20011151 Ver 1_Complete File_20010731

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
1 00
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
August 29, 2001
Stanley County
DWQ Project No. 01-1151
SR 1236, NCDOT Bridge 82
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS
Mr. Benton G. Payne, P.E.
District Engineer
North Carolina Department of Transportation
716 West Main Street
Albemarle, NC 28001
Dear Mr. Payne:
You have our approval in accordance with the attached conditions and those listed below, place 0.042 acre
of fill in Little Creek to replace Bridge No. 82 on SR 1236 in Stanley County. The project should be
constructed in accordance with your application dated 27 July 2001 (received 31 July 2001). After
reviewing your application, we have decided that this fill is covered by General Water Quality Certification
Number 3289. This certification corresponds to the Nationwide Permit Number 14 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 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 listed below. - - - - - - - - - - - -
1. The culverts must be set one foot deep below the channel invert.
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, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing. -
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please contact Cynthia Van Der Wiele at 919-733-5715, or Pete Colwell in
the Mooresville Regional Office at 704-663-6040.
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
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
e??
Michael F. Easley, Governor NC ENR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Gregory J. Thorpe, Ph.D., Acting Director ENVIRONMENT AND NATURAL RESOURCES
ROAD CROSSING CERTIFICATION GENERAL CERTIFICATION FOR PROJECTS
ELIGIBLE FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBER 14 (ROAD
CROSSINGS), REGIONAL GENERAL PERMIT 198200031 AND NEUSEITAR
PAMLICO/RANDLEMAN BUFFER RULES
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 (DWQ)
Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B .0200 for the discharge of fill material to
waters and wetland areas as described in 33 CFR 330 Appendix A (B) (14) of the Corps of Engineers
regulations (i.e., Nationwide Permit No. 14 and Regional General Permit 198200031) and for the Neuse,
Tar-Pamlico and Randleman Buffer
Rules (15A NCAC 2B .0233,.0259 and .0250). The category of activities shall include any fill activity for
road crossing and is limited to fill less than one-third of an acre. This Certification replaces Water Quality
Certification Number 2177 issued on November 5, 1987, Water Quality Certification Number 2666 issued
on January 21, 1992, Water Quality Certification Number 2732 issued on May 1, 1992 and Water Quality
Certification Number 3103 issued on February 11, 1997. This WQC is rescinded when the Corps of
Engineers re-authorizes Nationwide
Permit 14 or Regional General Permit 198200031 when deemed appropriate by the Director of the 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. Proposed fill or substantial modification of wetlands or waters (including streams) under this General
Certification requires application to and prior written concurrence from the Division of Water Quality;
2. In accordance with North Carolina General Statute Section 143-215.3D(e), any application for a 401
Water Quality Certification must include the appropriate fee. If a project also requires a CAMA Permit,
one payment to both agencies shall be submitted and will be the higher of the two fees;
3. In accordance with 15A NCAC 2H.0506 (h) compensatory mitigation may be required for impacts to
---streams-and/or wetlands. In addition, buffer mitigation maybe required for-any project with Buffer
Rules in effect at the time of application. A determination of buffer, wetland and stream mitigation
requirements shall be made for any Certification for this Nationwide Permit. The most current design
and monitoring protocols from DWQ shall be followed and written plans submitted for DWQ approval
as required in those protocols;
4. For any project involving a stream re-alignment, a stream relocation plan must be included with the 401
application for written DWQ approval. Relocated stream designs should include the same dimensions,
patterns and profiles as the existing channel, to the maximum extent practical. The new channel should
be constructed in the dry and water shall not be turned into the new channel until the banks are
stabilized. Vegetation used for bank stabilization shall be limited to native woody species, and should
include establishment of a 30 foot wide wooded and an adjacent 20 foot wide vegetated buffer on both
sides of the relocated channel to the maximum extent practical. A transitional phase incorporating coir
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
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
