20011161 Ver 1_Complete File_20010731

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r
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project No.: 01-1141 County:
Applicant: NPAOT
Project Name: 5Z ?B?L - L?,aeeao?I Z
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, 1650 Mail Service Center, Raleigh, NC,
27699-1650. 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.
Applica is Cert?f ation
1, /Yow (Z14133S , 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 app ov d a n c t ttons, and other su_pgortt aterials.
Signature: f'• £Date: , -
Agent's Certification
1 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:
If this project was designed by a Certified Professional
1, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, weekly, full time) the construction of the project, for the Permitee 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
Registration No. Date:
North Carolina 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.enr.state.nc.us/ncwetlands/
??, WOC>:D
19.7
N E'
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
4 •
IT
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
September 24, 2001
Haywood County
DWQ Project No. 01-1161
SR 1812
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS
Mr. R. G. Watson, P.E.
Division Engineer
North Carolina Department of Transportation
PO Box 37
Silva, NC 28779
Dear Mr. Watson:
You have our approval in accordance with the attached conditions and those listed below, to impact 54
linear feet of unnamed tributaries to Racoon Creek, for the purpose of widening and paving SR 1812 in
Haywood County. The project should be constructed in accordance with your application dated 19 July
2001 (received 31 July 2001). After reviewing your application, we have decided that this impact is
covered by General Water Quality Certification Number 3289. This certification corresponds to the
Nationwide Permit Number 14 issued by the US Army Corps of Engineers (USACE). 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 in writing 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 if 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 as below.
1. All development activities which require
within one mile of High Quality Waters (HQW)
HQW [15 NCAC 2H. 10061.
and Sedimentation Control Plan, and which drain to and are
squired to follow stormwater management rules specific to
If you do not accept any of the conditions of th
You must act within 60 days of the date that ye
petition, which conforms to Chapter 150B of tf
Administrative Hearings, 6714 Mail Service Ct
conditions are final and binding unless you ask
ttion, you may ask for an adjudicatory hearing.
this letter. To ask for a hearing, send a written
'arolina General Statutes to the Office of
fth, N.C. 27699-6714. This certification and its
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1650
Telephone [phone] FAX [phone]
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
T M?W'A •
,OWN
NCDENR
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 Cynthia Van Der Wiele at 919-733-5715, or Mike Parker in
the Mooresville Regional Office at 828-251-6208.
Attachment
;incerely, U
• orpe,
y
g rector
cc: Wilmington District US Army Corps of Engineers
UASCE Asheville Field Office
Asheville DWQ Regional Office
File Copy
Central Files
01-1161
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1650
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
c
1 ?
I l , I (: 1

'Iz4i"?

