19950321 Ver 1_COMPLETE FILE_19950329

State of North Carolina
Department of Environment,
Health and Natural Resources 4
Division of Environmental Management
James B. Hunt, Jr., Governor A1111111111111111 IL
Jonathan B. Howes, Secretary 1:3 FE H N F1
A. Preston Howard, Jr., P.E., Director
- March 30, 1995
Forsyth County
DEM Project # 95321
APPROVAL of 401 Water Quality Certification
Mr. Tom Griffin
Utilities Superintendent
City of Winston-Salem Public Works/Utilities Division
P.O. Box 2511 FILE
Winston-Salem; N.C. 27102
Dear Mr. Griffin:
You have our approval to place fill material in 0.24 acres of wetlands or waters for the purpose
of installing a sanitary sewer outfall for the Town of Lewisville, as you described in your application
dated 14 March 1995. After reviewing your application, we have decided that this fill is covered by
General Water Quality Certification Number 2664. This certification allows you to use Nationwide
Permit Number 12 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. 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 Dorney at 919-733-1786.
Sincerely,
r ton Howard, Jr. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Domey
Central Files
Steve M. Causey; DS Atlantic
95321.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 1 096 post-consumer paper
DS.zdlilantrc
ENGINEERS ? ARCHITECTS ? SURVEYORS
March 14, 1995
Mr. John Dorney
Water Quality Planning
Division of Environmental Management
NC Department of Environment, Health and Natural Resources
PO Box 29535
Raleigh, NC 27626-0535
DSAtlantic Corporation
7820 North Point Boulevard
Suite 200
Winston-Salem, NC 27106
910/759-7400
Fax [phone]
RECEIVED
MAR 2 41495
ENVIRONWNTAL SCIENCES
00A ernN
SUBJECT: LEWISVIL LE SANITARY SEWER COLLECTION SYSTEM
APPLICATION FOR SECTION 401 CERTIFICATION
DSATLANTIC PROJECT NO. 94116.00
Dear Mr. Dorney:
On behalf of the Winston-Salem/Forsyth County Utility Commission (WS/FCUC), DSAtlantic is
submitting seven (7) copies of the completed application and seven (7) 8 1/2" x 11" copies of
applicable sections of the plans for permitting the subject project. Mr. John Thomas of the Corps
of Engineers, Raleigh Regulatory Field Office, has reviewed the project and required permitting for
the areas indicated on the plans.
Please begin review of the information at your convenience. The WS/FCUC would like to begin
construction in early May.
Please contact my office if you have any question or comments.
Sincerely,
6av ; 7 '
Steve M. Causey, P.E.
SMC/rch
Attachments: As noted above
cc: David Saunders, P.E., City/County Utilities Administration, w/attachments
James Mark Smith, P.E., DSAtlantic Corporation
File
Charlotte, NC • Fort Myers, FL • Raleigh, NC • Winston-Salem, NC
71? ?J.3 ?y?y
3;'16%95 14:27 $919 733 9959 NC DEX WQ ENVSCI Q004
. DEM ID: Q15 -5
1
_ ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #): N W P #12
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section 401 certification
VvII.MINGTON DISTRICT ENGINEER WATER QUALITY PLANNING
CORPS OF ENGINEERS DIVISION OF ENVIRONMENTAL, ? ? '`
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONME
.P.O. Box 1890 AND NATZTRALRESOURCES ALTH,
Wilmington. NC 28402-1890 P.O. Boy. 29536 r' MAR ? 1995
ATM CESAW-CO-E Raleigh, NC 27626-0535
Telephone [phone] ATM: MR- OHN DORNEY
Telephone [phone]
ONE (1) COPY OF TIES COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL F ENCi MERE
PLEASE PRIIJT.
xIT.
1. OwnersName:City of Winston-Salem Public Works/Utilities Division
2. Owners Address: PO Box 2511 Winston-Salem NC 27102
3. Owners rnone Number (Home):

(Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number.
Tom Griffin P.E. Utilities Su erintendent
PO Box 2511
Winston-Salem, 'NC 27102
5. Location of work (MUST ATTACH MAP). County Forsyth
Neatest T o w n o r City: L e w i s v i 11 e
S p e c i f i c Location (Include road numbers, landmarks, etc.): A l o n g R e y n o l d s Creek from an e x i s t i n g
manhole approx. 155 LF southwest of Saddldbrook Circle to app rox. 1500 LF
northeast of Lewisville-Clemmons Road.
6. Name of Closest Stream/River. R e y n o l d s Creek
7. MverBasin: Muddy Creek/Yadki n River-Basin
8. Is this project located in a watershed classified as Trout, SA. HQW, ORW, WS I, or WS II? YES [ l NO R
9. Ilm any Section 404 permits been previously requested for use on this property? YES [ ] NO [)I
If yes, explain.
10. Estimated tool number of acres of waters of the U.S., including wetlands, located on project site:
265 total LF of creek crossings x 40` (wide) = 10.600 SF = .24 Acres
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded:
excavated:
0.24 Acres
Total Impacted: 0.2 4 Acres

