20110547 Ver 1_Application_20110607

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION av?vgry
BEVERLY EAVES PERDUE DIVISION OF HIGHWAYS EUGENE A. CoNYI, JR.
GOVERNOR SECRETARY
June 2, 2011
U. S. Army Corps of Engineers
Asheville Regulatory Field Office
Attention: Ms. Sarah E. Hair
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
11 ®547
Subject: Union County - SR 1504 (Ridge Road) Resurfacing
WBS Element Number 10CR.20901.66
Dear Ms. Hair:
The North Carolina Department of Transportation (NCDOT) proposes to resurface SR
1504 (Ridge Road) in Union County. The total project length is 4.074 miles.
Transportation and highway laws of North Carolina (G.S. 136-44.6, 136-44.7, 136-
44.7A, 136-44.8 and 136-44.9) require the NCDOT to develop annual work programs for
construction and maintenance of secondary roads. These general statutes specifically set
forth requirements for annual construction and paving of existing paved and unpaved
roads. Paving of these roads is performed in priority order as established by the NCDOT
within a given county. This number is based on characteristics of each road, including
number of homes, schools, churches, businesses, industries, recreational facilities, traffic
counts, presence of school bus routes, and value as a thoroughfare. Ridge Road is
scheduled for resurfacing in the 2010-2011Union County Resurfacing Program.
This project cannot be constructed without impacts to waters of the United States. The
NCDOT proposes to extend four existing cross pipes to establish adequate road shoulder
on SR 1504 (Ridge Road) Union County. These crossings are all intermittent stream
channels and flow to Stumplick Branch a WS-111 water located in the Yadkin River
Basin, Hydrologic Unit 03040105. The total length of permanent stream impacts for this
project is 18 linear feet.
The NCDOT anticipates that this project will be authorized under a Section 404
Nationwide Permit No. 14 and we are requesting authorization from the North Carolina
Division of Water Quality to utilize the corresponding 401 Water Quality Certification
GC3820 based upon the enclosed information.
w
?.~
716 West Main Street, Albemarle, NC 28001 • [phone] • Fax [phone]
Ridge Road
June 2, 2011
If you have any questions or need any additional information regarding this request,
please contact Mr. Larry Thompson, Division Environmental Supervisor, at (704) 982-
0101. Thank you for your assistance with this request.
Sincerely,
s- ,
Barry S. Moose, PE
Division Engineer
BSM/LBT
cc: Ms. Polly Lespinasse, NCDWQ
Mr. Dennis Cloud, RE
Mr. David Gillette, CME
Mr. Phil Suggs, FOE
Mr. Larry Thompson, DES
File
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.0 November 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number. 14 or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps? ? Yes ®No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ®No
If. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation"
itigation bank or in-lieu
fee program. ? Yes ®No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: SR 1504 (Ridge Raod)
2b. County: Union
2c. Nearest municipality / town: Monroe
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no: WBS No.10CR.20901.66
3. Owner Information
3a. Name on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 12
PCN Form - Version 1.0 November 2008 Version
Section A. Applicant Information, continued
4. Applicant Information (if different from owner)
4a. Applicant is: ® Agent ? Other, specify:
4b. Name: Barry S. Moose, PE
4c. Business name
(if applicable):
NC Department of Transportation
4d. Street address: 716 W. Main Street
4e. City, state, zip: Albemarle, NC 28001
4f. Telephone no.: 704982-0101
4g. Fax no.: 704982-3146
4h. Email address: [e-mail]
6. Agent/Consultant Information (If applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 12
PCN Form - November 2008 version
B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID):
lb. Site coordinates (in decimal degrees): 34.999925'N - 80.753231'W
1c. Property size: 29.62 (60'maintained ROW area) acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
,
Stumplick Branch
proposed project
2b. Water Quality Classification of nearest receiving water: WS-III
2c. River basin: Yadkin
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
SR 1504 (Ridge Road) is a paved secondary road in Union County. The general land use in the area of the project is
rural residential with primarily single family tomes located within the project area. The stream crossings associated with
this project are intermittent channels that flow to Stumplick Branch.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
These are linear tansportation crossings. Total stream length on the project (cumulative length of pipe) is 158 linear feet
or less.
3d. Explain the purpose of the proposed project:
SR 1504 (Ridge Road) Union County is scheduled to be resurfaced under the 2011 Union County Resurfacing Program.
This work can not be completed without repairing two pipe and replacing two addiitional pipe on the project. This work is
intended to improve the safety and service level of the road.
3e. Describe the overall project in detail, including the type of equipment to be used:
Erosion control measures will be installed prior to any pipe repair or pipe replacement work. The work areas will be
dewatered as needed. Once all pipe work is completed, the road will be milled where applicable and overlaid with
asphalt. The shoulders will be back filled to be the new grade into the slopes then seeded and mulched. The equipment
that is required is not limited to: dewatering pump, trackhoe, dumptrucks, vibratory roller, motor grader and paving
equipment
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ? Yes ® No ? Unknown
project (including all prior phases) in the past?
4b. If the Corps made the jurisdictional determination, what type ? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other.
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
? Yes ®No ? Unknown
this project (including all prior phases) in the past?
5b. If yes; explain in detail according to "help file' instructions.
Page 3 of 12
PCN Form - Version 1.0 November 2008 Version
B. Project Information and Prior Project History
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 12
PCN Form - November 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number- Type of Type of wetland Forested (Corps - 404, Area.of impact (acres)
Permanent (P) or impact (if known) DWQ - non-404, other)
Temporary M
W1 ? P ? T ? Yes El No El Corps
? DWQ
W2 ? P ? T ? Yes ? No ? Corps
? DWQ
W3 El P El T El Yes [:1 No El Corps
? DWQ
W4 ? P ? T ? Yes ? No ? Corps
? DWQ
W5 [I PEI T El Yes [] No El Corps
? DWQ
W6 ? P ? T ? Yes ? No ? Corps
? DWQ
2g. Total wetland impacts .01
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream saes impacted.
3a. 3b. 3c. 3d. 3e. 3f.
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number- impact intermittent(INT)7 length
Permanent (P) or pinear feet)
Temporary (T)
Sta.
142+56
4 Foot
S1 ®P ? T Pipe UT to Stumplick ? PER ® INT 1 Foot 4 Feet
Addition Branch
to 24
inch RCP
Sta.
184+80
Installing
40 Feet