/ V h,i 11i4IL'Al , .?,,
512 N. Salisbury St. Raleigh NC 27604 Phone [phone]
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
•
A4
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
September 24, 2001
Haywood County
DWQ Project No. 01-1161
SR 1812
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS
Mr. R. G. Watson, P.E.
Division Engineer
North Carolina Department of Transportation
PO Box 37
Silva, NC 28779
Dear Mr. Watson:
You have our approval in accordance with the attached conditions and those listed below, to impact 54
linear feet of unnamed tributaries to Racoon Creek, for the purpose of widening and paving SR 1812 in
Haywood County. The project should be constructed in accordance with your application dated 19 July
2001 (received 31 July 2001). After reviewing your application, we have decided that this impact is
covered by General Water Quality Certification Number 3289. This certification corresponds to the
Nationwide Permit Number 14 issued by the US Army Corps of Engineers (USACE). 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 in writing 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 if 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 conditionsLIft below.
1. All development activities which require
within one mile of High Quality Waters (HQW),
HQW [15 NCAC 2H. 10061.
and Sedimentation Control Plan, and which drain to and are
!quired to follow stormwater management rules specific to
If you do not accept any of the conditions of to
You must act within 60 days of the date that ye
petition, which conforms to Chapter 150B of tt
Administrative Hearings, 6714 Mail Service G
conditions are final and binding unless you ask
ttion, you may ask for an adjudicatory hearing.
this letter. To ask for a hearing, send a written
'arolina General Statutes to the Office of
&h, N.C. 27699-6714. This certification and its
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1650
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% rccycled/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
NCDENR
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 Cynthia Van Der Wiele at 919-733-5715, or Mike Parker in
the Mooresville Regional Office at 828-251-6208.
Attachment
incerely,
U'
g y . orpe,
cti g rector
cc: Wilmington District US Army Corps of Engineers
UASCE Asheville Field Office
Asheville DWQ Regional Office
File Copy
Central Files
01-1161
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1650
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 507, recycled/ 10% post consumer paper
401 ISSUE.
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
LYNDO TIPPETT
SECRETARY
JULY 19, 2001
Haywood County
SR 1812
011161
Mr. Steve Lund, NCDOT Coordinator "a
Fri
U. S. Army Corps of Engineers -' -'
r? =
Regulatory Branch <- r
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
Dear Mr. Lund:
The North Carolina Department of Transportation is proposing to grade, drain, base
and pave primarily along the existing roadway of SR 1812, Raccoon Road in Haywood County.
In order to construct this project in accordance with our current secondary road standards, and
the relocation/extension of three (3) pipe culverts in an unnamed tributaries to Raccoon
Creek(DEM Class B) we are requesting authorization under Section 404 of the Clean Water
Act.
I am sending a straight-line diagram with our proposed erosion control and construction
limits at various sites along this project. In addition, a typical section of the road, drawings for
the culvert relocation/extension in the unnamed tributaries to Raccoon Creek, general notes
and standards on erosion control measures, and a marked County Map are enclosed. We
propose to install the new culverts slightly below the existing stream bed elevation where
bedrock is not encountered to minimize impact to Wildlife habitat and allow the existing stream
gradient to remain as unchanged as physically possible.
The best management practices will be used to minimize and control sedimentation and
erosion on this project. The construction foreman will review all erosion control measures daily
to ensure sedimentation and erosion controls are being effectively controlled. If the planned
devices are not functioning as intended, they will immediately be replaced with better devices.
The silt fences and other erosion control devices will be in place prior to pipe installation and
will remain in place until the project is stabilized.
P.O. Box 250, Bryson City, NC 28713 Phone [phone]
Mr. Steve Lund
Page 2
July 19, 2001
By copy of this letter I am asking Mr. Owen Anderson, Habitat Coordinator Western
Mountain District, of the NCWRC to comment directly to you concerning the 404 Nationwide
permit request.
Also by copy of this letter, I am requesting authorization to proceed under Section 401
of the Clear Water Act from Division of Water Quality. In addition, I am asking Mr. Anderson
and Mr. Ed Ingle, Area Roadside Environmental Engineer (NCDOT), to comment directly to me
concerning this permit request.
We would like to begin construction as soon as possible. If further information is
required, please advise. Your early review and consideration will be appreciated.
Yours tru y,
C. R. tyles, E.
Distri t Engi eer
CRS:sd
atta.
cc: Mr. R. G. Watson, P. E., Division Engineer
Mr. Mark Davis, Division Environmental Officer
Mr. E. L. Ingle, Area Roadside Environmental Engineer
Mr. Owen Anderson, Habitat Coordinator W. Mtn. Dist., NCWRC
Mr. John Dorney, Water Quality Certification Unit, DWQ
P.O. Box 250, Bryson City, NC 28713 Phone [phone]
Office Use Only: Form Version April 2001
X11161
USACE Action ID No. DWQ No.
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
Ch ck all of the approval(s) requested for this project:
[Section 404 Permit
V4 ection 10 Permit
01 Water Quality Certification
Riparian or Watershed Buffer Rules
2, Nationwide, Regional or General Permit Number(s) Requested: 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certificatior
is not required, check here: F-I
4. If payment into the North Carolina Wetlands Restoration Program (NCIARP) is proposed fo-
mitigation of impacts (see section VIII - Mitigation), check here: ?
11. Applicant Information
1. Owner/Applicant Information
Name: NCDOT DISTRICT ENGINEER: C R Styles P E
Mailing Address: P. O. Drawer 250. Bryson City. NC 28713
Telephone Number: [phone] Fax Number: [phone]
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must
attached if the Agent has signatory authority for the owner/applicant.)
Name: /A
Company Affiliation: N/A
Mailing Address: N/A
Telephone Number: N/A Fax Number: N/A
E-mail Address: /
Page 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 l 8 \Z r,(N0&oo r, IK6on ., irl /yi9?txj ed_
2. T.I.P. Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): N/A
4. Location
County: ??4fu.)ooe4 Nearest Town: ?A4n?,5
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): ,5R 18 L . zn aan h ?.
?1 ?' r.?iq ?3 C3us, - 276 i H U/r9 5-M es u, II,,
Site coordinates, if available (UTM or Lat/Long): N/A
(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:
State maintained secondary road used to access astral woodland and/or residential property.
7. Property size (acres): /Q, 74,
8. Nearest body of water (stream/river/sound/ocean/lake): IKAe,eDon C ? ep_& 14-
9. River Basin: wren e,h B ron' a we r- 13 A.5 6
(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 tts/admin'maps/.)
Page 4 of 12
10. Describe the purpose of the proposed work: To widen and ?° eu 1 ILto meet current
NCDOT standards
11. List the type of equipment to be used to construct the project: Track Hoes Bulldozers,
t tnicks, Back Hoes. Manual 12. Describe the land use in the vicinity of this project: Rural vvoodiand Residential
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. ?M
V. Future Project Plans
Are any additional permit req.ue, is anticipated for this project in the future? If so, describe the
work, and provide justification for the exclusion of 61 s" work from 'the current
anticipated
application: No additional hermit requests are ariticioated
N'I. 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, perman,,nt
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. NVetland and stream
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.
Page 5 of 12
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***

