20011396 Ver 1_Complete File_20010920

OF WA TF9 Michael F. Easley
?O? QG Governor
co r William G. Ross, Jr., SecrQtary
>_ y Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
October 2, 2001
Surry County
DWQ Project No. 011396
SR 1412 (Carson Creek Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Heath Slaughter, Division Environmental Officer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC 28659
Dear Mr. Slaughter:
You have our approval, in accordance with the attached conditions and those listed below, to impact 100
linear feet of Roaring Fork Creek in order to improve SR 1412 (Carson Creek Road) in Surry County.
The project must be constructed in accordance with your application dated 13 September 2001 (received
20 September 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 mustacquire 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 and any additional
conditions listed below.
1. In-stream work and land disturbance within the 25-foot wide buffer zone are prohibited during the
brook and brown trout spawning season of October 15 through March 31, as well as other conditions
as determined by the North Carolina Wildlife Resources Commission, to protect the egg and fry
stages of trout from sedimentation during construction.
2. Stormwater must be directed to buffer areas or retention basins and must not be routed directly into
streams.
3. Development activities which require an Erosion and Sedimentation Plan, and which drain to and are
within one mile of High Quality Waters shall be required to follow the stormwater management rules
as specified in 15A NCAC 2H .1006. Note: all waters classified as WS-1 or WS-H automatically
carry the additional classification of HWQ.
4. Temporary or permanent herbaceous vegetation must be planted on all bare soil within 5 days of
ground-disturbing activities to provide long term erosion control. Use of on-site native vegetation
and materials for streambank stabilization is encouraged.
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), httpJ/h2o.enr.state.nc.us/ncwetiands/
Page 2 of 2
5. Culverts required for this project shall be installed in such a manner that the original stream profile is
not altered (i.e., 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.
6. All work shall be performed during low flow conditions.
7. Disturbance of the stream channel shall be limited to only what is necessary to perform the culvert
installation. Heavy equipment must be operated from the banks rather than in the stream channel in
order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the
stream.
8. Mowing of existing vegetated buffers is strongly discouraged, so that they may be utilized for storm
water sheet flow.
Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the §401
Certification has been completed. The responsible party shall complete the attached form and
return it to the 401/Wetlands Unit of the NC Division of Water Quality upon completion of the
project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 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 telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Ms.
Jennifer Frye of the Winston-Salem Regional Office at 336.771.4600.
Sincerely,
J. Thorpe, Ph. D.
A 4ingirector
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy
FILE COSY
TO: Jean Manuele, USACOE
Raleigh Field Office
FROM: Maryellen Haggard, DOT Permit Coordinator
Habitat Conservation Program
DATE: October 1, 2001
SUBJECT: North Carolina Department of Transportation (NCDOT), SR1412, Carson Creek
Road, Roaring Fork Creek, Surry County
The North Carolina Department of Transportation (NCDOT) is requesting a concurrence letter
from the North Carolina Wildlife Resources Commission (NCWRC) to obtain a 404 permit from
the U.S. Army Corps of Engineers. Biologists on staff with the NCWRC have reviewed the
proposed improvements and are familiar with habitat values of the project area. These
comments are provided in accordance with the provisions of the Fish and Wildlife Coordination
Act (48 Stat. 401, as amended; 16 U.S.C. 661-667d) and the Clean Water Act of 1977 (33 U.S.C.
466 et seq.).
The proposed project consists of widening and paving SR 1412, Carson Creek Road. Existing
bridge No. 195 over Roaring Fork Creek will be replaced with two 50'x 81" x 59" arched pipes.
One culvert at station 30+30 on an unnamed tributary to Roaring Fork Creek will be replaced.
New stream impacts equal 100 linear feet. Roaring Fork Creek is classified as trout water and
supports a good wild brook trout population with some wild brown trout as well. It is imperative
that culvert placement does not impede fish passage. While we would prefer that the bridge be
replaced with another spanning structure, we will concur with the project provided that the
following conditions are implemented:
Instream work and land disturbance within the 25-foot wide buffer zone are
prohibited during the brown and brook trout spawning season of October 15 through
March 31 to protect the egg and fry stages of trout from off-site sedimentation during
construction.
SR 1412, Carson Creek Road 2 October 1, 2001
2. Disturbance of the stream channel must be limited to only what is necessary
to install the pipes. Heavy equipment should be operated from the bank rather than in
the stream channel in order to minimize sedimentation and reduce the likelihood of
introducing other pollutants into the stream.
3. Pipes 48" or larger should be buried approximately F into the streambed. Smaller
pipes should be buried to a depth equal to or greater than 20% their size. If the pipe is
installed properly, drop outlets will be eliminated and the pipe bottom should not be
visible but covered by natural streambed materials. These materials can be salvaged
during pipe installation and then placed back in the pipe. Stream conditions above
and below the pipe should be maintained at the appropriate widths and depths to
provide sediment transport and aquatic life movement.
4. If multiple pipes are used at least one pipe should be buried one foot into the
substrate. The second pipe should be placed on the floodplain bench and function
only when the stream channel is at flood stage. If both pipes are buried, water should
be diverted through a single pipe by installing a short sill on the upstream end of one
pipe so that all water flows through only one pipe during low flow to maintain aquatic
life passage. Where disrupted, natural floodplain benching should be restored
upstream and downstream of the second, "dry", pipe.
5. Stringent erosion control measures should be installed where soil is disturbed
and maintained until project completion.
6. Temporary or permanent herbaceous vegetation should be planted on all bare soil
within 10 days of ground disturbing activities to provide long-term erosion control.
NCDOT should utilize onsite native vegetation and materials for streambank
stabilization, rather than excessive riprap (or hard stabilization methods). Vegetation
provides bank stabilization, as well as shade for cooler water temperatures, and
riparian edge habitat. If riprap is used, it must be limited to the lower 1/3 of the
streambank.
7. Work must be accomplished so that wet concrete does not contact stream water.
Thank you for the opportunity to review and comment on this project during the early planning
stages. If you have any questions regarding these comments, please contact me at (336) 527-
1549.
cc: Cynthia Van Der Wiele, NCDWQ
Heath Slaughter, NCDOT
..swto
STATE OF NORTH CAROLINA
Q,
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P. O. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT
GovERNOR PHONE: [phone] SECRUARY
September 13, 2001
Mrs. Jean Manuele t
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of Neuse Road, Suite 120
Raleigh, NC 27615
r D

