19950093 Ver 1_COMPLETE FILE_19950223

State of North Carolina
Department of Environment,
Health and Natural Resources
Winston-Salem Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Leesha Fuller, Regional Manager
October 31, 1995
Mr. Randy Mitchell
Winston-Salem Parks and Recreation Dept.
2480 Reynolds Park Rd.
Winston-Salem, NC 27107
LT. IOWA
E)EHNR
DIVISION OF ENVIRONMENTAL
MANAGEMENT
SUBJECT: Notice of Violation Response Letter (Oct. 18, 1995)
Water Quality Certification Number 2665
DEM Project No: 95093
Non-compliance with 401 Certification Conditions
Bowen Park, Winston- Salem, Forsyth County
Dear Mr. Mitchell:
RECEIVED
NOV 0 91995
ENVIRONMENTAL SOIENOES
This office is in receipt of your response to the above referenced Notice of Violation.
We are informed that the required check dams have been reinstalled and that site conditions
prevented floodplain benching in all but a minimal portion of the stream. As soon as the
scheduled revegetation along the stream's edge has been implemented, please notify the
Winston-Salem Regional office. Based on the Recreation Department's concerns about
visibility and security, you may prefer to revegetate with lower growing varieties of riparian
plants.
Please keep in mind that failure to perform this project in accordance with the 401
Certification would remove pre-existing water quality functions and would violate the North
Carolina Antidegradation Water Quality Standard (15A NCAC 2B .0201).
Sincerely,
/
M. StevelY Mauney
Water Quality Supervisor
MSM/jrl
cc: John Thomas, US COE
Gray Hauser, LQ Section
Central Files, Raleigh
John Dorney, Ecological Assessment Unit
CIE-E 1, "1/ E D
NOV 1 1995
SOIL T\w-spkrec.res2
585 Woughtown Street, Winston-Salem, North Carolina 27107-2241 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
w?
•T ??FOITI. iC?J Pao
CITY OF WINSTON-SALEM
RECREATION & PARKS DEPARTMENT
MAINTENANCE DIVISION

- T' • 4 ,,..r,
P.O. BOX 2511, WINSTON-SALEM, NORTH CAROLINA 27102
919-650-7670 fax [phone]
October 18, 1995
Larry Coble
State of North Carolina
Department of Environment
Health and Natural Resources
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
SUBJECT: Notification of Violation
Water Quality Certification Number 2665
DEM Project No: 95093

Non-Compliance with 401 Certification Conditions
Bowen Park
Forsyth County
Dear Mr. Coble:
The City of Winston-Salem Recreation and Parks Department
acknowledges receipt of the Notice of Violation and the Non-
Compliance with the 401 Certification Conditions at Bowen Park.
The intent was never to be in non-compliance but to complete a
workable project acceptable to both Land Quality Management and
Water Quality Management.
A design for the Bowen Park Creekbank Stabilization Project
was submitted and, after several revisions, approved by your
Division. This design included debris control check dams,
revegetation of streambanks, and floodplain widening "which can be
widened" (see notes on sectional detail design) through the use of
floodplain benching. Theoretically, we thought all possible
problems had been addressed. Our design was incomplete as we
failed to station our floodplain benches and no specific locations
were designated in the approval by your division. We, therefore,
share in this oversight.
On September 22, 1995, I met with Ron Linville of Water
Quality Management, along with representatives from Raleigh, at the
Bowen Park Site to review the non-compliances of the project. It
was determined that an area of fifty lineal feet (50') could have
been used for floodplain benching at station 6 + 30. The total
lineal footage of the project is 2435'. Installing the floodplain
_. . N.
bench would. have only impacted the project by 2%. This percentage
would have had a minute effect on the velocity of the stream
throughout the total project; therefore, it is requested that this
action be waived.
To date, we have reinstalled debris control check dams in
adjacent waterways to the Bowen Boulevard Creek and volunteer
vegetation is starting to grow through the armored banks. We hope
this letter will serve as an explanation and that our corrective
actions will satisfy compliance issues in regard to the 401
Certification of Water Quality Management.
Sincerely,'
R ndy itc ell
Recreation Maintenance Supervisor
cc: Thomas J. Gavin,III
Nick Jamison
Sam Barbee
John Thomas, US COE
Gray Hauser
Ron Linville
r;.

