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HomeMy WebLinkAbout20061572 Ver 1_Complete File_20061025OC'CFA7???QG > -I micnaei r. Lasiey, uuveniui William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality F? October 25, 2006 Lee County DWQ Project No. 20061572 SR 1504 APPROVAL of 401 Water Quality Certification Mr. Timothy Johnson, P.E., Division Engineer North Carolina Department of Transportation, Division 8 PO Box 1067 Aberdeen, North Carolina, 28315 Dear Mr. Johnson: You have our approval, in accordance with the conditions listed below, for the following impacts for the purpose of improving SR 1504 in Lee County: c*raam Tmnae*c in the Yadkin-Pee Dee River Basin Site Stream Name vvStream Stream Impact Type Impacts Type Classification/ (Linear Feet) Index No. 1 UT to Hughes Permanent Class WS-IV/18- Permanent 20 Creek 4-1 Temporary 20 2 UT to Hughes Permanent Class WS-IV/18- Permanent 20 Creek 4-1 Temporary 20 Total 80 The project shall be constructed in accordance with your application dated received September 29, 2006. After reviewing your application, we have decided that these impacts are covered by General Water Quality Certification Number 3404. This certification corresponds to the Nationwide Permit 14 issued by the Corps of Engineers. In addition, you should 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. 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 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 remain valid, you must adhere to the conditions listed in the attached certification. N Carolina oe Transportation Permitting Unit Naturally 1650 Mail Service Center, Raleigh, North Carolina 27699-1650 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone: 919-733-1786 / FAX 919-733-6893 / Internet: http•//h2o.enr.state.nc.us/newetlands An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper Mr. Johnson October 25, 2006 Conditions of Certification: Placement of culverts and other structures in waters, streams, and wetlands shall be placed below the elevation of the streambed by one 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 low flow passage of water and aquatic life. Design and placement of culverts and other structures including temporary erosion control measures shall not be conducted in a manner that may result in dis-equilibrium of wetlands or streambeds or banks, adjacent to or upstream and down stream of the above structures. The applicant is required to provide evidence that the equilibrium is being maintained if requested in writing by DWQ. If this condition is unable to be met due to bedrock or other limiting features encountered during construction, please contact the NC DWQ for guidance on how to proceed and to determine whether or not a permit modification will be required. 2. If concrete is used during construction, a dry work area should be maintained to prevent direct contact between curing concrete and stream water. Water that inadvertently contacts uncured concrete should not be discharged to surface waters due to the potential for elevated pH and possible aquatic life and fish kills. 3. During the construction of the project, no staging of equipment of any kind is permitted in waters of the U.S., or protected riparian buffers. 4. 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. 5. The use of rip-rap above the Normal High Water Mark shall be minimized. Any rip-rap placed for stream stabilization shall be placed in stream channels in such a manner that it does not impede aquatic life passage. 6. All work in or adjacent to stream waters shall be conducted in a dry work area. Approved BMP measures from the most current version of NCDOT Construction and Maintenance Activities manual such as sandbags, rock berms, cofferdams and other diversion structures shall be used to prevent excavation in flowing water. 7. Heavy equipment shall be operated from the banks rather than- in the stream channel in order to minimize sedimentation and reduce the introduction of other pollutants into the stream. 8. Heavy equipment may be operated within the stream channels however, its usage shall be minimized. 9. 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. 10. No rock, sand or other materials shall be dredged from the stream channel except where authorized by this certification. 11. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface waters is prohibited. Mr. Johnson October 25, 2006 12. The permittee and its authorized agents shall conduct its activities in a manner consistent with State water quality standards (including any requirements resulting from compliance with §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. 13. All fill slopes located in jurisdictional wetlands shall be placed at slopes no flatter than 3:1, unless otherwise authorized by this certification.. 