19930396 Ver 1_COMPLETE FILE_19930517

State of North Carolina
Department of Environment, Al _V _V
Health and Natural Resources 4
Division of Environmental Management
James B. Hunt, Jr., Governor wlg?
Jonathan B. Howes, Secretary C) E H N R
A. Preston Howard, Jr., P.E., Director
June 10, 1993
Ms. Sue Hyde
Project Engineer
City of Winston-Salem
Public Works Dept.
P.O. Box 2511
Winston-Salem, N.C. 27102
Dear Ms. Hyde:
Subject: Proposed fill in Wetlands or Waters
Sewer line installation
Forsyth County
DEM Project # 93396
Upon review of your request for 401 Water Quality Certification to place fill material in
less than one acre of wetlands or waters which are tributary to Muddy Creek for sewer line
instation located 800 feet South of NC 67 in Forsyth County, as described in your submittal
dated 7 May 1993, 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.
Sincerely,
A. Preston Howard, Jr. P.E.
93396.Itr
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Domey
Central Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper

DEM ID: -93?
ACTION ID:
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO THE DISTRICT ENGINEER
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION 401 CERTIFICATION
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. BOY, 29535 '
?p
RALEIGH, NC 27 v ??????,I;y
ATTN: MR. JOHN V9 $ ;t
Telephone (919) ??111108 2
r
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SE
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C.
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
OWNERS NAME:
2. OWNERS ADDRESS: _Ej, Box 2511. Winston-Salem NC 27102
3. OWNERS PHONE NUMBER (HOME): (WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: N/A
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Winston-Salem
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Muddy Creek - 800 feet south of
Highway 67 (Reynolda Road)

6. NAME OF CLOSEST STREAM/RIVER: Muddy Creek
7. RIVER BASIN: Yadkin River
8. IS THIS PROJECT LOCATED 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 [X)
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
Less than l acre
2/3/92

-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED:
DRAINED:
FLOODED:
EXCAVATED:
TOTAL IMPACTED: less than I acre
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): Install 8" D.I.
Sanitary Sewer Outfall
13. PURPOSE OF PROPOSED WORK: provide sewer service
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. Proposed outfall ties to an existing Outafll Erosion control plan
has been submitted to State for approval
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 [X] NO [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF.HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES [X] NO [ ]
RESPONSE FROM THE SHPO SHOULD BE ATTACHED.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? Meadow - aqriculture
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N/A
r
OWNER)m\SIGNATURE
DATE
Attachment
15. I contacted the Raleigh office of the U.S. Fish and Wildlife Service by phone. They
stated that unless there were 30 year or older pine trees in the permit area, there
were no endangered or threatened species. There are no 30 year or older pine trees
in this area.
16. I contacted the State Historic Preservation Office by phone and spoke with Sandra
Ward. There are no historic properties in the permit area.
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PUBLIC WORKS
DEPARTMENT
City of Winston-(Salem
111AY ! 21993 I
May 7, 1993
Water Quality Planning
Division of Environmental Management
N.C. Department of Environment, Health
and Natural Resources
P.O. Box 29535
Raleigh, NC 27626-0535
Attn: Mr. John Dorney
Dear Mr. Dorney:
Enclosed is a completed application for a Section 401, Water Quality Certification. This
project consists of an 8" V.C. sewer main crossing Muddy Creek to tie to an existing
outfall. The area beside the creek is a meadow used for hay. The tentative schedule for
construction is late summer.
You can contact me at [phone] if you have any questions. Thank you for your
attention to this matter.
Sincerely,
ENGINEERING DIVISION
-Z- V?" c-s
Sue Hyde
Project Engineer
SH/ac
Box 2511, Winston-Salem, North Carolina 27102