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HomeMy WebLinkAbout20040965 Ver 1_Complete File_20040611w A r > 1 'C DWQ Project No.: 0#0 CI& County: J ltSa v.. Applicant: NCDOT Project Name &, g- s Date of Issuance of 40f Water Quality Certification: '? - 6 - ?? Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of these. Applicant's Certification I, Joel B. Setzer, P.E., hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and o pport' materials. Signature: Date: 10 - 3 ' OS Agent's Certif ation 1, , hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date: If this project was designed by a Certified Professional 1, , 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: 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 WbEW 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/ w NJATF O R Michael F. Easley, Governor Will e QG iam G. Ross Jr., Secr tary North Carolina Department of Environment and Natural Resources Y Alan W. Klimek, P.E. Director > Coleen H. Sullins, Deputy Director 0 Division of Water Quality m- Asheville Regional Office July 26, 2004 Jackson County DWQ Project No. 040965 SR 1145 (Bridge No. 16) APPROVAL of 401 Water Quality Certification with Additional Conditions Mr. R. G. Watson, P.E. Division Engineer N C Department of Transportation 23 Webster Road Sylva, North Carolina 28779 WETLANDS / 4^ 1(1 n,.1 AUG 0 4 2004 WATER QUALF i ' . rJN Dear Mr. Watson: You have our approval, in accordance with the attached conditions and those listed below, to impact approximately 25 linear feet of Mill Creek (replacement of approximately 25 linear feet of timber mudsills and approximately 70 linear feet of temporary impacts for coffer dams and temporary dewatering), in order to replace Bridge No. 16 on NCSR 1145 in Jackson County. The project must be constructed in accordance with the application dated May 18, 2004 (received June 11, 2004), including the environmental commitments made in the application letter. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Nos. 3404 and 3366, corresponding to the U.S. Army Corps of Engineers Regional General Permit Number 31. 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 if 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. 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 waters standards: a. The erosion and sediment control measures for the project must be designed, installed, operated, and maintained in accordance with the most recent version of the North Carolina Sediment and Erosion Control Planning and Design Manual. b. The design, installation, operation, and maintenance of the sediment and erosion control measures must be such that they equal, or exceed, the requirements specified in the most recent version of the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects, including contractor-owned or leased borrow pits associated with the project. c. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated, and maintained in accordance with the most recent version of the North Carolina Surface Mining Manual. d. Any reclamation measures and implementation must comply with the reclamation in accordance with the requirements of the Sedimentation Pollution Control Act. 2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: 828/296-4500 Fax: 828/299-7043 Mr. R. G. Watson, P.E. July 26, 2004 Page Two 2. No wastes, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint of the impacts depicted in the Preconstruction Notice Application. All construction activities, including the design, installation, operation, and maintenance of sediment and erosion control'Best Management Practices, shall be performed so that no violations of state water quality standards, statutes, or rules occur. 3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable, they shall be removed and the natural grade restored within six months of the date that the Division of Land Quality has released the project. 4. In-stream construction work and land disturbance within the 25-foot wide buffer zone are prohibited during the trout-spawning season of October 15 through April 15 to avoid potential adverse effects of sedimentation on sensitive egg and fry stages of trout. 5. The NC Wildlife Resources Commission recommends and encourages DOT to use erosion control matting in conjunction with appropriate seeding on disturbed soils in steep slope and riparian areas. Matting should be secured in place with stables, stakes, or, wherever possible, live stakes of native trees. NCDOT shall comply with any other conditions or moratoriums requested by the NC Wildlife Resources Commission. 6. Any stream area that may be over widened during bridge construction should be restored to the existing width/depth ratio, typical of the upstream and downstream stream reaches. 