HomeMy WebLinkAbout19970367 Ver 1_Complete File_19970425State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
?EHNF1
May 7, 1997
Madison County
DWQ Project # 970367
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Mr. K. A. Wilson
N.C. Dept. of Transportation pr,
P.O. Box 3279
Asheville, NC 28802
Dear Mr. Wilson:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
material in 0.26 acres of wetlands or waters for the purpose of improving SR 1399, as you described in your
application dated 23 April 1997. After reviewing your application, we have decided that this fill is covered by
General Water Quality Certification Number 3100. This certification allows you to use General Permit
Number 031 when it is issued by the Corps of Engineers.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us and you may be required to send us a new
application. If total wetland fills for this project (now or in the future) exceed one acre, compensatory
mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this approval to be
valid, you must follow the conditions listed in the attached certification and any additional conditions listed
below. Stream relocation shall be coordinated with the N.C. Wildlife Resources Commission (ms. Stephanie
Goudreau). In addition, you should get any other federal, state or local permits before you go ahead with your
project including (but not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and
Water Supply Watershed regulations. This approval will expire when the accompanying 404 or CAMA
permit expires unless otherwise specified in the General Certification.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and its conditions
are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone John Domey at 919-733-1786.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Asheville DWQ Regional Office
Mr. John Dorney
Central Files
970367.1tr
Division of Water Quality - Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone 919-733-1786 FAX # 733-9959
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
Mr. David Baker
U.S. Army Corp of Engineers
Regulatory Field Office
151 Patton Ave. Rm. 143
Asheville, NC. 28801-5006
s #
P.O. Box 3279
Asheville, N.C.
April 23, 1997
Subject: S.R. 1399, Madison Co.
Dear Mr. Baker:
X02 ?? ??
. We are providing a package of design sketches concerning wetlands that
will be impacted by this project. We have enclosed a completed N. C. D. E. M.
application for your use.
We.are planning on replacing or extending several pipes in unnamed.
tributaries flowing across S.R. 1399 into Ammons and Bee Branch as well as
three proposed channel changes in these streams. These streams are not high
quality waters nor trout waters.
If you have any comments or questions concerning this project, please
contact J.N. Jarrett or myself of this office at 704-298-2741.
Thank you for your cooperation and assistance in this matter.
Sincerely yours,
°K. A , W jscx\
District Engineer
KAW:JNJ:jnj
070367
cc: Mr. Eric Galamb, Div. of Environmental Management
Mr. Mark S. Davis, Western Mt. Region Coordinator
DEM ID:
I
CORPS AChION 12:
s
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
02 ? t?G
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE a?
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY-ADDRESSES SHEET). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: f •C• DEPT. OFF TR&KE "TA770P
2. MAILING ADDRESS: P.C. 8ok 3279 4S tfFU I LLE, 1\.(C 26&o2
SUBDIVISION NAME:
CITY:
STATE:
ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
sp, [31? . Ammokfs 8R. RD. M,4D(sou Co.
3. TELEPHONE NUMBER (HOME) : (WORK) : Z98`Z74-?
4.. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
k. A, MLSO&? C b (Sr. C-9 CR) Z ?b9 - z 741
P, 0 . BOX, 3Z77 AsffC-V(LLC, U C 268C?-
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: A44 0 (SoQ NEAREST TOWN OR CITY: MAf?sHA L
c?
1
DEM ID:
I
CORPS ACTION IL*:
F
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
n
1) NOTIFICATION TO THE CORPS OF ENGINEERS (rZ CQ
2) APPLICATION FOR SECTION 401 CERTIFICATION y
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
n
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY-ADDRESSES SHEET). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME : L • C . DEPT. OF TRA-QS "rR 77`01
2. MAILING ADDRESS: P.O. 8Ok 3 Z7 q AS ffFU ILLE IBC 266102
CITY:
STATE:
ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
sR f39 ? . 4mmoktS 8R. RD. mftl)(sou Co.
3. TELEPHONE NUMBER (HOME) : (WORK) : Z98"Z74-?
4.. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
_k. A . WfLsof-.? C b (ST-. E96P,) Z ?8 - Z 74 [
PC). BOX, 3Z7? ASffEWLLC-, (CSC 2! 680'Z
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY : MA O (SO N NEAREST TOWN OR CITY: l?A-RSE fE4 L L
SUBDIVISION NAME:
C?
i..
