19950402 Ver 1_COMPLETE FILE_19950420

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
APPROVAL of 401 Water Quality Certification
Mr. A. Ray Murphy, Jr.
Associate Superintendent
Davidson County Schools
P.O. Box 2057
Lexington, N.C. 27293-8182
Dear Mr. Murphy:
?EHNR
April 27, 1995
Davidson County
DEM Project # 95402
You have our approval to place fill material in 0.02 acres of wetlands or waters for the purpose
of constructing a force main sewer line across Brushy Fork Creek at NC 109, as you described in your
application dated 13 April 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 Domey at 919-733-1786.
Sincerely,
ston ard, r. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
Eddie Mac Eldowney; Davis-Martin-Powell and Associates
95402.1tr
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

4 g5 ya a.
DAVIS - MARTIN - POWELL & ASSOCIATES, INC.
ENGINEERING LAND PLANNING • SURVEYING
218 GATEWOOD AVENUE • SUITE 102 RECEIVED
- HIGH POINT, NC 27262
PHONE [phone] • FAX [phone] APR 1 81995
401 ISSUED ENVIRONMENTArL`SCIENCES
DOAM4
April 13, 1995
Re: Davidson County Schools
Wallburg Elementary School
Sewer System Improvements
Job No. E-1879
Wilmington District Engineer
Corps of Engineers
Department of the Army
PO Box 1890
Wilmington, North Carolina 28402-1890
Attention: CESAW-CO-E
Dear Sir or Madam:
We have enclosed an original signed copy of a Nationwide Joint
Application Form for the above referenced project.
This project involves installing a 6-inch ductile iron force main
across Brushy Fork Creek adjacent to N.C. Highway 109. The creek
will be restored and lined with rip-rap immediately following the
pipeline installation.
We have enclosed an 8z" x 11" copy of the construction plan and the
USGS Topographic Map marked to indicate the location of this work.
We appreciate your assistance and look forward to receiving
approval for this work at an early date.
Very truly yours,
DA IS-MARTIN-
EM/acf
c: A. Ray Murphy,
John Dorney (7
File
co
Jr.
copies) /
& ASSOCIATES
FRR 05,31,1944 11:19 NO, 2 P. 4
m: ACTION M:
vatianwids Permit Requawed (Provide Naga
nwide Pesiait #): .
JOII'T FORM FOR
Nationwide permits that rewire notification to the Corps of Engineers
Nationwide permits that require application for Section 441 cwWcation
WILNf VGTON Dv=:, cT m3z EER
coRPS OF ENGZMERS
DEPART?MZ MqT OF TBE ARMY
P.O. Bois 1890
w"1lmington. NC 28402-1890
ATM: CESAW-CO-E
Telephone [phone]
WATER QUALM-f PEANNING
DIVISION OFEWMOMMSTALMM,
NC DEPA MMENTOF rz- I ()LAMENT.
AND NATURAL RESOURCES
P.O. Bor. 29535
Ralwgb, NC 27626-0535
ATTN: MR. JOEEN DORNEY
Teieuhoue (919) 7 33-5083
)NE (1) COPY OF THIS COMPLEI°r"D APPLICATION SHOUZD BE SENT TO THE
ZVEN M COPIES SHOULD BE SENT TO TIE N.C. DIVISION OF ENVIRONM
'LEASE PRINT.
App; (' -'5
ERS
. Owners Name: Davidson County Schools
OwnemAddrew. PO Box 2057
• Ownem Pbom Nuazber (Home): N/A [phone]
If AMlicsble: Agent's name or respanifi le =pw= official, address,.phone number
A. Ray Murphy, Jr. Associate Superintendent
Same as above
Locat om of work OAUSTAT"j'ACH IM"). C=mtr. Davidson
fearestTown orCAy: Wallburg, North Carolina
Pic L= don (Include road nu mtbers, jaadm3tin, es-): Located at Brush Fork Creek at
ui chway 109 approximately 4,000 feet north of the communit

of W
• Name of Closest SaeuvRivw.. Brushy Fork Creek
River Basin: Yadkin
Is this pMert l=md in a watershed classified as Txmw SA. HQW, ORW, W5 L ar wS ir. YES DI NO I I
. Have any Sc=oa 404 permits been previoasiy requeued for use on this property? YES ? I NO -W
If yes, explain.
0. Esdmwad total number of acres of waters of the U.S., including wetlands, located o>z project site:
0.02 Ac t
1. N=bcr of acres of waters of the U.S., including wetlands, impacted by the Mpcsed project
Me&
Drained:
Flooded:
Fxc?tvased: 0.02 Ac t
TowI=Pactcd: 0.02 Ac t
FROM 05,31,1994 11:19 NO, 2 P. 5
12. Description of proposed work (Attach PLANS-8 1!Z" X 1I~ drawings only): Installation of a 6 inch
ductile iron force main across the creek adjacent to an existing culvert. Pipe will be below
the bottom of the creek.'
13. Purpose of proposed work To eliminate an existing discharge of wastewater to surface water.
14. State reasons why the applicant believes that this activity must be carried out in wetlands. Also, now measures
taken to minimize wetland impacts. Insufficient soil cover between the top of the culvert and roadway
requires us to install the pipe in the location selected.
15. You are required to contact the U.S. Fish and WBdlik Service (USFWS) and/or National Marine Fisheries Service
(NMFS) regarding the presence or any Federally listed orproposed for listing endangered orthreateued
habitat in the permit area that may be affected by the proposed project Have you done so?Sspecies or critical
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS. I NO i ,
16. You are required to contact the State lEstoric Preservation Officer (SHPO)
S (of historic
properties m the permit area which may be affected by the proposed project? Have regarding ne o?C YEprese
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CARPS. y ? j NO ? l
17. Additional.informatiou 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 placernent of the
delineation line.
D. If a stotmwater management plan is required for this pro je.M attach copy.
E. What is land use of surrounding property? Agricultural and Single Family Residential
F. If applicable, what is proposed method of sewage disposal? Public Sewer
? n.. /fSJ rt ?of 3
Owne s s1p&ure U ..._
i
O ?
D
N
N
Ui
N W
\ +
N O
• O
of
mz --f?
° m O
03 m C13 LTI
o0>
UI M O
z
m
_
H
O
G7
m
=m r
n
o?
>Z
EX. BOX
--- L CULVERT 1
I 12.0'
m
rn L I
_?
N D
N
v W
N O 1
co I
m ( 1
Z
O
dW?
T,qZ -X3
z
m i i
m I
rn ( 11
J uW
IA
6• '
4STrC pjpF
-0
U)
O
Z
m
CO
rn
4
m
., 3
m ?
r
o
m
D
CQ
m
3
N 2: r-
14 F-{ H
_4 Z
= m
v
r n O
n r F-4
n cn
1 m
mcn c
=
m U) Z " CO
= D -I i--i m
0

N
Ui _ =
W -i i m
\ + _ = m
N U1 D T.
• cn

co
S
m D
o
z
m
r
;N
U1
N
O
O
U1
W
O
O
U1
O
O
Ln
Ui
O
O
i I I...! 11h+
74-1
?. .
1 ¦ i ? 1jf t (`? ? O? ?1
} sac=
-? CS
/ ?9
•?I. A4
ASSOC. INC.

9
r??? ?1 1 co
920 rJ
c=am...
?• WALLBURG •
ELEMENTARY
.? f v u ? I .v/ I
SCHOOL /?.