20060320 Ver 1_Complete File_20061013

Certificate of Completion
DWQ Project No. b(p -p 3 2c7 County:
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Applicant: t4a 1 - -b, V 1Z 11$
Project Name:
r Church
Date of Issuance of 401 Water Quality Certification: V+rC k 16-, o?? (a
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules,
and any subsequent modifications, the applicant is required to return this certificate to the
401 /Wetlands Unit, North Carolina Division of Water Quality, 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
I, M • L• Aid-y- , 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
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
-pl s spec' ications, and other supporting materials.
Rules, the ap .
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Signature: Date: I p l o w6
Agent's Certification
I, , 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
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:
If this project was designed by a Certified Professional
Date:
I, , as a duly registered Professional
(i.e., Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been
authorized to observe (periodically, weekly, full time) the construction of the project, for the
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 built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans
and specifications, and other supporting materials.
Signature: Registration No.: Date:

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Department of Environment and Natural Resources
Office of Legislative and Intergovernmental Affairs
Project Review Form
Project Number: 06-0320 County: Montgomery
Due Date: 05/29/2006
Date Received: 05/03/2006
Project Description: Proposal to widen and resurface FDR 597, replace vented ford structure over Reeves Spring
Branch with a bridge, & reconstructing stone masonry culverts. Rehabilation of Forest
Developmental Road (FDR) 597 in Unwharrie National Forest
This Project is being reviewed as indicated below:
Regional Office Regional Office Area In-House Review
Asheville _j,/ Air Soil & Water Marine Fisheries
y/ Fayetteville y/ Water Coastal Management Water Resources
Mooresville Groundwater
?/ Wildlife Environmental Health
.

Raleigh _
,...
Solid Waste Mgmt
Land Quality Engineer Wildlife - DOT
i
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'2 -
?06
Washington -
.
Radiation Protect
o
Forest Resources
Wilmington Other
Winston-Salem Land Resources
,v/ Parks & Recreation t?,
_ Water Quality
y/ Water Quality - DOT
Air Quality
Manager Sign-Off/Region: Date: In-House Reviewer/Agency:

Response (check all applicable)
No objection to project as proposed. No Comment
Insufficient information to complete review Other (specify or attach comments)
Regional Office Only:
Please log into the IBEAM system and update your comments in the DSS (Decision Support System) application,
SEPA module. If you have any questions, please contact:
Melba McGee, Environmental Uoorctinator at melDa.mcgeeUncmau.net

MAY 0 8 2006
pENR . WATER QUALITY
WETLANDS AND STORMWATER BRANCH

?C`J
U.S. Department
of Transportation
Federal Highway
Administration
Eastern Federal Lands 21400 Ridgetop Circle
Highway Division Sterling, VA 20166-6511
Refer to: HFPP-15
MAR 03 =
Mr. Tim Johnson
Division Engineer
North Carolina Department of Transportation
Highway Division 8
P.O. Box 1067
Aberdeen, NC 28315
Subject: Environmental Assessment for Rehabilitation of Forest Developmental Road
(FDR) 597 in Uwharrie National Forest
Dear Mr. Johnson:
The Federal Highway Administration, in cooperation with the United States Forest
Service, is in the process of preparing an Environmental Assessment for rehabilitation of
Forest Developmental Road (FDR) 597 in Uwharrie National Forest. This project will
include widening and resurfacing FDR 597, replacing a "vented ford" structure over
Reeves Spring Branch with a bridge, and reconstructing stone masonry culverts. The
primary purpose for this project is to bring FDR 597 up to current NCDOT design
standards for local rural roads, as NCDOT plans to add Forest Highway 49 (which
includes FDR 597) to the NCDOT system. The roadway is currently only 13 to 16 feet
wide with a gravel surface, and the vented ford frequently clogs with natural debris and
causes it to be overtopped by the stream. The project study area is located in
Montgomery County, North Carolina, and extends from State Route 1179 to FDR 544,
McLean's Creek Road, a distance of approximately 3.5 miles (see attached map). The
objective of the EA is to evaluate all reasonable alternatives for the proposed roadway
reconstruction of FDR 597, including the no build alternative.
This study is in the early stages of development and we would like to invite your
participation. We request your input early in this environmental scoping process to assist
us in determining the range of issues to be addressed and to identify significant issues
related to the proposed action. As the project moves forward, your agency will be asked
to review the analysis portion of the environmental document concerning issues in which
your Agency has jurisdiction and/or special expertise.
We are also requesting your participation in our ongoing discussions, meetings, and the
preparation of submissions to the appropriate Commissions and Agencies for review
and/or approval. Upon completion, we anticipate that the Environmental Assessment be
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sufficient to address the needs of our Agencies and stakeholders and to serve as a
decision-making document.
We would appreciate your response at your earliest convenience to identify a
representative from your Agency to assist us in this study and to confirm attendance
at the agency scoping/kick-off meeting, scheduled for Wednesday, March 22, 2006,
at 10:00 AM at Partnership for Children, 404 N. Main Street (Hwy 134), Troy,
North Carolina (located 1 block north of City Hall). Following the meeting, there
will be an opportunity to review the project area in the field.
Sincerely yours-,
i
Kevin S. Rose
Environmental Protection Specialist
IGmley-Hom
and Assodatss, Inc.
MEETING MINUTES
AGENCY KICK-OFF MEETING
Uwharrie National Forest - FDR 597 Environmental Assessment
March 22, 2006
10:00 AM -12:00 PM
Partnership for Children Conference Room, Troy, NC
Attendees:
Name Representing Phone Email
Charles Crawford FHWA - EFLHD Design 703 404-6316 [e-mail]
Jeff Johnson FHWA - EFLHD Design 703 404-6299 'effre Johnson fhwa.dot. ov
Lisa Thaxton FHWA - EFLHD
Environmental [phone] [e-mail]
Nicholas Finch FHWA - EFLHD Environmental [phone] [e-mail]
Jannie Loubser New South Associates 770 498-4155 [e-mail]