i

Lul «Ln unpuct separately and identity temporary impacts. Impacts include, but are not limited to: mechanized clearing. grading, fil:.
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 Ma, s
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-500-35S-9616, C7
online at http://www.femajzov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, bea%er pone.
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
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 Perenr:ial or
Intermittent?
(please specify)
dulverl t 20' h m ?, 3, 1 ?ere n L

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and assoc:::e_' rip-r2-
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and r, ,, Icss,'gai- .
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation :>
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 th-Z nearer:
downstream named stream into which it flows. USGS maps are available through the USGS at I-S00-358-9616, or online ::
www.uses.eov. Several internet sites also allow direct download and printing of USGS maps (e g., www,t ,or-)ne.co-.
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: S#
Page 6 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Type of waterbody
Open water Im act
p
Site Number
(indicate on map) *
Type of Impact Area of
Impact
(acres) Name of waterbo
(if applicable) dy lake, pond, estuary, sound,

bay, ocean, etc.)

.____. _ ,..as ant I M;teri in- fill. excavation, dred.vin.;.
List each impact separately and identity temporary impacu. Impacts Mic
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): F_? uplands E] stream 0 wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation o
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesineuc, uuul 1JU11U.
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: NSA
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.
Impacts cannot be avoided Culverts must be extended in order to air the neceuarv %vidth
1 t uct SR IBI'L to current NCDOT standards All nine replacements will be iced belo%
the exu5tin(2 stream bed gradient so natural substrate can be re-established,
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
llttp://h2o.enr state nc.tis/ncwetlands/ trmaicle html.
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 vies v.
preservation mechanism (e.g., deed restrictions, conservation easement. etc.). and a
description of the current site conditions and proposed method of constriction. Please attach
a separate sheet if more space is needed.
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 http:/,lh2o.enr,.5tate.nc.tisl??-Ep'iilde\.htm. 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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes N?( No F1
If yes, does the project require preparation of an em•ironmental 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 [phone] o review current thresholds for environmental documentation.
Yes El No V
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 F-] No F-] N/A
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 sho« n 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 anc
Water Supply Buffer Require ents), or other (please identify y?
Yes R No V 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 N/A 3 N/A
2 N/A 1.5 N/A
Total N/A N/A
L.VfIC I extenus out ju tees perpenalcular trom 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 o-
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 wetland:
downstream from the property.
Existing impervious acreage = Proposed impervious acreage =
Total acreage = Storm water will be routed to buffer areas or retention basins
where physically possible.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) o:
Z7 -
wastewater generated from the proposed project, or available capacity of the subject facilit"'.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules.(15A NCAC 2H .0500) or any Buffer Rules?
Yes 0 No V
Is this an after-the-fact permit plication?
Yes F1 No
Page 10 of 12
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 Nvith Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

