19930571 Ver 1_COMPLETE FILE_19930707

State of North Carolina
Department of Environment,
Health and Natural Resources =rA
Division of Environmental Management James B, Hunt, Jr., Governor
Jonathan B. Howes, Secretary ID E H N F=1
A, Preston Howard, Jr., P.E., Director
July 16, 1993
Mr. Frank L. James
Town of Rural Hall
P.O. Box 549
Rural Hall, N.C. 27045
Dear Mr. James:
Subject: Proposed fill in Wetlands or Waters
Sewer line installations, 1992 Annexation area
Forsyth County
DEM Project # 93571
Upon review of your request for 401 Water Quality Certification
to place fill material in 0.06 acres of wetlands or waters which are
tributary to Beaver Dam Creek for sanitary sewer installations located
at US 65 & US 52 in Forsyth County as described in your submittal
dated 28 June 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 this Certification is unacceptable to you, you have the right
to an adjudicatory hearing upon written request within thirty (30)
days following receipt of this Certification. This request must be in
the form of a written petition conforming to Chapter 150B of the North
Carolina General Statutes and filed with the Office of Administrative
Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. Unless such
demands are made, this Certification shall be final and binding.
1786.
If you have any questions, please contact John Dorney at 919-733-
Sincerely,
--A. Preston Howard, Jr. P. E.
93571 . 1tr
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
Mr. Jeffrey Moody; Alley, Williams, Carmen & King, Inc.
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
alley, williams, carmen &
BURLINGTON OFFICE KANNAPOIIS OFFICE
ENGINEERS AND ARCHITECTS CONSULTING ENGINEERS
p.o. box 1179 1 740 chapel hill road
hurlinkton, north Carolina 27216
telephone [phone]
fax [phone]
p.o. box 1248 1 207 south main street
kannapolis, north Carolina 28082
telephone [phone]
fax [phone]
June 28, 1993
92514
Mr. John Dorney
Water Quality Planning
Division of Environmental Management
NC Department of Environment, Health
And Natural Resources
P. O. Box 29535
Raleigh, North Carolina 27626-0535
Re: Town of Rural Hall
1992 Annexation Sewer Improvements
Proposed Creek Crossings
Dear Mr. Dorney:
king, inc.
GREENSBORO OIEICE
ENGINEERS AND ARCHITECTS
300 east wendover avenue, spite 403
Kreenshoro, north Carolina 27401
telephone [phone]
fax [phone]
PLEASE REPLY TO:
Kannapolis
I

On behalf of the Town of Rural Hall, please find attached seven
(7) copies of the joint application form for Nationwide Permits
that require notification to the District Engineer. This permit
is for proposed sanitary sewer creek crossings shown on the
attached cover sheet and appropriate plan and profile sheets. The
crossings are of an unnamed tributaries to Beaver Dam Creek and
one crossing of Grassy Creek.
Also attached are photographs of the proposed crossings. We have
forwarded one copy of the application to the Army Corps of
Engineers, Raleigh Office for review and processing.
Please call me at [phone] if any further information is
required.
Sincerely,
Alley, Williams, Carmen & King, Inc.
`,7ef ry D. oo y, P.E.
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HAYWOOU R. KIN(,, V I AN AINI B. PFRRN R.I S. DI MFIR10% N. ( AI I INI( Oti, A.I_A- R.I.13 A.
I RAN? K. H(11 I. F I. DARRI 111, RUNS11I, P I_ KI NNI EH 1). SIAI IORD, AAA,
DEM ID: A3 3 5?
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
AND NATURAL R U R
P.O. BOX 29535 u
RALEIGH, NC 2762 5
ATTN: MR. JOHN D
Telephone (919) 7 -5 8
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SEND
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: Town of Rural Hall
2. OWNERS ADDRESS: P. 0. Box 549, Rural Hall, NC 27045
3. OWNERS PHONE NUMBER (HOME):
(WORK):[phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mr. Frank L. James
Town of Rural Hall
P. 0. Box 549
Rural Hall. NC 27045
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Rural Hall
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
N.C. Hwy. 65 - U.S. Hwy. 52
6. NAME OF CLOSEST STREAM/RIVER: Beaver Dam 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:
.06 acre
2/3/92
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .001
DRAINED: 0.0
FLOODED: 0.0
EXCAVATED: 0.59
TOTAL IMPACTED: .06
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Sanitary Sewer Installations - Creek Crossin
13• PURPOSE OF PROPOSED WORK: Provide sanitary sewer service to 1992
Annexation Area.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. Gravity flow sanitary sewer cannot be provided by any other route.
13. 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 [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
1,6: 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 [ ]
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? Rural/Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
1? /rte
OWNER'S SIGNATURE DATE
DEM ID: 35?/
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
NC DEPARTMENT OF ENVIRONM
AND NATURAL RESOURCES
P.O. BOX 29535 1,
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]?