Lr;WA
4 • •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
fiber and seedling establishment is allowable. Also, rip-rap may be allowed if it is necessary to maintain
the physical integrity of the stream, but the applicant must provide written justification. and any
calculations used to determine the extent of rip-rap coverage requested. If suitable stream mitigation is
not practical on-site, then stream impact will need to be mitigated elsewhere;
5. Impacts to any stream length in the Neuse, Tar-Pamlico and Randleman River Basins requires written
concurrence from DWQ in accordance with 15A NCAC 2B.0233, 15A NCAC 2B .0259 and.0250 and
15A NCAC 211.0500. New development activities located in the protected 50-foot wide riparian areas
(whether jurisdictional wetlands or not) within the Neuse, Tar-Pamlico and Randleman River Basins
shall be limited to "uses" identified within and constructed in accordance with 15A NCAC 2B .0233,
15A NCAC 2B .0259 and .0250. All new development shall be located, designed, constructed, and
maintained to have minimal disturbance to protect water quality to the maximum extent practicable
through the use of best management practices. Activities listed as "exempt" from these rules do not need
to apply for written concurrence under this Certification;
6. Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed to allow low flow passage of water and aquatic life unless it can be shown to
DWQ that providing passage would be impractical. Design and placement of culverts and other
structures including temporary erosion control measures shall not be conducted in a manner that may
result in dis-equilibrium of wetlands or stream beds or banks, adjacent to or upstream and down stream
of the above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ. Additionally, when roadways, causeways or other fill
projects are constructed across FEMA-designated floodways or wetlands, openings such as culverts or
bridges must be provided to maintain the natural hydrology of the system as well as prevent constriction
of the floodway that may result in destabilization of streams or wetlands;
7. If this Certification is used to access building sites, all lots owned by the applicant must be buildable
without additional fill beyond that allowed under other General Certifications. Deed restrictions must be
placed on the remaining wetlands and streams on these lots to restrict future wetland and stream fill.
DWQ shall be sent copies of all deed restrictions applied to these lots;
8. That appropriate sediment and erosion control practices which equal or exceed those outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design Manual"
or the "North Carolina. Surface.Mining Manual whichever is more appropriate (available from the
Division of Land Resources (DI.R) in the DENR Regional or Central Offices) shall be in full
compliance with all specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to assure compliance with the appropriate
turbidity water quality standard;
9. All sediment and erosion control measures placed in wetlands or waters shall be removed and the natural
grade restored within two months after the Division of Land Resources has released the project;
10. Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the
state until the concrete has hardened;
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
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
1 00
11 4A
AMIN
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
11. This Certification shall be utilized for roads from natural high ground to natural high ground. The
Certification for Nationwide Permit 18 may not be used in conjunction with this Certification to create
high ground for road access;
12. If an environmental document is required, this Certification is not valid until a Finding of No
Significant Impact (FONSI) or Record of Decision (ROD) is issued by the State Clearinghouse. All
water quality-related conditions of the FONSI or ROD shall become conditions of this Certification;
13. That additional site-specific conditions may be added to projects proposed under this Certification in
order to ensure compliance with all applicable water quality and effluent standards;
14. When written concurrence is required, the applicant is required to use the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been completed;
15. Concurrence from DWQ that this Certification applies to an individual project shall expire three years
from the date of the cover letter from DWQ or on the same day as the expiration date of the
corresponding Nationwide Permit 14 and Regional General Permit 198200031 whichever is sooner.
Non-compliance with or violation of the conditions herein set forth by a specific fill project may 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, stream or downstream waters are precluded.