Steve Juhan NC Wildlife Resources
Commission
[phone]
[e-mail]
Deborah Walker USFS Uwharrie 910 576-6391 [e-mail]
Alison Whitesell NCDOT - Division S 910 944-2344 [e-mail]
Ken Averitte NCDENR - DWQ
(Fayetteville) [phone] [e-mail]
Richard K. Spencer USACE 910 251-4172 [e-mail]
Art Kin NCDOT - Division 8 910 944-2344 [e-mail]
Teresa Gresham Kimle -Horn 919 677-2000 [e-mail]
Norton Webster Kimle -Horn 919 677-2000 [e-mail]
Chuck Nuckols Kimle -Horn 919 677-2114 [e-mail]
Larry Meisner Kimle -Horn 919 677-2079 la .meisner kimle -horn.com
Mr. Finch opened the meeting with a welcome, followed by self-introductions. Mr. Johnson then
gave a brief background on this project, Forest Development Road (FDR) 597, including its
relationship to other portions of Forest Highway 49 which have been or are scheduled to be
paved. One of those projects, including FDR 576 and 544, has been designed but is on hold
because the environmental compliance requirements have not been completed. Ms. Walker will
discuss the status of that project with Lynn Hicks (US Forest Service, Asheville). This project,
FDR 597, also designated as PHF 49-1(3), is scheduled to begin construction no sooner than
2008.
Mr. Meisner read the Purpose and Need Statement. Ms. Walker mentioned that there is a sewer
project proposed near this project, and that Woodland Estates may be interested in connecting
into the new sewer line. If so, it would affect the design of the road as well as introduce
additional indirect and cumulative effects. The contact for the project is the Handy Sanitary
District in Davidson County.
Mr. Meisner reviewed the schedule. Ms. Walker asked about a cooperating-agency agreement
between the Forest Service and FHWA. Mr. Finch said that the project would use Federal
requirements, and that the Forest Service could either have cooperating-agency status or signatory
Minutes from March 22, 2006 Interagency Kick-off Meeting
Uwharrie National Forest - FDR 597 EA
authority. Mr. Finch and Ms. Walker will coordinate to determine the Forest Service's role on
this project. Mr. Spencer also requested a non-signatory cooperating-agency agreement with
FHWA. Mr. Finch will send USACE a request letter to that effect. Mr. Finch also said that all
agencies will have an opportunity to review the Environmental Assessment (EA) before it is
finalized.
Mr. Meisner briefly summarized the topics to be addressed in the EA. The only question was
regarding the termini of the project. The project extends from SR 1179 to and including the
intersection with FDR 544. The quad map on the Existing Conditions figure shows the
intersection of FDR 597 and FDR 544 incorrectly; it is now a T-intersection.
Ms. Gresham and Mr. Webster reviewed the existing conditions information collected during the
initial field visit and data research. There are four mapped streams, but are probably others.
There is at least one wetland adjacent to the road. The FEMA floodplains are shown on the map.
Mr. Webster visited the site in October to look for the Schweinitz's sunflower during its growing
season. Although the Natural Heritage Program identified sunflower sites within a half mile of
the project corridor, Mr. Webster did not find specimens within the study corridor. Ms. Walker
said that bald eagles may be nesting in the area, and recommended that Mr. Webster coordinate
with the Division of Water Quality (DWQ) to verify. The US Army Corps of Engineers
(USACE) and DWQ will also coordinate to field-verify wetlands together.
The team discussed the tourism impacts in the study area. Saturday, April 1 is the first day of off-
highway vehicle (OHV) season, and the Forest expects up to 10,000 visitors per day on the first
two weekends. Other peak days include Memorial Day, Labor Day, and the Fourth of July.
Hunting season also draws a large number of visitors, especially opening days of muzzle and rifle
seasons (November 5 and November 12, respectively), and Veteran's Day. A summary the
Uwharrie National Forest hunting seasons are at the end of these meeting minutes. Ms. Walker
will provide Kimley-Horn visitation information on campgrounds and OHVs. The Forest Service
does not have any traffic count data. The 24-hour counts will be done for two weeks - the week
prior to April 1, and the first week of April. The turning movement count at FDR 597 and FDR
544 will be done on April 1.
Mr. Webster asked the agency representatives for issues important to them. Ms. Walker said that
there is a Regional Forester's Sensitive Species List. She will provide contact information for the
appropriate Forest Service biologist who can provide that information. Mr. Juhan said that WRC
has shifted some of its resources away from the Badin Lake area because of the tourism activities.
Hunting and recreation are allowed in the same areas simultaneously.
Mr. Loubser gave a brief background on the archaeological resources in the study area. A surface
survey was completed in 1979, and discovered 11 sites in the study area, which is a high density
of archaeological sites. These high density areas were classified as "archaeological zones." The
surface survey only looked at the area between Badin Lake and FDR 597, and no surveys have
been done on the east side of FDR 597. New South Associates will delineate the area of potential
effect (APE) through shovel tests. Based on the results of the surface survey, it appears that the
level of effort required for the shovel tests may be higher than expected. The amount of work
required may also increase because of a Forest Service agreement which would require the
