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HomeMy WebLinkAbout20011088 Ver 1_Complete File_20010716State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Gregory J. Thorpe, Ph.D., Acting Director LTMR;w,j 1 • NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 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 contact John Hennessy at 919-733-5694, or Deborah Sawyer at 252- 946-6481. Sincerely, c:\ncdot\SR 1133\wqc\011088wgc.doc Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Telephone 919-733-1786 FAX 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper State of North Carolina Department of Environment and Natural Resources Division of Water Quality -Michael F. Easley, Governor William G. Ross, Jr., Secretary , Gregory J. Thorpe, Ph.D., Acting Director APPROVAL for 401Water Quality Certification Mr. Don R. Conner, P.E. Division Engineer NCDOT, Division 1 PO Box 850 Edenton, NC 27932 Dear Mr. Conner: 1 ? • __NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES August 1, 2001 Gates County DWQ Project No. 011090 You have our approval, as described in your application dated July 12, 2001 and in accordance with the: attached conditions and those listed below, to place fill material in 0.003 acres of wetlands and 20 linear.,; feet ofstreams for tlie. purpose of paving and widening SR 1217 in Gates County, The'project should be constructed in accordance with your application dated July 12, 2001. After reviewing your application; we have`decided that this fill is covered by General Water Quality Certification Number 3106. This certification corresponds to the Nationwide Permit Number 18 issued by the Corps of Engineers. In addition, you should acquire any other federal, state or local permits before you proceed with your project including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval will expire when the accompanying 404 permit expires unless otherwise specified in the General Certification. This approval is valid solely for the purpose and design described in your application (unless modified below). Should your project change, you must notify the DWQ and submit 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 the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). ). This approval shall expire with 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. 1.) Upon completion of the project, the NCDOT shall complete and return enclosed "Certification of Completion Form" to notify DWQ when all work included in the 401 Certification has been completed. The responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the Division of Water Quality upon completion of the 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. Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Telephone 919-733-1786 FAX 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Gregory J. Thorpe, Ph.D., Acting Director 109w'A s 4 0 A N I C ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBER 18 (MINOR DISCHARGES) This General Certification is issued in conformity with the requirements of Section 401, Public Laws 92- 500 and 95-217 of the United States and subject to the North Carolina Division of Water Quality Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 213 .0200 for the discharge of fill material to navigable waters and adjacent wetland areas tributary to interstate waters or navigable waters of the United States (i.e., isolated wetlands) as described in 33 CFR 330 Appendix A (B) (18). This certification replaces Water Quality Certification Number 2669 issued on January 21, 1992 and Water Quality Certification Number 2733 issued on May 1, 1992. This WQC is rescinded when the Corps of Engineers reauthorize Nationwide Permit 18 or when deemed appropriate by the Director of DWQ. The State of North Carolina certifies that the specified category of activity will not violate applicable portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217 if conducted in accordance with the conditions hereinafter set forth. Conditions of Certification:. , 1. Activities authorized by this Nationwide Permit require written concurrence from the Division of Water Quality; 2. That appropriate sediment and erosion control practices which equal or exceed those outlined in the most recent edition of the "North Carolina Erosion and Sediment Control Planning and Design Manual" or the "North Carolina Surface Mining Manual" (available from the Division of Land Resources in the DEHNR Regional or Central Offices) are utilized to prevent violations of the appropriate turbidity water quality standard (50 NTUs in streams and rivers not designated trout waters by DWQ; 25 NTUs in all saltwater classes, and all lakes and reservoirs; and 10 NTUs in trout waters); 