20031537 Ver 1_Complete File_20031202

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DWQ Project No.: 03153-7 County: AShc
Applicant: MCDoT
Project Name: SR. 1154 ( AVI Roma )
Date of Issuance of 401 Water Quality Certification: UFCr. Mbea z7- z. oo3
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or
the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, DAuJD WhiV6 , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and specifications, and other supporting materials.
Signature: ?ru.:e1 1itJ44PCKi Date: a/ fit lo c-
Agent's Certification
I, , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and specifications, and other supporting materials.
Signature: Date: `
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, weekly, full time) the construction of the project, for the Permitee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other
supporting materials.
Signature Registration No. Date
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetiands/
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Coleen H. Sullins, Deputy Director
Division of Water Quality
December 22, 2003
Ashe County
DWQ Project No. 031537
SR 1159 (Bare Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Mike Pettyjohn, P.E. WETLANDS 1401 'GROUP
Division Engineer
N C Department of Transportation DEC 3 1 2003
Post Office Box 250
North Wilkesboro, North Carolina 28659 MATER QUALITY SECTION
Dear Mr. Pettyjohn:
You have our approval, in accordance with the attached conditions and those listed below, to impact 90 linear feet of
four (4) unnamed tributaries to Obids Creek (50 feet of new pipe and 40 feet of riprap) in order to improve SR 1159
(Bare Road) in Ashe County. The project must be constructed in accordance with your application dated November
24, 2003 (received December 2, 2003)), including the environmental commitments made in the application letter.
After reviewing your application, we have decided that this fill is covered by General Water Quality Certification No.
3404, corresponding to the U.S. Army Corps of Engineers Nationwide Permit Number 14. In addition, you must
acquire any other federal, state or local permits before you proceed with your project including (but not limited to)
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval will expire
with the accompanying 404 Permit unless otherwise specified in the Water Quality Certification.
This approval is valid solely for the purpose and design described in your application (unless modified below). Should
your project change, you must notify the DWQ in writing and submit a new application. If the property is sold, the
new owner must be given a copy of this Certification and approval letter, and is thereby responsible for complying
with all the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of total impacts
to streams (now or in the future) exceed 150 linear feet, 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.
Erosion and sediment control practices must be in full compliance with all specifications governing the proper
design, installation and operation and maintenance of such Best Management Practices in order to protect surface
water standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Sediment and Erosion
Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures must be
such that they equal, or exceed, the requirements specified in the most recent version of the North
Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all construction
sites, borrow sites, and waste pile (spoil) projects, including contractor-owned or leased borrow pits
associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Surface Mining Manual.
d. Any reclamation measures and implementation must comply with the reclamation in accordance with the
requirements of the Sedimentation Pollution Control Act.
585 Waughton Street Winston-Salem, NC 27107 Telephone: [phone] Fax: [phone] Customer Service: 1-877/623-6748
s
Mr. Mike Pettyjohn
December 22, 2003
Page Three
19. All work shall be performed during low flow conditions.
20. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certificate of Completion"
form to notify NCDWQ when all work included in the §401 Certification has been completed. The responsible
party shall complete the attached form and return it to the 401/Wetlands Unit of the NC Division of Water Quality
upon completion of the project NCDOT is strongly advised to send in photographs upstream and downstream of
each structure to document correct installation.
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, 6714 Mail Service
Center, Raleigh, N.C. 27699-6714. 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 Ms. Cynthia Van Der Wiele at 919.733.5715 or Mr. Mike Parker of the Asheville
Regional Office at 828.251.6208.
Sincerely,
/- ah-1-Alan W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
Heath Slaughter, Division 11, DEO
Neil Trivette, Roadside Environmental
John Thomas, USACE Raleigh Field Office
Wetlands/401 Unit
Winston Salem Regional Office
Mike Parker, NCDWQ Asheville Regional Office
Central Files

0
e w+?.
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P. O. Box 25201, Raleigh, NC 27611-5202
GOVERNOR PHONE: [phone]
LYNDO TIPPETT
SECRETARY
November 24, 2003
Mr. John Thomas
1 537 WETLANDS /401 GRpu
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Rd, Suite 120 DEC 0' 2 2003
Raleigh, NC 27615 WATER
QUALITY Sr~CTlpl
Subject: Nationwide Permit 14
SR 1159 (Bare Road)
Ashe County, North Carolina
Project Number: 11C.005062 (DWQ Permit Fee: $200.00)
Dear Mr. Thomas:
The purpose of this letter is to notify you of the fact that a 0.9 mile section of SR 1159 (Bare Road) in
Ashe County is scheduled to be widened and paved by the NC Department of Transportation (DOT) (see
Site Vicinity Map). The location of the roadway will not change substantially, but will be widened from
approximately 18 feet to 20 feet. Consequently, the impervious surface of the roadway will increase 0.218
acres. This project will require the replacement of four (4) culverts carrying perennial and intermittent
channels within the Obids Creek watershed (Class C-Tr+) as outlined below. Therefore, we are requesting
that you respond to the attached Pre-construction Notification Form (PCN) and confirm that the proposed
activity is permitted under the Nationwide Permitting system.

