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HomeMy WebLinkAbout20050406 Ver 1_Complete File_20050809 (2)W AT F9Q 0 C, 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 August 9, 2005 Caswell County DWQ Project No. 05-0406 SR 1593 (Kimbro Rd) APPROVAL of 401 Water Quality Certification Mr. J.M. Mills, P.E. Division Engineer, Division 7 North Carolina Department of Transportation 1584 Yanceyville Street Greensboro, North Carolina, 27415 Dear Mr. Mills: You have our approval, in accordance with the attached conditions and those listed below, to incur the following impacts to an unnamed tributary to South Fork Rattlesnake Creek in order to pave and improve SR 1593 (Kimbro Rd) in Caswell County. • 30 linear feet of piping impacts; • up to 20 linear feet of rip rap for bank stabilization; and • Temporary dewatering impacts of approximately 40 linear feet. The project shall be constructed in accordance with your application dated March 2, 2005 and additional information received July 29, 2005. Please note that an additional stream crossing on SR 1593 was replaced as part of this project. This crossing was indicated as an ephemeral channel in the March 2, 2005 application. The Division of Water Quality (DWQ) classified this stream as intermittent and requiring a permit for pipe replacement. The US Army Corps of Engineers determined that this pipe replacement was authorized under a Nationwide General Permit Number 3 and therefore did not require written concurrence from the DWQ. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Nos. 3404 and 3366, corresponding to the U.S. Army Corps of Engineers Nationwide Permit Numbers 14 and 33. 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, 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). Shuuh! your project change, you must notify the Division of Water Quality (Division) and submit a new application. If the property is sold, the new owner must be given a copy of this approval letter and certifications, 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 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 listed in the attached certification and any additional conditions listed below. North Carolina Division of Water Quality 585 Waughtown Street Internet: h2o.enr.state.nc.us Winston-Salem, NC 27107 Np,r Caro in Naturally Phone (336) 771-4600 Customer Service FAX (336) 771-4630 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper August 9, 2005 DWQ# 05-0406 Page 2 1. 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. d. The reclamation measures and implementation must comply with the reclamation in accordance with the requirements of the Sedimentation Pollution Control Act. 2. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint of the impacts depicted in the Preconstruction Notice Application. All construction activities, including the design, installation, operation, and maintenance of sediment and erosion control Best Management Practices, shall be performed so that no violations of state water quality standards, statutes, or rules occur. 3. 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 six months of the completion of the project. 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 should be directed to vegetated buffer areas, grass lined ditches or other means appropriate to the site for the purpose of pre-treating stormwater runoff, and must not be routed directly into streams. Mowing of existing vegetated buffers is strongly discouraged, so that they may be utilized for stormwater sheet flow. 6. Where practicable, culverts that are less than 48-inch in diameter should be buried to a depth equal to or greater than 20% of their size to allow for aquatic life passage. Culverts that are 48-inch in diameter or larger should be buried at least 12 inches below the stream bottom to allow natural stream bottom material to become established in the culvert following installation and to provide aquatic life passage during periods of low flow. These measurements must be based on natural thalweg depths. This may require increasing the size of the culvert to meet flow conveyance requirements. If any of the existing pipes are perched, they shall be removed and replaced, and re-installed correctly, unless demonstrated that this is topographically unfeasible. All waters must flow through without freefalling or damming on either end of the culverts during low flow conditions, to maintain aquatic life and/or fish passage. 7. The dimension, pattern and profile of the stream above and below the crossing should not be modified by widening the stream channel or reducing the depth of the stream. 8. Disturbed floodplains and streams should be restored to natural geomorphic conditions. 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 below the high water mark, and vegetation must be used for stabilization above high water. Any rip-rap used must not interfere with aquatic life passage during low flow conditions. 10. If concrete is used, work must be accomplished so the wet concrete does not contact the stream water. This will lessen the chance of altering the stream's water chemistry and causing a fish kill. 11. Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream. "tor. J.M. Mills, P.E. August 9, 2005 DWQ# 05-0406 Page 3 12. 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. 13. 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. 14. Temporary dewatering sites must be restored to preexisting conditions unless more natural geomorphic conditions can be provided. 15. All work shall be performed during low flow conditions. 16. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of Completion Form" to notify DWQ 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 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 contact Sue Homewood at 336-771-4600 extension 287 or at Sue.Homewood@ncmail.net. Sincerely, Alan W. Klimek, P.E. Attachment cc: Wilmington District Corps of Engineers John Thomas, USACE Raleigh Field Office D Jerry Parker, Division 7, Division Environmental Officer AUG j 9 2005 Wetlands/401 Unit Winston Salem Regional Office ftkQ - WAi Central Files IVII. J.lvl. 1v1111J, r.L. August 9, 2005 DWQ# 05-0406 Page 4 DWQ Project No.: County: Applicant: Project Name: Date of Issuance of 401 Water Quality Certification: Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division of Water Quality, 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, , hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date: Agent's Certification hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Engineer's Certification Partial Final Date: I, , as a duly registered Professional Engineer 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 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 Registration No. Date imap://rob.ridings%40dwq.denr.ncmai1.net@cros.ncmai l.net:143/fet... Subject: [Fwd: Kimbro Road] From: Sue Homewood <Sue.Homewood@ncmail.net> Date: Tue, 09 Aug 2005 15:37:29 -0400 To: Rob Ridings <Rob.Ridings@ncmail.net> Rob, I've accepted this as a formal response to my hold letter for project # 05-0406. 1 will be issuing the permit asap. thanks. sue ------- Original Message -------- Subject:Kimbro Road Date:Fri, 29 Jul 2005 12:22:53 -0400 From:Jerry Parker <iparker@dot.state.nc.us> Organization: North Carolina Department of Transportation To:sue.homewood@ncmail.net <sue.homewood@ncmail.net> Sue, For your records, John Thomas stated that the pipe that was replaced on Kimbro Road over the recent stream call did not require a NW 14 and was eligible for a NW 3. His assessment was based on the pipe length only increasing four feet and no proposed widening of the existing road (only paving). Call me if you have any questions. Also, I will be mailing you a change in a dewatering plan used on a project in Guilford County. John Thomas has already approved it but I wanted to make you aware. I actually had it in my car on Thursday but in old age I forgot to give it to you. Have a nice week-end. Jerry Parker Sue Homewood <Sue.Homewood@NCmail.net> NC DENR WSRO 1 of 1 8/9/2005 3:41 PM ?QF W A T?9o Michael F. Easley, Governor O William G. Ross Jr., Secretary Cq North C epartment of Environment and Natural Resources Alan W. Klimek, P.E. Director `yyo0 O Division of Water Quality J' Z? C "A' j -Q April 20, 2005 Jerry Parker, Division Environmental Officer Division Seven North Carolina Department of Transportation PO Box 14996 Greensboro, North Carolina, 27415-4996 Re: Permit Application for culvert replacement associated with secondary road paving of Kimbro Rd (SR 1593) in Caswell County Project Number #31366 DWQ No. 05-0406 Dear Mr. Parker: The Division of Water Quality has reviewed your submittal for a 401 Water Quality Certification for the aforementioned project. Review of your application revealed it lacking necessary information required for making an informed permit decision. The permit application was deficient in the following areas: • It was determined that the middle surface water feature identified is an intermittent stream rather than an ephemeral stream as noted in the permit application. Please revise the permit application to include impacts at this location. Therefore, pursuant to 15A NCAC 211.0507(a)(5), we will have to place the permit application on hold until we are supplied the necessary information. Furthermore, until the information is received by the NC Division of Water Quality, we request (by copy of this letter) that the US Army Corps of Engineers place the permit application on hold. Hopefully, we can work together to expedite the processing of your permit application. If you have any questions or require additional information, please contact me at 336-771-4600 extension 287. Sincerely, Sue Homewood cc: Wetlands 401 Transportation Unit John Thomas, US Army Corps of Engineers Raleigh Field Office Winston-Salem Regional Office North Carolina Division of Water Quality 585 Waughtown Street Internet: h2o.enr.state.nc.us Winston-Salem, NC 27107 N hCarolina r Naturally Phone (336) 771-4600 Customer Service FAX (336) 771-4630 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper ?e.aS[A1to? STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY GOvERNOR March 2, 2005 Ms. Beth Barnes Wetlands/401 Unit NC DENR Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699 (Seven Copies) Mr. John Thomas US Army Corps of Engineers 6508 Falls of the Neuse Suite 120 Raleigh, NC 27615-6814 (Two Copies) q? ?o s LYNDO SE( Subject: Caswell County, Culvert Replacement associated with secondary road paving of Kimbro Road( 5 K0 15 ? 3 Project Number 0 31366 To Whom It May Concern: The North Carolina Department of Transportation (NCDOT) proposes to replace a undersized culvert on Kimbro Road (SR 1593) in Caswell County associated with secondary road paving. In an effort to obtain the necessary permits for the subject culvert replacement, we are providing a pre- construction notification application with supporting documentation. We believe this project can be permitted under the Nationwide Permit numbers 14 and 33. NCDOT is requesting an exemption from USCOE mitigation based on the scoured area adjacent to the existing outlet pipe (see photos). The following information is being provided to satisfy conditions of General Water Quality Certification. P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. (336) 334-3192 Fax No. (336) 334-3637 PROJECT INFORMATION Road Name SR Number Project Length miles Classification Kimbro Road SR 1593 N/A Rural River Basin: DWQ ID Water Quality Designation % Impervious Surface Roanoke 22-52-2 C; N/A Buffer Rulesa Buffer Rule Conditions where applicable) No N/A Protected Species Presentb Mapped Historic Pro ertiesc' CAMA AEC Essential Fishery Habitat No No No No a Separate documentation attached as needed: b See the attachect Endangered Species Review Sheet for further information: c When Applicable - See the attached Historic Review Letter for further information PIPE REPLACEMENT INFORMATION Site N/A Stream Type Intermittent Station Existing Pipe (1) 58' X 24" RCP Proposed (1) 88' X 36" CMP Pi e Construction Pump around with offsite detour Dewatering Sandbags & rock silt dam Method Device* Burial Depth 20 % minimum of pipe diameter E/C Plan Date Construction Upon receipt of permit Duration One week Date Impacts (ft.) 30 ft-enclosure; 20 linear ft-rip-rap along stream bank; 50 sf -temporary sandbags and rock silt dam Special Conditions Restoration Within 15 working days of the pipe replacement the natural stream contours Plan will be restored and seeded. Temporary silt screens will be cleaned and removed following vegetation establishment. RCP = reinforced concrete pipe; CMP = Corrugated metal pipe; CMPA = Corrugated metal pipe arch; E/C = Erosion control. *A less intrusive dewatering device may be used in lieu of the one proposed. P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. (336) 334-3192 Fax No. (336) 334-3637 MINIMIZATION INFORMATION Impacts will be minimized by strict enforcement of Best Management Practices for the protection of surface waters and wetlands, restrictions against the staging of equipment in or adjacent to waters of the US, and coordination (including a pre-construction meeting) with the Division Environmental Officer. MITIGATION INFORMATION Stream mitigation is not anticipated, as the impacts to any individual stream do not exceed 150 feet Wetland mitigation is not anticipated, as wetland impacts do not exceed 0.10 acres and do not occur in a unique natural wetland. APPLICATION INFORMATION Enclosed please find the Pre-construction Notification Form and supporting documentation for the above referenced project. If you have any questions or need any additional information, please contact Dennis Johnson at (336) 375-5589 or Jerry Parker at (336) 256-2063. Your time and effort are appreciated. Sincerely, oion Mills, P.E. Engineer, Division 7 Enclosures CC: Jerry Parker, Division Environmental Officer NCDOT Herbert McDowell, NCDOT Derek Dixon, NCDOT Davis Watkins, NCDOT Barry Harrington, NCDOT Sue Homewood, NC Division of Water Quality P. O. Box 14996 Greensboro, NC 27415-4996 Telephone No. (336) 334-3192 Fax No. (336) 334-3637 Office Use Only: c Form Version May 2002 USACE Action ID No. DWQ NO `? O O (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 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14 and 33 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ? 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (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 Evviiotal Concern (see the top of page 2 for further details), check here: ? H. Applicant Information 1. Owner/Applicant Information Name: Mr. J M Mills P E Division Engineer - Division 7 Mailing Address: P.O. Box 14996 Greensboro. NC Telephone Number: (336) 334-3192 Fax Number: (336) 334-3673 E-mail Address: mmillsadot 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: Jerry Parker Company Affiliation: NCDOT Mailing Address: P.O. Box 14996 Greensboro. NC Telephone Number: (336) 256-2063 Fax Number:_ (336) 334-4149 E-mail Address: Page 1 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 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: Kimbro Road (SR 1593) 2. T.I.P. Project Number or State Project Number (NCDOT Only): 31366 3. Property Identification Number (Tax PIN): Not Applicable 4. Location C•ounty:. Caswell Nearest Town: Yanceyyille Subdivision name (include phase/lot number): Not Applicable Directions to site (include road numbers, landmarks, etc.): The project is just northeast of Yanceyville. From US 158/NC 86, take NC 62 north 0.1 miles. SR 1593 Kimbro Road is on the left. 5. Site coordinates, if available (UTM or Lat/Long): See the attached USGS M. (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): Not applicable 7. Nearest body of water (stream/river/sound/ocean/lake): UT to South Fork Rattlesnake Creek 8. River Basin: Roanoke (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/map-/.) Page 2 of 9 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: Residential and agricultural 10. Describe the overall project in detail, including the type of equipment to be used: The project will involve paving an unpaved secondary road and bringing the travel lane, shoulders, ditchlines, and drainage structures up to current standards. Travel lane wideningz will be required to bring the road up to current standards. Standard shoulder widths will be 6'-8' with deviations shown on the attached site plan. Ditch widths will vary based on site conditions. Culverts at two locations on the road are proposed to be replaced and another culvert adjacent to a pond) is proposed to be extended. Of the three sites, only one has been determined to be a stream for which this permit is applied The extended pine is proposed on the opposite side of the road from the pond. All road widening activities in that area will occur on the opposite side of the pond. Proposed ri 'ht-of-way width is illustrated on the attached site plan. Equipment used will be standard road construction equipment (trackhoe, grader, backhoe, and bulldozer). 11. Explain the purpose of the proposed work:To upgrade an unpaved secondary road to a paved secondary road. Paving and widening_ are being conducted to reduce future maintenance costs, bring the road up to current construction standards, and increase traffic safety. 