation
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 illustratep on any maps included with this application.
Pond to be created in (check all that apply): 0 uplands 0 stream 0 wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A - construction of a pond is not proposed,

Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/ A

.

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.

As previouslv described, impacts associated with the proposed project's NWP No, 3 and
No, 12 activities would be de millimlls, Permanent impacts, totalin!! 17 If, would result
from the installation of the flared end section associated with the culvert replacement and
minor tailditchin!! (see Fi!!ure 5 attached), In order to minimize impacts to waters of the
V,S" the COG plans to install the 8" sanitarv sewer line beneath the Cemetery Drivewav
replacement culvert by borin!! and iackin!! methods, therebv avoidin!! potential impacts to
the stream channel. The COG also intends to bore beneath the stream for installation of
the 4" lateral line, if practicable, As indicated on Fi!!ure 6, the ductile iron lateral line will
be installed to avoid havin!! a joint within the footprint and/or within two feet of the banks
of the stream channel. In addition, an anti-seep collar shall be placed alon!! this lateral
sewer line, In the event that the lateral line cannot be bored beneath the stream and an
open cut method is emploved, the crossin!! has been desi!!ned to be close to perpendicular to
the channel, and the stream berm would be reestablished to pre-construction contours and
stabilized,

The proposed temporarv construction corridor width has been limited to 40 feet. The
construction corridor is narrower (15 feet) on the north side (Le" stream side) of the
proposed sewer than the south side (25'), providin!! an additional undisturbed buffer for
much of the stream len!!th. The edge of the construction corridor is at least 10 feet from
the top-of-bank of Stream 1, except between Stations 16+00 and 17+50, where steep
topographv dictates that the edge of the construction corridor be within 10 feet

Activities on the project site involvin!! impacts to waters of the V,S, will be reQuired to
follow the General Conditions of the Nationwide Permits (Federal Register Vol. 67, No, 10~
Tuesday, .Januarv 15, 2002), applicable Wilmington District Regional Conditions, and
applicable State consistency conditions,

Possible sedimentation of the stream during and immediately following the construction
phase of this project will be minimized bv strict implementation of, and compliance with,
State-approved sediment and erosion control plans,

VIII, Mitigation

DWQ - In accordance with l5A 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 March 9, 2000, 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 NCWRP 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://h20.em,state.nc,us/ncwetlands/stnngide, htm 1.

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.

On the east side of Cemetery Drivewav, the flared end section will result in approximatelv
17 If of impact to Stream 1 (Photograph 1 ; Figure 5), The existing downstream riprap pad
and matting will be repaired as needed (Photograph 2). Replacement of the culvert will
also involve minor tailditchin!! to remove accumulated sediment at the culvert openings,
It is anticipated that the reQuested NWP No, 3 would authorize these maintenance
activities, In addition, the COG proposes to install the 8" sanitary sewer line beneath the
culvert via boring and iacldng methods.

The COG plans to bore under Stream 1 in order to install the 4" lateral sewer line.
However. shallow rock observed in this vicinity mav dictate that the installation be
conducted by open cuttin!! the channel. The 30 If of stream channel impacts associated
with open cuttin!! would be temporary, It is anticipated that these potential impacts

associated with utility line activities would be authorized pursuant to the requested NWP
No, 12, Reference Fi{!ure 6,

No wetlands have been identified in the project area. Due to the de minimlt... project
impacts to waters of the V,S" it is anticipated that the incorporation of the numerous
impact avoidance and minimization desi{!n elements described in VII above will serve as
adequate miti{!ation,

2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h20.enr,state.nc,us/wrp/index,htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:

Amount of stream mitigation requested (linear feet): N/ A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/ A

IX, Environmental Documentation (required by DWQ)

Does the project involve an expenditure of public (federaVstate) funds or the use of public
(federaVstate) land?
Yes 0 No ~

If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental' Policy Act (NEP AlSEP A)?
Note: If you are not sure whether a NEP AlSEP A document is required, call the SEP A
coordinator at [phone] to review current thresholds for environmental documentation.
Yes 0 No 0

If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEP A or SEP A final approval letter.
Yes 0 No 0

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.

Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes D No [8J If you answered "yes", provide the following information:

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.

Zone* Impact Multiplier Required
(square feet) Mitigation
I 3
2 1.5
Total

>I<

Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260,
N/A - no state or local stream buffer impacts proposed

XI. Stormwater (required by DWQ)

Describe impervious acreage (both eXlstmg and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in ordcr to protect surface waters and wetlands
downstream from the property.
No storm water manat!ement is proposed. The contractor will abide bv state and local
erosion and sedimentation control reQuirements durint! t!radint! and. construction
operations.

XII, Sewage Disposal (required by DWQ)

Clearly dctail the ultimate treatment methods and disposition (non-dischargc or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A

XIII. Violations (required by DWQ)

Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes 0 No ~

Is this an after-the-fact pemlit application?
Yes 0 No ~

XIV, 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).
Construction of the proposed sanitarv scwer is proposcd to bc!!in mid summcr, 2005.

",

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North Carolina Vicinity Map

Greensboro Vicinity Map

Tennsyon Drive W RALPH WHITEHEAD Site Location M~P
Sanitary Sewer Outfall ASSOCIATES, INC.
Greensboro, NC Figure 1
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"'''"'-', ;0'" '~_' "'<"'J' c.'....
... '~:...;.. '~1- ?~:\~~.-:~..~/
.1tJ:I. ,?i~~~.

North Carolina Vicinity Map

Mapped Soils in the Proiect Corridor
CeC2 - Cecil sandy clay loam, 6 - 10% slopes, eroded
EnD - Enon fine sandy loam, 10 - 15% slopes I
MhC2 - M~kh,"hw-g ",dy d,y ,,,m, 6 - 10% 'l'T ,,,dol

Greensboro Vicinity Map

Tennyson Drive W Soil Survey MaJ
Sanitary Sewer Outfall RALPH WHITEHEAD
Greensboro, NC ASSaCIA TES, INC. Figure 2
I
- - I I I I I I .

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PROPOSED TENNYSON DRIVE SANITARY SEJVER OUTFALL
OVERALL PLAN VIEW

GRAPHIC SCALE
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~ - ~ ~._.~
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03/24/05
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PROPOSED TENNYSON DRIVE SANITARY SEWER OUTFALL
OVERALL PLAN VIEW

GRAPHIC SCALE
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~ J'

( IN FEET )
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4

PROPOSED 8" DIP SANITARY\tE~R AND 14. STEEL ENCASEMENT I \
ARE TO BE INSTALL D BY ElQRING AND JACKING METHOD
\ >- \\ REMOVE 36. CMP & REPLACE
<( VHH 40 LF - 54" RCP \
CONSTRUCll.ON EASEMENT WITHIN I \ ~ INSTALL 54. F,E,S. 0 BOTH ENDS tIP - - -r= ~
10' OF S~t.4 TOP OF BANK ~ \\ AND INSTALL AND/OR REPAIR RIP I
'" uJ RAP AS NEEDED, (SEE SHEET M' \ --...
'\. \ 2: 3 OF 3 FOR CONST. SEQUENCE,) ~ \