archaeologist to continue testing any historic sites to delineate the entire boundary. One well
known archaeological area in Uwharrie is the Uwharrie Slate Belt, where the plentiful slate was
used by Native Americans to form tools. That site is primarily prehistoric, although there may
also be historic sites. Mr. Finch recommended that the preliminary alternatives take into account
any known archaeological sites, and then additional testing will be done within the alternatives'
Date Prepared: March 24, 2006
Minutes from March 22, 2006 Interagency Kick-off Meeting
Uwharrie National Forest - FDR 597 EA
alignments. Mr. Spencer also recommended consulting SHPO about the historic status of the
vented ford. If it is historic, SHPO may require a data recovery before removing the ford, and an
MOA with FHWA would be required.
The team then discussed design issues. Ms. Walker is concerned that paving the road will lead to
increases in speed. The road is posted at 25 mph now, and would have a proposed design speed
of 35 mph. She asked about possible additions to the road to slow down traffic and increase
safety. Ms. Whitesell said that the road could not have speed bumps because it will be
maintained by NCDOT. Mr. Meisner suggested signing and striping for pedestrian, equestrian,
and OHV crossings.
Mr. Meisner asked about the level of public involvement for this project. Currently, Kimley-
Horn is scheduled to do two newsletters. No public meetings are planned, but they may be added
based on public interest. Ms. Walker said that there is a list that is mailed to over 500 citizens
each month, listing all projects in the area (SOPA - Schedule of Proposed Actions). People who
are interested in the project would contact the Forest to be placed on a smaller project-specific
mailing list for additional information. Kimley-Horn will send the newsletters to agencies,
citizens who access FDR 597, OHV and equestrian groups, and citizens who have expressed
interest. Ms. Walker will also provide Kimley-Horn with the Woodland Estates homeowner's
association contact. Ms. Walker suggested that Kimley-Horn may want to meet with individuals
or groups interested in the project.
The most recent plan for the Uwharrie National Forest was completed in 1985, and was based on
1984 regulations. The 2004 regulations have changed considerably, and the plan is currently
being updated. The Recreation Management Plan is also underway. Since the master plan will
not be available for this project, Kimley-Horn should coordinate with the Forest Service and the
County to determine anticipated growth and development patterns.
The meeting was adjourned at 11:45 AM. All attendees except Mr. Loubser met after lunch to
visit the site. Some notes from the field visit include:
• At the Holt's Cabin Picnic Area, include a paved parking area with 90 degree parking
spaces. If possible when widening, do not disrupt the visitor sign and restroom.
• The vented ford was constructed in 1937. It is likely that the house by the road near the
ford was constructed at the same time.
• There are 12 homes in Woodland Estates, with additional lots for sale and to be
developed.
There are 6-8 homes in Skier's Ford.
More wetlands exist than were shown on the project area map.
Date Prepared: March 24, 2006
OV 1 Cq
7
Mr. Mike Holder, P.E.
NCDOT Division 12
P.O. Box 47
Shelby, NC 28151
740 Michael V. Easley, 0ovemor
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William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, PT.. Director
Division of Water Quality
March 15, 2006
DWQ# 06-0320
Alexander County
APPROVAUMODIFICATION of 401 Water Quality Certification with Additional Conditions
Dear Mr. Holder:
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact 17 linear feet (If) (2 If for culvert length increase, 15 If for riprap inlet/outlet protection) and temporarily
impact 25 If for temporary cofferdams of an unnamed tributary to the Lower Little River* to replace an existing,
deteriorating culvert as described in your application received by the Division of Water Quality (DWQ) on
February 28, 2006. The location of the project is State Road 1331 (Little River Church Road) in Alexander
County. After reviewing your application, we have determined that this project is covered by Water Quality
General Certification Number 3404. Please note that you should get any other federal, state or local permits
before proceeding with your project, including those required by (but not limited to) Sediment and Erosion
Control, Non-Discharge, and Water Supply Watershed regulations.
This approval is valid solely for the purpose and design that you described in your application (unless modified
below) and will expire with the associated USACE 404 permit unless otherwise specified in the Water Quality
Certification. Should your project change, you must notify the DWQ in writing and you may be required to
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 conditions. If total wetland fills for this project
(now or in the future) exceed one acre, or if 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 remain valid, you must adhere to the conditions in the attached certification and those listed below:
The placement of culverts and other structures in waters, streams and wetlands must be below the elevation
of the streambed by one (1) foot for all culverts with a diameter greater than 48 inches, and 20 percent of the
culvert diameter for culverts having a diameter less than 48 inches, to allow for low flow passage of water and