S2 ®P ? T of 18
inch RCP UT to Stumplick
? PER ® INT
1 Foot 6 Feet
(e)dsting Branch
pipe is a
15 inch
RCP - 32
Feet
Page 5 of 12
PCN Form - Version 1.0 November 2008 Version
C. Proposed Impacts Inventory, continued
Long)
Sta.
203+28
Installing
40 Feet
of 18
S3 ®P ? T inch RCP LIT to Stumplick ? PER ® INT 1 Foot 4 Feet
(existing Branch
pipe is an
18 inch
RCP - 36
Feet
Long)
Sta.
214+90

S4 ®P ? T 4 Foot
Pipe UT to Stumplick
? PER ® INT
1 Foot
4 Feet
Addition Branch
to 18
Inch RCP
Dewateri
SS ? P ®T ng for all UT to Stumplick ? PER ® INT 1 50
pipe Branch
crossings
S6 ? P ? T ? PER ? INT
18 Feet
39. Total stream and tributary Impacts Permanent
Impacts
3h. Comments: The existing length of pipe at these crossings measures 140 feet. The proposed replacement pipe lenth is
158 feet long (18 feet of permanent impacts). Temporary impacts due to dewatering will not exceed 10 linear feet per pipe
crossing.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indiv'dually list all o pen water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number waterbody Type of impact Waterbody type Area of impact (acres)
- Permanent (d
(P) or applicable)
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
Page 6 of 12
PCN Form - November 2008 Version
C. Proposed Impacts Inventory, continued
6. Pond or Lake Construction
If pond or lake construction pro osed then complete the chart below.
5a: 5b. Sc. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
6f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
Sk. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts reuire mitt ation then ou MUST fill out Section D of this form.
6a.
? Neuse ?Tar-Pamlico ? Other.
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. fie. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact (square Zone 2 impact
Permanent (P) for impact Stream name mitigation feet) (square feet)
or Temporary required?
81 ?P?T ?Yes ?No
B2 ?P?T ?Yes ?No
B3 ?P?T ?Yes ?No
6h. Total buffer impacts
Bi. Comments:
Page 7 of 12
PCN Form - November 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The unnamed tributaries to Stumplick Branch will be dewatered as needed and all appropriate BMP's for sediment and
erosion control will be maintained throughout the life of this project. Pipe lengths have been limited to what will be
required to reestablish a stable shoulder slope at each crossing.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Additional impacts will be minimized by installing and maintaining appropriate erosion control measures, dewatering the
site and restricting equipment from jurisdictional areas.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c.
If yes, which mitigation option will be used for this
project? ? Mitigation bank

