20031542 Ver 1_Complete File_20031208

® North Carolina Wildlife Resources Commission
Charles R. Fullwood, Executive Director
TO: Steve Lund, NCDOT Coordinator
Asheville Regulatory Field Office, USACE
FROM: Marla Chambers, Highway Projects Coordinator
Habitat Conservation Program, NCWRC
DATE: January 26, 2004
SUBJECT: Review of a Section 404 Permit application by NCDOT to replace a cross pipe on
SR 1970 (Hill Ford Road) impacting an unnamed tributary of Rocky River, Stanly
County.
North Carolina Department of Transportation (NCDOT) has submitted an application to
obtain a Section 404 Permit from the U.S. Army Corps of Engineers (USAGE). Staff biologists
with the North Carolina Wildlife Resources Commission (NCWRC) have reviewed the
information provided. These comments are provided in accordance with the provisions of the
Fish and Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661-667d) and the
Clean Water Act of 1977 (33 U.S.C. 466 et seq.).
The NCDOT proposes to replace the existing 72" x 60' corrugated metal pipe with an
84" x 80' corrugated metal pipe at a crossing of an unnamed tributary of Rocky River. The
tributary joins Rocky River, Class C waters, a short distance from the project. Rocky River
supports a locally important recreational fishery and is particularly known for its flathead catfish
fishery. Other fish caught by anglers include sunfish, carp, crappie and largemouth bass.
Several streams in the vicinity support populations of the Carolina creekshell (Villosa
vaughaniana), Federal Species of Concern (FSC) and state Endangered. Records of the creeper
(Strophitus undulatus), state Threatened; notched rainbow (V. constricta), state Special Concern
(SC); eastern creekshell (V. delumbis), state Significantly Rare; and Carolina darter (Etheostoma
collis), FSC and state SC, also exist for nearby streams.
We can concur with the permit issuance if the following conditions are implemented:
Mailing Address: Division of Inland Fisheries • 1721 Mail Service Center • Raleigh, NC 27699-1721
Telephone: [phone] ext. 281 0 Fax: [phone]
q
SR 1970, Hill Ford Road
UT of Rocky River, Stanly Co. 2 January 26, 2004
1. A mussel survey should be conducted in the project vicinity and downstream. If state or
federally listed species are found, NCDOT should consult with the appropriate resource
agencies.
2. Stringent sedimentation and erosion control measures must be implemented and
maintained on the project site until project completion to avoid impacts to downstream
aquatic resources. Temporary or permanent herbaceous vegetation should be planted on
all bare soil as soon as possible and within 15 days of ground disturbing activities to
provide long-term erosion control. Tall fescue should not be used in riparian areas. We
encourage NCDOT to utilize onsite vegetation and materials for streambank stabilization
when practicable. Erosion control matting should be used in riparian areas, instead of
straw mulch.
3. Culverts 48 inches or larger in diameter should be buried approximately 1' into the
streambed and 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. These measurements
must be based on natural thalweg depths. Any perched outlets should be corrected during
construction.
4. The natural dimension, pattern, and profile of the stream above and below the culverts
should not be modified by widening the stream channel or changing the depth of the
stream.
5. Removal of vegetation in riparian areas should be minimized. Native trees and shrubs
should be planted along the stream banks to reestablish the riparian zone and to provide
long-term erosion control.
6. Grading and backfilling should be minimized, and tree and shrub growth should be
retained if possible to ensure long term availability of shoreline cover for fish and
wildlife. Backfill materials should be obtained from upland sites.
7. Riprap should be minimized and installed in a manner so as not to interfere with aquatic
life passage during low flow conditions. Riprap placed for bank stabilization should be
limited to the stream bank below the high water mark, and vegetation should be used for
stabilization above the high water elevation.
8. Excavation of the stream crossings should be conducted in the dry, if possible. Sandbags,
cofferdams, flexible pipe, or other diversion structures should be used to minimize
excavation in flowing water.
9. Rock check dams at culvert outlets should be removed at project completion. These
structures could impede movement of aquatic life.
10. Stormwater should be directed to buffer areas or retention basins and should not be
routed directly into streams.