1
T A
PECIFIC LOCATION (INCLUDE ROAD
NUMBERS, LANDMARKS, ETC.):
SR 299, AMAAg S Bk. RD, FRGM fNTERSECTYOh! OF_sR 14Qo
SOOMESST FOR f•3C Mf. To E.O,M,
6. IMPACTED OR NEAREST STREAM/RIVER: AWX"--5 8K GEE BfRhIUCf-f
RIVER BASIN: FRf---I4Cf4 MOND
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES [ ] NO [?f IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [-')
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COASTAL'COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITSB EEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO C v] IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
8b. ARE ADDITIONAL PERM T REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES [ ] NO [ IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 7.7 0 A 0-
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
d • 4-o AC
2
? y
A. t
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0•(Z
EXCAVATION: D' t?-
FLOODING:
DRAINAGE:
OTHER:
TOTAL ACRES TO BE IMPACTED : 0. ?C 4- C
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: 500 FT AFTER: .50001 FT
WIDTH BEFORE (based on normal high water contours): FT
WIDTH AFTER: ¢r
AVERAGE DEPTH BEFORE: Z FT AFTER: FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: f CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND? Lm
WHAT IS THE EXPECTED POND SURFACE AREA?
WA
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 1/2" X 11" DRAWINGS
ONLY) :
sGyF-RP-L P(PES Td BE PSeL EcEb l E)CTEKpL1). Tt+R-E MOFtYSED
-F?gtSEL CHA-U ES 10 A-MIVOUS AR ? BG=..E B%UCN BACKffcF To
U- USEb TO RE ACE P(PES c--?E.
13. PURPOSE OF PROPOSED WORK: 10- MCf LMA-TE Tffe? V4(bQi l'1G !-}W
PAVrrtG of SK Mq) AWMO(43 K. RD,
1.
3
I
14. STATE REASONS
OUT IN WETLANDS.
IMPACTS):
r `
WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND
(5EE # 4 4LL ROUTfIJE 14KD gECE.SSn MEASURES To COhtTEL
rfZGS(Grq AQD SEOWaMT109 W(LL DE UTYL(ZED. 5(LT" FpwceS',
RXC, 5(LTF CRQ-CkS A f,(D DA-(GCS f kf D ( ff E S ertc .
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR
PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED: `f Ta ?•C (lCf •fZ•C `?"Z3'`l7 (ATTACH RESPONSES
FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO.CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED.
PROJECT. DATE"CONTACTED: NVA'
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES [ NO (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT?
YES (I NO (I
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [ ] NO [ ]
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE (919) 733-6369.
4
A
! r
18: THE FOLLOWING ITEMS SHOULD. BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26,
29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION_ LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?-
RGRtCULT(jRE / RES(AEKTAL
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3)'(IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
K A - WL SOW ( NST EP16PZ,
OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
4--Z3 -77
r•{ -
DATE
5
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DETAILS AND
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Page
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245.05 Temporary Diversion --
893.01 ...-•------•------•.._.....
Temporary Silt Fence '? --- VI - 4
890.05 ...................... --ri{-+;-1- ----
Temporary Slope Drain with Earth Berm
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245.01 -
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---
245.02 „---------------• -._..._......
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------------------------------------------- - 12
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892.02
897
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---
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VI - 26
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896.01 _
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DEM ID:
• I
CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT ##):
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY-ADDRESSES SHEET). SEVEN
(7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT
(SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME: __ 14•C. DEPT: OF TPA-Q3"M70N
2. MAILING ADDRESS
CITY:
P. o . 60K 3 ?_7 q A (=U I LLE /(C 26802
SUBDIVISION NAME:
STATE:
ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
FAILING ADDRESS ABOVE) :
st2 f394 IJM&rCKL3 OR RD M&D(sdf! Co
3. TELEPHONE NUMBER (HOME) : (WORK) : 298`274
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
(Sr EqGR) z ?8 - z 74- I
_"0'0- GO)- 3277
MLE, &(C 2!98c?
5. LOCATION OF WORK (PROVIDE A MAP PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: MA D(SOIV NEAREST TOWN OR CITY: -MARSHALL
c=
?. 1
PECIFIC LOCATION (INCLUDE ROAD
NUMBERS, LANDMARKS, ETC.):
SR f319, AMAAo(IS Bk. RD . fz'fZQM INTEkSEC t0!,l OF-5R 140o
Soon EAR FOR f. 3C Mf. TO C-.O. art,
6. IMPACTED OR NEAREST STREAM/RIVER: ?? 8th UEC B?}IUCff
RIVER BASIN: FRF-PCE4 MOND _
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES [ ] NO [?f IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [-*)'
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR
LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPERTY? YES [ ] NO [ IF YES, PROVIDE ACTION I.D. NUMBER OF
PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
_„ _. 7 ?? , PERM T RAUESTS EXPECTED FOR THIS PROPERTY IN THE
DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED
TOTAL NUMBER OF
ACRES 9b IN TRACT OF LAND;
ESTIMATED TOTAL NUMBER OF 7.7 C
_ O. 40 ? ACRES OF WETLANDS LOCATED
??OJ?CT SITE ? ? ?? ,
2
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0. IZ- EXCAVATION: D• /¢
FLOODING:
DRAINAGE:
OTHER:
TOTAL ACRES TO BE IMPACTED: D. 1?6 4-C
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: r FT AFTER: - 500 FT
WIDTH BEFORE (based on normal high water contours): FT
WIDTH AFTER: 4- FT
AVERAGE DEPTH BEFORE: ?-
AFTER: L FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: ? PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE
WATERSHED DRAINING TO THE POND? kI/rA ' r?
