20021228 Ver 1_Complete File_20020802

of V4 rF Michael F. Easley, Governor
o?QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
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i Alan W. Klimek, P.E. Director
w
> y Division of Water Quality
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February 24, 2003
Caldwell County
DWQ Project No. 021228
SR 1501 (Old Sampson Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions: Modification
Mr. R. Carl McCann, P.E., Division Engineer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC 28659
Dear Mr. McCann:
As per your request dated February 10, 2002, your authorization to relocate 113 linear feet of Elk Branch
in Caldwell County is rescinded. Your request to dewater 0.021 acres of Elk Creek is also rescinded. The
Water Quality Certification with Additional Conditions, dated September 17, 2002, remains in effect and
will expire with the accompanying 404 permit unless otherwise specified in the Water Quality
Certification. You have our approval, in accordance with the attached conditions and those listed below,
to impact 96 linear feet of Elk Creek by placing gabion baskets along the edge of the stream from stations
38+50-39+46. The project must be constructed in ,accordance with your application dated February 10,
2003 (received February 18, 2003). After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification No. 3353, corresponding to the U.S. Army.:Corps of
Engineers Nationwide Permit Number 13. In addition, you must acquire any other federal, state or local
permits before you proceed with your project including (but not lifnited 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. 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
NCWRC, to protect the egg and fry stages of trout from sedimentation during construction.
2. Due to the trout waiver requested, temporary or permanent herbaceous vegetation %ould be planted
on all bare soil within 5 days of ground disturbing activities to provide long-term erosion control.
3. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
4. Stormwater shall be directed to buffer areas or retention basins and not routed directly to streams.
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/
5. The gabion baskets required for this project shall be installed in such a manner that the original
stream profile is not altered (i.e., the depth of the channel must not be reduced by a widening of the
streambed). Existing stream dimensions (including pattern and profile) are to be maintained above
and below location of the gabion basket installation area.
6. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and to reduce the likelihood of introducing other pollutants into the stream.
7. 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.
8. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when
practical. If rip-rap is necessary, it must be limited to the stream bank above the high water mark.
Rip rap shall not be placed in the stream bottom.
9. Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the §401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project.
If you. do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh; N.C. 27699-6714: This certification and its
conditions are final and binding unless you ask for a hearing..
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Beth Barnes at 919.715.8394 or Mr. Mike Parker of
the 'Asheville Regional Office at 828.251.6208.
Sincerely,.
Attachment

cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Asheville Regional Office
Marla Chambers, NC Wildlife Resources Commission
Central Files
File Copy

TO: John Thomas, USACOE
Raleigh Regulatory Field Office
FROM: Ron Linville, Regional Coordinator
Habitat Conservation Program
DATE: February 14, 2003
SUBJECT: North Carolina Department of Transportation (NCDOT), NCSR1501, Old
:Sampson Road, Gabion Installation, Elk Creek, Caldwell County
JqCDOT previously proposed to relocate a small portion of this roadway duri ng paving
ar'nprovements.. Biologists with the North Carolina Wildlife'Resources Commission
(NCVvlRC) are familiar with habitat values inthe 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).
Due to the inability of NCDOT to acquire right-of-way to comply with 401 Certification
conditions, the previous application request has been rescinded by NCDOT. The current
project application indicates that 96 linear feet along the edge of Elk Creek will need to
be stabilized with gabions due to site restrictions. Bob Brown, biologist with the
NCWRC visited the site on February 13, 2003. Additional communications with Heath
Slaughter, NCDOT Environmental Officer indicated that piping the stream would cause
increased disturbance and additional stream impacts.
Based on the site visit and our conversations with Mr. Slaughter, we will not object to the
project as proposed provided the following conditions are implemented during
construction:
1. Instream work and land disturbance within the 25-foot wide buffer zone are
prohibited during the trout spawning seasons of October 15 through April 15
to protect the egg and fry stages of trout.
2. A waiver of the trout buffer is acceptable providing land disturbing activities
do not occur during the above moratorium period.
NCSR 1501, Old Sampson 2 February 14, 2003
Road Gabion Modification
3. 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.
4. 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.
5. Stringent erosion control measures should be installed where soil is disturbed
and maintained until project completion.
6. Due to the trout waiver requested, temporary or permanent herbaceous
vegetation should be planted on all bare soil within 5 days of ground
disturbing activities to provide long-term erosion control. We encourage
NCDOT to utilize native 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, DWQ
Heath Slaughter, DOT
Marella Buncick, USFWS
Becky Fox, EPA
Marla Chambers, WRC

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STATE OF NORTH CAROLINA
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(5 01.12-7 91??ez%
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P. 0. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT
GOVERNOR PHONE: [phone] SECRETARY
February 10, 2003
Mr. John Thomas
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of Neuse Road, Suite 120
Raleigh, NC 27615
IA'
AS j 8 X03
Subject: Nationwide Permit #13
SR 1501 (Old Sampson Road)
Caldwell County, North Carolina
Project Number: 6.732096T (DWQ Permit Fee: $200)
Dear Mr. Thomas:
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J
The NC Department of Transportation is scheduled to grade, drain, base and pave SR 1501 in
Caldwell County. Total project length is approximately 1.7 miles. The roadway will be widened
from 14 feet to 20 feet and paved. Impervious surface area will increase by 1.25 acres or 12%.
This project will require the replacement of ten (10) wet cross lines with total stream impacts
equaling 290 linear feet including riprap.
A Nationwide Permit 914 and Nationwide Permit #33 have already been issued for the proposed
work. COE Action ID# 200221334 & 200221335. A 401 Permit was issued as well. DWQ
Project # 021228'
The initial 404-permit authorized the relocation of Elk Creek (Class: C, Trout) from stations
38+70 - 39+83. Please be advised that due to our inability to acquire necessary right-of-way to
comply with all 401-permit conditions, we will be unable to relocate the stream. Therefore, we
hereby rescind our request to relocate Elk Creek. Our request to dewater 0.021 acres of Elk
Creek as part of the stream relocation is also rescinded. However, we still have some
constructability problems at the subject location.
As a result, we are proposing to place 96 linear feet of gabion baskets along the edge of Elk
Creek from stations 38+50 - 39+46 (See attachment). The baskets will likely have to be keyed
into the streambed at the edge of the water therefore requiring written concurrence from DWQ.
Silt fence with wire backing will be installed along the water's edge with posts on 3-foot centers.
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAx (336),667-4549 'ter
RECEIVE D
Mr. John Thomas
SR 1501, Old Sampson Road, Caldwell
Page 2
February 10, 2003
The fence will remain in place until it must be removed to place the gabions. Work will be
divided up into several sections so that all of the 96-foot section will not be disturbed at one time.
Attached is a Preconstruction Notification Form, plan sheets, a marked county map, a marked
topography map and photographs.
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with
the North Carolina Wildlife Resources Commission comment directly to you concerning the 404
Nationwide Permit application with a copy sent to me. Please note that a trout water buffer zone
variance for encroachments to Elk Creek has already been received.
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,
;Ft)i?-A
Heath Slaughter
Division Environmental Officer
Enclosures
cc: John Thomas, 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)
R. C. McCann, PE, Division Engineer
Kipp Turner, PE, District Engineer
Michael Poe, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No. 400wo;J22-:9
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 #13
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 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local landmarks such
as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and
development plans in relation to surrounding properties. Both the vicinity map and site plan must include
a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities
must be included. If possible, the maps and plans should include the appropriate USGS Topographic
Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps
may be included at the applicant's discretion, so long as the property is clearly defined. For
administrative and distribution purposes, the USACE requires information to be submitted on sheets no
larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-
size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans
are reduced to a small scale such that the final- version is illegible, the applicant will be informed that the
project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1501, Old Sampson Road
2. T.I.P. Project Number or State Project Number (NCDOT Only): 6.732096T
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Caldwell Nearest Town: Buffaloe Cove
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Buffaloe Cove, travel north
on SR 1501.
5. Site coordinates, if available (UTM or Lat/Long): DD: 36 0974°N, 81.5303° W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential/Farm
7. Property size (acres): Approximately 0.5 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Elk Branch (Class: C Trout).
9. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mgps/.)
Page 4 of 12
10. Describe the purpose of the proposed work: Install Gabions so that roadway can be
widened.
11. List the type of equipment to be used to construct the project: Trackhoe/backhoe, dump
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.
COE Action ID# 200221334 & 200221335 (see attachment)
DWQ Project # 0212288 (see attachment)
Initial Application date was 7/26/02.
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 12
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