12 Description of proposed work (Attach PLANS-8 12" X I V drawings only): Installation of
Sanitary Sewer Outfall for the Town of Lewisville.
13. purpose of proposed work: To serve portions of Lewisville with Sanitary
Sewer service. e
14. Sate reasons why the applicant brAlignment >e? chs fi activity s wtt'e rt be u al but boy' i o wands. nAa l!ou not? mcr a Deb er
rai?sn to e Wed and im?actk g e
a ongme cree n n and e i men o r
from the North Carolina Department of Environment. Health and Natural
Ke ources Io minimizerpct t i nos .
15. You are requred to contact the ish ands a ce (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 FORWARDED TO CORPS.
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 FORWARDED TO CORPS.
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? R e s i d e n t i a l and u n d e v e l o p e d .
F. If applicable, what is proposed method of sewage
? Municipal collection and treatment.
-3/Z-0
Owner's
e f.
D O'DELL AND JEWELL CALLOWAY
BLOCK 4410 LOT 147
DB 1310 PG 694

Zp
s S S MH D-
lool
gp+Op /
S g'S5'S2, W / D O'DELL AND JET
28a p2? ?' BLOCK 4410
D8 1310
SS MH D-4
- `? STA. 30+25.03
- - TOP EL=872.3
INV IN=863.47
INV OUT=863.39
TA. 32+
TOP EL=8
INV IN=87
INV OUT
/ CAROLINA WATER SERVICE J?
BLOCK 4426
LOT 2G /? -
/ SS MH A-1 +--- - ---- --
50' ONS . 25'
STA. 0+86.89 / EA MENT
TOP EL=791.6
INV IN=785.58 1+00
INV OUT=782.89 /4
?
I `?`•-
? /
? A ?? / i•
El
?
----
/ ------------ooll
"-.ooo ----
op\. __.?
/ BEGIN PROJECh o Y `? ?---
EXIST SS MH
00, STA. 0+09.49
TOP EL=790.02
GARRY
NEW INV IN=782.22 GARRY AND ALICE MERRITT
o EXIST. INV OUT=782.05 BLOCK 4425D I
EIP LOT 26
is .
{
W
FABRIC LINER MIN. t 20"
-1-0-0-YEAE-EL.00n C%
CLASS B EM ION CONTRO,
l ?? r Zl'* IA
69
I?r CLASS
' »- 54' 12" OIP FERNCO` CC
I i - -G
I 3.14' OUTSIDE DROP ?
i ; ( 1
780
'77340' 15" DI PIPE: 34' CONCtRETE:ENCASEMENT
-'-®-03
`0 "-BEDD G ? t
r?if ? ` i -
r BLOCK 4426
LOT 2X
ll?
11
EXISTING MH
(El P
TOP=799.66 EIP
FL=792.27 J ,
_ 1 ?" -? SS 8''VC
? N
0.
?a
SS MH A-3 --J
STA. 7+37.88
TOP EL=798.2
INV IN=790.35
INV OUT=790.27
4" SS

D?

J w
CL CLASS I IP-RAP a:
?WT-/FABRIC LINER;
' j ?t = --
I 1 .
800
1171 s f 1{ F i E ? i
r-
f l' t i E .
I U
vG
pliparl:
p E ®i
! 790
© IN J
12" UIF
?' 49' C_4N R EMNT
i i
I _7+ Q •?
EIP

? LAWRENCE AND MARY HOWE
BLOCK 4426D
LOT 13 /N..
(DB
--.?--• EIP _
?. EIP`
\ 912• CA
\ 206 Soy \ ? ?
.47
PIPE
N,'----------aZ?.?----J __ -----------
r --------------- ---- -- EX MH
-' 7
.?...`. _
00........... . ... 930
N 80 3'58„ w ... , 26k
24+
.0 0
25++OQ
-r
~ 1
SS MH A-11
STA. 25+16.05
TOP EL=825.5
i INV IN=816.44
INV OUT=816.36
BRUCE AND LINDA SOVEREIGN
BLOCK 4426F
LOT 156
T 6 39+00 o S 54.29-09" W ?0^
0 166.71
20' PERMANENT EASEMENT
SS MH A-16
STA. 38+18.80
Jy TOP EL=848.79
INV IN (8")=841.75
INV IN (12")=841.33
INV OUT=841.25
N
20K. /
r ?
SS MH A-20
STA. 46+36.41
TOP EL=876.2
INV IN=863.91
INV OUT=863.83
\- - _ _ C
46+00
48'50'29" W
294.11'
45+00
?SEMENT - -- ,fix
EMPORARY CONS (RUCTION EASEMENT \ ?Q,
\
•c?s= ---- - - - -
11'21 W 22+00 \\ \
X7.13' \\ \ PHILIP A AND JE
\ BLOCK 4426 U
DB 1787 P(
----------- \ \?
SS MH D-1
STA. 22+37.13 \\ \ x?o\ \ \. \
TOP EL=853.4 \ ,? \ \
INV IN=844.97 \ ? \\
INV OUT=844.89 \ . \
Y 0 MOCK \ p
X 4426 \ / ?, \ \
T 102 CONSTRUCTION EASEMENT / X \
\ \` `?• 1 ... ?
PERMANENT EASEMENT
SS MH D-2
STA. 24+31.36
TOP EL=858.7