20021181 Ver 1_Complete File_20020725

O?O? W AT ?RQG
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DWQ Project No.: 62 1181 County: IL Jgrs
Applicant: Wboy
Project Name: 5R 1!?7
Date of Issuance of 401 Water Quality Certification: 9/7.1b 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, DAV)r, bjh wF , 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.
Agent's Certification
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: Date:
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 Suffer Rules, the approved plans and specifications, and other
supporting materials.
Signature Registration No. Date
NUDF R
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
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), hftp://h2o.enr.state.nc.us/ncwetlands/
W A r? Michael F. Easley, Governor
Q R
Q? QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
\
am" Alan W. Klimek, P.E. Director
c Division of Water Quality
O <
August 7, 2002
Wilkes County
DWQ Project No. 021181
SR 1575 (Buckwheat Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Heath Slaughter, Division Environmental Officer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC 28659
Dear Mr. Slaughter:
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact 275 linear feet of Buckwheat Branch and one of its unnamed tributaries and Pine Mountain
Branch and three of its unnamed tributaries in order to improve SR 1575 (Buckwheat Road) in Wilkes
County. The NC Division of Water Quality understands that there will be 310 linear feet of impacts as a
result of temporary de-watering. The project must be constructed in accordance with your application
dated July 18, 2002 (received July 25, 2002). After reviewing this application, we have decided that these
impacts will be covered by General Water Quality Certification Nos. 3366 and 3375, corresponding to the
U.S. Army Corps of Engineers Nationwide Permit Numbers 33 and 14. In addition, you must acquire any
other federal, state or local permits before you proceed with your project including (but not limited to)
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval
will expire with the accompanying 404 permit unless otherwise specified in the Water Quality
Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ in writing and submit a new application.
If the property is sold, the new owner must be given a copy of this Certification and approval letter, and is
thereby responsible for complying with all the conditions. If total wetland fills for this project (now or in
the future) exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this
approval to be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.
1. NCDOT shall implement Best Management Practices for the Protection of Surface Waters (NCDOT
March 1997) and adhere to "Sedimentation and Erosion Control Guidelines for Sensitive
Watersheds" [15A NCAC 4B .0124 (a) - (d) found at
http://ncrules.state.nc.us/ncadrninistrativ--/titlel5aenviron /chapter04sedime_/defau1t.htm)] prior to
any ground-disturbing activities to minimize impacts to downstream aquatic resources. Temporary or
permanent herbaceous vegetation shall be planted on all bare soil within 10 days of ground-disturbing
activities to provide long term erosion control. This shall apply to the entire project corridor.
2. In-stream work and land disturbance within the 25-foot wide buffer zone are prohibited during the
trout spawning season of October 15 through April 15, or other conditions as determined by the
North Carolina Wildlife Resources Commission, to protect the egg and fry stages of trout from
sedimentation during construction.
3. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the a wingcPacnn follnwing op rnplatinn of rnnctrnrtinn