Public hearings may be 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: 1 June 2000
DIVISION OF WATER QUALITY
By
Kerr T. Stevens
Director
WQC # 3289
Wetlands/401 Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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r
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
File Copy
Central Files
01-1151
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
11kT?W,J
WM% Michael F. Easley, Governor NC ENR
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
approved plans and specifications, and other supporting materials.
Signature:
Agent's Certification
Date:
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:
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 1650 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
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.00
401 ISSU LL-J.
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNoR
DIVISION OF HIGHWAYS
July 27, 2001
U. S. Army Corps of Engineers
Asheville Regulatory Office
Attn: Mr. Steve Lund, M. S.
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
W. LYNDo TIPPETT
SKRHPARY
01 1151
Subject: Stanly County, Proposed Replacement of Bridge No. 82 on SR 1236 (Old
Concord Road) over Little Creek.
Dear Mr. Lund:
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge No. 82
on SR 1236 (Old Concord Road) over Little Creek. The purpose of this letter is to request
authorization from U. S. Army Corps of Engineers under a Section 404 General Permit No.
198200031 to construct the project.
The existing bridge will be replaced by twin metal culverts, each measuring 142" x 91 ". Traffic
will be maintained using an off-site detour.
The project has been described in a Minimum Criteria Checklist and a natural resource
investigation was conducted by NCDOT on May 23, 2001. Impacts to waters of the United
States will result from project construction. There are no wetlands present, although impacts to
surface waters will occur. There will be 0.042 acre of fill in surface from the culvert installation,
equating to 70 feet of stream channel loss. The stream is located in a rural area between the
Finger and Millingport communities and is located in the Yadkin River Basin, Hydrologic Unit
03040105. A permit drawing and pre-construction notification form are attached to this letter.
The NCDOT anticipates that the permit application will be authorized under a Section 404
General Permit No. 198200031. We are also hereby requesting a 401 Water Quality
Certification, General Certification Number 3289, from the Division of Water Quality. In
compliance with Section 143-215.3D(e) of the NCAA, we have enclosed a check for $200.00 to
act as payment for processing the section 401 permit application. We are providing seven copies
of this application to the North Carolina Department of Environment and Natural Resources,
Division of Water Quality, for their review.
rn ?
rn
MN.
716 West Main Street, Albemarle, NC 28001 • [phone] • Fax [phone]
Thank you for your assistance with this project. If you have any questions or need any additional
information concerning this project, please contact Mr. Larry Thompson, Division Environmental
Officer, at [phone].
Sincerely,
Benton G. P yne, P. E.
Division Engineer
LI)T/BGP
Enclosures (2)
cc: Mr. David Franklin, USACE
Mr. John Dorney, NCDWQ
Ms. Marella Buncick, USFWS
Ms. Maryellen Haggard, NCWRC
Mr. Barry Moose, P. E.
Mr. Garland Haywood, P. E.
Mr. Larry Thompson, R. S.
Mr. David Harris, Area Roadside Environmental
MINIMUM CRITERIA DETERMINATION CHECKLIST
The following questions provide direction in determining whether a proposed project has
only a minimum potential for environmental effects. Answer the following questions by
checking either yes or no. Refer to the attached guidance for assistance.
TIP Project No.:
State Project No.: Bridge 68-082
Project Location: Stanly County - SR 1236 (Old Concord Road) at Little Creek.
Project Description: Replace existing timber bridge with (2) 141" x 91" pipe.
Anticipated Permit or Consultation Requirements:
Section 404 General Permit Number 198200031 and Section 401 Water Quality
Certification, General Certification Number 3289.
Special Project Information:
Threatened and Endangered Species survey has been conducted.
I of 3
PART A: MINIMUM CRITERIA YES NO
Item 1 to_be completed by the'EAwneer
1. Is the proposed project listed as a type which would qualify as a 0 ?
Non-Major Action under the Minimum Criteria?
PART B: MINIMUM CRITERIA EXCEPTIONS
Items 2 11 t be completed by the Engineer
2. Is the proposed project likely to precipitate significant, foreseeable 0
alterations in land use, planned growth, or development patterns?
3. Does the proposed action divide or disrupt an established F-1 FX
community'?
4. Does the proposed action bypass an existing community? El 5. Does the proposed action provide new access to areas containing

