20081426 Ver 1_Application_20080918

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F EASLEY LYNDO TIPPETT
GOVERNOR
September 12, 2008
SECRETARY
Mr Brian Wrenn
Division of Water Quality 081426
401/Transportation Permittmg Unit --
1650 Mail Service Center
Raleigh, NC 27699-1650
SUBJECT Secondary Road Paving/Pipe Replacement, SR 1812 (Tutterow Road), Iredell County
Dear Mr Wrenn
The North Carolina Department of Transportation proposes to replace an existing pipe at Station 12+75
in conjunction with a secondary road paving project on SR 1812 (Tutterow Road) in Iredell County
NCDOT proposes to replace existing deteriorating 72" x 44", 40-foot CMPA with a 73" x 55", 50-foot
long CMPA with inlet headwall A large scourhole (-15 feet wide x -15 feet long) is located at the
existing pipe outlet Shot rock will be embedded into the scourhole in an effort to prevent further scour
and to provide energy dissipation The proposed pipe will be buried one foot below the "normal" bed
elevation located immediately downstream of the scourhole Due to the alignment of the upstream
channel, the headwall will extend parallel to the stream and ten feet of riprap will be utilized for structure
stabilization and will be positioned in such a way so as not to narrow the normal upstream channel width
(-5 feet)
Temporary cofferdams/pumping system will be used to divert the stream around the site during
construction All areas affected by temporary cofferdams will be restored back to pre-project conditions
The total scope of the work will result in 35 feet of permanent to an unnamed tributary to Buck Shoals
Branch, which is classified as WS-III Watershed by the Division of Water Quality
The project area is not located within '/z mile of any critical watershed area SR 1812 is not a rural or
urban arterial, therefore, hazardous spill basins are not required Enclosed is the hazardous spill basin
checklist Based upon correspondence with the State Historic Preservation Office (SHPO), dated 4/24/06,
the proposed project area has been reviewed and SHPO has determined that no historic properties will be
affected (ER Number 06-0936) This office has conducted a GIS and field survey for the project
threatened/ endangered species The federally listed species for Iredell County (USFWS list dated
January 16, 2008) include the dwarf-flowered heartleaf (Hexastylis naraflora) and the bog turtle
Post Office Box 47 Shelby, North Carolina 28151-0047
SR 1812, Tutterow Road
Page 2
September 12, 2008
(Clemmys muhlenbergu) The Natural Heritage Program records document the nearest dwarf-flowered
heartleaf location approximately 29 6 miles southwest of the proposed project in Catawba County 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 The project area is mostly cultivated agricultural land
with some forested land There is potential habitat within the proposed project area, but no species were
observed The Natural Heritage Program records document the bog turtle location approximately 4 2
miles southwest of the proposed project Bog turtles are typically found in bogs, marshes, and wet
pastures There is no suitable habitat located within the project area No impact on this species is
anticipated NCDOT is recommending a fmdmg of "no effect" for T&E species
I have enclosed a pre-construction notification for a NW#14, sketches of planned activities and location
maps relative to the project
Project information for the 401 Automated Payment Procedure is as follows
0 Work order number 150465-55120005-12C 049073-3368
• 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 .-
Trish Simon
Division 12 Environmental Supervisor
Enclosures
cc Polly Lespinasse, Division of Water Quality
Office Use Only' Form Version March 05
USACE Action ID No. DWQ No. 2 0 0 8 1 4 2 6
(If any particular item is not applicable to this project, please enter ivot Hppiicaoie 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 ? Express 401 Water Quality Certification
2 Nationwide, Regional or General Permit Number(s) Requested NW 14 (WQC#3704)
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 28151
Telephone Number 704-480-9044 Fax Number 704-480-5401
E-mail Address tsimon 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
Name of project SR 1812, Tutterow Rd, Iredell County, Pipe Replacement/Secondary road
paving project
2 T I P Project Number or State Project Number (NCDOT Only) 12C 049073
3 Property Identification Number (Tax PIN) N/A
4 Location
County Iredell Nearest Town Statesville
Subdivision name (include phase/lot number) N/A
Directions to site (include road numbers/names, landmarks, etc ) From Statesville on I-77N
take exit to US 901 N right on Union Grove Rd, left on Tutterow Rd
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 mimmum) 360249 55 ON 0805044 14 °W
6 Property size (acres) < 10 Acre
7 Name of nearest receiving body of water UT to Buck Shoals Branch, WS-III watershed
8 River Basin Yadkin
(Note - this must be one of North Carolina's seventeen designated mayor 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 The site is mostly forested upstream and forested/agriculture
downstream Pipe on unpaved secondary road
Page 2 of 8
u
10 Describe the overall project in detail, including the type of equipment to be used
Replace existing deteriorating 72"x 44" 40-foot CMPA with headwalls with a 73"x 55", 50-
foot CMPA with inlet concrete headwall Shot rock will be embedded into the scourhole in
an effort to prevent further scour and to provide energy dissipation The proposed pipe will
be burred one foot below the "normal" bed elevation located immediately downstream of the
scourhole Due to the alignment of the upstream channel the headwall will extend parallel to
the stream and ten feet of nprap will be utilized for structure stabilization and will be
positioned in such a way so as not to narrow the normal upstream channel width (-5 feet)
The project will be constructed utilizing typical heM egwpment (trackhoe backhoe etc )
11 Explain the purpose of the proposed work The purpose of the proposed work is to replace
a failing pipe and to pave an unpaved road 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 project9 If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application
It is anticipated that Bridge # 290 which is located -l mile from the proposed pipe replacement
will be replaced within the following year
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
nprap 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
I Provide a written description of the proposed impacts Minor impacts from nprap
stabilization, armored scourhole and increased pipe length
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 Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e g , forested, marsh, 100-year
Floodplam Nearest
Stream Impact
(acres)
(indicate on map) herbaceous, bog, etc) ( es/no) (linear feet)

