20081424 Ver 1_Application_20080918

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
September 12, 2008
Mr David Baker, NCDOT Regulatory Project Manager O
U S Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801-2714
Subject Nationwide 14
SR 1303 - Garnett Road
Jackson County
State Project No. 14C.050058 (DWQ Minor Permit Fee $240)
Dear Mr Baker
The North Carolina Department of Transportation (NCDOT) is proposing to widen, grade, and
pave SR 1303, Garnett Road, in Jackson County from the intersection of SR 1300, Pumpkintown
Road, for a distance of 4,045 feet to the end of the project This proposal entails widening and
paving the existing gravel road to a standard 18-foot roadway The proposed improvements of
SR 1303 have been identified as necessary maintenance and safety improvements Funds have
been allocated for this project, and NCDOT would like to perform these activities sometime
during the 2008-09 paving season
I am sending a straight-line diagram with the proposed erosion control and construction limits
along this project In addition, I am sending a typical section of the road, cross sections,
drawings for pipe culvert replacements as well as a marked county map and USGS quad map
We propose to install the new culverts slightly below the existing streambed elevations where
bedrock is not encountered to minimize impacts to aquatic habitats and allow the existing stream
gradients to remain as unchanged as physically possible
The North Carolina Natural Heritage Database was checked for records of threatened and
endangered species There are ds for Savannah Creekf om the confluence cwrth Long Branch to no records of threatene or Additionally, there are no records
the confluence with the Tuckasegee River There are records for the Appalachian elktoe
(Alasmidonta ravenehana), a federally endangered species, in the Tuckasegee River near the
confluence of Savannah Creek These records are approximately 11 miles from the project The
unnamed tributaries are small and are not of sufficient size to support mussels Long Branch is
not of sufficient size to support mussels The impacts from the culvert extensions, streambank
stabilization and roadside seep relocations will be minimal For these reasons, we believe there
will be "no effect" on threatened or endangered species
Impacts to historic or cultural resources are not anticipated If the State Historic Preservation
Office (SHPO) and the Office of State Archaeology determines that further investigations are
required, NCDOT will conduct the appropriate site investigations and obtain compliance from
SHPO prior to project construction
The best management practices will be used to minimize and control sedimentation and erosion
on this project The construction foreman will review all erosion control measures daily to
ensure sedimentation and erosion is being effectively controlled If the planned devices are not
functioning as intended, they will be immediately replaced with better devices The rock silt
screens and other erosion control devices will be in place prior to pipe culvert construction and
will remain in place until the project is stabilized
Impacts to Waters of the United States
Long Branch is shown on the USGS topographic map as a perennial stream The stream has a
well-defined channel with a substrate of cobble, gravel, sand and silt The channel lacks
vegetation The stream has sufficient flow to support small fish and other aquatic organisms
Long Branch flows into Savannah Creek approximately 800 feet below the project site
Savannah Creek in turn flows approximately 11 miles to the Tuckasegee River The Tuckasegee
River meets the definition of a Traditional Navigable Water For these reasons, we believe that
Long Branch is a Relatively Permanent Water and is under the jurisdiction of the U S Army
Corps of Engineers In order to construct the project in accordance with our current secondary
road standards, it will be necessary to impact waters of the United States in the Little Tennessee
River Basin Specifically, NCDOT is requesting to extend/replace five metal culverts in
unnamed tributaries to Long Branch (DWQ Class C), extend/replace one metal culvert in Long
Branch (DWQ Class C), stabilize seven sections of eroding streambank along Long Branch and
relocate two unnamed tributaries to Long Branch Listed below is a summary of the proposed
impacts
Site No. Existing Condition Proposed Condition Net Impacts
Station
1, 5+35 to Eroding Streambank Stabilized Streambank 115 ft
6+50
1, 5+35 to Free Flowing Channel Temporary Dike/Flow Diversion 140 ft
6+50
2, 7+00 to Eroding Streambank Stabilized Streambank 60 ft
7+60
2, 7+00 to Free Flowing Channel Temporary Dike/Flow Diversion 85 ft
7+60
'
3,8+48 35' x 48" CMP 55' x 48" CMP extension
20
3,8+48 Free Flowing Channel Temporary Dike/Flow Diversion 105 ft