3. All sediment and erosion control measures placed in wetlands or waters shall be removed and the natural grade restored after the Division of Land Resources has released the project; 4. If an environmental document is required, this Certification is not valid until a FONSI or ROD is issued by the State Clearinghouse; 5. This Certification shall not be used in conjunction with the Certification for Nationwide Permit 14 to create high ground for road access; 6. Deed restrictions must be placed on all remaining wetlands on the parcel after appropriate use of this and other Certifications. DWQ shall be sent copies of all deed restrictions applied to this parcel. If this condition is not met, written DWQ approval is needed to utilize this General Certification (and Nationwide Permit); Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Telephone 919-733-1786 FAX 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Gregory J. Thorpe, Ph.D., Acting Director / ? • L ,NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 7. Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the state until the concrete has hardened; 8. Concurrence from DWQ that this Certification applies to an individual project shall expire three years from the date of the cover letter from DWQ. Non-compliance with or violation of the conditions herein set forth by a specific fill project shall result in revocation of this Certification for the project and may also result in criminal and/or civil penalties. The Director of the North Carolina Division of Water Quality may require submission of a formal application for individual certification for any project in this category of activity, if it is determined that the project is likely to have a significant adverse effect upon water quality or degrade the waters so that existing uses of the wetland or downstream wafers are precluded. Public hearings maybe held for specific applications or group of 'applications prior to a Certification- ;;> decision if deemed in the public's best interest.by the;Director.of the North Carolina Division of Water-,:: Quality. Effective date: 11 February 1997. DIVISION OF WATER QUALITY By A. Preston Howard, Jr. P.E. Director WQC # 3106 Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Telephone 919-733-1786 FAX 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/l0%, post consumer paper State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor NCDENR William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES DWQ Project No.: County: Applicant: Project Name: Date of Issuance of 401 Water Quality Certification: Certificate of Completion 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 this certificate to the 401/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of these. Applicant's Certification I, - ,..hereby state that, to the best of my abilities, due care:and:. - diligence was used in the observation.of the;construction such that the.construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the::V. approved plans and specifications, and other supporting materials. :.- Signature: Date: Agent's Certification I, , hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date: Engineer's Certification Partial Final I, , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature Date Registration No. Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Telephone 919-733-1786 FAX 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper 4 IL f Cop y •? auw ?• STATE OF NORTH CAROLINA 'D 1, DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT GOVERNOR P.O. Box 25201, Raleigh, N.C. 27611-5201 SECRETARY July 12, 2001 United States Army Corps of Engineers ®? 1 ©? Post Office Box 1000 Washington, NC 27889-1000 4011 i'66UEp Attention: Mike Bell, PWS Subject: Secondary road improvements to SR 1133 (McKimacy Road) from SR 1134 to SR 1121 in Camden County under a Nationwide 18. The North Carolina Department of Transportation (NCDOT) proposes to upgrade SR 1133 (McKimacy Road) from SR 1134 to SR 1121 in Camden County. SR 1131 is an unpaved roadway that will be upgraded to a paved roadway. Total project length is 1.4 miles. Transportation and highway laws of North Carolina (G.S. 136-44.6. 136-44.7. 