SR 1970, Hill Ford Road
UT of Rocky River, Stanly Co. 3 January 26, 2004
11. If concrete will be used during construction, work must be accomplished so that wet
(uncured) concrete does not contact surface waters. This will lessen the chance of
altering the water chemistry and causing a fish kill.
12. Discharging hydroseeding mixtures and washing out hydroseeders and other equipment
in or adjacent to surface waters is strictly prohibited.
13. Heavy equipment should be operated from the bank rather than in the stream channel
whenever possible in order to minimize sedimentation and reduce the likelihood of
introducing other pollutants into the stream. All mechanized equipment operated near
surface waters should be inspected and maintained regularly to prevent contamination of
stream waters from fuels, lubricants, hydraulic fluids or other toxic materials.
Thank you for the opportunity review and comment on this project. If you have any
questions regarding these comments, please contact me at [phone].
cc: Marella Buncick, USFWS
Cynthia Van Der Wiele, NCDWQ
Sarah McRae, NCNHP
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
December 10, 2003
Stanley County
DWQ Project No. 031542
Proposed replacement of cross pipe on SR 1970
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Benton G. Payne, P.E., Division Engineer
NCDOT Division 10
716 West Main Street
Albemarle, North Carolina 28001
Dear Mr. Payne:
You have our approval, in accordance with the attached conditions and those listed below, to incur 30
linear feet of permanent and 40 linear feet of temporary impacts to an unnamed tributary to Rocky River
in order to replace a cross pipe on SR 1970 in Stanley County. The project should be constructed in
accordance with your application dated December 1, 2003 (received December 8, 2003). After reviewing
your application, we have decided that this fill is covered by General Water Quality Certification,Nos.
3404 and 3366 corresponding to the U.S. Army Corps of Engineers Nationwide Permit Numbers 14 and
33. 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.
Construction shall be performed so that no violations of state water quality standards, statutes, or
rules occur.
¦ 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 quality standards.
¦ The erosion and sediment control measures for the R-967CA and CB projects must equal or
exceed the proper design, installation, operation and maintenance outlined in the most recent
version of the North Carolina Sediment and Erosion Control Planning and Design Manual.
These 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 projects
included under this Certification.
¦ For borrow pit sites, the erosion and sediment control measures must equal or exceed the
proper design, installation, operation and maintenance outlined in the most recent version of
the North Carolina Surface Mining Manual.
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/
¦ Any reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
2. Riparian vegetation must be reestablished within the construction limits of the project by the end
of the growing season following completion of construction.
3. The structure required for this project shall be installed in such a manner that the original stream
profile is 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
above and below locations of each pipe. The structure shall be designed and installed to allow for
fish and other wildlife movement as well as prevent headcutting of the streams.
4. Upon completion of the project, the NCDOT and/or its authorized agent shall complete
and return the enclosed "Certificate of Completion" form to notify the NCDWQ
401/Wetlands Unit when all work included in the §401 Certification has been
completed. Please include 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 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,
I XVK
Klimek, P.
Attachment
Pc: Wilmington District Corps of Engineers
Steve Lund, USACE Asheville Field Office
NCDWQ Mooresville Regional Office
Central Files
File Copy
a
!SSUED 401 031 542
a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
U. S. Army Corps of Engineers
DIVISION OF HIGHWAYS
December 1, 2003
W. LYNDo TIPPETT
SECRETARY
WETLANDS/ 401 GROUP
Asheville Regulatory Office DEC 0 8 2003
Attn: Mr. Steve Lund, MS, PWS FILE COPY
151 Patton Avenue, Room 208 WATER QUA M SECTION
Asheville, NC 28801-5006
Subject: Stanly County, Proposed Replacement of Cross Pipe located on SR 1970 (Hill
Ford Road). WBS Element No. lOB. 200411 (DWQ Minor Permit Fee
$200.00)
Dear Mr. Lund:
The North Carolina Department of Transportation (NCDOT) proposes to replace an
existing cross pipe on SR 1970 (Hill Ford Road) in Stanly County. The purpose of this letter is to
request authorization from the U. S. Army Corps of Engineers to construct the project under
Section 404 Nationwide 14 and 33 permit authorizations.
The existing 72" x 60' corrugated metal pipe will be replaced with an 84" x 80'
corrugated metal pipe. Traffic will be maintained using an off-site detour.
The project area is scheduled to be reviewed for the presence of listed threatened and
endangered species and will described in a Minimum Criteria Checklist prior to beginning any
construction. There are no wetlands present, although impacts to surface waters will occur.
There will be 30 linear feet of permanent stream channel loss and approximately 40 linear feet of
temporary impacts associated with this pipe replacement. This is an unnamed tributary to Rocky
River, Yadkin River Basin, Hydrologic Unit 03040105. A permit drawing and pre-construction
notification form are attached to this letter.
The NCDOT anticipates that the permit application will be authorized under a Section 404
Nationwide 14 and 33. We are also hereby requesting 401 Water Quality Certifications, GC 3404
and GC 3366, h•om the Division of Water Quality. We are providing seven copies of this
application to the North Carolina Department of Environment and Natural Resources, Division of
Water Quality, for their review.
716 West Main Street, Albemarle, NC 28001 • [phone] • Fax [phone]

