20021704 Ver 1_Complete File_20021004

-? 021704
STATE OF NORTH CAROLINA
DEPARTNffi'NT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
September 20, 2002
US Army Corps of Engineers
Raleigh Field Office
6508 Falls of the Neuse Road/ Suite 120
Raleigh, North Carolina 27615-6814
ATTENTION: Ms. Jean Manuele
Regulatory Specialist
SUBJECT: Nationwide Permit Application 23 and 33 for the proposed replacement of
Bridge No. 255 on SR 2037 over Carroll Creek in Rockingham County,
Division 7. Federal Project No. BRZ-2037(1), State Project No.
8.2510701, T.I.P. No. B-3232.
Dear Madam:
On August 29, 2002 the North Carolina Department of Transportation distributed a PCE form and
Natural Resources Technical Report for the above referenced project, along with a project site map,
permit drawings, and roadway design plan sheets requesting that the proposed bridge replacement
activities be authorized under a Nationwide 23. Since this project involves the proposal to replace
Bridge No. 255 on existing location with a three-barrel reinforced concrete box culvert, a
Nationwide Permit 33 will also be required. Per your request, information regarding the culvert sill
and culvert phasing is being provided. Please see the attached Culvert Phasing Plan (Figure 1),
along with the Culvert Survey and Hydraulic Design Report, and PCN form.
CULVERT PHASING
1) Install sediment control devices necessary for culvert construction, including special stilling
basin and silt fence.
2) Remove existing bridge and install impervious Dike `A'.
3) Construct northern culvert barrel per plans and specifications. Pump all effluent into stilling
basin. Sill should be doweled in after all three barrels are constructed.
4) Remove impervious Dike `A' and install impervious Dike `B', diverting flow through the
newly constructed culvert barrel.
5) Construct the remaining culvert barrels per plans and specifications. Pump all effluent into
stilling basin.
6) Construct floodplains at the culvert inlet and outlet per plans and specifications.
7) Upon stabilizing of all disturbed areas, remove all temporary sediment control devices
MAILING ADDRESS: TELEPHONE: [phone] LOCATION:
NC DEPARTMENT OF TRANSPORTATION FAX: [phone] TRANSPORTATION BUILDING
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS 1 SOUTH WILMINGTON STREET
1548 MAIL SERVICE CENTER WEBSITE. WWW.NCDOT.ORG RALEIGH NC
RALEIGH NC 27699-1548

