HomeMy WebLinkAbout20031144 Ver 1_COMPLETE FILE_20030912??F WATF9o Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
?o Gy
(5 r
Alan W. Klimek, P.E., Director
p Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
September 18, 2003
Gaston County
DWQ Project #: 03-1144
APPROVAL of 401 Water Quality Certification and AUTHORIZATION CERTIFICATE
City of Mount Holly
Post Office Box 406
Mount Holly, NC 28120
Subject Property: Taylors Creek Sanitary Sewer, Woodlawn Avenue in the City of Mount Holly
To Whom It May Concern:
You have our approval, in accordance with the attached conditions, to impact 240 feet of stream for the
purpose of sewer line installation as you described in your application dated September 8, 2003. After
reviewing your application, we have decided that this fill is covered by General Water Quality
Certification Number 3374, which may be viewed on our website at
http://h2o.enr.state.nc.us/ncwetlands. This certification allows you to use Nationwide Permit Number
12 when the Corps of Engineers issues it. In addition, you should get any other federal, state or local
permits before you go ahead with your project including (but not limited to) Sediment and Erosion
Control, Coastal Stormwater, Non-Discharge and Water Supply Watershed regulations. This approval
will expire when the accompanying 404 or CAMA permit expires unless otherwise specified in the
General Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us "and you may be required to send us a
new application. If the property is sold, the new owner must be given a copy of this Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fills for
this project (now or in the future) exceed one acre, compensatory mitigation may be required as
described in 15A NCAC 2H .0506 (h) (6) and (7). This approval shall expire when the corresponding
Nationwide Permit expires or as otherwise provided in the General Certification. For this approval to
be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.
Conditions of Certification:
Certification of Completion
1. Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rules, and any subsequent modifications, the applicant is required to return
the attached certificate of completion to the 401/Wetlands Unit, North Carolina Division of
Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
(919) 733-1786 (phone), 919-733-6893 (fax), (http://h2o.cnr.state.nc.us/ncwetlands
Page 2
Violations of any condition herein set forth may result in revocation of this Certification and may result
in criminal and/or civil penalties. This Certification shall become null and void unless the above
conditions are made conditions of the Federal 404 and/or coastal Area Management Act Permit.
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 Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone John Dorney at 919-733-1786 or Alan Johnson at our
Mooresville Regional Office at 704-663-1699.
Sincerely,
Alan W. Klimek, P.E., Director
JRD/bs
Attachments
cc: Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
File copy
Central Files
Tim Smith, US Infrastructure, 1043 E. Morehead St, Suite 203, Charlotte, NC 28204
USA%!k I US INFRASTRUCTURE OF CAROLINAS INC.
CONSULTING ENGINEERS
September 10, 2003
Mr. Tim Smith
Army Corps of Engineers
Asheville Regulatory Office
151 Patton Ave, Room 143
Asheville, NC 28801-5006
RE: Pre-Construction Notification Application
Taylors Creek Sanitary Sewer Extension
Mount Holly, North Carolina
USI Project No. 010201
Dear Mr. Smith:
NUADS1401 GROUP
RQUAWSEMON
Enclosed is the Pre-Construction Notification Application (PCN) for the Nationwide permit that requires
notification to the Corps of Engineers. The City of Mount Holly is making application for a sanitary sewer
extension to be constructed under Nationwide Permit No. 12. The enclosed maps show the vicinity of the
project, the proposed alignment of the sewer line at the stream crossings, and the proposed creek bank
stabilization methods. Every effort has been made for the design of the sewer to conform to the Conditions of
Certification listed with the Nationwide Permit. However, onsite conditions and other factors have effected
some change from the general conditions of certification. Below is a list of deviations:
• Condition No. 5: Some creek crossings require multiple lengths of pipe; ferrous material pipe, with
watertight joints, is specified at each creek crossing.
• Condition No. 9: The City of Mount Holly needs a 4:1 slope at the sewer line crossing of the streams
to allow access for maintenance vehicles. Riprap with filter fabric is required along the entire length
of the slope to provide stabilization and prevent erosion.