1 d' fill
* List each impact separately and identify temporary impacts.. Impacts include, but are not limited to: mechanized c eanng, gra ing ,
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.fem&gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0 acres
Total area of wetland impact proposed: 0 acres
2. Stream Impacts, including all intermittent and perennial streams

Stream Impact
Site Number
(indicate on map)

Type of Impact*
Length of
Impact
(linear feet)

Stream Name** Average
Width of
Stream Before
Impact Perennial or

Intermittent?
(please specify)
Station 38+50 -
39+46 Gabion Basket
Installation 96 feet Elk Branch 6 feet Perennial

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.tot>ozone.com,
www.mMNuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 96 linear feet
Page 6 of 12
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
(if Name of applicable) Watee) 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 iimited to: nu, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: . Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss' how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Since this is an existing road there is no viable way to upgrade the roadway width and reduce
environmental impacts further. We do not have enough right-of-way to relocate Elk Creek as per
the conditions of the previously issued 401 Certification. Shifting the road away from the creek
is not possible since there is a house on the other side of the road. All appropriate BMPs will be
used during construction
Page 7 of 12
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.
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.
Page 8 of 12
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•/Wo enr state.nc.ustwrp/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 (federaUstate/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,
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 9, of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
All 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.
XUL 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 10 of 12
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln 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
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200221334 & 200221335 County Caldwell
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent: NCDOT/SR1501/6.732096T
Address: Attn: Mr. R.C.McCann, P.E., Division Engineer
Post Office Box 250 ,
North Wilkesboro, North Carolina 28659
Telephone No.: [phone]
Size and Location of project (waterway, road name/number, town, etc.): SR 1501 (Old
Sampson Road), from SR 1504 northwest to its terminus, north of Lenoir, North Carolina. The
project is located adjacent to, and above the headwaters of, Elk Branch and nine of its unnamed
tributaries.
Description of Activity
Mechanized landclearing, excavation and the discharge of fill material associated with the
replacement of one line of 45' long 24" corrugated metal pipe (CMP) at station 20+35 with one
new line of 60' long 24" CMP, a 30' long 18" CMP at station 31+60 with a 50' long 24" CMP, a
30' long 15" CMP at station 46+75 with a 50' long 24" CMP, a 30" long 24" CMP at station
52+90 with a 40' long 24" CMP, a 45' long 36" CMP at station 57+50 with a 60' long 42" CMP,
a 30' long 24" CMP at station 67+50 with a 50' long 36" CMP, a 30' long 24" CMP at station
78+40 with a 50' long 24" CMP, a 30' long 60" CMP at station 80+50 with a 50' long 72" CMP,
a 30' long 24" CMP at station 83+00 with a 50' long 36 CMP and a 30' long 30" CMP at
station 89+75 with a 50' long 30" CMP. The project will permanently impact an additional 180
linear feet of previously unimpacted stream channel and will involve the placement of riprap
along 110 linear feet of streambank through the placement of riprap for bank stabilization.
Permanent jurisdictional impacts total 290 linear feet. The project will also involve the
temporary dewatering of 918 square feet of open water (stream channel) at stations 38+50 and
40+03 and 450 square feet at station 80+50 fo'r culvert installation. Please note that the applicant
should adhere to the recommendations in the attached letter, from the North Carolina Wildlife
Resources Commission dated July 30, 2002.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
14 & 33 Nationwide General Permits.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the undersigned permittee of the responsibility to obtain any other required Federal, State, or
local approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 9 August 2002 Expiration to 9 August 2002? 1
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM ETC. MUST BE
ATTA-CHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
wunam u. ttoss jr., 0eG1eiary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
September 17, 2002
Caldwell County
DWQ Project No. 021228
SR 1501 (Old Sampson Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Heath Slaughter, Division Environmental Officer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC 28659
Dear Mr. Slaughter:
You have our approval, in accordance with the attached conditions and those listed below, to impact 403
linear feet of Elk Branch and nine (9) of its unnamed tributaries in order to improve SR 1501 (Old
Sampson Road) in Caldwell County. The stream impacts include 113 linear feet of stream relocation.
The project must be constructed in accordance with your application dated July 26, 2002 (received
August 2, 2002). After reviewing your application, we have decided that this fill is covered by General
Water Quality Certification No. 3375, corresponding to the U.S. Army Corps of Engineers Nationwide .
Permit Number 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. Stream Relocation
a. NCDOT shall provide plans for the 113-foot stream relocation on the project, with a list of
native vegetation to be planted, prior to construction.
b. The stream relocation shall include a minimum of 50-foot buffers and use natural channel
design. The natural channel design specifications shall be calculated from field measurements
of an unimpacted section of stream (reference reach). The plans must include reference reach
data including a sketch map, the range of values (pattern data), and all calculations (including
the determination of bankfull). The channel design should include a floodplain terrace at
stream bankfull.
c. The stream relocation must be constructed in a dry work area, and stabilized before stream
flows are diverted. Channel relocations shall be completed and stabilized prior to diverting
water into the new channel. Whenever possible, channel relocations must be allowed to
stabilize for an entire growing season. Vegetation used for bank stabilization shall be limited
to native woody species, and should include establishment of a 30-foot wide wooded and an
adjacent 20-foot wide veg; tated buffer on both sides of the relocated channel. A transitional
?DEr;
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/ncwetiands/
phase incorporating coir fiber and seedling establishment is allowable. Rip-rap may be allowed
if it is necessary to maintain the physical integrity of the stream, but the applicant must provide
written justification and the calculations used to determine the extent of rip-rap coverage
requested.
d. If this Office determines that the stream relocation or associated riparian area has become
unstable, the stream shall be repaired or stabilized using only natural channel design techniques
if possible. Additionally, the vegetation in the riparian shall be maintained and/or replaced
according to the approved plans. Rip-rap and other hard structures may only be used if
required by the Division of Land Resources or a Delegated Local Program. Lastly, all repair
designs must.be submitted to and receive written approval from this Office before the repair
work is performed.
2. NCDOT shall use Best Management Practices for the Protection of Surface Waters (NCDOT March
1997) to minimize impacts to downstream aquatic resources.
3. If deemed applicable by the NC Wildlife Resources Commission, 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 NCWRC, to protect the egg and
fry stages of trout from sedimentation during construction.
4. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
5. Stormwater shall be directed to buffer areas or retention basins and not routed directly to streams.
6. Previously disturbed floodplains and stream channels should be restored to their natural geomorphic
conditions whenever practicable.
7. The pipes required for this project shall be installed in such a manner that the original stream profile
is not altered (i.e. the depth of the channel must not be reduced by a widening of the streambed).
Existing stream dimensions (including the pattern and profile) are to be maintained above and below
locations of each culvert. The culvert shall be designed and installed to allow for fish and other
wildlife movement as well as prevent headcutting of the streams. If any of the existing pipes are
perched, they shall be removed and replaced, and installed correctly.
8. NCDOT must submit a plan for written DWQ approval to address any headcutting that will occur as a
result of this project.
9. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when
practical. If ri
p-rap is necessary, it must be limited to the stream bank above the high water mark.
Rip rap shall not be placed in the stream bottom.
10. The presence of equipment in the channels must be minimized. Under no circumstances must rock,
sand or other materials be dredged from the wetted stream channel under authorization of this permit,
except in the immediate vicinity of the culverts.
11. Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the &401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Mr.
Mike Parker of the Asheville Regional Office at 828.25.1.6208.
Sincerely,
F.KlimDe,.E.
. j I Attachment
cc: Wilmington District Corps of Engineers
Jean Manuele, USACE Raleigh Field Office
NCDWQ Asheville Regional Office
Marla Chambers, NC Wildlife Resources Commission
Central Files
File Copy
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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
September 17, 2002
Caldwell County
DWQ Project No. 021228
SR 1501 (Old Sampson 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 W. Slaughter:
You have our approval, in accordance with the attached conditions and those listed below, to impact 403
linear feet of Elk Branch and nine (9) of its unnamed tributaries in order to improve SR 1501 (Old
Sampson Road) in Caldwell County. The stream impacts include 113 linear feet of stream relocation.
The project must be constructed in accordance with your application dated July 26, 2002 (received
August 2, 2002). After reviewing your application, we have decided that this fill is covered by General
Water Quality Certification No. 3375, corresponding to the U.S. Army Corps of Engineers Nationwide.
Permit Number 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. Stream Relocation
a. NCDOT shall provide plans for the 113-foot stream relocation on the project, with a list of
native vegetation to be planted, prior to construction.
b. The stream relocation shall include a minimum of 50-foot buffers and use natural channel
design. The natural channel design specifications shall be calculated from field measurements
of an unimpacted section of stream (reference reach). The plans must include reference reach
data including a sketch map, the range of values (pattern data), and all calculations (including
the determination of bankfull). The channel design should include a floodplain terrace at
stream bankfull.
c. The stream relocation must be constructed in a dry work area, and stabilized before stream
flows are diverted. Channel relocations shall be completed and stabilized prior to diverting
water into the new channel. Whenever possible, channel relocations must be allowed to
stabilize for an entire growing season. Vegetation used for bank stabilization shall be limited
to native woody species, and should include establishment of a 30-foot wide wooded and an
adjacent 20-foot wide vegetated buffer on both sides of the relocated channel. A transitional
04
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/

