20080203 Ver 1_Application_20080130

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STATE of NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
January 24, 2008
SECRETARY
Mr. Brian Wrenn O ~ ®~~
Division of Water Quality
401/Transportation Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
SUBJECT: Pipe Replacement on SR-1177 (Wallace Dairy Road), Catawba County
Dear Mr. Wrenn:
The North Carolina Department of Transportation requests authorization to replace an existing cross pipe
on SR-1177 (Wallace Dairy Road) in Catawba County. NCDOT proposes to replace existing
deteriorating 54", 50-foot CMP and existing headwalls with a 96" x 67", 50-foot long CMPA with inlet
and outlet concrete headwalls. Five feet of class II riprap will be utilized at the pipe inlet and outlet for
structure stabilization. There is cattle access to the stream channel immediately downstream of the pipe
crossing and a large scour hole (29 feet length x 29 feet width) has formed at the outlet of the pipe. It is
proposed to base the one-foot pipe burial on the normal streambed elevation beyond the scour hole (based
upon the thalweg profile). Rock will be embedded into the streambed bed at the pipe outlet to prevent
further scour around the new structure. The channel downstream of the pipe crossing will not be
reconstructed to "normal" stream width due to the cattle access of the area, which will continue to create
stream stability issues.
The scope of work will permanently impact a total of 10 linear feet of an unnamed tributary to Henry
Fork, which is classified as Class C Waters by the Division of Water Quality. A temporary cofferdam
pumping system will be used to divert the stream around the construction site as needed. Area affected
by temporary cofferdam system will be graded and restored back to pre-project conditions. All Best
Management Practice's will be utilized during the course of the project.
The federally listed species for Catawba County (USFWS listed dated May 10, 2007) include the Dwarf-
flowered heartleaf (Hexasrylis nan~ora). National Heritage Program records document the nearest
Dwarf-flowered heartleaf location approximately 0.56 miles east of the proposed project area. The
heartleaf is usually found on dry to moist ravine slopes (usually north facing and of the oak-hickory-pine
forest type) and in boggy areas near springheads. There is no suitable habitat within the proposed project
area and no species were observed. The proposed project will have "no effect" on the Dwarf-flowered
heartleaf (Hexastylis nan~ora) species.
Post Office Box 47 Shelby, North Carolina 28151-0047

v
SR %%ii. waiiacc: u::+r•. __ _
Ya~;c ~ _
Januu~ y 2=;, 2
?v^ si±es listed on the National Resister of Historic Places are located in the vicinity of the oroiect nor did
there aupear to be any eli¢_ible structures. The oi~ice is recommending a finding of "no effect" for
historical structures. - -
The nroiect area is not located within %Z mile of any critical watershed area. SR 1177 is not a rural or
urban arterial: therefore. hazardous s_aill basins are not required. Enclosed is the hazardous shill basin
checklist.
1 have enclosed apre-construction notification for a N~V#14, sketches of planned activities and location
maps relative to the project.
Project information for the 401 Automated Payment Procedure is as follows:
• Work order number: 150463-55120005-12B.201811-3855
• TIP#: NA
• Project Category: $240.00 Fee
If you have any questions or concerns please feel free to contact me at [phone]. Thank you for
your time and consideration on this matter.
Respectfully yours,
M.L. Holder. P.E.
Division Engineer
Twelfth Division
BY: ~/Z~-
Trish Simon
Division 12 Em~ironmental Supervisor
Enclosures
cc: Polly Lespinasse, Division of Water Quality

Office Use Only: Potm Version March OS
USACE Action ID No. DWQ No. 2 0 8 0 2 0 3
(lf any particular item is not applicable to this vroiect, please enter "Not Applicable" or "N/A"_ 1
I. Processing
1. Check all of the approval(s) requested for this project:
^ Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW 14 (WQC#3627_
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: ^
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: Mike Holder N C Department of Transportation
Mailing Address: P.O. Box 47
Shelby NC 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
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: Trish Simon
Company Affiliation: N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby NC 281 S 1
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimon(a,dot.state.nc.us
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:_ SR 1177. Wallace Dairy Rd Catawba County, Pipe Replacement
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12B.201811
3. Property Identification Number (Tax PII~: N/A
4. Location
County: Catawba Nearest Town: Hickory
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Hickory on US 321
S take exit 41, turn right on River Rd and Right on Zion Church Rd turn left on Wallace
Dairy Rd. <1 mi. to site.
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): 354105.79 °N 0812117.58 °W
6. Property size (acres): <.10 Acre
7. Name of nearest receiving body of water: Ut to Henry Fork river class C waters
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:~'ih?o.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: The site is located between cattle pasture and forested areas
Pipe on paved secondary road
Page 2 of 8

10. Describe the overall project in detail, including the type of equipment to be used: Replace
existine deteriorating 54", 50-foot CMP with a 96" x 67" 50-foot long CMPA with inlet and
outlet concrete headwalls. Five feet of class II riprap will be utilized at the new pipe inlet and
outlet for structure stabilization. The existing_pipe is slightly perched and a large scour hole
(29 feet by 29 feed has formed at the outlet of the pipe It is proposed to base the one-foot
pipe burial on the "normal" streambed elevation beyond the scour hole (based upon the
thalwe~ profile). Rock will be embedded into the bed of the scour hole at the outlet to
prevent further scour. The placement of riprap in the streambed at the scour hole will not
interfere with aquatic life passage during low flows The project will be constructed utilizing
typical heavy equi ment (trackhoe backhoe, etc 1
11. Explain the purpose of the proposed work: The purpose of the proposed work is to replace
a failing pipe for the safety of the travelling_public
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.
N/A
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 are anticipated for this project
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. 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.
Page 3 of 8

