20050847 Ver 1_Complete File_20050520

Certificate of Completion
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DWQ Project No. 0? -0!R y County: G ers4-cY1
Applicant: N h o -
Project Name: Sl?
Date of Issuance of 401 Water Quality Certification: ???? ooh
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 maybe 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, c. H"Id-f 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.
Date: 05?
Signature: (c ,2- A??
Agent's Certiftcatiou
1, , 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:
Date:
If this project ivas designed by a Certified Professional
I, , as a duly registered Professional
(i.e., Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been
authorized to observe (periodically, weekly, full time) the construction of the project, for the
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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Mr. Mike Holder, P.E.
NCDOT Division 12
P.O. Box 47
Shelby, NC 28151
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
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MAY 2 4 1005
DENR - WATER QUALITY
WETLANDS AND STORMWATER BRANCH
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Holder:
May 20, 2005
DWQ# 05-0847
Gaston County
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact a total of 93 linear feet (If) of streams and 0.02 acres of wetlands as listed in the table below:
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Site 1 1 Unnamed tributary" to Pipe replacement 23 linear feet
Beaverdam Creek
Site 2 2 Unnamed tributary" to Fill due to pipe replacement on new 70 linear feet
Beaverdam Creek alignment
Wetland between Site 1 Wetland A Fill due to road alignment 0.02 acres
and Site 2
The impacts will be to two (2) unnamed tributaries of Beaverdam Creek and a wetland which lies between the
two (2) unnamed tributaries for the purpose of paving a secondary road as described in your application
received by the Division of Water Quality (DWQ) on May 17, 2005. The location of the project is State Road
1623 (Hastings Road) in Gaston County. After reviewing your application, we have determined that this project
is covered by Water Quality General Certification Number 3404. This certification corresponds to Nationwide
Permit 14 issued by the U.S. Army Corps of Engineers (USACE). 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
will expire with the associated 404 permit unless otherwise specified in the Water Quality Certification.
This approval is valid solely for the purpose and design that you described in your application (unless modified
below). 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 listed in the attached certification and those listed below:
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.
*No stream determination performed. Nom` Caro tna
?tara)ry
North Carolina Division of Water Quality 610 East Center Avenue, Suite 301
Intemet h2o.enr.state.nc.us Mooresville, NC 28115
Phone[phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer - 50°/6 RecycleWl0% Post Consumer Paper
4
Page 2
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 below locations of each culvert. The applicant may be required to provide
evidence that the equilibrium has been maintained, if requested in writing by the DWO.
2. The presence of equipment in the channel must be minimized. Under no circumstances must rock, sand or
other materials be dredged from the wetted stream channel.
3. 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.
4. 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.
5. Temporary dewatering sites must be restored to pre-existing conditions unless more natural geomorphic
conditions can be provided.
6. No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened.
7. 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.
8. All mechanized equipment operated near surface waters must be regularly inspected and maintained to
prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials.
9. All work shall be performed during low or normal flow conditions.
10. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to
surface waters is prohibited.
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
project within waters and/or wetlands, except as authorized by this Certification, or any modification to this
Certification (e.g., no work shall occur outside of the footprint of the plans provided).
Page 3
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.
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 21-1.0503, 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
o50847
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STATE of NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR SECRETARY
May 10, 2005
Mr. Steve Lund - NCDOT Projects
US Army Corp of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, N. C. 28801-5006
SUBJECT: Pipe replacements on secondary road paving project, SR 1623 (Hastings Road), Gaston
County
Dear Mr. Lund:
The North Carolina Department of Transportation requests authorization to replace two pipes during the
upgrade/paving project on SR 1623 (Hastings Road) in Gaston County. There will be no changes in road
alignment; however, the existing pipes will be replaced with longer pipes to allow for the upgrade of the
road to paved road standards. At Site # 1, a 33-foot, 24" RCP/CMP will be replaced with a 56-foot, 36"
CMP. At Site #2, a 25-foot, 24" CMP will be replaced with a 68-foot, 36" on new alignment, which
will result in the loss of 70 feet of stream. The change in pipe alignment is necessary to allow for the
reconnection of the upstream and downstream stream sections so not to cause 90° turns in the stream
channel. Upstream and downstream thalweg elevations were taken at each site. The new pipes will be
