20040551 Ver 1_Complete File_20040413

F WATF Michael F. Easley, Governor
O
9
0? pG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
\
0) . Alan W. Klimek, P.E. Director
7 r- Division of Water Quality
O 'C
April 14, 2004
Stanly County
DWQ Project No. 040551
Proposed replacement of cross pipe located on SR 1209 (Lewis Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. Benton G. Payne, P.E., Division Engineer
NCDOT Division 10
716 West Main Street
Albemarle, North Carolina 28001
Dear Mr. Payne:
You have our approval, in accordance with the attached conditions and those listed below, to impact 20
linear feet of an unnamed tributary to Pole Bridge Creek for the purpose of replacing a cross pipe on SR
1209 (Lewis Road) in Stanly County. The project shall be constructed in accordance with your
application dated April 1, 2004 (received April 6, 2004). After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification Nos. 3404 and 3366 corresponding
to the U.S. Army Corps of Engineers Nationwide Permit Numbers 14 and 33. In addition, you should
acquire any other federal, state or local permits before you proceed with your project including (but not
limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This
approval will expire with the accompanying §404 permit unless otherwise specified in the Water Quality
Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must notify us in writing, and you may be required to
send us a new application. If the property is sold, the new owner must be given a copy of this
Certification and approval letter and is thereby responsible for complying with all conditions. If total
wetland fills for this project (now or in the future) exceed one acre, or if stream impacts exceed 150 linear
feet, compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For
this approval to be valid, you must follow the conditions listed in the attached certification and any
additional conditions listed below.
1. Construction shall be performed so that no violations of state water quality standards, statutes, or
rules occur.
¦ Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface water quality standards.
¦ The erosion and sediment control measures for this project must equal or exceed the proper
design, installation, operation and maintenance outlined in the most recent version of the
North Carolina Sediment and Erosion Control Planning and Design Manual. These devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the projects included under
this Certification.
¦ If this project requires borrow pit sites, the erosion and sediment control measures must equal
or exceed the proper design, installation, operation and maintenance outlined in the most
recent version of the North Carolina Surface Mining Manual.
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), hftp://h2o.enr.state.nc.us/ncwetlands/
Mr. Benton Payne, P.E.
DWQ 040551
April 14, 2004
¦ Any reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
2. 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 30 days after the
Division of Land Resources has released the project.
3. NCDOT and its contractors and/or agents shall not excavate, fill, or perform mechanized land
clearing at any time in the construction or maintenance of this project within waters and/or
wetlands, except as authorized by this Certification, or any modification to this Certification (e.g.,
no work shall occur outside of the footprint of the plans provided). In addition, there shall be no
excavation from or waste disposal into jurisdictional wetlands or waters associated with this
Certification without appropriate modification. If this occurs, compensatory mitigation may be
required since it is a direct impact from road construction activities.
4. NCDOT is encouraged to use onsite vegetation and materials for streambank stabilization when
practicable.
5. Riparian vegetation must be reestablished within the construction limits of the project by the end
of the growing season following completion of construction.
6. 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 sheet flow.
7. Where fish passage is present or where significant aquatic life may be present upstream (and
where practicable), culverts should be oversized and buried to prevent perched culverts. If
oversized piping cannot restore aquatic life passage by reconnecting the stream ecosystem, riprap
installation should be accomplished in a manner to provide or restore water channels downstream
to help facilitate aquatic life movement.
8. Culverts that are less than 48-inch in diameter should be buried to a depth equal to or greater than
20% of their size to allow for aquatic life passage. Culverts that are 48-inch in diameter or larger
should be buried at least 12 inches below the stream bottom to allow natural stream bottom
material to become established in the culvert following installation and to provide aquatic life
passage during periods of low flow. These measurements must be based on natural thalweg
depths. This may require increasing the size of the culvert to meet flow conveyance
requirements. If any of the existing pipes are perched, they shall be removed and replaced, and
re-installed correctly, unless demonstrated that this is topographically unfeasible. All waters must
flow through without freefalling or damming on either end of the culverts during low flow
conditions, to maintain aquatic life and/or fish passage.
9. The dimension, pattern, and profile of the stream, above and below the crossing, should not be
modified by widening the stream channel or reducing the stream depth. Disturbed floodplains
and streams should be restored to natural geomorphic conditions.
10. Any riprap used must not interfere with aquatic life passage during low flow conditions.
11. If concrete is used, work must be accomplished so the wet concrete does not contact the stream
water. This will lessen the chance of altering the stream's water chemistry and causing a fish kill.
12. 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.