Condition No. 15: The City of Mount Holly requires a 20 foot wide permanent sanitary sewer
easement to provide access for sewer line maintenance.
Please review the enclosed application and notify us of your comments. If you have any questions, please
contact us at 704-342-3007.
Sincerely,
USInfrastructure
Bonnie Fisher, P.E.
Senior Engineer
Enclosures
cc: John Dorney (NCDENR DWQ) with seven copies and $ 475.00 fee
1043 E. Morehead St. • Suite 203 • Charlotte, NC 28204
(704) 342-3007 • Fax (704) 342-1666
E-mail: charlotte@usinfrastructure.com
uauBaB
STRUCTION SPECIFICATIONS"
D AND EXCAVATION OF THE STREAK BED AND BANKS SHALL BE KEPT
IWMUM.
RUCIURE SHALL BE REMOVED AS SOON AS IT IS NO LOINOER NECESSARY
O.ECT CONSTRUCTION.
REMOVAL OF TINE STRUCTURE. THE STREAM SHALL IMMEDIATELY BE
SID TO ITS ORKIINAL GROSS-SECTION AND PROPERLY STABILIZED.
TO TYPE II STREAM CROSSINO SPECIFICATIONS ITEMS 2-5 FOR
HAL RECUWEMENTS
.WANCE•
HUCTURE SHALL BE INSPECTED AFTER EVERY RAINFALL AND AT LEAST
WED(. WHETHER IT HAS RAINED OR NOT, AND ALL DAMAGES REPAIRED
TELY.
,LAN:
AREAS WILL BE STABILIZED BY PERMANENTLY
I SEED AND MULCH AS RECOMMENDED BY THE
)ING SPECIFICATIONS.
H
)Y CLAY LOAM WETLM1401
5EA' NATM QUALITY
R ` BOB. STAMRA110N FARM
LROflI IB W'1!m 8701E 0811
ELEVATION
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PLAN
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1. A STABILIZED ENTRANCE PAD OF 05 WASHED STONE OR RAIL. ROAD BALLAST SHALL BE LOCATED WHERE
TRAFFIC WILL ENTER OR LEAVE E CONSTRUCTION SITE ONTO A PAVED STREET.
2. FLIER FABRIC OR COMPACTED CRUSTIER RUN STORE MAY BE USED AS A BASE FOR THE CONSTRUCTION ENTRANCE
] THE ENTRANCE SHALL BE MAINTAINED IN A CONDITION WATCH WILL PREVENT TRACKING OR FLOWING OF SEDIMENT
ONTO PUBLIC STREETS OR EXISTING PAVEMENT. THIS MAY REQUIRE PERIODIC TOP DRESSING WITH ADD11IONAL
STONE AS COFAITIONS WARRANT AND REPAIR OR CLEANOUT OF ANY MEASURES USED TO TRAP SEGMENT.
•. ANY SEDIMENT SPILLED, DROPPED. WASHED, OR TRACKED ONTO PUBLIC STREETS MUST IE REMOVED IMMEDIATELY.
I. WHEN APPROMATE. WHEELS MUST BE CLEANED TO REMOVE SEDIMENT PRIOR TO ENTERING A PUBLIC STREET. WHEN
WASHING 15 REWIRED. IT SHALL BE DONE IN AN AREA STABILIZED WITH CRUSHED STONE WHICH OWNS INTO AN
APPROVED SEDIMENT BASIN.
S. SOIL STABRUZATKIN FABRIC (AS SPECIFIED BY THE DESIGNER) SHALL BE USED.
PERMANENT SEEDING SPECIFICATIONS
DATES TYPE RATE AMENDMENTS
LOW MAINTENANCE AREAS
STEEP SLOPES, STONY, SHALLOW OR DRY SOIL
JUME 21-FEB 15 TAU FESCUE 100 LB/ACRE L BE APPLIED AT THE
AMENDMENTS $H
AALL
aD LB/AdIE
FEB 16-JUNF26 SERKiA LESPEDEZA ?