Subject: Nationwide Permit #14 & #33
SR 1412 (Carson Creek Road)
Surry County, North Carolina
Project Number: 6.742138T
Dear Mrs. Manuele:
The NC Department of Transportation is scheduled to grade, drain, base, and pave primarily
along the existing roadway of SR 1412 (Carson Creek Road) in Surry County. Total project
length is approximately 0.4 miles. This project will require the replacement of one (1) bridge and
one (1) wet cross line as shown below:
1) Replace existing Bridge #195 at station 18+00 with (2) 50'x 81" x 59" arched pipes.
2) Replace existing 30'x 24" CMP at station 30+30 with a 50'x 36" BCCS pipe.
Miscellaneous rip-rap impacts will total 30 linear feet or less. New stream impacts =100 In. feet.
Construction of the project will necessitate impacts to waters of the United States in the Yadkin
River Basin. Bridge #195 crosses Roaring Fork Creek (class: WS II, Trout). The wet cross line
at station 30+30 carries an intermittent unnamed tributary to Roaring Fork Creek. Stream width
at Bridge #195 is variable. Upstream width is approximately 6 feet while downstream width
appears to be about 4 feet. The downstream side has been excavated and channelized (see
attached photos). The excavation appears to have started at the bridge and extends well beyond
our right-of-way. Please be advised that DOT forces did not conduct this activity.
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAX [phone]
'L
?? r
Mrs. Jean Manuele
SR 1412 (Carson Creek Road)
Page 2
September 13, 2001
The installation of the double-barreled culvert at the existing bridge location will require
temporary dewatering. Once proper erosion control measures are installed, the existing bridge
will be removed without dropping any component of the bridge into the water. An impervious
dike will be constructed upstream so that water may be pumped around the construction area.
Any unclean water will be pumped into a silt bag. After both lines are constructed, the
impervious dike will be removed and the stream will be restored to natural elevations if needed.
The Division 11 Environmental Officer reviewed this project for the presence of threatened and
endangered species on September 6, 2001. The subject project has been determined to have no
effect on any listed threatened or endangered plant or animal species. Historical compliance work
will be scheduled and concurrence with SHPO will be obtained if required.
Since this is an existing roadway, the minor modifications proposed in this application should not
remove or degrade existing water quality uses. Any widening of the existing roadway will be
directed away from any adjacent creek whenever possible with minimum fill placed in any buffer
area. Pipe sizes used will be the minimum necessary to create a safe roadway. By utilizing the
erosion control measures outlined in the attachments to this application, downstream water
quality standards will be protected.
Attached is a Preconstruction Notification Form, plan sheets with proposed erosion control
measures, a marked county map, a marked topography map and photographs.
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with
the North Carolina Wildlife Resources Commission comment directly to you concerning the 404
Nationwide Permit application with a copy sent to me.
By copy of this letter, I am forwarding seven (7) copies of this application package to Cynthia
Van Der Wiele, NCDENR, Division of Water Quality, 401/Wetland Unit, for her review. A
$200.00 check is enclosed for the 401 certification processing fee. It is requested that any
comments related to the 401 certification be forwarded directly to the Corps with a copy sent to
me.
We would like to begin construction as soon as possible. If further information is required, please
let me know. Your early review and consideration will be greatly appreciated.
Sincerely,
t,i ?1?
6?e " -,
Heath Slaughter
Division Environmental Officer
Enclosures
Mrs. Jean Manuele
SR 1412 (Carson Creek Road)
Page 3
September 13, 2001
cc: Jcan Manuele, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
Brian Cole, US Fish and Wildlife Service
Cynthia Van Der Wiele, Division of Water Quality (7 copies)
R. C. McCann, PE, Division Engineer
Charles Reinhardt, PE, District Engineer
Travis Spicer, County Maintenance Engineer
Dennis Bennett, Bridge Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No. U; 1 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: 14 & 33
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: ?
U. Applicant Information
1. Owner/Applicant Information
Name: North Carolina Department of Transportation
Mailing Address: P. O. Box 250, North Wilkesboro NC 28659
Telephone Number: [phone] Fax Number:_(336) 903-9239
E-mail Address: hslaughter a, dot. state. nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Heath Slauehter. Division Environmental Officer
Company Affiliation: North Carolina Department of Transportation
Mailing Address: P. O. Box 250. North Wilkesboro, NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: hslau„ hhtera,dot.state.nc.us
_Ir t'1
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1412, Carson Creek Road
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Surry Nearest Town: Low Gap
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Low Gap, travel SE on NC
89. Turn right onto SR 1413. Continue straight ahead onto SR 1412 until you reach the end
of navement.
5. Site coordinates, if available (UTM or Lat/Long): UTM: 17 508615E 404277 IN
(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:
Residential/Farm
7. Property size (acres): Approximately 1 acre.
Nearest body of water (stream/river/sound/ocean/lake): Roaring Fork Creek and one UT of
Roaring Fork Creek (Class: WS II, Trout).
9. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://li2o.enr.state.nc.us/admin/naps/.)
T_ __ A _C/11
10. Describe the purpose of the proposed work: Grade, drain, base and pave SR 1412.
11. List the type of equipment to be used to construct the project: Trackhoe, backhoe, and motor
grader.
12. Describe the land use in the vicinity of this project: Residential/Farm
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.
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) 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.
n...... c ,.r In
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(-es/no) Distance to
Nearest Stream
linear feet
Type of Wetland***
N/A

