20120699 Ver 1_Application_20120718

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION s4Np �q <"ale
BEVERLY PURDUE P O Box 25201 Raleigh, NC 27611 -5202 EUGEN JR
GOVERNOR PHONE [phone] SECRET
July 16, 2012
Mr Monte Matthews
U S Army Corps of Engineers
Raleigh Regulatory Field Office � ®6
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Subject Nationwide Permit #14
SR 1358F (Bear Wallow Road)
Ashe County, North Carolina
Project Number 11C 005067 (DWQ Permit Fee $570)
Dear Mr Matthews
The NC Department of Transportation is scheduled to grade, drain, base and pave SR 1358F,
Bear Wallow Road in Ashe County Total project length is approximately 1 13 miles The
existing 15' wide roadway will be widened to 18' and paved Impervious surface area will
increase by approximately 0 41 acres This project will require the replacement of eight wet pipes
as shown below
Stream Impacts
Station
Number
Existing P
Pi a Size �
Proposed
- skff a ;Size?
ltiprap
Im acts ft.
� Temporary
Dewaterin ft.
dotal Impacts
gat this StahoW�
18 +73
70'x 24
70 x 24
10
40
50
23 +17
40'x 24"
80'x 24"
10
40
90
23 +62
30 x 24
50 x 24
10
40
70
35 +76
30 x 24"
90'x 24"
10
40
110
43 +80
40 x 24'
40 x 24'
10
40
50
48 +06
35'x 36
60 x 36
10
40
75
50 +47
25'x 24"
60'x 24'
10
40
85
52 +91
20 x 36"
40 x 36'
10
40
70
Permanent FdMprap
Impacts = 280 feet
Total project Impacts =
600 feet
P O Box 250 N Wu. mmoRo NC 28659
PHONE [phone] FAx [phone]

Mr Monte Matthews
SR 1358F (Bear Wallow Road, Ashe)
Page 2
• A number of the existing pipes are perched and bedrock was observed at station 48 +06
We intend to bury the new wet pipe at station 23+62 only Due to excessive slopes at the
remaining locations, the new pipes will likely remain perched after replacement If so, a
nprap energy dissipater pad will be placed in the stream channel at the outlet of these
pipes to prevent scour Any perched pipe or any pipe over 6% grade should not be
buned
The replacement of the above noted wet pipes will require temporary dewatenng An impervious
sandbag dike will be constructed upstream of the existing culverts to create a small pool Clean
water will temporarily be pumped around the construction areas and will be discharged
downstream Any duty water located inside of the construction areas will be pumped into a silt
bag if necessary Once the new pipes are in place, the impervious dikes will be removed and
preconstruction streambed elevations will be restored
The wet pipes in question carry different unnamed tributaries to Big Horse Creek (Class C,
Trout, ORW) with the exception of the pipes at stations 43 +80 and 48 +06, which carry the same
ITT This project was reviewed for the presence of threatened and endangered species on June
29, 2012 This project will have no effect on any federally listed endangered plant or animal
species Historic compliance work will be scheduled and concurrence with the State Historic
Preservation Office will be obtained if required
The project impacts are not significant in nature and should not remove or degrade existing water
quality uses Stonnwater will be routed through grass or rock lined ditches, depending on the
ditch line slope 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 Overall water quality in the area will be unproved by
paving the ABC travel lanes All appropriate BMPs will be used during construction
Attached is a Preconstruction Notification Form, plan sheets with proposed erosion control
measures, a marked county map, a marked topography map and photographs
By copy of this letter, it is requested that Mrs Marla Chambers with the North Carolina Wildlife
Resources Commission comment directly to you concerning the 404 Nationwide Permit
application with a copy sent to me A trout buffer variance will be needed from 46+00 — 47+00
(lt) and 49+00 — 51+00 (rt) The "encroachment' is actually on the cut side since the creek is so
close to the road at these two locations
By copy of tins letter, I am forwarding three (3) copies of this application package to David
Wainwright, 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

Mr Monte Matthews
SR 1358F (Bear Wallow Road, Ashe)
Page 3
Sincerely,, /
��� J/
Heath Slaughter
Division Environmental Officer
Enclosures
cc Marla Chambers, NCWRC
David Wainwright, Division of Water Quality (3 copies)
Amy Euhss, Division of Water Quality
Matt Gantt, PE, Land quality Section
Mike PettAohn, PE, Division Engineer
Doug Tetzlaff, District Engineer
Randall Miles, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Scott Pipes, Roadside Environmental Field Operations Technician

wArF9oG
y
O Y
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 10
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification C 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
1 c
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1 d
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 Certificabon — Express ❑ Riparian Buffer Authorization
1 e
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mrbgaton
of impacts? if so attach the acceptance letter from mitigation bank or in lieu
fee program
El Yes
® No
1 g
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 1358F Bear Wallow Road
2b
County
Ashe
2c
Nearest municipality / town
Shurgills
2d
Subdivision name
2e
NCDOT only T I P or state
project no
11 C 005067
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 no
336 903 9202
3g
Fax no
336 -667 -4549
3h
Email address
hslaughter @ncdot gov
Page 1 of 10
PCN Form — Version 1 3 December 10 2008 Version