U Ll G{
# lll iLLl N\....s
Station •
Type of Impact
Existing
Proposed
Rip-Rap
Pipe
Pipe Pipe Impacts to Impacts to
Dimensions Dimensions Stream Banks Channels (In.
on. ft. ft.
1 0+79 Pipe Replacement 69'xl8" 80'x 36" 10 11
2 2+36 Pipe Replacement 71'x30" 50'x 36" 10 -21
3 12+83 Pipe Replacement 30'x36" 55'x 48" 10 25
4 27+37 Pipe Replacement 25'x 36" 60'x 36" 10 35
Total 40 50
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAx [phone]
9??
Mr. John Thomas
SR 1159 (Bare Road)
Page 2
November 24, 2003
This project area was surveyed for the presence of threatened and endangered species on November 24,
2003. No federally protected species or critical habitat was identified.
According to the National Register, no historic properties are located in or adjacent to the project area. If
necessary, historic compliance work will be scheduled and concurrence from the State Historic
Preservation Office (SHPO) will be obtained.
The attached construction plan illustrates that the proposed environmental impacts have been minimized to
the maximum practical extent allowed by roadway safety standards. By implementing the NC-DOT Best
Management Practices (BMP's) during construction, the potential impacts associated with adverse weather
will be minimized. Furthermore, after the project is complete, down stream water quality will most likely
improve by reducing sedimentation currently caused by gravel road run-off and ditch maintenance.
By copy of this letter, it is requested that Mr. Ron Linville of the North Carolina Wildlife Resources
Commission comment directly to you concerning the PCN and forward a copy to my office. Although the
roadway design has been shifted away from the channels running parallel to the project, please note that we
will be working within the 25' Trout Buffer zone of Obids Creek (Class C, Tr+) from survey station
10+50-13+00 and 18+00-21+50.
Seven (7) copies of this application package have been forwarded to Cynthia Van Der Wiele of the NC
DENR, Division of Water Quality for her review. It is requested that any comments related to the 401
certification be forwarded directly to me with a copy sent to the US Army Corps of Engineers.
If you have any questions about the project or require additional information, please contact me at (336)
903 9223.
Sincerely,
- . ,-
Steve Roberts
Division Environmental Specialist
Cc:
John Thomas, US Army Corps of Engineers
Cynthia Van Der Wiele, Division of Water Quality (7 copies)
Mike Parker, Division of Water Quality
Mike Pettyjohn, PE, Division Engineer
Doug Tetzlaff, District Engineer
Doug Eller, County Maintenance Engineer
Steve Roberts, Division Environmental Specialist
Neil Trivette, Roadside Environmental Field Operations Engineer
Ron Linville, Wildlife Resources Commission
Matt Gantt, PE, Land Quality Section
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No. 15 3 7
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NW 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: North Carolina Department of Transportation
Mailing Address: P O Box 250, North Wilkesboro, NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent 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: Steve Roberts Division Environmental Specialist
Company Affiliation: North Carolina Department of Transportation
Mailing Address: P O Box 250, North Wilkesboro, NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: sdroberts@.dot.state.nc.us
Page 3 of 12
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 1159. Bare Road
2. T.I.P. Project Number or State Project Number (NCDOT Only): 11C.005062
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Ashe Nearest Town: Obids
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): See attached Site Vicinity map.
5. Site coordinates, if available (UTM or Lat/Long):
Station 27+37: 36.3152900 °N 81.3856173 ° W
Station 2+36: 36.3152900 °N, 8133798407 °W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential/Farm
7. Property size (acres): Approximately 6.73 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Obids Creek (Class: C-Tr+).
9. River Basin: New
Page 4 of 12
(Note - this must be one of North Carolina's seventeen designated major river basins. The River
Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: Grade, drain, base and pave SR 1159.
11. List the type of equipment to be used to construct the project: Trackhoe/backhoe, dump
trucks and motor grader.
12. Describe the land use in the vicinity of this project: Residential/Farm
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.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: N/A
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. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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
Page 5 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no) Distance to
Nearest Stream
feet
Type of Wetland***
N/A