* 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.
" 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 FE MA Map Service Center at 1-800-358-9616, or
online at burn: //w1?w. fema. sov.
List a wetland type that best describes wetland to be impacted (e.g., freshwater/salhvatcr marsh, forested %vctland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0 acres
Total area of wetland impact proposed: 0 acres
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average Perennial or
Site Number T}pe of Impact* Impact Stream Name** Width of Intermittent?
(indicate on map) (linear feet) Stream Before (please specify)
Impact
Replace Bridge
#195 with (2)
Station No. 18+00 81" x 59" arched 50 feet Roaring Fork Creek 6 feet Perennial
pipes 50' in
Icngill
Station No. 30+30 Pipe replacement 20 feet UT #1 of Roaring Fork 1 foot Intermittent
Creek
Miscellaneous
All of the above np-rap 30 feet or Roaring Fork Creek and 1-6 feet Perennial/
placement for less one UT Intermittent
stabilization

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
clams (separately list impacts due to both structure and flo)ding), relocation (include linear feet Ix fore and afler, 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 shoeing the linear footprint for both the original and relocated streams must be included.
" Strewn 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.usgs.gov. Several Internet sites also allow direct download and printing of USGS maps (e.g., w%vw.topozone.com,
w?»v.mapquestcom, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 100 In. ft. of new impacts.

