HomeMy WebLinkAbout20140234 Ver 1_Application_20140311�$ 6�����
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PAT MCCRORY
GOVERNOR
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Mr. Thomas Steffens
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l�NTHONY 3. �I'ATA
SECRETARY
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I3ear Sirs:
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Respectfully subrnitted,
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Division 4 Engineer
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Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
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A. ApplBcan# Inforrnation
�. Processing
1 a. Type(s) of approvai sought from the
Corps: � Section 404 �ermit ❑ Section 10 �ermit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes ��lo
1 d. Type(s) of approval soughfi from the DWQ (check all thaf apply):
� 401 Water Quality Certification — F2egular ❑ tVon-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express � Riparian Buffer Authorization
1 e. Is this notification soBeBy for the record For the record only for �WQ 401 For the record only fior Corps Pe�mifi:
because written approval is not required? Certification:
❑ Yes � �vo � Yes � �o
1f. Is payment inta a mitigation bank or in-lieu fee program proposed for mitigation ❑��S ��o
of impacts? If so, attach the acceptance letter from mifigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's iwenty coastal counties. Bf yes, answer 1 h ❑�'�s � No
below.
1 h. Is the project located wifhin a NC DCM Area of Environmentai Concern (AEC)? ❑ Yes ��lo
2. Projec# Inforrvaation
2a. Name of project: IVC 58 safety improvement project
2b. County: 1Niison
2c. Nearest municipaliiy / town: Sharpsburg
2d. Subdivision name:
2e. iVCDOT only, T.I.P. or state �_5331
project no:
3. Owner leaforrv�ai6on
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page IVo.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
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4. Applicant Information �if dif%rent frorra owraer�
4a. Applicant is: � Agent ❑ Other, spscify:
4b. Name: Tim Little t'E Division Engineer
4c. Business name NCDOT Div. of Fiighways '
(if applicable):
4d. Street address: f'O Box 3165
4e. City, state, zip: Wilson, NC 27895-3165
4f. Telephone no.: 252-237-6164x3501
4g. Fax no.: 252-234-6174
4h. Email address: tmlittle ncdot.qov
5. AgentlConsuitant Iraforrnation (if applicab9e)
5a. Name: Chad Coggins
5b. Business name (�C�OT Div. 4 Environmental Ofifiicer
(if appBicable):
5c. Street address: same
5d. City, state, zip: same
5e. Telephone no.: 252-296-3532
5f. Fax no.: 252-234 6174
5g. Email address: ccoq ins ncdof.g�ov
-_.,- .
B. Project 6raformation and Prior Project �i6story ,
'!. Property Bd�ntif6caiio�
1a. Property identification no. (tax PIiV or parcel ID):
1 b. Site coordinates (in decimal degrees): Laii4ude: 35.6435 Longitude: - 77.8385
(DD.oDDDDD) {-DD.DDDDOD)
1 c. Property size: acres
2. Surtace aiers
2a. Name of nearest body of water (stream, river, etc.) to �T to Toisnot Swamp
proposed project:
2b. Water Quality Classification of nearest receiving water: C, Sw, NSW
2c. River basin: iVeuse
3. Project Descraption
3a. Describe the existing conditions on the si�e and the generai land use in ih� vicinity of the projecf at the time of ihis
application:
Forestry and Agriculture are the predominant land uses in the vicinity of this project.
3b. List the total estimated acreage of ali existing wetlands on fhe property: �
.10 ac.
3c. List the total estimated linear feet of all existing streams (iratermittent and perennial) on the property:
400 LF
3d. Explain the purpose of the proposed project:
The purpose of this project is to iralprove safety of NC 58 in ihe vicinity �f Fairf eld �airy �Zoad. �'�ere
have been 26+ crashes along this siretch of highway within the past 10 years.
3e. Describe the overall project in detail, including the type of equipment to be used:
Construct Northbound turn lane o� NC 5� at S�Z 1626 as well as widen shoulders and fix superelevatio�
deficiencies fram a point .1 � mi�es South of SIZ 1626, northward i.0 rnile to just norih of ihe norther�
most curve along this section. Typical heavy construction resadway �nnd bridge equipme�t will used
4. Jurisdictioreal Deterovainat6�ras
4a. Have jurisdictional wetland or stream determinations by the
Corps or Stafe been requested or obtained ior this property /
project (including all prior phases) in the pasfi? ❑ Yes � iVo ❑ Ur�known
Comments: stream shown on topo map wetlands delineated
by div. enviro. staff
4b. If the Corps made the jurisdiciional determination, what type
of determination was made? ❑ Pre9imina�r ❑ Finai
4c. If yes, who delineated the jurisdictional areas? Agency/Cortsultant Cornpany:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisd'sctional determinations or State determinations and attach docurr�enta#ior�.
