20020356 Ver 1_Complete File_20020308

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Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
DWQ Project No.: Of_03 $4oo County: &AZ
Applicant: xvC ' - crlr5ia !Z . ?-7
Project Name: ?c?co.4zE?r c?T" DF M., 4ecG * 614 /&31
Date of Issuance of 401 Water Quality Certification: s?A ZS . Z. /V Z?
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, M, L • 1:610(C / , 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 pla?/ns?a? sp cifi?catj'ons, and other supporting materials.
, /
Q;"_QhVTP• //Jr/I?4y 7_.T A ' T)AfP_ / / 70 ?n ?/
Agent's Certification
1, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
if this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe
(periodically, weekly, full time) the construction of the project, for the Permitee hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance and intent of the 401 Water Quality
Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No. Date
WETLANDS/ 401 GROUP
FEB 0 4 2004
WATER QUALITY SECTION
WKI
NNT E IRK
Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit: [phone] d
Fax: [phone] APR e
WA7?. Michael F. Easley, Governor
`O9 William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources -
C/1 7 Gregory J. Thorpe, Ph.D.
j Acting Director
4 Division of Water Quality
March 25, 2002
Alexander County
DWQ Project No. 020356
Replacement of Bridge No. 144 on SR 1631
APPROVAL of 401 Water Quality Certification with Additional Conditions
Ms. Trish Simon, Division Environmental Officer
NCDOT Division 12
P.O. Box 47
Shelby, NC 28151-0047
Dear Ms. Simon:
You have our approval, in accordance with the attached conditions and those listed below, to incur
130 linear feet of impacts to Elk Shoals Creek for the purpose of replacing Bridge No. 144 on SR
1631 in Alexander County. The project should be constructed in accordance with your application
dated March 7, 2002 (received March 8, 2002). After reviewing your application, we have decided
that this fill is covered by General Water Quality Certification No. 3289 corresponding to the U.S.
Army Corps of Engineers Nationwide Permit Number 14. In addition, you should acquire any other
federal, state or local permits before you proceed with your project including (but not limited to)
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This
approval will expire with the accompanying 404 permit unless otherwise specified in the Water
Quality Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us in writing and send us a new
application. If the property is sold, the new owner must be given a copy of this Certification and .
approval letter and is thereby responsible for complying with all conditions. If total wetland fills for
this project (now or in the future) exceed one acre or if stream impacts exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 211.0506 (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. NCDOT shall follow Best Management for the Protection of Surface Waters (March 1997) and
comply with the requirements for WS-IV waters as specified in 15A NCAC 2B .0216.
2. Stormwater must be directed to buffer areas or retention basins and must not be routed directly
into streams. Mowing of existing vegetated buffers is strongly discouraged, so that they may be
utilized for storm water sheet flow.
3. Temporary or permanent herbaceous vegetation must be planted on all bare soil within 15 days of
ground-disturbing activities to provide long term erosion control.
4. The structure and riprap 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 nor the
stream channel widened). Existing stream dimensions are to be maintained above and below
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/
locations of the culvert. The culvert shall be installed one foot below the stream to allow for fish
and other wildlife movement.
5. All work shall be performed during low flow conditions.
6. All mechanized equipment operated near surface waters must be regularly inspected and
maintained to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or
other toxic materials. Heavy equipment should be operated from the bank rather than the stream
channel. Under no circumstances must rock, sand or other materials be dredged from the wetted
stream channel under authorization of this permit, except in the immediate vicinity of the
culverts.
7. Where disrupted, natural floodplain benching should be restored, including the area in front of
and below the culvert headwalls. Base flow should be directed through the culvert.
8. Any existing vegetated buffers should not be mowed in order to utilize it for storm water sheet
flow.
9. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If necessary, rip-rap must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water.
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 that 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 919-733-9646
or Mr. Pete Colwell of the Mooresville Regional Office at 704.663.1699.
A - X--
Attachment
0 y J. Tho e, Ph.
Directo
Pc: Wilmington District Corps of Engineers V
John Hendrix, USACE Asheville Field Office
Pete Colwell, NCDWQ Mooresville Regional Office
Central Files
File Copy
Vz
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
020356
MEMO TO: John Dorney, DENR/DWQ/401/Wetlands Unit
FROM: Trish Simon, Division 12 Environmental Officer -(S
DATE: March 7, 2002
SUBJECT: Pre-construction Notification/401 Automated Payment