13. 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.
14. 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.
Mr. Benton Payne, P.E.
DWQ 040551
April 14, 2004
15. All work shall be performed during low flow conditions.
16. 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.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition that conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This Certification and its
conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Mr.
Michael Parker of the Mooresville Regional Office at 704.663.1699.
Si Y,
Alan W. Klimek, P.E.
Attachment
Pc: Wilmington District Corps of Engineers
Steve Lund, USACE Asheville Field Office
NCDWQ Mooresville Regional Office
Central Files
File Copy
s t.
4,,
405 51
AfM ?SSY E OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
DIVISION OF HIGHWAYS
W. LYNDO TIPPETT
SECRETARY
April 1, 2004
U. S. Army Corps of Engineers
Asheville Regulatory Office
Attn: Mr. Steve Lund, MS, PWS
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
WETLANDS/ 401 GROUP
APR 0 6 7004
FILE COPYWATER QUALITY SECTION
Subject: Stanly County, Proposed Replacement of Cross Pipe located on SR 1209 (Lewis
Road).
Dear Mr. Lund:
The North Carolina Department of Transportation (NCDOT) proposes to replace an
existing cross pipe on SR 1209 (Lewis Road) in Stanly County. The purpose of this letter is to
request authorization from the U. S. Army Corps of Engineers to construct the project under a
Section 404 Nationwide 14 and 33 permit authorization.
The existing 42" x 60' corrugated metal pipe will be replaced with a 77" x 55" x 60'
corrugated metal pipe (arched). Traffic will be maintained using an off-site detour.
The project area has been reviewed for the presence of listed threatened and endangered
species and described in a Minimum Criteria Checklist. It has been determined that the
construction of this project is not likely to adversely effect any listed species. There are no
wetlands present in the vicinity of the project, although impacts to surface waters will occur.
There will be 10 linear feet of permanent stream channel loss and approximately 30 linear feet of
temporary impacts associated with this pipe replacement. This is an unnamed tributary of Pole
Bridge Creek, Yadkin River Basin, Hydrologic Unit 03040105. A permit drawing and pre-
construction notification form are attached to this letter.
The NCDOT anticipates that this permit application will be authorized under a Section
404 Nationwide 14 and 33. We are also hereby requesting 401 Water Quality Certifications, GC
3404 and GC 3366, from the Division of Water Quality. We are providing seven copies of this
application to the North Carolina Department of Environment and Natural Resources, Division of
Water Quality, for their review.
716 West Main Street, Albemarle, NC 28001 • [phone] • Fax [phone]
N '.1i
Thank you for your assistance with this project. If you have any questions or need any
additional information concerning this project, please contact Mr. Larry Thompson, Division
Environmental Officer, at [phone].
Sincerely,
zeti_?v?-
Benton G. Payne, 7.E
Division Engineer
LBTBGP
Enclosures
cc: Mr. John Domey, NCDWQ
Ms. Marella Buncick, USFWS
Ms. Marla Chambers, NCWRC
Mr. Garland Haywood, BME
Mr. Larry Thompson, DEO
Area Field Operations Unit
SR 1209 (Lewis Road) Stanly County
Office Use Only' 040551 Form Version April 2001
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.
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 14 and 33
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: N C Department of Transportation
Mailing Address: 716 West Main Street
Albemarle NC 28001
Telephone Number: [phone]
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Benton G Pane P E
Company Affiliation: Division Engineer
Mailing Address: 716 W. Main Street
Albemarle NC 28001
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: bpayne e dot state nc us
Fax Number: [phone]
Pagel of 9
SR 1209 (Lewis Road) Stanly County
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR 1206 Lewis Rd
2. T.I.P. Project Number (NCDOT Only):
Property Identification Number (Tax PIN): N/A
4. Location
County: Stanly County Nearest Town: Locust
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Locust travel north on NC
200 approximately 1.82 miles and turn right onto SR 1206 (Mission Church Road). Travel
approximately 1.5 miles to SR 1206 (Five Points Road) turn left and travel approximately
0.5 miles to SR 120$ (Barrier Store Rd). Turn left onto SR 1208 travel 0.5 miles to SR 1209
(Lewis Road) and turn right. Pipe crossing is approximately 300 feet ahead.
5. Site coordinates, if available (UTM or Lat/Long): 80° 20' 10.60" N/80° 24' 11.51" 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:
There is a residence located to the left of the project and a large field to the right.
7. Property size (acres):
8. Nearest body of water (stream/river/sound/ocean/lake): Pole Bridge Creek
9. River Basin: Yadkin (Hydrologic Unit 03040105)
Page 2 of 9
SR 1209 (Lewis Road) Stanly County
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:/Wo.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: Replacing an existing 42" x 60' CMP with a
77" x 55" x 60' CMPA
11. List the type of equipment to be used to construct the project: Boom Truck, Trackhoe &
Motor Grader
12. Describe the land use in the vicinity of this project: Mixed use - residential and agricultural.
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
butler 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.
Project area was converted from a gravel base to a paved road in 2002. 404 and 401
certifications were obtained at that time USACE Action ID 200131083, DWQ Project No. 01-
1152.
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: No
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
Page 3 of 9
SR 1209 (Lewis Road) Stanly County
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. 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
feet
Type of Wetland***
N/A N/A N/A N/A N/A N/A

