20080741 Ver 1_Application_20080426

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STATE of NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPET
GOVERNOR SECRETARY
Apri123, 2008
SUBJECT: Rowan County -Old Concord Rd.(SR 1002) @ Peeler Rd.(SR 2538) intersection.
Mr. John Thomas
US Army Corps of Engineers
3331 Heritage Trade Dr., Suite 105
Wake Forest, NC 27587
Dear Mr. Thomas,
080741
In an effort to obtain the necessary permits for a pipe extension on an unnamed tributary of Crane
Creek in Rowan County, we are providing apre-construction notification application with supporting
documentation. This is a permit for a defined perennial stream with distinct stream banks. There will be
30 feet of permanent stream impacts, and .004 acres of permanent surface water impacts for the extension
of an existing 66" CMP. The extension is necessary to create 6' roadway shoulders with 2:1 slopes. No
endangered species were found on 4/17/08. We believe this project can be accomplished under Nationwide
Permit 14.
Mitigation for this stream impact will be necessary and will be made into the North Carolina
Ecosystem Enhancement Program (NCEEP).
By copy of this letter, we are also Seeking approval from the NC Wildlife Resources Commission,
NC Department of Natural Resources -Water Quality, and the State Historic Preservation Office.
Therefore, we are submitting the enclosed material to them. For DWQ, the WBS number for this project is
9.208011. If you have any questions, comments or need additional information after reviewing this
material, please contact me at [phone]. Thank you for your cooperation in this matter.
Respectfull ,
Kent Boyer !/
Division Environmental Officer
Enolosures
Cc: Mr. Pat Ivey, P.E., Division Engineer
Mr. Chris Corriher, PE, District I Engineer
Mr. Chuck White, Rowan County Maintenance Engineer
Mr. Ron Linville, NCWRC
Mr. Peter Sandbeck, SHPO
Ms. Amy Euliss (1 copy), Mr. John Hennessy (7 espies) DENR -Water Quality
Mr. Matt Wilkerson. PDEA
Division of Highways • Division Nine • 375 Silas Creek Parkway, Winston-Salem, NC 27127
Telephone [phone] • Fax [phone] • Courier Box 13-12-04

Coastal Area Management Act (CAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of
Coastal Management (DCM). DCM will determine whether or not the project is within a designated
Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such
cases, DCM will require a CAMA Permit and will coordinate the 404/401 Permits.
The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure
that the proposed project will have no impact upon any endangered or threatened species or critical
habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office, North
Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon
any properties listed or eligible for listing on the National Register of Historic Places. Compliance with
these regulations is required to be eligible for any Department of the Army permit. The addresses for
both agencies are listed on page 3 of this application.
USAGE Permits -Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USAGE Regulatory Field Office. Upon receipt of an application, the
USAGE will determine if the application is complete as soon as possible, not to exceed 30 days. This
PCN form is designed for the convenience of the applicant to address information needs for all USAGE
Nationwide, Regional or General permits, as well as information required for State authorizations,
certifications, and coordination. Fully providing the information requested on this form will result in a
complete application for any of the USAGE Nationwide, Regional or General permits. To review the
minimum amount of information that must be provided for a complete PCN for each USAGE
Nationwide permit, see Condition 13, 67 Fed. Reg. 2090 (Jan. 15, 2002), available at
http://www.usace.army miUinet/functions/cw/cecwo/reg,/2002nwns pdf. Processing times vary by
permit and begin once the application has been determined to be complete. Please contact the
appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules -All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USAGE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested fora 401
Certification, then anon-refundable application fee is required In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
requu-ed. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h2o.ehnr.state.nc us/ncwetlands/fees html. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U. S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
fora 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 13

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Pre-Construction Notification (PCN) Application Form
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For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U. S. Army Corps of Engineers' (USAGE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individua1404 Permit or Individua1401
Water Quality Certification. The USAGE Individual Permit application form is available online at
www.saw. usace. army. miUwetlands/Permits.html.
The USAGE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USAGE website at www.saw.usace.army.miUwetlands/index.html, or contact one of the field offices
listed on page 3 of this application. The website also lists the responsible project manager for each
county in North Carolina and provides additional information regarding the identification and regulation
of wetlands and waters of the U. S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USAGE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for General Certifications is not required, provided
that the applicant adheres to all conditions of the GC. Applicants lacking access to the Internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination -Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Page 1 of 13

US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office
US Army Corps of Engineers Alexander Caldwell Ha
ywood
McDowell

151 Patton Avenue Allegbany Catawba Henderson Mecklenburg

Room 208 Ache Cherokee Iredell
Mitchell
Asheville, NC 28801-5006 Avg'
Buncombe Clay
Cleveland Jackson
Lin
l pock

