HomeMy WebLinkAbout20021210 Ver 1_Complete File_20020730M STA7F p
STATE OF NORTH CAROLINA
DEPARTMENT OF TPANSPORTATION
JAMES B. HUNT JR. P.O. BOX 25201, RALEIGH, N.C. 27611-5201 E. NORRIS TOLSON
GOVERNOR SECRETARY
June 1, 1998
MEMORANDUM TO: File
FROM: John L. Williams
Project Planning Engineer
SUBJECT: SR 1549, Ashe County, Replacement of Bridge No. 123 over
Grassy Creek, State Project 8.2711401,
F. A. Project MABRZ-1549(2), B-3302
A scoping meeting for the subject bridge was held in the Transportation Building
on April 29, 1998.
The following people were in attendance:
Debbie Bevin
Ray McIntyre
Ramesh Fofaria
Jerry Snead
Elton Crutchfield
Lannette Cook
Anna Pennisi
Meredith McDiarmid
Art McMillan
Brenda Moore
John Williams
SHPO
TIP Unit
Structure Design
Hydraulics Unit
Location Surveys
Program Development
Statewide Planning - Traffic Forecasting
Traffic Control
Roadway Design
Roadway Design
Planning & Environmental
The following are scoping meeting comments:
Debbie Bevin of SHPO stated that neither an archtechtural or archaeological
suvey would be required.
Wade Hoke (Division 11 Engineer) recommended evauating the alternates
outlined in the alternative section below.
Jerry Snead of the Hydrualics Unit recommended the existing bridge be replaced
with a three-barrel reinforced concrete box culvert; each barrel 3.0 x 3.0 meters (10 x 10
feet in height and width. Channel widening would not extend more than 7.6 meters
(25 feet) on either end of the bridge. A temporary alignment (if needed) would require
three-1800 mm corrugated steel pipes. The detour roadway grade would be
approximately 1 meter (3 feet) lower than the existing roadway.
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Bridge No. 123
[Built in 1960] [71 feet long] [12 foot wide deck] [11.1 feet clear deck width]
[Crown of Bridge to bed of river/stream: 13 feet] [Posted 9 tons for SV and 16 tons for
TTST's]
[Sufficiency Rating 37.9] [Estimated useful remaining life 10 years]
Traffic Information
SR 1549 is a Rural Local Route with no posted speed limit in the vicinity.
Land use is a mixture of agricultural, scattered residential, recreational, and undeveloped.
Current ADT is 100 vpd, Projected 2025 ADT is 500 VPD
4% Trucks (1% Duals, 3% TTST)
Accident Information: (May-94 through April-97)
One accident has been reported in the vicinity. The accident was unrelated to the bridge.
Bus Infomation: Two trips a day. Bus crosses bridge and turns around. If bridge closed, he
will need a place to turn around on the south side of the bridge until the bridge is open.
DESCRIPTION OF ALTERNATE
Cross Section of New Bridge: 24 feet wide: 20-foot travelway, 2-foot offsets
Alternate 1) Replace Bridge No. 123 on the existing alignment. Maintain traffic on a
temporary one-lane detour to the east.
Alternate 2) Replace Bridge No. 123 on the existing alignment. Maintain traffic on a
temporary one lane detour to the west.
Alternate 3) Replace Bridge No. 123 on new alignment to the east. Maintain traffic on
the existing structure during construction.
B-3302 is a Plan-Design Project with the following schedule:
Digital Terrain Mapping from Location Surveys Due 10-98,
Cost Estimates from Roadway Design Due 1-99,
Document from Planning & Environmental Due 2-00
Right of Way: May 2000
Construction: May 2001
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F NORTH C
'qo1 North Carolina
Department of Transportation
Division of Highways
9F? 5?j Planning & Environmental Branch
OF TR
Ashe County
Replace Bridge No. 123 on SR 1549
Over Grassy Creek
B-3302
Figure One
B-3302
BRIDGE PROJECT
SCOPING SHEET
State Project No. 8.2711401 Right of Way 5-00
Federal Project No. MABRZ-1549(2) Construction Let '5-01
Purpose of Project: REPLACE OBSOLETE BRIDGE
Description of Project: Replace Bridge No. 123 on SR 1549 over Grassy Creek in
Ashe County, B-3302.
Will there be Special Funding Participation by a Municipality, Developers, or Others?