Applicant/Agent's Signature
(Agent's signature is valid only if a
1/6
Date
ation letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell
ckson
J Mitchell
Polk Union
Watauga
US Army Corps of Engineers Avery
Buncombe Clay
?'
Cleveland a
Lincoln
Rowan
Yancey
151 Patton Avenue Burke Gaston Macon Rutherford
Room208

5006
1
-
2850
NC
eville
sh
A
Cabamts
Graham
ivtadison

Dowell
M

'
Stan e}
Swain
4554
,hone: (8
1
-
28) 27
lep
e
T
Telephone: (828) 27 Caldwell
Catawba Haywood
Henderson c
Mecklenburg Transylvania
Fax:

ulatory Field Office
h Re
i
l
R
Alamance
Durham
Johnston
Sooken_ham 'ilsorl
Y ad'ir.
g
g
e
a
US Army Corps Of Engineers Alleghany Ed_ecombe
anklin
F Lee
Nash
Sum,
6508 Falls of the Neuse Road
Ashe
Caswell
r
Forsyth
Northampton
Vance
Suite 120
Chatham
Granville
Orange
Wake
Raleigh, NC 27615 Davidson Guilford Person Warren
Telephone: [phone] Halifax Randolph Wilkes
Fax: [phone] Davie

Washington Regulatory Field Office
Beaufort
Currituck
Jones
Lenoir Pitt
T ll
YRi
Co s Of Engineers
US Army rp Bertie
Camden Dare
Gates
ivlartin Washimnon
post Office Box 1000
Carteret*
Green
Pamlico Wayne
Washington, NC 27889-1000
hone: [phone]
Tele Chowan Hertford Pasquotank
uimans
P
*Croatan Na
tional Fo-est O i
p
Fax: [phone] Craven Hyde erq
Wilmington Regulatory Field Office
US Army Corps Of Engineers
Post Office Box 1890
Wilmington, NC 28402-1890
Telephone: [phone]
Fax: [phone]
Anson Duplin Onslow
Bladen Harnett Pender
Brunswick Hoke Richmond
Carteret Montgomery' Robeson
Columbus Moore Sampson
Cumberland New Hanover Scotland
Page 11 of 12
.06 ,
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Copyright (C) 1997, Maptech, Inc.
TEMP SLOPE DRAIN
TEMP SILT DITCH
EARTH EMBANKMENT
S I LT FEN CE
FIBERGLASS ROVING
RI P RAP
-TSD-

:=- E GR

TEMPORARY SILT FENCE:
A temporary silt fence is commonly used at the toe of a fillesdecati the bottom, t off-
site sedimentation. It is made pe?eaThe silt fena enureduces the water flow-while
stretched and supported by steel posts.
retaining the sediment. They may also be used to divert as ? low to protectethere
outlets. Silt fences need to be checked
on a regular basis. Silt fences shall not be
effectiveness. They must be maintained
installed across streams, ditches, or waterways.
AREAS OF USE:
• At toe of fill sections where sediment runoff can be stored and contained
inside the project limits.
DESIGN CRITERIA:
Material
Fabric
Steel posts length
Post spacing
Wi ire Without Wire
Type 3 Class A Type 3 Class B
5 ft 5 ft.
10 ft. 6 ft. maximum
17 March, 1992

