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HomeMy WebLinkAbout20072018 Ver 1_Application_20071211Office Use Only: USACE Action ID No. (If airy particular item is not L Processing DWQ No. to this project, please enter -7 Form Version March OS l /~~(~ ~t.U~S or "N/A".) 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ^ Riparian or Watershed Buffer Rules ^ Section 10 Permit ^ Isolated Wetland Permit from DWQ ® 401 Water Quality Certification ^ Express 401 Water Quality Certification 2. Nationwide, Regional or General Permit Number(s) Requested: NWP#14 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ^ 4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII, and check here: ^ 5. If your project is located in any of North Carolina's twenty coastal counties (listed on page 4), and the project is within a North Carolina Division of Coastal Management Area of Environmental Concern (see the top of page 2 for further details), check here: ^ II. Applicant Information 1. Owner/Applicant Information - Name: Greg Burns. P E / NCDOT /Acting Division Engineer Mailing Address: Boa 1150 Favetteville. NC 28302 Telephone Number: 910-437-2611 Fax Number: 910-486-1959 E-mail Address: gburnsna,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: James J. Rerko PWS Company Affiliation: NCDOT /Division Environmental Officer Mailing Address: Bog 1150 Favetteville. NC 28302 Telephone Number: 910-437-0208 Fax Number: 910-486-1959 E-mail Address: iirerko andotstate nc us Updated 11/1/2003 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. ff possible, the maps and plans should include the appropriate USGS Topographic Quad Map and MRCS 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: NC 41 from SR2110 to SR 1004 2. T.I.P. Project Number or State Project Number (NCDOT Only): R 5017 WBS#41519 3. Property Identification Number (Tax PIN): 4. Location County: Robeson Nearest Town: Lumberton Subdivision name (include phase/lot number): Directions to site (include road numbers/names, landmarks, etc.):Travel south I-95 to exit 22. NC 211. Travel along NC 211 aagrogimately 3 miles. turn left onto NC 41 Project be ins at the end of the eaistin~ three-lane section 5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) Decimal Degrees (6 digits minimum): 34.6459 °N 78.9241 °W 6. Property size (acres): 38 acres 7. Name of nearest receiving body of water: Jackson Swamp 8. River Basin: Lumber River (Note -this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h2o.enr.state.nc us/adminlmaps/.) 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: NC 41 is a 24 foot wide arterial roadway with a mig of commercial. residential and aQricultrual uses Updated 11/1/2005 Page 2 of 8 10. Describe the overall project in detail, including the type of equipment to be used: NCDOT proposes to provide two foot paved shoulders and three turn lanes to reduce traffic hazards. The typical equipment necessary to complte the work consists of front end loaders, graders, trackhoes .dump trucks and eventually a saving machine. 11. Explain the purpose of the proposed work: To improve safety along the NC 41 corridor. 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.Richard Spencer (COE) and Ken Averitte fDWO) reviewed the ro'ect 08/29/07 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. None VL Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, .open water, and stream channels associated with the project. Each impact must be listed separately in the tables below (e.g., culvert installation should be listed separately from riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts, permanent and temporary, must be listed, and must be labeled and clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) should be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream .evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. Updated 11/1/2005 Page 3 of 8 Provide a written description of the proposed impacts:Permit Site #1 consists of lengthening the existing culvert 18.01 feet and alacement of fill material within 0.022 acres of wetlands. Permit Site #2 will lengthen the existing SOLF 18" RCP by 30 additional feet to accommodate a turn lane. 2. Individually list wetland impacts. Types of impacts include, but are not limited to mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. Wetland Impact Site Number (indicate on map) Type of Impact Type of Wetland (e.g., forested, marsh, herbaceous, bog, etc.) Located within l00 Y~ Floodplain es/no Distance to Nearest Stream 'ear feet Area of Impact (acres) Permit Site #1 Fill Bottomland Hardwood Yes 0 if 0.022 Total Wetland Impact (acres) 0.022 3. List the total acreage (estimated) of all existing wetlands on the property:0.022 acres 4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary impacts. Stream impacts include, but. are not limited to placement of fill or culverts, dam construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint. for