)t
Thank you for your assistance with this project. If you have any questions or need any
additional information concerning this project, please contact Mr. Larry Thompson, Division
Environmental Officer, at [phone].
Sincerely,
X&VZ1

Benton G. Payne, P. E.
Division Engineer
LBTBGP
Enclosures
cc: Mr. John Dorney, NCDWQ
Ms. Marella Buncick, USFWS
Ms. Marla Chambers, NCWRC
Mr. Garland Haywood, Bridge Maintenance Engineer
Mr. Larry Thompson, DEO
Area Field Operations Unit
2
SR 1970 (Hill Ford Rd.) STANLY COUNTY
Office Use Only' Form Version April 2001 5 2
USAGE 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
1. 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: Nationwide 14 and 33
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
Owner/Applicant Information
Name: N C Department of Transportation
Mailing Address: 716 West Main Street
Albemarle NC 28001
Telephone Number: [phone]
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: Benton G Panne P E.
Company Affiliation: Division Engineer
Mailing Address: 716 W. Main Street
Albemarle NC 28001
Fax Number: [phone]
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: bpMe o dot state nc us
SR 1970 (Hill Ford Rd.) STANLY COUNTY
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 1970 (Hill-Ford Road)
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Stanly County Nearest Town: Oakboro
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Oakboro (NC 742), take
NC 138 east turn right onto SR 1970 (Hill-Ford Rd) Pipe is approximately 1.9 miles ahead
and is 200 yards form the intersection of SR 1971 (Hills-View Road).
5. Site coordinates, if available (UTM or Lat/Long): 35° 11' 41.41" N / 80° 17' 6.02" 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:
Rural/Aaricultural
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): Rocky River
9. River Basin: . Yadkin Basin (Hydrologic Unit 03040105)
(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: Replacing existing 72" x 60' CMP with an 84" x
80' CMP. Existing pipe is severely rusted.
SR 1970 (Hill Ford Rd.) STANLY COUNTY
11. List the type of equipment to be used to construct the project: Track Hoe,Vibratorv
Roller & Dump Truck to remove existing pipes and install 1 line of 84" CMP.
12. Describe the land use in the vicinity of this project: Undeveloped, wooded on both sides of
the stream.
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
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
3
SR 1970 (Hill Ford Rd.) STANLY COUNTY
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
linear feet
Type of Wetland***
N/A N/A N/A N/A N/A N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, nu,
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 floodpWn maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at htti)J/www.fema-go .
*** 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: N/A
Total area of wetland impact proposed: N/A
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?
leasespecify)
1 (1) 84" x 80' CMP 20-FT. UT of ROCKY RIVER Approx. 12.Ft Perennial
2 Inlet Stabilization 5-FT. UT of ROCKY RIVER Approx. 12.Ft Perennial
3 Outlet Stabilization 5-FT. UT of ROCKY RIVER Approx. 12.Ft Perennial