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, np-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 Buck Increase in pipe length Perennial 6 10 0014
Shoals Branch
1 Armored scourhole 15 0021
I Upstream Embankment 10 0014
stabilization
1 Temporary cofferdam/ 20 0028
bypass piping
Permanent Stream Impacts (by length and acreage) 35 0048
Temporary Stream Impacts (by length and acreage) 10 0028
Total Stream Impact (by length and acreage) 45 0062
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
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
a
6 List the cumulative impact to all Waters of the U S resulting from the project
Stream Impact (acres) Permanent 00048
Wetland Impact (acres) 0
Open Water Impact (acres) 0
Total Impact to Waters of the U S (acres) 11041
Total Stream Impact (linear feet) Permanent 35
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 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 There will be a minimal
increase in mne length with the utilization of the upstream headwall _ Additionally, the large rock
which is to be embedded into the existma downstream scourhole will provide energy dissipation
and prevent further stream scour at that location during high stormflows
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
(V ,
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 protect, 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 //h2o enr state nc us/ncwetlands/stnngide 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
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 //h2o enr state nc us/wrp/index 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 of Non-npanan 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 (federal/state/local) funds or the use of
public (federal/state) 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
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 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
2B 0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )9 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* Impact
(square feet) Multiplier Required
Mitigation
1 3 (2 for Catawba)
2 15
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel, Zone 2 extends an
additional 20 feet from the edge of Zone 1
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
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 level
This is a 20-foot unpaved roadway which is to be paved to a 20-foot paved area with eialit-foot
shoulders
Page 7 of 8
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
N/A
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. 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 websrte at
http //h2o enr state nc us/ncwetlands If no, please provide a short narrative description
The secondary road paving/pipe replacement project 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)
N/A
del.. ?' 2,og
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided )
Page 8 of 8
SR 1812, Tutterow Road
Secondary Road Paving/Pipe Replacement
f?.
Outlet
Inlet
Downstream
Upstream
STATE OF Norm CAitouxA
DEPARTMENT OF TRANSPORTATION
SR-181? Tuttrow Road 1 lredefl County
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Pipe Replacement 0/9
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Name: BROOKS CROSSROADS Location: 036.0484325° N 080.8443083° W
Date: 9/12/2008 Caption: SR 1812, Tutterow Rd, Sec. Rd Paving/Pipe Replacement, UT
Scale: 1 inch equals 1000 feet to Buck Shoals Br., WS-III Watershed, Yadkin River Basin
1
Unnamed Tributary
to Hunting Creek
.a-
Class II Rip Rap or Shot Rock
to be placed in front of
Headwall as noted C:-