{B
AAORICUL711NAL I/IESTTOOTEE ?
I
KOBE lESPEDEZA 10 U/ACRE ED/ACRE OF 10-10-10 FERTILIZER. DRY
BCE. AND CRASS LNED CHANNELS SHALL
GENTLE SLOPES, AVERAGE SOILS USE J000 ED ACNE OF GROUND
AOIIICIL lA1ESTOW AND 500
JUNE 25-FM 16 TALL FESCUE BO ED/ACRE LB/ACRE OF 10-10-10 FERTILIZER.
FED 15-JUNE 25
LESPEOE2A
-
20 -/ACNE
F
1
KOBE LESPEDEZA 10 lD/ACRE
HIGH MAINTENANCE AREAS
MODERATE TO STEEP SLOPES. SOILS WITH AVERAGE OR
BETTER MOISTURE, COOL SITES
ALL DATES BLEND OF TWO TLRRF TYPES 200-250 LB/ACRE
TALL FESCIES (00%) AND
TWO 011 MORE KENIUCKY
BLUEGRASS VARIETIES (10Th
GENTLE SLOPES, DRIER SOILS. PHYSICAL LIMITATIONS
ALL DATES BLEND OF "O'S NY-1' TALL
FESCUE AND 50% MIXTURE 200-250 L'/ACRE
OF TWO OR MORE TURF
TYPE TALL MISCUES
MULCH
ALL DATES ORAN STRAW 100 LB/1000 FT' TACK WITH 0.1 GAL/Ye OF ASPHALT
PRELIMINARY
Do Not Use For Construction
PREPARED BY.
USI
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CHARLOTTE, NORDI CAROIMA 28201
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TEMPORARY S IREAM CIOOM
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NOTES
I.) RP-RAP STONE FILTERS SMALL BE RACED
AT 200 FT. NIERVALS
2) TRAP CAPACITY SHALL BE U71ALLY 67 CY EACH
N VOLUME (MAXIMUM DRAINAGE AREA IS SO AC)
1) TRAP AREA IS TO BE MAINTAINED
N OPERATING ORCER AT AU. TIMES,
DURING AND AFTER LAM RAN THE
FILTERS AND TRW AREAS ARE W E CHECKED AND CLEANED WREN
VOLUME IS REDUCED 13Y ONE-HALF SPOILS ARE W E
BUR= N AN APPROVED AREA INSIDE THE CONSTRUCTION R/W
OR DISPOSED OF OFFSTE BY THE CONTRACTOR
wivAu MAIL ANCHOR low rmm
W
TYTYPIC LAL MUM FEM M
NMLY 4 BLOo
S01R8 Put POST
IK 1 4 G
S®REL1 ANWO R
FLI R INIC W
WE NON WE IFS
WOMAN Iff DOW
MESH ODNW SEE
- 35 SL FIEFS
87791 FANG W K P- PRIPIENE TEL
N90L PaImmu OU PO
11VFL LYETIriEiE ?1r
I
ELEVATI U
ON
OR TIOM POST
FANWC
R FAB16
DR SWILL MANTAN AL SLT FENCING W REIKVMD AND
SU ASUNAKAT IM FLIER FABRIC SMALL BE
H R 1M5 DETERIORATED W SUCH WENT TW B
6TERAO65 OF THE SIT FENCE.
9 WK A MNWN TENSILE STRENGTH (e atz N4Ax
F 30M,/IUH N_ WINE FARTaC R[ONED.
MIGM FAN9C 6 RIID2ID TEMSME SMIS OMGINPfg1VL
'. • lML 2Dx WIFE FAWUC
_
f 514W7/G - 6 FEET.