7. The post-construction removal of any temporary bridge structures will need to return the project site to its pre- construction contours and elevations. Revegetation of the impacted areas with appropriate native species shall also be necessary. 8. Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means appropriate to the site for the purpose of pre-treating stormwater runoff, and must not be routed directly into streams. Mowing of existing vegetated buffers is strongly discouraged, so that they may be utilized for stormwater diffuse flow. 9. Removal of vegetation at the stream crossing and adjacent to streams should be minimized. Native trees and shrubs (e.g. Rhododendron, dog hobble, willows, alders, sycamores, dogwoods, black walnut and red maple) should be planted along the streambank to reestablish the riparian zone and to provide long-term erosion control in the vicinity of the road crossing and along the streams within dedicated rights of way. 10. Riprap placed for bank stabilization should be limited to the streambank below the high water mark, and vegetation should be used for stabilization above the high water elevation. 11. Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize sedimentation and to reduce the likelihood of introducing other pollutants into the stream. 12. 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. 13. Excavation of the stream crossings and relocations 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. 14. If concrete is used during bridge construction (e.g., headwalls, piers), a dry work area should be maintained to prevent direct contact between curing concrete and stream water. Water that inadvertently contacts uncured concrete should not be discharged to surface waters due to the potential for fish kills. 15. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface waters is strictly prohibited. 16. 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 bridge supports or areas that require restoration of proper stream width. Instream dredging has catastrophic effects on aquatic life, and disturbance of the natural form of the stream channel will likely cause downstream erosion problems, possibly affecting other landowners. 17. All work shall be performed during low flow conditions (below bankfull). 18. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certificate of Completion" form to notify NCDWQ when all work included in the §401 Certification has been completed. The responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon completion of the project. NCDOT is strongly advised to send in photographs upstream and downstream of each structure to document correct installation. A Mr. R. G. Watson, P.E. July 26, 2004 Page Three 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 Mr. Mike Parker of the Asheville Regional Office at 828.296.4500. Sincerely,,/ n j,--Alan W. Klimek, P.E. Attachment cc: Wilmington District, US Army Corps of Engineers Mark Davis, Division 14, DEO Angie Pennock, USACE Asheville Field Office Ed Ingle, Roadside Environmental Wetlands/401 Unit Mike Parker, NCDWQ Asheville Regional Office ??FO 040965 Guar ?? STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY GOVERNOR May 18, 2004 Mr. Steve Lund, NCDOT Regulatory Project Manager U.S. Army Corps of Engineers 151 Patton Avenue, Room 208 Asheville, NC 28801-2714 Subject: GP 31 Permit Application Bridge Number 16 on SR 1145 over Mill Creek Jackson County Dear Mr. Lund, LYNDO TIPPETT SECRETARY WETLANDS/ 401 GROUP JUN 1 1 2004 WATER QUALITY SECTION The North Carolina Department of Transportation (NCDOT) is proposing to replace Bridge Number 16 on SR 1145 over Mill Creek (WS-III: Tr), in Jackson County. The existing bridge is a 26' single span structure with timber abutments and steel I-beams. It was determined that in the interest of public safety the bridges be replaced due to insufficient width and deterioration due to age. The new bridge will span the creek using steel I-beams on timber abutments at a length of 26'. The footings will be constructed of 12" x 12" timber mudsills. All work will be performed in a dry environment. Sandbag cofferdams will be used if necessary to ensure a clean, dry area, and to minimize impacts to aquatic habitats and allow the existing stream gradients to remain as unchanged as physically possible. The North Carolina Natural Heritage Database was checked for records of threatened and endangered species. There are no records in the database for threatened or endangered species from the Mill Creek watershed. Additionally, there are no records within the adjacent Norton Creek and Pine Creek Watersheds. The location of Pine Creek above Thorpe Reservior, the