phase incorporating coir fiber and seedling establishment is allowable. Rip-rap may be allowed
if it is necessary to maintain the physical integrity of the stream, but the applicant must provide
written justification and the calculations used to determine the extent of rip-rap coverage
requested.
d. If this Office determines that the stream relocation or associated riparian area has become
unstable, the stream shall be repaired or stabilized using only natural channel design techniques
if possible. Additionally, the vegetation in the riparian shall be maintained and/or replaced
according to the approved plans. Rip-rap and other hard structures may only be used if
required by the Division of Land Resources or a Delegated Local Program. Lastly, all repair
designs must,be submitted to and receive wr itten approval from this Office before the repair
work is performed.
2. NCDOT shall use Best Management Practices for the Protection of Surface Waters (NCDOT March
1997) to minimize impacts to downstream aquatic resources.
3. If deemed applicable by the NC Wildlife Resources Commission, 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 NCWRC, to protect the egg and
fry stages of trout from sedimentation during construction.
4. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
5. Stormwater shall be directed to buffer areas or retention basins and not routed directly to streams.
6. Previously disturbed floodplains and stream channels should be restored to their natural geomorphic
conditions whenever practicable.
7. The pipes required for this project shall be installed in such a manner that the original stream profile
is not altered (i.e. the depth of the channel must not be reduced by a widening of the streambed).
Existing stream dimensions (including the pattern and profile) are to be maintained above and below
locations of each culvert. The culvert shall be designed and installed to allow for fish and other
wildlife movement as well as prevent headcutting of the streams. If any of the existing pipes are
perched, they shall be removed and replaced, and installed correctly.
8. NCDOT must submit a plan for written DWQ approval to address any headcutting that will occur as a
result of this project.
9. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when
practical. If rip-rap is necessary, it must be limited to the stream bank above the high water mark.
Rip rap shall not be placed in the stream bottom
10. The presence of equipment in the channels must be minimized. Under no circumstances must rock,
sand or other materials be dredged from the wetted stream channel under authorization of this permit,
except in the immediate vicinity of the culverts.
11. Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when. all work included in the §401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project.
If you do not accept any of the conditions of this. certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.

V
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 Mr.
Mike Parker of the Asheville Regional Office at 828.25.1.6208.
Sincerely,
Attachment
Klime , P.E.
cc: Wilmington District Corps of Engineers
Jean Manuele, USACE Raleigh Field Office
NCDWQ Asheville Regional Office
Marla Chambers, NC Wildlife Resources Commission
Central Files
File Copy
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MEMORANDUM
TO: John Dorney Regional Contact: Michael R. Parker
Non-Discharge Branch WQ Supervisor: Forrest Westall
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name NCDOT - SR 1501 County CALDWELL
Project Number 02 1228 County2
Recvd From DOT Region Asheville
Received Date 8/2102 Recvd By Region
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.
F-,4F--P-Y7-@-N 1 FT- 19 - 1-1 4F - Tr 30,70E r r- 225.00 50.00
F_ F_ PT _0N 33 r?o 7 -@N F-F_,,F__Fr rF? F ? ?
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y (ON Did you request more info? O YO N
Have Project Changes/Conditions Been Discussed With Applicant? O Y O N
Is Mitigation required? O Y OQ N Recommendation: O Issue * Issue/Cond O Deny
Provided by Region: Latitude (ddmmss) 360604 Longitude (ddmmss) 813200
cc: Regional Office
Central Office Page Number 1