E 4' OA PRE. Z' DIA OK OR IM !/LF STEEL
DORARY SILT FENCE
z) olar AL as+a ,ws RW, K ? a CID IAORR® -
ADOMM K S,I[AC UE RNTARE SWAM DNF6 ,PIN 1RAr a DINE RIME
MlROMEY DAWg )DL
1) 12p 39E111 OI'lWIG AT RgR.111LE3 D K SIWAR RR TW B PMROA.KY
WM1Rf Wd aV016 NNE 1?
N XKII v SNR WIII CWWI IN MINE CIK02510D IE3M ENV 1 FT.
Rr K ADAi ArI1M01 Ella D Fll\9f OIONA 111a ]IrFA2 SMITE
D ALLV RLD RD6 D PIi .VIOi K SNNDIRC
SJ STA,AIS
nIL mRR® AIEIQ 9NBf D RA1R,6 ,N8 ,IOIIWL RA•R® RDF
RA RK 1DN RPRM A OROI lFRINL M'MW F ODi tBOC1Y 0®M K
ILLOMNE R K MAa >d
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W1OE 01QNN K SKAa 1101 a1R1FO1 6 K O®R Pll. OIFACI MW
srAWB K AAa OIIIPI<ARWNWIEr.
).) 890E TOIPaNn XIRAI MNXes,P MP®AEY ,1B 11LY A1c No tn,ol NRINa
Ws,11E K ser Iowa D m aaME aaa?oL ue ,IRON .le
AwowlEr NtLrR AL mRP® AIDIa
lI tGK Rf3RfAM sD1Brt TRIMS N NAa D mnrc CUIRPi m0R
-MANTEMMICE-
SOW:I 1WPORRV 11fA1 ale1R AATW IRIpNy,mIARIp AMN D tsmf R
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.souATOL
TEMPORARY STREAM CROSSING (TYPE II)
?- 25 ?5 -?I
Y4YON/M AOIMq/!/M
I
7VP CF BANK TA° BANK
8AK
TEMPORARY STIFAM CROS9IG
.
2.
1
NOEL '
A STAEI2ED ENTRANCE
TRAFFIC WLL D119t OR
FILTER FABRIC OR COMP
THE ENTRANCE SNAIL W
T
T
s- NA IRDC OHM PUBLIC S
REE
S 0
SHOE AS CONDITIONS I
•CONSMCTION SPECIFICATIONS 4. ANY SEDIMENT SPILLE".
S W
WHEN MPRD'OA
W
HEN
i.) C EARM AND EXCAVATION OF THE STREAM RED AND BANDS SMALL E REM AR
HIM
W AS
? P
W A MNNUAL APPROVED mort dV
2.) THE STRUCTURE SMALL E REMOVED AS SOON AS R IS NO LONER NECESSARY SOL STABILIZATION FAN
FOR PRO,ECT CONSTRUCTION.
11 UPON IELOVAL OF THE STRUCI1xE4 IRE STEALN SMALL IMMEDIATELY BE
RESHAPED W ITS OIaNAL CROSS-SWI10N AND PROPBLY STABLOIL
4.) POO W TYPE ¦ STEAM CROSSING SP OCFICADOMS ITM 2-9 FOR
ADDITIONAL REQUIREMENTS.
+ AINIENANCV
THE STRUCTURE SHALL K INSPECTED AFTER EVERY RAINFALL AND AT LEAST
ONCE A MFDC WEBER R HAS RAPm OR NOT. AND ALL DAS1MS REPAED
WFDIA7ELY.
TEMPORARY STREAM CROSSING (TYPE 1) TEMPOR/
CONSTRUCTION SCHEDULE: VEGETATIVE PLAN:
1. ALL DISTURBED AREAS WILL BE STABILIZED BY PERMANENTLY
ALL DISTURBED AREAS WILL E STABLM fiH THE APPROPRIATE VEGETATING WITH SM AM MULCH AS RECOM1ENDm BY THE
VEGETATIVE EROSION CONTROL EEASIREM WITHIN 30 DAYS OF PERMANENT SEEDING SPECIFICATIONS.