buried -0.6 feet into the streambed based upon the profiles to promote aquatic passage. No riprap will be
used at either site. There is a small wetland area located between the two streams that will be minimally
impacted by the road project. Approximately 0.02 acres of the wetland will be impacted by fill during
construction of the road and pipe replacements.
Both streams are low-flow, intermittent streams; therefore, the stream flow will be dammed and the pipe
replacements will be done within an 8-hour period without additional stream flow management. The
scope of the work will result in 0.02 acres of wetland impacts and 93 linear feet of stream impacts to two,
separate, unnamed tributaries to Beaverdam Creek, which is classified as WS-IV waters by the Division
of Water Quality.
The proposed project is located in Class WS-IV watershed; however, it is not located within '/2 mile of
any critical watershed area, nor is SR 1623 a rural or urban arterial. Hazardous spill basins are not
required.
SR 1623, Hastings Road
Page 2
May 10, 2005
Enclosed is a pre-construction notification for NW #14, a sketch of planned activities, photographs of the
site, and location maps relative to the project. 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: ?'te 4
Trish Simon
Division 12 Environmental Supervisor
Enclosures
CC: John Hennessy, DWQ, 40 I/Transportation Permitting Unit
Polly Lesspinnesse, DWQ, Mooresville Regional Office
Ron Linville, Wildlife Resources Commission (Courtesy Copy)
s? ?vu
Office Use Only: Foni?jrsion May 2(1??;-a
0 5 0 7
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".1-p
L 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: 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: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder, N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby, North Carolina 28151
Telephone Number: 704-480-9020
E-mail Address:
Fax Number: 704-480-5401
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: tsimon u,dot.state.nc.us
Page 1 of 9
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: Hastings Road (SR 1623), Pipe renlacements/SecondM Road Pavin
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12C.036034
3. Property Identification Number (Tax PIN): NA
4. Location
County: Gaston Nearest Town: Cherryville
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): HwX 279 east from Chpm[yille.
left onto SR 1620, left onto SR 1623.
5. Site coordinates, if available (iTTM or Lat/L.ong): Site #1• 35°22'40"N/81°16'49"W
Site #2: 35°22'40"N/81°16'51"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): Pipe replacements = 0 10 acre; Entire project = 1.2 acres (NCDOT
right of way).
7. Nearest body of water (stream/river/sound/ocean/lake): Unnamed tributaries to Beaverdam
Creek, WSW Watershed (from a point 0.3 mile upstream of Gaston County SR 1626 to
South Fork Catawba River).
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 .)
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:Existing Conditions -pipes on unpaved secondary subdivision road.
General Land Use- residential homes/yards.
10. Describe the overall project in detail, including the type of equipment to be used: The
upcoming road paying project consists of the upgrade of the road to paved road standards with
no alignment changes At Site #1(TI). a 33-foot long 24" RCP/CMP pipe will be replaced
with a new 56-foot 36" RCP At Site #2LT2), a 25-foot, 24" RCP will be replaced with a new
68-foot 36" RCP on new alignment which will result in 70 feet of stream loss. Work will be
done using typical heavy construction equipment: bulldozers pans, backhoes rollers and
pavers.
11. Explain the purpose of the proposed work: The purpose of the proposed work is to replace
the existing pipes so as to allow for construction/paving of SR 1623 to current paved road
standards.
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.
NA.
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.
No future permit requests at this site are 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.
Page 3 of 9
1. Provide a written description of the proposed impacts: Permanent impacts from increases in
pipe length and mechanized land clearing,
2. Individually list wetland impacts below: NO WETLAND IlVIPACTS
Wetland Impact Area Located within Distance to
Site Number Type of of 100-year
a
Nearest Stream
Type of Wetland***
(indicate on Impact* Impact Floodpl
in** (linear feet)
ma acres es/no
Between Sites Fill .02 No Adjacent Riparian
#1 and #2
* 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: 0.02 (on ROW)
Total area of wetland impact proposed: 0.02 acres
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact Length of Perennial or
Site Number Type of Impact* Impact Stream Name** Average Width of Intermittent?
(indicate on (linear Stream Before (please specify)
ma feet Impact
1 Pipe Replacement 23 feet UT to Beaverdam 2.0 feet Intermittent
2 Fill due to Pipe replacement 70 feet "
on new alignment
" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated
rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after,
and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation,
ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the
original and relocated streams must be included
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the
nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616,
or online at www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g.,
www.tgpozone.com, www.mapauest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on siteTermanent impacts = 93 ft.
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and an other water of the U.S.) below: 0
Open Water Impact Area of Name Waterbody Type of Waterbody
Site Number Type of Impact* Impact )
( applicable) (lake, pond, estuary, sound,
indicate on ma acres ba ocean, etc.

• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation,
dredging, flooding, drainage, bulkheads, etc.
Page 4 of 9
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
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 longer pipe at Site #1 and Site #2 are necessary for construction of the road to paved road
standards The pipe at Site #2 will be realigned at a skew to provide a hydraulic connection
without causing 90° turns in the stream channel.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
Page 5 of 9
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.
NCDOT proposes to provide any mitigation required by USACE in accordance with
guidelines outlined in the USACE letter of 9/1/04 from Mr. Ken Jolly to Dr. Greg}orv Thorpe.
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 9
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* Imp
feet) Multiplier Required
Nlitigation
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 NC AC 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.
The new road will follow the existing alignment; therefore there will be a minimal increase in
impervious acreage. Appropriate erosion and sedimentation control measures will be in place
during the pipe replacement.
XH. 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
XM. 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 9
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).
- R. -/ 5-10 - 0-15-
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 9
• C

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Site #1 Pipe
Replacement
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Name: LINCOLNTON WEST Location: 035° 22'50.15" N 081° 16'38.69" W
Date: 5/3/2005 Caption: Pipe replacement/Secondary Road Pav., SR 1623 (Hastings Rd),
Scale: 1 inch equals 1000 feet UT's to Beaverdam Crk, WS-IV Waters, Catawba Basin

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Site #2 Pipe
Replacement
Copyright (C) IM, Wptech, Inc
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PURPOSE
T
Sedim
of Higl
and
h
d
e purpose of this Erosion and
ntation Control Program of the Division
ways is to control accelerated erosion
>edimentation resulting from the
nstruction ana maintenance or roaas ana
ihwavs in North Carolina. This aroara m is
veloped pursuant to the re
ntained in the Rules and Regi
Erosion and Sedimentation Control
adopted by the North Carolina Sep
Control Commission on April 10, 19
juirements
lations for
vhich were
imentation
4.
1
PROJECT
' j
i
DESCRIPTION
I
i
SR 1623 Pfmft g,Is Rd.) from its intersection with SR 1620 to SR 1622. It will be
constructed to the attached typical section. No problem areas are anticipated. The
work will be completed during the 04/05 construction season.
4
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1. Grading to be started by state forces. Install all necessary silt fences, sediment ba.,
and begin clearing construction area
2. Rough grade the construction area and begin installing any storm drainage and/or
inlet and outlet protection as storm drainage is being installed.
3. As an area is brought to finish grade and the black base is placed for the road, and
finished, then seed, mulch and tack should be provided for denuded areas.
4. Leave all erosion control devices in place until vegetation has been established sul
and check dams
s lines. Install
shoulder
to
withstand erosion. D NOT remove any erosion control devices until directed by the County
Engineer.
MAINTENANCE PLAN
1. All erosion and sediment control practices will be checked for stability and operation following every
runoff producing rainfall but in no case less than once every week. Any repairs will be made
immediately to maintain all practices as designed.
2. Sediment will be removed from behind the sediment fence when it becomes about 0.5 feet deep at the
fence. The sediment fence will be repaired as necessary to maintain a barrier.
3. All seeded areas will be fertilized, reseeded as necessary and mulched according to the instruction in
the seeded specifications to maintain a vigorous, dense vegetative cover.
4. Outlet protection will be installed when outlets are installed Filter fabric will be placed under the
entire stone section and will be repaired and replaced if damaged during any phase of construction.
5. Sediment will be removed from the basin when it reaches 1.0 foot below the emergency spillway. The
filter stone is to be cleaned or replaced when basin no longer drains properly.
The angles for graded slopes and fills shall be no greater than the angle which can be retained
cover or other adequate erosion control devices or structures.
Seeding should be done in accordance with the specifications for that season of the year.
Additional erosion control measures may be required depending on the actual field conditions
by vegetative

Gaston County
SR 1623, Hastings Road
Map 3 of 6
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CONVENTIONAL SYMBOLS
Re(orestatibu
................. ...................... ............ .. QK
I emporary Silt Ditch ............. r o
I emporary Silt fence ................. III--III--III---
1 emporary Slope Drain ...............•----•------._......._.
Silt Basin 'Type 1A , ........................................ ...........
Silt Basin Type B ......................................................
77;
Rock ?11?!CLc
Silt Check Dam ...............................
:arch Berm ..................................................... 4 ?-- 4
I emporary Stone Ditch Check ......._
Stilling Basin .........._....._............
1 liter Berm Basin -.
I emporary Seditnettt Trap .............................
Hip Hap Sediment Dam .......................................... }
Stone Silt Screen ...............................................
A
pipe Inlet Protection ..............................................
----•-
I emporary Diversion ....................................
P!
INLET PROTECTION:
.l.jpe A. Sediment Pit ........................................
with CL-B and »5 Stolle
'llyi?c B 05 Stone Only ........................................ Ulf...
-ryj,r,- C 1t5 Stolle and Silt Fence .......
..... U ..Olt ..
SILT BASIN TYPE-B:
r*r e?1?LlL .
A silt basin type-B is a temporary basin built to collect sediment flowing through a
drainage way. The silt basin is built at the base of the ditch with its length being at
least 2 times the width of the basin. The type-B silt basin is generally built in
conjunction with temporary rock silt checks and other devices that control or slow
down water flow. This device must be monitored closely and cleaned- out on a
regular basis until grass is established along the ditch line and sedimentation is no
longer a problem.
AREAS Or USE:
• In conjunction with temporary rock silt checks and other devices used in
drainage ditches. -
DESIGN CRTIZRIA:
• Width - variable
• Length - 2 times width
• Depth - 2 ft. minimum storage - 1800 cubic feeUacre (equals L z W z D)
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TEMPORARY SILT FENCE:
A temporary silt fence is commonly used at the toe of a fill section to prevent off-
site sedimentation. It is made of permeable filter fabric buried at the bottom,
stretched and supported by steel posts. The silt fence reduces the water flow while
retaining the sediment. They may also be used to divert water flow to protected
outlets. Silt fences need to be checked after each significant rainfall to ensure there
effectiveness. They must be maintained on a regular basis. Silt fences shall not be
installed across streams, ditches, or waterways.
AREAS OF USE:
• At toe of fill sections where sediment runoff can be stored and contained
inside the project limits.
DESIGN CRITERIA:
Material Fabric
Steel posts length
Post spacing
With Wire
Type 3 Class A
5 ft
10 ft.
Without Wire
Type 3 Class B
5 ft.
6 ft. maximum

17
March, 1992
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TEMPORARY ROCK SILT CHECK TYPE-B:
I
A temporary rock silt check type-B (also called check dam) is a small dam with a
weir used to reduce gullying in drainage ditches that are to be filled or
permanently stabilized at a later date. These type-B rock silt checks help reduce
the flow velocity and are generally made of class-B stone. They are used in ditches
during construction where the grade meets and/or exceeds 3%.
AREAS OF USE:
• In channels, roadside ditch outlets, temporary silt ditches, and temporary
diversions.
• In conjunction with type-B silt basins.
DESIGN CRITERIA:
• Center of rock silt check shall be at least 1 foot lower than the outer edges
(top of channel sides)
• The spacing (ft.) = (3 / % of ditch grade) X 100 ft.

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bneez i or
WBS# 120.036034
SR 623, Fia5LTngs
Rea , 9.42 miles,
Gza, a A-as, Daus
10+00
2411 RCP
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24" RCP
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SR 1620
sneet 1 or 1
0
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
CJOVFRNOR SECRETARY
MEMO TO: John Hennessy, DENR/DWQ/401frransportation Permitting Unit
FROM: Trish Simon, Division 12 Environmental Supervisor 7j
DATE: May 10, 2005
SUBJECT: Pre-Construction Notification/401 Automated Payment
Enclosed are seven copies of a pre-construction notification for a NCDOT project in Gaston County for
your review.
Project information for the 401 Automated Payment Procedure
• Work order number: 150456-55120005-12C.036034-3855
• TIP #: NA
• Project Category: $200.00 Fee
tS
Post Office Box 47 Shelby, North Carolina 28 1 5 1-0047