small size of the stream (10 feet wide) and elevation (3700 feet) are not conducive for freshwater mussels. This project consists of replacing a spanning structure on existing location and the work will be completed in the dry. For these reasons, this project will have "no effect" on threatened or endangered species. t Whittier Bridge Maintenance, 178 Henry Bird Rd, Whittier, NC 28789Telephone(828)497-7953 Fax(828)497-6544 Impacts to historic or cultural resources are not anticipated. If the State Historic Preservation Office (SHPO) and the Office of State Archaeology determines that further investigations are required, NCDOT will conduct the appropriate site investigations and obtain compliance from SHPO prior to project construction. The best management practices will be used to minimize and control sedimentation and erosion on this project. The construction foreman will review all erosion control measures daily to ensure sedimentation and erosion is being effectively controlled. If the planned devices are not functioning as intended, they will be immediately replaced with better devices. Impacts to Waters of the United States In order to construct the project in accordance with our current Bridge Maintenance standards, it will be necessary to impact waters of the United States in the Little Tennessee River Basin. Specifically, NCDOT is requesting to widen Jackson County Bridge No. 16. Listed below is a summary of the proposed impacts. Site No. Existing Proposed Net Impacts Station Condition Condition Site 1 0' Bridge 26' Single 26' Single Span 16 Span Bridge Bridge Total =0' Permits Requested NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed with the construction project outlined above. By copy of this letter, I am asking the North Carolina Wildlife Resources Commission (NCWRC) to comment directly to you concerning the 404 Nationwide Permit request. Also by copy of this letter, I am requesting authorization to proceed under Section 401 of the Clean Water Act from Division of Water Quality. In addition, I am asking the NCWRC and Mr. Ed Ingle, (NCDOT) to comment directly to me concerning this permit request. If you have any questions or need additional information, please contact me at (828) 497-7953. Your early review and consideration will be greatly appreciated. Sincerely, Johnny Metcalfe, PE Division 14 Bridge Maintenance Engineer cc: Whittier Bridge Maintenance, 178 Henry Bird Rd, Whittier, NC 28789Telephone(828)497-7953 Fax(828)497-6544 Mr. David McHenry, Mountain Region Coordinator, NCWRC Mr. Carson Fisher, PE, Regional Engineer, LQS, DENR Mr. R.G. Watson, P.E., Division Engineer, NCDOT Mr. Mark Davis, Division Environmental Officer, NCDOT Mr. E. L. Ingle, Roadside Environmental Field Operations Engineer, NCDOT Mr. Mike Parker, DENR - Division of Water Quality Mr. John Dorney, Water Quality Certification Unit, DWQ Whittier Bridge Maintenance, 178 Henry Bird Rd, Whittier, NC 28789Telephone(828)497-7953 Fax(828)497-6544 Office Use Only: Form Version April 2001 040965 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 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: GP 31 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: NC Department of Transportation c/o J.D. Metcalfe, PE Mailing Address: 178 Henry Bird Rd. Whittier, NC 28789 Telephone Number: 1-828-497-7953 Fax Number: 1-828-497-6095 E-mail Address: jmetcalfekdot.state.nc.us 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: NA Company Affiliation: NA Mailing Address: NA Telephone Number: NA Fax Number: NA E-mail Address: NA Page 3 of 11 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: Jackson County Bridge # 16 on SR 1145 over Mill Creek 2. T.I.P. Project Number (NCDOT Only): WBS Element: 14B.205011 3. Property Identification Number (Tax PIN): NA 4. Location County: Jackson Nearest Town: Glenville, NC Subdivision name (include phase/lot number): NA Directions to site (include road numbers, landmarks, etc.): From Cashiers, NC follow NC 107 North towards Sylva, NC for approx. 6 miles to SR 1157 on the left. Turn and follow for approx. 3.1 miles and bear left onto SR 1145. Follow for approx. 2.1 miles to Bridge 16. Site coordinates, if available (UTM or Lat/Long): 35° 10' 18.5"N 83° 10' 31.5"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.) 5. Describe the existing land use or condition of the site at the time of this application: NC DOT Bridge Number 16. 6. Property size (acres): NA 2-?1-23-5 7. Nearest body of water (stream/river/sound/ocean/lake): Mill Creek (Class WS-III: Tr) 8. River Basin: Little Tennessee 04040- (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.) Page 4 of 11 Describe the purpose of the proposed work: Replace the existing 26' single span timber and steel I-beam bridge. New bridge will be a single span timber and steel I-beam structure approx. 