136-44.7A, 136-44.8, and 136-44.9) require the NCDOT to develop annual work programs for construction and maintenance of secondary roads. These general statutes specifically set forth requirements for annual construction and paving of existing unpaved roads. Paving of these roads is performed in priority order as established by the NCDOT for each unpaved road within a given county. This number is based on characteristics of each road, including number of homes, schools, churches, businesses, industries, recreational facilities, traffic counts, presence of school bus routes, and value as a thoroughfare. McKimacy Road is scheduled to be paved in the 2000-2001 Secondary Roads Construction Program. The purpose and need is to provide a safe, efficient roadway serving as the access to the rural community located on SR 1133. The new roadway width and the eventual addition of pavement will greatly increase the safety of the traveling public. SR 1133 currently consists of a gravel surface. Maintenance activities are also considered. Gravel roads require re-grading a minimum of 3 to 4 times per year. This may be increased depending on weather patterns and traffic usage. The frequency of maintenance is reduced after conversion from a gravel to a paved travel surface. PAYMENT RECEIVED ,s Page 2 July 12, 2001 Mr. Bell Impacts to Waters of the United States Construction of the project will necessitate impacts to waters of the United States in the Pasquotank Basin. The project crosses one perennial tributary to Mill Dam Creek. The jurisdictional site is located on the site plans and labeled site A. Impacts to the stream from construction include approximately 16 square feet (0.0003 acres) fill in surface water and a total of 4 linear feet of existing channel impacted. This pipe will be buried a foot below stream bed elevation. LOCATION EXISTING EXISTING PROPOSED PROPOSED Station # Width (in.) Length (ft.) Width (in.) Length (ft.) 27 + 00 58 36 58 40 Three wetland crossings will be impacted by this project. Impacts to wetlands associated with roadside shoulder and ditch construction are anticipated to be less than 0.01 acres. LOCATION WETLAND IMPACT IMPACT IMPACT STATION # TYPE Linear Feet Sq Feet ACRES 26+20 to 27+00 PF06 75 300 0.007 26+00 to 3+01 PF06 142.5 570 0.01 51+05 to 52+05 PSS 1 250 1000 0.02 Waters of the U.S. Mitigation Avoidance: All wetlands or surface waters not affected by the project will be protected from unnecessary encroachment. No staging of construction equipment or storage of construction supplies will be allowed in or near wetlands or surface waters. Minimization: The side slopes have been steepened to the extent possible at jurisdictional sites. No ditches will be constructed in wetland areas. Strict Enforcement of sedimentation and erosion control Best Management Practices for the protection of wetlands and surface waters will be enforced during project construction. Continued coordination will occur with maintenance forces and the Environmental Officer during construction to minimize impacts to waters of the U.S. at these sites. Compensatory Mitigation: Construction of the project will result in less than 0.01 acres of total impacts to waters of the U.S., therefore no mitigation is required. Impacts have been minimized to the maximum extent possible during the design process. Page 3 July 12, 2001 Mr. Belt Riparian Buffer Impacts The construction of the project involves one stream crossings and three wetland crossings which are not subject to riparian buffer rules. Dewatering The NCDOT will not dewater during the construction of the project. Regulatory Review NCDOT has obtained concurrence from the State Historic Preservation Office that there is no effect to any National Register or Study-listed properties within the subject projects Area of Potential Effects. By copy of this letter, NCDOT requests review by the U.S. Fish and Wildlife Service (USFWS) and the N.C. Wildlife Resource Commission representatives for the presence of any listed threatened and endangered species, and the likelihood of adverse impacts to any such listed species by the proposed project. Permit Issues The purpose of this letter is to request authorization under Section 404 Nationwide Permit (NWT) 18, Minor Discharge. Notification for the use of this NWP to the USACE is required for this project, for although the discharge associated with the project is less than 0.10 acre, the project does require impacts to special aquatic sites (including wetlands). Also, notification to the North Carolina Division of Water Quality (NCDWQ) for Section 401 Water Quality Certificate (WQC) No. 3289 is required for this project. NCDOT will comply with all conditions associated with this NWP and WQC. Summary NCDOT proposes to upgrade and pave SR 1133 in Camden County. Temporary impacts to the stream from 4 linear feet of stream channel for the stream crossing. Impacts associated with the pipe replacements at this project include 0.0004 acres of fill in surface water and 4 linear feet existing channel impacted. Three wetland sites will be impacted consisting of two bottomland hardwood (PF06) wetlands and one shrub scrub Page 4 July 12, 2001 Mr. Bell (PSS1) wetland for a total of 0.04 acres. The project is located in the Pasquotank River Basin. The NCDOT will adhere to all applicable Section 404 NWPs and Section 401 WQCs conditions. If you have any questions or need additional information, please contact Ms. Kristen Shacochis at (252) 482-7977. Sincerely, Don Conner, PE Division Engineer X-/ 141 Kristen Shacochis Division One Environmental Officer cc: Mr. Tom McCartney, USFWS Mr. John Dorney, NCDWQ Mr. David Cox, NCWRC Ms. Sarah Winslow, NMF Mr. Ted Sampson, DCM Ms. Gretchen Byrum, P.E., NCDOT VICINITY MAP •co i 11-11 C O c? O cn T Q. CZ U) F- O - O ? n ` M O ? Iz ` N > C O W Z O Z -J LU U :D ¢cnOt- z OUQma0 ca c _0 } ?j ?