19950284 Ver 1_COMPLETE FILE_19950110

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. Jeff Boyles, PE
City Engineer
City of Mount Airy
P.O. Box 70
Mount Airy, N.C. 27030
Dear Mr. Boyles:
FILE
coNr
You have our approval to place fill material in 0.09 acres of wetlands or waters for the purpose
of installing a underground water line at Industrial Park, you described in your application dated
8 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 pen-nits 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,
7' "
r ston Howard, J . P
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
95284.1tr
WOM
C) FE F1
March 17, 1995
Surry County
DEM Project # 95284
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
l%
City of Mount Ai
March 8, 1995
Mr. John Dorney
Water Quality Planning
Division of Environmental Management
North Carolina Department of Environment,
Health, and Natural Resources
Post Office Box 29535
Raleigh, NC 27626-0535
RE: Industrial Park Off-Site Water Line
Red Brush/McKinney Road
Mount Airy, NC
Dear Mr. Dorney:

r.
Please find enclosed for your review one set of plans along with seven sets of completed
application forms for "Nationwide Permits that Require Application for Section 401
Certification" for NWP 12 for the referenced project.
Also attached to this application is the cover letter of a facsimile I received from Mr. John
Thomas of the U.S. Army Corps of Engineers, Raleigh Regulatory Field Office on which he
details the areas of concern. The numbers one and two, which are circled, reference the areas
shown on the location map.
I would be glad to visit the sites with you at your convenience. If you have any questions,
please give me a call at [phone].
Sincerely,
(?441L,j 0 Ul??
Larry Combs
Engineering Technician
Enclosures
P.O. Box 70 • Mount Airy, NC 27030 • [phone] • Fax: [phone]
FROM
03.06.1995 14:17 NO. 5 P. I
Army Corps of Engineers
Raleigh Regulatory Field Office
6512 Falls of the Neuse Road
Suite 105
Raleigh, North Carolina 27615
Phone: [phone]
Fax: [phone]
FAX COVER SHEET
Date: Ar ? C
Message to: 1 a r r if
From: _ Z4 76 )A'.l
Total number of pages, including cover page: .
If all pages are not received, please call 876-8441, ext.
Remarks: ?/YQ fQ cam C?7?e
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FROM 09.02, 1994 11 ?07/5 NO, 2 P,
ACTION ID•
EM'ID: I Z ;`
ulonwide permit Requested (Provide Nationwide Permit #): t
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for Section. 401 certification
Wn.,M NGTON DISTRICT ENGINEER WATER QUALITY PLkNNTNG
CORPS OF ENGINEERS DrMION OF ENVIRONMENTAL MANAG Q d [ ?°"
DEPARTMENT OF THE ARMY NC DEPARTMENT OF ENVIRONMENT. HE
P.O. Boa 1894 AND NATURAL RESOURCES
Wlmiagton. NC 284x2.1890 P.O. Boy. 29535 7,, ., MAR 1 41995
ATTN: CESAW-CO-E Raleigh, NC 27626-0535
Telephone [phone] ATIN: MR JOHN DORNEY a Ti non , ; f r
Telephone(919)'''133- 1"18Co
NE (1) COPY OF THIS COMPLETID Af'P1-ICATIN.C. SHOULD BE SENT TO THE CORPS IVISION 0 ENVTRONMII?t'TAI- OF ENGINEERS.
EVEN (7) COPIES SHOULD BE SENT TO THE
CEASE PRINT.
OwnersName: City of Mount Air
Owners Address: P.O. Box 70 Mo
Owner Phone Number (Home): [phone] (Work):-(gin) 7-g(,--3542
H Applicable: Agent's name or respoasible corporate official, address, phone number:
Jeff Bo les PE' City Engineer
P.O. Box 70
Mount Airy, NC 27030 [phone]
Location of work (MUST ATTACH MAP). County:
fearest Town or City: M
pecifie Location (Include road numbers, landmarks, cte.): SR 1350 - SR 1359
;. Name of Closest Stream/River.
-t-oTa,YY ' C C,YPP4
River Basin: Yadkin - Pee Dee
1. Is this project loczwd in a wat: shed classified as Trout, SA, HQW, ORW, WS L or WS n? YES [ ] NO [A
?. Have any Section 404 permits been previously requested for use on this property? YES (1 NO
If yes, explain.
to. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
+ 0.09 Acre -
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed Proje=
I A
Surrv
Fflla. 0.09 Acre (Underground Water
Flooded:
M
FROM 09,02, 1994 11;19 NO. 2 P. S
.2. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only):
Installation of ductile iron water
3. Purpose of proposed work: Supply water to Industrial
!4. State reasons why the applicant believes that this activity must be carved out in wetlands. Also, note measures
aken to minimize wetland impacts- Must cross wetlands to get to rQ?? and inrn Tnrluctri n1 Perk
1. Crossing Streams @ 900 2. Pro er e
-.5. 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 orproposcd 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] N/A
tESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
!6. You are required to contact the State Historic Preservation Officer (SHPO) regarding the presence of historic
Iroperties in the permit area which may be affected by the proposed project? Have you done so? S[ ) NO [X) N/A
IESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
l7. Additional.inforination required by DEM:
A. Wetland delineation map showing all wctlands, streams, and lakes on the property. N/A
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.
E. What island use of surrounding property? Residential, Woodlands
F. If applicable, what is proposed method of sewage disposal? Gravity sanitary Sewer
Owner's Signature
? $ ,s
Date

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