19950613 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
AT." F
1:3 FE 11111A F=1
June 14, 1995
Surry County
DEM Project # 95613
APPROVAL of 401 Water Quality Certification
Town of Pilot Mountain
P. O. Box AA
Pilot Mountain, N.C. 27401
FILE COPY
Dear Sirs:
You have our approval to place fill material in 0.24 acres of wetlands or waters for the purpose
of installing a 16-inch force main in the shoulder of NC 268 from the Town of Pilot Mountain WWTP
to Aranat River, as you described in your application dated 7 June 1995. After reviewing your
application, we have decided that this fill is covered by General Water Quality Certification Number
2745. This certification allows you to use Nationwide Permit Number 7 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. 276 1 1-7447. 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,
stop oward, J . E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Mr. John Dorney
Central Files
William C. Piver; Wm. C. Pivcr & Associates
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal opportunity Affirmative Action Employer
95613.1tr
Telephone [phone] FAX [phone]
50% recycled/ 10% post-consumer paper
DEM ID: q,56,,13 ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #):
JOINT FORM FOR
Nationwide permits that require notification to the Corps of Engineers
Nationwide permits that require application for 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 IGO NT, I'
NC DEPARTMENT OF ENVIRONME ,,Ai°; H,
AND NATURAL RESOURCES
P.O. Box 29535
? d JUN - g 1995
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY I
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: To w h of ?1J, o ?" YI? oG , , /`J .
2. Owners Address: tad. t?r1A?eR ?F? ?a+ ?v?,,}a 7 27 c711
3. Owners Phone Number (Home):
(Work): 21c 1368-2z1-/8
4. If Applicable: Agent's names or responsible corporate official, address, phone number:
06s -5441,i; FCJ,4 «? to4 J SU l-, 95 0
tJ. c z7? ?9 ?I 919 /87i? 0,0? 1
5. Location of work (MUST ATTACH MAP). County: 5 ?A
Nearest Town or City: ?? yr??y, ,, 1
Specific Location ?(Include road numbers, landmarks, etc.): !mil . L' °d er 1 Yti Oil
s,G / AC, Ic.? l?,0P-A
6. Name of Closest Stream/River: 411 G A 0 EA
7. River Basin: ?a J [c: _ "Pe I el
8. Is this project located in a watershed classified as Trout, SA. HQW, ORW, WS I, or WS II? YES [ ] NO [v]'
9. Have any Section 404 permits been previously requested for use on this property? YES [ ] NO [.1,14.
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site: . Z q A,
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded: N
Excavated:
Total Impacted: 2'
12. Description of proposed work (Attach PLANS-8 1/2" X 11 " drawings only): 4 F , -,
5L lJ?.c ?f N e ei r14 s,-ie_] Of P-14 '114
J
13. Purpose of proposed work: - 1 ? c F T+ o 1? IJ cl -lam A.t t ?.c.,e c 1'4.c l u
14. State reasons why the applicant believes ghat this activity must be camed out in wetlands. Also, note n??ea es
taken to minimize wetland impacts. ?.? I,. a f I k_: be_ h-) e- ?nl ttiJT . ?1 tt ?u
t:/W1,1, eJ?l VIN, rAlAv,1?
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 speci s or critical
habitat in the permit area that may be affected by the proposed project. Have you done so? YES [,7 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[ --f 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? 1Z A
F. If applicable, what is proposed method of sew

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Development Management And Engineering 63 ?\
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RALEIGH, NORTH CAROLINA 27609 ?P?
( 872-0021
rAX9 [phone] /J. C. AQ t 141y
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