* List each impact separately and identify temporary impacts. 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.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at htty://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: NA
Total area of wetland impact proposed: NA
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of
Impact Average
Width of Perennial or
Site Number Type of Impact*
(linear Stream Name**
Stream Before Intermittent?
(indicate on map)
feet
Impact (please specify)
Station No. 0+79 Pipe Replacement 11 feet UT#1 to Obids Creek 2 feet Intermittent
Station No. 2+36 Pipe Replacement -21 feet UT#2 to Obids Creek 2 feet Perennial
Station No. 12+83 Pipe Replacement 25 feet UT#3 to Obids Creek 3 feet Perennial
Station No. 27+37 Pipe Replacement 35 feet UT#4 to Obids Creek 2 feet Perennial
Miscellaneous rip 40 feet Intermittent /
All of the above rap placement for (10' per UTs to Obids Creek 2-3 feet Perennial
stabilization pipe)
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net losstgain),
stabilization activities (cement wall, rip-rap, crib wall, 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.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.us s.QOV. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mgMuest.com, etc.).
Page 6 of 12
Cumulative impacts (linear distance in feet) to all streams on site: 901n. ft. of new impacts.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
NA

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
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 roadwav must be widened to achieve an acceptable section width thus increasing
public safety. The existing pipes must be replaced for the same reason By utilizing
the erosion control measures as shown in the attached drawings adverse impacts to streams in
the area will be minimized The replacement pipe lengths will be the minimum needed to safely
construct the widened roadwav
Page 7 of 12
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.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, 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 NCWRP 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/strrn-gide.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.
N/A
Page 8 of 12
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/w-m/l*ndex.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
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)?
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
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 (DWQ Only)
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.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify V
Yes ? No ® If you answered "yes", provide the following information:
Page 9 of 12
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 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
N/A
XI. Stormwater (DWQ Only)
Describe impervious acreage (both 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.
Impervious surface area will increase by 0.218 acres. All appropriate best management
practices for sediment and erosion control will be implemented during construction.
XII. Sewage Disposal (DWQ Only)
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
XUL Violations (DWQ Only)
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
Page 10 of 12