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. Not Applicable 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. Not Applicable 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 Page 3 of 8 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: Permanent stream impacts will result from channel enclosure and placement of rip-rap stream bank stabilization. Temporary stream impacts will result from placement of cofferdams (perennial streams) and siltscreens. Silt screens placed in intermittent channels will be cleaned and removed following vegetation establishment. 2. Individually list wetland impacts below: 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 feet Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online •Uww w.fema. eov. *** 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: Not Applicable Total area of wetland impact proposed: Not Applicable 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Length of Average Width of Perennial or Site Number Type of Impact* Impact Stream Name** Stream Before Intermittent? indicate on ma linear feet Impact leases eci SR 1593 Pipe 30 (en) 4 (tmp) UT to South Fork 3 to 5 feet Intermittent Replacement 20 Rattlesnake Creek * 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.usas.aov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.inapgtiest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 20- enclosure (en). 40- temporary &np), 20- rip rap (ro) Page 4 of 8 4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.) below: Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres Name of Wat) (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 5. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Not Applicable Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Not Applicable Size of watershed draining to pond: N/A Expected pond surface area: N/A VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Pine replacement activities are necessary to increase travel lane and shoulder width to current construction standards. Impacts will be minimized by strict enforcement of Best Management Practices for the protection of wetland and surface waters, restrictions against the staging of equipment in or adjacent to waters of the US, and coordination (including a pre-construction meeting) with the Division Environmental Officer. 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. Page 5 of 8 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/strmizide.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 desa4gibaafthe current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. A finding of insignificant impact is anticipated, therefore, a mitigation plan is not provided. Cumulative impacts are less than 150 feet. The maximum amount of impact to a single stream is 30 linear feet. No Outstanding Resource Waters, federally protected species or their habitats, or essential fishery habitats occur in the project area. The project is not located in a High Quality Water. 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 (919) 733-5208 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): Not Applicable Amount of buffer mitigation requested (square feet): Not Applicable Amount of Riparian wetland mitigation requested (acres): Not Applicable Amount of Non-riparian wetland mitigation requested (acres): Not Applicable Amount of Coastal wetland mitigation requested (acres): Not Applicable Page 6 of 8 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 (919) 733-5083 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 Regicz W 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 N/A 3 2 N/A 1.5 Total N/A * 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. Page 7 of 8 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. Not Applicable 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. In accordance with the February 25, 1991 delegation agreement one copy of the sediment and erosion control plan will be submitted to DENR - Division of Land Resources and NCDOT Roadside Environmental Prior to construction. 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. Not Applicable XIII. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes_ No X Is this an after-the-fact permit application? Yes_ No X 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). Agent's Signature . Dite is valid only if an authorization letter from the applicant is provided.) Page 8 of 8 Construction Sequence and Erosion Control Plan for Replacement of Pipe with Pipe Using a Pump Around - Caswell County, Kimbro Road SR 1593 Work to begin as soon as practicable following authorization. Construction is anticipated to take 2 weeks. 1. Install a rock silt dam downstream of the work area to prevent incidental sediment loss. 2. Install ABC aggregate or a less intrusive dewatering device to allow dewatering of the work area. 3. Install pumps to divert flow around the work area. 4. Remove existing line pipe. 5. Excavate to sufficient depth to allow burial at a minimum depth of one foot or 20 % of the pipe diameter. 6. Backfill the new line of pipe and place rip rap only as needed. 7. Starting from the downstream end, remove the dewatering device and restore the natural stream contours. 8. Notify landscape department for final seeding. 9. Silt fences to be placed as site conditions require. 10. Ifnecessary, a 10' X 15' dirt bag will be used to remove excess water in the hole where the new pipe is being replaced. 11. Site conditions and weather may alter these plans. 12. A method less intrusive than a pump around system may be utilized if site conditions allow. / •J \ ? 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