WATfi?
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7
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
Coleen H. Sullins, Deputy Director
Division of Water Quality
September 16, 2003
DWQ# 02-1228
Caldwell County
Mr. R.C. McCann, P.E., Division Engineer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC, 28659
Dear Mr. McCann:
Reference is made to the two separate 401 Water Qualifications issued to you on July 24, 20033 from the DWQ
Mooresville Regional Office (signed by Michael Parker) and on September 4, 2003 from the DWQ Central Office (signed by
John Dorney) for the SR 1501 (Old Sampson Road) project in Caldwell County. Both Certifications were issued in response
to your modification request dated July 1, 2003. We have been notified that the Certification issued July 24, 2003
addresses your concerns and that you wish to proceed with construction accordingly. You are hereby notified that the
Certification issued September 4, 2003 is rescinded, and the Certification issued July 24, 2003 is in full effect.
We sincerely apologize for any confusion or inconvenience our error may have caused you. If you have any questions,
please telephone Cyndi Karoly in the Central Office in Raleigh 919-733-9721.
Sincerely,
Alan W. Klimek, P.E.
AW K/cbk
Attachments
cc: John Thomas, Corps of Engineers Raleigh Regulatory Field Office
Mike Parker, Asheville DWQ Regional Office
Wilmington District Corps of Engineers
Heath Slaughter, Div 11, DEO
Marla Chambers, NCW RC
Central Files
File Copy
021228
N. C. 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)
[phone] (phone), 919-733-6893 (fax), (ht!P: o.enr.state.nc.us/newetlands)
Customer Service #: 1-877-623-6748
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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
September 4, 2003
Caldwell County
DWQ Project No. 021228
SR 1501 (Old Sampson Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions: MODIFICATION
Mr. R.C. McCann, P.E., Division Engineer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC 28659
Dear Mr. McCann:
You have our approval, in accordance with the attached conditions and those listed below, to impact and
additional 20 linear feet to the previously authorized pipe at Station 57+50. The North Carolina Division
of Water Quality (DWQ) understands that this additional impact is necessary in order to place the
roadway fill slopes at a flatter angle and allow NCDOT to, discharge the piped water into a straighter
reach of the stream instead of into the stream bank-, The original Water Quality Certification issued on
September 17, 2002 authorized the following impacts: 403 linear feet of Elk Branch and nine (9) of its
unnamed tributaries in order to improve SR 1501 (Old Sampson Road) in Caldwell County. The stream
impacts include 113 linear feet of stream relocation. This project must be constructed in accordance with
your application dated July 26, 2002 and the modification request dated July 1, 2003. After reviewing
your application, we have decided that this fill is covered by General Water Quality Certification No.
3404, corresponding to the U.S. Army Corps of Engineers Nationwide Permit Number 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 it 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. Stream Relocation
a. NCDOT shall provide plans for the 113-foot stream relocation on the project, with a list of
native vegetation to be planted, prior to construction.
b. The stream relocation shall include a minimum of 50-foot buffers and use natural channel
design. The natural channel design specifications shall be calculated from field measurements
of an unimpacted section of stream (reference reach). The plans must include reference reach
data including a sketch map, the range of values (pattern data), and all calculations (including
the determination of bankfull). The channel design should include a floodplain terrace at
stream bankfull.

North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), httpJ/h2o.enr.state.ne.us/ncwetlands/
0
c. The stream relocation must be constructed in a dry work area, and stabilized before stream
flows are diverted. Channel relocations shall be completed and stabilized prior to diverting
water into the new channel. Whenever possible, channel relocations must be allowed to
stabilize for an entire growing season. Vegetation used for bank stabilization shall be limited
to native woody species, and should include establishment of a 30-foot wide wooded and an
adjacent 20-foot wide vegetated buffer on both sides of the relocated channel. A transitional
phase incorporating coir fiber and seedling establishment is allowable. Rip-rap may be allowed
if it is necessary to maintain the physical integrity of the stream, but the applicant must.provide
written justification and the calculations used to determine the extent of rip-rap coverage
requested.
d. If this Office determines that the stream relocation or associated riparian area has become
unstable, the stream shall be repaired or stabilized using only natural channel design techniques
if possible. Additionally, the vegetation in the riparian shall be maintained and/or replaced
according to the approved plans. Rip-rap and other hard structures may only be used if
required by the Division of Land Resources or a Delegated Local Program. Lastly, all repair
designs must be submitted to and receive written approval from this Office before the repair
work is performed.
NCDOT shall use Best Management Practices for the Protection of Surface Waters (NCDOT March
1997) to minimize impacts to downstream aquatic resources.
If deemed applicable by the NC Wildlife Resources Commission, 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 NCWRC, to protect the egg and
fry stages of trout from sedimentation during construction.
Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
Stormwater shall be directed to buffer areas or retention basins and not routed directly to streams.
Previously disturbed floodplains and stream channels should be restored to their natural geomorphic
conditions whenever practicable.
The pipes required for this project shall be installed in such a manner that the original stream profiles
are not altered (i.e. the depth of the channel must not be reduced by a widening of the streambed).
Existing stream dimensions (including the pattern and profile) are to be maintained above and below
locations of each culvert. The culvert shall be designed and installed to allow for fish and other
wildlife movement as well as prevent headcutting of the streams. If any of the existing pipes are
perched, they shall be removed and replaced, and installed correctly.
NCDOT must submit a plan for written DWQ approval to address any headcutting that will occur as a
result of this project.
Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when
practical. If rip-rap is necessary, it must be limited to the stream bank above the high water mark.
Rip rap shall not be placed in the stream bottom.
The presence of equipment in the channels must be minimized. Under no circumstances must rock,
sand or other materials be dredged from the wetted stream channel under authorization of this permit,
except in the immediate vicinity of the culverts.
Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the §401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
?f
F
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 Mr.
Mike Parker of the Asheville Regional Office at 828.251.6208.
Sincerely,
Attachment

cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Asheville Regional Office
Heath Slaughter, DEO Division 11
Marla Chambers, NC Wildlife Resources Commission
Central Files
File Copy
09/15/2003 14:31 336-9039239
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NCDOT ROADOIL ROADSE
PAGE 02
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Coleen H. Sullins, Deputy Director
Division of Water Quality
July 24, 2003
Caldwell County
DWQ Project No. 02122$
SR 1501 (Old Sampson Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions: Modification
Mr. R. C. McCann, P.E.
Division. Engineer
NCDOT Division 11
Post Office Box 250
North Wilkesboro, North Carolina 28659
Dear Mr. McCann-
You have our approval, in accordance with the attached conditions and those listed below, to impact an
additional 20 linear feet of Elk Branch for a culvert installation at Sta. 57+50 in order to improve SR 1501
(Old Sampson Road) in Caldwell County. The Water Quality Certifications with Additional Conditions,
dated February 24, 2003 and September 17, 2002, remain in effect and will expire with the accompanying
404 permit unless otherwise specified in the Water Quality Certification. The project must be constructed
in accordance with your application dated. July 1, 2003 (received July 9, 2003). After reviewing your
application, we have decided that this fill is covered by General Water Quality Certification No, 3404,
corresponding to the U,$: Army Corps of Engineers Nationwide Permit Number 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 use Best Management Practices for the Protection of Surface Waters (NCDOT March
1997) to minimize impacts to downstream aquatic resources.
2_ If deemed applicable by the NC Wildlife Resources Commission, 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 NCWRC, 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 growing season fdllowing completion of construction-
4. Stormwater shall be directed to buffer areas or retention basins and not routed directly to streams.
5. Previously disturbed floodplains and stream channels should be restored to their natural geomorphic
conditions whenever practicable.
59 Woodfin Place Asheville, NC 28801 Telephone: [phone] Fax: [phone]
09/15/2003 14:31 336-9039239 NCDOT ROADOIL ROADSE PAGE 03
6. The pipes required for this project shall be installed in such a manner that the original stream profile
is not altered (i.e. the depth of the channel must not be reduced by a widening of the streambed).
Existing stream dimensions (including the pattern and profile) are to be maintained above and below
locations of each culvert. The culvert shall be designed and installed to allow for fish and other
wildlife movement as well as prevent beadcutting of the streams. If any of the existing pipes are
perched, they shall be removed and replaced, and installed correctly.
NCDOT must submit a plan for written DWQ approval to address any headcutting that will occur as a
result of this project.
7. Use of riprap for batik stabilization is to be minimized; rather, native vegetation is to be planted when
practical. If riprap is necessary, it must be limited to the stream bank above the high water marls.
Riprap shall not be placed in the stream bottom.
8. The presence of equipment in the channels must be minimized. Under no circumstances must rock,
sand or other materials be dredged from the wetted stream, channel under authorization of this permit,
except in the immediate vicinity of the culverts.
9. Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when, all work included in the §401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion, of the project-
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition, which conforms to Chapter 1508 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 Mr.
Mike Parker of the Asheville Regional Office at 828.251.6208.
Sincerely,
Ian W. Klimek, F.E.
Attachment
cc: Wilmington District Corps of Engineers
John 'T'homas, US:A.CE Raleigh Field Office
Heath Slaughter, Div. 11, DEO
Mike Parker, Asheville Regional Office
401/Wetlands Unit
Central Files
09/15/2003 14:31 336-9039239
[FAX
TO:
Beth Barnes
NCDENI;
401-Unit
Phone
Fax Phone [phone]
CC:
NCDOT ROADOIL ROADSE
PAGE 01
Hate 09115103
1 Number of apes including cover sheet 3
FROM: Heath Slaughter
Division 11 Environmental
Officer
N. C. Dept. of
Transportation
P 0 Box 250
North Wilkesboro, NC
28659
Phone [phone]
Fax Phone [phone]
REMARKS: ? Urgent ? For your ?eviewv ? Reply ASAP ? Please Comment
Beth,
Per your request. Call if.you have questions. Thanks for the help.
Heath Slaughter
DEO-11