* 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 loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditchingfstraightening, 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.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.magguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 30 feet permanent, 40 feet
temporary
SR 1970 (Hill Ford Rd.) STANLY COUNTY
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.
N/A N/A N/A N/A N/A

* List each impact separately and identity temporary impacts. impacts mciuue, out arc 11UL u,u,tcu w. 1,.., excavauvu,
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.
The existing 72"x 60' CMP has been compromised due to rust The Department would like to
replace the existing pipe under a controlled situation in order to prevent excessive sediment loss.
The proposed replacement pipe will be of sufficient length to minimize future impacts due to
resurfacing, or minor widening
Bank stabilization activities will be limited to not more than 5-ft. on either side of the proposed
Project area will be de-watered during construction to prevent excessive sediment loss.
SR 1970 (Hill Ford Rd.) STANLY COUNTY
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/strmgide.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.
No mitigation is proposed for this project
6
SR 1970 (Hill Ford Rd.) STANLY COUNTY
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 htti)://h2o.enr.state.nc.us/wri)/inde-.<.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 ?
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 M/A )?
Yes ? No ® If you answered "yes", provide the following information:
7
SR 1970 (Hill Ford Rd.) STANLY COUNTY
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 Danz or cnaru,ni; LVnc c UALUI uZ ail
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.
N/A
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
111I. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 21-1.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
8
SR 1970 (Hill Ford Rd.) STANLY COUNTY
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).
'o / /D-3
Applicant/Agent's Signature
(Agent's signature is valid only if
L'-
authorization letter from the applicant is provided.)
D
9
i :452 52 ', ?' ?HU' \ ?, '=b? WhrtM{V - _ , Eldorado it
s ?
i •> ° '
A
z /' Rim .. RO • h CIl J.b i O:.?y P0a W?? ,
w„w.era FaIG Ri field o orl a`S Qo If as fff???
69 I .' \441 o 'J o B9iC 'I'
LAKE
q
l
?
r
y V .. • i
/
? Q \;
0
?
QO 3
Isenbom f
?'T TO
KHDUS is.
.
12
SCENIC '?
? ?
r
P
s
.
--
R p '' z
' °?
ni
New ' - I Po s?S?
Qos
r v y •\ o m T Q? l
P
?l
o
?
U ARRf
? ,
'
'
USf P
RD yFq Imarville mo ?,i.•
1ndo o? s O?E
QW= GERS 3 Yr °v L
o
?'
Q'S ,
, 2'
.. =..:s?-'?-

l alts
?
a34 rn \pE
C ?E \' Juectioa o
?„ Br
i Q Crossing
q0 1 9G .?' i I Q? RO 0 m
pQ
/
r qF 0°?OS`y o? u \115 Jd R \ W`" 1 anl?
O Gg e
.p '
` 1;.. .'- ?:c-:-.,.. DWhame
S
i
ti° 3 _?
P
AIRPOR7? P ount-,\
is GgCy ?y QOe??°? Austin .. ISI4 =,,, 88d1n 9
I l
4
, 0 N T G 0 Re
UWHARRIEGAME - ?0 I\
m
,? lf
\1\
.. yC MOUNTAIN vl£N
fl0
B 6.
l
9 RIVER LAND'
,
OQ l
?
'
? ¢
F 0
Mi
ls
.
O RO-" '. - W o Ti
y2?1 `?00 ?'{ ? ? '., ^GL Q C Ir. CHURCH RO ?= \ ??q? g0
?f
BYA01
PF
'
y C
:.
I 7
n gar ?: 7 ???,,
N,y,?
h:; l
8
5
.
Mill'
rt
S T
RO" _.•.
po
O
G
ON g Q.., ?
?o l
'
n -,
`
l a 30 1
Zk It Mount0lnbtook Z ORRO 9 0 I(TUN.:, -
'9
? ?efp GC
7p0F
«TOW
? e'

