20010843 Ver 1_Complete File_20010605

Michael F. Easley
O?OF WA T FRQG
Governor
co r William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
June 6, 2001
Union County
DWQ Project No. 010843
Emergency Repairs to Bridge No. 221, SR 1315 (Newtown Road)
APPROVAL of 401 Water Quality Certification
Mr. Benton G. Payne, P.E., Division Engineer
NCDOT Division
716 West Main Street
Albemarle, NC 28001
Dear Mr Payne:
You have our approval, in accordance with the attached conditions, to impact 30 linear feet of West Fork
Twelve Mile Creek for the purpose of performing an emergency bridge repair to Bridge No. 221 on SR
1315 (Newtown Road) in Union County. We understand that the project was constructed in accordance
with your communication via e-mail on May 10, 2001 and your application dated May 18, 2001 (received
31 May 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 General
(Regional) Permit Number 198200031. 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 valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ and submit a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter, and is
thereby responsible for complying with all the conditions. If total wetland fills for this project (now or in
the future) exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this
approval to be valid, you must follow the conditions listed in the attached certification.
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.
W
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/
Page 2 of 2
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Cynthia Van Der Wiele at [phone] or Mr.
Pete Colwell of the Mooresville Region Office at [phone].
Sincerely,
qr.'Y4' "
Kerr T. Stevens
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
NCDWQ Mooresville Regional Office
Central Files
File Copy
JMG image 640x480 pixels
Subject: Emergency Bridge Repairs - Div. 10
Date: Thu, 10 May 200109:25:36 -0400
From: Larry Thompson <LThompson @dot. state. nc.us>
Organization: North Carolina Department of Transportation
To: Steve Lund <[e-mail]. miI>,
Cynthia Van Der Wiele <[e-mail]>,
Tim Savidge <[e-mail]>,
Marella Buncick <Mare][e-mail]>, [e-mail],
ghaywood @dot. state. nc.us
Hi Folks,
I am sending you this e-mail due to emergency bridge repairs that
were performed this week in Division 10.
The bridge that I am referring to is located in Union County,
Newtown Road (SR 1315) and Twelve Mile Creek. Apparently this
bridge had a weight rating of 18 tons and was crossed with a
trackhoe weighing close to 60 tons. The end result compromised
the bridge's integrity and required an immediate road closure.
On Monday, our bridge maintenance crew went in and constructed a
cofferdam utilizing a plastic liner and sandbags. An interior
bent for the bridge was then added, I have attached pictures of
the final product (the stone that you see piled around the bent
was native to the creek).
I was working in Division 8 when this took place, hence the
delayed notice. I will be applying for the Section 404 General
Permit 31 authorization and 401 Water Quality Certification
"after the fact".
Please let me know if any of you have any specific questions,
concerns, or comments for me before I put this together.
Thanks,
Larry Thompson
Divsion 10 DEO
704-982-0101
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1
491 ISSUED
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL. F. EASLEY DIVISION OF HIGHWAYS
GOVERNOR
U. S. Army Corps of Engineers
Asheville Regulatory Office
Attn: Mr. Steve Lund, M. S.
151 Patton Avenue
May 18, 2001
W. LYNDO TIPPETT
SECRETARY
\ti
Room 208
Asheville, NC 28801-5006 1 0 0
Subject: Union County, Emergency Repairs to Bridge No. 221, SR 1315 (Newtown Road)
over West Fork Twelve of Mile Creek
Dear Mr. Lund:
The North Carolina Department of Transportation (NCDOT) performed emergency repairs to
Bridge No. 221 on SR 1315 (Newtown Road) over West Fork Twelve of Mile Creek on May 7,
2001. The purpose of this letter is to notify you of the work performed and to request
authorization, after the fact, from the U. S. Army Corps of Engineers under a Section 404
General Permit No. 198200031.
It was reported that a truck, with an estimated 35 - 50-ton payload, overloaded Bridge 221,
which had a gross maximum-posted weight limit of A -o Visual eff
jis.
ects of stresses to existing
timbers, as well as observed deflection of the steel I-beams under live load conditions.
necessitated the installation of a crutch bent at mid-span of the 50-foot single span bridge. Traffic
was maintained using an off site detour.
Impacts to waters of the United States occurred from the emergency repair work. There are no
wetlands present, although impacts to surface water occurred. A 30-foot by 1-foot area of stream
channel was lost due to the installation of the crutch bent sill. The stream is located in a rural area
just outside the town of Weddington and is located in the Catawba River Basin, Hydrologic Unit
03050103. A permit drawing, showing the location of the installed crutch bent, 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, after the fact, 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 a t as payment for processing