?d yam ?.
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 1, 2003 WETLODS1401 GROUF
Mr. John Thomas JUL U. S. Army Corps of Engineers zfl?3
Raleigh Regulatory Field Office #ATERQUAMSECTION
6508 Falls of Neuse Road, Suite 120 C 'll
Raleigh, NC 27615
Subject: PERMIT MODIFICATION
COE Action ID#: 200221334, DWQ Project No.: 021228
Nationwide Permit #14
SR 1501 (Old Sampson Road)
Caldwell County, North Carolina
DOT Project Number: 6.732096T (DWQ Permit Fee: $475)
Dear Mr. Thomas:
The NC Department of Transportation is requesting a permit modification for the subject project
at station 57+50. The original application requested authorization to replace the existing 45'x 36"
CMP at station 57+50 with a 60'x 42" CMP. We are proposing to add 20 feet of pipe to the
previously authorized pipe at station 57+50. The additional 20 feet will allow us to place the
roadway fill slopes on a flatter angle and will allow us to discharge the piped water into a
straighter reach of the stream instead of into the stream bank. Total new impacts not previously
permitted will equal 20 linear feet.
Construction of this project will require impacts to waters of the United States in the Yadkin
River Basin. The wet cross line at station 57+50 carries Elk Branch (Class: C, Trout). This
project was inspected for the presence of threatened and endangered species on July 22, 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.
The modifications proposed in this application should not remove or degrade existing water
quality uses. The proposed additional 20 feet should actually improve water quality in the area by
reducing stream bank erosion. Any widening of the existing roadway will be directed away from
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAx [phone] ??
. 4
Mr. John Thomas
SR 1501 (Old Sampson Road MODIFICATION)
Page 2
July 1, 2003
any adjacent creek whenever possible with minimum fill placed in any buffer area. By utilizing the
erosion control measures outlined in the initial application, downstream water quality standards
will be protected.
Attached is a Preconstruction Notification Form, a new plan sheet for station 57+50, a marked
county map and 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.
By copy of this letter, I am forwarding seven (7) copies of this application package to Cynthia
Van Der Wiele, NCDENR, Division of Water Quality, 401/Wetland Unit, for her review. 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,
79&2i?
Heath Slaughter
Division Environmental Officer
Enclosures
cc: John Thomas, 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)
Mike Parker, Division of Water Quality
R. C. McCann, PE, Division Engineer
Kipp Turner, PE, District Engineer
Michael Poe, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No.
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: NW #14 Modification
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: hslaughter@.dot.state.nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Heath 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: hslauPhter@,dot.state.nc.us
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local landmarks such
as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and
development plans in relation to surrounding properties. Both the vicinity map and site plan must include
a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities
must be included. If possible, the maps and plans should include the appropriate USGS Topographic
Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps
may be included at the applicant's discretion, so long as the property is clearly defined. For
administrative and distribution purposes, the USACE requires information to be submitted on sheets no
larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-
size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans
are reduced to a small scale such that the final version is illegible, the applicant will be informed that the
project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1501, Old Sampson Road
2. T.I.P. Project Number or State Project Number (NCDOT Only): 6.732096T
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Caldwell Nearest Town: Buffaloe Cove
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Buffaloe Cove, travel north
on SR 1501.
5. Site coordinates, if available (UTM or Lat/Long):
57+50 DD: 36.1013 N 81.5332W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential/Farm
7. Property size (acres): Approximately 9.2 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Elk Branch (Class: C, Trout).
9. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mgpE.)
Page 4 of 12
10. Describe the purpose of the proposed work: Grade drain, base and pave SR 1501.
11. List the type of equipment to be used to construct the project: Trackhoe/backhoe, dump
trucks and motor grader.
12. Describe the land use in the vicinity of this project: Residential/Farm
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
COE Action ID#s• 200221334 200221335 & 200320463 (See attached)
DWQ Project Nos 021228 (See attached)
Previously authorized 180 linear feet of pipe 110 linear feet of riprap and 96 linear feet of
gabion baskets
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 12
1. Wetland Impacts
Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
indicate on ma acres es/no linear feet
N/A
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized cleanng, grading, nu,
excavation, flooding, ditchingtdrainage, 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 htty://www.fem&gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0 acres
Total area of wetland impact proposed: 0 acres
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average
Width of
Stream Before
Impact Perennial or
Intermittent?
(please specify)