Restoration Plan:
The materials used during the culvert phasing will be removed after their purpose has been served.
Elevations and contours in the vicinity of the proposed impervious dikes are available from field
survey notes. The project schedule calls for a January 21, 2003 let date. It is expected that the
contractor will choose to start construction shortly after the project is released for construction.
The impervious dikes will only be in place for a time sufficient to complete the construction. After
the dikes are no longer needed they 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 and disposal of all materials off-site.
SUMMARY
It is anticipated that the construction of the culvert 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 for these activities. All other aspects of this
project are being processed by the Federal Highway Administration as a "Categorical Exclusion" in
accordance with 23 CFR § 771.115(b). The NCDOT requests that these activities be authorized by
a Nationwide Permit 23 (FR number 10, pages 2020-2095; January 15, 2002). We anticipate 401
General Certifications numbers 3361 and 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 with this project. If you have any questions or need additional
information please call Ms. Heather Montague at [phone].
Sincerely,
M - P, V ?T&/?,I &
V. Charles Burton, Ph.D., Manager
Office of the Natural Environment
VCB/hwm
w/attachment
Mr. John Dorney, Division of Water Quality
Mr. David Cox, NCWRC
Mr. Garland Pardue, 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. J. M. Mills, P.E., Division 7 Engineer
Mr. Len Smith. Division 7 DEO
Mr. John Williams, P.E., PDEA Project Planning Engineer
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CULVERT SURVEY & HYDRAULIC DESIGN REPORT .
N. C. DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
HYDRAULICS UNIT
RALEIGH, N. C.
I.D. No. ___-B-3-232 --------- Project No. ------ 8.2510701 Proj. Station __________ 10+70.6 -L-
-------- - --------------------------
o; County ____ ROCK-NGHAM------------------------ Stream --------------- CARROLL -CREEK __-----_--------_-----_ Stru. No. ______255
On Highway --__ SR 2037 Between
- ------------- NC I4 -------------- and -------------------------------------
Recommended 14 Structure ........ 3_Q 3.7m x 3.Om RCBC
o -------------------------------------------------------------------------------------
z
------------------------------------------------------------------------------------------------------------------------------------------
m 12.2 Recommended Width of Roadway -- ----------------------m--------------------------- Skew -----------------!?D0----------
a
Recommended Location is (Up, At Down) Stream from Existing Crossing. ___________________________________________
N' Bench Mark is RR SPIKE -IN- BASE _OF-RIVERBIRCH -TREE. - BL - STATION- -5+07.3.- -OFFSET - 72.Om --- RT.
N? --- -- - - -
M ,
-------------------------------------------------------------
m' --------------------------------------------. Elev. ----193.073-----m Datum: ----- NAVQ _1929 -----
z° Temporary Crossing ____ NO TEMPORARY CROSSING. DETOUR SHOWN ON PLANS
- - - -----------------------------------------------------------------------------------------
0
un:
N•
O
G
Designed b PAUL STEPHENSON Date ----------------------
RUSTY LASSITER
Assisted by: -----------------------------------------------------
ANNE HUNT
Project Engineer: ----------------------------------------------
Reviewed by: ----------------------------------------------------
ILE SAVED AS 133232.CUL
SITE DATA
Drainage Area __ 17.6 ---- 4le/Sa. Km Source USGS_QUAD_ (SOUTHEAST _EDEN)_ Character -------RURAL
- -------------------
Stream Classification (Such as Trout, High Quality Water, etc.) ------------- CLASS _C
--------------------------------
Data on Existing Structure ----- I@IO.9m,1v14.0m. [e-mail],_ REINFORCED-CONCRETE- DECK ON STEEL--I-BEAMS
Data on Structures Up and Down Stream __UPSTEAM-3 -@- -3.4m_x_3:Om_RCBC_ DOWNSTREAM I@- 13.Im- -REINFORCED
- - ---- - - - ------------------------------------
CONCRETE -DECK--ON -STEEL I-BEAMS.
--------------------------------------------------------------------------------------------------------------------
Gage Station No. ----------- N/A----------------------- Period of Records ----------- N/A
- -------------------------------
Max. Discharge ------------- N/A ------------ m 3/s Date ------------ N/A------------. Frequency -------N/A -----------
Historical Flood Information: BRDIGE MAINTENACE REPORTED NO RECORD OF OVERTOPPING
Knowledge _8 YR
Date -_- 496---. Elev.__192_50 m Est. Freq.?5 __YRSource ........ LOCAL-------------------------------- RESIDENT Period of
Date ---- N/A---- Elev.-__Y/k_ m Est. Freq. _WA_ Source ---------------N/A Period of N/A
----------------------• Knowledge --------
Allowable HW Elev. --------- j96_I--------------- m Normal Water Surface Elev. ___ j90.6 m
Manning's n : Left O.B. ___0•?2____. Channel ___0.04_-_ Right O.B. ___-0.12___. Obtained From FIELD -OBSEVATION
Flood Study / Status ...... NOT_IN_FLOOD_HAZARD_ZONE- OR_DETAILED -STUDY ----- Floodway Established __N/A-___
Flood Study 100 yr. Discharge m 3/s; W.S. Elev.: With Floodway __ Kb__-• m Without Floodway _N?A__m
DESIGN DATA
Hydrological Method _-_--__ USGS RURAL -REGRESSION (BLUERIDGE .PIEDMONT)
- - - - - -------------------------------------------------
Hydraulic Design Method ------- HEC _RAS (FILE BACKED UP IN ARCHIVES)
Design Tailwater : 010---- 2.43--- m; 025 ---- 2-??_---- m; 050 ----3-13------m; 0100---- 3.58----m; 0 500----ML- m
0 Inlet Control Outlet Control

