19960204 Ver 1_COMPLETE FILE_19960226

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
096?t
IT 0
A&41
ED FE F1
March 5, 1996
Guilford County
DEM Project # 960204
APPROVAL of 401 Water Quality Certification
Mr. Perry Kairis
Public Services Director
City of High Point
P.O. Box 230
High Point, NC 27261
Dear Mr. Kairis:
You have our approval to place fill material in 0.75 acres of wetlands or waters for the purpose c'
constructing a sewer line at Kendale Road, Waterview Road, Skeet Club Road, Johnson Street and
Sandy Ridge Road, as you described in your application dated 26 February 1996. After reviewing
your application, we have decided that this fill is covered by General Water Quality Certification
Number 3026. This certification allows you to use Nationwide Permit Number 12 when it is issued b-,
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,
f
I ?' y 1
re on Howar 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
960204.1
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX » 733-9959
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
DEM ID: 0 G 0 2 0 4 ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #): 12
JOINT FORM FOR 401 ISSUED
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 MANAGEMENT
NC DEPARTMENT OF ENVIRO TH,
AND NATURAL RESOURCES C
P.O. Bor. 29535
Raleigh, NC 27626-0535
ATM: MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO T[E 60RPS , OF ENGINEERS.
SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMEI!]"•M MANAGEMENT.
PLEASE PRINT.
1. Owners Name: City of High Point
2. Owners Address: PO Box 230, High Point, NC 27261
3. Owners Phone Number (Home): NSA (Work): [phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number:
Mr. Perry A. Kairis, P.E.
Public Services Director
(same address as above)
5. Location of work (MUST ATTACH MAP). County: Guilford
Nearest Town or City: High Point, NC
Specific Location (Include road numbers, landmarks, etc.): Near the intersection of Kendale Road,
Waterview Road, and Skeet Club Road, Johnson Street, and Sandy Ridge Road
6. Name of Closest Stream/River:
7. River Basin: Cape Fear
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO [K]
9. Have any Section 404 permits been previously requested for use on this property? YES [K] NO [ ]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled:
Drained:
Flooded:
Excavated:
0.75
Total Impacted: 0.75
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): Sanitary sewer system
improvements near Kendale Road, Waterview Road, Skeet Club Road, Johnson Street, and _
Sandy Ridge Road
13. Purpose of proposed work: To provide sanitary sewer service to this project 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. Sanitary sewer line parallels the various creeks in the area with minor
impacts upon wetlands. Applicant will comply with all Nationwide Permit #12 requirement's.
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 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? Residential
F. If applicable, what is proposed method of sewage disposal? N/A
Owner's patureDate

DEM ID:
ACTION ID:
Nationwide Permit Requested (Provide Nationwide Permit #): 12
JOINT FORM FOR 401 ISSUED
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 ENVIRONMENT
NC DEPARTMENT OF ENVIROI
AND NATURAL RESOURCES
P.O. Bor. 29535
Raleigh, NC 27626-0535
ATTN: MR. JOHN DORNEY
wffr__,
1111); 1 ' ?1
2 6
i j-' 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: City of High Point
2. Owners Address. PO Box 230, High Point, NC 27261
3. Owners Phone Number (Home): NSA (Work):
[phone]
4. If Applicable: Agent's name or responsible corporate official, address, phone number:
Mr. Perry A. Kairis, P.E.
Public Services Director
(same address as above)
5. Location of work (MUST ATTACH MAP). County: Guilford
Nearest Town or City: High Point, NC
Specific Location (Include road numbers, landmarks, etc.): Near the intersection of Kendale Road,
Waterview Road, and Skeet Club Road, Johnson Street, and Sandy Ridge Road
6. Name of Closest Stream/River:
7. River Basin: Cape Fear
8. Is this project located in a watershed classified as Trout, SA, HQW, ORW, WS I, or WS II? YES [ ] NO 1K]
9. Have any Section 404 permits been previously requested for use on this property? YES [X] NO [ ]
If yes, explain.
10. Estimated total number of acres of waters of the U.S., including wetlands, located on project site:
11. Number of acres of waters of the U.S., including wetlands, impacted by the proposed project:
Filled: _
Drained:
Flooded:
Excavated: 0.75
Total Impacted: 0.75
12. Description of proposed work (Attach PLANS-8 1/2" X 11" drawings only): Sanitary sewer system
improvements near Kendale Road, Waterview Road, Skeet Club Road, Johnson Street, and
Sandy Ridge Road
13. Purpose of proposed work: To provide sanitary sewer service to this project 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. Sanitary sewer line parallels the various creeks in the area with minor
impacts upon wetlands. Applicant will comply with all Nationwide Permit #12 requirements.
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 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? Residential
F. If applicable, what is proposed method of sewage disposal? N/A
Owner's 'gnature Date

dmp
4011 ISSUED
DAVIS - MARTIN - POWELL & ASSOCIATES, INC.
ENGINEERING LAND PLANNING • SURVEYING
218 GATEWOOD AVENUE • SUITE 102
HIGH POINT, NC 27262
PHONE [phone] • FAX [phone]
January 31, 1996
FEB 2 61,
Re: West Fork Deep River Outfall
Sanitary Sewer System
Improvements
High Point, North Carolina
Job No. E-1897
Mr. John R. Dorney
Wetland Scientist
Division of Environmental
Environmental Science
North Carolina Division of
Health & Natural Resources
4401 Reedy Creek Road
Raleigh, NC 27607
Dear John:
Management
Environmental
Enclosed are seven (7) copies of the joint form for Nationwide
Permit #12 for this project. Also enclosed are two (2) sets of
construction plans.
This work involves approximately 11,000 L.F. of sanitary sewer
lines which impact approximately 0.75 acres of various wetlands.
Please review this information for approval of Nationwide Permit
#12. Should you have any questions or require any additional
information, please do not hesitate to call.
Very truly yours,
DAVIS-MARTIN-POWELL & ASSOCIATES
Kelly E. Ha e , P.E.
KEH/cma
c: File