Enclosed are seven copies of a pre-construction notification permit application for
a bridge replacement project in Alexander County for your review and comments.
Project information for the 401 Automated Payment Procedure
• Work order number: 4312B-549-5.7852-558-SR1631-78144
• TIP #: Not Applicable
• Project Category: $200.00 Fee PAYMENT
RECEIVED
is
Post Office Box 47 Shelby, North Carolina 28151-0047
vrw+?
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P.O. Box 25201, RALEIGH, N .C. 27611-5201 LYNDO TIPPETT
GOVERNOR SECRETARY
P.O. BOX 47, 1710 East Marion Street
Shelby, N. C. 28151-0047
March 7, 2002
Mr. John W. Hendrix - NCDOT Projects
US Army Corp of Engineers, Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, N. C. 28801-5006
Dear Mr. Hendrix:
020356
The North Carolina Department of Transportation, Division of Highways, proposes the following
project for your issuance of a Section 404 Permit. We believe this project can be accomplished
under General Permit 198200031.
COUNTY: Alexander
LOCATION: Bridge #144 replacement on SR 1631, south ofHiddenite
STREAM: Elk Shoals Creek, WS-1V Waters (from source to a point 1.4 miles
upstream of mouth), Catawba River Basin
PROJECT DESCRIPTION: The project consists of replacing a deteriorating 20' wide x 20'
long timber with a 80'long, double line of 96" CMP with an inlet concrete headwall on 0.10 acres
of NCDOT right of way. At the inlet and outlet of the pipe, it is proposed that -15 feet of riprap
will be placed on the stream banks and five-foot riprap aprons will be placed in the stream channel
extending from the pipes to provide structure protection and stabilization. Temporary cofferdams
will be used to restrict stream flow and a temporary pipe will divert the stream around the work site
during construction. The existing stream width is approximately six feet wide. Natural channel
dimensions will be maintained at the inlet and outlet of the new culvert by constructing floodplain
benches. The culvert is to be buried a foot below existing streambed elevation based upon thalweg
(deepest part of the stream channel) elevations taken upstream and downstream. I have enclosed a
PCN application, a sketch of planned activities, and location maps relative to the proposed project.
The project is located in a WS-TV watershed; however it is not located within 'h mile of the
watershed critical area nor is the roadway an urban or rural arterial roadway. Hazardous spill
basins are not required. Enclosed is the NCDOT hazardous spill basin checklist.
4? ? lnk 4 j"e e?rs
Mr. John W. Hendrix
BR# 144 Replacement, SR 1631
March 7, 2002 - Page 2
A review of the Natural Heritage information for the threatened species listed for Alexander
County, the bog turtle (Clemmys muhlenbergii), did not reveal any known sites in the vicinity of
the project. I have conducted a survey for the bog turtle in the project area on January 10, 2002.
None were observed. It was determined that this species was not located in the proposed project
area. No significant effect on this species is anticipated. A review of the available information from
the National Register of Historic Places was also conducted. It is anticipated that no historic sites
will be affected by the proposed project.
By copy of this letter, we are asking Neil Trivette, NCDOT Roadside Environmental Field
Engineer to comment on the above project. By copy of this letter, we are also requesting
concurrence from the Wildlife Resources Commission and U. S. Fish & Wildlife Service.
By copy of this letter, I am also forwarding seven (7) copies of the application package to John
Dorney, NCDENR, Division of Water Quality, 401/Wetland Unit for review.
Your earliest consideration for this request would be greatly appreciated. Should you have any
questions, please call me at 704-480-9020.
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
Trish Simon
Division 12 Environmental Officer
Enclosures
cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Dan Holderman, P.E. , Division Bridge Engineer
Mr. Neil Trivette, Roadside Environmental Field Engineer
Mr. Ron Linville, WRC
Mr. Brian Cole, USF & WS
Mr. John Dorney, DENR,DWQ,401/Wetlands Unit (7 copies)
File
Office Use Only: 0 2 0 3 5 6 For` Version October 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
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: Regional General Permit
198200031
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder. NCDOT
Mailing Address: P.O. Box 47
Shelby. NC 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Trish Simon
Company Affiliation: NCDOT
Mailing Address: P.O. Box 47
Shelby. NC 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimonna dot.state.nc.us
Page 5 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: Replacement of Bridge #144. SR 1631, Alexander County
2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.7852
3. Property Identification Number (Tax PIN): NCDOT Right of way
4. Location
County: Alexander Nearest Town: Hiddenite
Subdivision name (include phasellot number): NA
Directions to site (include road numbers, landmarks, etc.): From Hiddenite south on SR
1005, right on SR 1614, left on SR 1631.
5. Site coordinates, if available (UTM orLat/Long): 35°51'55N/81°06'01W
(Note - Nproject is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Bridge on unpaved secondary road
7. Property size (acres): 0.10 acres NCDOT ri of way
8. Nearest body of water (stream/river/sound/ocean/lake): Elk Shoals Creek (From source to
a point 1.4 miles upstream of mouth. WS-IV waters
9. River Basin: Catawba
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: The project consists of replacing a deteriorating
and structurally deficient 20' wide x 20' long timber bridge with 80' of a double line of 96"
CMP with inlet concrete headwall. The pipes will extend approximately 10 feet upstream of
the existing bridge and -50 feet downstream of the bridge. At the inlet and outlet, five foot
wrap aprons will be placed in the stream channel and fifteen feet of riprap will be placed on
the streambank pipe for structure stabilization. Temporary impervious cofferdams will be
used to restrict stream flow and the stream will be piped around the site during construction.
11. List the type of equipment to be used to construct the project: A trackhoe will be used
for excavation and placement of riprap.
12. Describe the land use in the vicinity of this project: The surrounding area is wooded and an
area along one side of the stream is farmed.
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. r
NA
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application
Yes. This road is an unpaved secondary road that is to be paved in 2-3 years. There are three
more jurisdictional areas on unnamed tributaries to Elk Shoals Creek that will be impacted at the
time of the secondary road paving project. At that time, another permit request will be submitted
and the additional jurisdictional areas will be addressed. DOT- Alexander County has proposed
a change in the road alignment, however, the right of way for this alignment has not vet been
obtained and it is possible that the proposed alignment may change, therefore, changing the
anticipated stream impacts The bridge is structurally deficient and it is necessary to replace it
prior to the paving project.
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
Page 7 of 12
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100 yearFloodplain**
es/no Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
'x 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 httpWwww.fema.gov.
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: 0
2. Stream impacts, including all intermittent and perennial streams
Stream
Impact Site L=gth of Average Width Perennial or
Number Type of Impact* Oinear feet) Stream Name** of Stream Intermittent?
(indicate on
map) Before Impact (please specify)
80' double line of
1 CMP with inlet 90 feet Elk Shoals Creek 6 feet Perennial
headwall
Riprap apron in
stream bed at inlet 5 ft inlet; 5 ft outlet
1 and outlet for Total =10 feet
structure protection
Placement of riprap 15 feet (inlet)
1 on bank for 15 feet (outlet) "
structure protection Total = 30 feet
I Temporary coffer 100 feet "
dam/diversion pipe
• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear 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.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.toyozone.com,
wRVw.mamuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Double pine and & rprap
aprons = 100 feet of impacts: Riprap on bank for structure protection = 30 feet: Total
temporary cofferdam and stream diversion impacts = 100 feet.
Page 8 of 12
Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. NO OPEN WATER IMPACTS
Open Water Impact
Site Number
(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.