aquatic life, as well as prevent headcutting of the streams. Design and placement of culverts and other
structures including temporary erosion control measures 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 pattern and profile) are to be maintained above and
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been maintained, if requested in writing by the DWQ.
2. Riprap must not interfere with thalweg performance and aquatic life passage during low flow conditions.
Riprap placed for bank stabilization should be limited to the stream bank below the high water mark and
vegetation should be used for stabilization above the high water mark.
"No stream determination performed.
No One
thCarolina
dlvatimally
North Carolina Division of Water Quality 610 East Center Avenue, Suite 301
Internet: nc plcryualilc urg Mooresville, NC 28115
Phone[phone]
FAX [phone]
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Page 2
3. Heavy equipment must be operated from the banks rather than in the stream channel, when possible, in
order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
4. Temporary dewatering sites must be restored to pre-existing conditions unless more natural geomorphic
conditions can be provided.
5. No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened.
6. The dimension, pattern and profile of the stream above and below the crossing should not be modified.
Disturbed floodplains and streams should be restored to natural geomorphic conditions.
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. All work shall be performed during low or normal flow conditions.
9. Discharging hydroseeding mixtures and washing out hydroseeders and other equipment in or adjacent to
surface waters is strictly prohibited.
10. Erosion and sediment control practices must utilize Best Management Practices (BMP) and be in full
compliance with all specifications governing the proper design, installation, and operation and maintenance of
such BMP in order to protect surface water standards:
a. The design, installation, operation, and maintenance of the sediment and erosion control measures
must be such that they equal, or exceed, the requirements specified in the most recent version of
the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all
construction sites, borrow pit sites, and waste pile (spoil) projects, including contractor-owned or.
leased borrow pits associated with the project.
b. For borrow pit sites, the erosion and sediment control measures must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina Surface
Mining Manual.
c. The reclamation measures and implementation of these measures must be in accordance with the
requirements of the Sedimentation Pollution Control Act.
11. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable,
they shall be removed and the natural grade restored within 30 days after the Division of Land Resources has
released the project.
12. The North Carolina Department of Transportation (NCDOT) and its contractors and/or agents shall not
excavate, fill or perform mechanized land clearing at any time in the construction or maintenance of this
nroiec;t within waters anti/or wetlands; Qxr!,ef?t ac authnriz?d by this r?rfificaxion, or any modification to this
Certification (e.g., no work shall occur outside of the footprint of the plans provided). In addition, there shall
be no excavation from or waste disposal into jurisdictional wetlands or waters associated with this
Certification without appropriate modification. If this occurs, compensatory mitigation may be required since it
is a direct impact from road construction activities.
13. Upon completion of the project, the applicant shall complete and return the enclosed "Certificate of
Completion" form to notify DWQ when all work included in the 401 Certification has been completed. Please
include photographs upstream and downstream of the structure to document correct installation.
I Page 3
14. Continuing Compliance. NCDOT shall conduct its activities in a manner so as not to contravene any state
water quality standard [including any requirements for compliance with section 303(d) of the Clean Water Act]
and any other appropriate requirements of state and federal law. If DWQ determines that such standards or
laws are not being met (including the failure to sustain a designated or achieved use) or that state or federal
law is being violated, or that further conditions are necessary to assure compliance, DWQ may reevaluate
and modify this certification to include conditions appropriate to assure compliance with such standards and
requirements in accordance with 15 A NCAC 2H.0507(d). Before codifying the certification, DWQ shall notify
NCDOT and the USACE, provide public notice in accordance with 15A NCAC 2H.0503, and provide
opportunity for public hearing in accordance with 15A NCAC 2H.0504. Any new or revised conditions shall
be provided to NCDOT in writing, shall be provided to the USACE for reference in any permit issued pursuant
to Section 404 of the Clean Water Act, and shall also become conditions of the 404 Permit for the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must
act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition that
conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless
you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone Polly Lespinasse in the Mooresville Regional Office at 704-663-
1699.
Sincerely,
for Alan W. Klimek, P.E.
Attachments
cc: Steve Lund, USACE Asheville Field Office
Rob Ridings, DWQ Wetlands Unit
Central Files
File Copy

