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HomeMy WebLinkAbout20030514 Ver 1_Complete File_20030424W q T? Michael F. Easley, Governor (? A William G. Ross Jr., Secretary \?? QG North Carolina Department of Environment and Natural Resources Cq r Alan W. Klimek, P.E. Director > Division of Water Quality O `C DWQ Project No.: 03 0 5/?f County: suv?- Applicant: NCDOT Project Name: ` h /& d--cei ar z / o F Date of Issuance of 401 Water Quality Certification: Co -?3 - 0 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, Joel B. Setzer, P.E., 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 cation and Buffer Rules, the approved plans and Certifi compliance and intent of t *401 i52 specifications, and of Signature: Date: 9/'60/ CS Agent's Certifca n 1, , 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 Date: Registration No. 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), hftp://h2o.enr.state.nc.us/ncwetlands/ F WAIF Michael F. Easley, Governor William G. Ross Jr., Secretary \Q °e4 North Carolina Department of Environment and Natural Resources ?Y Alan W. Klimek, P.E. Director -i Division of Water Quality O 'c June 2, 2003 Henderson County DWQ Project No. 030514 SR 1868 (Sugarloaf Road) APPROVAL of 401 Water Quality Certification with Additional Conditions f A, ,4 Mr. E. A. Green, P.E., District Engineer ?S NC DOT Division 14 X/0 4142 Haywood Road Horseshoe North Carolina 28742 Dear Mr. Green: SFC You have our approval, in accordance with the attached conditions and those listed below, to impTnn a?f* linear feet of an unnamed tributaries to the Hungry River in order to upgrade SR 1868 (Sugarloaf Road) in Henderson County. The project must be constructed in accordance with your application dated April 17, 2003 (received April 24, 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 should 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 only valid for the purpose and design that you described in your application except as modl ified below. If you change your project, you must notify us in writing, and you may be required to send us 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 conditions. If total wetland fills for this project (now or in the future) exceed one acre, or if stream impacts exceed 150 linear feet, compensatory mitigation may be required as described in 15A NCAC 211 .0506 (h) (6) and (7). For this approval to be valid, you must frollow the conditions listed in the attached certification and any additional conditions listed below. NCDOT shall implement Best Management Practices for the Protection of'Sutface Waters (NCDOT March 1997) and Sedimentation and Erosion Control Guidelines for Sensitive Watersheds (15A NCAC 413 .0024) prior to any ground-disturbing activities to minimize impacts to downstream aquatic resources. Temporary or permanent herbaceous vegetation shall be planted on all bare soil within 15 days of ground-disturbing activities to provide long term erosion control. In-stream work and land disturbance within the 25-foot wide buffer zone are prohibited during the trout spawning season of October- 15 through April 15, or other conditions as determined by the North Carolina Wildlife Resources Commission, to protect the egg and fry stages of trout from sedimentation during construction. Storm water shall be directed to buffer areas or retention basins and not routed directly to streams where practicable. 