14. A copy of this Water Quality Certification shall be posted on the construction site at all times. In addition, the Water Quality Certification and all subsequent modifications, if any, shall be maintained with the Division Engineer and the on-site project manager. 15. The outside buffer, wetland or water boundary located within the construction corridor approved by this authorization shall be clearly marked by highly visible fencing prior to any land disturbing activities. Impacts to areas within the fencing are prohibited unless otherwise authorized by this certification. 16. Upon completion of the project, the NCDOT Division Engineer shall complete and return the enclosed "Certification of Completion Form" to notify DWQ when all work included in the 401 Certification has been completed. 17. Native riparian vegetation (ex. list trees and shrubs native to your geographic region) must be reestablished within the construction limits of the project by the end of the growing season following completion of construction. 18. There shall be no excavation from, or waste disposal into, jurisdictional wetlands or waters associated with this permit without appropriate modification. Should waste or borrow sites be located in wetlands or streams, compensatory mitigation will be required since that is a direct impact from road construction activities. Erosion and sediment control practices must be in full compliance with all specifications governing the proper design, installation and operation and maintenance of such Best Management Practices in order to protect surface waters standards: a. The erosion and sediment control measures for the project must be designed, installed, operated, and maintained in accordance with the most recent version of the North Carolina Sediment and Erosion Control Planning and Design Manual. b. 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 sites, and waste pile (spoil) projects, including contractor-owned or leased borrow pits associated with the project. c. 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. Mr. Johnson October 25, 2006 d. The 'reclamation measures and implementation must comply with the reclamation in accordance with the requirements of the Sedimentation Pollution Control Act. 19. Sediment and erosion control measures shall not be placed in wetlands or waters unless otherwise approved by this Certification. If placement of sediment and erosion control devices in wetlands and waters is unavoidable, they shall be removed and the natural grade restored upon completion of the project. 20. Upon completion of the project, the NCDOT Division Engineer shall complete and return the enclosed "Certification of Completion Form" to notify DWQ when all work included in the 401 Certification has been completed. 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. 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 Brian Wrenn at 919-733-5715. Sincerely, Alan W. Klimek, P.E. Attachment cc: Richard Spencer, Amy Corps of Engineers Wilmington Regulatory Field Office Ken Averitte, DWQ Fayetteville Regional Office Travis Wilson, NC WRC Gary Jordan, US FWS Chris Militscher, US EPA File Copy ?01" ? da'`'?TE'o- ?OV .?, .? Sep J O •?a...? ???SlORMwq??ry06 STATE OF NORTH CAROLINA ?Re DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETP GOVERNOR SECRETARY September 27, 2006 Rob Ridings NCDWQ 401 Wetlands Unit r 1650 Mail Service Center 061 ? 72 Raleigh, NC 27699-1650 Subject: Nationwide Permit #14 SR-1504 Lee County Project # 8C.053014 (DWQ Permit Fee $200) Mr. Ridings: >- The North Carolina Department of Transportation, Highway Division 8 is requesting a 401 Water Quality Certification in association with Nationwide Permit Number 14, for project # 8C.053014 on SR 1504 (Cletus Hall Rd.) in Lee County. The proposed project will replace two existing crossing pipes as follows: Site 1- Replace existing 1 lines of 36" x 40' RCP with 1 line of 36"x 60' CMP. Site 2- Replace existing 2 lines of 36" x 40' RCP with 1 line of 36"x 60' CMP. The project includes 20'of class B rip-rap installed at each site for armoring and bank stabilization. These pipes are being replaced in preparation for a scheduled paving project. The total percentage of impervious surface within the project area will remain at less than 30%. All erosion control devices will be appropriate to the location and in compliance with the current version of the NCDOT Best Management Practices Manual. The project is outside of the Critical Habitat area for the Cape Fear Shiner. There were no other threatened or endangered species observed within the project area during the required minimum criteria check. There are no Wetland impacts associated with this project. The project is located on an unnamed tributary of Hughes Creek, a class WS-IV stream within the Cape Fear River basin. If dewatering is required at this site, it will be done with the use of movable devices such