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
IOWA
I D EHNR
February 21, 1995
Forsyth County
DEM Project # 95093
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Winston-Salem Parks and Recreation Dept.
2480 Reynolds Park Road /V.
Winston-Salem, N.C. 27107HL E )
Dear Sirs:
You have our approval to place fill material in 0.8 acres of wetlands or waters for the purpose of
stabilizing streambank at Bowen Boulevard Park, as you described in your application dated
31 January 1995. After reviewing your application, we have decided that this fill is covered by
General Water Quality Certification Number 2665. This certification allows you to use Nationwide
Permit Number 13 when it is issued by the Corps of Engineers.
This approval is only valid for the purpose and design that you described in your application. If
you change your project, you must notify us and you may be required to send us a new application.
For this approval to be valid, you must follow the conditions listed in the attached certification. Stream
side planting of such species as alder, black willow, green ash, sycamore or river birch shall be done
after construction (approximately 400 trees/acre) to stabilize the shoreline: Rock check dams shall be
installed at all ditches or tributaries to the stream in the project area to reduce velocities. In addition,
you should get any other federal, state or local permits before you go ahead with your project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 30 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, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Environmental Management under Section 401
of the Clean Water Act. If you have any questions, please telephone John Domey at 919-733-1786.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Domey
Central Files
95093.1tr
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
Sincerely,
INDEX-12-94-12-6 ?
RECEIVED
FEB 2 8 1995
ENVIRONMENTAL SCIENCES
DEM ID: ARANCH ACTION ID:
'3
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. BOX 29535
RALEIGH, NC 27626-0535
ATTN: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS,OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF "
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
1. OWNERS NAME: Winston-Salem Parks and Recreation Department
2. OWNERS ADDRESS: 2480 Reynolds Park Road
W7.netnn-9a1am, North Carolina 27107
3. OWNERS PHONE NUMBER (HOME):
(WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Nick R. Jamison
Tobacco Square
a treet
Winston- a em, or Carolina 7102
5. LOCATION OF PLANNED WORK (ATTACH MAP).
y?
COUNTY : Forsyth
NEAREST TOWN OR CITY: Winston-Salem
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Bowen Boulevard Park
6. NAME OF CLOSEST STREAM/RIVER: Yadkin River
7. RIVER BASIN: Yadkin
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW,.ORW,
WS I, OR WS II? YES [ ) NO [X] I
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [X) NO [ J
IF YES, EXPLAIN. Army Corps of Engineers
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.8
2/3/92