Existing Overhead i
Power Line
-
P -
-? a
-
0\14 - - 910
a -,
-
Class II Rip Rap or Shot Rock]
to be Stacked to Create a
Retoining Wall T
Y
i
ICP TBM Spike in PP
Assume Elev. 100.0
Proposed 73'x 55' CMPA
-'50' Long with Conc Headwall
?-- on the Inlet and a Rock Headwall
on the Outlet End of the Pipe
- Existing Pipe 72'x44' CMPA
40' Long with Headwalls to be
replaced
NOTES:
I) Pumping system to be used to divert
the stream around the construction
site as needed.
2) Any contaminated water within the
construction site is to be pumped
into o silt bog.
3) Silt fence to be placed around stock
pile and project as it allows.
4) Upon completion of the project o0sllt
fences ore to be placed as needed. Also
seeding and mulching of disturbed areas.

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NCDOT 12th Div
Bridge Maintenance
SR 1812 Tutterow Rd
Iredell County NC

EROSION AND SEDIMENTATION

CONTROL PLAN
SR IREDELL COUNTY
7Wr,4+A1
019 oa
DATEAft?
DIVISION OF HIGHWAYS
DEPARTMENT OF TRANSPORTATION
STATE OF NORTH CAROLINA
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wO /X.049073 R /812
ROAD NAME TU77 ?Q?D Y1/? COUNTY IRCDELL
FROM S•R. Z 93!a X& S. R /85
WIDTH STAKED R %V WIDTH 60 ?
PROPOSED IMPROVEMCNr GIUIDE BASE PAVE
DATE O8 /Q- O 7
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SCALE I" = 100'
w
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mrr• low v nl PaIg
245 03 Temporary Silt Ditch . _ V1
2
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245 05 Temporary Diversion
893 01 Temporary Silt Fence_ `.I 6
890 05 Temporary Slope Drain with Earth Berm - ?- N'I - 3
245 01 Silt Basin Type A
245 02 Silt Basin Type B ??-
892 04 Temporary Rock Silt Check Type-A _ ----------- V1 - 14
89510 Temporary Rock Silt Check Type-B A
r 892 01 Temporary Rock Sediment Dam Type-,q
892 02 Temporary Rock Sediment Dam Type-B ---------_ ? I - 20
897 01 Rock Pipe Inlet Protection ? 1- 22
894 01 Rock Silt Screen .. ......... ... --- V1 24
245 04 Stilling Basin -•-- --- ---•- ............ -•--
Rock Inlet Protection
896 01 Type A ----------- •----- --- A OR - A)) ----- V1 - 30
896 02 Type B ------- -- B OR' B 1 ----- V1- 32
896 03 Type C C - OR C) ---- V1- 34
VI-I March, 1993
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VI-23 March. 1993
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division 12 County Iredell Project ID.
River Basin. Yadkin Bridge No. Pipe replacement
Route: SR- 1812 Stream' UT to Buck Shoals Branch
Water Quality Criteria:
Stream Crossing Blue Line On USGS
ORW
WSI
WS II5III OR IV, Crossing Within 0.5m1 of W S Critical Area
Roadway _Criteria.
Route Designation-
Arterial Urban
Arterial Rural
Additional Site Information:
Is a Hazardous Spill Basin Required?
Yes No
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Yes No
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Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997)
Yes No
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