( f V o 00 G CL j5 jj V, co (D C) m a. o d1S c\i ? ? G rt\ 1 C A a C V, 1 ? o ^? J Z O-r ?1- \ uS_ ` fl ilkk ham, rv C j I ! I Q I t j III ? I +•' cu CL >% r J o i CU z ?I Z e V/ " I O 0 11 ?• -_ = I? ?? 'r?0 C ? cu .2: ? s ?-• w ZOZ_-, w LV LZ 0 Z) CC C) 0 m d o ? -- 0 1 r O {' I S 1 ??S •I? I ?? Il ? UIlI ? M vi Ix i r c7 ?.l S l l o I I/ i I ! ' i UUU ` i i I Office Use Only: Form Version April 2001 USACE Action ID No. DWQ No. 011088 If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. 1. Processing Check all of the approval(s) requested for this project: ® Section 404 Permit ? Section 10 Permit ® 401 Water Quality Certification Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: 18 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: D 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section VIII - Mitigation), check here: El II. Applicant Information 1. Owner/Applicant Information Name: Kristen Shacochis. NC DOT Environmental Officer Mailing Address: P.O. Box 850 Edenton NC 27932 Telephone Number: (252) 482-7977 Fax Number: (252) 482-8722 E-mail Address: Kshacochis(a dot.state.nc.us 2. Agent 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: Company Affiliation: Mailing Address: Telephone Number: Fax Number: E-mail Address: Paoe 3 of 12 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: SR 1133 Camden Co (McKimacy Road) 2. T.I.P. Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 4. Location County: Camden Nearest Town: Camden Subdivision name (include phase/lot number): Directions to site (include road numbers, landmarks, etc.): 1.4 miles of unpaved section of SR 1133 5. Site coordinates, if available (UTM or Lat/Long): (See plan sheets) (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. Describe the existing land use or condition of the site at the time of this application: rural 7. Property size (acres): N/A 8. Nearest body of water (stream/river/sound/ocean/lake): tributary of Mill Dam Creek 9. River Basin: Pasguotank 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/maps/.) Page 4 of 12 10. Describe the purpose of the proposed work: To Pave and grade secondary road. This road will be widened 4 feet for a 50-foot right of way. One pipe crossing will be replaced within a stream. 11. List the type of equipment to be used to construct the project: Bulldozer, dumptruck, moter grader 12. Describe the land use in the vicinity of this project: rural 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. None V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: none 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 5 of 12 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. Wetland Impacts Wetland Impact Site Number (indicate on map) Type of Impact* Area of Impact (acres) Located within 100-year Floodplain** (yes/no) Distance to Nearest Stream (linear feet) Type of Wetland*** 1 Fill 0.007 Yes zero Forested Wetland 2 Fill 0.013 Yes zero Forested Wetland 3 Fill 0.022 Yes zero Shrub/Scrub * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till, 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.gov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: N/A Total area of wetland impact proposed: 0.0429 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number (indicate on map) Type of Impact* Length of Impact (linear feet) Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? (please specify) A Pipe replacement 10 feet Tributary to Mill Dam Creek 3.0 feet Intermittent * List each impact separately and identity temporary impacts. impacts include, but are not united to: cuiveris 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 naive, 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 6 of 12 www.usgs.gov. Several internet sites also allow direct download and printing of L;SGS maps (e.g., www.topozone.com, www.mapquest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 10 feet 3. Open Water Impacts, including Lakes, Ponds, Estuaries. Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number (indicate on map) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 4. 