as sheet metal piles or concrete barriers. All construction will be done under dry conditions whenever possible. Any detours for this project will be done off site, using local state roads. If you require any additional information, please contact me. S' er 1 , rt C. King Division Environ I Officer Highway Division 8 cc: Tim Johnson, PE Johnny Ransdell Barry Harrington P.O. BOX 1067, ABERDEEN NORTH CAROLINA 28315 PHONE (910) 944-2344 FAX (910) 9445623 v co ?.N Q i -; ? w H `+ p v.. x. "t ,fit ,dy lt,V iay t ?.' d =; i X31 if s. f1 + r: 74 Ok, t J L a? U) C c4 a) CL 7 LU H co y w ms aao ue ms m? a woo-ewjojep-nvr.:v. L u veumo lueluoo yo 14BpAdoo oleo '® spenpodol p-E -ewjoleO ZOOZ Q OOOt OOO 009 006 ooL 0 ru 008,z -I--s \\ --'...._z.--rte - :'.I .--.?° ?? ? V •?j ? _ ? ?f-?....,_... ? - ? ',? ??'`; 501 I /? r Ilk 1 f 1l ._ i J __- l 1? ? fJ ', ,o - i - ? ..- tip. _ ? ! . s ? / ? I?! •..r 1 j ?,?,iy w ms -ooe me ma m? o - wow v to Z GZ 0 uw a auMO lueluoo;o lyBuddoo osop '® spQr,podot O-£ euuolep ppy mop ooe ms mo me a 1401-01, =.3 11 NL 008 ZL I. GIRDS. l ?4 elf i,`// / /yam" ? 1 f f ! ,j • ? Jj}a( I (= ,r,f ?! L? ? l't?`,. '+."?r -?- ----------------- I tt = `- 16 • ?,?...,`? rte. k a •% _ •J t f/ i Z# At I Office Use Only: Form Version March 05 USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".) I. 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 ? Express 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 Ecosystem Enhancement Program (NCEEP) is proposed for mitigation of impacts, attach the acceptance letter from NCEEP, 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: ? H. Applicant Information 1. Owner/Applicant Information Name: North Carolina Department of Transportation Mailing Address: Timothy Johnson, P.E.. Division Engineer North Carolina Department of Transportation, Division 8 P.O. Box 1067 Aberdeen. NC 28315 Telephone Number: 910-944-2344 Fax Number: 910-944-5623 E-mail Address: Tjohnson(.dot.state.nc.us 2. Agent/Consultant 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: Johnny Ransdell Company Affiliation: NC Department of Transportation Mailing Address: 1502 South Seventh Street Sanford NC Telephone Number: 919-775-3122 Fax Number: 919-774-3884 E-mail Address: jransdellndot.state.nc.us Updated 11/1/2005 Page 5 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 1504 (Cleatus Hall Road) Secondary Road Construction 2. T.I.P. Project Number or State Project Number (NCDOT Only): 8C.053014 3. Property Identification Number (Tax PIN): 4. Location County: Lee Nearest Town: Sanford Subdivision name (include phase/lot number): NA Directions to site (include road numbers/names, landmarks, etc.): From US 1, exit at Deep River Road (SR 1466), north 0.3 miles to Lower Moncure Road (SR 1002). south 3.4 miles to SR 1504. Follow SR 1504 to end of pavement. Project begins at end of pavement. 5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) Decimal Degrees (6 digits minimum): Site #1: N35134.007' / W790 3.856' Site# 2: N35° 33.896' / W7914.089' 6. Property size (acres): NA 7. Name of nearest receiving body of water: Cape Fear River 8. River Basin: Cape Fear River (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: Existing 36" pipe at both locations. Existing land use is rural residential and agricultural (livestock and field crops). Updated 11/1/2005 Page 6 of 12 10. Describe the overall project in detail, including the type of equipment to be used: Secondary road construction to improve existing unpaved road to paved road. Track hoe Grader, dozer and earth moving equipment to be used in overall project 11. Explain the purpose of the proposed work: Replace existing_crossline pipes prior to construction and paving of existing unpaved secondary road 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. 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. Each impact must be listed separately in the tables below (e.g., culvert installation should be listed separately from riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts, permanent and temporary, must be listed, and must be labeled and clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) should 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: Roadway pipe crossings Updated i I /1 /2005 Page 7 of 12 2. Individually list wetland impacts. Types of 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. Wetland Impact Site Number (indicate on map) Type of Impact Type of Wetland (e.g., forested, marsh, herbaceous, bog, etc.) Located within 100-year Floodplain es/no Distance to Nearest Stream linear feet Area of Impact (acres) None Total Wetland Impact (acres) 3. List the total acreage (estimated) of all existing wetlands on the property: 4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib walls, 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. To calculate acreage, multiply length X