20030464 Ver 1_Complete File_20030415

F WAIF Michael F. Easley, Governor
0?0 'y% William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
\
r Alan W. Klimek, P.E. Director
Division of Water Quality

April 21, 2003
Wilkes County
DWQ Project No. 030464
SR 1355 (Shoe Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Heath Slaughter, Division Environmental Officer
NCDOT Division 11
P.O. Box 250
North Wilkesboro, NC 28659
Dear Mr. Slaughter:
You have our approval, in accordance with the attached conditions and those listed below, to impact 100
linear feet of streams. These impacts include two unnamed tributaries to Little Fork Creek and two
unnamed tributaries to Old Taylor Branch. NCDWQ understands that these impacts are necessary in
order to upgrade SR 1355 (Shoe Road) in Wilkes County. The project must be constructed in accordance
with your application dated April 10, 2003 (received April 15, 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 must acquire any
other federal, state or local permits before you proceed with your project including (but not limited to):
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval
will expire with the accompanying 404 permit unless otherwise specified in the Water Quality
Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ in writing and submit a new application.
If the property is sold, the new owner must be given a copy of this Certification and approval letter, and is
thereby responsible for complying with all the conditions. If total wetland fills for this project (now or in
the future) exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this
approval to be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.
1. For construction work in the vicinity of or draining towards Old Taylor Branch and its UT's, NCDOT
shall implement Best Management Practices for the Protection of Surface Waters (NCDOT March
1997) and Design Standards for Sensitive Watersheds (15A NCAC 413 .0124).
2. NCDOT shall abide by the requirements for WS-II and High Quality Waters [ 15A NCAC 2B .0214
and 15A NCAC 2B .0224].
3. NCDOT shall be subject to all conditions and/or moratoriums determined by NCWRC as necessary to
protecting species and habitat, including a rainbow trout moratorium from January 1 through April
15.
4. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
5. 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

North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
headcutting of the streams. DWQ understands that there are topographic constraints to pipe burial on
this project.
6. 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.
7. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
8. 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.
9. The presence of equipment in the channels must be minimized. Under no circumstances must 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.
10. 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 structure to document correct installation.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Cynthia Van Der Wiele at 919.733.5715.
Attachment
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
NCDWQ Winston-Salem Regional Office
Central Files
File Copy
Sincerely,
TO: John Thomas, USACOE
Raleigh Regulatory Field Office
FROM: Ron Linville, Regional Coordinator FILE COPY
Habitat Conservation Program
DATE: April 16, 2003
SUBJECT: North Carolina Department of Transportation (NCDOT), SR 1355, Shoe
Road, Unnamed Tributaries Old Taylor Branch (WS-II, Trout, HQW),
Wilkes County
NCDOT proposes to grade, drain, base and pave the referenced roadway. Biologists with
the North Carolina Wildlife Resources Commission are familiar with habitat values in the
area. 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 North
Carolina Environmental Policy Act (G.S. 113A-1 through 113A-10; NCAC 25).
The project will replace and upsize four existing CMPs with larger and longer CMPS.
Miscellaneous riprap impacts will total 40 linear feet. New stream impacts will be 140
linear feet. Temporary dewatering is not indicated. Due to steepness in the area, wet
pipes at stations 20+65, 85+78 and 109+32 will remain perched with energy dissipater
pads.
We will not object to the project as proposed provided the following conditions are
implemented:
1. Instream work and land disturbance within the 25-foot wide buffer zone are
prohibited during the rainbow trout spawning season of January 1 through
April 15 to protect the egg and fry stages of trout.
2. Except for the culverts indicated above, culverts 48" or larger should be
buried V 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. These measurements must be based on natural thalweg depths.
SR1355, Shoe Road 2 April 16, 2003
All waters must flow through without freefalling or damming on either end
during low flow conditions to maintain aquatic life and/or fish passage.
3. Any riprap used must not interfere with aquatic life movement during low
flows.
4. The dimension, pattern, and profile of the stream above and below the barrel
should not be modified by widening the stream channel or reducing the depth
of the stream.
5. Disturbed floodplains and streams should be restored to natural geomorphic
conditions.
6. If concrete will be used, work must be accomplished so that wet concrete does
not contact stream water. This will lessen the chance of altering the stream's
water chemistry and causing a fish kill.
7. Heavy equipment should be operated from the bank rather than in the stream
channel in order to minimize sedimentation and reduce the likelihood of
introducing other pollutants into the stream.
8. Stringent erosion control measures should be installed where soil is disturbed
and maintained until project completion. Sediment and erosion control
measures shall adhere to the design standards for sensitive watersheds (15A
NCAC 4B .0024).
9. Temporary or permanent herbaceous vegetation should be planted on all bare
soil within 5 days of ground disturbing activities in the twenty-five (25) foot
trout buffer to provide long-term erosion control. We encourage NCDOT to
utilize onsite vegetation and materials for streambank stabilization when
practicable.
Thank you for the opportunity to review and comment on this project during the early
planning stages. If you have any questions regarding these comments, please contact me
at 336/769-9453.
Cc: Cynthia Van Der Wiele, DDWQ
Heath Slaughter, DOT
Marella Buncick, USFWS
Becky Fox, EPA