WHAT IS THE EXPECTED POND SURFACE AREA? w
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSZ
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: P
ONLY): ? PP00?SED
(f4?ED Ex?"peD
SeV?[ZkL t[PES Td 6E p (3RR-?Cf{ aAC{?E
UEL
?sCd z? RePL. rCC P(PES Ct
;. ?FRA-c (?cTaT? ?ct(D??G
To
13. PURPOSE OF PROPOSED WORK: +..
I-Q?fS?' RD '
•r
14. STATE REASONS
OUT IN WETLANDS.
IMPACTS):
WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED
(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAN-D
(SF-Cz # 4 ALL ROUTTUE /4KD (?fECESSI?{ZY - ME,4SURES TO CONTROL
ffRGS(CTq AQD SEMAE -MN0,4 W(LL BE UT(Lfz7ED. 5LT" FE 0023,
RQCk- SILT CRE*S AK(D LO-( f kt D (Mff ES ertc
1S. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(USFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR
PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT
IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE
CONTACTED: gn TD q.c.w.p.c • ¢"z3`77 (ATTACH RESPONSES
FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO.CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: 9lA
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES [ ] NO (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT?
YES [ ] NO [ ]
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES [I NO [I
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE ?1i=t
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH a,
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE (919) 733-6369.
4
18. THE FOLLOWING ITEMS SHOULD-BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL
INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES
AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26,
29, AND 38). ALL STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1
INCH EQUALS 100 FEET OR THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION__LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?-
ACRt CULTUKE / REV OED TA L-
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL. MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMtNT
PROGRAM.
. - l
V. A -W(tSOW ( DfST EY6P], ¢-Z3 -77
OWNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY ;.
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18g.))
5
Ut- I KAN'DrUm I fAl IViv
DIVISON1 OF-HIGHWAYS
SP-CONDARY ROAD SURVEY
-OCATION
WORK YP
?.o. Nt .
FMA ITT sP (319 ? s )400 TO
RI?D? BASS ?AVF DR/2v 10
WuRK O PRIORITY 37
0 U NTY mAo (so ti TOWN 51 11 P UGRYH- MAfst-rALL
DATE SCALE
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81+60 ZS (5 M-rL
HU,IFCT: SR 13?? WORK ORDER
N Y= M/4-N99 NE OF P?cc
DISTANCE FROM
CENTER OF
aT10 LEPROPOSED PROJECT
RIGHT N OT PS
IG t74- fib'
3S+76 2(, POWER
37+-71 =
F?t?VI=fZ TEL
39 i-S()
3q +7 I r. r
TELE
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7 t?OuIER TELL
c
EROSION CONTROL
DETAILS AND
SPECIFICATIONS
Std, auaiption S, mbol Page
245.03 Temporary Silt Ditch
245.05 ----- •------------------------ "SD
Temporary Diversion --- VI-2
893.01 Temporary Silt Fence
890.05 Temporary Slope Drain with Earth Berm
245.01 _
? ---•-----•
Silt Basin Type A
I
_
VI 8
245.02
Silt Basin Type B -- ---
------ VI -10
---
92.04 Temporary Rock Silt Check Type-A
895.10
, ........ --------
Temporary Rock Silt Check Type-B --- VI -14
892.01 Temporary Rock Sediment Dam T
YPe-A
892.02
897
01
............ Temporary Rock Sediment Dam Type-B •_• ____
? _-- VI -1s
___ vI.2o
. Rock Pipe Inlet Protection
.... V
894.01 ..........................
Rock Silt Screen ......................................... __ e?? - I 22
VI 24
-
245.04 Stilling Basin 9 ....................... ® --
VI - 26
-- ---
Rock Inlet Protection:
896.01 Type A ---------------------
--........ A .: OR -- A?
-- --- VI - 30
896.02
Type B ----------------• ? -- "• B))
-- --- VI - 32
896.03 Type C
----------..................... C oR 1D.. C )
V
- ---
I - 34
i'(PE- OUTLET EQERG? D(SS6P/rTd(Z
ERG S to (4 C09Tf\0L !AMA-M t4G
FIBER GLf}ss RaU(14
VI-1
F6R
March, 1993
LC J /C7N i`=vR S/L TES/.{/ ?ncc i _[ Uf=
E. .5;•V? L LE/,??t'E..U U!/T LUh'E•?? yf?LF,z'!/?
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S. B, _ E?vGrr/ a,? Disr?,?BED AREAdt
ROADWAY DITCH AND MEDIAN LINING GUIDELINES
Percent of Grade Type of Lining Recommended
0
Straw and Tack
1 -_
2 Erosion Control Matting
3 ----
4 Synthetic Rovin,,
5 ----
greater Stone
r
VIII- 2 March, 1993
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