20030448 Ver 1_Complete File_20030409

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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 200230841 County: Iredell
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
MODIFICATION
Property owner: North Carolina Department of Transportation
Address: Attn: Michael L. Holder, Division Engineer, P.O. Box 47, Shelby, NC 28151-0047
Telephone No.: [phone]
Size and Location of project (water body, road name/number, town, etc.):
SR 1982 (Lake Mullis Road), unnamed tributary to Camel Branch Creek, near Harmony.
Description of Activity: Modify Corps of Engineers' verification dated May 14, 2002, to
include an additional 32 feet of stream impact, associated with the replacement of an
existing CMP culvert with a new 90-foot-long, 42" CMP culvert. SPECIAL CONDITIONS:
All conditions of the attached NC Wildlife Resources Commission memoranda of May 6, and
August 15, 2002, and are hereby incorporated as special conditions of this permit.
Applicable Law: X Section 404 (Clean Water Act, 33 U.S.C. 1344).
(check all that apply) Section 10 (River and Harbor Act of 1899).
Authorization: Regional General Permit Number.
14 Nationwide Permit Number.
Your work is authorized by this Regional General (RGP) or Nationwide Permit (NWP) provided
it is accomplished in strict accordance with the attached conditions and your submitted plans. If
your activity is subject to Section 404 (if Section 404 block above is checked), before beginning
work you must also receive a Section 401 water quality certification from the N.C. Division of
Environmental Management, telephone [phone].
Please read and carefully comply with the attached conditions of the RGP or NWP. Any
violation of the conditions of the RGP or the NWP referenced above may subject the permittee to
a stop work order, a restoration order, and/or appropriate legal action.
This Department of the Army RGP or NWP verification does not relieve the permittee of the
responsibility to obtain any other required Federal, State, or local approvals/permits. The
permittee may need to contact appropriate State and local agencies before beginning work.
If there are any questions regarding this authorization or any of the conditions of the General
Permit or Nationwide Permit, please contact the Corps Regulatory Official specified below.
Date: August 26, 2002
Corps Regulatory Official: John W. Hendrix L4-?- Telephone No.: [phone], x-7
Expiration Date of Verification: August 26, 2004
CF: Trish Simon, Division 12 Environmental Officer, P.O. Box 47, Shelby, NC 28151 r*
(ESAW room 591 ?`J J J
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® North Carolina Wildlife Resources Commission
Charles R. Fullwood, Executive Director
MEMORANDUM RECEIVED
TO: John Hendrix, Permit Coordinator
Asheville Office, U.S. Army Corps of Engin
11 eers MAY 10 2002
FROM: Ron Linville, Regional Coordinators
Habitat Conservation Program
CESWG?-I'A
DATE: May 6, 2002
SUBJECT: Review of an Application by North Carolina Department of Transportation
(NCDOT), SR1982, Lake Mullis Road, Camel Branch, Iredell County
NCDOT is requesting a letter of concurrence from the North Carolina Wildlife Resources
Commission (NCWRC) to obtain a 404 permit from the U.S. Army Corps of Engineers. The
NCWRC has reviewed information provided by the applicant, and field biologists on our staff are
familiar with habitat values of the project area. These comments are provided in accordance with
provisions of the Clean Water Act of 1977 (33 U.S.C. 466 et. seq.) and the Fish and Wildlife
Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661-667d).
NCDOT proposes to replace a pipe and pave the referenced road along the existing
alignment from SRI 845 to SR 1849. An existing 34-foot, 60" CMP at Station 76+75 will be
replaced with a 60-foot, 42" CMP. The pipe will be placed 8-10" below existing streambed.
Existing channel morphology will be maintained b through the construction of floodplain
benches.
Based on the information provided by the applicant and our information on the range of
trout in the project area, we do not believe this project will cause significant effects to waters
supporting trout. Therefore, we do not object to the project. Culverts 48" or larger should be
buried approximately 1' into the streambed. Culverts less than 48 inches in diameter should be
buried to a depth equal to or greater than 20% their size to allow for aquatic life passage. The use
of riprap must not interfere with aquatic life passage.
Thank you for the opportunity to review and comment on this project. If you have any
questions regarding these comments, please contact me at 336/769-9453.
Cc: Cynthia Van Der Wiele, DWQ
Trish Simon, DOT
Mailing Address: Division of Inland Fisheries - 1721 Mail Service Center - Raleigh, NC 27699-1721
Telephone: [phone] ext. 281 - Fax: [phone]
11 " VV -