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/ncwetiands/
4. NCDOT is encouraged to use existing on-site vegetation and materials for stream bank stabilization
and to minimize the use of rip rap.
5. The dimension, pattern, and profile of the stream and floodplain above and below each structure shall
not be modified by widening the stream channel or reducing the depth of the stream.
6. All work shall be performed during low flow conditions.
7. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
8. 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.
9. Upon completion of the project, the NCDOT or its authorized agent shall complete and return the
enclosed "Certificate of Completion" form to notify NCDWQ when all work included in the §401
Certification has been completed. This will satisfy the requirements of Condition 16 of WQC 3375
and Condition 13 of WQC 3366.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Ms.
Jennifer Frye of the Winston-Salem Regional Office at 336.771.4600.
Sincerely,
t
Alan W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
Jean Manuele, USACE Raleigh Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy
TO: Jean Manuele, USACOE
Raleigh Regulatory Field Office FILE COPY
FROM: Ron Linville, Regional Coordinator
Habitat Conservation Program
DATE: August 5, 2002
SUBJECT: North Carolina Department of Transportation (NCDOT), SR 1575,
Buckwheat Road, Buckwheat Branch (Classification WS-II, Trout,
HQW), Pine Mountain Branch (Classification C), Wilkes County
NCDOT proposes to grade, base, drain and pave SR1575. Biologists with the North
Carolina Wildlife Resources Commission are familiar with habitat values in the area.
These comments are provided in accordance with the provisions of the Fish and Wildlife
Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661-667d) and the North Carolina
Environmental Policy Act (G.S. 113A-1 through 113A-10; NCAC 25).
The project will require replacement of eight (8) wet cross lines. Three stations (33+94,
58+38, and 91+41) will require pipe extensions and concrete headwalls. The remaining
pipe replacements are smaller in diameter and length. Riprap impacts will total 110
linear feet. Total new impacts will be 275 linear feet. Brook trout populations are
present downstream of the project area.
Efforts should be made to provide aquatic life and fish passage where possible. A
homemade culvert about 0.7 miles up Buckwheat Road has exposed dirt. It is not known
if this culvert disturbance is recent or not. It is not known if this culvert is blocking
passage. However, improvements in the watershed could improve aquatic habitat and
water quality. Wetland Restoration Program or other similar agencies should look at the
area generally for possible stream restoration activities.
We will not object to the project provided the following conditions are implemented
during construction:
SRI 575, Buckwheat Road 2 August 5, 2002
1. Instream work and land disturbance within the 25-foot wide buffer zone are
prohibited during the brown and brook trout spawning season of October 15
through April 15 to protect the egg and fry stages of trout from off-site
sedimentation during construction.
2. Culverts 48" or larger should be buried approximately F into the streambed.
Culverts less than 48 inches in diameter should be buried to a depth equal to
or greater than 20% their size to allow for aquatic life passage. These
measurements must be based on natural thalweg depths. All waters must
flow through without freefalling or damming on either end during low flow
conditions to maintain aquatic life and/or fish passage. Any riprap used must
not interfere with aquatic life movement during low flows.
3. Bedrock has been encountered at station 58+38. Pipes at this location may be
on ae
4., Thy c?meIi44
;pattern, and profile of streams above and below the pipes
should not be modified by widening the stream channel or reducing the depth
of the stream. Previously disturbed floodplains and streams should be
restored to natural geomorphic conditions whenever practicable.
5. If concrete will be used, work must be accomplished so that wet concrete does
not contact stream water. This will lessen the chance of altering the stream's
water chemistry and causing a fish kill.
6. Heavy equipment should be operated from the bank rather than in the stream
channel in order to minimize sedimentation and reduce the likelihood of
introducing other pollutants into the stream.
7. Stringent erosion control measures should be installed where soil is disturbed
and maintained until project completion. Sediment and erosion control
measures shall adhere to the design standards for sensitive watersheds (15A
NCAC 4B .0024).
8. Temporary or permanent herbaceous vegetation should be planted on all bare
soil within 10 days of ground disturbing activities to provide long-term
erosion control. We encourage NCDOT to utilize onsite vegetation and
materials for streambank stabilization when practicable.
Thank you for the opportunity to review and comment on this project during the early
planning stages. If you have any questions regarding these comments, please contact me
at 336/769-9453.
Cc: Cynthia Van Der Wiele, DDWQ
Heath Slaughter, DOT
Marella Buncick, USFWS
Becky Fox, EPA
MEMORANDUM
TO: John Dorney Regional Contact: Jennifer Frye
Non-Discharge Branch WO Supervisor: Steve Maiiney
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name NCDOT - SR 1575 County WILKES
Project Number 02 1181 County2
Recvd From DOT Region Winston-Salem
Received Date 7/25/02 Recvd By Region 8/5/2002
Project Type
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet ME
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
14 F- O YO N ? 12-42-2 ?? 30. ? ? l . 1275.00 275.00 F-
0 Y O N ? 12-40-t -? WSII TRH{) 1110,701. r 310.00 310.00
F_F__ PT _0N Mitigation Wetland
MitigationType Type Acres Feet

Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? 0 Y Q0 N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? 0 Y OQ N
Recommendation: OQ Issue 0 Issue/fond 0 Deny
Provided by Region: Latitude (ddmmss) 361939 Longitude (ddmmss) 811439
Comments:
The WSRO recommends that WO Certification # 3375 be issued for 275 LF of impacts and WQ
Certification # 3366 for 310 LF for temporary de-watering,
cc: Regional Office
Central Office Page Number 1
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4W ISSUEL-1
A _ STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P. O. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT
GOVERNOR PHONE: [phone] SECRETARY
July 18, 2002
r r,
Mrs. Jean Manuele
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of Neuse Road, Suite 120 FILE COPY.
Raleigh, NC 27615 W WEL7 LO U
S G,30P
UA!fB' SECTION
Subject: Nationwide Permit #14 & #33
SR 1575 (Buckwheat Road)
Wilkes County, North Carolina
Project Number: 6.762169T (DWQ Permit Fee: $475)
Dear Mrs. Manuele:
The NC Department of Transportation is scheduled to grade, drain, base and pave SR 1575 in
Wilkes County. Total project length is approximately 2.27 miles. The roadway will be widened
from 17 feet to 18 feet. Impervious surface area will increase by .0.27 acres or 2%. This project
will require the replacement of eight (8) wet cross lines as shown below:
Replace existing 50'x 60" CMP at station 33+94 with (2) 80'x 60" CMPs with a
oncrete headwall. Barrel #1 will be buried 20%. Barrel #2 will be isolated to carry
stormwater only.
2) place existing 30'x 72" CMP at station 58+38 with a 50'x 66"x 51" CSPA with a
concrete headwall.
Replace existing 26'x 30" CMP at station 59+91 with a 50'x 36" CMP.
place existing 29'x 60" CMP at station 91+41 with a 60'x 60" CMP with a
concrete headwall.
Replace existing 36'x 18" CMP at station 110+25 with a 45'x 18" CMP.
6) Replace existing 34'x 30" CMP at station 111+48 with a 50'x 36" CMP.
7) Replace existing 33'x 24" CMP at station 113+18 with a 65'x24" CMP.
8) Replace existing 27'x 24" RCP at station 115+30 with a 30'x 36" CMP. (driveway)
Miscellaneous rip-rap impacts will total 110 linear ft. or less. New stream impacts 275 linear ft.
** There are 4 bridges along this section of SR 1575. None of these bridges will be replaced at
this time.
P. O. Box 250, N. WILKESBORo, NC 28659
PHONE [phone] FAX [phone]
f