DISTURBANCE.
1. OBTAIN PLAN APPROVAL AND OTHER APPLICABLE PERMITS
2. MTALL EROSION CONTROL MEASURES REWIRED FOR PROPOSED
CONSTRUCTION ACTIVITIES. CH - CHEMAQa LOAN
GW2 - GASTON SANDY CLAY LOAM
3. INSTALL THE PROPOSED UTILITY LINE WT - WLIES LOAN
4. ONCE THE PROPOSED CONSTRUCTION ACTIVITIES HAVE BEEN INSTALLED.
REMOVE ALL TEMPORARY MEASURES AND LISTALL THE APPROPRIATE
PERMANENT VEGETATIVE STABILIZATION M ALL DISTURBED AREAS
5. A WHSIRl1CT07 DMANNCE MILL E REQUIRED F THE CONTRACTOR
OESGNATES A SPECIFIC AREA FOR MATERIALS OR E:OUPHENT STORAGE
DISTURBED AREA
MAINTENANCE PLAN: _ :
24 ACRES
I. ALL TEMPORARY EROSION AHD SEDIMEN T CONTROL PRACTICES WILL
INSTALLED AS NOTED ON THE EROSION CONTT DETAlS ANY HEEDED
REPAIRS WLL E MADE IMMEDIATELY TO MAINTAIN ALL PRACTICES AS
DESIGNED.
2. SFDWENT SHALL E PROPERLY REMOVED AND DISPOSED OF.
Bags
1. USE RP RAP AS SOWN ON PLANS
2 RPRAP SHOULD EXTEND UP BOTH SIDES OF THE CHANNEL BANKS.
1 THE AREA M E RIPRAPPED SHALL E IRDMIT SO THAT THE INVERT
OF THE APRON SHALL E AT THE SATE WAX MIMI) WTH THE SURFACE
OF THE RECEIVING CHANNEL THE APRON SHALL HAVE A CUTOFF OR TOE
WALL AT THE DOWNSTREAM END.
4. THE WIDTH OF THE END OF THE APRON SHALL E EQUAL TO THE BOTTOM
MOTH OF THE RECEIVING. CHANNEL. MAXIMUM TAPER N RECEVNG CHANNEL Sl
S. ALL SUBORAOE FOR STRICTURE TO E COMPACTED TO 95X OR GREATER.
0. CHABEL SLOPES SMALL E GRADED AT 4.1 UNLESS OTHERMSE SHOWN
IN THE PLAN/PROFLE.
PERMENANT TR A STABUZATION
AT CHANNEL CROSSINGS)
PLAN
L - LENGTH OF CHANNEL CROSSING
SEE PLANS TIIRAL
4WR 1? j
P7 WASHED S70M
OF FL10 FABRIC
PE!
DART'S
STEEP SLOPES, STONY.
.ERIE 2Rf-FEN tS
FFH 13-ARE?
GENTLE SLOPES. AVFRA
A11E 25-FE7D 15
FES %-.ARE 25
MODERATE TO STEEP S
BETTER MgSTI1RE, CDC
ALL DATES ?
IFILTwoUE
GENTLE SLOPES. DRIER
ALL DATES FE
OF T
TYPE
ALL DATES fRN
TAYLORS CREEK SANITARY SEWER
STREAM CROSSING COORDINATES
WATERBODY
CROSSING NUMBER
PLAN STATION N.C. GRID
COORDINATES
1 35+80 571,436 N; 1,395,159 E
2 55+65 570,828 N; 1,393,388 E
3 68+60 571,161 N; 1,392,146 E
4 95+80 573,452 N; 1,391,216 E
5 104+10 574,035 N; 1,390,773 E
6 150+75 575,280 N; 1,387,883 E
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "NSA' .)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 12
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: City of Mount Holly
Mailing Address: P.O. Box 406
Mount Holly NC 28120
Telephone Number: 704-827-3931 Fax Number: 704-822-2933
E-mail Address: donpriceeci mount-holly.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: US Infrastructure of Carolina, Inc.