Telephone: [phone]
Fax: [phone]
Burke
Gaston co
n
Macon Rowan
Rutherford
Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office
US Army Corps Of Engineers Alamance Franklin Nash
Sutry
6508 Falls of the Neuse Road Caswell
Chat Fors
~ Northampton Vance

Suite 120 ham Granville Orange Wake

Raleigh
NC 27615 Davidson Guilford Person Warren
,
Telephone: [phone] Davie
Durh Halifax Randolph Wilkes

Fax: [phone] am Johnston Rockingham Wilson
Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones
US Army Corps Of Engineers Bertie Dare
Len
i
Post Office Box 1000

Washington
NC 27889-1000
Camden
Gates o
r
Martin
,
Telephone: [phone] Carteret* Green
Pamlico

Fax: [phone] Chowan Hertford Pasquotank
Craven Hyde Per uimans
q
Wilmington Regulatory Field Office Anson Du hn
O
l
US Army Corps Of En ' eers
~
Bladen p
Harnett ns
ow
gend

Post Office Box 1890
Wilmington
NC 28402-1890
Brunswick
Hoke er

Richmond
,
Telephone: [phone] Carteret Montgomery Robeson

Fax: [phone] Columbus Moore Sampson
Cumberland New Hanover Scotland
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Telephone: [phone]
Fax: [phone]
Pitt
Tyrrell
Washington
Wayne
Swain
Transylvania
Union
Watauga
Yancey
*Croatan National Forest Only
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
US Fish and Wildlife Service /National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service
Raleigh Field Office National Marine Fisheries Service
Post Office Box 33726 Asheville Field Office Habitat Conservation Division
Raleigh, NC 27636-3726 160 Zillicoa Street Pivers Island
Telephone: [phone] Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone]
Page 3 of 13

S,4 f ,~
Division of Coastal Management
1638 Mail Service Center
Raleigh, NC 27699-1638
Telephone: [phone]
Fax: [phone]
Western Piedmont Region Coordinator
3855 Idlewild Road
Kernersville, NC 27284-9180
Telephone: [phone]
Mountain Region Coordinator
20830 Great Smoky Mtn. Expressway
Waynesville, NC 28786
Telephone: [phone]
Fax: [phone]
~~A and NC Coastal Counties
Beaufort Chowan Hertford Pasquotank
Bertie Craven Hyde Pender
Brunswick Currituck New Hanover Perquimans.
Camden Dare Qnslow Tyrrell
Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Alleghany Caldwell Watauga
Ashe Mitchell Wilkes
Avery Stokes
Burke Surry
Buncombe Henderson Polk
Cherokee Jackson Rutherford
Clay Macon Swain
Graham Madison Transylvania
Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1 - 4.
Page 4 of 13

Office Use Only: Form Version March OS
20080741
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this proiect, please enter "Not Annlicable" or "N/A".l
I. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 40I Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 14
3. 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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here:
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Information
Owner/Applicant Information
Name: NCDOT, Kent Boyer -Division Environmental Officer
Mailing Address: 375 Silas Creek Parkway
Winston-Sale _ NC 27127
Telephone Number: 336-703-6500 Fax Number: 336-703-6693
E-mail Address: kboverna,dot.state.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent. has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 13

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: Peeler Rd. and Concord Rd. intersection widening in Rowan County__
2. T.I.P. Project Number or State Project Number (NCDOT Only): WBS # 9.208011
3. Property Identification Number (Tax PIN):
4. Location
County: Rowan Nearest Town: Salisbury
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): I-85 South to Rowan
County. Exit onto Peeler Rd (SR 2538) Travel east until Peeler Rd intersects with Old
Concord Rd. (SR 1002).
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.6053 °N 80.5071 °W
6. Property size (acres): < 1
7. Name of nearest receiving body of water: Crane Creek
8. River Basin: Yadkin-Pee Dee
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Rural
Page 6 of 13

10. Describe the overall project in detail, including the type of equipment to be used: Build a left
turn lane on Old Concord Rd. (a~ Peeler Rd. using baclihoes, motor graders. rollers, and
an asphalt saver. An existing 66" CMP will need to be extended 10' on each end to
allow for the turn lane widening and permit the construction of the roadwav shoulders
11. Explain the purpose of the proposed work: To enhance the safety of the roadwav by
allowing a designated left turn lane with a 100' storage area
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 USAGE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. No previous Hermits were requested.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future Hermit requests are anticipated
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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: The existing 66" CMP will be
extended 10' on each end for a total of 20' of stream impacts._
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Im act Type of Im act Type of Wetland Located within Distance to Area of
Page 7 of 13

Site Number
(indicate on map) (e.g., forested, marsh,
herbaceous, bog, etc.) 100-year
Floodplain
(yes/no) Nearest
Stream
(linear feet) Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0.00,
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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_ Tn calculate acreavP mnltinly lPnoth X ~wirlth then ~i..irlP h~, d~ S~l1
Stream Impact
Number
(indicate on map)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 iTT Perm. fill Perennial 6' 30 0.004

