20040368 Ver 1_Complete File_20030310

\lq AT ?RQG
micnaei r. tasiey, uovernor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
C? r Alan W. Klimek, P.E. Director
j Division of Water Quality
p Coleen H. Sullins, Deputy Director
Division of Water Quality
March 18, 2004
Wayne County
DWQ Project No. 040368
NC Moving Ahead Project MA04154 Bridge No. 50 on SR 1317
APPROVAL of NEUSE RIVER BUFFER RULES AUTHORIZATION CERTIFICATE with
ADDITIONAL CONDITIONS
Mr. Anthony Roper, P.E., Acting Division Engineer
NCDOT Division 4
P.O. Box 3165
Wilson, NC 27895-3165
Dear Mr. Roper:
You have our approval, in accordance with the attached conditions, to impact 411 square feet of protected
riparian buffers in Zone 1 and 389 square feet of protected riparian buffers in Zone 2 for the purpose of
replacing Bridge No. 50 over Mill Creek on SR 1317 in Wayne, County. The project shall be constructed
according to your application dated March 5, 2004 and any conditions listed below. This approval shall act
as your Authorization Certificate as required within the Neuse River Area Protection Rules (15A NCAC 2B
.0233). In addition, you should get any other required federal, state or local permits before you go ahead
with your project including (but not limited to) Sediment and Erosion Control.
This approval is only valid for the purpose and design that you described in your application. If you change
your project, you must notify us 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 authorization and approval letter and is thereby responsible
for complying with all conditions. For this approval to be valid, you must follow the conditions listed
below.
1. The outside buffer, wetland or water boundary as well as along the construction corridor within
these boundaries approved under this Certification shall be clearly marked by orange fabric
fencing for the areas that have been approved to infringe within the buffer, wetland or water prior
to any land disturbing activities to ensure compliance with 15A NCAC 2B .0250.
2. This Certification does not authorize the discharge of waste rock and dirt into the stream or
riparian zone except for permitted areas associated with culvert conditions.
3. All storm water runoff shall be directed to sheet flow through stream buffers at non-erosive
velocities, unless approved otherwise by this certification.
4. During the construction of the project, no staging of equipment of any kind is permitted in waters of
the U.S., or protected riparian buffers.
5. No changes to the horizontal or vertical placement of the stormwater outfall locations, the horizontal
or vertical placement of the culverts, the horizontal or vertical placement of bridges, the horizontal
or vertical placement of grassed swales, or the horizontal or vertical placement of open ditches is
permitted without written approval from the NC Division of Water Quality 401 Wetlands Unit. In
addition, no changes to the flow spreader locations or designs, preformed scour hole locations or
designs are permitted without written approval from the NC Division of Water Quality 401
Wetlands Unit. Any request for changes to the referenced items above will require submittal of a
modification request, with seven copies, and corresponding fees will need to be submitted to the
North Carolina Division of Water Quality.

N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748
Nf A rF Michael F. Easley, Governor
O?? RQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
` Alan W. Klimek, P.E. Director
Division of Water Quality
.? Coleen H. Sullins, Deputy Director
Division of Water Quality