significant amounts of natural resources?

6.
Is the proposed action likely to have a significant detrimental -1 IN
impact on air quality?
7. Is the proposed action likely to have a significant detrimental F1
impact on ambient noise levels for adjoining areas?
8. Is the proposed action likely to have significant impact on travel F-1 FX
patterns or traffic volumes?
9. Does the proposed action require the relocation of significant F-1 FX
numbers of people?
10. Is the project likely to be controversial? El _ 11. Will the proposed action require the use of land owned by the U.S.
Forest Service or the National Park Service?
Item 1216 be completed by Diy_isionEnvironmental Officer.
12. Is the proposed action likely to significantly affect water quality?
I IN
PART C: COMPLIANCE WITH STATE AND FEDERAL REGULATIONS
Items 1316 to be completed byrDivcs7on?,Environmental OfJrYeer,
13. Is a federally protected threatened or endangered species, or its 1-1 FX
habitat, likely to be impacted by the proposed action?
14. Does the action require the placement of fill in waters of the United
States?
2 of 3
YES NO
15. Does the project require the placement of a significant amount of ?
fill in high quality or relatively rare wetland ecosystems, such as
mountain bogs or pine savannahs?
16. Is the proposed action located in an Area of Environmental F1 Concern, as defined in the coastal Area Management Act?
• Weer
Items I7 :19 to b le
e compted by the E
17. Does the project require stream relocation or channel changes?
Cultural Resources
18. Will the project have an "effect" on a property or site listed on the
National Register of Historic Places?
19. Will the proposed action require acquisition of additional right of F] EX
way from publicly owned parkland or recreational areas?
Reviewed by: Date: ?2z le Z/, District Engineer
• S Date: !.
6;?ievision nviro ental Engi er
If any questions 2 through 12 are answered "yes", the proposed project does not qualify
as a Non-Major Action. A state environmental assessment (EA) will be required. For
assistance, contact:
William D. Gilmore, P. E.
Manger, Project Development and Environmental Analysis Branch
P. O. Box 25201
Raleigh, NC 27611
(919) 733 -3141
Fax: [phone]
Questions in Part "C" are designed to assist the Engineer in determining whether a permit
or consultation with a state or federal resource agency may be required. If any questions
in Part "C" are answered "yes", refer to the Environmental Guidance section of this
document and contact the appropriate individual for assistance.
3.of3
Property Info on Upcoming Projects:
Stanly County
Bridge # SR # Road Name Property Owners
68-082 1236 Old Concord Road . N.E. Corner ..... David Turner
20481 Old Concord Rd.
Albemarle,N.C. 28001
N.W. Corner ..... James Gadd
20383 Old Concord Rd.
Albemarle,N.C. 28001
S.E. Corner ..... Robert Almond
20470 Old Concord Rd.
Albemarle,N.C. 28001
S. W. Corner .....Bertha Furr
20366 Old Concord Rd.
Albemarle,N.C. 28001
68-198 1228 Rowland Rd. N.E. Corner ..... Victor B. Wallace.I11
25610 Rowland Rd.
Mt. Pleasant,N.C. 28124
N.W. Corner ..... Minnie Hatley
25607 Rowland Rd.
Mt. Pleasant,N.C. 28124
S.E. Corner Gurley Paige
25488 Rowland Rd.
Stanfield,N.C. 28163
S. W. Corner ..... Minnie Hatlev
25607 Rowland Rd.
Mt. Pleasant,N.C. 28124
68-228 1730 Clodfelter Road
N.E. Corner and
N.W. Corner ..... Judith Goodson
611 Windermere Circle
Winston Salem,N.C.
27106
S.E. Corner and
S. W. Corner ..... Myra Fisher
10411 Avondale Ave.
Charlotte,N.C. 28210
BRIDGE # 82 STANLY COUNTY
Office Use Only' 011151 Form Version April 2001
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.
I. 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 31
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: ?
II. Applicant Information
1. Owner/Applicant Information
Name: N C Department of Transportation
Mailing Address: 716 West Main Street
Albemarle. NC 28001
Telephone Number: [phone] Fax Number: [phone]
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: Benton G Payne P E
Company Affiliation: Division Engineer
Mailing Address: 716 W. Main Street
Albemarle. NC 28001
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: bpayne2dot 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 82
2. T.I.P. Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): _
4. Location
County: Stance Count Nearest Town: Albemarle
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): (From NC 73 in Albemarle)
travel NC 73 NE toward Concord NC Left onto Concord Road (SR 1236) Bridge 82 will
be the first bridge you cross and is located 25-ft West of junction with Flint Ridge Road (SR
1238)
5. Site coordinates, if available (UTM or Lat/Long): 35 22.650N / 35 22.650W
(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/Agricultural
7. Property size (acres):
8. Nearest body of water (stream/river/sound/ocean/lake): Little Creek
9. River Basin: Yadkin
Page 4 of 12
BRIDGE # 82 STANLY COUNTY
10. Describe the purpose of the proposed work: Installation of Two Lines of 142"X91" CMPA
This will replace an existing single 20'-2" Timber span Bridge built in 1960
11. List the type of equipment to be used to construct the project: Boom Truck & Dump
Truck to remove existing bridge and install two lines of 142"X91" CMPA.
12. Describe the land use in the vicinity of this project: Wooded on both sides of stream,
cultivated fields beyond wooded buffer.
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: N/A
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.
Page 5 of 12
BRIDGE # 82 STANLY COUNTY
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
N/A
Type of Impact*