3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact

Site Naruber
(indicate on ma

Type of Impact* Area of

Impact
(acres)
Name of Waterbod
y
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.)
N/A

" List each impact uparatcly and identify temponay impacts. Impacts include, but are not limited to: fill, excavation, drudging,
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.):
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
teclmiques to be followed during construction to reduce impacts.
The existing.; roadway must be widened to achieve an acceptable section width, thus increasing
public safety. The existing pipes must be replaced/extended for the same reason. By utilizing
the erosion control measures as shown in the attached drawings, adverse impacts to streams in
the area will be minimized. Since this is an existing roadway, the stream impacts cannot be
avoided. However, the replacement pipe lengths will be the minimum needed to construct the
widened roadway. Bridge #195 is being replaced with Dipe as a cost saving measure.
n- -- -r „r 1 It
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
littp://li2o.enr.state.nc.us/ncwetIands/strm.ide.litml.
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.
N/A
n..._ 0 ..C 1'%
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 1,ttp://h2o.cnr.statc.nc.uV/ N-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): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX.
Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
X.
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
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 ?
Proposed Impacts on Riparian and Watershed Butlers (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.
Yes ? No ® If you answered "yes", provide the following information:
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..._,, n ..c i ll
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 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.
N/
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.
All annronriate best manaeement practices for sediment and erosion control will be
implemented during; construction.
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
X1H. 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).

Applicant/Agent's Signature// Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln RoNvan
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 Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lce Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswcll 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] Climvan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquiruans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Array Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery- Robeson
Telephone: [phone] Columbus Moore Sampson
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
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CULVERT CONSTRUCTION SEQUENCE
LPLACE PROPER EROSION CONTROL DEVICES
(SILT BASINS, TEMP. DIVERSION, SILT FENCE ECT.)
2. REMOVE EXISTING STRUCTURE
3.CONSTRUCT IMPERVIOUS DIKE UP STREAM TO
CREATE SMALL POOL (DO NOT DIG A HOLE) SO
WATER CAN BE PUMPED AROUND CONSTRUCTION
AREA DOWN STREAM. (THIS WILL BE CLEAN WATER)
ANY UNCLEAN WATER FROM INSIDE CONSTRUCTION
AREA WILL BE PUMPED INTO A SILT BAG.
4.CONSTRUCT BOTH LINES OF PIPE
5.REMOVE IMPERVIOUS DIKE
G.COMPLETE ROADWAY (THIS INCLUDES SEEDING
AND MULCHING)
EROSION CONTROL , DETMLSAND .. .

SPECIFICATIONS
Std. Description Symbol
1330.03 Temporary Silt Fence
133D.03 Temporary Silt Ditch T=
16D6.01 Temporary Diversion _M
1622-01 Temporary Slope Drain `-
163D.01
silt Basin Type-A

-?
1330.02 Silt Basin Type-B
1633.01 Temporary Rock Silt Check Type-A
7333:02 Temporary Rock Silt Check Type-B
1334.01 Temporary Rock Sediment Dam Type-A
1334.02 Temporary Rock Sediment Dam Type-B
1633:01 Rock Ripe Inlet Sediment Trap Type-A A?
1333:02
1336:01 Rock Pipe-Inlet Sediment Trap Type-B
Rock Silt Screen Bf I
163D.D4 Stilling Basin
Rock inlet Sediment Trap:
1332.01 Type-A A El OR A
133202 T ype-B. B0__ OR 'B
1332.03 T ype-C C _--- OR -- C)
III-3
D? ON COh=OT. pT,AN 5p«-.T
- Silt Basin Type Bs will be constructed to the .dimension' of
six feet by.. three ...eet by three fveet unless ot'herwis'e noted
on the plans.
Generally, the order of installation of the erosion control
measures will be as follows:
Temporary silt basins small be installed before
clearing and grubbing begins.
Silt fences and temporary silt ditches shall be
installed aster clearing and before grading.
Temporary stone. ditch-checks sha13 be installed as
soon as ditchline is established.
Pipe outlet and inlet protection will be done as
soon as the pipe is installed.
Seeding and other aernanent erosion control
measures are to be. implemented as soon as practical.
-- Always SU?:.B touardz3itch line as a -
temporary measure in'- phis sitvatiOnl
Erosion Control
3lattin g -
Water Level' - - - r??
Rin RaD Liner
Tv-Dica1 -or use at cross lime pipes,, cu1V4_r -s • and -Where
d?sturD°_d area -?s near stream.
*:ain tarn aDov°_ and be1Dw stream conditions at
pre-consty-uction widths and deaths.
NaLive vegetation should be maintained or restored
along s1,-ream nanl_s where Dract-ical.
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DB 775 PG 315
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Top: Bridge #195 on SR 1412, Carson Creek Road, Surry County.
Bottom: Downstream view from Bridge #195 on SR 1412, Carson Creek Road, Surry County.
y i i I i i II