YES NO x
EXISTING LENGTH 31.6 METERS; WIDTH 3.4 METERS
STRUCTURE 194: 71 FEET 11.1 FEET
TIP CONSTRUCTION COST ...................................... $ 320,000
TIP RIGHT OF WAY COST ...................................... + $ 30,000
TIP TOTAL COST .................................... $ 350,000
CLASSIFICATION: Rural Local Route
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1210
FILE'4 awa«?STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
July 25, 2002
US Army Corps of Engineers
Raleigh Field Office I CU ci-
6508 Falls of the Neuse Road, Suite 120
Raleigh, North Carolina 27615
ATTENTION: Mr. Eric Alsmeyer
Regulatory Specialist
LYNDo TIPPETT
SECRETARY
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YETI.A1DD S ?? i
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SUBJECT: Nationwide Permit 33 Application for the proposed replacement of
Bridge No. 123 on SR 1549 over Grassy Creek, NCDOT Division
11; Ashe County. Federal Project No. MABRZ-1549(2), State
Project No. 8.2711401, T.I.P. No. B-3302.
Dear Sir:
On November 9, 2001 the North Carolina Department of Transportation submitted an
application to replace the previously submitted application dated June 29, 2001 (which
included the distribution of a Categorical Exclusion document for the above referenced
project). The November 2001 application requested that the proposed bridge replacement
activities be authorized under a Nationwide 23. On March 26, 2002 the U.S. Army Corps
of Engineers verified the issue of a Nationwide 23 permit (Action ID No. 200120753).
This project now requires the use of a temporary impervious dike to facilitate the
installation of the northern footing of the proposed con-span structure. The impervious
dike is shown within the attached drawings. The con-span footings will be constructed in
two phases. During Phase I no surface water fill will occur. However, during Phase II,
proposed temporary surface water fill will be 0.01 acres. No temporary diversion channel
is proposed. NCDOT proposes to place a combination of jersey barriers and sandbags
along the water's edge on the northern side of Grassy Creek (attached Phase II drawing).
This impervious dike is needed to keep storm water out of the footer construction area.
Grassy Creek will continue to flow in its natural channel during construction. No
jurisdictional wetlands will be impacted by the proposed project.
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1548 MAIL SERVICE CENTER
RALEIGH NC 27699-1548
TELEPHONE: 919-733-3141
FAX: 919-733-9794
WEBSITE: WWWNCDOT.ORG
LOCATION:
TRANSPORTATION BUILDING
1 SOUTH WILMINGTON STREET
RALEIGH NC
e
Restoration Plan:
The materials used, as temporary fill, in the construction of the impervious dike will be
removed after their purpose has been served. The temporary fill area will be restored to
their original contours. Elevations and contours in the vicinity of the proposed
causeways are available from field survey notes.
Project B-3302 is currently under construction. It is expected that the contractor will
choose to start construction of the footing once the additional permits have been received.
The impervious dike will only be in place for a time sufficient to complete the footing.
After the dike is no longer needed it will be removed by the contractor. All dike material
will become the property of the contractor. The contractor will be required to submit a
reclamation plan for removal of,an. disposal of all materials off-site.
tt SUMMARY
This project will take place in a mountain trout county. Thus we anticipate that
comments from the North Carolina Wildlife Resources Commission (NCWRC) will be
required. By copy of this letter and attachment, NCDOT hereby requests NCWRC
review. NCDOT requests that NCWRC forward their comments to the Corps of
Engineers.
It is anticipated that the installation of the impervious dike will be authorized under
Section 404 Nationwide Permit 33 (Temporary Construction Access and Dewatering).
We are, therefore, requesting the issuance of a Nationwide Permit 33 authorizing use of
the dike. All other aspects of this project were processed by the Federal Highway
Administration as a "Categorical Exclusion" in accordance with 23 CFR 771.115(b). We
anticipate a 401 General Certification number 3366 will apply to this project. In
accordance with 15A NCAC 2H .0501(a) we are providing two copies of this application
to the North Carolina Department of Environment and Natural Resources, Division of
Water Quality, for their records.
Thank you for your assistance in this project. If you have any questions or need
additional information please call Ms. Heather Montague at (919) 733-1175.
