20011445 Ver 1_Complete File_20011005

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Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
DWQ Project No.: County:
Applicant: "c /Z
Project Name: U u?o[ L, ?J? • 1312.
Date of Issuance of 401 Water Quality Certification:
G i.L?cac..J
e3
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.
Applicant's Certification
I, I'1 I oA zz--L L. /ate r?? ?- , 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 p)r n c f- . do §, and other supporting materials.
Signature: ?/ Date: -706/1,
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:
If this project was designed by a Certified Professional
I, 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
VObli,NDSM01 ergo v
JUL; ti ;U;j3
NATERQUA,! I?S1%i? N
XV
rr O-1.,
Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit: [phone]
Fax: [phone]
O WAIF Michael F. Easley, Governor
.
\Q?Q /QpG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
_ Gregory J. Thorpe, Ph.D.
-i Actin Director
03
p Division of Water Quality
November 8, 2001
Lincoln County
DWQ Project No. 011445
Bridge No. 18 on SR 1383 over Anderson Creek
APPROVAL of 401 Water Quality Certification with Additional Conditions
Ms. Trish Simon, Division Environmental Officer
NCDOT Division 12
P.O. Box 47
Shelby, NC 28151-0047
Dear Ms. Simon:
You have our approval, in accordance with the attached conditions and those listed below, to incur 40
linear feet of impacts from fill, 50 linear feet of riprap on embankments, and 25 linear feet of
temporary impacts for the purpose of replacing Bridge No. 18 over Anderson Creek on SR 1383 in
Lincoln County. The project should be constructed in accordance with your application dated
October 2, 2001 (receivers October 5. 2001). After reviewing your application, we have decided that
this fill is covered by General Water Quality Certification No. 3289 corresponding to the U.S. Army
Corps of Engineers Nationwide Permit Number 14. 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 with the accompanying 404 permit unless otherwise specified in the Water Quality
Certification.
This approval is only valid for the pur-, and design that you described in your application except as
modified below. If you change your project, you must notify us in writing and send us a new
application. If the property is sold, tlz? mw 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) exc=d one acre or if stream impacts exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For
this approval to be valid, you must fbUow the conditions listed in the attached certification and any
additional conditions listed below.
1. Temporary or permanent herbaccous vegetation shall be planted on all bare soil within 15 days of
ground-disturbing activities to pro-ride long term erosion control.
2. Stormwater shall be directed through vegetated buffer areas or retention basins, and not routed
directly into the stream
3. All structures required for this grc;c:ct shall be installed in such a manner that the original stream
profiles are not altered CLe. the depth of the channel must not be reduced by a widening of the
streambed). Existing stream dimensions are to be maintained above and below locations of
culvert extensions. The structures shall be installed one foot below the stream to allow for fish
and other wildlife movement
4. All work shall be performed during low flow conditions.
North Carofi a Divis= a'/t=ar oua qty. 401 We lands CerWScabon Uri
1650 FAaii s-arrce Cer.-". Pte'"- A nC 27699-165o (MaSirg Address)
2321 Crabtree EW, Raferji, !iC 27604-22,60 (Location)
919-733-17EZ (,,orp_), 515 7'Y', .fi29 3 (fax), ht47,'A-i2o.enr?-:a.nc.us/rcwetands/
,. - - ? J A ?STNZ o
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY

MEMO TO: John Dorney, DENR/DWQ/401/Wetlands Unit
FROM: Trish Simon, Division 12 Environmental Officer ;f
DATE: October 2, 2001
SUBJECT: Pre-construction Notification
Enclosed are seven copies of a pre-construction notification permit application for
a bridge replacement project in Lincoln County for your review and comments.
is
PAyl?JEJIJ?
REC6VJD
Post Office Box 47 Shelby, North Carolina 28151-0047