Mrs. Jean Manuele
SR 1575, Buckwheat Road, Wilkes
Page 2
July 18, 2002
** The riprap slope protection from 35+50 - 36+50 has been in place for some time now and is
not an impact associated with this application.
** There is a very large sheet of bedrock directly under the existing pipe at station 58+38. If this
material cannot be removed with a trackhoe, we will be placing this pipe at grade instead of
blasting in the stream channel.
* * Aquatic life passage is obstructed approximately 100 feet downstream of the wet pipe at
station 91+41 by an open ford on private property. We still plan to place our new pipe l'
below existing streambed elevations at station 91+41 unless bedrock is encountered.
Replacing the deteriorating wet pipes at stations 33+94, 58+38 and 91+41 will require temporary
dewatering. An impervious sandbag dike will be constructed approximately 20 feet upstream of
each existing structure to create a small pool. Clean water will temporarily be pumped around
each construction area and will be discharged into a buffer area downstream. Any dirty water
located inside the construction areas will be pumped into a silt bag. The dewatered area at, station
33+94 will total approximately 600 square feet or 0.014 acres. The dewatered area at station
58+38 will total approximately 450 square feet or 0.01 acres. The dewatered area at station
91+41 will total approximately 300 square feet or 0.007 acres. Once the new structures are in
place, the impervious sandbag dikes will be removed and preconstruction streambed elevations
will be restored.
Construction of this project will require impacts to waters of the United States in the Yadkin
River Basin. The above noted wet cross lines at stations 33+94 and 58+38 carry Buckwheat
Branch (Class: WS-II, Trout, HQW). The wet cross line at station 59+91 carries an unnamed
tributary to Buckwheat Branch. The wet cross lines at stations 111+48 and 115+30 carry Pine
Mountain Branch (Class: Q. The wet cross lines at stations 91+41, 110+25 and 113+18 carry
different unnamed tributaries to Pine Mountain Branch.
The Division 11 Environmental Officer reviewed this project for the presence of threatened and
endangered species on July 3, 2002. This project will have no effect on any federally listed
endangered plant or animal species. According to the NCDOT web site, the NCDOT Historical
Architecture Section has reviewed this project and determined that there are no NR/SL/DOE
properties along this roadway that will be impacted by the proposed project (see attachment).
The project impacts are minor in nature and should not remove or degrade existing water quality
uses. Pipe sizes used will be the minimum necessary to create a safe roadway. By utilizing the
erosion control measures outlined in the attachments to this application, downstream water
quality standards will be protected. All appropriate BMPs will be used during construction.
Attached is a Preconstruction Notification Form, plan sheets with proposed erosion control
measures, a marked county map, and a marked topography map.
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with
the North Carolina Wildlife Resources Commission comment directly to you concerning the 404
Nationwide Permit application with a copy sent to me. Please note that a trout water buffer zone
Mrs. Jean Manuele
SR 1575, Buckwheat Road, Wilkes
Page 3
July 18, 2002
encroachment variance will be requested from stations 24+50 - 29+00 (Rt.), 34+00 - 37+50 (Rt.)
and 39+00 - 46+50 (Lt.) (Buckwheat Branch).
By copy of this letter, I am forwarding seven (7) copies of this application package to Cynthia
Van Der Wiele, NCDENR, Division of Water Quality, 401/Wetlands Unit, for her review. It is
requested that any comments related to the 401 certification be forwarded directly to me with a
copy sent to the US Army Corps of Engineers.
We would like to begin construction as soon as possible. If further information is required, please
let me know. Your early review and consideration will be appreciated.
Sincerely,
Heath Slaughter
Division Environmental Officer
Enclosures
cc: Jean Manuele, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
Cynthia Van Der Wiele, Division of Water Quality (7 copies)
Matt Gantt, PE, Land Quality Section
R. C. McCann, PE, Division Engineer
Doug Tetzlaff, District Engineer
Brian Hamby, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Dennis Bennett, Bridge Maintenance Engineer
Office Use Only: O Form Version April 2001
21181
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
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NW #14 & #33 _
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: North Carolina Department of Transportation
Mailing Address: P O. Box 250, North Wilkesboro NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Heath Slaughter, Division Environmental Officer
Company Affiliation: North Carolina Department of Transportation
Mailing Address: P O Box 250, North Wilkesboro NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: hslaughter@,dot.state.nc.us
Page 3 of 13
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1575, Buckwheat Road
2. T.I.P. Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN):
4. Location
County: Wilkes Nearest Town: Vannoy
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Vannoy, travel northeast
on SR 1575 to the end of pavement. The project starts at this location.
5. Site coordinates, if available (UTM or Lat/Long):
Station 33+94 UTM: 17 476940E 4019149N, Station 58+38 UTM: 17 477322E 4019606N
Station 91+41 UTM: 17 478078E 4020109N, Station 111+48 UTM: 17 478418E 4020353N
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential
7. Property size (acres): Approximately 13.5 acres.
8. Nearest body of water (stream/river/sound/ocean/lake): Pine Mountain Branch and UTs
(Class: C). Buckwheat Branch and UTs (Class: WS-II, Trout, HQ))I.
9. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/:)
Page 4 of 13
10. Describe the purpose of the proposed work: Grade drain base and pave SR 1575.
11. List the type of equipment to be used to construct the project: Trackhoe/backhoe. motor
grader and dump trucks
12. Describe the land use in the vicinity of this project: Residential/Farm
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
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 5 of 13
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httL://www.fema.Qov.
*** 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:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average
Width of Perennial or
Site Number Type of Impact* Impact Stream Name**
Stream Before Intermittent?
(indicate on map) (linear feet)
Impact (please specify)
Station No. 33+94 Pipe replacement 30 feet Buckwheat Branch 5 feet Perennial
Station No. 58+38 Pipe replacement 20 feet Buckwheat Branch 5 feet Perennial
Station No. 59+91 Pipe replacement 24 feet UT to Buckwheat
Branch 2 feet Perennial
Station No. 91+41 Pipe replacement 31 feet UT #1 to Pine Mountain
Branch 3 feet Perennial
Station No. Pipe replacement 9 feet UT #2 to Pine Mountain 1 foot Perennial
110+25 Branch
Station No. Pipe replacement 16 feet Pine Mountain Branch 2 feet Perennial
111+48
Station No. Pipe replacement 32 feet UT #3 to Pine Mountain 1 foot Perennial
113+18 Branch
Station No. Pipe replacement 3 feet Pine Mountain Branch 2 feet Perennial
115+30
Miscellaneous
Rip-rap
placement for
stabilization (20'
All of the above each @ 33+94, 110 feet All of the above 1-5 feet Perennial
58+38 & 91+41)
(10' each @
remaining wet
crossings.
Page 6 of 13
3. Stream Impacts, including all intermittent and perennial streams. CONTINUED
Stream Impact Length of Average
Width of Perennial or
Site Number Type of Impact* Impact Stream Name**
Stream Before Intermittent?
(indicate on map) (linear feet)
Impact (please specify)