Station 57+50 Pipe
Replacement 20
additional
feet
Elk Branch
4 feet
Perennial

* 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.uses.¢ov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 20 In. ft. of new previously
unpermitted permanent impacts
Page 6 of 12
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
)
(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.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The additional 20 feet of pipe will allow us to reduce slope steepness and will discharge piped
water into a straighter reach of Elk Branch. All appropriate BMPs will be used during
construction.
Page 7 of 12
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/strinizide.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.
Impacts do not exceed 150 feet on any one stream. N/A
Page 8 of 12
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/w Andex.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,
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 9 of 12
Identify the square feet and acreage of impact to each-zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
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.
Impervious surface area will increase by 1.25 acres_ or 12% for the entire proiect. 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.
XM. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 21-1.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
Page 10 of 12
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).
-71110
Applicant/Agent's Signature F ' Date
(Agent's signature is valid only ' 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
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
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http://www.topozone.com/print.asp?z=17&n=3995110&e=452005&s=25&u=1 7/1/03
0 500 1000 1500 2000
miles 0 015 1.0
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200221334 & 200221335 County Caldwell
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent: NCDOT/SR1501/6.732096T
Address: Attn: Mr. R.C.McCann, P.E., Division Engineer
Post Office Box 250
North Wilkesboro, North Carolina 28659
Telephone No.: [phone]
Size and Location of project (waterway, road name/number, town, etc.): SR 1501 (Old
Sampson Road), from SR 1504 northwest to its terminus, north of Lenoir, North Carolina. The
project is located adjacent to, and above the headwaters of, Elk Branch and nine of its unnamed
tributaries.
Description of Activity
Mechanized landclearing, excavation and the discharge of fill material associated with the
replacement of one line of 45' long 24" corrugated metal pipe (CMP) at station 20+35 with one
new line of 60' long 24" CMP, a 30' long 18" CMP at station 31+60 with a 50' long 24" CMP, a
30' long 15" CMP at station 46+75 with a 50' long 24" CMP, a 30" long 24" CMP at station
52+90 with a 40' long 24" CMP, a 45' long 36 CMP at station 57+50 with a 60' long 42" CMP,
a 30' long 24" CMP at station 67+50 with a 50' long 36" CMP, a 30' long 24" CMP at station
78+40 with a 50' long 24" CMP, a 30' long 60" CMP at station 80+50 with a 50' long 72" CMP,
a 30' long 24" CMP at station 83+00 with a 50' long 36" CMP and a 30' long 30" CMP at
station 89+75 with a 50' long 30" CMP. The project will permanently impact an additional 180
linear feet of previously unimpacted stream channel and will involve the placement of riprap
along 110 linear feet of streambank through the placement of riprap for bank stabilization.
Permanent jurisdictional impacts total 290 linear feet. The project will also involve the
temporary dewatering of 918 square feet of open water (stream channel) at stations 38+50 and
40+03 and 450 square feet at station 80+50 for culvert installation. Please note that the applicant
should adhere to the recommendations in the attached letter, from the North Carolina Wildlife
Resources Commission dated July 30, 2002.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
14 & 33 Nationwide General Permits.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the undersigned permittee of the responsibility to obtain any other required Federal, State, or
local approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 9 August 2002 Expiration te..9 August 200'& ?4
SURVEY PLATS FIELD SKETCH WETLAND DELINEATION FORM ETC MUST BE
ATTA-CHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200320463 County Caldwell
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner/Agent: NCDOT/SR 1501/6.732096T
Address: Attn: Mr. R.C.McCann, P.E., Division Engineer
Post Office Box 250
North Wilkesboro, North Carolina 28659
Telephone No.: [phone]
Size and Location of project (waterway, road name/number, town, etc.): SR 1501 (Old
Sampson Road), from SR 1504 northwest to its terminus, north of Lenoir, North Carolina. The
project is located adjacent to, and above the headwaters of, Elk Branch and nine of its unnamed "
tributaries. (related Action ID. 200221334 NWP 14 & 200221335 NWP 33)
Description of Activity
Mechanized landclearing, excavation and the discharge of fill material (gabion baskets)
associated with slope stabilization at stations 38+50 - 39+46 along 96 linear feet of jurisdictional
stream channel of Elk Branch.
CONDITION: All recommendations in the attached letter, from the North Carolina Wildlife
Resources Commission dated February 14, 2003, are hereby incorporated as special conditions of
this permit.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
13 Nationwide General Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the undersigned permittee of the responsibility to obtain any other required Federal, State, or
local approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
By signature below, the permittee certifies an unde s nding and ceptanc of all terms and
conditions of this permit.
Regulatory Project Manager Signature
Date February 20, 2003 E iration Date Februa 20, 2005
SURVEY PLATS, FIELD SKETCH, WETLA DELINEATION FO , ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
?" ,rQ William G. Ross Jr., Secretary
?O G North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
y Division of Water Quality
O `C
September 17, 2002
Caldwell County
DWQ Project No. 021228
SR 1501 (Old Sampson Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Heath Slaughter, Division Environmental Officer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC 28659
Dear Mr. Slaughter:
You have our approval, in accordance with the attached conditions and those listed below, to impact 403
linear feet of Elk Branch and nine (9) of its unnamed tributaries in order to improve SR 1501 (Old
Sampson Road) in Caldwell County. The stream impacts include 113 linear feet of stream relocation.
The project must be constructed in accordance with your application dated July 26, 2002 (received
August 2, 2002). After reviewing your application, we have decided that this fill is covered by General
Water Quality Certification No. 3375, corresponding to the U.S. Army Corps of Engineers Nationwide
Permit Number 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. Stream Relocation
a. NCDOT shall provide plans -for the 113-foot stream relocation on the project, with a list of
native vegetation to be planted, prior to construction.
b. The stream relocation shall include a minimum of 50-foot buffers and use natural channel
design. The natural channel design specifications shall be calculated from field measurements
of an unimpacted section of stream (reference reach). The plans must include reference reach
data including a sketch map, the range of values (pattern data), and all calculations (including
the determination of bankfull). The channel design should include a floodplain terrace at
stream bankfull.
c. The stream relocation must be constructed in a dry work area, and stabilized before stream
flows are diverted. Channel relocations shall be completed and stabilized prior to diverting
water into the new channel. Whenever possible, channel relocations must be allowed to
stabilize for an entire growing season. Vegetation used for bank stabilization shall be limited
to native woody species, and should include establishment of a 30-foot wide wooded and an
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
`Ar
tUMnN
phase incorporating coir fiber and seedling establishment is allowable. Rip-rap may be allowed
if it is necessary to maintain the physical integrity of the-stream, but the applicant must provide
written justification and the calculations used to determine the extent of rip-rap coverage
requested.
d. If this Office determines that the stream relocation or associated riparian area has become
unstable, the stream shall be repaired or stabilized using only natural channel design techniques
if possible. Additionally, the vegetation in the riparian shall be maintained and/or replaced
according to the approved plans. Rip-rap and other hard structures may only be used if
required by the Division of Land Resources or a Delegated Local Program. Lastly, all repair
designs must be submitted to and receive written approval from this Office before the repair
work is performed.
2. NCDOT shall use Best Management Practices for the Protection of Surface Waters (NCDOT March
1997) to minimize impacts to downstream aquatic resources.
3. If deemed applicable by the NC Wildlife Resources Commission, 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 NCWRC, to protect the egg and
fry stages of trout from sedimentation during construction.
4. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
5. Stormwater shall be directed to buffer areas or retention basins and not routed directly to streams.
6. Previously disturbed floodplains and stream channels should be restored to their natural geomorphic
conditions whenever practicable.
7. The pipes required for this project shall be installed in such a manner that the original stream profile
is not altered (i.e. the depth of the channel must not be reduced by a widening of the streambed).
Existing stream dimensions (including the pattern and profile) are to be maintained above and below
locations of each culvert. The culvert shall be designed and installed to allow for fish and other
wildlife movement as well as prevent headcutting of the streams. If any of the existing pipes are
perched, they shall be removed and replaced, and installed correctly.
8. NCDOT must submit a plan for written DWQ approval to address any headcutting that will occur as a
result of this project.
9. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when
practical. If rip-rap is necessary, it must be limited to the stream bank above the high water mark.
Rip rap shall not be placed in the stream bottom.
10. The presence of equipment in the channels must be minimized. Under no circumstances must rock,
sand or other materials be dredged from the wetted stream channel under authorization of this permit,
except in the immediate vicinity of the culverts.
11. Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the &401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Cynthia Van,Der Wiele at 919.733.5715 or Mr.
Mike Parker of the Asheville Regional Office at 828.25.1.6208. `°"
Sincerely,
. Klime , P.E.
Attachment
cc: Wilmington District Corps of Engineers
Jean Manuele, USACE Raleigh Field Office
NCDWQ Asheville Regional Office
Marla Chambers, NC Wildlife Resources Commission
Central Files
File Copy
O?v' 7QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
\
?/J r Alan W. Klimek, P.E. Director
> Division of Water Quality
o •?
February 24, 2003
Caldwell County
DWQ Project No. 021228
SR 1501 (Old Sampson Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions: Modification
Mr. R. Carl McCann, P.E., Division Engineer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC 28659
Dear Mr. McCann:
As per your request dated February 10, 2002, your authorization to relocate 113 linear feet of Elk Branch
in Caldwell County is rescinded. Your request to dewater 0.021 acres of Elk Creek is also rescinded. The
Water Quality Certification with Additional Conditions, dated September 17, 2002, remains in effect and
will expire with the accompanying 404 permit unless otherwise specified in the Water Quality
Certification. You have our approval, in accordance with the attached conditions and those listed below,
to impact 96 linear feet of Elk Creek by placing gabion baskets along the edge of the stream from stations
38+50-39+46. The project must be constructed in accordance with your application dated February 10,
2003 (received February 18, 2003). After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification No. 3353, corresponding to the U.S. Army Corps of
Engineers Nationwide Permit Number 13. 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. 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
NCWRC, to protect the egg and fry stages of trout from sedimentation during construction.
2. Due to the trout waiver requested, temporary or permanent herbaceous vegetation should be planted
on all bare soil within 5 days of ground disturbing activities to provide long-term erosion control.
3. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
4. Stormwater shall be directed to buffer areas or retention basins and not routed directly to streams.
N` (, €R
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NO 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NO 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/