yJ
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P.O. Box 25201, RALEIGH, N.C. 27611-5201 LYNDO TIPPETT
GOVERNOR SECRETARY
P. 0. BOX 47, 1710 East Marion Street
Shelby, N. C. 28151-0047
October 2, 2001
O 'l 'I l ?+
Mr. John Hendrix
US Army Corp of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, N. C. 28891-5006
Dear Mr. Hendrix:
The North Carolina Department of Transportation, Division of Highways, proposes the following
project for your issuance of a Section 404 Permit. We believe this project can be accomplished
under General Permit No. 198200031.
COUNTY: Lincoln
LOCATION: Bridge 918 on SR 1383, 0.5 mile south ofN.C. Highway 73
STREAM: Anderson Creek
PROJECT DESCRIPTION: NCDOT proposes to replace an existing structurally deficient bridge
with a new 150' concretabridge. Two bridge support piers will be constructed. Pier #1 will be
located on the south embankment of the stream. The construction of a Pier #2, partially located on
the north embankment, will also require the placement of approximately 200 yd3 of fill on the 100-
year flood plain of Anderson Creek. R_prap will be used to stabilize the areas around the piers and
the roadway embankments. Site location maps, a soil survey map, photos of the site, and sketches
of planned activities are attached.
Anderson Creek is classified Class C waters and is located in the Catawba River Basin. The
floodplain of Anderson Creek will be minimally impacted by the proposed project; however, there
are no wetlands involved. The project is not located on an urban or rural arterial roadway nor is it
located in or near a critical or protected water supply watershed area; therefore, hazardous spill
basins are not required. Enclosed is the NCDOT hazardous spill basin checklist and "Guidelines for
the Location and Design of Hazardous Spill Basins".

Mr. John Hendrix
Page 3- Bridge #18, Lincoln County
October 2, 2001
A review of the Natural Heritage information for the threatened and endangered species listed for
Lincoln County, Michaux's sumac (Rhus michauxii) and dwarf-flowered heartleaf (Hexastylis
naniflora), did not reveal any known sites in the vicinity of the proposed project. I have conducted
a survey for both species in the project area on September 25, 2001. None were observed. It was
determined that neither species were located in the proposed project area. No significant effect on
this species is anticipated. A review of the available information from the National Register of
Historic Places was also conducted. There is a National Register property located adjacent to the
project site. It is proposed that approximately 750 square feet of the property will be temporarily
disturbed to provide access for roadway embankment construction.
By copy of this letter, we are asking Neil Trivette, NCDOT Area Roadside Environmental Engineer
to comment on the above project. By copy of this letter, we are also requesting concurrence from
the Wildlife Resources Commission, U.S. Fish & Wildlife Service, and the State Historic
Preservation Office. By copy of this letter, I am forwarding seven (7) copies of the application
package to John Dorney, NCDENR, Division of Water Quality, 401/Wetland Unit for review. A
$200.00 check is enclosed for application processing.
Your earliest consideration for this request would be greatly appreciated. Should you have any
questions, please call me at 704-480-9020.
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
Trish Simon
Division 12 Environmental Officer
Enclosures
cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Dan Holderman, P.E. , Division Bridge Engineer
Mr. Neil Trivette, Area Roadside Environmental Engineer
Mr. Ron Linville, WRC
Mr. Brian Cole, USF & WS
Mr. John Dorney, DENR/DWQ/401/Wetlands Unit (7 copies)
File
Office Use Only: Form Version April 2001
.l fi t
06
USACE Action ID No. DWQ No. 0
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
1. 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: General Permit N
198200031
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 (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mike L. Holder, N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby. North Carolina 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
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: Trish Simon
Company Affiliation: N.C.Department of Transportation
Mailing Address: P.O. Box 47
Shelby, North Carolina 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimonadot.state. nc.us
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: Bridge Replacement (#18) on SR 1383. Lincoln County
2. T.I.P. Project Number (NCDOT Only): B-3484
3. Property Identification Number (Tax PIN): NCDOT Right of Way
4. Location
County: Lincoln Nearest Town: Lowesville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): Take Highway 73 east from
Lincolnton. Turn right onto SR 1383 and travel approximately 0.5 mile to Bridge 418.
5. Site coordinates, if available (UTM or Lat/Long): 35°26'51N/81 °02'36W
(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: Bridge
crossing on a paved secondary road.
7. Property size (acres): 0.40 acres (NCDOT right of way)
8. Nearest body of water (stream/river/sound/ocean/lake): Anderson Creek. Class C Waters
9. River Basin: Catawba
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://l12o.enr.state.ne.us/admin/maps/.)
10. Describe the purpose of the proposed work: Replace existing deteriorating and structurally
deficient Bridge #18 with a concrete bridM
Page 4 of 12
11. List the type of equipment to be used to construct the project: Trackhoes, cranes, and drilling
riffs.
12. Describe the land use in the vicinity of this project: The surrounding area is wooded
upstream and residential, wooded downstream. Ingleside Farm (National Register property,)
borders project site.
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 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: No future permit requests are anticipated.
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
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 NO WETLAND IMPACTS
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
ycs/no Distance to
Nearest Stream
linear feet)
Type of Wetland***