4 Applicant Information (d 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 Agent(Consultant 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
1 a Property identification no (tax PIN or parcel ID)
1 b Site coordinates (in decimal degrees)
Latitude 36 57974 Longitude 8154462
(DD DDDDDD) (DD DDDDDD)
1 c Property size
6 9 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc) to
proposed project
UTs to Big Horse Creek
2b Water Quality Classification of nearest receiving water
C Trout ORW
2c River basin
New
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
Unpaved road in a rural area
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
280 linear feet
3d Explain the purpose of the proposed project
Upgrade roadway
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 /
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 13 December 10 2008 Version

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
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404 other)
(acres)
Temporary
❑ Yes
❑ Corps
W1 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W2 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W3 ❑ P [IT
❑ 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 complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ®T
Piping Riprap &
UT #1 to Big
® PER
® Corps
2
50
Dewatenng
Horse Creek
❑ INT
® DWQ
S2 ®P ®T
Piping Riprap &
UT #2 to Big
® PER
® Corps
1
90
Dewatenng
Horse Creek
❑ INT
® DWQ
S3 ®P ®T
Piping Riprap &
Dewatenng
UT #3 to Big
Horse Creek
® PER
❑ INT
® Corps
® DWQ
1
70
S4 ®P ®T
Piping Riprap &
UT #4 to Big
® PER
® Corps
1
110
Dewatenng
Horse Creek
❑ INT
® DWQ
S5 ®P ®T
Piping Riprap &
UT #5 to Big
® PER
® Corps
1
50
Dewatenng
Horse Creek
❑ INT
® DWQ
S6 ® P ®T
Piping Riprap &
UT #5 to Big
® PER
® Corps
4
75
Dewatenng
Horse Creek
❑ INT
® DWQ
31L Total stream and tnbutary impacts
See next
31 Comments See next page for totals
Page 4 of 10
PCN Form — Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la 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
Wetland impact
number —
Type of impact
Type of wetland
Forested
jurisdiction
Type of �u
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404 other)
(acres)
Temporary
F1 Yes
El Corps
W1 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W2 P ❑ T
❑
❑ No
❑ DWQ
El Yes
El Corps
W3 P ❑ T
❑
❑ No
❑ DWQ
El Yes
El Corps
W4 P ❑ T
❑
❑ No
❑ DWQ
El Yes
[I Corps
W5 P ❑ T
❑
❑ No
❑DWQ
El Yes
El 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 complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
39
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
length
number
Permanent (P) or
(PER) or
intermittent
(Corps 404 10
DWQ — non -404
stream
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ® P ® T
Piping Riprap &
Dewatenng
UT #6 to Big
Horse Creek
❑ PER
® INT
® Corps
® DWQ
1
85
S2 ®P ®T
Piping Riprap &
Dewatenng
UT #7 to Big
Horse Creek
® PER
❑ INT
® Corps
® DWQ
1
70
❑ PER
❑ Corps
S3 ❑ P ❑ T
❑ INT
❑ DWQ
[:1 PER
E:1 Corps
S4 []POT
❑ INT
❑ DWQ
❑ PER
[I Corps
S5 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S6 ❑ P ❑ T
❑ INT
❑ DWQ
3h Total stream and tnbutary impacts
600
1 Comments 320 feet of the impacts are temporary
Page 4 of 10
PCN Forrn — Version 13 December 10 2008 Version

4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary
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 pond or lake construction proposed the complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
number
of pond
P1
P2
5f Total
5g Comments N/A
5h Is a dam high hazard permit required?
❑ Yes No If yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project well impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation 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
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
required?
❑Yes
B1 ❑ PEI T
❑ No
❑ Yes
B2 ❑ P ❑ T
❑ No
El Yes
B3 ❑ PEI T
❑ No
61L Total buffer impacts
61 Comments
Page 5 of 10
PCN Form — Version 1 3 December 10 2008 Version

D impact Justification and Mitigation
1 Avoidance and Minimization
1 a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The pipe lengths are the minimum needed to improve roadway
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through constr uction techniques
Al 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 d 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
4h Comments
5 Complete if Using a Pemtittee Responsible Mitigation Plan
5a If using a permrttee responsible mitigation plan provide a description of the proposed mitigation plan
Page 6 of 10
PCN Form — Version 13 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
buffer mitigation?
[Ell Yes ® No
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
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
15
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
permrttee responsible riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 7 of 10
PCN Form — Version 13 December 10 2008 Version

E Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
1 a
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
lb
If yes then is a diffuse flow plan included? if no explain why
❑ Yes ❑ No
Comments
2
Stormwater 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 Secondary Road 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 governments jurisdiction is this project?
❑ Phase II
3b
Which of the following locally implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ 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
-
❑ HQW
4a
Which of the following state implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
Yes ❑ No
attached?
5
DWQ 401 Und 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 13 December 10 2008 Version

F Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal/state /local) funds or the
® Yes
❑ No
use of public (federal/state) land?
lb
If you answered `yes to the above does the project require preparation of an
❑ Yes
® No
environmental document pursuant to the requirements of the National or State
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c
if 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
Wetland Rules (15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 26 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
❑ Yes
® No
additional development which could impact nearby downstream water quality?
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?
❑ Raleigh
5c If yes indicate the USFWS Feld 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 observation
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
WRC will comment
7 Historic or Prehistonc 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?
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
8c What source(s) did you use to make the floodplain determination? ncfloodmaps
J Heath Slaughter
Xvalid
7/16/12
Applicant/Agent s Printed Name
/nature
Date
Applicant/Agent s ature
(Agent s s is only if an author ahon letter from the applicant
is provided)
Page 10 of 10
PCN Form — Version 13 December 10 2008 Version

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