19951061 Ver 1_COMPLETE FILE_19951005

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 4*A
OM%
r. ?
C) EHNR
October 5, 1995
Forsyth County
DEM Project # 951061
APPROVAL of 401 Water Quality Certification
City of Winston-Salem
c/o Mr. Paul A. Stimpson
P. 0. Box 2511
Winston-Salem, N.C. 27102
FIL`
W ..
Dear Mr. Stimpson:
You have our approval to place fill material in 0.13 acres of wetlands or waters for the purpose
of installing a joint water main at Vance Road east of Quawatha Drive, as you described in your
application dated 29 September 1995.. After reviewing your application, we have decided that this fill
is covered by General Water Quality Certification Number 3022. 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 60 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,
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
951061.1tr
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
.. p. .
U.S. ARMY CORPS OF ENGINEE
WILMINGTOINI DISTRICT
O
Action ID. f1 (061 County Forsyth
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent City of Winston-Salem, c/o Mr. Paul A. Stimpson
Address Post Office Box 2511. Winston-Salem. North Carolina 27102
Telephone No.
Size and Location of project (waterway, road name/number, town, etc.) Sewer outfall project
located off of Vance Road (S.R. 2014), adjacent to Dean Creek. Kernersville, Forsyth County.
North Carolina.
Description of Activity
Proposed sewer outfall project with a single stream crossings of Dean Creek resulting in 0.13
acres of impacts to jurisdictional waters of Belews Creek.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
NWP 12 Regional General Permit or Nationwide Permit Number.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the undersigned permittee of the responsibility to obtain any, other required Federal, State, or
local approvaWpermits. The permittee may need to contact appropriate State and local agencies
before beginning work.
By signature below, the permittee certifies an understanding and acceptance of all terms and
conditions of this permit.
Regulatory Project Manager
Expiration
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
q??
?I
95io(.01 401 ISSUED
• °°qe„A
September 29, 1995
CITY OF WINSTON-SALEM
PUBLIC WORKS DEPARTMENT
P.O. BOX 2511, WINSTON-SALEM, NORTH CAROLINA 27102
Mr. John Dorney
Water Quality Planning Division
of Environmental Management
N.C. Dept. of Environment, Health
and Natural Resources
4401 Reedy Creek Road
Raleigh, NC 27607
Dear Mr. Dorney:
RE?E`v -0
0105 05
41R0??ojA'-NCIENCES
E
I have enclosed seven copies of the 401 Water Quality Certification
Application and plan/profiles for the creek crossing at Station
62+00 along Vance Road. The first section of this road, Station
12+00, was approved on September 20, 1995. I have filled out a
separate form for the Vance Road extension to avoid confusion. An
additional copy has also been sent to the Corps of Engineers. If
you have any questions, please call me at [phone].
Sincerely,
ENGINEERING DIVISION
14'
?aul A. Stimpson
Project Engineer
PAS/ac
Enclosure
.
ir I'
DEM ID:
(Sht. 9 of 9)
ACTION ID:
N.W.P. #12 Vance Road. Water Main, Project 70148
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. OWNER'S NAME : City of Winston-Salem
2. OWNER'S ADDRESS: P:O. Box 2511, Winston-Salem, NC 27102
3. OWNER'S PHONE NUMBER (HOME) : N/A (WORK) : 910/727-2141
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: Kernersville
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Approximately 1,100 LF east of Quawatha Drive
6. NAME OF CLOSEST STREAM/RIVER: Dean Creek
7. RIVER BASIN: Dan
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 [g ]
IF YES, EXPLAIN
10. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT
SITE: 5,600 square feet or 0.13 acres (Sta. 61+50 - Sta. 62,90)

r -11L
11. NUMBER OF ACRES OF WETLAND IMPACTED BY THE PROPOSED PROJECT:
FILLED: NWP 12 N/A
DRAINED : N/A
FLOODED : N/A
EXCAVATED : 0.13
TOTAL IMPACTED: 0.13
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS) : Installation of
8" Snap-Lok restrained -joint water main
13. PURPOSE OF PROPOSED WORK: To provide water service to the
surrounding 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. The proposed water main must cross wetlands to provide
Citv water to .citizens who need this RPTvinP_ rnnq-nirf-inn shall t-Alra nlAr"m
indicated on the attached plans.
15. YOU ARE REQUIRED. TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING
THE PRESENCE OF 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 ]
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 [X ]
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. See attached
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.
N/A
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT,
ATTACH COPY. N/A
E. WHAT IS LAND USE OF SURROUNDING PROPERTY?
Predomi.nently residential
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?

SILTFENCE 61+00
? 360.0' 90

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= 3,829.88 Sq.Ft. I ?
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