width, then divide by 43,560. Stream Impact Number indicate on ma Stream Name Type of Impact Perennial t? Intermittent. Average Stream Width Before Impact Impact Length linear feet Area of Impact acres 1 UT of Hughes Crk. Perm pipe P 2-3' 20 2 Perm pipe I 2-3' 20 Total Stream Impact (by length and acreage) 40 5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.). Open water impacts include, but are not limited to fill, excavation, dredging, flooding, drainage, bulkheads, etc. Open Water Impact Site Number (indicate on ma Name of Waterbody (if applicable) Type of Impact Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) Area of Impact (acres) None Total Open Water Impact (acres) Updated i 1 /1 /2005 Page 8 of 12 6. List the cumulative impact to all Waters of the U.S. resulting from the project: Stream Im act (acres): Wetland Impact (acres): Open Water Impact (acres): Total Impact to Waters of the U.S. (acres) Total Stream Impact (linear feet): 40 7. Isolated Waters Do any isolated waters exist on the property? ? Yes ® No Describe all impacts to isolated waters, and include the type of water (wetland or stream) and the size of the proposed impact (acres or linear feet). Please note that this section only applies to waters that have specifically been determined to be isolated by the USACE. 8. 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.): NA Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Current land use in the vicinity of the pond: Size of watershed draining to pond: Expected pond surface area: NA 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. NA 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. Updated 11/1/2005 Page 9 of 12 USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on January 15, 2002, 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 NCEEP 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. eiir. state. nc. u s/ ncwetlands/strm?aide. 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. NA 2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at (919) 715-0476 to determine availability, and written approval from the NCEEP indicating that they are will to accept payment for the mitigation must be attached to this form. For additional information regarding the application process for the NCEEP, check the NCEEP website at htte://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please check the appropriate box on page five and provide the following information: Amount of stream mitigation requested (linear feet): 0 Amount of buffer mitigation requested (square feet): 0 Amount of Riparian wetland mitigation requested (acres): 0 Amount of Non-riparian wetland mitigation requested (acres): 0 Amount of Coastal wetland mitigation requested (acres): 0 Updated 11/1/2005 Page 10 of 12 IX. Environmental Documentation (required by DWQ) 1. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? Yes ® No ? 2. If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No 3. 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 Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. 1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No 2. If "yes", 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. * Impact Required Zone i-,, - r -+N Multiplier 3 (2 for Catawba) 1.5 Total I I I I * Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. 3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or.0244, or.0260. N/A Updated 11/12005 Page 11 of 12 XI. Stormwater (required by DWQ) Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed impervious level. Neither the current impervious cover (gravel or paved road bed) nor the new rrol used impervious cover (asphalt pavement) will exceed 30% of the total site area. Erosion control devices will be appropriate to the site and in compliance with NCDOT BMP's. Devices on site may include silt fences check dams and storm water retaining basins. 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. N/A 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 XIV. Cumulative Impacts (required by DWQ) Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality? Yes ? No If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent North Carolina Division of Water Quality policy posted on our website at http_//h2o.enr.state.nc.us/ncwetlallds. If no, please provide a short narrative description: There is no anticipated development along this isolated rural route XV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). N/a ?/0 Applicant/Agent's Signature Dat4 (Agent's signature is valid only if an authorization letter from the applicant is provided.) Updated 11/1/2005 Page 12 of 12 4 tz. ??? '? 7 ?' ) 'jam, ?/---?/ ---• - -• -- ' ',`, ? -/' / ii/y?? ? - ? - (?. ?, ?, ,,o \ "/ - _ ?-- ? = --- _`-"? Ate' ? ? •n -. (r ??- .? , •? ?•;, ? _-? %: -._ - Ems. ?, ? u,%??? 'r '• ' pzD ?,? ? `? ,1, _ _? 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