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HomeMy WebLinkAbout20051624 Ver 1_Complete File_20050906September 6, 2005 Page 5 of 5 DWQ Project No.: ZQO?r?2'? Applicant: /VG-O O T , Project Name: Date of Issuance of 401 Water Quality Certification: S> Zo ?' S 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 do , d other supporting materials. Signature: Date: 47 Agent's Certifi Zion 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: 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 County: Registration No. Date DEPARTMENT OF THE ARMY WILMINGTON DISTRICT, CORPS OF ENGINEERS P.O. BOX 1890 WILMINGTON, NORTH CAROLINA 28402-1890 IN REPLY REFER TO Regulatory Division September 6, 2005 Action ID No. 200530731 Mr. Mark Davis North Carolina Department of Transportation Division 14 253 Webster Road Sylva, North Carolina 28802 Dear Mr. Davis: o? FT?? S?NR Q ? A??s qTF . *S *40 T oRM?N,??6 Tq?y Please reference the Department of Transportation permit application dated August 16, 2005, requesting authorization to discharge fill material into 40 linear feet (permanent), 25 square feet (temporary), and 21 square feet (permanent) of an overflow channel of the Little Tennessee River, located at bridge number 238 on SR 1649 (Prentiss Bridge Road), south of Franklin, Macon County, North Carolina. The channel is a perennial, jurisdictional stream. The proposed work includes the replacement of the bridge, which was damaged in the floods of September 2004. The existing bridge will be removed without dropping any of the structure into the river. The new structure will have a longer span to reduce impacts and sand bag cofferdams will be utilized if necessary to insure a dry work environment. After review of your permit application, we have determined that we cannot complete our evaluation of the project without additional information. Nationwide Permit General Condition 11 states, "no activity is authorized under any NWP...which will destroy or adversely modify the critical habitat of (a threatened or endangered) species." The Little Tennessee River is occupied, critical habitat for the Spotfin Chub (Cyprinella monacha), a federally-listed threatened species. As the proposed project is located in critical habitat, the US Army Corps of Engineers (Corps) does not agree with your determination of no effect to federally-listed species or critical habitat. We have determined that this project may affect the Spotfin Chub and/or its critical habitat. Please submit stormwater plans for this project, including all sediment and erosion control measures, to the Asheville Regulatory Field Office. This information, coupled with the information in your application, will enable the Corps to determine whether or not the proposed activity will adversely effect or adversely modify the Spotfin Chub or its critical habitat, respectively. Once the Corps has made this determination, concurrence from the United States fish and Wildlife Service (Service) will be requested. As a result of the consultation process with the Service, additional conditions to any verified permit may be required. If the information requested above is not received in this office by October 10, 2005, your application will be considered withdrawn and this file retired. It will be reopened upon receipt of the necessary information. Questions or comments may be addressed to Ms. Angie Pennock in the Asheville Field Office, Regulatory Division, telephone (828) 271-7980 extension 226. Sincerely, Scott McLendon Team Leader, NCDOT Copies Furniched: Mr. Ben Williams North Carolina Department of Transportation 178 Henry Bird Road Whittier, North Carolina 28789 Ms. Denise Moldenhauer United States Fish and Wildlife Service 160 Zillicoa Street Asheville, North Carolina 28801 Mr. Brian Wrenn V/ Division of Water Quality North Carolina Department of Environment and Natural Resources 1650 Mail Service Center Raleigh, North Carolina 27699-1650 • W A T Michael F. Easley, Governor .0? ? pG William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources v3 ?. Alan W. Klimek, P.E. Director > y Division of Water Quality September 6, 2005 Macon County DWQ Project No. 20051624 Bridge No. 238 on SR 1649 APPROVAL of 401 Water Quality Certification Mr. Ben Williams, P.E., Division Bridge Engineer North Carolina Department of Transportation, Division 14 178 Henry Bird Road Whittier, North Carolina, 28789 Dear Mr. Williams: You have our approval, in accordance with the attached conditions and those listed below, to place permanent fill material in 40 linear feet of stream for bank stabilization and 21 square feet of surface waters for new bridge bents. In addition, you have our approval to temporarily impact 25 square feet of surface waters for the removal of existing structures. These impacts are permitted for the purpose of replacing Bridge No. 238 on SR 1649 over the Little Tennessee River overflow canal in Macon County. The project shall be constructed in accordance with your application dated August 16, 2005 (received August 25, 2005). After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Numbers 3495 and 3370. These certifications correspond to Nationwide Permits 13 and 31 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, unless otherwise specified in the Water Quality Certification. This approval is valid solely for the purpose and design described in your application (unless modified below). Should your project change, you must notify the DWQ 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 below and in the attached certification. 