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation NO POND CREATION
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
NCDOT has chosen to replace the existing bridge with double pipes due to the lower costs
associated with this option Riprap use will be minimized to only what is needed for structure
stabilization around the pipes and headwall. Temporary cofferdams and a pipe diversion will be
utilized to allow for construction to be done "in the dr3' and to reduce sediment impact.
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,
Page 9 of 12
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 USAGE 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.ne.us/ncwetlands/strmgide.btml.
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.
IMPACTS < 150 FEET• MITIGATION NOT ANTICIPATED
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/arp/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.
Page 10 of 12
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 ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multivliers.
*
Zone Impact
(square feet
Multiplier Required
Miti tion
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.
NA
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.
No additional impervious surface is proposed in this project at this time.
Page 11 of 12
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.
XIM Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) 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).
M , J, 'L 7S
3--7-0
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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Name: STONY POINT
Date: 315/2002
Scale: 1 inch equals 1000 feet
Location: 035° 51'42.Z' N 081 ° 06'00.3!' W
Caption: Bridge #144 Replacement on Elk Shoals Creek on SR 1631,
WS-IV, Catawba River Basin
Gop"nt (c) 1997, Maptech, Inc.
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New alignment at Bridge #144 (Red topped stake in forefront of photo indicates the
proposed centerline. The majority of the new proposed double pipes lie at the existing
bridge location and downstream of it).
Downstream of Bridge #144 on Elk Shoals Creek on SR 1631 in
Alexander County. (Proposed double pipes will extend approximately 50 feet
downstream and -10 feet upstream of existing bridge).
?'. S. DEPARTMENT OF AGRICULTURE
SOIL CONSERVATION SERVICE
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: iZ County: tk??I?456 Project ID: 5-2&5Z,
River Basin: CA-r-,4 w13,4 Bridge No: */4¢ o, 3 c, 7P
Route: sg &::51 Stream: A
Water Quality Criteria:
Yes No
Stream Crossing Blue Line. On USGS CV r
ORWr_ rT/
WSI r r-?
WS II,III OR IV, Crossing Within 0.5mi of W.S. Critical Area r r?
Roadway Criteria:
Route Designation- Yes No
Arterial Urban r rP'
Arterial Rural r r?
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? r r?
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
_NCDNVO Stream Clissiflention Form
Pro; crNlme:?j(? ?- f({q River Basin; e-faWb? County. Axa4lde.?
DW 7toer'.CC'ttir?i•1ber: r Named stream: (/ I. tituae: ?
Date: 3 L. U ? ?h6a 16 ?I?- ?O W/
Q `I ( Longitude: ?/.D(, ,j))
PLEASE NOTE: If emiuator and landowner re t 1,Y1 1, & Q man-made dLch, then use of ihis?? it not neewitty.
Also. i/in the bat professional judgement of the emiumor, thelruare it a man-mods ditch and not a modied natural stream-this
rating rjrfem should not bs used•
Primarv Field Indicators: rrircie one Na-berrerliy
Lvaluator:
Signature: n _ _ /
Location/Directions:: Ce g y3' '
/& 0! F ?a ?rvt ,
J , e a?
Ceomnrnhol-, Absent Weik Moderate
Slrnn
1) Is Them A Riffle-Pool Sequence? 00 01 02
2
Is The USDA Texture In Streambed
Different From Surrounding Terrain? 00 01 02 3) Are Natural Levees Present? 00 01 02 4) Is The Channel Sinuous? 00 01 02 !_1'