4. All culverts required for this project shall be installed in such a mariner that the original stream profiles are not altered (i.e. the depth of the channel must not be reduced by a widening of the streambed). Existing stream dimensions (including the pattern and profile) are to be maintained 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.n(;.us/ncwetlands/ above and below locations of culvert extensions. The culverts shall be designed to prevent headcutting of the streams. 5. NCDOT shall provide for aquatic life passage by burying the culverts at the recommended depths except at Sta. 35+70 where the pipe outlet is on bedrock. Energy dissipater pads shall be placed under the outlet end at each culvert. 6. All work shall be performed during low flow conditions. 7. All mechanized equipment operated near surface waters must be regularly inspected and maintained to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials. 8. The presence of equipment in the channels must be minimized. Under no circumstances shall rock, sand or other materials be dredged from the wetted stream channel under authorization of this permit, except in the immediate vicinity of the culverts. 9. Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing season following completion of construction. 10. Use of riprap for bank stabilization is to be minimized; rather, native vegetation is to be planted when practical. If riprap is necessary, it must be limited to the stream bank above the high water mark. Riprap shall not be placed in the stream bottom. 11. Existing vegetated buffers shall not be mowed in order to utilize it for storm water sheet flow. 12. 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. 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 that 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 919-733-9646 or Mr. Mike Parker of the Asheville Regional Office at 828.251.6208. Sincerely, I. a-04e Alan W. Klimek, P.E. Attachments cc: Wilmington District Corps of Engineers John Hendrix, USACE Asheville Field Office Wetlands/401 Unit Mike Parker Central Files MEMORANDUM TO: John Dorney Regional Contact: Michael R. Parker Non-Discharge Branch WQ Supervisor: Earrest Westall Date: SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS Facility Name NCDOT - SR 1868 Project Number 03 0514 Recvd From DOT Received Date 4/24/03 Recvd By Region Project Type Certificates Stream Stream Impacts (ft.) Permit Wetland Wetland Wetland Stream Class Acres Feet Type Type Impact Score Index Prim. Supp. Basin Req. Req. ME 14 F__ O Y @N ? 9-29-30 ? TR 30,803. F_ 160.00 I - F_OY ON F-F-F-F--F-F-F- I I Mitigation Wetland MitigationType Type Acres Feet Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? (0 Y 0 N Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N Is Mitigation required? 0 Y O N Recommendation: 0 Issue 0 Issue/Cond 0 Deny Provided by Region: Latitude (ddmmss) 351445 Longitude (ddmmss) 820122 County HENDERSON County2 Region Asheville cc: Regional Office Central Office Page Number 1 Triage Check List late: C.7• 4?_ Project Name: l'WT SK 166b l-Icr,,d Co . c?3b5??' gV01 5P. W71 J Adtsm--- Co 0 30667- u? FILE COPY owae: County: 3 , NCAc?I RJA^ led • , c1 aC.?GSav` 6o. J 0 3e5 ('0 To: ARO Mike Parker ? WaRO Tom Steffens FRO Ken Averitte ? WiRO Noelle Lutheran ? MRO Alan Johnson ? WSRO Cyndi Karoly (Central Office) ? RRO Steve Mitchell From: CAA 44t? Telephone : (919) 7,33, S Z 5 The file attached is being forwarded to your for your evaluation. Please call if you need assistance. ? Stream length impacted ? Stream determination ? Wetland determination and distance to blue-line surface waters on USFW topo maps ? Minimization/avoidance issues ? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman) ? Pond fill ? Mitigation Ratios ? Ditching ? Are the stream and or wetland mitigation sites available and viable? ? Check drawings for accuracy ? Is the application consistent with pre-application meetings? ? Cumulative impact concern ?omments: _?U7 OA_S?LeU `in. MA?o O P C3 4 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION Michael F. Easley GOVERNOR FILE COPY April 17, 2003 Mr. John Hendrix, NCDOT Regulatory Project Manager U. S. Army Corps of Engineers 151 Patton Avenue, Room 208 Asheville, NC 28801-2714 Subject: Nationwide 14 Permit Application SR 1868 - Sugarloaf Road Henderson County State Project No. Dear Mr. Hendrix: Lyndo Tippett Secretary APB 1. r JAI (DWQ Minor Permit Fee $200) The North Carolina Department of Transportation (NCDOT) is proposing to widen, grade, and pave SR 1868, Sugarloaf Road, in Henderson County. This proposal entails widening and paving the existing gravel road to a standard 20-foot roadway. The proposed improvements of SR 1868 have been identified as necessary maintenance and safety improvements. Funds have been allocated for this project, and NCDOT would like to perform these activities sometime during the 2002 paving season. I am sending a straight-line diagram with the proposed erosion control and construction limits along this project. In addition, I am sending a typical section of the road, cross sections, drawings for pipe culvert replacements as well as a marked county map and USGS quad map. We propose to install the new culverts slightly below the existing streambed elevations where bedrock is not encountered to minimize impacts to aquatic habitats and allow the existing stream gradients to remain as unchanged as physically possible. The culvert at Site 2 is perched and cannot be corrected due to bedrock, the steepness of the fill slope, or surrounding terrain. Natural channel design techniques (pattern, dimension, and profile) will be used when relocating the stream and the new stream banks will be stabilized with erosion control matting and vegetation. No threatened or endangered species are known to be present in or near the project area; therefore, no significant impacts are anticipated from project construction. The best management practices will be used to minimize and control sedimentation and erosion on this project. The construction foreman will review all erosion control measures daily to ensure sedimentation and erosion is being effectively controlled. If the planned devices are not functioning as intended, they will be immediately replaced with better devices. The rock silt screens and other erosion control devices will be in place prior to pipe culvert construction and will remain in place until the project is stabilized. Impacts to Waters of the United States In order to construct the project in accordance with our current secondary road standards, it will be necessary to impact waters of the United States in the Broad River Basin. Specifically, NCDOT is requesting to extend/replace two metal culverts in an unnamed tributary to the Broad River Basin (DWQ Class C). Listed below is a summary of the proposed impacts. Site No. Existing Proposed Net Impacts Station Condition Condition Site 1 40' x 24" CMP 60' x 24" CMP 20' extension 22+60 Site 2 40' x 24" CMP 60' x 24" CMP 20' extension 35+70 Site 3 40' x 24" CMP 60' x 24" CMP 20' extension 40+70 60 linear feet total Permits Requested NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed with the construction project outlined above. By copy of this letter, I am asking Mr. Owen Anderson, Mountain Region Coordinator, of the North Carolina Wildlife Resources Commission (NCWRC) to comment directly to you concerning the 404 Nationwide