' 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.
Page 5 of 12
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 arc available through the FEMA Map Service Center at 1-800-358-9616, or
online at http //?tititilv.fenta.?ov.
List a wetland type that best describes wdland 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: 0
Total area of wetland impact proposed: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number Length of Average Width Perennial or

(indicate on Type of Impact* Impact Stream Name** of Stream Intermittent?
(linear feet) Before Impact (please specify)
ma
Placement of Class
H riprap on
1 embankment 50 ft Anderson Creek 40-50 ft Perennial
around bridge for
stabilization.
Placement of 200
yd3 fill on 100 yr
1 floodplain to 40 ft
construct new
bridge (around Pier
#2)
Temporary work
1 bench (fill) to 25 ft "
install pier columns
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 fed 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 snaps are available through the USGS at 1-800-358-9616, or online at
„??tir.usgs.aov. Several intemd sites also allow direct download and printing of USGS maps (e.g., ww'.y.tonozone.com,
xv\v\v.mapnuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:- Riprap on embankment =
50 feet, Fill on 100 year floodplain = 40 ft, Temporary impact of work bench fill = 25 feet.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. NO OPEN WATER IMPACTS
Open Water Impact
Site Number
on ma)
Type of Impact* Area of
Impact
(acres)
Name of Waterbody
(if applicable) Type of Waterbody
(lake,
' , ' 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.
Page 6 of 12
4. Pond Creation NO 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 existing bridge is to be replaced with a new bridge, therefore, the project impacts are
reduced. For the new bridge construction, a minimal temporary workbench is needed at pier #2
to gain access to the column location by the drill rig. The bench will be removed upon project
completion. Approximately 50 square feet of the Ingleside Farm (National Register property),
as shown on the attached tax map, will be temporarily disturbed to gain access for the roadway
embankment construction. This area will be stabilized upon project completion.
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.
Page 7 of 12
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:/A12o.enr.state.nc.us/ncwetlands/strmRide.htmi.
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.
STREAM IMPACTS < 150 FEET. MMGATION NOT ANTICIPATED
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://h2o.enr.state.nc.us/«rpIindex.titm. 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 [phone] to review current thresholds for environmental documentation.
Yes ? No
Page 8 of 12
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 (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 213 .0233
(Meuse), 15A NCAC 213 .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. mpact Zone* (s luare feet) Multiplier Miti a