_
i ?
a
I i 7?
0
i
' mo .3
?
?
. ;
o..
State
s o c
' 1226 RD i _ T3 Lakealda,
•:.
w m r
B
C*
J ~
¢ J
Park- I
9i a` \?5 'V FMK
`f ! Mt"' -
n' 7
52 ALB " L 4P. r
g \ i O /? q0 .w,2..tw \ LLS q0 oqF '
• ;-.;::., RO .
.?
a
O 'J n TJ \ W LTFR \
= 99 porn Coll ?? 73
21
W
r Q...
?
i,DT
.`" O
I ` Q°
I \T'J4
F9
RD 1
I
Q
. A

/ Q`
?\HOQ CANTON
T(?
?9 ?' o O QEE FpM
n \?
q0
"0 .
p't4 \ -:.:...,:...-
e1`??' 6 o N ° n
5\0E S1
y
ti
Lamb \ 1H
0NY
R 24 Soo .° o'ff' s 24 CF - - O" U. N Y
ert '..
'
A
O
9? ( RO
OLO g ?t•'
73
- C.rvus O HUM o
-
1
? T?? c
6 ? doe- " ` 2l OP
nnnvnras I? . y m o _ °

r i "ZI 27
EsdN
O
O
sl\tl v ;,N)
r •
P
E J ¢ 52 Swrtt
\ '.
A
OP`
ec
\k
• a I
:v,tna
OOP
vF
,
5
?,
- z
LL 1, y '. "PFO
S RO 1 R0
"90 ,I y t O? n o
° .. OE
1 I ? IIII
_ - e
I o/
R
R
?
^,0 _
OZ =
-• 1969 7910
Fq 'SNUGGS
O

° ?? Rad q
' S( y CH PH :
MsZ o ':%? 'off o COOPER Punter RD
?9 y go R. 7914 qp 17{4 O 1117 73 Daa
e ° C. ?? Qo
W.
r O PS\ vtR a0 ,
O
... ,4 a O ?
v
a ~P. 40 ,?Y o '?P Ni ?4 0 'IFARA4 . o
?P? Qcr ` PO OS x Off. 6 .. ,?7 ° Y 40 m
BURRS `
?\? Big ?. ?, - rOP P q pd, i +o n z, PLAN
C O
q0
c
PEL
7 4
W
a0 CHA
. RD
c
NO f11?. .
191T
llrt
,
=1 (7Cr \S ° _
\9?\
• N{2?.
Si ANLY SCHDOL O•?` .?' - 9rauc ..
r
c
•
RD
0akbofo .
`~ RO o
NOOl "W Att"dale SPRINGS RD' ON?``E S, -.I
i O?
7j1? - 40
o ° ` o q0 Tc 44
. C?v P\v 19W = C.6?0 w0 G a
D P
'
R r O
?
?i N
CHURCH O
L
O OP c O ?
RO .a
C \''?VO 1 p P
Rocky
e
z
?E`Q
O 11? g oT '° o
4 v
o
?? N*
s ?
o S
o
rm
Mount
\ P y Q
p
q
.? i
Loaoenlla c
11a WQ o _ Ro otD eYdre _ Gilead
9u;
p
°
0 -
? q
URCH '? TNDM
°
?
P
OL. S
C\
,
A
?0
CH
\ SDaskle RO SO,y \\?
?, 0T ?" 'E
'
W ... ss SS
O OLD S??O • QO a ONt M ¢ ¢°
SSG
? 71001 D R10G£ P` `8 > rm a7 ? S
? .,3 q
° H W
9 W
-r
r RO
'°
O
=
r SH
"'r o e m y
/ INGO
'N0 q0
v
' p Oo?PSfl 1600 Q4?'P RO RD
? z _ PO ?
~ ; \V .. r+v
Y ? q?N
a `O, ? 7 "'
?
w 10 f o r
O a