6. 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.
7. Pursuant to NCAC15A 2B.0233(6), sediment and erosion control devices shall not be placed in
Zone 1 of any Neuse Buffer without prior approval by the NCDWQ. At this time, the NCDWQ has
not approved the use of sediment and erosion control devices in Zone 1 anywhere on this project.
Sediment and erosion control devices shall be allowed in Zone 2 of the buffers provided that Zone 1
is not compromised and that discharge is released as diffuse flow.
8. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction. All protected riparian buffers impacted
by the placement of temporary fill or clearing activities shall be restored to the preconstruction
contours and revegetated with native woody species upon completion of the project construction.
9. A post-construction as-built drawing with the restoration activities included shall be submitted to
the DWQ no later than 60 days after the project is closed out by the Department of Transportation.
10. Upon completion of the project, the NCDOT and/or its authorized agents shall complete and
return the enclosed "Certificate of Completion" form to the 401/Wetlands Unit of the NC
Division of Water Quality upon completion of the project. 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 the "No Practical Alternatives"
determination required in 15A NCAC 2B .0233(8). If you have any questions, please contact John
Hennessy at 919-733-5694.
cc:
US Army Corps of Engineers Wasl
DWQ Washington Regional Office
File Copy
Central Files
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748
FILE COPY
wrmo.,
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
SECRETARY
March 5, 2004
Mr. Mike Bell
U. S. Army Corps of Engineers
Washington Regulatory Field Office
Post Office Box 1000
Washington, North Carolina 27889-1000
(One Copy)
John Hennessy
Wetlands/401 Unit
NC DENR Division of Water Quality
2321 Crabtree Blvd. Suite 250
Raleigh, NC 27604-2260
(Seven Copies)
®40368
WETLANDS / 400 (,1r )L 1p
MAR l 2004
WATER y1L1`v a .
Subject: Nationwide 3 Notification and Buffer Authorization Request, for the
demolition and reconstruction of Bridge No. 50 over Mill Creek on SR 1317,
Wayne County. Moving Ahead Project Number : MA04154
NOTE. In Division 4, "Moving Ahead" projects were selected in large part based on
their minimal potential for adverse affects on the environment. The Environmental
Supervisor reviewed all potential projects, and those with adverse effects estimated to be
more than minimal were eliminated from the program. The remaining projects involve
only maintenance, modernization, and safety concerns.
Dear Sirs:
Please find enclosed the Pre-Construction Notification for the above referenced project.
Bridge No. 50 (38' long) will be replaced with a new 95-foot long bridge on the existing
alignment. Traffic will use an offsite detour during construction. There are impacts to
buffers but not Waters of the U. S./State associated with this project, as the new bridge
will completely span the creek, a portion of floodplain, and there are no in-stream bents.
The bridge replacement will result in a better hydraulic opening and provide for increased
wildlife passage beneath the future bridge. Mill Creek is located in the Neuse River Basin
and is classified by the Division of Water Quality as WS-IV 27-57-20.7.
[phone] x 2311 jshem@,dot.state.nc.us
Post Office Box 3165, Wilson, Norti> Carolina 27895-3165
Demolition: The bridge will be removed by sawing the deck and lifting it a. in sections.
We will excavate behind the end bents and fold them track, then remove them without
dropping any components into the creek. Best Management Practices for the Protection of
Surface Waters and for Bridge Demolition and Removal will be followed.
FEDERALLY-PROTECTED SPECIES AND CULTURAL RESOURCES
The Fish and Wildlife Service (FWS) currently lists one federally protected species for
Wayne County (Table 1).
Table 1- Federally Protected Species of Wayne County
Federal Habitat Biological
Common Name Scientific Name Status Present Conclusion
Red-cockaded Picoides borealis E N No Effect
woodpecker
No element occurrences are listed on the NHP database within one mile of the bridge.
No pine trees suitable for foraging or nesting are present adjacent to the bridge. This
project is not likely to jeopardize the continued existence of the woodpecker.
Consultation of the historic bridge survey showed that Bridge 450 is not eligible for the
National Register. No sites listed on the National Register occur within one mile of the
bridge. This project will not affect listed or eligible historic properties.
Regulatory Approvals
USACE Section 404 Permit: The project qualifies for Nationwide Permit 3 (Maintenance
of previously approved structures). Allpermit conditions will be followed. For our files,
please provide a general permit verification that the activity is authorized.
NCDWQ Section 401 Certification: The project qualifies for 401 General Certification
number 3376. All conditions of the general certification will be followed.
NCDWQ Buffer Rules: As bridges are an allowable use they require written authorization
from the Division of Water Quality. Only Buffer Rule approval is sought in writing.
Please give me a call or email if you have any questions.
Sincerely,
Jamie Shern
Division 4 Environmental Supervisor
7

NORTH CAROLINA

VICINITY
APP
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NCD(0T
1 I
u2 S? DIVISION OF HIGH7A Y
?5 J o r p WAYNE COUNTY
1i O P ® MAP PROJECT: MA-415I
REPLACE BRIDGE 50
SCALE: I"= ISM' ON SIB 1317 OVER
M- ILL CREEK (NORTH)
SHEET
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1 (2 ?, vow 9-. vv
LEGEND
--dLB WETLAND BOUNDARY PROPOSED BRIDGE

CL WETLAND PROPOSED BOX CULVERT
DENOTES FILL IN
® WETLAND PROPOSED PIPE CULVERT
12"-48"
DENOTES FILL IN (DASHED LINES DENOTE PIPES
® SURFACE WATER EXISTNG STRUCTURES) 54" PIPES
& ABOVE
DENOTES FILL IN
® SURFACE WATER
(POND) SINGLE TREE
® DENOTES TEMPORARY
FILL IN WETLAND WOODS LINE
DENOTES EXCAVATION
® IN WETLAND DRAINAGE INLET
® DENOTES TEMPORARY
FILL IN SURFACE

WATER -- ROOTWAD
* DENOTES MECHANIZED
••"•* CLEARING
FLOW DIRECTION RIP RAP
TB
?- TOP OF BANK

WE ADJACENT PROPERTY OWNER
EDGE OF WATER O
OR PARCEL NUMBER
C IF AVAILABLE
PROP. LIMIT OF CUT
F PROP. LIMIT OF FILL ? PREFORMED SCOUR HOLE
An- PROP. RIGHT OF WAY
LEVEL SPREADER (LS)
NG NATURAL GROUND
PL PROPERTY LINE
ASS S
D
-TDE- TEMP. DRAINAGE WALE
R
EASEMENT
-PDE - PERMANENT DRAINAGE DENOTES IMPACTS TO
EASEMENT ® BUFFER ZONE 1
-EAB- EXIST. ENDANGERED
ANIMAL BOUNDARY ® DENOTES IMPACTS TO
-EPB- EXIST. ENDANGERED BUFFER ZONE 2
PLANT BOUNDARY
n - WATER SURFACE
x x x x x LIVE STAKES
x x x
E2D BOULDER
--- CORE FIBER ROLLS
DENOTES AREA TO BE EXCAVATED
N CD®T
DIVISION OF HIGHWAYS
WAYNE COUNTY
PROJECT: MA-4154
REPLACE BRIDGE #50
ON SR 1317 OVER
MILL CREEK (NORTH)
SHEET 2 OF 6
11-18-03