the'section 401 permit application. PM vrt
RECENED
716 West Main Street, Albemarle, NC 28001 • [phone] • Fax [phone]
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.
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,
0 t cQT
Benton G. Payne, P. 71
Division Engineer
LBT/BGP
Enclosures
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.
Project Location: Union County - Bridge 221, SR 1315 (Newtown Road)
Project Description: Emergency Repairs - Interior Crutch Bent
Anticipated Permit or Consultation Requirements: General Permit 31
Special Project Information: Minimum Criteria review was performed after emergency repairs
had been completed.
YES NO
PART A: MINIMUM CRITERIA
1. Is the proposed project listed as a type which would qualify ® ?
as a Non-Major Action under the Minimum Criteria?
PART B: MINIMUM CRITERIA EXCEPTIONS
2. Is the proposed project likely to precipitate significant, foreseeable ?
alterations in land use, planned growth, or development patterns?
3. Does the proposed action divide or disrupt an established community? ?
4. Does the proposed action bypass an existing community? ?
5. Does the proposed action provide new access to areas containing ?
significant amounts of exploitable natural resources?
6. Is the proposed action likely to have a significant detrimental impact ?
on air quality?
7. Is the proposed action likely to have a significant detrimental impact ?
on ambient noise levels for adjoining areas?
8. Is the proposed action likely to have a significant impact on travel ?
patterns or traffic volumes?
9. Is the proposed action likely to significantly affect water quality? ?
10. Does the proposed action require the relocation of significant numbers ?
of people?
11. Is the project likely to be controversial? ? N
12. Will the proposed action require the use of land owned by the ?
U. S. Forest Service or the National Park Service?
PART C: COMPLIANCE WITH STATE AND FEDERAL REGULATIONS
Ecological Impacts
13. Is a federally protected threatened or endangered species, or its habitat, ?
likely to.be impacted by the proposed action?
14. Does the action require the placement of fill in waters of the United States? ® ?
1)
F, -- ,
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. Does the project require stream relocation or channel changes? ?
17. Is the proposed action located in an Area of Environmental Concern, ?
as defined in the Coastal Area Management Act?
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 way ?
from publicly owned parkland or recreational areas?
Prepared ?ivision ?S- Date: 5/09/01
nvironr ental ffrcer
Approved by: ?-
Division En. neer
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.
Manager, Project Development and Environmental Analysis Branch
P. O. Box 25201
Raleigh, NC 27611
[phone]
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 question in Part C is
answered "yes", refer to the Environmental Guidance section of this document and contact the
appropriate individual for assistance.
BRIDGE # 221 UNION COUNTY
Office Use Only:
DWQ No.
Form Version April 2001
01 004:0
USACE Action ID 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:
X? 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
;. 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 (-iNCWRP) 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. Pavne. P. E.
Company Affiliation: Division EnQineer
Mailin- Address: 716 W. Main Street
Albemarle. NC 28001
Telephone Number: [phone]
E-mail Address: bpavne(c't dot. state. nc.us
Fax Number: [phone]
Page 3 of 12
BRIDGE # 221 UNION COUNTY
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 1 l 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 221
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Union County Nearest Tovm: Weddington
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): (From Charlotte) NC H%,,,-v. 16
South RiLht on Newto%vn Road (SR 1315) Bridle 221 will be the second bridge and is
located between Twelve Mile Creek Road (SR 1341) and Waxhaw-Indian Trail Road (SR
1003)
Site coordinates, if available (UTM or Lat/Lono):
(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): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): W. Fork of Twelve Mile Creek
9. River Basin: Cataw
Page 4 of 12
BRIDGE # 221 UNION COUNTY
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://Ii2o enr.state.nc.us/admill!maps/.)
10. Describe the purpose of the proposed work: Emergency bridge repairs - installation of
crutch bent.
11. List the type of equipment to be used to construct the project: Boom Truck to set caps
and niles.
12. Describe the land use in the vicinity of this project: Wooded on both sides of stream.
cultivalted 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 pennits and
certifications ,vere 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. alone with
constriction schedules.
N/A
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) respons;bility to determine, delineate and map all impacts to
wetlands. open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts. permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
Page 5 of 12
BRIDGE # 221 UNION COUNTY
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts

Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(ves/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
N/A N/A N/A N/A N/A N/A

A haniz•d clearing grading. till.
* List each impact separately and identify temporan impacts. Impacts include. but are not lain to to. m« c _
exca\ation. flooding. ditchinz/drainage. etc. For dams. separately list impacts due to both structure and flooding.
100-Year tloodplains are identified through the Federal Emergenc\ Management A,,cnc}''s (FEMA) Flood Insurance Rate Maps
(FIRM). or FEMA-approved local iloodpIain maps. Maps are mailable through the FFMA Map Ser.icc Center at 1-300-353-9616. or
online at *•• List a %?etland t-,pe that best describes \%etland to be impacted (e.g.. freshwater salt\%ater marsh, forested \\etland. bcmer pond.
Carolina 13ay, 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 map)

Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please secifv)
Fill/12" base sill I 30' x 12 T?Nelve Mile Creek Approx. 20' Perennial
L

i t. ..,t c,-;i tad rin-ran
* List each impact separatel} and identity temporary impacts. Impacts induce. out are riot muted to. -h.... u„. ?, _• •__ ..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 %%all. rip-rap. crib %lall. gabions. etc.). excmation, ditch ine/straightening. etc. If stream relocation is
proposed. plans and profiles shoeing 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 tributan) to the nearest
do%%nstream named stream into «hich it tlows. USGS maps are available through the USGS at 1-300-353-9616, or online at
N.IMS.20%. Se%eral intemet sites also allow direct dol\nioad and printing of USGS maps (e.g.. t,t%l, tonr,zone.com.
,\.tll:lPq uCSt.c0111, etc.).
Page 6 of 12
BRIDGE t"221 UNION COUNTY
Cumulative impacts (linear distance in feet) to all streams on site: 30' x 12" base sill for
crutch bent.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
of Waterbody
T
o en Water Impact
p
Site Number
dicate on ma)
i *
Type of Impact* Area of
Impact
(acres) Name of Waterbody
N
(if applicable) ype
lake, pond, estua sound,
( bav, ocean, etc.)
n
(
N/A N/A N/A N/A N/A

?... c., .,..•t r..• tSll ,-,ncntinn. dredeln2.
List each impact separatcl} and identify temporar} impacts. tmpacis toctuuc. uut
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 applica.?it 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 Bridge Maintenance Engineer for Division Ten made a determination to take immediate.
non-scheduled safetv measures to ensure the structural integrity of this bridge after reviewing the
effects of reported overloading A citizen contacted NCDOT to report the hauling of a trackhoe
across Bridge 221, which has a gross maximum posted weight limit of 18 Tons. The information
received from the citizen suggested the trackhoe to be in the range of 35-50 Tons. Visual effects
of stresses in certain timber members and the amount of visuallv measured deflection in the steel
I-beams under live load conditions where determines in the decision to install a crutch bent at
mid-span of the 50-ft. singles an bridge.
Page 7 of 12
BRIDGE n 221 UNION COUNTY
Installin_T a crutch bent at this location required placement of a timber sill and post within the
middle of the existing live channel Sand bags inlaved within plastic to separate the sand from
the channel were installed as a coffer-dam. This allowed de-watering of an area measuring 35-ft.
alon(7 the line of the channel by 15-ft. along the width of the channel to place a 30-ft. x 12-ft.
timber sill along the bed of the creek that serves as the base of the crutch bent. The sandbags and
plastic where removed from the creek once the sill and the posts where connected to the sill
where secure.
VIII. i Iffi;ation
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 iVloditication 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 Nyetland
and/or upland vegetated buffers to protect open waters such as streams: and replacing losses of
aquatic resource functions and values by creating, restoring. enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current ;guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us%ncwetlands/stnrn!,ide.hturnl.
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 #221 UNION 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 http•1/112o.enr.stite.nc.ttsl%%rp 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 ves, 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 ?X No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes © No ?
X. Proposed Impacts on Riparian and Watershed Buffers (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 13A NCAC 2B .0233
(NTeuse), 15A NCAC 2B .0259 (Tar-Pamlico). 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Page 9 of 12
BRIDGE m 221 UNION COUNTY
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
I 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 edce of Zone I.
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.
N/A
XI1. SeNvage 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
XII1. 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 ?X No ?
Page 10 of 12
BRIDGE # 221 UNION COUNTY
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).
/13 /b
A tcatit/Agen s Smature / `i' Date
(Agent's signatu is valid o ly 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 McDoNvell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Sum,
Suite 120 Caswell Forsyth Northampton Vance
Ralei_h, 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
Telephone: [phone]
Fax: [phone]
Anson Duplin Onslow
Bladen Harnett Pender
Brunswick Hoke Richmond
Carteret Montgomery Robeson
Columbus Moore Sampson
Cumberland New Hanover Scotland
Pitt
Tyrrell
Washinzton
Wavne
Union
Watauea
Yancev
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
BRIDGE r 221 UNION COUNTY
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
li and Wildlife Service / National `:
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
farine 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]
CAINIA and NC Coastal Counties
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh. NC 27699-4617
Telephone: [phone]
Fax: [phone]
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1633 Mail Service Center Bertie Craven H}de Pender
Raleigh, NC 27699-1633 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washiwzton
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3355 Idlewild Road Ashe Mitchell Wilkes
hernersville. 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: [phone] Haywood McDowell Yancey
Page 12 of 12
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28 km S of Charlotte, North Carolina, United States of Jul 1993
OUSGS
Union County rarcels - rant Layout
prepared for
the
inventory of
real property
found within
Union
County, NC
and is
compiled
from
recorded
deeds, plats,
and other
public
records and
data. Users
of this map
are hereby
notified that
the
1 of 2 1/24/019:39 AM