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes � I�o ❑�3nknov�rn
this project (including all prior phases) in the pasi?
5b. If yes, explain in deiail according to "help file" instructions.
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6. Future Project P6ans
6a. is this a phased project? ❑ Yes � No
6b. If yes, explain.
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C. Proposed irr�pacts Inventory
1. Irrapacts Surnmacy
1 a. Which sections were completed below for your project (check all thaf apply):
� Wetlands � Streams - tributaries � �uffers (
❑ Open Waters ❑ Pond Construction
2. Wetland im�acts
If there are wetland impacts proposed on the site, then compleie this question for each wetland area irnpacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact 'Type of jurisdiction
number — Type of impacY �ype of wetland �orested (Corps - 404, 10 Area of impact
Permanent (P) or (if known} DWQ — non-404, other) (acres)
Tem ora T
w� � P � T F�ii � ves � cor�s o�
❑ �o ❑ D�vQ
W2 � P❑ T �C ❑ Yes ❑ Corps ��
❑ No ❑ DWQ
W3 ❑ Pk� T �C ❑ �es ° ❑ Corps ��
❑ No ❑ Dd/VQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ IVo ❑ D1NC�
W5 ❑ P❑ T ❑ Yes ❑ Corps
❑ tVo ❑ DWC�
W6 ❑ P � T ❑ Yes ❑ Corps
❑ No ❑ DWC�
2g. Total wetland 'oanpacfis .13
2h. Comroients:
3. Strearro Impacts
If there are perennial or intermittent stream impacts (including temporary irnpacts) proposed on the site, then cosnplete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type o� impact Stream name Perennial Type of jurisdiction Average ��p���
number - (PER) or (Corps - 404, 10 stream lengfh
Permanent (P) or intermittent p�� _�on_�p4, width {linear
Temporary (T) ('��}? other) {feefi) feet)
S1 � P❑ T Stream relocation t1T 4o Toisno4 ❑��� ��oP�s 3 254
� INT ❑ DV1/C�
S1 � P � T Bank Stabilization t1T to Toisnot ❑ PE� ���rps 3 3fl
� INT ❑ DWQ
S1 ❑ P� T dewatering t1T to Toisnot ❑ PER ❑ Corps 3 43
� INT ❑ DWC�
S1 � P❑ T pipe tJl" to Toisnot ❑ PER � Corps 3 36
� INT ❑ DWC�
S2 ❑ P � T ❑ PER ❑ Corps
❑ {NT ❑ DWQ
S3 ❑ P � T ❑ ��� ❑ �orps
❑ INT ❑ �WC�
s4 ❑ P � -r ❑ ��� ❑ corps
❑ s�r ❑ �wc�
S5 ❑ P ❑ T ❑ �'E� ❑ Corps
❑ i��r ❑ �wc�
3h. Total str�arn and tributary m�vapacts
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3i. Comments: Stream does not show up on topo or soils map. Feature is a channelized strearr� that is essentially serving as ';
an agriculturai ditch. Feature is currently incised and unstable. Proposed relocation will be a trapezoidal base ditch with 3:1
side slopes which should be more stable than present condition.
4. Open Water 9rropacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water ofi
the U.S. then individuall list all o en water im acts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if appBicable) l'ype of irnpact Waterbody type Area of impaci {acres)
Permanent (P) or
Tem ora T
01 ❑P�T
02 ❑P�T
03 ❑P❑T
04 ❑P❑T
4i. Total opes� water orrapacis
4g. Comments:
5. Pond or L.ake C�rastruction
If ond or lake construction ro osed, then com lete the chart beiow.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Strearn Impacts ;feet) �pEand
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total � �
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ IVo 6f yes, permii ID no:
5i. Expected pond surFace area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
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6. Buffer Irnpacts (for D Q�
If project will impact a protected riparian buffer, then camplete the char4 below. If yes, then individually iist all buffer impacts
below. If an impacts require miti ation, then ou UST fill out Section D of this forrn.
6a. �
❑ IVeuse � Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randl�man
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason �uffer Zon� 1 irnpact Zone 2 impact
Permanent (P) or for impact Siream narne mitigation (square feet) (square fieef)
Tem ora T re uired?