5) Is These An Active (Or Relic) Floodplain Present? 00 01 02
6) is The Channel Braided? 0 01 02 03
7) Are Recent Alluvial Deposits Present? 00 01 O ra
8) Is There A Bankfull Bench Present? 00 01 02
9) Is A Continuous Bed & Bank Present?
R'OTE: ff Bed & Bank Camrd By Ditching Aad WITHOUT S'naori y Then
Scare-09 0
01
02
Is A 2nd Order Or Greater Channel (As Indicated On Topo
10) Map And/Or In Field) Present?
Yes-3 O N0-0
PRIAIARYGEOMORPHOLOGYINDICATORPOINTS.
11' HvdroioZv -7
Absent #VALUEI
Weak
Moderate
Strong
1) Is There A Groundwater
Flow/Discharge Present?
00
01
02

l'73
PRItARYHYDROLOGYINDICATORPOINTS.
Ill. Biology 3
Absent #VALUEI
Weak
Moderate
Strong
I) Are Fibrous Roots Present In Streambed? 3 02 01 00
2) Are Rooted Plants Present In Streambed? 3 02 01 00
3) Is Periphyton Present? 00 1 .. 02 03
dl Are Bivalves present? qw, 01 02 03
PRIMARY BIOLOGY INDICATOR POINTS.
Secondary Field Indicators: lehe/ro.,m_b_Pn L;,
1. Geomorphology