401 ISSUED
?w s?Ns
y ?
V
STATE OF NORTH CAROLINA
FILE COPY
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P. O. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT
GOVERNOR PHONE: [phone] SECRETARY
April 10, 2003 0 3 0 4 6 4
Mr. John Thomas
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of Neuse Road, Suite 120
Raleigh, NC 27615
Subject: Nationwide Permit #14
SR 1355 (Shoe Road)
Wilkes County, North Carolina
Project Number: 6.762173T
Dear Mr. Thomas:
WATER QUALITV
SECr?ON
APR ? 6 ,00,?
W ETLANDS1401
GROUP
(DWQ Permit Fee: $200)
The NC Department of Transportation is scheduled to grade, drain, base and pave SR 1355 in
Wilkes County. The roadway width will be increased from 14' to 18'. Total project length is
approximately 2 miles. Impervious surface area will increase by approximately 1 acre. This
project will require the replacement of four (4) wet cross lines as shown below:
1) Replace existing 50'x 24" CMP at station 20+66 with a 75'x 24" CMP.
2) Replace existing 55'x 24" CMP at station 44+25 with a 75'x 36" CMP.
3) Replace existing 40'x 24" CMP at station 85+78 with a 75'x 24" CMP.
4) Replace existing 60'x 36" CMP at station 109+32 with an 80'x 36" CMP.
Miscellaneous rip-rap impacts will total 40 linear ft. or less. New stream impacts = 140 linear feet.
** Please note that this is a steep and curvy secondary road. The additional pipe lengths are
needed to eliminate sharp curves along this roadway.
**Due to slope, the wet pipes at stations 20+65, 85+78 & 109+32 will remain perched with
energy dissipater pads underneath. None of these wet pipes contain suitable fish habitat
anyway. Burying these pipes would adversely impact stream stability and would require
additional piping.
Construction of this project will require impacts to waters of the United States in the Yadkin
River Basin. The above noted wet cross lines at stations 20+66 and 44+25 carry different
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAX [phone]
Mr. John Thomas
SR 1355, Shoe Road, Wilkes
Page 2
April 11, 2003
unnamed tributaries to Old Taylor Branch (Class: WS-II, Trout, HQW). The wet cross lines at
stations 85+78 and 109+32 carry different unnamed tributaries to Little Fork Creek (Class: C).
This project was reviewed for the presence of threatened and endangered species on April 1,
2003. This project will have no effect on any federally listed endangered plant or animal species.
Historic compliance work will be scheduled and concurrence with the State Historic Preservation
Office will be obtained if required.
The project impacts are minor in nature and should not remove or degrade existing water quality
uses. The replacement pipe sizes are the minimum necessary to create a safe roadway. By
utilizing the erosion control measures outlined in the attachments to this application, downstream
water quality standards will be protected. All appropriate BMPs will be used during construction.
Attached is a Preconstruction Notification Form, plan sheets with proposed erosion control
measures, a marked county map, a marked topography map and photographs.
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with
the North Carolina Wildlife Resources Commission comment directly to you concerning the 404
Nationwide Permit application with a copy sent to me.
By copy of this letter, I am forwarding seven (7) copies of this application package to Cynthia
Van Der Wiele, NCDENR, Division of Water Quality, 401/Wetlands Unit, for her review. It is
requested that any comments related to the 401 certification be forwarded directly to me with a
copy sent to the US Army Corps of Engineers.
We would like to begin construction as soon as possible. If further information is required, please
let me know. Your early review and consideration will be appreciated.
Sincerely,
Heath Slaughter
Division Environmental Officer
Enclosures
cc: John Thomas, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
Cynthia Van Der Wiele, Division of Water Quality (7 copies)
R. C. McCann, PE, Division Engineer
Doug Tetzlaff, District Engineer
Brian Hamby, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Office Use Only' Form Version April 2001
USACE Action ID No. DWQ No. 3 0 4 6 4
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. 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: P O Box 250, North Wilkesboro NC 28659
Telephone Number: (336 903-9236 Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Heath Slaughter Division Environmental Officer
Company Affiliation: North Carolina Department of Transportation
Mailing Address: P. O. Box 250, North Wilkesboro NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: hslau hter e,dot state nc us
Page 3 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1355, Shoe Road
2. T.I.P. Project Number (NCDOT Only): 6.762173T
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Wilkes Nearest Town: Shoe
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): Pro tect starts near the
intersection of SR 1354 and SR 1355 and proceeds westward on SR 1355.
5. Site coordinates, if available (UTM or Lat/Long):
Road DD: 36.25990N 81.3501° W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential/Rural
7. Property size (acres): Approximately 12.5 acres
8. Nearest body of water (stream/river/sound/ocean/lake): UTs to Little Fork Creek (Class: C).
UTs to Old Taylor Branch (Class: WS-II Trout HQ)D
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 http://h2o.enr.state.nc.us/admin/map-/?
Page 4 of 12
10. Describe the purpose of the proposed work: Grade drain base and pave SR 1355.
11. List the type of equipment to be used to construct the project: Trackhoe/backhoe, motor
grader and dump trucks
12. Describe the land use in the vicinity of this project: Residential/Farm/Rural
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.
Page 5 of 12
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