COO STD. 1216 ~ - ~ \ P~ MANHOLE liB I ! I r 2~~XN~~ ~~~~JJT~I~5f~Th
SILT fENCE >- TATION 18+64.1 I 11 REPLACE 4. PVC 4: GR
~ \ \ INSTAlL SlL T fENCE AROUND
" DO NOT DISTURB EX 4. ROCK W~LL uJ / TeE STOCKPILE FOR DORE PI
<:::. -- ~'EXIST. 241 I--- /.- -/ EXIST, EX

l.-'-_=~/ r"'W"~ \ ~ /:(f{f-:----- 'i~\ L ~
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~\SEMENr'J':'-: '~- JJ'I ---- hV\ (>~"f'Z / ~ SANITARY cEWER'
-:; ~ 'J ~ 'v' I / -~_'.2. ~':':":':"""'::'~~PR( X,17LF STEPHEN I
l ~"'" ~}~E - ___::::::::----/ STREAM IMPACT P~~~iTt~;?~gEf \ ~~7~
1 "',~> I INSTAlL COG sm, I I 01 PROP, M \NHOLE #9 D.B.39
~t ,~, ,m SILT CHECK OAII r STATlor, 19+43. 0 P.B.~
~ ~ ~" PROP. MANHOLE 97 COG STD. H217-A I
~ \" STATION 17+74,16 EMPORARY CONSTRUCTION - -
! '\\. \ ENTRANCE (TYPICAL) CP \

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AND REPAIR CLASS I ~ ~"
RIP RAP AS NEEDED '
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AT ,706% I ,-_. /' ;~, 1'-,-;
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03/24/05

PROPOSED TENNYSON DRIVE
SANITARY SEWER OUTFALL
CULVERT REPLACEMENT PLAN & PROFILE

50
7#' 1

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l.j-jl:;U\.lUI:H':

( IN FEET )
I Inch - 50 rt.

Hl.iUi;E NO:
5

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D tlo...l 10'X20' BORE PIT. INSmL SAFETY
\~ FENCE AROUND PIT. INSTALL..J'IPE
, SO THAT A COt.4PLETE PIECE'- \
. \ IS BORED UNDER CREEK AND BANKS, --t.
I INSTALL SILT FENCE AROUND SPOIL I ....... I
..., ..." STOCKPILE FOR BORE PIT, -....... ; b

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/ /4" SANITARY SEWER lATERAL
MINUMUM GRADE IS 2%
INSTAll ClEANOUTS A MINIMUM
OF EVERY 80' & AT END

.. 21
A I lATERAL TO BE 4. DUCTilE IRON I
--, @ STREAM CROSSING WITH A I' COVER

\

EXI~
PC

15' MIN, UNDISTURBED
S TREAIJ BUFFER

( IN FEET )
I Inch - !\O rL

HtiLJkE:.NU,
6

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.

ATTACHMENT C
PHOTOGRAPHS

~
I
I

4.

.

Tennyson Drive Sanitary Sewer Outfall
Greensboro, North Carolina
RW A Project No. 2979-300

Photograph 1. Stream I-facing downstream on west side of Cemetery Driveway.

Photograph 2, Streaml-facing downstream at culvert on east side of Cemetery
Driveway.

..

,.

ATTACHMENT D
\VETLAND DETERMINATION DATA FORM

.

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 CaE Wetlands Determination Manual)

DP-(

t

Project I Site: Ie.Vlfl '/ So n h ("; 'I e.... 0 L.( T+~ I / Date: 7 //t/Io t/
Applicant I Owner: Ci.;y c) -f G re.&Id,.,~o County: G-u.,'j.,c.",..~
Investigator: A daM KC:\. 'r""awJ' :0....... f,,,JS State: Nc,
Do normal circumstances exist on the site? Yes-L No_ Community 10:
Is the site significantly disturbed (Atypical situation)? Yes_ No~ Transect 10:
Is the area a potential problem area? Yes_ No---X- Plot 10: r:-/-t1I11CJJ1 /ZfO()
(explain on reverse if needed) ~p fo....J