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March,199?
SILT BASIN TYPE-B:

A silt basin type-B is a temporary basin built to collect sediment flowing through a
drainage way. The silt basin is built at the base of the ditch with its length being at
least 2 times the width of the basin. The type-B silt basin is generally built in
conjunction with temporary rock silt checks and other devices that control or slow
down water flow. This device must be monitored closely and cleaned out on a
regular basis until grass is established along the ditch line and sedimentation is no
longer a problem.
AREAS OF USE:
In conjunction with temporary rock silt checks and other devices used in
drainage ditches.
DESIGN CRITERIA:
• Width - variable
• Length - 2 times width
• Depth - 2 ft. minimum storage -
1800 cubic feet/acre (equals L x W x D)
23
March, 1992
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March, 1992
ROCK PIPE INLET PROTECTION TYPE-A:
°
°
A rock pipe inlet protection type-A is a horseshoe shaphed structure with a
structure. The type-1tt---in
sediment storage area around the outside perimeter of
rock pipe inlet protection shall be used at pipe inlets no larger than 36 inches in
diameter where it is receiving flow from several directions. The type-A rock pipe
inlet protection utilizes class-B stone lined with #5 or #57 stone to protect drainage
pipe structures by trapping sediment before it enters. They have a sediment storage
pit which is designed by the same procedures as a silt basin.
AREAS OF USE:
• At inlets to pipes no larger than 36 inches in diameter where it receives flow
from several directions.
• In areas where it can be cleaned and maintained on a regular basis.
DESIGN CRITERIA:
• Structural stone - class-B stone
• Sediment control stone - #5 or #57 stone
• Sediment storage area - 1800 cubic ft./acre
• Dam height - 3 ft. minimum
33 March, 1992

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March,1992
ROCK SILT SCREEN:

A rock silt screen is a low-level dam structure to be used in streams below culvert
sites. Rock silt screens shall be used to trap sediment transported by running water
and shall be placed in the stream below the construction site within the right-of-
way or easement boundary. The rock silt screen utilizes class B stone lined with #5
or #57 stone to produce a ripple-effect in the stream to settle the larger sediment
particles transported in the stream from the construction site. The trapped sediment
shall be cleaned out before the device is removed from the stream.
AREAS OF USE:
• In live streams below construction sites where construction occurs in or
adjacent to the stream.
• In live streams below a culvert construction site.
• Where it can be cleaned before it is removed from stream.
DESIGN CRITERIA:
Structural stone - class B stone
Sediment control stone - # 5 or # 57 stone
Dam height - 1.5 ft. minimum and 3 ft. maximum (shall not be higher than
1 ft. above normal flow of stream)
37 March, 1992
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ROAD NAME 2/?jC?:r` Cot/G ?' . ?C'c?•? ,?.T>.
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FROM
ADD ITION
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TO DE PAVED
P POLES TO BE MOVED 3
T POLES TO QE MOVED
R W WIDTH SCALE I = 50
D?4rE . • ? - 7 - 2000
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.r.
' '' • twice Dine ...................
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?% Culver,= . • .: :... ..:.... ...... .
woods ...• •• ••..••..•......... • .
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:1Jasenic ? Lime..:, .:.:.::........ . .:. .
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Guard llail
Sdnitar}•: Sewe?•Line ................ ,
Water Lint :'.'..'..'.'... •' ............. .
... ' Gas ..a_-•
Gas Linn .'.. ; ..?....' ::............ • i?ttt?t?usr:u r;ttST IN G
Chair Lilil: Fence-' .................. .
Woven Wire Fence':.. , ..... • ....... ? -?'
Rey,.cnc:t•iticiott....'..:,....•.........•... ' ? ?• ?•
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Si1c Bashi T31)e B .. ••......'..:........ .
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