33+94
Station No Temporary 120 linear
feet or 600
Buckwheat Branch
5 feet
Perennial
. Dewatering square feet

58+38
Station No Temporary 90 linear
feet or 450
Buckwheat Branch
5 feet
Perennial
. Dewatering square feet

91+41
Station No Temporary 100 linear
feet or 300 UT #1 to Pine Mountain
3 feet
Perennial
. Dewatering square feet Branch

* 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
lNi&w.usQs.aov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
wwtiv.mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 2751n. ft. of new permanent impacts.
Page 7 of 13
4. 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 Wat)
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
By utilizing the erosion control measures as shown in the attached drawings, adverse impacts to
streams in the area will be minimized. Since this is an existing roadway, the stream impacts
cannot be avoided. However, the replacement pipe lengths will be the minimum needed to
safely construct the paved roadway. All appropriate BMPs will be used during construction.
Page 8 of 13
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.ne.us/ncwetlands/strmaide.html.
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.
N/A
Page 9 of 13
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/iiM/igdex.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 a7 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,
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:
Page 10 of 13
U
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone I extends out 30 feet perpendicular from near bank of channel; Gone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
N/A
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.
Imt)ervious surface area will be increased by 0.27 acres or2%._ All appropriate best
management practices for sediment and erosion control will be implemented during construction.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
XIII. 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
Page 11 of 13
XW. 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 Signatur(vyif Date
(Agent's signature is valid on an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 12 of 13

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5i. r y } , 4 a s `,
0 500 1000 1500 2000
meters I I I - I
miles 0 0.5 i 0
http://www.topozone.com/print.asp?z=17&n=4020109&e=478078&s=25 5/31/02
EROSION CONTROL SCHEDULE
(1) All adequate temporary erosion control measures will be installed before
clearing and grubbing operations begin.
(2) As construction progresses, temporary and permanent erosion control
devices shall be installed in a timely matter, according to any special permit
requirements and or requirements set out in G. S.113A-57.
MANDATORY STANDARDS FOR LAND-DISTURBING ACTIVITY
Pursuant to G.S.113A-57 (3) provisions for a ground cover
sufficient to restrain erosion must be accomplished within 15
working days or 30 calendar days following completion of
construction or development, whichever period is shorter, except
as provided in 15A NCAC 413.0024 (e).
DESIGN STANDARDS IN SENSITIVE WATERSHEDS
Pursuant to G. S.113A-57 (3) provisions for a ground cover
sufficient to restrain erosion must be provided for any portion of a
land-disturbing activity in a HQW zone within 15 working days or 30
calendar days following completion of construction or
development, whichever period is shorter.
(3) All'siltation and erosion control devices shall be properly maintained until no
longer needed.
(4) On projects performed by Q.O.T. Maintenance Forces, request will promptly
be made to the Division Roadside Environmental Unit for stage and
permanent seeding.
(5) Any removal of siltation devices will be based on the condition of established
ground cover of that area the device is serving.
CONSTRUCTION SEQUENCE FOR INSTALLING ROADWAY CULVERTS
1 - Clear only enough area and install the downstream measures such as silt check dams,
silt screens, and basins as noted on plans.
2 - Excavate the 2' base tail ditch.
3 - Excavate and install the roadway culvert
4 - Install sediment control measures at inlet as noted on plans.
5 - install additional pipe outlet protection and inlet protection as noted.
i