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 (.-voidance 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. Wetlands could not be avoided because of safetv reasons and right of way constraints. A typical 50 foot right of way includes a 20 foot pavement, 5 foot shoulders, and ditches which would impact another 10 feet. NC DOT will use no ditches within wetland areas. Page 7 of 12 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 http://h2o.enr.state.nc.us/ncwetlands/strrn.gide.htrnl. 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. No mitigation required Page 8 of 12 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review process by the 401; Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at hnn://h2o.enr.state.ne.usjwry/index.htrn. If use of 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 (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federal/state/local) 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 El No ? X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) 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 (Neuse), 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: Page 9 of 12 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. Zone* Impact (square feet) Multiplier Required Mitigation 1 3 2 1.5 Total Gone i extenas out su teet perpenutcuiar trotn near oanK of cnannei; cone / extenas 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. XI. Stormwater (DWQ Only) 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. Existing: 467.5 linear feet x 16 feet wide= 7480 square feet (0.17 acres) Proposed: increase in impervious: 1870 square feet (0.04 acres) XII. Sewage Disposal (DWQ Only) 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. N/A XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules? Yes F? No Is this an after-the-fact permit application? Yes f_? No Page 10 of 12 X1V. Other Circumstances (Optional): It is the applicant's responsibility to submit &.e application sufficiently in advance of desired construction dates to allow processing time nor these permits. However, an applicant may choose to list constraints associated «zth constriction or sequencing that may impose limits on work schedules (e.g., draw-dow-n schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). No environmental construction constraints on this project. lam/ i I ??4 c 0' ?7 S ?12- 6 Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Aletander Cherokee Iredell Mitchell US Army Corps of Engineers Avery Clay Jackson Polk 151 Patton Avenue Buncombe Cleveand Lincoln Rowan Room 208 Burke Gastca Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 27111854 Caldwell Hayti )od McDowell Swain Fax: (828) 271-4858 Catawba Hend.=rson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durh=i Johnston Rockingham US Army Corps Of Engineers Alleghan-.- Edge:.mbe Lee Stokes 6508 Falls of the Neuse Road Ashe Frank-in Dash Surry Suite 120 Caswell Fors .a Northampton Vance Raleigh. NC 27615 Chatham Gram-Ile Orange Wake Telephone: (919) 8"6-8441 Davidson Guilford Person Warren Fax: (919) 876-528: Dade Halif_r Randolph Wilkes Washington Regulatory Field Office Beaufort Curraick Jones US Army Corps Of Engineers Bertie Dare Lenoir Post Office Box 1000 Camden Gates Martin Washington, NC 2"889-1000 Carteret* Green Pamlico Telephone: (252) 9"5-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans Wilmington Regulatory Field Office Anson Duplm Onslow US Army Corps Of Engineers Bladen Harn::t Pender Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Monizomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 2514025 Cumberland New -4anover Scotland Pitt Tyrrell Washington Wayne Union Watauga Yancey Wilson Yadkin *Croatan National Forest Only Page 11 c : 12 US Fis US Fish and Wildlife Service Raleigh Field Office Post Office Box 33726 Raleigh, NC 27636-3726 Telephone: (919) 856-4520 h and Wildlife Service / National M US Fish and Wildlife Service Asheville Field Office 160 Zillicoa Street Asheville, NC 28801 Telephone: (828) 665-1195 arine Fisheries Service National Marine Fisheries Service Habitat Conservation Division Pivers Island Beaufort, NC 28516 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-9959 Division of Water Quality Wetlands Restoration Program 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919) 733-5321 CAMA and NC Coastal Counties State Historic Preservation Office Department Of Cultural Resources 4617 Mail Service Center Raleigh, NC 27699-4617 Telephone: (919) 733-4763 Fax: (919) 715-2671 Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender NC 27699-1638 Raleigh Brunswick Currituck New Hanover Perquimans , Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kernersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey Page 12 of 12 ROUTINE WETLAND DETERMINATION (1987 COE Wetlands Delineation Manual) Project/Site : SR 1133 Date : 7/6/01 Applicant/Owner : Department of Transportation County: Camden Investieator : Kristen Shacochis, Environmental Officer State : NC Normal Circumstances? Yes Community ID PF06 Significantly Disturbed (atypical)? No Transect ID : 1 Potential Problem Area? No Plot ID : 1 VEGETATION Dominant Plant Species Strat_ Ind. Dominant ?lant Speeds Strat. Ind. Acer rubrum T FAC Nyssa aquatica T OBL Saururus cernuus H OBL Onoclea sensibilis H FACW Percent Dominance 100.0010 Buttressed Trees FAC Neutral Test 100.0116 Recorded Data (described below): Stream, Lake or Tide Gaus Aerial Photographs: Other Depth of Surface Water 1 in Depth of Saturated Soil 3 in Depth to FreeWater in Pit 0 in emar Wetland -Hydrology indicators:. Primary: Inundated 'econdary: Soil Series: Perquimans Silt Loam Drainage Class: poorly drained Soil Taxonomy Ochraquults Do Field Cbservations Confirm Mapped Type? Yes Profile Description: `tatrix Movie Mottle Texture, Concertions Depth (in.) Horizon (Mansell Moist) (N!-msell Moist -bundance/C.atrast Structure, etc. 0-2 0 2-4 Aq Sandy Clay 4-10 A 10 YR 511 Silt Aquic Moisture Regime Reducing Conditions Gleyed or Low-Chroma Colors D DETERMINATION Is Hydrophytic Vegetation Criteria met? Yes Remarks: Is Hydrology Criteria met? Yes Is Hydric Soils Criteria met Yes Is Sampling Point Within a Wetland? Yes ROUTINE WETLAND DETERMINATION (1987 COE Wetlands Delineation Manual) Project/Site : SR 1133 Date : 7/6/01 Applicant/Owner : Department of Transportation County: Camden Investigator : Kristen Shacochis, Environmental Officer State : NC Normal Circumstances? Yes Community ID PF06 Significantly Disturbed (atypical)? No Transect ID : 1 Potential Problem Area? No Plot ID : 2 Dominant Plant Species Strat. Ind. Dominant Plant Species Strat. Ind. Acer rubrum T FAC Nyssa aquatica T OBL Saururus cernuus H OBL Onoclea sensibilis H FACW Remarks: Percent Dominance 100.0% Buttressed Trees FAC Neutral Test 100.0 Rio HYDROLOGY Recorded Data (described below): Wetland Hydrology Indicators: Stream, Lake or Tide Gaug Primary: Aerial Photographs: Inundated Other: Depth of Surface Water 1 in Depth of Saturated Soil 3 in Depth to FreeWater in Pit 0 in Secondary: S(') I Soil Series: Perquimans Silt Loam Drainage Class: poorly drained Soil Taxonomy Ochraquults Do Field Observations Confirm Mapped Type? Yes Profile-Description: Matrix Mottle Mottle Texture, Concertions Depth (in.) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc. 0-2 O 2-4 Aq Sandy Clay 4-10 A 10 YR 511 Silt Aquic Moisture Regime Reducing Conditions Gleyed or Low-Chroma Colors WFTI_AND DETERMINA Is Hydrophytic Vegetation Criteria met? Yes Remarks: Is Hydrology Criteria met? Yes Is Hydric Soils Criteria met Yes Is Sampling Point Within a Wetland? Yes ROUTINE WETLAND DETERMINATION (1987 COE Wetlands Delineation Manual) Project Site : SR 1133 Date : 7/6/01 I Applicant/Owner : Department of Transportation County: Camden Investigator : Kristen Shacochis, Environmental Officer State : NC Normal Circumstances' Yes Community ID shrub/scru Significantly Disturbed (atypical)? No Transect ID 1 L ential Problem Areal No Plot ID: 3 ChCTATIAAI Dominant Plant Species Strut Ind. Domina=t Plant Species Strat. Ind. Typha latifolia H OBL Juncus effusus H F ACR-- Acer rubrum S FAC Carex lurida H OBL R=arl`: Percent Dominance 100.0% Battres•ed Trees FAC Neutral Test 100.4 Rio HYDROLOGY Recorded Data (described below): "-etlan? Hydrolog<- Indicators: S°-am, Lake cr Tide Gau Aerial ?hotographs: Pnmar<_ Saturated in Upper 12 Inches Other Depth of Surfac: Water 0 in Depth of Saturated Sail 4 in Depth :o FreeWat:: in Pit 6 in Secondary- Soil Series: Perquimans Silt Loam (Dra* ar_ Class: poorly drained Soil Taxonomy Ochraquults Do Fie:.. Observations Confirm Mapped Type? Yes Profile Description: Matrix Ntottle Mote Texture, Concertions Depth tin.) Horizon (Munsell Moist Munse-7 Me. Abundance Contraszz Structure, etc. 0-2 O 24 Aq Sandy Clay 4-10 A 10 YR 51 Silt Aquic Moisture Regime Reducing Conditions Gleyed or Low-Chroma Colors WFTI AND DETERMINATION Is Hydrophytic Vegetation Criteria met' Yes Remarks: Is Hydrology Criteria met? Yes Is Hydric Soils Criteria met Yes Is Sampling Point Within a Wetland? Yes ?. J Q cl) V1 0) u o 1`l ca .2: - ' i a) N F-.. ••W Z0Z--?, Lyj I I U ' Z 0 cc ¢ m 02 UO cto ?j C' 1 I i I Q I ?I ? vl v Q ? i-, ti a a 11, J v? IF INCORRECT RETURN TO NC DEPARTMENT OF TRANSPORTATION DIVISION 01 OFFICE 252-482-7977 WARRANT NO. 7603 DATE 07/11/2001 INVOICE NUMBER INVOICE DATE INVOICE AMOUNT NET AMOUNT 0711151035 07/11/2001 $200.00 _ ??? $200.00