20091216 Ver 1_Application_20091112

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLYPERDUE
GOVERNOR
U. S. Army Corps of Engineers
Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
ATTN: Mr. Steve Lund
NCDOT Coordinator
of
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syyagrFR ?9
GENE CONTI
SECRETARY
®91216
Subject: Application for Section 404 Nationwide Permits 13, 23, 33 and Section 401
Water Quality Certification for the proposed replacement of Bridge No. 173 over
Sailor's Branch on SR 1820 (Alexis-High Shoals Road) in Gaston County, Federal
Aid Project No. BRZ-1820(3); Division 12; TIP No. B-4117
$240.00 debit WBS 33472.1.1
Dear Sir:
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge No. 173
over Sailor's Branch on SR 1820. There.will be 67 feet of permanent surface water impacts, 74 feet
of bank stabilization and 47 feet of temporary surface water impacts.
Please see enclosed copies of the Pre-Construction Notification (PCN), Stormwater Management
Plan, permit drawings and design plans. The Programmatic Categorical Exclusion (PCE) was
completed in February 2009. Documents were distributed shortly thereafter. Additional copies are
available upon request.
This project calls for a letting date of May 18, 2010 and a review date of March 30, 2010; however,
the let date may advance as additional funding becomes available.
A note on the greensheet calls for a Schweinitz's sunflower survey prior to construction. A survey
by NCDOT biologists was conducted on October 14, 2009. No specimens were found.
MAILING ADDRESS:
NC DEPARTMENT OF TRANSPORTATION
PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS
1598 MAIL SERVICE CENTER
RALEIGH NC 2 769 9-1 548
November 2, 2009
TELEPHONE: [phone]
FAX: [phone]
WESSITE: WWW..N000T.ORG
LOCATION:
ENVIRONNENTAL RESOURCE CENTER
4761 ATLANTIC AVENUE. SUITE 116
RALEIGH NC 27604
A copy of this permit application will be posted on the NCDOT Website at:
http://www.nedot.org/doh/preconstruct/pc/. If you have any questions or need additional
information, please call Jeremy Leamer at [phone].
Sincerely
F Gregory J. Thorpe, Ph.D.
Environmental Management Director, PDEA
w/attachment
Mr. Brian Wrenn, NCDWQ (5 copies)
Ms. Marla Chambers, NCWRC
Ms. Marella Buncick, USFWS
w/o attachment (see permit website for attachments)
Dr. David Chang, P.E., Hydraulics
Mr. Mark Staley, Roadside Environmental
Mr. Victor Barbour, P.E., Project Services Unit
Mr. Greg Perfetti, P.E., Structure Design
Mr. Michael L. Holder, P.E., Division 12 Engineer
Mr. Mark Davis, DEO
Mr. Jay Bennett, P.E., Roadway Design
Mr. Majed Alghandour, P. E., Programming and TIP
Mr. Art McMillan, P.E., Highway Design
Mr. Scott McLendon, USACE, Wilmington
Mr. Hank Schwab, PDEA
020 WA rFq
? ? ti

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NW P) number: 13 23 33 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
1e. 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
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
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: Replacment of Bridge 173 over Sailor's Branch on SR 1820 (Alexis- High Shoals Road)
2b. County: Gaston
2c. Nearest municipality / town: Dallas
2d. Subdivision name: not applicable
2e. NCOOT only, T.I.P. or state
project no: B-4117
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. not applicable
3c. Responsible Party (for LLC if
applicable):
not applicable
3d. Street address: 1598 Mail Service Center
3e. City, state, zip: Raleigh, NC 27699-1598
3f. Telephone no.: [phone]
3g . Fax no.: [phone]
3h . Email address: [e-mail]
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name: not applicable
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: not applicable
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID): not applicable
1b. Site coordinates (in decimal degrees): Latitude: 35.40357 Longitude: - 81.14817
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 3.0 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Sailor's Branch Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-IV
2c. River basin: Catawba
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 1820 is a two lane rural local route transecting a semi-rural area with mostly agricultural and residential development.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
300
3d. Explain the purpose of the proposed project:
To replace bridge No. 173 which is considered structurally deficient and functionally obsolete.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project involves replacing a 41-foot bridge with a 23-foot, two-barrel reinforced concrete box culvert (RCBC) on the
existing alignment with an off-site detour. Standard road building equipment, such as trucks, dozers, and cranes will be
used.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this properly / ? Yes ®No ? Unknown
project (including all prior phases) in the past?
Comments:
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.
c
6. Future Project Plans
6a. Is this a phased project? ? Yes ®No
6b. If yes, explain.
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 impact Type of wetland Forested (Corps -404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
Site 1 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 2 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 3 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 4 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 5 ? P ? T ? Yes ? Corps
? No ? DWQ
Site 6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts X Permanent
X Temporary
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 sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of Average Impact length
number - (PER) or jurisdiction stream (linear feet)
Permanent (P) or intermittent (Corps - 404, 10 width
Temporary (T) (INT)? DWQ - non-404, (feet)
other)
Site 1 ® P ? T RCBC Sailor's Branch ® PER
? INT ® Corps
? DWQ 8.5 67
Site 2 ® P ? T Bank Sailor's Branch ® PER ® Corps 8.5 74
stabilization ? INT ? DWQ
Impacts
Site 3 ? POT associated Sailor's Branch ® PER ® Corps 8.5 47
with culvert ? INT ? DWQ
installation
Site 4 ? P ? T ? PER ? Corps
? INT ? DWQ
Site 5 ? P ? T ? PER ? Corps
? INT ? DWQ
Site 6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary, impacts
I 141 Perm
47 Temp
3i. Comments:
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 individual) list all open 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 (P) or (if applicable)
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts X Permanent
X Temporary
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond Excavat
Flooded Filled ad Flooded Filled Excavated Flooded
P1
P2
5f. 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):
5k. 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 require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ?Tar-Pamlico ? Other:
Project is in which protected basin? ® Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Temporary T required?
B1 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments: Currently the buffer rules administered by the DWQ within the Catawba River Basin only apply to the main
stem of the Catawba River.
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 proposed structure will be in the same location as the existing structure with an off-site detour. The "do-nothing"
alternative is not practicable due to the resulting elimination of the use of SR 1820 and closing or removing the bridge.
The roadway grade will be the same as the existing structure. 3:1 fill slopes will be utilized where practicable.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Surficial bridge runoff will not be directed into Sailor's Branch via deck drains
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
If no, explain: Minimal impacts of 67 linear feet due to a
culvert and 74 linear feet of bank stabilization which results
in no "loss of waters". Sailor's Branch is not a trout stream,
HQW or ORW.
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

El Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: not applicable
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu 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 wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
7
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 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
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? If no, explain why.
? Yes ? No
Comments: if yes, see attached permit drawings.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? NIA
2b. Does this project require a Stormwater Management Plan? ® Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
See attached permit drawings.
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? not applicable
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
4a. Which of the following state-implemented stormwater management programs apply ? HOW
(check all that apply): ? ORW
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ® Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ® Yes ? No
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state local) 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
® Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 21-1.0500), 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-fact 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
additional development, which could impact nearby downstream water quality? ® No
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.
Due to the minimal transportation impact resulting from this bridge replacement, this project will neither influence nearby
land uses nor stimulate growth. Therefore, a detailed indirect or cumulative effects study will not be necessary.
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.
not applicable
10
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?
F1 Raleigh
5c. If 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?
Habitat assessment and survey by NCDOT biologists. NHP database check.
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?
NMFS County Index
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?
NEPA Documentation
S. Flood Zone Designation (Corps Requirement)
8a . Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No
8b . If yes, explain how project meets FEMA requirements: NCDOT Hydraulics coordination with FEMA
8c. What source(s) did you use to make the floodplain determination? FEMA Maps

11,0'07
Dr. Gregory J. Thorpe, Ph D
' Date
ApplicanUAgent
s Printed Name pplica UAgent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided )
11
STORMWATER MANAGEMENT PLAN
Project: B-4117 (33472.1.1) October 5, 2009
County: Gaston
Hydraulics Project Manager: Galen Cail, PE
ROADWAYDESCRIPTION
The project involves the replacement of Br. No. 173 over Sailor's Branch on SR 1820.
The overall length of the project is 0.10mi., and the existing 41'-long bridge is being
replaced with a 2 @ IF x 9' reinforced concrete box culvert (RCBC) in-place. The
proposed roadway utilizes shoulder section throughout. This is the only major crossing.
ENVIRONMENTAL DESCRIPTION
The project is located in the Catawba River Basin. Sailor's Branch has a best usage
classification of WS-IV (aquatic life, secondary recreation, salt; nutrient sensitive
waters).
There are no wetland areas impacted by this project. There are permanent surface water
impacts on the project. The impact is less than 150 feet of permanent impacts.
BEST MANAGEMENT PRACTICES
Best Management Practices (BMPs) and measures used on the project to reduce
stormwater impacts are listed below. All stormwater being discharged through the
buffers is either diffuse flow or has been treated prior to entering Sailor's Branch. The
banks were stabilized to prevent channel erosion.
PROPERTY OWNERS
NAMES AND ADDRESSES
PARCEL NO. NAMES ADDRESSES
Oj Mr. and Mrs. Hicks P.O. Box 406
Stanley, NC 28164
O Mr. and Mrs. Jones 738 Alexis HIT Shoals Rd.
C 28034
Dallas, N
O Ms. Broome Dallas, NC s28034 Shoals Rd.
O Ms. Stambaugh P.O. Box 332
Palm Beach, FL 33480
Permit Drawing
sneer 5 of lp_
NCD®T
DIVISION OF HIGHWAYS
GASTON COUNTY
WSB:33472.1.1 (B-4117)
REPLACE BR #173 OVER
SAILORS BRANCH
SHEET 1 OF 1 6/11/09

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