HIGH QUALITY WATERS
1. Uncovered areas are limited at any given time to a maximum total area of
20 acres.
2. Erosion and sedimentation control measures shall be designed to provide
protection from the 25-year storm.
3. Large Type-A basins shall be designed and constructed with a settling
efficiency of at least 70% for the 40 micron soil particle size transported
by runoff from the 2-year storm.
4. Newly constructed channels shall be constructed with side slopes no
steeper than 2:1, unless slopes are to be stabilized by methods other than
vegetation
5. A ground cover sufficient to restrain erosion must be provided for any
disturbed area.
SECTION 1042
RIP RAP MATERIALS
1042-1 PLAIN RIP IZAP.
Shone for plain rip rap shall consist of fieldstone or rotigh unhev,,n quarry
stone. The stone shall be sound, tough, dense, resistant to the action of air
and water, and suitable in all other respects for the purpose intended.
Where broken concrete from demolished structures or pavement is avail-
able, it may be used in place of stone provided that such use meets with the
approval of the Engineer.: However, the use of broken concrete which
contains reinforcing steel will not be permitted.
The stone or broken concrete shall be graded to meet the following
requirements:
1. Foi- Class 1 Rip Rap. Stone.shall vary.in weight from 5 to 200 pounds:
At least 30 ner:cent of the. total weight of the rip rap shall be in
individual uieces 1veicrhing a minimum of 60 pounds oach. Mot more
than 10 percent of the total Weight of the rip rap rimy be in individual
pieces weighing less than 15 you?lds each_
2.'For Class 2 Rip Rap. Stone shall vary in weight from 25 to 250
wounds. A t. least GO percent of the total weight of the rip rap shall be in
individual pieces weighing a minimum of 100 pounds each. -Not more
than 5 percent of the total weight of the rip rap maybe in individual
pieces weighing less than 50 pounds each.
001
E .?I D Ai-LS
-,-,ICAT 1.01,\TS
s P qt, c
Std. _ Descriution ' S-,,-bol-
16 o5- Gj Temporary Silt rence
°?°•O'' Temporary Silt Ditch-
! Temporary Diversion
I62 1 T ernporary Slope Drain
1530.01 Silt Basin Typ= A
1-c30.02 Silt Basin Type-B
1533.01 T irnpDrary Rock Silt Check Type-A
163L.02 Temporary Rock Slit Check T ype-B
16134.01 TemDDrary Rock Sediment Darn T ype-A
153!'_?J2 Temporary Rock Sediment Dar, Type--B

Type-
Roc'K Pipe.inlet Sediment Trap
.--,-Rock Ripe Inlet Sedir rent=Trap Type-B-
Dss_fl-? Rock. Silt: Screen
.15 0-04- Stilling Basin
1632-01
1 53202
1532-03
„5a- D!:
G6a_o?
;D
u
-t?
Rock Inlet Sediment Trap:
T ype_A A JI is -- O --
Typy I R-- OR -- 8
Type-C C sl_i - OR - C3
S ba 1 Cg t:OV n g _ ?t=° ?C.i . . . . . . . . _ LJUJLr1nnNrLr .
-.........---
small st-_°_zm o --------------•------ >-----
r.
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EROSION CONTROL PLAN
SR 1575
COUNTY r' lKF S
LOCAL NAME f' s,.t k l,V A E A
WORK ORDER NO.
DRAWN BY:
DISTRICT ENGINEER:
9 x3xz-
ROADSIDE ENVIROMENTAL
ENGINEER:
W
.?,_?=Slav, ?. - ??- ?? U
9 Y, Y, 1-1
Rx3xZ ?011?
NOTE: T4'
All pipe locations may vary due
to grade changes in roadway. U
U
Pock checks and basins are to be p?
removed before rip rap or roving ?X3XZ. C?
placement . Basins at crosslines
to remain.
All wet crossline placements that
require more than one work day to install
require a silt screen at outlet end.
Stream information:
I" = ?QG'
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Ditchliner Requirements
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Sta f St2 L'?i?i y Liner

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Proposed Rf"'
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L-----
r New Pipe
Center Line
I I
Sheet -/-Of-2-
Date //-
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N ote:
Temporary erosion control
devices not shown, but will
include temporary silt screen,
rock check dams and silt
basins, as needed.
Survey Date //--S - 0 ,/ -
Conducted By C.&w Dp pk-Pt.l
Drawn By. EC ii- F' y i6m gY
tyL_) rL-
S.R. /.- ./. ' Coun
Name r <- c-J A4 E A? T 7Ri7
Existing Road )
New Road }
I
. !
Proposed R/W _ _ - -- - ?- --- ± , t? - - -
... ? III
Existing Pipe
t-------? - - - - -
r - - - --71 - --- -_ .-
New Pipe
Center Line SXr57.• 3,a ?44 6E-f 3c-,
Sr A LE - / . f/)
Sheet Of
Date

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Note:
Temporary erosion control
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rock check dams and silt
basins, as needed.

Survey Date //-f3-0 / •
Conducted By6g-tt08RIQ--Pkj
Drawn BY-R',
c.Ey ?? CRY
S.R. IS 1, County Lj-T__ 61

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