Permit request. Also, by copy of this letter, I am requesting authorization under Section 401 of the Clean Water Act from the North Carolina Department of Environment and Natural Resources (DENR), Division of Water Quality (DWQ). In addition, I am asking Mr. Anderson and Mr. Ed Ingle, (NCDOT) to comment directly to me concerning this permit request. If you have any questions or need additional information, please contact me at (828) 891- 7911. Your early review and consideration will be greatly appreciated. g , een District Engineer Cc: Mr. John Dorney, DWQ, DENR (seven copies) Mr. Owen Anderson, Mountain Region Coordinator, NCWRC Mr. Richard Phillips, PE, Regional Engineer, LQS, DENR Mr. R.G. Watson, P.E., Division Engineer, NCDOT Mr. Mark Davis, Division Environmental Officer, NCDOT Mr. E. L. Ingle, Roadside Environmental Field Operations Engineer, NCDOT Mr. Steve Cannon, Henderson Co. Maintenance Engineer, NCDOT NORTH CAROLINA DEPARTMENT OF TRANSPORTATION DIVISION OF HIGHWAYS SECONDARY ROAD SURVEY SUBJECT 5R 1865 SUGRRLO/AF RD LOCATION Bg&IN AT THE 1N AND C.UnIT'NUE SEA s CORTHCRLy D?RE?7 ??N FOR l) 7DTA? 11 pis TRNc E of 5,2-3-5 r=e&- T A-' 7-RE- AND °r- FRo7-Cc.T. PFlIIE GIROS/oN con/TRo IWL) WORK TYPE URApC'.DR9vN, ?}gC? j F? IJCG R C SC- T WORK ORDER ?,q5ZI7?o ?TEMID) PRIORITY I F a/ COUNTY I? etiDE'8 5 0PJ RIGHT OF WAY 5 0' DATE (? -- 2 (_p - Q k NOTES SCALE /` = /00' OR ABC 4 udD= eNA,?GE SIC 9% 5.6.7 / a+OU 9tos ? L 3E P-T' D G r L E2- 7- I Tr 12T 1? t-0rJUILL6 lX Z?3rJ42 94- 7.5 O(D22t- 4-5 - 0741 s s. 7 )B C.N, eo2 5.5.7 7 t95 71- Zo 0 6tY5 C? S? 7o JC s_ 9.7 yf 9s ??- ? G-IL`?L2T O2 ?co21- 3?- o /jFls /N y f Z O(/NTE,?St C i aN 5 f-7o viI S.6. 7 y t- 95 v L7 . G , LIE ra?v D tzc-IIA ?D, T -t,3 C. s. 6.7 2T C) Z99 (ZSOV3 V I?L?i NG 28'7< O(flZI 1430 R Kl.oyf7 RC)fj I3E2-r Suss ?J M, G1L-136r--r (L?" I 13 0 185 -5"792 }r??p62Soool L.6 tic_ -2 . 0(r?21 --?q=?o54 50 AEG- I IJ o -A- o o ?EG-IN MP,N?-r??N fzlvJ .. ? •ss7 Q' / _ S°d l 960 GRADE t 3 tl/o /9foo Y \ 1? Zoo ? ? ? ? s.5.7 o s ? . G 2 ?3 ? s o ov l l._ l._ E, N - g '7 24 GiuP eF-MAR \\Ei.?o?PSoNvILL?? Nc d'7 /61190 /? U s. 6.7 o Co21 - 34 - C? `l ? ? /Sf 90 sb.7 2V cmP o / °° 1yf6o I ?4 Ah0 IL4+ a 04-00 F7Loy b 01-7 _ oa oBot?? emp ?z+ds 5.9.7 /ltY5 ofSS I ??? G11_C3E?T OP-CNA2t:' L?62-t` ?-1LK.-T M N(- ss? co 1 O 10 -A-00 5sa? 6 % 5 5, Z 9d-So 0 V 5. s.7 0 18 „ CAp .s- E.'7 ?DwAr- D L- Ei?: bvErz cA5 H 1JbNNl? s. UV?2Cr-?SNs% - 14 1 zsflo 4,S 5 . B. 7 Z3t£? 2.3+Zo ? S. G. 7 2 z+5 ? 2 2 Z43o 5-Q7 i zif7o zl+/o 5.6.7 Zo+Zo 6 % 5.6.7 z°/a Zstso N B 0 I S " CMP -5 c_ rFrZ, \/ MARV D2AOE- v b21- 44 2-Z84 ? ° og 0 5 0, fig" cMP 2o-A'oo R ?' ' CyQ,t?GF S 3 9f 50 S.S./Y ec?2\ - 54 - 4? 37t70N 3 745 11-5 0 3\88 Sc,,G-?cz. ?-b?? MT?,fZb, ? ?\EwpEr?SoNU???EINc. zgh9? 0?o21-r?4-4999 3 00 ? M c. CRA u) S. 7 K ?b? k 3670 E13 fit? S0PU k L L EJ OC. Z,?% 2 102?-4tr?-9LCn? ss-7 35+70 GKADE ??/<INGE 3 % 35fiM IV s_6.7 00 80 ('RIVATE DRIVE RL 3,LLgA-0tFE MCC2.Aw -Po o 4 +2 Mou"Tt I- N 1AOMb NC 2-8r158 o(o7.1 - ?4 - 08? 1 ? I8 , G.ti p No?'A Sl-EP? 2T SOX ?r7zA Su&AP- L.onf= m m 4 4- '`1 i.4 a 33f6o '?d W F-DQJc e-D C_G IE, DVFT2 CN I -\L)ot,3op% S. C)\JFrGf)sN\'T - Co (o2 - A 5- ? 4 S l 3 z+as 3Zf/0 31435 s. s U) I lCl q ?--Al " ev M'o 3?+30 s_67 5 0' S? FF -Ey M(A2K DQZ IL _ 18 L/i.?p °?ILL r- c McGn?? o C? Z I--S 4- 29 (o 7 31 P 6,1 7. 30-? oo 6 a -S-OL-.) p?H'4'c mP -9 ,Oro 49-?cs S.B. 7 y 8 -x-30 1 R e 47-1-.55 -< S. -7 zy" AMP L14 Y-50 3vj- C) (.-o r -J YS475 CS LO Lo 4 y -/-S0 53+75 I 4 3+5 5. B. l y R? \Ay ITT - ?Ey a -c T' L7 LUT2-?R r-\ v c ?? ?, No? -P b -130 -6 1n4 ?b r?o?C 1 234 MME rJr 2 '1.? .