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NCDOT
DIVISION OF HIGHWAYS
WAYNE COUNT
PROFILE PROJECT: MAm4154
REPLACE BRIDGE ' :60
SCALE: 1" = S®° (HORIZONTAL) ON SR 1319 OVER
. 1" 0 10' (VERTICAL) MML CREEK (NORTE D
SHEET ,?' OF (O 1101 0
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ® Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
E 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 3
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ® no discharge - qualifies for GC 3376
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?NA
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?NA
H. Applicant Information
1. Owner/Applicant Information
Name: Anthony Roper Acting` Division Engineer
Mailing Address: PO Box 3165
Wilson. NC 27895-3165
Telephone Number: 252 237-6164x2100 Fax Number: 252 234-6174
E-mail Address: aropera,DOT.STATE.NC.US
2. Agent/Consultant 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: Jamie Shern Division 4 Environmental Supervisor
Company Affiliation: Division 4 - NCDOT
Mailing Address: 509 Ward Blvd.
Wilson, _NC 27895-3165
Telephone Number: 252 237-6164 x2311 Fax Number: 252 234-6174
E-mail Address: JSHERN@DOT STATE NC US
Page 5 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: Bridge 50 on SR 1317 over Mill Creek in Wayne County
2. T.I.P. Project Number or State Project Number (NCDOT Only): MA04154
3. Property Identification Number (Tax PIN): NA
4. Location
County: WaXne Nearest Town: Belfast
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): Just east of intersection with SR
1318 on SR 1317
5. Site coordinates, if available (UTM or Lat/Long): 35.4510N 78.0242W
(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. Property size (acres): 0.15 acres
7. Nearest body of water (stream/river/sound/ocean/lake): Mill Creek WS-IV 27-57-20.7
8. River Basin: NEUSE
(Note this must beone of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: rural agriculture, pasture, residential, woodland
10. Describe the overall project in detail, including the type of equipment to be used: Using a
crane, Replace an existing bridge with a longer bridge in place with offshe detour.
Page 6 of 12
11. Explain the purpose of the proposed work: Replace old bridge
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.
Bridge previously =roved by 33 CFR 330.3
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
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
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. Provide a written description of the proposed impacts: The bridge replacement will result in
an appropriate hydraulic opening and provide for increased wildlife passage. The new bridge
will be 6 feet wider based on current design standards Therefore the new bridge will have
228 additional square feet of decking (4' above OHW) over jurisdictional waters of the
US/State No wetlands are present at the site. 55' bank stabilization beneath bridge.
2. Individually list wetland impacts below:NA
Wetland Impact Type of Impact* Area of Located within Distance to
Site Number YPe Impact 100 year Floodplain** Nearest Stream Type of Wetland***
Page 7 of 12
indicate on ma acres es/no linear feet
NA 0
last each unpact separately ana iaenmy temporary impact& impacts mcluae, inn are not umrtca to: mecnamma clearing, gmamg, mi,
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 httpJ/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.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: 0
Total area of wetland impact proposed: 0
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name* * Average Width
of Stream
Before hn ct Perennial or
Intermittent?
lease sperify)
Bridge shading 6 Mill Creek 38 Solid blue line

last each impact separately ana raennty temporary impacts. impacts include, but are not limited to: culverts and associated np-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear, footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usas:eov. Several internet sites also allow direct download and printing of USGS maps (e.g, www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 6
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U. S.) below:
Open Water Impact
Site Number

indicate on ma
Type ofImpact* Area of
Impact

acres
Name ofWaterbody
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.
NA

Page 8 'of 12
* List each impact separately and identify temporary impacts. Impacts include, but are not limited w fill, excavation, dredging.
flooding, drainage, bulkheads, etc.
Pond Creation NA
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
Size of watershed draining to pond: NA Expected pond surface area: NA
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 bridge len h will be extended from 35' to 95' to span a larger portion of the floodplain.
There are no new in stream bents. Offsite detour avoids temporary fill from onsite detour .
Equipment staging and work will be performed within the existing -road footprint. Strict
enforcement of Best Management Practices for sedimentation and erosion control, the protection
of wetlands and surface waters, and bridge demolition will. be enforced during project
construction.
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
Page 9 of 12
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 further mitigation is proposed for this project. Bridges are an allowable use per
Buffer Rules.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/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
Page 10 of 12
A ?
I DL Environmental Documentation (required by DWQ)
Does the project involve an expenditure. of public (federal/state) funds or the use of public
(federal/state) 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 ? Meets criteria to use the NCDOT Minimum Criteria Checklist
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. NA
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
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:
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
uare feet)
Multiplier Required
Mitigation
1 411 3
2 380 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
K
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.
Not required The existing bents and old bridge fill will be removed from the buffer totaling
2,400 s f (155 cu yrds) to be excavated.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No deck drains over the stream
XIL Sewage Disposal (required by DWQ)
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.
XM. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
U - ?? 3/s/
Applicant/Ag'4t's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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