' List each impact separately and identify temporary impacts. Impacts include, but are not umned to: mechanized cteanng, grading, uu.
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 httt0www.fema.P_ov.
List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond.
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number

(indicate on map)
Type of Impact* Length of
Impact
(linear
feet

Stream Name** Average Width

of Stream Before
Impact Perennial or

Intermittent?
(please specify)
I Inlet Stabilization 10-FT. UT to Pole Bridge Creek Approx. 4-Ft. Intermittent
2 Outlet Stabilization 10-FT. UT to Pole Bridge Creek Approx. 4-Ft. Intermittent

* List each impact separately and identify 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.us0.9-0 . Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapguest.com, etc.).
Page 4 of 9
SR 1209 (Lewis Road) Stanly County
Cumulative impacts (linear distance in feet) to all streams on site: 20 feet permanent, 30 feet
te=orary --
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A N/A N/A N/A N/A

' List each impact separately and identity temporary impacts. Impacts mciuae, but are not umitea to: till, exwvauon, urcu in&
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
All wetlands or surface waters not impacted by the project will be protected from unnecessary
encroachment No staging, of construction equipment will be allowed in or near wetlands or
streams Strict enforcement of the sedimentation and erosion control Best MananQement
Practices for the protection of wetlands and surface waters will be enforced during all phases of
project construction - --
Page 5 of 9
SR 1209 (Lewis Road) Stanly County
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http:/ih2o.enr.state.nc.us/ncwetlands/strmp-ide.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.
No mitigation is proposed for this project
Page 6 of 9
SR 1209 (Lewis Road) Stanly County
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http•//h2o.enr.state.ne.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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (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 213 .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
Yes ? No ® If you answered "yes", provide the following information:
Page 7 of 9
SR 1209 (Lewis Road) Stanly County
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone" Impact
(square feet Multiplier Required
Mitigation
l 3
2 1.5
Total
" Lone 1 extends out SU Ieet perpenaicular from neat' oanK o1 cnummi-I 1-011C Y. UALCHUZ. all
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.
N/A
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.
All appropriate Best Management Practices for sediment and erosion control will be
implemented during pipe replacement activities. There will be not be a net increase in storm
water runoff as a result of this project being constructed - impervious area alone the roadway
will remain the same.
XH. 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
Page 8 of 9
SR 1209 (Lewis Road) Stanly County
XM. 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
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).
'0
Applicant/Agent Signat ' Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
-/d

