20100478 Ver 1_Application_20100618

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY PURDUE P. O. Box 25201, Raleigh, NC 27611-5202
GOVERNOR PHONE: [phone]
June 10, 2010
j?ry
EUGENECONT
SECRETARY
Mr. Monte Matthews
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office 100478
3331 Heritage Trade Drive, Suite 105 Wake Forest, NC 27587
Subject: Nationwide Permit #14
SR 1411 (Cartner Road)
Yadkin County, North Carolina
Project Number: 11C.099070 (DWQ Permit Fee: $240)
Dear Mr. Matthews:
The NC Department of Transportation is scheduled to grade, drain, base and pave SR 1411,
Cartner Road in Yadkin County. Total project length is approximately 0.48 miles. The improved
section will be widened from 17 feet to 20 feet with impervious surface area increasing by 0.17
acres. This project will require the replacement of one wet pipe as shown below:
Stream Impacts:
Existing Plpe Proposed Prpe .`w Riprap F Total Lnpactsat,'
.Station Number '
Size: acts feet : `this Station ft.:.
10+37 40'x 36" 50'x 36" 10 20
Tern r Dewaterin 40
Total Stream impacts = 60 feet
The replacement of the above noted wet pipe will require temporary dewatering. An impervious
sandbag dike will be constructed upstream of the existing culvert to create a small pool. Clean
water will temporarily be pumped around the construction area and will be discharged
__--downstream .__Any_ dirty_water_located_,inside of-the construction area will be pumped into a silt
bag if necessary. Total dewatered area for this wet pipe replacement will be approximately 40
linear feet or 0.0009 acres. Once the new pipe is placed, the impervious dike will be removed and
preconstruction streambed elevations will be restored.
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAX [phone]
Mr. Monte Matthews
SR 1411 (Cartner Road)
Page 2
June 10, 2009
The wet pipe in question carries an unnamed tributary to Beaverdam Creek (Class: C). This
project was reviewed for the presence of threatened and endangered species May of 2010. This
project will have no effect on any federally listed endangered plant or animal species. This project
was submitted to SHPO for review and no survey work was requested.
The project impacts are not significant in nature and should not remove or degrade existing water
quality uses. Pipe sizes used will be 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 and a marked topography map.
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 five (5) copies of this application package to Brian Wrenn,
NCDENR, Division of Water Quality, 401/Wetlands Unit, for his 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,
0 e/'V /C 4 &Z/&, AO
Heath Slaughter
Division Environmental Officer
Enclosures
cc: Monte Matthews, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
Brian Wrenn, Division of Water Quality (5 copies)
Amy Euliss,-Division .of Water_Quality------ --- - -
Mike Pettyjohn, PE, Division Engineer
Brandon Whitaker, PE, District Engineer
Scott Gallman, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Scott Pipes, Roadside Environmental Field Operations Technician
O , W AT Fq'y
>_ y
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing
la. Type(s) of approval sought from the
Corps: ® Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
tc. Has the NWP or GP number been verified by the Corps? ? Yes N No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
El Yes ® No For the record only for Corps Permit:

? Yes ® No
If Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ®No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: SR 1411 Cartner Road
2b. County: Yadkin
2c. Nearest municipality / town: Jonesville
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no: 11 C.099070
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address: 801 Statesville Road
3e. City, state, zip: North Wilkesboro, NC 28659
_ 3f Telephone [phone]
------
----------
3g . Fax no.: 336-667-4549
3h. Email address: [e-mail]
Page 1 of 10
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. AgentlConsultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10
PCN Form -Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):

1 b. Site coordinates (in decimal degrees):

- 80.83519
.21036 Longitude:
Latitude: 36
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 3 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: UT to Beaverdam Creek
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Yadkin
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Paved road in a rural setting with light residential lots.
3b. List the total estimated acreage of all existing wetlands on the property:
0 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
50
3d. Explain the purpose of the proposed project:
Improve secondary road
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached cover letter.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property I
project (including all prior phases) in the past?
Comments:
? Yes ® No ? Unknown
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ? preliminary ? Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ? Yes ® No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.

6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 3 of 10
PCN Form - Version 1.3 December 10, 2008 Version
l
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters, ? Pond Construction

2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Type of jurisdiction
Wetland impact
number- Type of impact Type of wetland Forested (Corps - 404, 10 Are
ther)
404 a of impact
(acres)
Permanent (P) or (if known) , o
DWQ - non-
Tern ora
? Yes ? Corps
W1 ?P?T ?No ?DWQ
? Yes ? Corps
W2 ?P?T ?No ?DWQ
? Yes ? Corps
W3 ?P?T ?No ?DWQ
? Yes ? Corps
W4 ?P?T ?No ?DWQ
? Yes ? Corps
W5 ?P?T ?No ?DWQ
? Yes ? Corps
W6 ?P?T ?No ?DWQ
2g. Total wetland impacts