* 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 floodpWns 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 http//www.fema.wov.
*** 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 Length of Average Width of Perennial or
Site Number Type of Impact* Impact Stream Name** Stream Before Intermittent?
(indicate on map) (linear feet) Impact (please specify)
Station No. 20+66 Pipe replacement 25 feet UT #1 to Old Taylor
Branch 1 foot Intermittent
Station No. 44+25 Pipe replacement 20 feet UT #2 to Old Taylor
Branch 1 foot Intermittent
Station No. 85+78 Pipe replacement 35 feet UT #1 to Little Fork
Creek 2 feet Intermittent
Station No. Pipe replacement 20 feet UT #2 to Little Fork 2 feet Perennial
109+32 Creek
Miscellaneous
rip-rap 40 feet or
UTs to Little Fork Creek
Perennial/
All of the above placement for less ft.
(10 and Old Taylor Branch 1-2 feet Intermittent
stabilization )
per pipe)

* List each impact separately and identify temporary impacts. Impacts tnetuae, nut are not ?mttea to: cuivens and assuciatcu ijimap,
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
www.usgs.gov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.toMzone.com,
www.mavuuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 140 In ft of new permanent impacts.
Page 6 of 12
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

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
By utilizing the erosion control measures as shown in the attached drawings adverse impacts to
streams in the area will be minimized Since this is an existing roadway, the stream impacts
cannot be avoided However, the replacement pipe lengths will be the minimum needed to
safely construct the paved roadway The proposed additional pipe lengths are needed to
eliminate sharp curves in the roadway, thus improving public safety. All appropriate BMPs will
be used during construction
Page 7 of 12
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwettands/stringide.html.
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.
Page 8 of 12
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at htt]2://h2o.enr.state.nc.uVwTp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federaUstate/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 )?
Yes ? No ® If you answered "yes", provide the following information:
Page 9 of 12
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Impervious surface area will increase by approximately 1 acre. All appropriate best
management practices for sediment and erosion control will be implemented dgft construction.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIH. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
Page 10 of 12
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Applicant/Agent's Signature Date
(Agent's signature is valid onl if an authorizatio n letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret* Green Pamlico
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Pitt
Tyrrell
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
*Croatan National Forest Only
Page 11 of 12
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SECTION 1042
RIP RAP MATERIALS
1042-1 PLAIN RIP IZAP.
Shone for Main rip rnpshalI consisiof field stone or rough unhel:'n quarry
done- The stone shall be sound, tough, dense. resistant io the action of air
and water, and suitable in all other respects for the purpose intended.
Where broken concrete from demolished structures or pavement is avail-
able, A may be used in place DI s-tDne provided that such use meets with the
approval of the Engineer.:I3v_ wever, the Use of brol,-el] concrete which
contains reinforcing sieel Avill not be permitted.
The stone or broken concrete shall be graded io meet the following
Tequirements_
L For Mass I Rip Rap- Stonesllall vary in weight from 5fo 200 pounds=
t least, 3D. percent of 11ie, iotal ?veigllt -of ib-e rip rap-shhall lie: in
individual viL' e iveigllin a minimum of .50 mounds ?ac1i_ 3?otmore
than 1.0 percent of the iDtal 1?'elgllt of the rip 1-ap may be in individua]
pieces weighing less than 15 Founds Dac11_
2."'For CIass 2 Hij3 Rap_ Stone shall vary in -veigl3t from 25 LD 950
Dounds. Atleast DD perceni of the to'.al weight of the rap rap shall be in
individual pieces weighing a 7Ti1n1mum of 100 bounds each. Notmore
than 5 percent, of the iotal','eight of the rip ran may be in individual
pieces weighing Ie_.s -than 50 pounds each.
G :,1