1 3
2 1.5
Total
' Zone I 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.
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.
Brid to #18 & SR 1383 is paved. There is no additional impervious surface proposed.
Page 9 of 12
XIL 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.
XIM Violations (DWQ Only)
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).
A small portion of a National Register site is being temporarily impacted by the proposed
project. NCDOT's Historic Architecture group will be reviewing this site and the proposed
temporary impacts; and will then confer with the State Historic Preservation Office about any
possible mitigation requirements.
-?W, , _ //?-,2 -o
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 10 of 12
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Date: 9 /2 512 0 0 1
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Location: 035° 26' 51.4" N 081 ° 02' 34.2" W
Caption: Bridge #18 Replacement on SR 1383, Anderson Creek, Class C
Waters, Catawba River Basin
(C) 1997, Maptech, Inc.
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Bridge #18 on SR 1383 on Anderson Creek in Lincoln County
LIN C O- LN C O UNTY, N,C NURTI{(11}tULINA
OFFICE OF THE TAX ADMINISTRATOR
N Plot. from the Land RecordslGeograpbic Information System (GIS) Division
B ased on the North' Carolina State Plane Coordinate System 1983 NAD:
• ' LINCOLN COUNTY AND ITS MAPPING CONTRACTORS ASSUME NO LEGAL RESPONSIBILITY FOR
` THE INFORMATION CONTAINED ONTHIS MAP. TffiS MAP IS NOTTO DE USED FOR LAND CONVEYANCE..
Permanent Drainage Easements (PDE) added as of 01101/2001 forward. Only shown if moos Q =5CIE LOCATION
• . • and bounds described. on. rococdsd plat. Not all Right"-Way[Easanents are shown.
SHADED PINTA: 3631-01-45-2298 and PID#: 18917 PLOT FROM MAP(S)] 3682 3692
SCALE: 1" = 350' DATE: 21 Sep 01 11:21:56 Friday Prepared (or: DAN HOLDERMAN
(10.34A)
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NCD1VO Stream Classification Forln
Project Name: River Basin; County.
a
DWQ Project Number. Nearest Named Stream: Latitude:
Date:
USGS QUAD: Longitude:
Evaluator.
Signature:
Locatio./Directions:
'PLEASE NOTE:
!/r.afaaror end Landowner arrst that the/ est
ate it i man-madr duch• rhea rsr o/rhir/anw is no! neceuaq.
ALP, i/in the brat pra/asiana! judBeeren! o/Uie eralua/or, the%ararc it t man..nade ditc h and nor a wad fed ..tutuI sveaar--ihL
raring iprea. sA..Id nor be used
Primary Field Tndicntors: reRreo.eN.eer.rrrl,arL
re nv n e ^ w
1) Is There A Riffle-Pool Sequence? 00 1 02 00
Is The USDA Texture In Stmamoed
Z
Different From Surrounding Tem. in? 00 Of 02 0-11-
J) Me Natural Levees Present? 00 Of 02 G-7-
4) Is The Channel Sinuous? 00 01 02 013- -
5) Is There An Active (Or Relic) Floodplain Present? 00 01 02 OT'
6) Is The Channel Braided? 00 01 O? 03
.
7) Are Recent Alluvial Deposits Present? 00 01 02 Q3"
8) Is There A Bankfull Bench Present? 00 01 02 0,a-
Is A Continuous Bed & Bank Present? (?
9)(•AOT£: IfBrdd Beet C -rd By DucA,.s Aed N7rHOOr Ae.way Thy. Scorn.,90
01
02 /
G-3_
Is A 2nd Order Or Greater Channel (As Indicated On Topo
10)
/ ,,-???
\YYa•2 0 No-0
Man And
Or In Field) Present?
PRIMARYGEOMORPHOLOGY INDICA TOR POINTS. 6:2 #VALUEI
If. livdrolo¢v Absent Weak Moderate Strom
I) Is There
Groundwater 0 0 O 1 0 2 0
a
Flow/Oiuharye Present? 3
PRLSURY HYDROLOGY INDICATOR POINTS. #VAL UE1 v
Ill. BloloeN Absent Weak Moderate Strong
1) Art Fibrous Roots Present In Stmambed? QA5/ 02 0 1 00
' 2) Are Rooted Plants Present In Strtambcd? l?7 02 01 00
J) Is Pcriphyton Present? 00 01 02
e) Are Bivalves Prescnt? 00 01 2?f 03
$/G,-J
PRIMARY IIIOLOGYINDICATORPOINTS. I #VALUEI
Secondary Field indicators: rasa a.em-b,rrrrtA.r)
L Gcomorpholo Absent Weak Moderate Stronr:
1) Is There A Head Cut Present In Channel? 00 OS Of 01.5
2) Is There A Grade Control Point In Channel? 00 00s O'1' 01.5
Does Topography Indicate A
J) 00 00
5 Of 6111