Absent #VALUEI

Weak

Moderate

Strong
I) Is There A Head Cut Present In Channel? 00 0o.5 01 01.5
2) Is There A Grade Control Point In Chanel? 00 00.5 01 6-
.T-3) Does Topography Indicate A 00 00.5 01 0415,
Natural Drainage Way?
SECONDARY GEOMORPHOLOGYINDICATOR
#VALUEI
11. Hydrology Absent Weak Moderate Strong
1 Is This Years (Or Last's) L.catiitter
Present In Streambed?
•s
01
O o.s
00
2) Is Sediment On Plants (Or Debris) Present? 00 00.s 01 11
3) Arc Wrack Lines Present? 00 O oS 01 ,5
4 is Water In Channel And >48 Hrs. Since
Last Known Rain? MOMIDitchAdicuredtoe9AbowskinTMsstepAndasBop_.,
OOS
01
5) Is There Water In Channel During Dry
Conditions Or In Growing Season)? 00 O OS 01
6) Are Hydric Soils Present In Sides Of Channel (Or Ice Herkut)1 Yes-1.5 O No-0
SECONDARY HYDROLOGY INDICATOR POINTS:
111. BioloEry
Absent #VAL UE!
Weak
Moderate
Strong
1) Are Fish Present? 00 00.s 01.5
2) Are Amphibians Present? 06 00.5 01 01.5
3) Are AquaticTurtles Present? 00S 01 01.s
4) Are Crayfish Present? .00 S 01 01.S
5) Are Mac obenthos Present? 00 S 01 01.s
6) Are Iron Oxidizing Bacteria(Fungus Present? 0'0 00.5 01 01.5
7) Is Filamentous Algae Present? WA O o.S 01 013
8) Are Wetland Plants In Streambed? SAV blostly OBL Dioslly FACW Mostly FAC Mostly FACU Mostly UPI,
1' NOTE: IfT m! Ab n Ol'Att Rana la,V r mrdAs Naed Q 2 1 O 0.75 O 0.5 O 0 O 0
.[be.a Skip 7ha Strp UNLESS $AYResr.,-).
SECONDARYBIOLOGYINDICA TOR POINTS: #VALUEI
TOTAL POINTS /Primnn• ++ Seeatdnnh #VALUEI WGreater Than Or Equal To 19 Points The Stream Is At Least Intermittent)
I
LIM-i
C HA V r'-E L ..:..
INTER_MITTE NT
EVALUATION FORIM
ACTION ID APPLIC.,vNT.NVVIE
DATE
t 1 /
PROPOSED CHANNEL WORK('.e., culvert, rctocation, rte.) 1 i y. o py - ` n vPJ?F
'7 •'R fag= `x r
wATERBODY/RIVER BASIN :L1 2•[ .Lc-- i??f? COUNTY/CITY t:;4, 6 : !.e of
KECFN"r WEATHER CONDITIONS
SP NP Observation
Fish/Shelltish/Crustaccans Prese:u
Bent, is Macro Invertebrates
?I .->,:nphibians Present/Breediml
a?#F,:'d'?ralhy ae AndiOr Fumsus !water quality function)
dlife Channel Use (i.c. tracks, feces, shells, others)
Protected Species Present (Discontinue)
Riffle/Pool Structure
Comments or Description
W? I I I Stable Streambanks i
Channel Substrate
(i.e. gavel. cobble, rock, coarse sand)
Riparian Canopy Present (SP =/> 50% closure)
Undercut Banks/htstream Habitat Structure
Fiow In Channel
I?
Wetlands Adjacent'roiContig. With Channel
(Discontinue)
Persistent PoolsiSaturated Bottom
(June through Sept.)
SecpsiGroundwater Discaar ge (June throu h Sept, i
Adjacent Ftoodplain Present
Wrack Material or Drift Lines
Hydrophvtic Ve_etation in adjacent to channel
Important To Domestic Water Supply' S N
Does Channel Appear On A Quad Or Soils Nlap"L%' N Approx. Drainage Area: s 3 ?J 0. c rP?
Determination:

nnial Channel (stop)
.,tittent Channel
r (proceed)
emeral Channel (nojd)
Ditch
Through Upland (no jd)
R portant Channel: LF PROJECT NiGR. Initials
Unimportant Channel: LF
(attach map indicati, location of importantiunimpurtant channel)
Evaluator's Signature:
(it other than C.O.E. project manager)
P=Prescnt SP=Stongly Prescnt NP=Not Present 11 /4/9 8