2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then com
plete this
question for all stream sites impacted.
3a. 3b. 3c.
Stream impact Type of impact Stream name 3d.
Perennial 3e. 3f.
Type of jurisdiction Average
t 3g.
Impact
length
number- (PER) or ream
(Corps-404,10 s
width (linear
Permanent or intermittent
(INT)? DWQ - non-404,
other) (feet) feet)
Temporary ( (T)
riprap and
Pipe UT to Beaverdam ®PER ®Corps 1 60
S1 ®P ®T ,
dewatering Creek ? INT ® DWQ
- ? PER ? Corps
S2 ? P ? T ? INT ? DWQ
? PER ? Corps
S3 ? P ? T ? INT ? DWQ
? PER ? corps
S4 ?P?T ?INT ?DWQ
? PER ? Corps
SS ? P ? T ? INT ? DWQ
- - --- -- ?-PER -- ? Corps - - -----
S6 ? P ? T ? INT ? DWQ
3h. Total stream and tributary impacts
60
Ri !`nmmcn}c in ft nine 1 n ft rioraD. 40 feet temp. deatering -
Page 4 of 10
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
the Atlantic Ocean, or any other open water of
sounds
tributaries
i
If there are proposed impacts to lakes, ponds, es ,
,
es,
tuar
the U.S. then individually list all open water impacts below.
4e
4a. 4b. 4c. .
4d.
Open water Name of waterbody
licable)
if a
Type of impact Waterbody type Area of impact (acres)
pp
impact number - (
Permanent (P) or
Tern ora
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:

5. Pond or Lake Construction
if and or lake construction ro osed, then Com lete the chart below. 5e

5a. 5b. 5c. .
5d.
Wetland Impacts (acres) Stream Impacts (feet) Upland
(acres)
Pond ID Proposed use or.purpose
number of pond Flooded Filled Excavated Flooded Filled Excavated Flooded
P1

P2

5f. Total

5g. Comments:
51h. Is a dam high hazard permit required? ? Yes ? No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):

5k. Method of construction:

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an im acts re uire miti ation, then you MUST fill out Section D of this form.
6a. ? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
Buffer
Zone 1 impact
Zone 2 impact
number-
Permanent (P) or Reason
for Stream name mitigation (square feet) (square feet)
Temporary impact re wired?
? Yes

--B1-?-P-? T - -- ---- - --- - - -.? No
? Yes
82 ?P?T ?No
? Yes
63 ?P?T ?No
6h. Total buffer impacts

oi. wunnm ua. -
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Pipe size is the minimum necessary to construct widened roadway
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All appropriate BMPs will be used during construction
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank
? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
41h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form -Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires ? Yes ? No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet)
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 7 of 10
PCN Form -Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan

1a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules? ? Yes ®No
1b. If yes, then is a diffuse flow plan included? If no, explain why. ? Yes ? No
Comments:
2. Stonnwater Management Plan

2a. -What is the overall percent imperviousness of this project? %
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Linear maintenance project
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review

3a. In which local government's jurisdiction is this project?
? Phase II
3b. Which of the following locally-implemented stormwater management programs

apply (check all that apply): El NSW
? USMP
? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties -

4a.
Which of the following state-implemented stormwater management programs apply
(check all that apply): ? HQW
? ORW
? Session Law 2006-246
? Other:
4b . Has the approved Stormwater Management Plan with proof of approval been
attached? El Yes El No
5. DWQ 401 Unit Stormwater Review

5a . Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b . Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 8 of 10
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
Ia. Does the project involve an expenditure of public (federaVstate/local) funds or the ® Yes ? No
use of public (federalfstate) land?
1b. If you answered "yes" to the above, does the project require preparation of an
nt to the requirements of the National or State
? Yes
®No
environmental document pursua
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c It you answered "yes° to the above, has the document review been finalized by the
. State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval ? Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
DWQ Surface Water or Wetland Standards,
1300)
CAC 2H
? Yes
®No
,
.
Wetland Rules (15A N
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ®No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
additional development, which could impact nearby downstream water quality? ? Yes ®No
3b . If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. 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
Page 9 of 10
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ®No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ®No
impacts?
El Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted. ? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
GIS and visual
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ®No
61b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
WRC will comment
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a . Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b . What data sources did you use to determine whether your site would impact historic or archeological resources?
SHPO
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ®No
8b . If yes, explain how project meets FEMA requirements:
Sc. What source(s) did you use to make the floodplain determination? ncfloodmaps.com

J. Heath Slaughter 6/10/2010

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ApplicanUAgent's Printed Name g
ca
pp
(Agent's s nature is valid only if an authorization letter from the applicant
is rovided.
Page 10 of 10
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PROJECT: IIC.0990I4
ROAD: SR 1411 "CARTNER ROAD"
COUNTY: YADKIN
TYPE: WET PIPE SURVEY
PLAN SCALE: I" = 60'
SHEET IOF I
DATE: MAY 17. 2010
STREAM NAME: UNNAMED TRIBUTARY
TO BEAVERDAM CREEK
RATING:
2' AVERAGE STREAM WIDTH Q i
OL I
I ,

0 i
r
Q
S
N ? I
i
I
I
? I
CENTERLINE
PROPOSED R/W
PROPOSED EDGE OF PAVEMENT
EXISTING EDGE OF ROADWAY •------
r- '-
117)
?(RANDYI DONNA(
ANDERSON
LL; 37 PG 5 81
A
NEW PIPE
EXISTING PIPE _
X31
X11 --
SCOTTY DALE & DEBBIE
CALLOWAY et ux
DB 440 PG 833
2 1
i /M p.K'lSBGPII
s g • rogatr z
f o
R a
EXISTING PIPE SIZE: 36" X 40' CMP
NEW PIPE SIZE: 36" X 50' CMP (BCCS)*MAIN*
0 5 10
Temporary erosion control
devices are not shown, but
will be installed cs needed
PIPE TO BE LAID ON A 90° SKEW
WITH 2.0% FALL
15 20 25 30 35 40 45 .50
PROPOSED 2.0'L SLOPE
SURVEY DATE: 01-27-05
CONDUCTED BY: JW,JB,JR
DRAWN BY: J. WOOD