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® North Carolina Wildlife Resources Commission
Charles R. Fullwood, Executive Director
MEMORANDUM i D
TO: John Hendrix, Permit Coordinator
Asheville Office, U.S. Army Corps of Engineers AUG 19 2002
FROM: Ron Linville, Regional Coordinato
Habitat Conservation Program cyv t??-??'?
DATE: August 15, 2002
SUBJECT: Review of an Application Modification by North Carolina Department of
Transportation (NCDOT), SR1982, Lake Mullis Road, Unnamed Tributary
Camel Branch, Iredell County
NCDOT is requesting a letter of concurrence from the North Carolina Wildlife Resources
Commission (NCWRC) to obtain a 404 permit modification from the U.S. Army Corps of
Engineers. The NCWRC has reviewed information provided by the applicant, and field
biologists on our staff are familiar with habitat values of the project area. These comments are
provided in accordance with provisions of the Clean Water Act of 1977 (33 U.S.C. 466 et. seq.)
and the Fish and Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661-667d).
NCDOT proposes to place a 90-foot, 48" pipe on a skew at station 76+75. The additional
piping is needed due to improving the roadway to current paved road standards. This will
eliminate 32 additional feet of stream. NCDOT indicates that the pipe can be place 10" below
streambed elevation.
Based on the information provided by the applicant and our knowledge of the project
area, we do not believe this project will cause significant effects to waters. Therefore, we do not
object to the project as proposed. The pipe and any riprap must not interfere with aquatic life
passage.
Thank you for the opportunity to review and comment on this project. If you have any
questions regarding these comments, please contact me at 336/769-9453.
Cc: Cynthia Van Der Wiele, DWQ
Trish Simon, DOT
Mailing Address: Division of Inland Fisheries - 1721 Mail Service Center - Raleigh, NC 27699-1721
Telephone: [phone] ext. 281 - Fax: [phone]
W ATF Michael F. Easley, Governor
\O?0 RPG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
>_ a -1 Division of Water Quality
O `C
DWQ Project No.: 03 04-4-6 County: ELL-
Applicant: ,vG ), o 7- - vi / =t_
Project Name: s2 I`1f31 Z , C cs2tc??N i--,( ioc5 2 E/?.?r2/ ;ys/ a
Date of Issuance of 401 Water Quality Certification: tW /(--
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, ?• ?• /11? , 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 appro ed plans and specifications, and other supportin materials.
Signature: *?/ -!;P' A /1 Date: l ?I6q
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
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
WETLANDS/ 401 CIROUF,
f-E13 0 11 2004
WATER 00AL17Y SECT10?r
47F5
h±N
NCDE
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), htip://h2o.enr.state.nc.us/ncwetlands/
F WAIF Michael F. Easley, Governor
\O?? ?QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Cl) W Alan W. Klimek, P.E. Director
Division of Water Quality
April 15, 2003
Iredell County
DWQ Project No. 030448
SR 1982 Emergency Pipe Repair/Pipe Extension
APPROVAL of 401 Water Quality Certification with Additional Conditions
Ms. Trish Simon, DEO
NCDOT Division 12
P.O. Box 47
Shelby, North Carolina 28151-0047
Dear Ms. Simon:
You have our approval, in accordance with the attached conditions and those listed below, to incur 40
linear feet of impacts to an unnamed tributary to Camel Branch in order to repair and extend the double
pipes on SR 1982 in Iredell County. The project should be constructed in accordance with your
application dated April 2, 2003. 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
modified 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 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.
1. The dimension, pattern, and profile of the stream and floodplain above and below each culvert shall
not be modified by widening the stream channel or reducing the depth of the stream. The structures
shall be designed and installed to allow for fish and other wildlife movement as well as prevent
headcutting of the streams. NCDOT must submit a plan for written DWQ approval to address any
headcutting that will occur as a result of this project (e.g.,.use of structures upstream and downstream
of the culverts).
2. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If rip-rap is necessary, it must be limited to the stream bank above the high water
mark. Rip rap shall not be placed in the stream bottom.
3. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
4. 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. The presence of equipment in the channel must be minimized.
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), httpl/h2o.enr.state.nc.us/ncwetlands/
5. 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 the structures 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 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 919.733.5715 or Mr.
Michael Parker of the Mooresville Regional Office at 704.663.1699.
Sincerely,
Attachment
Pc:
Wilmington District Corps of Engineers
John Hendrix, USACE Asheville Field Office
NCDWQ Mooresville Regional Office
Central Files
File Copy
L-
- fa
P.E.
Mr. John Hendrix
SR 1982- Page Two
April 3, 2003
A review of the Natural Heritage information for the threatened species listed for Iredell County,
the bog turtle (Clemmys muhlenbergh), revealed no known sites in the vicinity of the project area.
No bog turtle or suitable bog turtle habitat was observed. A review of the available information
from the National Register of Historic Places was also conducted. No historic sites were affected
by the project.
Your earliest consideration for this request would be greatly appreciated. Should you have any
questions, please call me at 704-480-9020.
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
Trish Simon
Division 12 Environmental Officer
Enclosures
cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Dan Holderman, P.E. , Division Bridge Engineer
Mr. Neil Trivette, Roadside Environmental Field Engineer
Mr. Bryan Cole, U.S. Fish & Wildlife Service
Mr. John Dorney, DENR/DWQ/401/Wetlands Unit
File
Office Use Only: Form Version October 2001
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
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 Permit 914.
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: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder NCDOT
Mailing Address: P .O. Box 47
Shelby, NC 28151

Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
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: Trish Simon
Company Affiliation: NCDOT
Mailing Address: P.O. Box 47
Shelby, NC 28151

Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: [e-mail]
Page 1 of 8
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined: For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Emergency pipe repair/pipe extension at double 84" culverts on SR 1982.
Iredell County
2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.8252
3. Property Identification Number (Tax PK: NCDOT Right of way
4. Location
County: Iredell Nearest Town: Harmony
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): I-77 east on NC 901 to SR 1849,
left on SR 1982.
5. Site coordinates, if available (UTM or Lat/Long): 35°59'36N/80°49'42 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:
Unpaved secondary road being graded and paved under work order 46.822614
7. Property size (acres): 0.02 acres NCDOT right of wav
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed tributary to Camel
Branch (From source to Rocky Creek) Class C waters
9. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp://li2o.enr.state.nc.us/admin/maps/.)
Page 2 of 8
10. Describe the purpose of the proposed work: The emergency project consists of repairing pipe
culvert after headwall collapse during flooding of 3/20/03. The existing double 84" pipes
will be extended 30 feet.
11. List the type of equipment to be used to construct the project: Trackhoe used for
excavation and placement of riprap.
12. Describe the land use in the vicinity of this project: Pastureland .
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.
Secondary road paving project/small pipe replacement on another unnamed tributary to Camel
Branch. USACE Action ID4200230841, DWQ#020696.
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 wort: from the current application:
None anticipated.
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.
I Wetland Im acts : NONE
Wetland Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
(acres) Located within
100-ycar Floodplain**
yes/no) Distance to
Nearest Stream
(linear feet
Type of Wetland***

Page 3 of 8
• 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-S00-358-9616, or
online at httn'/h?1?w. fend. o? .
•'• 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: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream
Impact Average Width Perennial or
Site
Type of Impact* Length of Impact
]
Stream Name**
of Stream
Intermittent?
Number (linear feet Before Impact (please specify)
(indicate
on ma
Unnamed
1 Pipe extension (double 30 feet tributary to 7 feet Perennial
pipes) Camel Branch
I Riprap V-weir (grade 10 feet "
control structure)
Riprap on bank at
1 outlet for structure 10 feet
stabilization/protection
List each impact separately and identify temporary impacts. impacts include, but are not lumtea to: culverts ana assoctatea np-rap,
darns (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 shoeing 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
doxmstrearn named stream into which it flows. USGS maps are available through the USGS at 1-S00-358-9616, or online at
www.us2s.gov. Several interact sites also allow direct download and printing of USGS maps (e.g., .????v.tonozone.con ,
Ny"w.marguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Riprap on streambank
around pipe for protection and stabilization = 10 feet. Fill in stream from pipe and V-weir =
40 ft.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S. NO OPEN WATER IMPACTS
Open Water Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
(acres)
Name Wate)
( applicable) Type of Waterbody
(Like, pond, estuary, sound,
bay. ocean. etc.

• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 4 of 3
4. Pond Creation NO 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.):
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.
ed.
Concrete headwall collapsed during flooding on 3/20/03 Double pipes were originally-perch
The pipes are to be extended 30 feet rather than replacing the headwall. The pipe will be on
approximately a 4% slope, therefore a V-weir (crossvane weir) will also be constructed as a
grade control structure to prevent stream destabilization The increase in pipe length and the v-
weirs will also eliminate the perched pipes at this site A floodplain bench is to be constructed
at the outlet to maintain the natural channel dimensions By extending the pipes rather than
building a new headwall will decrease the road closure time from one month to 10_days•
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.
Page 5 of 8
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
littj2://fi2o.enr.state.ne.us/ncwetlands/strmaide.litml,.
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.
IMPACTS < 150 FEET: MITIGATION NOT ANTICIPATED
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 ],ttp://1i2o.enr.st ite.nc.iiVNN, p/indcx.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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
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 ?
Page 6 of 8
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 213 .0259 (Tar-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*
(sImpact quare feet)
Multiplier R uired
Mitigation
1 3
2 1.5
Total
* Zone 1 cx1ends out iu Iect Perpenaicular num ncia thus, ui
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 213 .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.
No additional impervious surface is proposed on this project.
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.
Page 7 of 8
XHL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) 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).
14,1. -?u? 0" 03 .
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
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Name: HARMONY Location: 035° 59'38.5" N 080° 49'36.5', W
Date: 4/2/2003 Caption: Emergency Pipe Repair/Extension, SR 1982, U7 to Camel Branch,
Scale: 1 inch equals 1000 feet Class C Waters
Copyright (C) 1997. Maptech, Inc.
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: ?Z County: Project ID: YGSZ

River Basin: Bridge No:

Ro e: ?r /S E5Z
(L1riz =x.u S G,)
Water Quality Criteria:

Stream:
Gc,i1?S Gry ?..?rYIL--?S
Stream Crossing Blue Line On USGS
ORW
WSI
WS II,III OR IV, Crossing Within 0.5n-ii of W.S. Critical Area
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban r r,
Arterial Rural r r?
Additional Site Information:
Yes No
r---," r
r r-1
F- r?
r r-v"
Yes No
Is a Hazardous Spill Basin Required? F F -v"
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).

fl
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Obi
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY

MEMO TO: John Dorney, DENR/DWQ/401/Wetlands Unit
FROM: Trish Simon, Division 12 Environmental Officer 7s
DATE: April 2, 2003
SUBJECT: Pre-Construction Notification/401 Automated Payment
Enclosed are seven copies of a pre-construction notification for an emergency pipe
repair/extension project in Iredell County for your review and comments.
Project information for the 401 Automated Payment Procedure
o Work order number: 4312B-549-5.8252475-82999
o TIP #: Not Applicable
o Project Category: $200.00 Fee
PAY 11ENT
RECEIVED
is
Post Office Box 47 Shelby, North Carolina 28151-0047
AL
sr u17(? ?jv l
I L
??>Y
s?
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION '
MICHAEL F. EASLEY P.O. BOX 25201, RALEIGH, N.C. 27611-5201 LYNDO TIPPETT
GOVERNOR SECRETARY
P.O. BOX 47, 1710 East Marion Street
Shelby, N. C. 28151-0047
April 2, 2003
Mr. John W. Hendrix - NCDOT Projects
US Army Corp of Engineers '
Asheville Regulatory Field Office
151 Patton Avenue, Room 208 j_
Asheville, N. C. 28801-5006
Dear Mr. Hendrix:
The North Carolina Department of Transportation, Division of Highways, request the issuance of
a Section 404 Permit, Nationwide Permit #14, Road Crossing.
COUNTY: Iredell
LOCATION: SR 1982, west of Harmony
S'T'REAM: Unnamed tributary to Camel Branch, Class C Waters (from source to
Rocky Creek), Yadkin River Basin
PROJECT DESCRIPTION: The project consists of the repair of the double pipes after the
headwall collapse during the flooding of 3/20/03 and the extension of the existing perched double
84" pipes by 30 feet. A downstream profile was established by measuring thalweg elevations at
various points approximately 100 feet downstream of the existing pipe. The invert of the outlet of
the proposed pipe extensions will be at streambed grade and the proposed pipe extension gradient
is -4%; therefore, a v-weir (cross vane weir) will be constructed ---15 feet from the outlet to act
as a grade control structure and prevent stream destabilization. The extension of the pipes and
the v-weir will also eliminate the aquatic passage barrier of the perched pipes. A floodplain bench
will be constructed at the outlet to maintain the natural channel dimensions. Ten feet of riprap
will be used on the outlet streambank for structure protection and stabilization. I have enclosed a
PCN application, a sketch of activities, and location maps relative to the project.
The stream is a classified `Class C waters'; therefore, hazardous spill basins are not required.
Enclosed is the NCDOT hazardous spill basin checklist.