both the original and relocated streams must be included. To calculate acreage, multiply length X width. then divide by 43.560_ Stream ~~~ Number indicate on ma Stream Name Type of Impact Perennial or Intermittent? Average Stream Width Before Im ct Impact Length 'ear feet Area of Impact acres Permit Site #1 Jackson Swamp Culvert Perennial 15 ft 18.01 0.006 Permit Site #1 Jackson Swamp Rip-rap Perennial 15 ft 30 0.013 Permit Site #2 UT to Jackson Sw Culvert Intermitten 4 ft 30 0.002 Total Stream Impact (by length and acreage) 78.01 0.021 5. Individually list all open water impacts (including lakes, .ponds, estuaries, sounds, Atlantic Ocean and any other water of the U. $.). Open water impacts include, but are not limited to fill, excavation, dredging, floodins~, drainage, bulkheads. etc. Open Water Impact Name of Waterbody Type of Waterbody Area of Site Number (~ applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact indicate on ma) ocean, etc. acres Updated 11/1/2005 Page 4 of 8 Total Open Water Impact (acres) N/A 6. List the cumulative impact to all Waters of the U. S. resulting from the nr~iect~ Stream Im act acres : 0.021 Wetland Im act acres : 0.022 O en Water lm act acres : N/A Total Im act to Waters of the U. S. acres 0.043 Total Stream Im act linear feet : 78.01 7. Isolated Waters Do any isolated waters exist on the property? ^ Yes ®No Describe all impacts to isolated waters, and include the type of water (wetland or stream) and the size of the proposed impact (acres or linear feet). Please note that this section only applies to waters that have specifically been determined to be isolated by the USACE. 8. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands Describe the method of construction (e.g., daln/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.): Current land use in the vicinity of the pond: 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 culverts on this project were lengthened in order to provide a safe condition for the traveling public Minimal work is proposed in the permit site locations VIII. Mitigation Updated 11/1/2003 Page 5 of 8 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 January 15, 2002, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order. for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina (see DWQ website for most current version.). 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. Mitigation is not required 2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at (919) 715-0476 to determine availability, and written approval from the NCEEP indicating that they are will to accept payment for the mitigation must be attached to this form. For additional information regarding the application process for the .NCEEP, check the NCEEP website at http://www nceep net/pages/inlieureplace htm. If use of the NCEEP is proposed, please check the appropriate box on page five and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount ofNon-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): Updated 11/1/2005 Page 6 of 8 IX. Environmental Documentation (required by DWQ) Does the project involve an expenditure. of public (federaUstatellocal) funds or the use of public (federaUstate) land? Yes ® No ^ 2. ff yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ^ No 3. If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^ X. Proposed Impacts on Riparian and Watershed .Buffers (required by DWQ) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be cleazly 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 02B .0243 (Catawba) 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ^ No 2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multinliers_ Zone* ~~~ Required uare feet) Multiplier Miti lion l 3 (2 for Catawba) 2 1.5 ~ Total ~ I ' Zone 1 exterxis out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an additiona120 feet from the edge of Zone I. 3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0244, or .0260. __ Updated 11/1/2003 Page 7 of 8 XI. Stormwater (required by DWQ) Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. If percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed impervious levelAn Erosion and Sedimentation Control Plan has_, been developed for this aroiect and the NCDOT will utilize standard BMIP's 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. NIA 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 ^ X1V. Cumulative Impacts (required by DWQ) Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality? Yes ^ No If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent North Carolina Division of Water Quality policy posted on our website at httn://h2o.enr state nc us/ncwetlands. If no, please provide a short narrative description: XV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). ~. ApplicandAgent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Updated 11/1/2003 /2 ' 7-02 Page 8 of 8