VEGETATION

Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. r2o$a ,Mu.(.;.,' ~Lo rt:. ~ upL 9. L ,'" i..e.,. '" bl VI "Z-o 1\ ~ ~ -FA c &.J
2.-r;~:<-o J&1 Jnj r~f.'(A,.J -FA c. 10. .-
3'I r:;aU~~~ LrV. V. ~AG 11.
4. 1'1.0 ~a e.. ,'b//.'f 1-/ fA <::vJ 12.
5.~~ ru~~ C ~A (.. 13.
~~~ 14.
;:L: : f frn;6 '~:-!;:J.I: ~.V. 15.
8.f't:IA"-J-Nu..o(:~l.A.( tlA.:~'tUA..f.ol.~ w. v. -P-AG 16.
,Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-), S:-/1 - R 9 /,J
Remarks: l~yc2.ro f~ +-1 c.. Ii .e..5e..+c...+.'6 ..... .':1 ~ W1 /..,tal1 1

HYDROLOGY

Recorded Data (Describe In Remarks):
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs
Other

Wetland Hydrology Indicators

No Recorded Data Available

Primary Indicators:
_ Inundated
_Saturated in Upper 12"
_ Water Marks
_ Drift Lines
_ Sediment Deposits
_ Dr<linage P<ltterns in Wetlands

Field Observations:

Depth to Free Water in Pit:

~(A
,

~/A

(in,)

Secondary Indicators:
_ Oxidized Roots Channels in Upper 12"
_ W<lter-St<lined Le<lves
_ Loc<ll Soil Survey D<lta
_ FAC-Neutral Test
_ Other (Explain in Remarks)

Depth of Surface Water:

(in,)

Depth to Saturated Soil:

/1- -!- (in.)

Remarks: . f) .1
IV j) , " " t-CA '\""0 r J

o + ~~tta.~ V~/()J7

.

,

.

SOILS

Profile Description:
Depth
(inches) Horizon

D-...J A
L-f -~ 0 I
~-I..J~ 6-z.

Mottle Colors
(Munsell Moist)
tv IJ I'lL-
(oYI-'1I1..
7. S" y~ ,,16

/c>y((.~/h

Hydric Soil Indicators:

D f'-I

Confirrry, Mapped Type? Yes
l). '^: \ -f-o n..\! c..a L( ..... ;- ,J u (f ~

No_

Mottle Texture, Concretions,
AbundLlnce/Contrast Structure, etc,
j.J fA c)~ /.Jo, M

,.,,,_ y/d''i.-I-:,.J-- <-hy /0 q ~
CD ,....,0 ~'t.'...t..f ~ / t2 /.f / t/ ~
/

u.

.'...J-

Histosol
_ Histic Epipedon
Sulfidic Odor
_ Aquic Moisture Regime
_ Reducing Conditions
_ Gleyed or Low-Chroma Colors

Concretions
_ High Organic Content in Surface Layer in Sandy Soils
_Organic Streaking in Sandy Soils
_Listed On Local Hydric Soils List
_Listed on National Hydric Soils List
_ Other (Explain in Remarks)

Remarks:

$"0)5 ~ -I- fre...f~ -J-

IJyllr-.' c-

WETLAND DETERMINATION

Is the Sampling Point
Within a Wetland? Yes_ NoL

Hydrophytic Vegetation Present?
Wetland Hydrology Present?
Hydric Soils Present?

Yes ~ No
Yes No --;(
Yes No )Z:

Remarks:

lo-f-3

c-r~-hr;'\ pre.'S(..rl+:

l..--.----..-.-u------------ _.___m__n_.___. --. __ml
Invoice Number Date Voucher

_____ ________ ___~__ L __ ._mm__
Permit Appl. Fee 4/18/05 i 0021240

NC DIVISION OF WATER QUALI
GENERAL 2

Totals

\..~~ ~-h.~ Cl.u.o-oc..

n-----------------.-l
Amount

200,00

200.00

~ ~-D~~~~nts ~ =-pr~~io~~~~~_=r~~~-~~13~~~~t m_
200.00
J 200.00 J

__.__~__m ._________m___.___._

~rn@~u\'llrn @

APR 2 5 Z005

DENR - WATER QUALITY
\\'ETWIDS AND STORMWA TER BRANCH