Size & Type
m 3/s
Ke
HW/D
H.W.
do
+
ho
H
LSO
H.W. Remarks

Is a Floodway Revision Required? ---------- NO------ _
Outlet Velocity, (V10) ------------ 1.9 m/s ________________ Natural Channel Velocity, (V10) _-________ 1.9 -m/s
- ---------------
Required Outlet Protection --------------------- N/A -------------------------------------------------- ----------- -----------
INFORMATION TO BE SHOWN ON PLANS
Design: Discharge _____ 59-4 ------ m 3/s. Frequency __-___ 25 YR ---------
Base Flood: Discharge ------- 1.1------- m 3/s. Frequency ______ IOO YR
Overtopping: Discharge _____ 190.0 m 3/s. Frequency _____ 500+ YR
Elev. 192.9---------- m
196.1
Elev. -- .? -------------------- m
F
3=
4 D=
Bf=
Li =
.? B
Taper(4:1 to
6:1)
SLOPE-TAPERED INLET
HWf B =
HWt -
_ war D =
SO-
Bf=
L Ll =
2 L3 L2=
4 L3
_F So
Bf B Sf
? S=
Taper(4:1 to 6:1)
ADDITIONAL INFORMATION AND COMPUTATIONS
USGS RURAL REGRESSION--EQUATIONS -(BLUERIDGE-PIEDMONT)
-----------------------------------------------------
0 - 5.02 (17.60) .66 33.8 cros
- --------------------------------------------
5 -----------------------
Ollc_-7.09-(17:6)0-.6546.4 cros
0.65------------------------------------------------------------------
-----------------------------------------------
---- = 8.86 (17.6)- _-57.2 cros
Q50
-------------------------------------
0.643 ----------------------------------------------------------------------
Q goo= 11.03 (17.6) =-69.7 cros
0.622 --------------------------------------
Q500= 18.01(17.6) = 107.2 cros
------------------------------------------------------------ -
-------------------------------------------------------------------------
PRORATED TO GAGE NQ. 02071410
- - - ----------------------
- ----------------------------------------------------------------
Q? (?-) 62.3-- _ 42.4 cros
--------------------------------
--------------
0
_ (2" ) 86.1 = 59.4 cros
25 .0
------------------------------------------------------------------------------------------------------------
0 So = (---)106.5 = 74.2 cros
--------------------------------------------------
------------------------------------------------
Q o, (-)129.4 = 91.1 cros
---------------------------------------------------------------------------------------------------
0506 0194.0 = 138.3 cros
----- --------------------------------------------------------------- -
SIDE-TAPERED INLET
i

sly

.?
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. 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 23 and 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: ?
II. Applicant Information
Owner/Applicant Information
Name: NCDOT Proiect Develooment_ & Environmental Analvsis 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: [phone] Fax Number: [phone]
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name:
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. 255 on SR 3037 over Carroll Creek
2. T.I.P. Project Number (NCDOT Only): B-3232
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Rockingham Nearest Town: Reidsville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): from Reidsville take Hwy 14
North towards Eden: take right onto SR 2037 (Harrisons Crossroads)
5. Site coordinates, if available (UTM or Lat/Long): 36°23' N Lat / 79°40' 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 2037, a Rural Local Route runs through the project
area with Bridge No. 255 serving residential uses.
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): Carroll Creek
9. River Basin: Roanoke 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/maps/.)
Page 2 of 8
10. Describe the purpose of the proposed work: To replace an inadequate bridge Bridge No
255 will be replaced on existing location with a three-barrel reinforced concrete box culvert. 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
2037, a Rural Local Route runs through the project with Bridge No 255 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

i,ist each impact separately and identity 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 athttp://www.fema.go .
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Site
Number
(indicate on ma
( ) Type of

Impact*
Length r Impact
(linear feet)
Stream
Name** Average Width
of Stream Before

. - Impact Perennial or
Intermittent?

(please s eci )

Site 1 culvert 63.0 lft Carroll Creek 12.0 ft Perennial

List each impact separately and identity 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.lopozone.com,
www.mgpguest.com. etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 63.0 lft
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)
(if Name p 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. 255.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
Page 5 of 8
I . 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 hU://h2o.enr.state.nc.us/wrD/l*ndex.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 [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 ?
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,
Page 6 of 8
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
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
cone i emenas our. _iv ieet petpenatcutar rrom near oanx oI channel; Zone Z 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.
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
XH. 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.
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XM. 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).
N/A
0-2--
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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