Company Affiliation: Consulting Engineers
Mailing Address: 1043 E. Morehead Street, Suite 203
Charlotte NC 28204
Telephone Number: 704-342-3007 Fax Number: 704-342-1666
E-mail Address: fisherb(a)usinfrastructure.com
Page 5 of 13
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Taylors Creek Sanitary Sewer
2. T.I.P. Project Number or State Project Number (NCDOT Only): n/a
3. Property Identification Number (Tax PIN): n/a
4. Location
County: Gaston Nearest Town: Mount Holly
Subdivision name (include phase/lot number): n/a
Directions to site (include road numbers, landmarks, etc.): From I-85 in Gaston County
travel north on Hwy 273 Exit 27) Make left onto Hwy 27 and turn right onto Hawthorne
Street Make left onto Woodlawn Avenue. Project begins near intersection of Hawthorne and
Woodlawn.
5. Site coordinates, if available (UTM or Lat/Long): see attached
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 13.88 acres within temporary and permanent utility easements
7. Nearest body of water (stream/river/sound/ocean/lake): Taylors Creek
8. River Basin: Catawba River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mUs/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Mostly wooded some pasture land, and some residential
areas.
Page 6 of 13
10. Describe the overall project in detail, including the type of equipment to be used: Located
in northeast Gaston County along Taylors Creek (a tributary of Dutchman's Creek), the
proposed sewer begins at an existing sewer line at Woodlawn Avenue within the city limits
of Mount Holly. The sewer line with associated manholes will be constructed parallel to
Taylors Creek for approximately 15 117 feet. The sewer service area is bounded by
Hawthorne Street to the east SR 1924 and NC 27 to the north, and SR 2085 to the west.
Typical equipment used for this type of work are trackhoes loaders and dump trucks.
11. Explain the purpose of the proposed work: To provide sanitary sewer service to the
surrounding area
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
Page 7 of 13
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Excavation of streambed and
banks for placement of sanitary ewer pipe under streambed
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no) Distance to
Nearest Stream
feet
Type of Wetland***
N/A
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.aov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:
Total area of wetland impact proposed:
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact Length of
Impact Average Width Perennial or
Site Number Type of Impact*
(linear Stream Name** of Stream Intermittent?
(indicate on map)
feet Before Impact (please specify)
1 Excavation/ riprap 40 UT 10 I
2 Excavation/ riprap 40 UT 32 I
3 Excavation/ riprap 40 UT 10 I
4 Excavation/ riprap 40 Taylors Creek 36 P
5 Excavation/ riprap 40 UT 18 I
6 Excavation/ riprap 40 Taylors Creek 30 P
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
Page 8 of 13
www.usas.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mgpguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 240 feet
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The proposed sanitary sewer line has been located as far as practical from the stream and
stream banks. Stream crossings have been utilized only where necessary to a corridor
where the sewer line can be reasonably constructed (many of the adjacent bank areas are too
steep on one side of the stream to economically install the line, the opposite side is then chosen
for the sewer align e_nt) Erosion control measures will be installed between the stream banks
and the proposed construction where the sewer line parallels the creek along the entire length of
the project
Page 9 of 13
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
htip://h2o.enr.state.nc.us/ncwetlands/strrn.gide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
(919) 733-5208 to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of
Page 10 of 13
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federaUstate) land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-5083 to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Page 11 of 13
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
Xl. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
The onlv existinja impervious site areas are asphalt roads that the utility line crosses. Proposed
conditions are the same as existing. No storm water controls are required.
Page 12 of 13
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
The wastewater will be transported to the Mount Holly Wastewater Treatment Plant.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
/74
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 13 of 13
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Application Fee 9/10/03 0002412 475.00 !N UNa I :?r i
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North Carolina Division of Water
PETTY CAS 2 Totals I 475.00 SF P Z003 ?y 475.00
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