XIV. 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).
1- ;Ly- 0
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
US Fis
US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]
h and Wildlife Service / National N
US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]
[arine Fisheries Service
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Page 12 of 12
1573 M 1 >. Nalf+ars ' IsY6 `t*Isee
fl?e' 120s •+ 1287 7te5 '
Ilk
c n e °e ? ? * ? tsar loot
-roan ~ q logo -- ,v teei
t69e r1,? 7 1122 1131 JEFFERSON 1683 1bB4ASlte 1592
4' ` ? \ j 1• & as r - ? 1?? ?1 <ta _ s t®NIOOR 4 0 1596 t.c
tx64 1194 i 1771 +t e a 1160 1595
1 S_mpon a t5es.i '? \ ?. • 1599
1229 1599 1591
Tree i 1229 113, ` ?, •?' +ss
Too s , V
.1 1128 _•_?! ` 1?9: 1590 • 1595
fw\ ....... • /1^e \J ` , 11569 o THE PEAK
?C, ° 133 ,• 71882-.ji 1590
1125 ' WEST ' ..
J` 1 JEFFERON P -° 4 •- MT. kFFERSON ) 588 Wo oner t597
is _
n 1138 1261 l '4 •
9" s4 .ja+ 1103 ; ; v 1270 Tiss + 3 , 1617 t.oCnLOD 1596 4 _ 1st
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1156 ?ebdm 1627>J' Y
12873 9 0
1197 1623
S •' _ 1155 a eip R1ape 1CI,°b
T a a 1.a 1225 a 1219 J if C1891 1822 E-,- M
,...?.. I ?, tl? 2 1155 'v t.v 1625
j vae7 Roma Cn. 1138 1140
e.? • Beaver Cnn4 1239 4 1259 1230 4( ?? 7628 q
1273 1248 ' ` , ' .1 1159 O?QL 1631 ?J _ 16z? a
\111 /,^ RIDGE tut 1 ,144+ 145 12581 • 127 • 'I ( 7628 '7 P ^ i
7oiwer 1233 - 1 i 4 1147 \ 156 G,?(_••. 1630 Y .e
\ 1'q 1245 208 1199 1622
?• 1142 11 1824
2 114 w. 1220 1?, 1222 '? e 1629 F
If - , it38 v1 1 e 1158.
I e ?
lzae ,?;: 1146 1 ?' Olitetb\\ cP0 nse y\ t6ef 1r , `1i
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MTN. `J 7 1283 7278 j to
ELK J/ :p 1276 q. I \ V 1160
1208 Baldwin a y 1 ? 1p ,
• 1274 Woodrord 11209 1221 1272 MULATTO r 1181 ®
(, ?• \\
MTK ' 1 ^\ \ ' f • k 27 .? 3 1591
1145 1192 a
\ f
'Q 12001 1 - 1 1182 \ 1277 Giendab zpmnp>;
y r Q 1114 1178 1278 IIII 11 17 1177 BeinelCR w 19 ..
66 e \ ? 11 ? !
`- 112 1210 ] 1, ! ° , V
?c 111. ?' 1771 ! .5 -/^?\\+ t 3 Old Owl R \\ -? ?? ,e 16481 arm
1100 • : t7z \ ? . }i 1120 - ?t 1121 ?. ` -
•?, { \f\ 1177 12M 1152 11' ?. ?.• I `. , ?.lsa4
\` S 'v C? 1186 :{' P tP 1232 ?1 117 ' 1787 e
_ 1111 72Tti ti-.;`\\ I 1
/? v 1 1112. ~ L •I? 1199 l tUt
wE a0 d .1115 1110 ,e I 1176 `ly e ^
w
t9
t Big Fblta 1213" ? a t ? •/ ? 7pN•yYllE580RC ,
Todd 1109 ,. C. 1111 !ue .t 1184
i 1
Fieswood a I 71791 1168 \6, 1'p 1181 7183 06141 ' a3 -
t'Oe. 1106 as 1106 s ?? v° 1003 1152
1109 1 I vas _ _ !!?: ?tt55 DANIELS
SO 1216 I - /J u
l? ( 1003 ,1 1268 a GAP
1100 1103 (??. N '??''.? •, \ ?
t 1 QC' Yotas ] • 8`ve Rlape 14
1107 !b 1105 , ` g 4 4 C7 n \ L 1165 t
1724 ?- ?t104 '1 I ; IdfemTd ~ 116
tze5 + 1 1003 `° 1117 ? 1169 r
? Liberty Cr- m. I 1166
II Brown " 1103 ° 7166
a Wood 1 \ c
1282
1702 1700 1265
1100 1101 me-
\ d 1
\ ` w
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. a•, /s] .• ?-a 1172 . ? PHILLIPS S ? -
"00 GAP
1171
\ 11169 S ` l?
ar1T • ?1 -? i
\ 15 t
r c7 S• o r\ Car\rz1 ?
C O J 4THOLIPKINS v
tr/ v1? ?) KNOB ELEV.
vY 4.100
1300 1403
N?
l
NOTE : MAP INCLUDES ONLY STATE MAINTAINED ROADS 1100
OR IMPORTANT NON-SYSTEM ROADS.
ROADS SHOWN AS OF NOV. 05. 2002. .
KEY TO COUN
ALSO NUMBEF
r'`= - w 226 ¦¦1. 282 /
c''----
16
it SR 1159 L ,;,? t rr f ??;'`.'•
27+37

t\
2+36
ap
f . .J1 ? r ~` • i
Cem. ( -t -
,
Obids
as ?. • ?? fr ?:OaTytes
Copyright (C) 1998, Maptech, Inc.