Natural Dninaee Wav? . 5
SECONDARY GEOAIORPIIOLOGYINDICA TOR POINTS. 3 #VALUEI
11. lls'drnlney Absent Weak Moderate S(ront!
Is This Year's (Or L st's) Leallnicr
If Present In Strnmhed?
0'115
01
00.s
00
2) Is Sediment On Plants (Or Debris) Present? 00- 00.5 01 Q?-Tz
J) Are Wrack Linn Present? 00 0 oS 01 G-fS
Is Water In Channel And >48 Hrs. Since
4)
DOS
O
Last Knows Rain? ONOTE: IMM4Indico,.d A Yr Abo Slit Mr Sr P Awd aJ?$r??•1 f 1.$
Is There Water In Channel During Dry 5) 00 00
5 01
Conditions Or In Growing Scasonl? .
6) Art Hydrae Sors Pm ent In Sides Of Channel (Or Le H-kw)? UYes-1.5 0 No-0 -I
).. fN Mr-,A/?
SECONDARY HYDROLOGY INDICATOR POINTS: J #VAL UE1 I f
111. Biology Absent I Weak Moderate StronG
Ar F' h P n -/' '. i 1. i •?..
I) a is resent. D O O'6S O 1 01.5
2) Are Amphibians Present? 00 00.s t? 01.5
J) Arc AquaticTunles Present? 00 G-13 01 01.s
4) Art Crayfish Present? 00 0'G.S Of 0 1.S
5) Art Macrobenthos Present? 00 00.5 01
CFa'fS
6) Art Iron Oxidizing Bacteria, Fungus Prescnt? 00 00.s 01
1S
7) Is Filamentous Algae Present? 00 00.s W'1 0 1.S
8) Are Wetland Plants In Strcambcd? SAY
' Mostly OBL Mostly FA 1Y Mostly FAC Mostly FACU Mostly UPL
(• A
OTE: lfTP,al Ahrner OfAfl qt.n /e S,na..wd Aa Now? 02 01 675 00.s 00 00
Ab- SLip This Any UNLLts SAYPmr.,•J. (-,_- , r) )
;.: tC r;I
SECONDARYBIOLOGY INDICATOR POINTS.
J #VALUEI
TOTAL PO[NTS (Prl,,,nn•+Sernn fan•)w #VALUEI (Ij Greatrr Than Or Equal ToL? Points Tlie Stream Is At Least lnrerminenq

INTERMITTENT CHANNEL
EVALUATION FORM
ACTION ID APPLICANTNAINIE NCD37- DATE Z5? l?
PROPOSED CHANNEL WORK (i.e., culvert, relocation, etc.) lacenvr4
LJ
J? ,ai tti n I I
WATERBODY/RIVER BASIN Hr(1??LriC/'lN?,'(.0?'TAtj6CA COUNTY/CITY LINc,/J
RECENT WEATHER CONDITIONS /R?
P SP NP Observation Comments or Description
f Fish/Shellfish/Crustaceans Present
Benthic Macro Invertebrates
Amphibians Present/Breeding
Algae And/Or Fungus (water quality function)
Wildlife Channel Use (i.e. tracks, feces, shells, others)
V Federally Protected Species Present (Discontinue)
Riffle/Pool Structure
Stable Streambanks
Channel Substrate
(i.e. gravel. cobble, rock, ,-arse sa
Riparian Canopy Present (SP =/> 50% closure)
Undercut Banks/Instream Habitat Structure
Flow In Channel

V Wetlands Adjacent To/Contig. With Channel
(Discontinue)
? Persistent Pools/Saturated Bottom
(June through Sept.)
Seeps/Groundwater Discharge (June through Sept.) L 4c
Adjacent Floodplain Present
Wrack Material or Drift Lines
Hydrophytic Vegetation in/adjacent to channel
Important To Domestic Water Supply? Y
Does Channel Appear On A Quad Or Soils Map? 0Y / N
L r? j
Approx. Drainage Area: -7 5 DD a,
Determination:

Perennial Channel (stop) Iortant Channel: LF PROJECT MGR Initials
[J
T
p
Intermittent Channel (proceed) rn p ort ant Channel: LF
L
n
Ephemeral Channel (nojd) (attach map indicating location of important/unimportant channel)
Ditch Through upland (nojd)
Evaluator's Signature: -- 11f
(if o ,er than C.O.E. project manager)
P=Prescnt SP=Stongly Prescnt NP=Not Prescnt 11/4/98
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division:- County: L/ oC- Project ID: & • 5o34So
River Basin: e5,4-r-Aw8A Bridge No: /0 Glklc-a_,J
Route: -!?/L 3 Stream: v??LSd? C,Pe(66
Water Quality Criteria:
Yes No
Stream Crossing Blue Line On USGS f? r
ORW r r-y'
WSI r (-?
WS II,III OR IV, Crossing Within 0.5mi of W.S. Critical Area f r?
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban r r?
Arterial Rural r r'?
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required?
F- r-?
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
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