> AP??r? PJ C 28'704 1 W ? 41-F3o o 4-30 R S...7 OC?2?- 54 - 4rS 2 ?? p of oQ? - ----------- b lnZ SA . Co 4S 4 eS 40+10 ,',4DE c/l.A?-F S?Io )osE?" LeW\S CLu ?Y 5 0' vpy 6 N?ppIE? C(LkI,- ?2uT`c?EC? ??2v C?outJT ?.l?,T\??2?02? C.Ou.tJT E• o• c. o. n 5zt3 %243-5 18 " cM? J _ ?03?'?-? N. 41\O??ISO? ?O?E?T ?. o o %L s l f io v) p loZ \ - ?? - Co 1 p ? Z. \ - lfl 5 - l? 1 to C? sofas 5 01 50? 00 PIPE SCHEDULE PROJECT G R 1868 COUNTY f?ENOERSo?.1 PAGE ? OF / SuUFlR?o/?F 2n STATION EXISTING PROPOSED REMARKS DIAMETER LENGTH SKEW DIAMETER LENGTH SKEW lyf9o Zy " yo' 90° ,0 cmp 22t(00 2y" y0' 90° 60' C m p 307`00 2.41 yo' 90° dd' Cn'IP 35t 7-D 90 ° '14, C MP w RDCK /k,9Z) vlyLt- yot 2y" yo' go° ?o' c- mP y9tlvD l8 o' 90 o' C r?P of 60 t '' e5m -,-80 J8' 6Q' IQ S° OM r' Za fSo /So' y Asa Z LJ " -7D' 90 U GMP Z7?oo 8" 6a ' /os° G?iP Z faa / ZI ' /,0-5' ?? +P 34-tZ5 /?" f?' /Osa GMt' 3 8 -?-so J8 ' 60' D?° G??P ±3) 00 /os° «?P d f80 Z y„ 6a ? ?o?° ?M? POLE DATA PROJECT OWNER' S ? Igo B Su6A,04-OA F P.D ' COUNTY Du K? 1?? wErz SHEET * IWAJD,9-P 5n J / OF / STATION POLE NUMBER EXISTING LT. I RT. I DISTANCE FROM CENTERLINE AFTER _ PROJECT MOVING REMARKS LT. I RT. U. RT. 22 t3o -- 20I 20 i POrvEP- P0L E 30 -F 7D I -- i 32t8U l8C?l 35 rOU Igo S2 20 11 1 Its 2-01 l 11 I I I I Pow EP- Po LE C/'G I PDWEP_ PGL ?2-C-'u y5 owEr? DocE 37 t o o 18o S3I 1 9 12- I I 1 /moo w Eg Po L E- 39 t50 I Soy/ Syl I (o I /? I owti2 POLE Cr-G? i ? i I l I I I I ? I i I i i I I I I I 'S ,(1 i Y 0 O 8 APNNH:LL ?M•i 4 b C, R? O LIiiLE PISGAI, MTN. /U HICKCRYNUT ?o? GAP Nk: BLUE LJ •,' \ \ \ I'/ R??yFRFOR co •. rs ` 1 ?ry fa` 1 I 35 - is- w S-4-1 \ ' 1 SUGA?LUAP MYN.I 1 I M -;M ELEv. 3.95' C',JF- ", .1 1??, eL E 17 1 15 „ PINEY. '0 T ,9Aq ?' kMrNa 1 i >. f hi 525 f 1 P Qa0 /. 72 IK n? 33 •20.04' 1)34 \ ?. 1791 1199 19 r' l? / R 6a ? 1 J I m- I :2 3 c a? 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C?. y ,vex See P/,75 h- 6,1 ?-/ r Office Use Only' Form Version October 2001 C305 USACE Action ID No. DWQ No. 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 I . 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: 4142 Haywood Rd Horse Shoe NC 28742 Telephone Number: 828-891-7911 Fax Number: 828-891-5026 E-mail Address: NA 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: Edward A. Green Company Affiliation: District En¢ineer Mailing Address: 4142 Haywood Rd Horse Shoe NC 28742 Telephone Number: 828-891-7911 Fax Number:-828-891-7911 E-mail Address: egreen dot state nc us Pagel of 9 M. 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: Sugarloaf Rd. (1868) 2. T.I.P. Project Number or State Project Number (NCDOT Only): 6.952176 3. Property Identification Number (Tax PIN): see attachments 4. Location County: Henderson Nearest Town: Edneyville Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): Begin at the intersection of SR 16024 and SR 1868 and continue in a northerly direction for a total distance of 5,235 feet to the end of project at Henderson/Rutherford County Line. 5. Site coordinates, if available (UTM or Lat/Long): 35 14.8N / 82 01.38W (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: Rural 7. Property size (acres): 5,235 * 50' = 6.00 acres 8. Nearest body of water (stream/river/sound/ocean/lake): Hungry River 9. River Basin: Broad (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/.) Page 2 of 9 10. Describe the purpose of the proposed work: Upgrade SR 1868 to minimum standards for a NCDOT maintained road 11. List the type of equipment to be used to construct the project: Widen and pave SR 1868 using hydraulic excavators back hoes bulldozers dump trucks, motor graders, and various hand tools. 