Provide a written description of the proposed impacts: Minor impacts from riprap
stabilization.
~. individuaiiy list wctiaiid 1111tJaV W. 'i yr.~..`~i of i~ntnartc inrliirle hilt arP nit 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
100-year
Floodplain
es/no Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0
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 Impact Perennial Average Impact Area of
Number Stream Name Type of Impact or Stream Width Length Impact
(indicate on map) Intermittent Before Impact (linear feet) (acres)
I Ut to Henry Upstream Embankment perennial 4 5 .00046
Fork stabilization
Downstream
1 Embankment/Scowhole 5 .00046
stabilization
l Temporary cofferdam/ ] 0 .0009
bypass piping
Total Stream Impact (by length and acreage) 25 .00092
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
6.
Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number
(if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
(indicate on ma) ocean, etc.) (acres)

Total Open Water Impact (acres)
Page 4 of 8

List the cumulative im act to all Waters of the U.S. resultin from the ro'ect:
Stream Impact (acres): Permanent .00092
Wetland Impact (acres): 0
O en Water lm act (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): Permanent 10
8. 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.
9. 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.):
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 existing wipe must be
replaced for the safety of the travelling public The channel downstream of the pipe crossin
will not be reconstructed to "normal" stream width due to the cattle access of the area which will
continue to create stream stabilit issues.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 8

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on 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, available at
http:/;h?o.enr.state_nc us!ncwetlands%strm~ride 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/lineaz 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 not anticipated
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
[phone] 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:i/h?o.enr state nc us/wrpiindeY 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):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federaUstate) land? Yes ® No ^
2. 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)?
Page 6 of 8

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
X.
XI.
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 ^
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.
1. 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
ZB .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 multipliers.
Zone* I Impact
Multiplier
Required
2
Total
' Zone 1 eartends out 30 feet perpendicular
additiona120 feet from the edge of Zone 1.
3 (2 for Catawba)
1.5
the top of the near bank
Zone 2 extends an
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.
N/A
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 level.
There will be no increase in impervious acreage Appropriate erosion and sedimentation control
measures will be in place during the pipe replacement
Page 7 of 8

Xll. Sewage Disposal (required by DW(2)
~,~cariy aetai~ me ummate treatment metnoas ana aisposiuon Inon-aiscnarge or aiscnargeJ or
wastewater generated tiom the proposed project, or available capacity of the subject facility.
:viii. violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (I SA NCAC 2H .0500) or any Buffer Rules?
Yes LJ No Q9
Is this an after-the-fact permit application? Yes (=J No ~
XIV. Cumulative Impacts (required by DWQ)
wi-i tms project (bases on past ana reasonably ant~cipateci future impacts) result in additional
development, which could impact nearby downstream water quality? Yes U No ~
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
tl~~ ii,G,t recent North Carolina Division of Water Quality policy posted on our website at
http:%'ih?o.enr.state.nc usinc~t°etlands. If no, please provide a short narrative description:
The nine replacement will not result in additional development of the surrounding area
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).
/-~~ o~
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8

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an
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~~ Scale: Vert: I'= 10'
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Q
o HO1Z:1
=20' Q °j
Exfstfnq P(pe Grodlent
91,7'
-9t,7'
0'/50'=0%
Exlstinq Stream Gradient ProDOSed Pipe Grodl ent Existing Stream Gradient
9t.0' 90.7' 92.4'
-90.5' _90.0 -91.T
0.5'/16'= 3% 0.7/50'=1.4% 0.7'/29.5'= 2.4%
Stream Profile

b0' 9.5' 9.5'
99'
98'
97'

95'
9~'
93'
92' -- -- --- -
91'
90
89'
Existlnq 54' CMP CL Proposed 96'x 67' CMPA
'
50' Lonq RO 50
Lonq with Headwall on
both ends ofi the Pipe
Cross Section
~oo•
99'
96'
97'
%'
95' w5
9,• Y
93'
92'
91'
90
0'2'4.6' 8'10'2'14.16182022'
Reference Stream
Cross Section
Scale: Vert ; I'=10'
HOrfZ :1'=20'

Class II Rip Rap to be Dlaced Q all
Tour corners aT ii~B ItCVUWViiS. riip npy
to be embedded in front of the outlet
end of the pipe.
Proposed 96'x 67' CMPA
50' Long with Headwall on -
both ends of the Pipe
Existing . Po ure Fence `~ \
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~ i
4 [/
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Notes:
()Pumping system to be used to
divert the Stream around the
construction site os needed.
2) Any contaminated water within
the construction site is to be
pumped into a silt bag.
3) Sllt fence to be placed around
stock pile and DroJect as it allows.
4) Upon complition of the project all
silt fences ore to be placed as
needed. Also seeding and mulching
of disturbed areas.
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Unnamed Tributary to
Henry Fork River
Drainage Ditch Line
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Name: HICKORY Location: 035° 41' 09.15" N 081 ° 21' 10.84" W
Date: 1/23/2008 Caption: SR-1177
Scale: 1 inch equals 2000 feet Wallace Dairy Rd
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1 ~ County: C'atawha Project ID:
River Basin: Catawba Bridge No: Pipe replacement
Route: SR- 1177 Stream: UT to Henry Fork
Water Quality Criteria:
Yes No
Stream Crossing Blue Line On USGS r r
ORW r ~
WSI r ~
WS II,III OR IV, Crossing Within O.Smi of W.S. Critical Area r r
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban r r
Arterial Rural r r
Additional Site Information:
Is a Hazardous Spill Basin Required?
Yes No
r ~
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).