HIGH QUALITY WATERS
1. Uncovered areas are limited at any given time to a maximum total area of
20 acres.
2. Erosion and sedimentation control measures shall be designed to provide
protection from the 25-year storm.
3. Large Type-A basins shall be designed and constructed with a settling
efficiency of at least 70% for the 40 micron soil particle size transported
by runoff from the 2 -year storm.
4. Newly constructed channels shall be constructed with side slopes no
steeper than 2:1, unless slopes are to be stabilized by methods other than
vegetation
5. A ground cover sufficient to restrain erosion must be provided for any
disturbed area.
EROSION CONTROL SCHEDULE
(1) All adequate temporary erosion control measures will be installed before
clearing and grubbing operations begin.
(2) As construction progresses, temporary and permanent erosion control
devices shall be installed in a timely matter, according to any special permit
requirements and or requirements set out in G. S.113A-57.
MANDATORY STANDARDS FOR LAND-DISTURBING ACTIVITY
Pursuantto •G.S.113A-57 (3) provisions for a ground cover.
sufficientto restrain erosion innus .be accomplished within 15
working days?or 30 calendar daysibilowing completion, df
construction'or4evelopment, whichever period is shorter,,except
as provided in 15A NCAC 4B ,0024.:(e).
DESIGN STANDARDS 1N SENSMVEWATERS EEDS
y? r
pursuantto C,. S.113A-5? 13) provisions Tor a ground cover
sufficientfo restrain aroeoon inustbe providedlrorany portion afa.
land-distnrbmg activityin .a-HQWzone virthin 15 woTidng rays or30
calendarslaysfollowing completion ofcionstruction ar
- development, Whichever period is sborter_
(3) All siltation and erosion control devices shall be properly :maintained until no
longer needed.
(4) On projects performed by D.D_T_ Maintenance Forces, request will promptly
be made to the Division Roadside Environmental Unit for stage and
permanent seeding.
(5) Any removal of siltation -devices will be based on the condition of established
ground cover of that area the device is serving.
CONSTRUCTION SEQUENCE FOR INSTALLING ROADWAY CULVERTS
9 - Clear only enough area and install the downstream measures such as sift check dams,
sift screens, and basins as noted on plans.
2 - Excavate the 2' base tail ditch.
3 - Excavate and install the roadway culvert
4 - Install sediment-control measures at inlet as noted on plans.
5 - Install additional pipe outlet protection and inlet protection as noted.
LS AND
E ?? ?O S
Std - rzcrir)tion ' Svrbol
16 0j. of j emporary Silt f=ence .,. ,?.
???°•O' I emporary Silt Ditch- '?'
1 ??°-Oj Temporary Diversion 'D
:_ - I SM07
Temporary Slope Drain
?
--
_ 1530.07 _ Silt Basin gype A
_:;7.b3o_?2 Silt Basin Type-B
" -7533XI... Temporary hock Silt Check Type A
Rock Slit Check T ype-8
I83^.02.:=- TempOrary _ _ .: _
_
y 634.01.::_ : ',1 emDDrary Rock Sediment Dam 1 yDe-A " ?