B1 � P � T Widening �-r to Toisnot � NoS 2297 1390
fill section
B2 � P❑ T W�dening �� to Toisnot ��os 1933 1668
fill section
B3 ❑P❑T ❑Yes
❑ No
B4❑P❑T ❑Yes
❑ No
6h. Toial buifer ianpacis 4230 3a58
6i. Comments:
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D. lonpact Just6fication ans! itigataon
1. Avoidance and "anirra6zation
1a. Specifically describe measures taken fo avoid or minimize the proposed impacts ira designing project.
Keeping same alignment just upgrading facility.
1 b. Specifically describe measures taken 4o avoid or minimize 4he proposed impac4s fihrough consfruc�ion techniques.
All construction equipmeni will be staged and operated from the existing roadway and associated upiands. DOT will also
install appropriate EC to protect the stream and wetlands adjacent to this project, and safety fencing to delineate those
environmentally sensitive areas. The iVCQOT BfViP manual will be strictly adhered io ar�d foilowed..
2. Compensatory itigation for Irrapac� to ai�rs of the U.S. or aters of ihe State
2a. Does the project require Compensatory fVlitigation fior ❑ Yes � No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigaiion bank
2c. If yes, which mitigation option will be used for this
project? ❑ Paysa�aent to in-lieu fee program
❑ Permitiee F2esponsible iVlifiigation
3. Complete 6i tlsing a it6gataon �arak
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quar�tity
3c. Comments: " �
4. Complete if aking a Payra�ent to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested: linear ieet
4c. If using stream mitigation, stream temperature: ❑ warrn ❑ cooi ❑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. Compleie if Using a Pera�ittee Resporasibie aii�atioca Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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6. Buffer Mitigation (State Fteguiated Ripariara �uffer Rules� — reqta6red by � C�
6a. Will the project result in an impact within a protected riparian buffer that requires � Yes ❑ 6�0
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate 4he
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impacf Multiplier F?equired mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. To#a6 buffer rni#6gaiioa� reqa�ired:
6g. If buffer mitigation is required, discuss whai type of mitigafiion is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
'_.,_ . .�i►a
E. Storrnwater anagerraent and Di�fuse Fl�w Plan (requiced by � Q}
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers ideniified
within one of the NC Riparian Buffer Protection Rules? � Yes ❑(Vo �
1 b. If yes, then is a diffuse flow plan included? If no, explain why. ;
� ves ❑ t�o
Comments: all stormwater will be allovved to flow over grass shoulders and ditches
2. Stormwa#er ana erraent �6an
2a. What is the overall percent imperviousness of this project? �9/A
2b. Does this project require a Stormvvater Management Plan? � Yes ❑�o
2c. If this project DOES iVOT require a Stormwater Management Plan, explain why:
2d. Bf this project DOES require a Stormwater IVlanagement Plan, then provide a brief, narrative description of the plan:
all stormwater will be allowed to flow over grass shoulders and ditches not change to irnpenrious area in jurisdiction locafions..
❑ Certified Local Governmen�
2e. Who will be responsible for the review of the Stormwafer Managemeni Plan? ❑ DWQ Stormvvater Program
� DWQ 401 Unii
3. Certified Local Governrraent Storanwater 12eview
3a. In which local governmeni's jurisdiction is fhis projec#? NIA
❑ Phase IB
3b. Which of the following locally-implemented stormwater management programs ��SW
apply (check all that apply): � ����
❑ Water Supply iNatershed
❑ Other:
3c. Has the approved Storrnwater IVlanagement Plan with proof of approval been � l'es ❑ No
attached?
4. DWQ Stora�eiwater Pro rarre Ree+iew
❑ Coasta6 counfiies
❑ FIQW
4a. Which of the following state-implemented storrnwater rnanagement prograrns apply ❑ pR�
(check all that apply): ❑ Sessiors La� 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof o# approeral been
attached? ❑ Yes ❑ �90
5. DWQ 401 Unii Storrr'water 62eview
5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑ y�S ❑��
5b. Have all of the 401 Unit submittal requirements been rnet? ❑ y�s ❑�lo
'_�- !t •
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F. Supplementaey 9nf�rmnaiiora
1. Environmental Docuraientation (D t� Require�oent)
1a. Qoes the project involve an expendiYure of public (federalJstate/local) funds or 4he � Yes ❑ No
use of pubBic (federal/stafe) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the iVational or State � l'es ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA}?