Page 9 of 9
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Legend
Q permit site
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Typical Plan and Elevation of Pi
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pe Insi
ortation
Permits
Crown
Rap
Typical End Elevation
Elevation I Line of Corragated Metal Pipe Arched, 73"x 55"x 60'
With Class I,or II Rip Rap Slope Protection on Inlet and Outlet end
No Rip Rap Will Be Placed Into The Stream.
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Roadway I
20-FT.
!r. Class II Rip Rap
Typical Plan View
With Class I or II Rip Rap
nn TnlPt and OiAlPt Pnd
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Overall Length of Pipe
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT DIVISION TES!
Action Id. 200131083 County: Stanly_
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property owner: North Carolina Department of Transportation, Division 10
Address: Attn: Benton G. Payne, Division Engineer, 716 West Main Street, Albemarle, North Carolina 28001
Telephone No.: [phone]
Size and Location of project (water body, road name/number, town, etc.):
0.7 miles of SR 1209 (Lewis Road) from SR 1208 (Barrier Store Road) to the Cabarrus
County Line crossing 3 unnamed tributaries to Pole Bridge Creek west of Albemarle
Description of Activity:
Grade, widen and pave approximately 0.7 miles of SR 1209 and extend three existing
culverts for a total additional impact of 70 linear feet of stream channel. Construct
temporary cofferdams for the purpose of dewatering construction areas. SPECIAL
CONDITION: All conditions of the attached NC Wildlife Resources Commission letter of
August 30, 2001 are hereby incorporated as special conditions of this permit.
Applicable Law:
(check all that apply)
Authorization:
Regional General Permit Number.
14/33 Nationwide Permit Numbers.
Your work is authorized by this Regional General (RGP) or Nationwide Permit (NWP) provided it is
accomplished in strict accordance with the attached conditions and your submitted plans. If your activity
is subject to Section 404 (if Section 404 block above is checked), before beginning work you must also
receive a Section 401 water quality certification from the N.C. Division of Environmental Management,
telephone [phone].
Please read and carefully comply with the attached conditions of the RGP or NWP. Any violation of the
conditions of the RGP or the NWP referenced above may subject the permittee to a stop work order, a
restoration order, and/or appropriate legal action.
This Department of the Army RGP or NWP verification does not relieve the permittee of the
responsibility to obtain any other required Federal, State, or local approvals/permits. The permittee may
need to contact appropriate State and local agencies before beginning work.
If there are any questions regarding this authorization or any of the conditions of the General Permit or
Nationwide Permit, please contact the Corps Regulatory Official specified below.
Date October 19, 2001
Corps Regulatory Official Steven Lund Telephone No. [phone]
Expiration Date of Verification February 11, 2003
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST
BE ATTACHED TO THE YELLOW (FILE) COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
X Section 404 (Clean Water Act, 33 U.S.C.1344).
Section 10 (River and Harbor Act of 1899).
CESAW Form '91
Revised July 1995
Side of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
August 29, 2001
Stanley County
DWQ Project No. 01-1152
SR 1209 Lewis Road
APPROVAL OF 401 Water Quality Certification
Mr. Benton G. Payne, P.E.
Division Engineer
North Carolina Department of Transportation
716 West Main Street
Albemarle, NC 28001
Dear Mr. Payne:
You have our approval in ac-cordance with the attached conditions, to place fill material in the unnamed
tributary to Pole Bridge Creek, at sites S1, S2, and S3 for the purpose of paving the existing roadway SR
1209, in Stanley County. The project should be constructed in accordance with your application dated 27
July 2001 (received 31 July 2001). After reviewing your application, we have decided that these activities
are covered by General Water Quality Certification Numbers 3289 and 3114. These certification
correspond to the Nationwide Permit Numbers 14 and 33 issued by the Corps of Engineers. In addition,
you should acquire any other federal, state or local permits before you proceed with your project including
(but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed
regulations. This approval will expire when the accompanying 404 permit expires unless otherwise
specified in the General 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 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). ). This approval shall
expire with the corresponding Nationwide Permit expires or as otherwise provided in the General
Certification. For this approval to be valid, you must follow the conditions listed in the attached
certification and any additional conditions listed below.
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.
Wedands/401 Unit 1650 Mail Service Center Ralcigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper
f-

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 contact Cynthia Van Der Wiele at 919-733-5715, or Pete Colwell in
the Mooresville Regional Office at 704-663-6040.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Mooresville DWQ Regional Office
File Copy
Central Files
Sincer ly,
go . Thorpe,
tin D ector
01-1152
imap://[e-mail]:143/fet...
Subject: WBS Element for SR 1209 (Stanly County)
From: Larry Thompson <LThompson @dot. state.nc.us>
Date: Tue, 13 Apr 2004 09:40:22 -0400
To: [e-mail] P4I/ End
CC: "Benton G. Payne" <[e-mail]. nc.us> T
RECEIVED
Hi Rob,
The WBS element for the pipe replacement project on SR 1209 in Stanly County is 10B.208411.
Please let me know if you need any additional information...
Regards,
Larry Thompson
Division Environmental Officer
704-982-0101 ext. 235
Subject: SR1209, Stanly Co.
Date: Thu, 08 Apr 2004 14:21:38 -0400
From: Rob Ridings <[e-mail]>
Organization: NC DENR DWQ
To: [e-mail]
Benton,
We have received the 401 application PCN for SR 1209 in Stanly County
for NW 14/33 approval. The cover letter had no work order number for me
to charge the 401 application fee to. Could you get me that Work Order
number so that we can continue processing of this application?
Thank you very much,
Rob Ridings,
DWQ Wetlands/401 Unit
733-9817
01105-51
1 of 1 4/13/2004 11:19 AM