5. The gabion baskets required for this project shall be installed in such a manner that the original
stream profile is not altered (i.e., the depth of the channel must not be reduced by a widening of the
streambed). Existing stream dimensions (including pattern and-profile) are to be maintained above
and below location of the gabion basket installation area.
6. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and to reduce the likelihood of introducing other pollutants into the stream.
7. 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.
8. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when
practical. If rip-rap is necessary, it must be limited to the stream bank above the high water mark.
Rip rap shall not be placed in the stream bottom.
9. Upon completion of the project, the NCDOT shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the §401
Certification has been completed. The responsible party shall complete the attached form
and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon
completion of the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Beth Barnes at 919.715.8394 or Mr. Mike Parker of
' the Asheville Regional Office at 828.251.6208.
Sincerely,
Attachment
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Asheville Regional Office
Marla Chambers, NC Wildlife Resources Commission
Central Files
File Copy

_ L A4
-
Division of VV2,er Quality
:0.: C5Z !22 8 Co-L,--a -L y:

Da_e of issuance of 401 Water Quality Certification: ,6e,,04
?? 2Dd
Certificate of COMDIetion
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any
sueseouent modifications, the applicant is required to return this certificate to the 401/Wetlands. Unit, North Carolina
Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. 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
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.
S ignature:
Date:
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and diligence
,,vas 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
1. K I L) mil-- as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe (periodically,
weekiy, full time) the construction of the project, for the Permittee 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: Registr
ation No.
Date 40"
/1 101"
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 hail Service Center, Raleioh, NC 27695-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 276042260 (Location)
(919) -3?-1786 (phone), 919-73-3-6893 (.ax), (http:flh2o.enr.state.nc.uslncwetlands

?Qew`?•
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICI AEL F. EASLEY P.:6.'Box 25201, Raleigh, NC 2761 t 5N t LYNDO TIPPETT
GOVERNOR PHONE: [phone] SECRETARY
=• ' • . _ • ?-? ? ' 'July 26, 2002 - - . r
Mrs. Jean Manuele -''° [{{?/f[
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office 021228 _ ? ft ? 2
6508 Falls of Neuse Road, Suite 120 ;K*W?
Raleigh, NC 27615 Subject: Nationwide Permit #14 & #33 FILE COPY -?
SR 1501 (Old Sampson Road)
Caldwell County, North Carolina
Project Number: 6.732096T (DWQ Permit Fee: $475)
Dear Mrs. Manuele:
The NC Department of Transportation is scheduled to grade, drain, base and pave SR 1501 in
Caldwell County. Total project length is approximately 1.7 miles. The roadway will be widened
from 14 feet to 20 feet and paved. Impervious surface area will increase by 1.25 acres or 12%.
This project will require the replacement of ten (10) wet cross lines as shown below:
1) Replace existing 45'x 24" CMP at station 20+35 with a 60'x 24" CUT.
2) Replace existing 30'x 18" CMP at station 31+60 with a 50'x 24" CMP.
3) Replace existing 30'x 15" CMP at station 46+75 with a 50'x 24" CNIP.
4) Replace existing 30'x 24" CMP at station 52+90 with a 40'x 24" CMP.
5) Replace existing 45'x 36" CMP at station 57+50 with a 60'x 42" CMP.
6) Replace existing 30'x 24" CMP at station 67+50 with a 50'x 36" CMP.
7) Replace existing 30'x 24" CMP at station 78+40 with a 50'x 24" CMP.
8) Replace existing 30'x 60" CMP at station 80+50 with a 50'x 72" CMP.
9) Replace existing 30'x 24" CMP at station 83+00 with a 50'x 36" CMP.
10) Replace existing 30'x 30" CMP at station 89+75 with a 50'x 30" CMP.
Miscellaneous riprap impacts= 110 linear ft. or less.
Total piping and riprap impacts = 290 linear feet.
Replacing the wet pipe at station 80+50 will require temporary dewatering. An impervious
sandbag dike will be constructed approximately 20 feet upstream of the existing pipe to create a
small pool. Clean water will temporarily be pumped around the construction area and will be
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAx [phone] PAYMENT
RECEIVED
ti
Mrs. Jean Manuele
SR 1501, Old Sampson Road, Caldwell
Page 2
July 26, 2002
discharged into a buffer area located approximately 90 feet downstream of the sandbag dike. Any
dirty water located inside the construction area will be pumped into a silt bag. The dewatered
area will total approximately 450 square feet or 0.01 acres. - Once the new structure is in place,
the impervious dike will be removed and preconstructiori streambed elevations will be restored.-
In addition. to -tlTe 'above noted pipe replacement, impacts, Elk= -Bwch will be relocated
approximately 10 feet to the west from stations 38+70 - 39+83. A"house sittings 4 a curve on the
east side of the road has prohibited widening away from the creek through this area. The
dimensions of the 113-foot Tong newly constructed channel will mimic existing conditions. The
new channel will be constructed in the dry and will be permanently stabilized before water is
released into the newly constructed channel.
Just prior to releasing the water into the new channel, a sandbag dike will be placed in the existing
channel just north of the proposed relocation. Clean water will temporarily be pumped around the
construction area and discharged back into the natural stream channel approximately 153 feet
downstream of the sandbag dike. The dewatered area will equal approximately 918 square feet or
0.021 acres. Once this has been accomplished, natural stream substrate material will be excavated
from the dry channel and placed into the realigned section. Once that is complete, the water will
slowly be allowed to enter the newly constructed channel and the old channel will be filled.
In order to protect the roadway fill slope, we are proposing to line the eastern bank of the creek
with erosion control matting with class B rip-rap on top. The western creek bank will be lined
with erosion control matting and seeded. WRC may also request that we use live stakes along the
western bank. If that is requested, we will rely on WRC for recommended species. However,
existing riparian vegetation may already provide adequate shading.
Total stream channel relocation from 38+70 - 39+83 =113 linear ft.
Construction of this project will require impacts to waters of the United States in the Yadkin
River Basin. The replacement of the wet cross line at station 57+50 and the stream relocation
from stations 38+70 - 39+83 involve impacts to Elk Branch (Class: C, Trout). The remaining
wet cross lines scheduled for replacement carry different unnamed tributaries to Elk Branch. The
Division 11 Environmental Officer reviewed this project for the presence of threatened and
endangered species on July 22, 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 proposed project impacts 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.
Mrs. Jean Manuele
SR 1501, Old Sampson Road, Caldwell
Page 3
July 26, 2002
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 Camanission comment directly to you cgncerning the 404
_' . Nationwide Permit application with a copy stnt to me. • Please note. that--a tro water buffer zone
encroachment variance will be requested from stations 29+50 - 30+50, 38+00 - 40+00, 76+50 -
77+50, 79+00 - 80+00 and 84+50 - 86+25 (Elk 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
Martin Bolick, District Engineer
Michael Poe, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Dennis Bennett, Bridge Maintenance Engineer
Office Use Only: Form Version April 2001
02 228
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: ?
H. 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: hslaughter?dot.state.nc.us
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Heath 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: [e-mail]
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 prgpgrt'es. Both the vicinity map and site plan must include
a scale and north arrow. The specific fool?'rint's 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
adminisfrative 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 1501, Old Sampson Road
2. T.I.P. Project Number or State Project Number (NCDOT Only): 6.732096T
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Caldwell Nearest Town: Buffaloe Cove
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Buffaloe Cove, travel north
on SR 150E
5. Site coordinates, if available (UTM or Lat/Long):
57+50 UTM: 17 452007E 3995110N 67+50 UTM: 17 451941E 3995359N
80+50 UTM: 17 452119E 3995699N 83+00 UTM: 17 452190E 3995735N
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential/Farm
7. Property size (acres): Approximately 9.2 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Elk Branch and UTs (Class: C.
Trout)
9. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://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 1501.
11. List the type of equipment to be used to construct the project: Trackhoe/backhoe, damn
trucks and motor grader.
12. Describe the land use in the vicinity of this project: Residential/Farm
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
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 Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream Type of Wetland***
indicate on ma acres es/no) feet
N/A
* List each impact separately and identify temporary impacts. Impacts include, but are not limned to: mecnaruzed cieanng, grading, im,
excavation," locrding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
#* 100-Year floodplains are identified through. the Federal Emergency: nagement Agency's (FEMA) Flood Insurance Rafe Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are availabL-through the FEMA Map Service Center at f-800-358-9616, or-
online at http://www.fema.gov:
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwatei: marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0 acres
Total area of wetland impact proposed: 0 acres
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average
Width of Perennial or
Site Number Type of Impact* Impact Stream Name**
Stream Before Intermittent?
(indicate on map) (linear feet)
Impact (please specify)
Station 20+35 Rep a Pipe ement 15 feet UT #1 to Elk Branch 1 foot Seep
Station 31+60 ipe
a 20 feet UT #2 to Elk Branch 1 foot Intermittent
Rep
c
ement
Station 46+75 Pipe
Replacement 20 feet UT 43 to Elk Branch 2 feet Intermittent
Station 52+90 Pipe 10 feet UT #4 to Elk Branch 2 feet Intermittent
Replacement
Station 57+50 Pipe Replacement 15 feet Elk Branch 4 feet Perennial
Station 67+50 Pipe 20 feet UT #5 to Elk Branch 1.5 feet Perennial
Replacement
Station 78+40 Pipe 20 feet UT #6 to Elk Branch 2 feet Perennial
Replacement
Station 80+50 Rep a Pipe ement 20 feet UT #7 to Elk Branch 5 feet Perennial
Station 83+00 Pipe 20 feet UT #8 to Elk Branch 2 feet Perennial
Replacement
Station 89+75 Pipe
Replacement 20 feet UT #9 to Elk Branch 2 feet Perennial
Miscellaneous Perennial/
All of the above rip-rap
placement for 110 feet or
less total Elk Branch and UTs 1-5 feet Intermittent/
Seep
stabilization
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)
Stations 38„+76 -? :-nStream
r.
'
feet
L3
Elk Bich •
. 6 feet
Perennial
.y
39+83 ._, .Relocation. ,
.
• .. .
.
Stations 38+50 - Temporary 91.8 square
feet or '? -
Elk Branch
6 feet
Perennial
40+03 Dewaterin
g 0.021 acres