fH H,
c
v
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO'-q
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISI
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: Town of Rural Hall
2. OWNERS ADDRESS: P. 0. Box 549, Rural Hall, NC 27045
3• OWNERS PHONE NUMBER (HOME):
(WORK):[phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mr. Frank L. James
Town of Rural Hall
P. 0. Box 549
Rural Hall. NC 27045
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Rural Hall
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
N.C. Hwy. 65 - U.S. Hwy. 52
6. NAME OF CLOSEST STREAM/RIVER: Beaver Dam Creek
7. RIVER BASIN: Yadkin River
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS if OR WS II? YES [ ] NO [x)
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ ) NO [XI
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.06 acre
2/3/92
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .001
DRAINED: 0.0
FLOODED: 0.0
EXCAVATED: 0.59
TOTAL IMPACTED: .06
12
DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Sanitary Sewer Installations - Creek Cross
s
13• PURPOSE OF PROPOSED WORK: Provide sanitary sewer service to 1992
Annexation Area.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. Gravity flow sanitary sewer cannot be provided by any other route.
13. 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 [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
1,6: 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 [ ]
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? Rural/Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
OWNER'S SIGNATURE DATE
DEM ID: ()'-5 9 1
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 RE
P.O. BOX 29535
RALEIGH, NC 2762 5 --`- 3
i
ATTN : MR. JOHN D _ t
elephone (919) 7 83:v
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.
1. OWNERS NAME: Town of Rural Hall
2. OWNERS ADDRESS: P. 0. Box 549, Rural Hall, NC 27045
3. OWNERS PHONE NUMBER (HOME):
(WORK):[phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mr. Frank L. James
Town of Rural Hall
P. 0. Box 549
Rural Hall. NC 27045
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Rural Hall
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
N.C. Hwy. 65 - U.S. Hwy. 52
6. NAME OF CLOSEST STREAM/RIVER: Beaver Dam 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:
.06 acre
2/3/92
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .001
DRAINED: 0.0
FLOODED: 0.0
EXCAVATED: 0.59
TOTAL IMPACTED: .06
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Sanitary Sewer Installations - Creek Crossings
13. PURPOSE OF PROPOSED WORK: Provide sanitary sewer service to 1992
Annexation Area.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. Gravity flow sanitary sewer cannot be provided by any other route.
13. 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 [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
b-: 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 [ ]
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? Rural/Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
!?!?AQ?G?? Z /? ?eJ 4G1 G/
OWNER'S SIGNATURE DATE
DEM ID: h?]
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 ENVIRONMEN'
NC DEPARTMENT OF E
AND NATURAL RE
P.O. BOX 29535
RALEIGH, NC 27626-
ATTN: MR. JOHN DO
Telephone [phone]l
E ', (?Hf?Ai.?H 15
1155 UU UU l5
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: Town of Rural Hall
2. OWNERS ADDRESS: P. 0. Box 549, Rural Hall, NC 27045
3. OWNERS PHONE NUMBER (HOME):
(WORK):[phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mr. Frank L. James
Town of Rural Hall
P. 0. Box 549
Rural Hall NC 27045
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Rural Hall
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
N.C. Hwy. 65 - U.S. Hwy. 52
6. NAME OF CLOSEST STREAM/RIVER: Beaver Dam 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 [x1
IF YES, EXPLAIN.
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.06 acre
2/3/92
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .001
DRAINED: 0.0
FLOODED: 0.0
EXCAVATED: 0.59
TOTAL IMPACTED: .06
12
DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Sanitary Sewer Installations - Creek Cross
13. PURPOSE OF PROPOSED WORK: Provide sanitary sewer service to 1992
Annexation Area.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. Gravity flow sanitary sewer cannot be provided by any other route.
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 [ )
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
1.6: 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 [ J 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? Rural/Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
e??- , J
OWNER'S SIGNATURE D E