9o C9OFyJ-
o

P1S ; ° v
2? : 1706
q
O
SQ'
Op
RO
a
L.l.
£LE s
P1'VKST0
?
P Gdar 8
P
E S
H P
•S4
I
RD Q
RURNSV\
v
RGH PO c
II RRTR 6
RANDALL 9
Hill
1619 P
° Pp
\1cf
New m
'?,?' '
l > C
o R
C \3
? e
yOgCH R
90 psi
y i
D g9 s
R 1 C H
Salem mi
s `"
P??
?
q., ZO
?; O
?P\
RO " MO
'9T X911 nsonville 4R
qp 13
R ,C O U v Y P
/J.
0
o
o RD o a•Oiive
Branch N\\"-t 4 ° BRANCH
5 ?? O urnsville U
TRACK 1452 RO D g
g 1619 \?'
m 9 116E
m
y 1 y
111 OURN RD O - ' 1456
N ° c • ^ _ \654
_
/?? g-` RD I
° Z 1416 Cg
l
d ee Dee National
Idlife Refug
y _
o ? ?L0 PO
1 1
?? ? ° \
?°? ? CR NIORI q
U
g gS
s v6iB I .7^_ ar7,q
J
Zq?
Found cQ
SHFA-
C?' q0 go 4
763
i`0`\vE mo OOg Hil _? M? o
o
CR = eKikers 167 i w.2• ?, -cs. d .,??)
3
E o
PO
l? to RO
-
UM I
I ,? 3 FO 4 m
O 0RS'
"'
+ Geer o
~
,O?
' ? ' °
E 1
R' 1001 P
' ?
- "?? o
RD

Fairfield
Hamill

? 03

P

= ? go , 1 `??
\U v,G

WC i?'" s
-? :'? a?P
t

52
o O /

{• GRO E
Crossroads
0 a G?EP
gs
1v
oa v B Y 19 y
8 SD
1r1
PO ¢ 07 rLP
l 90 F M/ lOSr
°=
D O 7 R8
19
?
ti

5 c
J P`
724
7
tiF 1P O S'O9
DEEP 1 NOS HNEy.7i0N
W n
C
c El
l
43 I '90

` y> " O
0
\
j D
TTf ?(
T ?,a T
y
q?
q S,\
1725 RD , MOORE P e? O a / 0Q
\?
g ART
I O
on
0 Iku /
Cou
1
g
2
0
3
h
i Z
n7
? a .
4
°
J
S
0
6
` C.)
197 t
t
STri j'`
?
f R 19fi0 1-Ford i :o .d)? A
o -
Soo
TW
Name: OAKBORO Location: 035' 11'41.33" N 080' 17'07.3" W
Date: 11/18/2003 Caption: SR 1970 (Hill Ford Road)
Scale: 1 inch equals 1333 feet
SR 1970 (Hill Ford Road) -- -F -?
Goc
gag Bab a 8a8 GoF Ba
GoC
aB a6
GoC ag MhB
N Kk
B
B o? Go F
e KkB aB b GoC G
sa Ba
Z
Mh Ba aD
BaD Bab ga a6 BaD Ba
GoC Bab BaB GoC
a BaD
(9 a GoF
ea Bab _
30 ? r
?•Qo Ba
GoC GoC BaD aD r5*
CL
GoC
BaD
a C GoF
a
BaB B
GoF BaB GoC
B
Go
a
a Ba GoF
B
GoF
0
GoC
Ck S'.Q
BaB BaB
Ck Co
aB
GoC
a
a
BaB
Feet
0 850 1,700 3,400 5,100 6,800
North Carolina Department of Transportation
Typical Plan and Elevation of Pipe Installation Permits
Crown of Roadway
to Creek Bed
w

a= -v

0
O r N
O
cc,. CC O
Z

Cn
-5
a

q03

_
0

O C
o W
a,o
O ?

? o oz

coo

53
Amount of Fill over Pipe
11-Ft
I or Class II Rip Rap
S, Typical End Elevation
Elevation I Line of 72" Corragated Metal Pipe
With Class I,or H Rip Rap Slope Protection on Inlet and Outlet end
sa

Roadway I
24-Ft.
z
Shoulder
Shoulder

Asphalt Crown
lass I or Class II Rip Rap
Slope tection
Overall Length of Pipe
Class Class H Rip Rap
Typical Plan View
With Class I or II Rip Rap
nn Tnlat nn i C)n lPt anti