Station 80+50 Temporary 450 square
feet or 0.01
UT #7 to Elk Branch
5 feet
Perennial
Dewatering
acres

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before. and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.eov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mMuest.com etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 2901n. ft. of new permanent impacts
plus 113 feet of onsite stream relocation.
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 of Waterbody

(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: till, 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.
Since this is an existing road the maintenance impacts are unavoidable. Our inabi . to acquire
om the creek from 38+00 -
additional right-of-way prohibits widening the roadway away fr
40+00 The remaining _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
Mlication, downstream water quality standards will be protected 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.
USAGE - In accordance with Ahe Final Notice. of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March. 9, 2000, ni figation 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.
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 1=://h2o.enr.state.nc.us/wrp/index.htnL If
use of the NCWRP is proposed, please check the,approp fte box on page three and provide
the following inkrmation:
Amount of stream mitigation requested (linear feet): NIA
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 (federaystate/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 fmalized 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
(Neese), .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
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
A Multiplier 'Required
(square feet Mitigation
. L - 3
2 1.5
Total
' Zone 1 extends out 30 teet perpencticuiar trom near banK of cnannei; LOnq1 extenos 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.
Impervious surface area will increase by 1.25 acres or 12%. All aivromiate best management
practices for sediment and erosion control will be implemented during construction.
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.
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
Page 1 I of 13
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application. §ufficiently 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).
Z
Appficant/Agent's Signature (:?r Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln 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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GENERAL NOTES ON EROSION CONTROL
Silt Basin Type B's will be constructed to the dimension of six feet by three
feet by three feet unless otherwise noted on the plans.
Where slope protection treatment is required, Section 868 and Section 1042 of
the 1990 Standard Specifications for Roads and Structures will be followed.
Any material-obtained from the project must-be, cleaft before. being peed.
Generally, the order of installation of the erosion control measures will be as
follows:
Temporary Silt Basins shall be installed before clearing and
grubbing begins.
Silt Fences and Temporary Silt Ditches shall be installed after
clearing and before grading.
Temporary Stone Ditch Checks shall be installed as soon as
ditchline is established.
Pipe Outlet and Inlet Protection will be done as soon as the pipe
is installed.
Seeding and other permanent erosion control measures are to be
implemented as soon as practical.
DITCH LINER REQUIREMENT
R(?, NAME: SR1501, OLD SAMPSON ROAD, CALDWELL COUNTY
STATION STATION RT/LT TYPE LINER REQUIRED

10+00 17+85 RT. RIP RAP
20+35 2? 50 , y RV RIP RAP

31+60 34+00 RT. -*RIP RAP
78+40 79+80 LT. RIP RAP

North Carolina Department of Transportation
' Erosion and Sedimentation Control Plan.
Gt uiG
Project 6 • /.3 -? 9b / Road: ?f S?/11/?SOit/ Count 3-.
Prepared by- Date-
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Approved by: ??
% /• Date:
County Maintenance Engineer...
Date:
District Engineer
Date:
Roadside Environmental Engineer
Std. Description Svmbol

1630.03 Temporary Silt Ditch T SD
1630.05 Temporary Diversion - TD
--°
1605.01 Temporary Silt Fence
1622.01 Temporary Slope Drain - --- ^ '-
1630.01 Silt Basin Type .k
1630.02 Silt Basin Type-B
1633.01 Temporary Rock Silt Check Type .4
16333.02 Temporary Rock Silt Check Type-B
1634.01 Temporary Rock Sediment Dam Type A
1634.02 Temporary Rock Sediment Dam Type-B
1635.01 RockPipe Inlet Sediment Trap Type _A.
1635.02 Rock Pipe Inlet Sediment Trap Type-B-
1636.01 Rock Silt Screen
1630.04 Stilling Basin j
1j
Rock Inlet Sediment Trap: A)
A E
1632.01 Type A or
1632.02 T)pe-B B Q °r B)
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1632.03 Type-C C LLA or C
868.01 Rip Rap j , R R f
Pipe Outlet Energyn Disipator
Ditch Liner
Pipe Outlet or Inlet Stabilization
'COTE: Silt Basin Type B: 31s31by 6' long unless otherwise noted by Engineer

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Triage Check List
Date: ?2 -02- Project Name: 1 CDjr 15ot
DWQ#: pZ 1 Z?-$
County: Oald will
To: ARO Mike Parker ? WaRO. Deborah Sawyer
? FRO Ken Averitte ? WiRO Joanne Steenhuis
? MRO Mike Parker ? WSRO Jennifer Frye
? RRO Steve Mitchell
From: 1 iyn l a, Telephone : (919) -c;7t5
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
tream length impacted _5)0 ?•?.
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments: [151