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. One Carolina Transportation Permitting Unit ?tura lly 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/ncwetiands An Equal Opportunity/Affirmative Action Employer-50% Recvcled/10% Post Consumer Paper September 6, 2005 Page 2 of 5 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 date that the Division of Land Quality has released the project. 4) The NCDOT shall use Best Management Practices for the Protection of Surface Waters (NCDOT August 2003) and Sedimentation and Erosion Control Guidelines for Sensitive Watersheds [15A NCAC 4B .0124 (a)-(e)]. Measures should be implemented prior to any ground disturbing activities and maintained on the project site to minimize impacts to downstream aquatic resources. Temporary or.permanent herbaceous vegetation should be planted on all bare soil within 10 days of ground disturbing activities to provide long-term erosion control. Erosion control matting should be used in conjunction with appropriate seeding on disturbed soils in steep slope and riparian areats. Matting should be secured in place with staples, stakes or, wherever possible, live stakes of native trees. 5) 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. 6) Riparian vegetation must be re-established within the construction limits of the project by the end of the growing season following completion of construction. All protected riparian buffers impacted by the placement of temporary fill or clearing activities shall be restored to the preconstruction contours and re-vegetated with native woody species upon completion of the project construction. 7) 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. 8) 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. 9) Any riprap used must not interfere with thalweg performance and aquatic life passage during low flow conditions. .' September 6, 2005 Page 3 of 5 10) 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. 11) 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. 12) There shall be no bridge deck drains that discharge directly to State surface waters. 13) If concrete is used during the bridge construction project (e.g., bents or retaining walls), 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. 14) 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 except where authorized by this water quality certification. 15) All work shall be performed during low or normal flow conditions. 16) Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface waters is prohibited. 17) NCDOT 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 law 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 15A NCAC 2H.0507(d). Any new or revised conditions shall be provided to NCDOT in writing, shall be provided to the United States Army Corps of Engineers 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. 18) 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. 19) 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. 20) There shall be no excavation'from or waste disposal into jurisdictional wetlands or waters associated with this permit without appropriate modification of this permit. Should waste or borrow sites be located in wetlands or stream, compensatory mitigation will be required since it is a direct impact from road construction activities. September 6, 2005 Page 4 of 5 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, P.O. Box 27447, Raleigh, N.C. 27611-7447. 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 Brian Wrenn at 919-733-5715 or Mike Parker 828-296- 4500. nc ely, Alan W. Klimek, P.E. Attachment 1-1 cc: Angie Pennock, Amy Corps of Engineers Asheville Regulatory Field Office Mike Parker, DWQ Asheville Regional Office File Copy STATE OF NORTH CAROLINA o? 4, ? OF l ? ?ti0s NR h? X00 q%s °RMWZ/ry S %C/y DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY LYNDO TIPPETT GOVERNOR SECRETARY August 16, 2005 Ms. Angie Pennock, NCDOT Regulatory Project Manager U.S. Army Corps of Engineers P') 45 16 2 151 Patton Avenue, Room 208 4 Asheville, NC 28801-2714 Subject: GP 31 Permit and Nationwide Permit 13 Application Bridge Number 238 on SR 1649 over Little Tennessee River Overflow Canal Macon County State Project: WBS No: DF112.2056100 (DWQ Minor Permit Fee $200.00) Dear Ms. Pennock: The North Carolina Department of Transportation (NCDOT) is proposing to replace Bridge Number 238 on SR 1649 over the Little Tennessee River overflow canal (C), in Macon County. The existing structure was damaged during recent hurricanes; therefore, we are requesting this permit to perform the needed bridge replacement. NCDOT proposes to rebuild this structure at the same location. The new bridge is designed to minimize impacts by implementing a longer span and increase hydraulic capacity. The removal of the existing structure shall be performed by sawing and/or non-shattering methods such that debris will not fall into the water. All work will be performed in a dry environment. Sandbag cofferdams will be used if necessary to ensure a clean, dry work area, and to minimize impacts to aquatic habitats. I am attaching a PCN application, site plans with proposed erosion control and construction limits, photos, and also, a marked county map and USGS quad map. The North Carolina Natural Heritage Base was checked for records of threatened or endangered species. There are no records listed for the Little Tennessee River in the vicinity of the project for five miles upstream and downstream of the project. There is a record for Virginia spirea (Spirea virginiana) just below the confluence of the Little Tennessee and Cullasaja Rivers. However, the habitat at the bridge site is disturbed and adjacent areas are agricultural, which is not typical of Virginia spirea. The Little Tennessee River