? Payment to in lieu fee program
? Permittee Responsible Mitigation
3. Complete If Using a Mitigation Bank
3a. Name of Mitigation Bank
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete If Making a Payment to ln41eu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: warm, cool, cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetiand mitigation requested: acres
4g. Coastal (fide!) wetland mitigation requested: acres
4h.. Comments:
6. Complete If Using a Pennittee Responsible Mitigation Plan
5a. If using a pennittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 8 of 12
PCN Form - Version 1.0 November 2008 Version
D. Impact Justification and Mitigation, continued
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) -required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ? No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone Reason for impact Total impact
(square feet) Multiplier Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
Total buffer mitigation required:
6c. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
pennittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6d. Comments:
Page 9 of 12
PCN Form - November 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified
? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? ? Yes ? No
2. Determination If the Project Requires a Stormwater Management Plan
2a. Does the project require a Non-404 Jurisdictional General Permit? ? Yes ® No
2b. Is the project subject to General Certification 3704 or 3705? ? Yes ® No
3. Determination of Stormwater Review Jurisdiction
3a. Is this project subject to any of the following state-implemented stornwater ? Coastal counties
management programs (check all that apply)? ? HOW

If so, attach one copy of the approval letter from the DWQ and one copy of the ? ORW
? Session Law 2006-246
approved stormwater management plan. ® Other: NCDOT NGS000250
3b. In which local government's jurisdiction is this project? Union County
3c. Is this local government certified to implement a state stormwater program? ? Yes ®No
If so, attach one copy of the approval letter from the local government and one copy
of the approved stomrwater management plan (or one copy of the approved
Stormwater management plan stamped as approved).
4. Information Required for DWQ 401 Unit Stomwater Review
There will not be an increase in
4a. What is the overall percent imperviousness according to the most current site plan? impervious as a result of this
project being constructed.
4b. Does this project contain any areas that meet the criteria for 'high density' per ? yes ®No
General Certifications 3704 and 3705?
4c. If the site is over 24% impervious and/or contains high density areas, then provide a brief narrative description of the
stormwater management plan.
The proposed project will be under the threshold that would require a stormwater management plan. There will not be an
increase in impervious area as a result of this project being constructed.
4d. Has a completed BMP Supplement Form with all required Items been submitted
? Yes ®No
for each stormwater BMP?
Page 10 of 12
PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
I a. Does the project involve an expenditure of public (federal/stateAocal) funds or the ® Yes ? No
use of public (federal/state) land?
1b. If you answered yes' to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered'yes'to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H.0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fad permit application? ? Yes ®No
2c. If you answered yes' to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered 'no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. 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.
Page 11 of 12
PCN Form -Version 1.0 November 2008 Version
F. Supplementary Information, continued
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
? Yes ®No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ® No
impacts?
El Raleigh
5c. H yes, indicate the USFWS Field Office you have contacted.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Natural Heritage GIS data layer and a field review conducted by NCDOT biologists.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Fishery Management Council
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
National Register of Historic Places and NC State Historic Preservation Office
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year fioodplain? ? Yes ®No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? NCDOT GIS data layer
Barry S. Moose ,?
06/2111
Applicant/Agenfs Printed Name Applicant/Agents Signature
(!Agent's signature is valid only if an authorization lamer from the applicant Date
is provided.)
Page 12 of 12
PCN Forth - November 2008 Version
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