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR SECRETARY
February 23, 2006
Mr. John Hennessy 401/Transportation Permitting Unit 060320
1650 Mail Service Center
Raleigh, N.C. 27699-1650
SUBJECT: Pipe replacement on SR 1331 (Little River Church Road), Alexander County
Dear Mr. Hennessy:
The North Carolina Department of Transportation proposes to replace a deteriorating pipe on SR
1331 (Little River Church Road) in Alexander County. An existing 98-foot, 48" CMP will be
replaced with a 100-foot, 60" CMP with inlet headwall and associated riprap for structure
protection. The stream channel is overwidened at the existing pipe outlet to a width of -10-15 ft.
The riprap/rock utilized at the new pipe outlet for structure stabilization will also be used to
restructure the stream dimension in this area to a "normal" stream width of -5 ft. The existing
pipe is slightly perched. The upstream and downstream bed elevations will be reconnected by the
pipe burial of one foot below existing streambed elevation. This will result in a pipe slope of
4.3%; therefore, rock will be embedded into the streambed for energy dissipation and to prevent
stream destabilization. The scope of the work will result in a 17 feet of permanent impacts and
25 feet of temporary to an unnamed tributary to Lower Little River, which is classified as Class C
Waters by the Division of Water Quality. Temporary cofferdams and bypass piping will be
utilized for stream management during the pipe replacement. Upon project completion, the area
impacted by the temporary cofferdam will be restored to pre-project conditions.
The project is not located within '/z mile of any critical watershed area nor is SR 1331 a rural or
urban arterial; therefore, hazardous spill basins are not required. Enclosed is the hazardous spill
basin checklist. This office has conducted a GIS and field survey for the project and is
recommending a finding of "no effect" for T&E species and historical structures.
I have enclosed a pre-construction notification for a NW#14, sketches of planned activities, and
location maps relative to the project.