v
EROSION CONTROL SCHEDULE
(1) All adequate temporary erosion control measures will be installed before
clearing and grubbing operations begin.
(2) As construction progresses, temporary and permanent erosion control
devices shall be installed in a timely matter, according to any special permit
requirements and or requirements set out in G. S. -113A-S7.
MANDATORY STANDARDS FOR LAND-DISTURBING ACTIVITY
Pursuantto G -S.1"! 3A-57 (3),provesionsfor2 ground cover.
sufficientto restrain erosion mustbe accomplished wWin 15
woridng days *r30 calendar. days following completion of
construction'or?ieveiopment,whichever period is shorter, except
as provided In lSA NCAC 4B .0024.(e).
DESIGN STANDARDS IN 3ENSITIVE'WATERSHEDS
-- - - Pursuantto G. 3.113A-$7 {3) provisions Iona gro und cover
sufr'icientforestrain erosion mustbe pmvidedforany portion-oFa
land-disturbingacti% yin2!iQWzonewithin9SworJdngdays:or30
- caiendarzlaysfollovAng completion of 6oitstruction1or
zdevelopment, vd icheverperiod is shorter_ .
(3) All siltation and erosion -control devices shall be properlyxnaintained until -no
longermeeded.
(4) On .projects performed by D.O T Maintenance forces; request will promptly
be Tnadeto the Division Roadside Environmental Urdtfor stage and
permanentseeding.
(S) Any removal of siltation devices mll be based on the condition of established
ground cover o; that.areathe device is serving.
CONSTRUCTION SEQUENCE FDR INSTALLING ROADWAY CULVERTS
I - Clear only enough area and install the downstrearn measures such as silt check darns,
silt screens, and basins as noted on plans.
2 - Excavate the 2' base tail ditch.
3 - Excavate and install the roadway culvert_
4-install sedimerd-Control measures art inlet as noted on plans.
3-'Install additional pipe outletprotection and inlet protection as noted.
SECTION* 10 4 2
RIP RAP MATE X-1-LS
1042-1 PLAINT ILIP RAP.
done foi- Main rill rap shall consist of field stone oI- I-D11 untie ;:Jn quarry-
slDne_ The Slone shell be sound, tough, dense, I esistarli to the action of air
and water, and suitable in all 6iher res?lects for the DllI'DOse iniended_
Mere broken concrete from denlolished siructures or pavement ls.avall-
d that such use meets Nvith the
:Ilili?.?lzay be used in place of stone provide
_ approval of the Encrlneer.: However, I>die' use of broken concrete' whir--1
cDntains r-einforcing steel will not be vermitt?d_
?'he stone or broken concrete shall be- graded ?o 1neLt file following
requirements=
I. Fors Class 3 dip Raji_?tflneshall v?rv?niveight fram 5io2DO ?oiinds:
_ L :3east ., percDnt:.of ih?- iota! 1v:eig -L -of..th-e rID rap. shall be. in
`indi?Tidu1 vice ?;Teighinga ?nininlunl of f?D -oun?3s each3?T? 1iore
i laTl 10 percent of file toil Teiglli of ills rip ?=al? ri1a?T be in indivit3Va1
Dietes I''eiahlncr less than !5 I)ounds -each- =
- - or Cl-cs ) 11113 ?3_ Sio71- Shall Vary in welght TI-D-,-,l ?5 io 9 0
uounds_ Atleast DO Derceni of the tow l w eight of-the riD raD shall be in
individual 3) ie ces zveiglainc a minimum of 200 Dounds each_??Iotmore
than J D01-ce11t Of the tDL,-'l weight of the rip rap nlay be in inchVldual
Dieces ??f'i?Tlling 3e_>s tllan 50 bounds each-
.00?

HIGH QUALITY WATERS
1. Uncovered areas are limited at any given time to a maximum total area of
20 acres.
2. Erosion and sedimentation control measures shall be designed to provide
protection from the 25-year storm.
3. Large Type -A basins shall be designed and constructed with a settling
efficiency of at least 70% for the 40 micron soil particle size transported
by runoff from the 2 -year storm
a Newly constructed channels shall be constructed with side slopes no
steeper than 2:1, unless slopes are to be stabilized by methods other than
vegetation
5. A ground cover sufficient to resttain erosion must be provided for any
disturbed area. -
EROSION CONTROL DETAILS AND
SPECIFICATIONS
STANDARD DESCRIPTION SYMBOL
462.01.(5PGt:Lon).....Rip Rap Fill Slope Protection ........................ Q
876.04 ....................Rip Rap Lined Ditch ..................................>1
1060.08:(5e9t gn)...Matting For Erosion Control .......................... ?/WV
1605.01 .................. Temporary Silt Fence ................................. H-
1606.01 .................. Special Sediment Control fence......................
1622-01 ..................Temporary Slope Drain....................... 1
1630-02 ...................Silt Basin Type B...................................... E
1630.03 ................... Temporary Silt Ditch .................................. -TS D-
1630.04 ................... Stilling Basin...........................................
1630.05 ........... . ......Temporary Diversion.....................
1632.01 ...................Rock Inlet Sediment Trap Type-A.................:D oft A
1632.02 ...................Rock- Inlet Sediment Trap Type-B.................... cm e
.?
1632.03 ..........:.:......Rock Inlet Sediment Trap Type-C.................. • Lc" ; oQ : C-
1633.01 ................... Temporary Rock Silt Check Type-A............ ... Im
1633.02 ................... Temporary Rock Silt Check Type-B...............
1634.01 ................... Temporary Rock Sediment Dam Type-A.......:..
1634.02 .................... Temporary Rock Sediment Dam Type-B.........
1635.01 ....................Rock Pipe Inlet Sediment Trap Type-A............ A-.U..-
1635.02 ....................Rock- Pipe Inlet Sediment Trap Type-B............ g
1636.01 .................... Rock Silt Screen......................................
Small Stream or Branch .................................................................. _.?. - - - -?
Pipe Outlet Energy Dissipater .......................
sss?s
' CO?7OL t''Z?N'
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• OUT L T BASINS W-5 H'ROCK CHECKS
SHALL BE ?LACED AT LOA' ?DINT S
At ARE NOT Sr-IDWN ON