26' in length. New abutment footings will be constructed on timber mudsill foundations along with timber bulkheads and wingwalls. 9. List the type of equipment to be used to construct the project: Backhoe, boomtruck, power tools, hand tools, etc. 10. Describe the land use in the vicinity of this project: Minor fanning. Fishing. 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. NA 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: NA VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate.. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 5 of 11 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Wetland Impacts Wetland Impact Site Number (indicate on ma) Type of Impact* Area of Impact (acres) Located within . 100-year Floodplain** (es/no) ' Distance to Nearest Stream (linear feet) Type of Wetland*** * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.fema.gov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: 0 Total area of wetland impact proposed: 0 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? (please seci ) I Replace Single Span Bridge 0' additional impacts Mill Creek 10' 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, 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. Page 6 of 11 ** 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., w,vw.topozone.com, www.mapguest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 0' 3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma) Type of Impact* Area of Impact (acres) Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 4. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. . Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): NA Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): NA NA 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. Silt fence will be used around the project to reduce run-off into the stream. Any potential impacts from offsite sedimentation from the project site will be avoided by the implementation of appropriate BMP's Page 7 of I t 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/str-mgide.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 8ofII 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review process by the 401/Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/=/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): NA Amount of buffer mitigation requested (square feet): NA Amount of Riparian wetland mitigation requested (acres): NA Amount of Non-riparian wetland mitigation requested (acres): NA Amount of Coastal wetland mitigation requested (acres): NA IX. Environmental Documentation (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federal/state/local) land? Yes ® No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Page 9 of 11 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 NA )? Yes ? No ® If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet) Multiplier Required Mitigation 1 3 2 1.5 Total * 'Lone 1 extends out 3U teet perpendicular from near bank of cliannel; Gone 1 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. The best management practices will be used to minimize and control sedimentation and erosion on this project. The construction foreman will review all erosion control measures daily to ensure sedimentation and erosion is being effectively controlled. If the planned devices are not functioning as intended, they will be immediately replaced with better devices. 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. No wastewater will be generated from the project. XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Page 10 of 11 ??lffll11111?1311'R?9" llf1 (°R°11P'1°97?Vf€IIIN3r?7 ?-F'YV flff?° °l1P°r°!°iy"f(II1 P? 49" lEffllEl A `' -?? xtv?uQ ,n { 3811"-., .. _ --- " ICY L N, i si 5 G ` BKIE r , ? ' te ip ? `? ? ?? - ` T Z • -? f a a ; i ?y y. fis s I f f i \ Site Y: Snd 16 e Q ' F AMA .. , i7 g . c ? ` '.,' r?,•"? 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S ps i o , Fis k _ ch. ?, n 1 O ` •. 1 1 52 a Usaidn ,--•-' Tr:, :J HOGBACK MTN.I' l 1 148: . 1144 ELEV. 4.950 = 1, s 1149 1185 , 18 - -`BLACK ROCK BUCK CREEK GAP =,.`:` ` ` 205 ! 1?1 ? ` Y ELLOW MTN. 145 5 ELEV 13 '' , . t F Y f a ? Iv 14 175 •'"` _ 1143! yr? I 1145 07 1 ' 1 142 7.0 12 'l MrSID Viewer ??>:;,_ {?h:,: `? ?T. 4th i?"' "'' ?.i ? ?± t.?ls:i:???'. eSi?._?__v.: Jul. . ?_? STATE OF NORTH CAROLINA >?" LI22 7? ! SUBJECT - PROJECT - - J,L7S. DEPARTMENT OF TRANSPORTATION % 1 / I/ f ,? ? rjC ? ??? 11 , ?_ ?+ " COUNTY DIVISION OF HIGHWAYS 1;1 _- HIGHWAY BUILDING PREPARED BY ?1n6"' DATE STATION P. 0. BOX 25201 RALEIGH. NORTH CAROLINA 27611 CHECKED BY DATE STR NO SHEET_ OF_