N/A Area of
Impact
(acres)
N/A Located within
100-year Floodplain**
(es/no)
N/A Distance to
Nearest Stream
(linear feet)
N/A
Type of Wetland***

N/A

_J _L.. ,.A ..I .7
,? ..,. f"II
* List each impact separately and identify temporary impacts. Impacts include, out are not IlmnCu w: McCilan,ZCd clearing, gm.,-5.
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.1ema.(_,ov.
*** 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: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
intermittent"
(please seci )
1 Twin Culverts 60-FT. Little Creek Approx. 18-Ft. Perennial
2 Inlet Stabilization 5-FT. Little Creek Approx. 18-Ft. Perennial
3 Outlet Stabilization 5-FT. Little Creek Approx. 18-Ft. Perennial

* List each impact separately and identify temporary impacts. Impacts mciude, Dui are nut tiuutcu w. euiveI LS an. awe .- ..F-...r,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616. or online at
www.usss.vov. Several internet sites also allow direct download and printing of USGS maps (e.g., www'.topozone.com,
ww•w.maQquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 60-Ft. X 28-Ft. for
Culverts / 10-Ft. Bank Stabilization - Total linear Distance within Channel - 70-Ft.
Page 6 of 12
BRIDGE # 82 STANLY COUNTY
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 ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
N/A N/A N/A N/A N/A

L
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: tiii, 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.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
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.
NCDOT has determined that the installation of twin culverts would not only be financially viable
to replace the existing structure - but it would also greatly diminish the need for continual
maintenance activities at this site for the proposed replacement structure. Culverts require far
less attention than conventional span bridges of a timber or a steel /concrete construction
regarding replacement of structural elements painting of steel & timber railings, as well as the
necessity for installation of sub-structural members such as additional piles and /or additional
bents These culverts will be of sufficient length to minimize asphalt contamination from
reaching stream-bed should the road be resurfaced and/or widened in the future.
Provisions shall be addressed to lessen impacts to aquatic habitat by establishing a minimum 1-
ft differential between the two inverts allowing aquatic passage during low-flow conditions.
Page 7 of 12
BRIDGE # 82 STANLY COUNTY
Bank stabilization activities will be limited to not more than 5-ft. on either side of the proposed
culverts.
Temporary silt/sediment control devises will be installed down stream during all phases of
construction These shall be removed at the completion of the project.
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:/ih2o.enr.state.nc.us/ncwetlands/stnn21de.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
No mitigation is proposed for this project
Page 8 of 12
BRIDGE # 82 STANLY COUNTY
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 hqp:,//h2o.enr.state.nc.us/M/index.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):
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 ?
ach a
If yes, has the document review been finalized by the State Cleari nghouse? If so, please att
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.
Page 9 of 12
BRIDGE # 82 STANLY COUNTY
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
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.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular fr om near bank of channel: /-one ! extenos 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.
N/A
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.
N/A
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 ? No
Page 10 of 12
BRIDGE # 82 STANLY COUNTY
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).

Applicant/Agen& Signatur /`sr Date
(Agent's signature is vali my if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockinham
'
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh
NC 27615 Chatham Granville Orange Wake
,
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office
US Army Corps Of Engineers
Post Office Box 1890
Wilmington, NC 28402-1890
Anson Duplin Onslow
Bladen Harnett Pender
Brunswick Hoke Richmond
Carteret Montgomery Robeson
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
BRIDGE # 82 STANLY COUNTY
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
[arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 276994617
Telephone: [phone]
Fax: [phone]
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] 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: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania Fax: (828) 506-
1754 Haywood McDowell Yancey
Page 12 of 12
North Carolina Department of Transportation
Typical Plan and Elevation of Pipe Installation Permit

Crown
Amount of Fill over Pipe
S_-Fr
3-FT. 1-IN HEIGHT FROM Air
p Creek Bed to C wn in Roadway
Typical End Elevation
Elevation 2 Lines of Corragated Metal Pipe Arch, 142 X 91
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General Help
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