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NOTE:
• OUTLET BASINS WITH ROCK CHECKS
SHALL BE PLACED AT LOW POINTS
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INSTALLATION IS BEING PERFORMED.
THESE BASINS ARE NOT SHOWN ON
PLANS.
• ALL PIPE LOCATION MAY VARY DUE TO
GRADE CHANGES IN ROADWAY.
• ROCK CHECKS AND BASINS ARE TO BE
REMOVED BEFORE RIP-RAP OR ROVING
PLACEMENT. BASINS AT CROSSLINES.
TO REMAIN.
• ALL WE ii CROSSLINE PLACEMENTS
THf.T REQUIRE MORE THAN ONE WORK
DAY TO INSTALL, REQUIRE A SILT
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THESE BASINS ARE NOT SHOWN ON
PLANS.
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THESE BASINS ARE NOT SHOWN ON
PLANS.
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GRADE CHANGES IN ROADWAY.
• ROCK CHECKS AND BASINS ARE TO BE
REMOVED BEFORE RIP-RAF OR ROVING
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TO REI i.AlN.
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Station Size
4+15 45'x18"
8+50 45'x18"
9+85 50'x18"
11+30 60'x18"
14+20 80'x24"
16+50 60'x18"
18+90 50'x18"
20+65 ^- x18"
22+50 50'x18"
26+85 50'x18"
29+15 45'x18"
31+40 50'x18"
33+25 70'x24"
34+80 45'x18"
36+35 45'x18"
39+40 45'x18"
41,+05 25'x15"
44+25 x24"
46+85 50'x18"
44+35 25'x15"
50+05 45'x18"
52+25 20'x15"
53+20 40'x18"
58+25 50'x18"
62+10 40'x18"
63+45 40'x18"
66+00 25'x15"
72+00 25x15"
72+95 25'x15"
74+50 45'x18"
79+50 601x18"
80+85 60'x18"
85+78 I' '06'x24"
88+05 50'x18"
92+90 40'x18"
95+25 40'x18"
98+65 50'x18"
102+60 50'x18"
103+00 25'x15"
104+60 60'x18"
107+45 60'x18"
109+32 80'x36"
109+50 30'x15"
Class
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Plain
Type-B
Type-B
Plain
Type-B
Plain
Type-B
Type-B
Type-B
Type-B
Plain
Plain
Plain
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Type-B
Plain
Type-B
Type-B
Type-B
Plain
Remarks SR1355
Shoe Rd.
Replace Wilkes Co.
Replace
Replace
Replace
Replace
Replace
Replace t,,rrN CEss %N?,? `% :5 ,PF
Replace CAN -C-4
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Add
Replace
Replace
Replace
Replace
Add
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Replace CAN LEASE Pty: "°a
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Replace
Ad-d- iZCP,NC£
wirN Less 7HA-j E°k ScoPc
DITCHLINER REQUIREMENTS
Shoe Rd.
Wilkes Co 9/11/02
Station Station Lt./Rt. Liner
0+00 74+50 Rt. Rip Rap
74+50 84+50 Rt. Roving
84+50 109+50 Rt. Rip Rap

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FILE COPY
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Target is 36.25990N, 81.3501°W - IiORSE GAP quad [Quad Info]
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Coprri h11 2000 m"! I. park Inc.
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4/11/03
W"
SUMINS
Top: Inlet and upstream view of wet pipe at
Bottom: Outlet and downstream view of wet
n 85+78 on SR 1
at station 85+78
0130464