SR 1331, Little River Church Road
Page 2
February 23, 2006
Project information for the 401 Automated Payment Procedure is as follows:
0 Work order number: 150465-55120005-1213.200211-3855
• TIP #: NA
• Project Category: $200.00 Fee
If you have any questions or concerns, please feel free to contact me at [phone]. Thank
you for your time and consideration to this matter
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY: 1 ia?
Trish Simon
Division 12 Environmental Supervisor
Enclosures
Cc: Polly Lespinasse, DWQ, Mooresville Regional Office
Ron Linville, Wildlife Resources Commission (Courtesy Copy)

Office Use Only: Form Version May 2002
20060320
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
? Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14
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 (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder N.C. Department of TranMortation
Mailing Address: P.O. Box 47
Shelby, North Carolina 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Trish Simon
Company Affiliation: N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby North Carolina 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimonndot.state. nc.us
Pagel of 8

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 I 1 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: Pipe replacement on SR 1331, Little River Church Road.
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12B.200211
3. Property Identification Number (Tax PIN): NA
4. Location
County: Alexander Nearest Town: Taylorsville
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): North on Hwy. 16 from
Taylorsville turn left onto SR 1331 to site.
5. Site coordinates, if available (UTM or Lat/Long): 35°58'51"N/81°14'13"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. Property size (acres): 0.10 acres (,NCDOT right of way).
7. Nearest body of water (stream/river/sound/ocean/lake): UT to Lower Little River, Class C
Waters (From source to a point 0.5 mile upstream of mouth of Stirewalt Creek).
8. River Basin: Catawba
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application:ExistingzConditions - pipe crossing on paved secondary road.
General Land Use- wooded, residential.
Page 2 of 8
10. Describe the overall project in detail, including the type of equipment to be used: NCDOT
proposes to replace a failing 98-foot 48" CMP with a 100-foot, 60" CMP with inlet headwall
and associated wrap at inlet and outlet for structure protection. Installation is to be
accomplished with the use of trackhoe and front-end-loader.
11. Explain the purpose of the proposed work: The p=ose of the proposed work is to replace
a failing pipe.
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 future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
None Anticipated
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.
1. Provide a written description of the proposed impacts: Minor impacts from 2 ft pipe length
increase and riprap impacts for energy dissipation and channel restructuring at pipe outlet.
2. Individually list wetland impacts below: NO 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***

Page 3 of 8
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized
clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both
structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance
Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service
Center at 1-800-358-9616, or online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver
pond, Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: 0
Total area of wetland impact proposed: 0
't Inrdivirlimlly list all intermittent and perennial stream impacts below:
Stream Impact Average Width Perennial or
Site Number Type of Length of Impact Stream Name** of Stream Intermittent?
(indicate on Impact* (linear feet) Before Impact (please specify)
map)
1 Pipe length 2 feet Unnamed Tributary to 5 ft
Perennial
increase Lower Little River
Riprap
1 around inlet 15 ft "
and outlet
1 Temporary 25 ft
Cofferdams
* 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.usg_s.gov. Several internet sites also allow direct download and printing of USGS maps (e.g.,
www.topozone.com, www.mapauest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Permanent Impacts = 17
feet Temporary Impacts = 25 feet.
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
(lnPan nnrd anv other water of the IJ.S.) below: 0
Open Water Impact
Site Number
indicate on ma w v~ _
Type of Impact* Area of
Impact
acres
(if Name applicable) Wat) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation,
dredging, flooding, drainage, bulkheads, etc.
5. Pond Creation: NO POND IMPACTS
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
Page 4 of 8
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The stream channel is overwidened at the existing pipe outlet to a width of -10-15 ft. Rock will
be utilized at the new pipe outlet to restructure the stream dimension in this area to a "normal"
stream width of -5 ft. The existing pipe is slightly perched. The upstream and downstream bed
elevations will be reconnected by the pipe burial of one foot below existing streambed elevation.
This will result in a pipe slope of 4.3%, therefore rock will be embedded into the streambed for
energy dissipation and to prevent stream destabilization.
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/stnngide.htmi.
Page 5 of 8
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.
MITIGATION NOT ANTICIPATED
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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 (required by DWQ)
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
Page 6 of 8
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
NA
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No additional impervious surface is proposed.
XII. Sewage Disposal (required by DWQ)
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.
NA
XIII. Violations (required by DWQ)
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 7 of 8
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.)
Page 8 of 8
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Date: 2/1612006
Scale: 1 inch equals 1000 feet
Location: 035° 58'51.28" N 081 ° 14' 13.34" W
Caption: Pipe Replacement on SR 1331, Little River Church Road, LIT to
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1 ? County: Alexander project ID:
River Basin: Catawba Bridge No: Pipe Replacement
Route: SR 1331, Little River Church Road Stream: UT to Lower Little
River, Class C Waters
Water Quality Criteria:
Yes No
Stream Crossing Blue Line On USGS r r
ORW r P
WSI r r
WS 11,111 OR IV, Crossing Within 0.5mi of W.S. Critical Area r r
Roadway Criteria:
Route Designation- Yes No
Arterial Urban r r
Arterial Rural r r
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? r r
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).