PLANS.
A-' PIPE LOCATION' I%fiAY VARY DU= TO
GRADE CHANT==S IN ROADW-- .
• RD--K CHECKS AND BASINS ARE T O BE
alOOVE, =ORE niP-;.A = Or. ?.vVIN
?L AC_IJENT. BASINS A I C?OSSLIIt=S
TO REMAIN.
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PLAC=I? E i . BASINS AT Cr?D? ! It?S dvz 3x3 ? j O i -T? Pe i
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BASINS ARE N J SHOM ON
D!Mi BASINS- rfHRDCKCHECKS IoxSz3
ALL -?i Z iOi47 ION' MAY VARY 0:3= ? D
GPAD= C. JIAN• FS IN RDA 1111; A%
• RDCK'C= CF;S t;tdD BASINS Ar-,=.D $_
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Ditchliner Requirements 1017/03
SR 1159 Ashe County
1+30 1+70 RT. RIP RAP
2+95 4+00 RT. RIP RAP
9+00 14+00 RT. RIP RAP
14+00 22+00 RT. ROVING
22+00 24+69 RT. ROVING
24+69 27+37 RT. ROVING
27+37 33+00 RT. ROVING
33+00 34+25 RT. ROVING
39+00 41+00 RT. ROVING
41+00 42+77 RT. RIP RAP
46+50 47+50 RT. RIP RAP
i
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4 PIPE I STATION I Sim CLASS REM '
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S.R. 1--11 County i- -1E _ r Sheet``
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Name a R? ?d • ? ? Date 1 o- 7- of
Existing Road
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Proposed R/W - - +
A N-19
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Note:
Temporary erosion control
devices not shown, but will
include temporary silt screen,
rock check dams and silt
basins, as needed.
INLET GJ r LL rJCED 'o RE:
?Yur,HrErJ 1?E %D Vrju,Jwa
Ur,aERL-)RArrJ F61-D,
Survey Date 9 - 2 3 - o3
Conducted By &H. D8. 1.D.
Drawn By L,0 ?c• D• DLL'
,
S.R. 1 ?q County_ LSl? Sheet Of .
Name ?BaQ Date 10-'7-p?
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Note:
Temporay erosion control
devices not shown, but will
ipclude temporary silt screen,
rock check dams and silt
basins, as needed.
Survey Date 9-ZS-o3
Conducted By CAN. C)8• t1D
Drawn By?o Ri?? ?`1 c

S.R. 115 County AS14
E
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tr
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Note:
emporary erosion control
devices not shown, but will
include temporary silt screen,
rock check dams and silt
basins, as needed.
Survey Date 9 - 23 - 0'
Conducted By Gg D8- L.Q
Draw=n By L 6&* D. &JM
S.R. 1159 County ASNL
Name
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New Road
Proposed R/W
000 !'r TAi?A
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L 1
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Dated ? - R.-o3
. • •

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Note:
Temporary erosion control
devices not shown, but will
include temporary silt screen,
rock check darns and silt
basins, as needed.
Survey Date 'F-23-6-5
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( 2E326- 282; .?? ti28?^'
SR 1159 - ,f
y f ? j _ 320?p? -
• s vf' 3098.
. r' •2884 '? • `? .
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Clem
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Copyright (C) 1998, Maptech. Inc-

83 1 53 7
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Photo #1 - Outlet view of existing perched pipe at station 2+36 on SR 1159, Ashe.
Photo #2 - Downstream view of wet pipe at station 12+83 on SR 1159, Ashe.
Photo #3 - Outlet view of wet pipe at station 27+37 on SR 1159, Ashe.
Photo #4 - Upstream view at station 27+37 on SR 1159, Ashe.