12. Describe the land use in the vicinity of this project: Rural residential IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. N/A V. Future Project Plans Are any future permit requests anticipated for this project? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: 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 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 Page 3 of 9 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 linear feet) Type of Wetland*** * List each impact separately and identify temporary impacts. Impacts include, but are not lumted to: mectiamzed cieanng, gradmg, un, 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 http://www.fema.:;ov. *** 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: Total area of wetland impact proposed: 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number indicate on ma) Type of Impact* Length of Impact (linear feet) Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? lease specify) 1. Sta. 22+60 CMP replacement 20' Unnamed Trib. Intermittent 2. Sta. 35+70 rep acMment 20 Unnamed Trib. 1' Intermittent 3. Sta. 40+70 rep aN4P cement 20 Unnamed Trib. I' Intermittent List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated tip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), 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 ww,Nv.usgs.uov. Several intemet sites also allow direct download and printing of USGS maps (e.g., w%rw.towzone.com, www.niapquest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 60' Page 4 of 9 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. * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: till, excavation, areaging, 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.): N/A Size of watershed draining to pond: N/A Expected pond surface area: N/A 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. NCDOT is proposing to install the minimum amount of metal culverts required to obtain a standard secondary oad typical Pipes will be installed below the stream bed to prevent perching and allow for aquatic passage. Proper erosion control measures will be installed and maintained throughout the life of the project. 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 Page 5 of 9 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/ncwetiands/strmgide.htm]. 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. 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 littn•//h2o.enr.state.nc.us?wrp/index.litm. 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 Page 6 of 9 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 (919) 733-5083 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 ('I'ar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ® If you answered "yes", provide the following information: 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. Page 7 of 9 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. 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. The existing compacted gravel roadway acts as an impervious surface. Paving of the roadway should eliminate sedimentation from fines associated with gravel surface treatment. The roadway surface will be approximately 40% of the right-of-way area. Stormwater will be diverted through settling basins or grass lined buffers prior to entering streams. (See erosion control plan) 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. XIII. 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 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). Page 8 of 9 ¢- Z/ -03 ApplicanVAgent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 9 of 9