is considered designated critical ?1 . B-238 on SR 1649 Page 3 August 16, 2005 habitat for the spotfin chub (Cyprinella monacha); however, there are no records listed for the spotfin chub above the dam at Lake Emory. Little Tennessee habitat above Lake Emory is significantly different than the occupied habitat downstream of Lake Emory dam. The stream substrate at the project site is primarily sand and silt with some cobble and gravel. This type habitat is not characteristic of the habitat for the spotfin chub. The impacts from the replacement of the bridge will be relatively minor. For these reasons, there will be "no effect" on threatened or endangered species. If the State Historic Preservation Office (SHPO) and the Office of State Archaeology determines that further investigations are required, NCDOT will conduct the appropriate site investigations and obtain compliance from SHPO prior to project construction. Impacts to Waters of the United States The Little Tennessee River is a relatively large perennial stream that is shown as a blue-line stream on the USGS topographic map. The stream has a well-defined channel characterized by a lack of vegetation with cobble, gravel, sand and silt substrate. Deposition of debris along the channel is also evident. For these reasons, we believe this stream is under the jurisdiction of the U.S. Army Corps of Engineers. In order to construct the project in accordance with our current bridge maintenance standards, it will be necessary to impact waters of the United States in the Little Tennessee River Basin. Specifically, NCDOT is requesting to replace Macon County Bridge No. 238 with a cored slab structure. Listed below is a summary of the proposed impacts. Site No. Existing Condition Proposed Condition Net Impacts Station Site 1. A West Existing End Bent Structure Removal Above 0 Ordinary Hi Water Site 1 B Flood damaged Rock West Bank Stabilization 20 LF Stabilized Streambank Class II Rip Rap (Shot Rock) 30 feet Site 2 A 5 Interior Timber Pile 2 Interior H-Pile Bents (9 H- 25 ft2. (Temporary) and B Bents (5 piles each @ 1 piles per bent) 21 ft 2. (Permanent) Sq. Ft. each) Site 3 A Riparian Area Above Structure Removal 0 Ordinary High Water Site 3 B Rock Stabilized Rock Stabilized Streambank 20 LF Streambank 30 feet Above Ordinary High Water Temporary Impacts from Structure Removal 25 fe Permanent Impacts for New Bents 21 fe Total Net Impacts for Structure (4) fe Total Net Impacts Bank Stabilization 40 LF B-238 on SR 1649 Page 3 August 16, 2005 The best management practices will be used to minimize and control sedimentation and erosion on this project. The construction foreman will review all erosion control measures daily to ensure sedimentation and erosion is being effectively controlled. If the planned devices are not functioning as intended, they will be immediately replaced with better devices. Permits Requested NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed with the construction project outlined above. By copy of this letter, I am asking Mr. David McHenry, Mountain Region Coordinator of the North Carolina Wildlife Resources Commission (NCWRC), to comment directly to you concerning the 404 Nationwide Permit request. Also, by copy of this letter, I am requesting authorization under section 401 of the Clean Water Act from the North Carolina Department of Environment and Natural Resources (DENR), Division of Water Quality (DWQ). In addition, I am asking Mr. McHenry and Mr. Ed Ingle, Roadside Environmental Field Operations Engineer (NCDOT), to comment directly to me concerning this permit request. If you have any questions or need additional information, please contact me at (828) 497-7953. Your early review and consideration will be greatly appreciated. Sincerely, B.T. Williams, PE Division 14 Bridge Maintenance Engineer cc: Mr. John Hennessy, DWQ, DENR Raleigh (seven copies) Mr. Mike Parker, DWQ, DENR, Asheville Mr. David McHenry, Mountain Region Coordinator, NCWRC, Waynesville Ms. Marella Buncick, NCDOT Coordinator, USF&WS, Asheville Mr. Joel Setzer, P.E., Division Engineer, NCDOT, Sylva Mr. Mark Davis, Division Environmental Officer, NCDOT Mr. E. L. Ingle, Roadside Environmental Field Operations Engineer, NCDOT Office Use Only: Form Version May 2002 USACE Action ID No. DWQ No. 2 0 0 5 1 6 2 4 krr any parnctuar item is not appucame to tws project, please enter "Not Applicable" or "N/A".) 1. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Riparian or Watershed Buffer Rules ? Section 10 Permit ? Isolated Wetland Permit from DWQ ® 401 Water. Quality Certification 2. Nationwide, Regional or General Permit Number(s) Requested: GP31 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 (verify availability with NCEEP 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: ? Il. Applicant Information 1. Owner/Applicant Information Name: North Carolina Department of Transportation Mailing Address:_ 178 Henry Bird Rd. Whittier NC 28789 Attn. Ben Williams Division Bridge Engineer Telephone Number: (828) 497-7953 Fax Number: (828) 497-6095 E-mail Address: btwilliams(a)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: NA Company Affiliation: NA Mailing Address: NA Telephone Number: NA Fax Number: NA E-mail Address: NA 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: Bridge # 238 over an Overflow Channel of the Little Tennessee River on SR 1649 in Macon County 2. T.I.P. Project Number or State Project Number (NCDOT Only): WBS # DF112.2056100 3. Property Identification Number (Tax PIN): NA 4. Location County: Macon Nearest Town: Franklin. NC Subdivision name (include phase/lot number): NA Directions to site (include road numbers, landmarks, etc.): From the intersection of US 64 and US 441. Follow US 441 South for approx. 