Sincerely,
V. Charles Bruton, Ph.D.
Project Development & Environmental Analysis
cc: w/attachment
Mr. John Dorney, Division of Water Quality
Ms. Marla Chambers, NCWRC
Ms. Marella Buncick, USFWS
Mr. Greg Perfetti, P.E., Structure Design
w/o attachment
Mr. David Franklin, USACE, Wilmington
Mr. Jay Bennett, P.E., Roadway Design
Mr. Omar Sultan, Programming and TIP
Ms. Debbie Barbour, P.E., Highway Design
Mr. David Chang, P.E., Hydraulics
Mr. Mark Staley, Roadside Environmental
Mr. Carl McCann, P.E. Division Engineer
Mr. Heath Slaughter, Div. 11 DEO
Mr. John Williams, P.E., PDEA
8-3302
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Office Use Only: Fonn Version April 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1.
H.
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: NWP 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: ?
Applicant Information
Owner/Applicant Information
Name: NCDOT Project Development & Environmental Analysis Branch
Mailing Address: North Carolina Department of Transportation
Project Dev & Environmental Analysis Branch
Attention: V. Charles Bruton Ph.D.
1548 Mail Service Center
Raleigh, NC 27699-1548_
Telephone Number: (919) 733-3141 Fax Number: (919) 733-9747
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:
Company Affiliation:
Mailing Address:
Telephone Number:-
E-mail Address:
Fax Number:
Page 1 of 8
M. 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 No. 123 on SR 1549 over Grassy Creek
2. T.I.P. Project Number (NCDOT Only): B-3302
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Ashe Nearest Town: Jefferson
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): from Jefferson: take Hwy 221 East
to Hwy16 North, make a right onto Old Hwy 16, right onto Chestnut Hill Rd., left onto
Howard Colvard Rd., left onto SR 1549 (Garvey Bridge Road).
5. Site coordinates, if available (UTM or Lat/Long): 36°32' N Lat / 81021'W Long
(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: Existing
land uses include forested and maintained communities. The area has a mixture of
residential and undeveloped landuse. SR 1549, a Rural Local Route, runs through the project
area with Bridge No. 123 serving residential uses.
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): Grassy Creek
9. River Basin: New River Basin
(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/mVs/.)
Page 2 of 8
10. Describe the purpose of the proposed work: To replace an inadequate bridge. Bridge No.
123 with a con-span bridge on approximately the same alignment.
11. List the type of equipment to be used to construct the project: heavy duty construction
equipment
12. Describe the land use in the vicinity of this project: Existing land uses include maintained
and forested communities. The area has a mixture of residential and woodland landuse. SR
1549, a Rural Local Route runs through the project with Bridge No. 123 serving residential
uses.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 3 of 8
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 N/A N/A N/A N/A 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 FEMA Map Service Center at 1-800-358-9616, or
online at http://www.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: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Site Type of Length of Impact Stream Average Width Perennial or
Number impact* (linear feet) Name** of Stream Before Intermittent?
(indicate on ma) Impact (please specify)
Phase II Temporary 0.01 ac Grassy Creek 20.0 Ift Perennial
Impervious dike Fill
* 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 losstgain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included:
* * Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usss.¢ov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.Igpozone.com,
www.mgMuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 80.0 lft (worse case scenario)
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S.
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Name Waterbody
)
( applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
N/A N/A N/A N/A N/A
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 4 of 8
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
NCDOT will adhere to the "Best Management Practices (BMPs) for Bridge Demolition and
Removal" during the removal of Bridge No 123 NCDOT will adhere to the "Guidelines for
Construction of Highway Improvements Adjacent to or Crossing Trout Waters". NCDOT will
also comply with all USACE and NCWRC permit conditions in order to minimize impacts to
aquatic resources.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
Page 5 of 8
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/strmizide.html.
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.
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 bU://h2o.enr.state.nc.us/wrp/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 ?
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 (919) 733-5083 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 ?
Page 6 of 8
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® . If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
Gone 1 extends out su teet perpenatcuiar from near DanK of cnam ei, /.vnu L CX1G11Ub all
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
The guidelines for the NCDOT's "Best Management Practices for the Protection of Sensitive
Watersheds" will be followed These include minimizing the project footprint and diverting
stormwater away from surface water supply waters as much as possible. Provisions to preclude
contamination by toxic substances during the construction interval will also be strictly enforced.
Page 7 of 8
XU. 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.
XM. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (I 5A 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 I*te l
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8