-2-
- rY4 tf; ?
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .8
DRAINED: .0
'."
FLOODED : .0
EXCAVATED: .l =
TOTAL IMPACTED: .9
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
stabilization
Structural creekbank
13• PURPOSE OF PROPOSED WORK: Erosion control
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.
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 [X] Copies included
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED-Please forward
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 [X) Copies included
RESPONSE FROM THE SHPO SHOULD BE ATTACHED. Please forward
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY. Copy of map enclosed
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. N/A
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. John Thomas,
Army Coprs of Engineers
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
-COPY. No, contacted Winston-Salem Engineering Department
N/A
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? Urban Park
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
01,26-95
OWNER'S IGNATU E DATE
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Name of evaluator
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Wetland type (select one)*
? Bottomland hardwood forest ? Pine savanna
? Headwater forest ? Freshwater marsh
? Swamp forest ? Bog/fen
? Wet flat ? Ephemeral wetland
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57
To: John Dorney
Through: Steve Mauneyl//'-?
From: Ron Linville ?-
Date: 950216
The following conditions have been discussed with W-S
Recreation and WSRO Land Quality Section (Gray Hauser). Very
little of this project will be in actual wetlands or in the stream;
however, water quality and erosion control improvements should be
anticipated after the project as shown in the modified blueprint
(enclosed). Additionally, the park should be enhanced visually.
Significant urban runoff flows through this park. Your expertise
and knowledge could provide additional considerations, should you
be in the W-S area in the near future. The City Recreation
Department is under cosiderable local pressure to get on with this
project.
Recommended Conditions for Certification of Stream Stabilization:
1. Erosion and Sedimentation measures will meet or exceed
requirements of the N.C. Land Quality Division. (A copy of final
plans should be provided to the WSRO Water Quality Section.)
2. Grading and soil removal should be done in a manner so as
to minimize instream impacts. Instream dredging should be avoided
and should be minimized whenever such dredging is necessary.
3. Hardening of steep slopes should only be accomplished in
areas where it is not possible or practical to widen the floodplain
by creating the proposed lower floodplain benches.
4. Floodplain bench areas created during the project should
be as wide as practical without interfering with existing uses.
5. Final riparian revegetation should occur on both water
edges of the stream by use of tag alders, black willows and/or
river birch. Areas away from the actual creek may be vegetated
according to city landscaping requirements. Green ashe and
sycamores may be suitable for aesthetic purposes and may provide
for enhanced upper bank stabilization during severe flooding.
6. Rock check dams should be installed in ditches and other
tributaries discharging into the stream throughout the project area
for the collection of debris and trash as well as to reduce
sidestream water velocities.
JO V/
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11VLGA-1L?7'i-1G-?
DEM ID: T509?a'
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 WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL-MANACy T'";;
,IHEALH?
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT
P.O. BOX 1890 AND NATURAL RESOURCES'
WILMINGTON, NC 28402-1890 P.O. BOX 29535
ATTN: CESAW-CO-E RALEIGH, NC 27626-0535_ JAN 1 1995
Telephone [phone] ATTN: MR. JOHN DORNEY
Telephone [phone]q,83 WETLkNDS s ZQU'P i
4`l iER !?Uh?ll f 1101
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:
Winston-Salem Parks and Recreation Department
2. OWNERS ADDRESS: 2480 Reynolds Park Road
Winetnn-4a1am, North Carolina 27107
3. OWNERS PHONE NUMBER (HOME): (WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,-ADDRESS,
PHONE NUMBER: Nick R. Jamison
Tobacco Square
836 Oak Street
Winston-Salem, North Carolina 7102
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Winston-Salem
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Bowen Boulevard Park
6. NAME OF CLOSEST STREAM/RIVER: Yadkin River
7. RIVER BASIN: Yadkin
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 [X] NO [ ]
IF YES, EXPLAIN. Army Corps of Engineers
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.8
2/3/92
-
-2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .8
DRAINED: .0
FLOODED: .0
EXCAVATED: .1
TOTAL IMPACTED: .9
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS): Structural creekbank
stabilization
13. PURPOSE OF PROPOSED WORK: Erosion control
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.
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 [ 1 NO [X1 Copies included
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.Please forward
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 [ 1 NO [X1 Copies included
RESPONSE FROM THE SHPO SHOULD BE ATTACHED. Please forward
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY. Copy of map enclosed
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT. N/A -?
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. John Thomas,
Army Coprs of Engineers
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
-COPY. No, contacted Winston-Salem Engineering Department
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? Urban Park
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
&17
01-26-9
OWNER'S IGNATU E DATE
INDEX-12-94-12-6 ?
#or -,%
J, .4.
DEM ID: 9009_3
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 7 ,
NC DEPARTMENT OF ENVIRONMENT, `IiEAI*
AND NATURAL RESOURCES: ' ,
P .O. BOX 29535
RALEIGH, NC 27626-0535
ATTN : MR. JOHN DORNEY
Telephone [phone] 'r.7 oulNLI ?'??EM
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: Winston-Salem Parks and Recreation Department
2. OWNERS ADDRESS: 2480 Reynolds Park Road
Wjngtnn-9n1Pmp North Carolina 27107
3. OWNERS PHONE NUMBER (HOME):
(WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,. •ADDRESS,
PHONE NUMBER: Nick R. Jamison
Tobacco Square
836 Oak Street
Winston-Salem, North Carolina 27102
5. LOCATION OF PLANNED WORK (ATTACH MAP).
COUNTY: Forsyth
NEAREST TOWN OR CITY: Winston-Salem
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Bowen Boulevard Park
6. NAME OF CLOSEST STREAM/RIVER: Yadkin River
7. RIVER BASIN:
Yadkin
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 [X) NO [ ]
IF YES, EXPLAIN. Army Corps of Engineers
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.8
2/3/92
4 ?
_2-
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: .8
DRAINED: .0
FLOODED: .0
EXCAVATED: .1
TOTAL IMPACTED: .9
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
stabilization
Structural creekbank
13. PURPOSE OF PROPOSED WORK: Erosion control
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.
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 [X] Copies included
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE ATTACHED.Please forward
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 [ J NO [X] Copies included
RESPONSE FROM THE SHPO SHOULD BE ATTACHED. Please forward
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTI. Copy of map enclosed
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE'IMPACTED BY
PROJECT. N/A
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. John Thomas,
Army Coprs of Engineers
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
-COPY. No, contacted Winston-Salem Engineering Department
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? Urban Park '
F. F APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
N/A
-99
OWNER'S IGNATU E ?'?" DATE