3.2 miles to an intersection with SR 1649 Turn left and follow for approx. 1 mile to Macon Co Bridge 238. 5. Site coordinates, if available (UTM or Lat/Long): 35.12210° N 83.37829° 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): NA 7. Nearest body of water (stream/river/sound/ocean/lake): Little Tennessee River (DWQ Class C) 8. River Basin: Little Tennessee (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: Rural residential with surrounding forest and agriculture Page 2of8 10. Describe the overall project in detail, including the type of equipment to be.used: To rebuild a bridge that was heavily damaged during recent hurricanes. Bridge 238 is to be replaced with a 130'x 30' multi-span cored slab bridge structure on the existing alignment. Mechanical construction techniques will be used employing equipment such as excavators cranes, hand tools, dumb trucks, etc. 11. Explain the purpose of the proposed work: Rebuild Bridge 238 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. NA 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 8 1. Provide a written description of the proposed impacts: 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** (yes/no) Distance to Nearest Stream (linear feet Type of Wetland*** NA NA NA NA NA NA * 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 flocdplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at bttp://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: NA Total area of wetland impact proposed: NA 3. Individually list all intermittent and perennial stream impacts below: Stream Impact Length of Impact Average Width Perennial or Site Number * Type of Impact* (linear feet) Stream Name** of Stream Intermittent? indicate on ma) Before Impact leasespecify) Site 1 B Bank Stabilization 20 Little Tennessee 35' P 5 Interior Timber Site 2 A Pile Bents (5 piles each @ 1 Sq. Ft. Temporary 25 ft2 Little Tennessee 35' P each) Removal 2 Interior H-Pile Permanent Site 2 B Bents (9 H-piles 21 ft2 Little Tennessee 35' P per bent) Site 3 B Bank Stabilization 20 Little Tennessee 35' P Temporary Impacts Old Bent Removal 25 ft2 Permanent Impacts New Bent Installation 21 ft2 Total Net Impacts (4 ft2) Total Net Impacts Bank Stabilization 40 LF * 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. Page 4 of 8 ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.uses.jzov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tonozone.com, www.mgpquest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 0 Net Impacts 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 map) Type of Impact* Area of Impact (acres) if Name applicable) Waterbody ( PPhcable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) NA NA NA NA NA List eacn impact separately and identity 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.): NA Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): NA Size of watershed draining to pond: NA 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. There are no new imacts and the overall impacts will be less than the existing structure due to removal of old wooden timbers and replacement with fewer metal bents The west end streambank will be restored and it will be armed with large shot rock This bank was previously armed with smaller rock. The east end of the bridge has an eroded streambank and this area will be stabilized with shot rock above the ordinary high water to prevent continued erosion of the bank. This area appears to also been previously stabilized with rock at the toe of the bank Page 5 of 8 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 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 htti)://h2o.enr.state.nc.us/ncwetlands/strmgide.html. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. 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 to request written approval of mitigation prior to submittal of a PCN. For additional information regarding the application process for the NCEEP, check the NCEEP website at http://www.ncepp.net. If use of the NCEEP is proposed, please check the appropriate box on page three and provide the following information: Page 6 of 8 Amount of stream mitigation requested (linear feet): 40' Amount of buffer mitigation requested (square feet): NA Amount of Riparian wetland mitigation requested (acres): NA Amount of Non-riparian wetland mitigation requested (acres): NA Amount of Coastal wetland mitigation requested (acres): NA ix. X. 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 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. 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 N/A )? 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 s uare feet Multiplier Required Mitigation 1 3 Page 7 of 8 1.5 Total * Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 213.0242 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. There are no bridge deck drains to discharge over surface waters All bridge and roadway drainage must Mass through a vegetative buffer before entering the stream 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. 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. 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). S 0 Applicant/Agent's Signature I Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 8 of 8 to aw q p Ci ?? sa W ? 11; i 158 i ® p?1', tv. i= °e [ a N ?a o _; ! i_I .. C4 CO O 0. 2; 0 e N O ° N e a o C4 8 - - f.a IT LU t_.., . ,.. , 0 o IL Z O uW, ` M r.. La tu"i -: to O ck. 13 .i.:_ 1 i.;I .; u O eo Q ?j e F"IT till 44 D 1. 1,7 Ir -i%I.. 14 J4 L,wT lia e rr, I ? 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