1c. if you answered "yes" to the above, has the document review been f�nalized by the
State Clearing House? (If so, attach a copy of the IVEPA or SEPA final approval ❑ Yes ��90 PCE o�
letter.}
file
Comments:
2. Violations (DV1IC� Requireanent)
2a. Is the site in violation of DWQ Wetiand Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surtace Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200}?
2b. Is this an after-the-fact permit application? ❑ Yes ��o
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violataon(s):
3. Cumu6ative Irrapacts (D Q Requiremerat)
3a. Will this project (based on past and reasonably anticipated fuiure impacts) result in ❑ yes � i�o
additional deveBopment, which cotald impact nearby downsfream uvater quality?
3b. If you answered °yes" to the above, submit a qualitafive or quantitative cumula�ive irnpaci analysis in accordance �rith the
most recent DWQ policy. li you answered "no," provide a short narrative description.
4. Sewage Disposa9 (D (� Requirernen#)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewaier gen�rated from
the proposed project, or available capacity of ihe subject facility.
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5. Endangered Specaes and Des6graated Critical Fiabitat �Corps Ftequirern�nt)
5a. Will this project occur in or near an area with federally protected species or ❑��s � No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes � I�o
impacts?
❑ 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 �ritica!
Habitat?
GIS search
6. Essential Fish F6abiiat (Corps Require�vaent)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes ��!o
6b. What data sources did you use to deterrnine whether your site would impact Essential Fish FBabiiat?
GIS search
7. Historic or Prehistoric Cultural Resoaarees gCorps Fiequire�raent�
7a. Will this project occur in or near ara area that the siate, 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 wouid impact historic or archeological resources?
Clearance from fVC SHPO ° '
8. Flood Zone Designataon gCorps Requirement�
8a. Will this project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No
8b. If yes, explain how projecf ineets FEMA requiremenis:
8c. What source(s} did you use #o make the floodplain determination? NC flood 6VIap
f� 1
r
Applicant/Agent's Printed Name p cant/Agent°s Signature ���e
(AgenYs signature is valid only if an authorization letter from the applicant
is provided.)
''�r- •'
SITE
NO.
STRUCTURE SIZE /
TYPE
STATION
(FROM/TO)
PERMANENT
FILL IN
W
ETLANDS
(AC)
TEMP. FILL IN
WETLANDS
(AC)
EXCAVATION
IN
WETLANDS
(AC)
MECHANIZED
CLEARING IN
WETLANDS
(AC)
HAND
CLEARING IN
WETLANDS
(AC)
PERMANENT
SW IMPACTS
(AC)
TEMP. SW
IMPACTS
(AC)
EXISTING CHANNEL IMPACTS PERMANENT (FT)EXISTING CHANNEL IMPACTS TEMP.(FT)EXISTING CHANNEL IMPACTS RELOCATION (FT)
1
STREAM
31+60 TO 34+80
3643254
2
30' LONG 1 SPAN
BRIDGE
42+30 TO 45+05
0.06
0
0
0.04
0.03
0
0
000
3
36"x60" ONE BARREL
CONC BOX CULVERT
54+80 TO 56+05
0
0
0
0
0
0
0
000
0.06
0.04
0.03
3643254
TOTALS:
N.C. DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS WILSON COUNTY
PROJECT: 45423.1.1 (W-5331)SHEET OF
WETLAND PERMIT IMPACT SUMMARY
SURFACE WATER IMPACTS
WETLAND IMPACTS
ROAD
CROSSING
BRIDGE
PARALLEL
IMPACT
ZONE 1
(ft2)
ZONE 2
(ft2)
TOTAL
(ft2)
ZONE 1
(ft2)
ZONE 2
(ft2)
TOTAL
(ft2)
ZONE 1 (ft2)ZONE 2 (ft2)ZONE 1 (ft2)ZONE 2 (ft2)
2
30' LONG 1 SPAN
BRIDGE
42+30 TO 45+05
X
2297
1390
3687
0
0
0
1069440
3
36"x60" ONE BARREL
CONC BOX CULVERT
54+80 TO 56+05
X
1933
1668
3601
0
0
0
00
4230
3058
7288
0
0
0
1069440BUFFER REPLACEMENT
N.C. DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS WILSON COUNTY
PROJECT: 45423.1.1 (W-5331)SHEET OF
TOTAL:
SITE
NO.
STRUCTURE SIZE /
TYPE
STATION
(FROM/TO)
ALLOWABLE
MITIGABLE
WETLANDS IN BUFFERS
BUFFER IMPACTS SUMMARY
IMPACT
TYPE
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