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
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 PLA
DIVISION OF ENVIR
NC DEPARTMENT OF
AND NATURAL R
P.O. BOX 29535
RALEIGH, NC 2762 -
ATTN: MR. JOHN D R
Telephone (919) 7
jAQ
E*Nj' f
i
fit;
2 I?
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 Rural Hall
2. OWNERS ADDRESS: P. 0. Box 549. Rural Hall. NC 27045
3• OWNERS PHONE NUMBER (HOME):
LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mr. Frank L. James
Town of Rural Hall
P. 0. Box 549
Rural Hall NC 27045
5
NEAREST TOWN OR CITY: Rural Hall
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS,
N.C. Hwy. 65 - U.S. Hwy. 52
(WORK):[phone]
LANDMARKS, ETC.):
6. NAME OF CLOSEST STREAM/RIVER: Beaver Dam 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:
.06 acre
2/3/92
A,
f' .
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .001
DRAINED: 0.0
FLOODED: 0.0
EXCAVATED: 0.59
TOTAL IMPACTED: .06
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Sanitarv Sewer Installations - Creek Cross
13. PURPOSE OF PROPOSED WORK: Provide sanitary sewer service to 1992
Annexation Area.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. Gravity flow sanitary sewer cannot be provided by any other route.
13: 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 [ ]
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
1.6: 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 [ ]
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? Rural/Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
NER'S SIGNATURE DrAT?E

DEM ID: -0-55'-7)
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 R "RA
P.O. BOX 29535 l5 9 M
U 1
RALEIGH, NC 2762 35
ATTN : MR. JOHN D Y _ Z 19M
Telephone [phone]
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.
1. OWNERS NAME: Town of Rural Hall
2. OWNERS ADDRESS: P. 0. Box 549, Rural Hall, NC 27045
3• OWNERS PHONE NUMBER (HOME) :
ACTION ID:
(WORK):[phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mr. Frank L. James
Town of Rural Hall
P. 0. Box 549
Rural Hall, NC 27045
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Rural Hall
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
N.C. Hwy. 65 - U.S. Hwy. 52
6. NAME OF CLOSEST STREAM/RIVER: Beaver Dam 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:
.06 acre
2/3/92
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .001
DRAINED: 0.0
FLOODED: 0.0
EXCAVATED: 0.59
TOTAL IMPACTED: .06
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Sanitary Sewer Installations - Creek Crossi
13. PURPOSE OF PROPOSED WORK: Provide sanitary sewer service to 1992
Annexation Area.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. Gravity flow sanitary sewer cannot be provided by any other route.
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 [
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.
1,6: 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 [ J
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? Rural/Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
< a/zv/I.
OWNER'S SIGNATURE D TE

DEM ID: 4?,5/)L
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 ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH;
AND NATURAL RESOURCES
P.O. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY ° `'>
Telephone [phone] o
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE S
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
1. OWNERS NAME: Town of Rural Hall
2. OWNERS ADDRESS: P. 0. Box 549, Rural Hall, NC 27045
3. OWNERS PHONE NUMBER (HOME):
ACTION ID:
(WORK):[phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mr. Frank L. James
Town of Rural Hall
P. 0. Box 549
Rural Hall, NC 27045
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Rural Hall
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
N.C. Hwy. 65 - U.S. Hwy. 52
6. NAME OF CLOSEST STREAM/RIVER: Beaver Dam 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:
.06 acre
2/3/92
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .001
DRAINED: 0.0
FLOODED: 0.0
EXCAVATED: 0.59
TOTAL IMPACTED: .06
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Sanitary Sewer Installations - Creek Crossings
13. PURPOSE OF PROPOSED WORK: Provide sanitary sewer service to 1992
Annexation Area.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS. Gravity flow sanitary sewer cannot be provided by any other route.
13. 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 [ ]
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 [ ]
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? Rural/Residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
WN S SIGNATURE OWE

SOMMERDALE COURT OUTFALL - GRASSY CREEK CROSSING
STATION 1 + 50
SHEET 2
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MONTROYAL ROAD OUTFALL - CREEK CROSSING
STATION 14 + 55
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STATION 4 + 00
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MONTROYAL ROAD OUTFALL - CREEK CROSSING
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