Total Stream Impact (by length and acreage) 30 -.004
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill_ excavati~n_ rlrerloino flnnrlina rlrainaaP h„llrl,Parlc arr
Open Water Impact
Site Number
(indicate on map) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List t:
to cumulattve impact to all Waters of the U. S. resulting from the project
Stream Impact (acres): .004
Wetland Impact (acres):
Page 8 of 13

Open Water Impact (acres):
Total Impact to Waters of the U. S. (acres) .004
Total Stream Impact (lineaz feet): 30

7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. 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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
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. Impacts will be held to a
minimum for the installation of the pipe extensions and for the placement of the riprap for
bank stabilization. Pipe extensions will be a total of 20' and stream bank stabilization will
be a total of 10'. BMP's for a pump around operation will be followed. The only
alternative for this project would be to do nothing, and this would not add any safety to the
roadway.
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.
Page 9 of 13

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January I5, 2002, 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 NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http: //h2o. enr.state.nc. us/ncwetlands/strmgide. html.
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.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): 30
Amount of buffer mitigation requested (square feet}:
Amount of Riparian wetland mitigation requested (acres):
Amount ofNon-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 13

IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federaUstate) land? Yes ® No ^
2. 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
3. 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 (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No
2. If "yes", 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 multitiliers.
Zone* I ,~ Impa~t^4\ Multiplier I Required
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i. e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A
Page 11 of 13

XI. Stormwater (required by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. The current impervious acreage is 0.45 and
the additional widening will add 0.2 impervious acres for a total of 0.65 impervious acres.
The total protect is 1.12 acres. NCDOT BMP's will be used to protect the surface waters.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this an after-the-fact permit application? Yes ^ No
X1V. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. 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).
Page 12 of 13

Applicant/Agent's Signature Date
EAgent's signature is valid only if an authorization letter from the applicant is provided.)
Page 13 of 13

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CROSS SECTION
CL
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RIGHT-OF-WAY
SHLDR SHLDR
0'-6' PAVEMENT WIDTH 0'-6'
40'

EXISTING:
PROPOSED:
COVER:
DRAWN BY
l.L
DRAWING 2 OF 2
FILL PLAN VIEW .,,r T

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
SINGLE PIPE REPLACEMENT
PIPE SIZE. 66 ,
TYPF.~CMP
DIVISION 9
ROWAN COUNTY
SOUTH
\`
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STREAM BED
SR 1002
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WATER SURFACE
PIPE LAID 1' BELOW STREAM BED.
ARMOR @ INLET AND OUTLET WITH THE APPROPRIATE CLASS OF RIP RAP FOR EROSION PROTECTION.

Construction Sequence -Pipe Extension:
1. Install erosion control devices at each quadrant.
2. Block upstream flow with impervious structure. Pump around and de-water work
area if necessary.
3. Excavate to sufficient depth to allow 1 foot (or 20 percent) burial of pipe, place base
stone and install pipe extension.
4. Backfill extensions and place rip rap for stabilization, and vegetate.
5. Notify landscape department for final seeding and mulching.
6. Continue construction of widening the roadway until complete.
7. Site conditions and weather may alter these plans.
8. Construction time expected to be 1-2 days for pipe extensions, depending on weather.

TAPER 2 FT TO 8 FT BOTH SIDES SR 1002
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360.00' 1w ~--~,
2 F T WIDENING
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OLD CONCORD RD SR 1002 60' R/Wi5°~L
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TAPER 2 FT TO 8 FT 80TH SIDES SR 1002
360.00'
- - - 24-~i~T 6~P T~C-E/R-EXI~iING - -
EOUAL WIDEMNC ON BOTH SIDES OF
THE EXISTING ROAD. MINIMUM OF 2 FT
OF WIDENING Ai iNE BEGINNING OF
EACH TAPER TO B FT AT THE END FOR
A FULL SECTION OF 40 FT WIDE FOR
100 LF FOR THE LEFT TURN LANE ONTO
PEELER RD. ASPHALT DEPTH WILL BE 12'
BELOW EXISTING PAyEMENi.
DRAINAGE STRUCTURES WILL BE NSTALLED
AT yAR10US LOCATIONS ON THIS PROJECT
2 FT WIDENING

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MANAGING THE WATERCGIURSE:
BYPASS PUMPING
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ENSURE TO ANCHOR ALL ~-1NORK AREA
PUMPS AND PIPES SECURELY.
NORTH CAROLINA QEPARTMENT OF TRANSPORTATION BMPs FOR CONSTRUCTION AND MAINTENANCE ACTIVITIES I
AUGUST 2003
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