4, 8+50 to
9+50 Roadside Seep Relocated Roadside Seep 100 ft

4, 8+50 to
9+50 Free Flowing Channel Temporary Dike/Flow Diversion 125 ft

5, 11+50 to
11+88 Eroding Streambank Stabilized Streambank 38 ft

5, 11+50 to
11+88 Free Flowing Channel Temporary Dike/Flow Diversion 63 ft

6, 14+15 to
14+50 Eroding Streambank Stabilized Streambank 35 ft

6, 14+15 to
14+50 Free Flowing Channel Temporary Dike/Flow Diversion 60 ft

7, 14+75 to
15+00 ' Eroding Streambank Stabilized Streambank 25 ft

7, 14+75 to
15+00 Free Flowing Channel Temporary Dike/Flow Diversion 50 ft

8,15+30 30'x 18" CMP 37' x 24" CMP 7'extension

8,15+30 Free Flowing Channel Temporary Dike/Flow Diversion 90 ft

9, 15+43 to
15+50 Eroding Streambank Stabilized Streambank 37 ft

9, 15+43 to
15+50 Free Flowing Channel Temporary Dike/Flow Diversion 62 ft

10, 17+70 to
18+00 Eroding Streambank Stabilized Streambank 30 ft

10, 17+70 to
18+00 Free Flowing Channel Temporary Dike/Flow Diversion 55 ft

11,21+62 32'x 15" CMP 45'x 18" CMP 13'extension
11,21+62 Free Flowing Channel Temporary Dike/Flow Diversion 95 ft

+3
1
30' x 18" CMP
48' x 24" CMP
18'extension

E
F,
lowing Channel
Free F
Temporary Dike/Flow Diversion
100 ft

12A, 24+39 30'x 12" CMP 25'x 18" CMP -5'extension
12A, 24+39 Free Flowing Channel Temporary Dike/Flow Diversion 75 ft
to
17
P Roadside Seep Relocated Roadside Seep 270 ft
to
24?++
1
27 wet Ditch Temporary Dike/Flow Diversion 295 ft
14,31+46 72' x 24" & 12" CMP 77' x 24" & 12" CMP 5'extension
14, 31+46 Free Flowing Channel Temporary Dike/Flow Diversion 130 ft
?-- ?•°°?.^..? ??. - ? ?a .°°^e°?-may ..?„ ? g ti .??-?
gac?Y sx .W :58? ine?rfeet
Total Impact Channel Relocation & Bank Stabilization 680 linear feet
Total Temporary Impact 1,379 linear feet
Permits Requested
NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed
with the construction project outlined above By copy of this letter, I am asking Mr David
McHenry, Mountain Region Coordinator, of the North Carolina Wildlife Resources Commission
(NCWRC) to comment directly to you concerning the 404 Nationwide Permit request
Also, by copy c f this letter, I am requesting authorization under Section 401 of the Clean Water
Act from the North Carolina Department of Environment and Natural Resources (DENR),
Division of Water Quality (DWQ) In addition, I am requesting Mr McHenry and Mr Ed Ingle,
Roadside Environmental Field Operations Engineer (NCDOT), to comment directly to me
concerning this permit request
if you have any questions or need additional information, please contact me at [phone]
Your early review and consideration will be greatly appreciated
7nat rel
han L Wood d, P E
District Engineer
cc Mr Brian Wrenn, DWQ, DENR, Raleigh (four copies)
Mr Mike Parker, DWQ, DENR, Asheville
Mr David McHenry, Mountain Region Coordinator, NCWRC
Mr Troy Wilson, Biologist, USFWS Asheville
Mr J B Setzer, P E, Division Engineer, NCDOT
Mr Edwin Austin, Supervisor, Jackson County Maintenance, NCDOT
Mr Mark Davis, Division Environmental Officer, NCDOT
Mr E L Ingle, Roadside Environmental Field Operations Engineer, NCDOT
Office Use Only: Form Version March 05
DWQ No. 20081424
USACE Action ID No.
(If any particular item is not appucaoie to finis prvicoL) Pmaau cuwa .??? •?rr==?u?=? -• -- • -
I. Processing
1 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
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2 Nationwide, Regional or General-Permit Number(s) Requested NW 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 North Carolina Department of Transportation
Mailing Address 345 Toot Hollow Road
Bryson City, NC 28713
Attn J L Woodard PE District Engineer
Telephone Number [phone] Fax Number [phone]
E-mail Address Lwoodard 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 N/A Fax Number N/A
E-mail Address N/A
Page 1 of 10
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
illegible, the applicant will be informed that
final version of
reduced to a-small scale such that the
the project has been placed on hold until decipherable maps are provided
1 Name of project Widen grade, drain and pave SR 1303 Garnett Road in Jackson Count
2 T I P Project Number or State Project Number (NCDOT Only) 14C 050058
3 Property Identification Number (Tax PIN) N/A
4 Location

County Jackson Nearest Town Dillsboro
Subdivision name (include phase/lot number) N/A
Directions to site (include road numbers, landmarks, etc ) From the US 23/74 and IS 441
Intersection at Dillsboro take US 441 South fora roximatel 8 7 miles to SR 1300,
Pum kintown Road Go lefteins at th00ntesect on androroi proceeds to the end of t e 1303,
Garnett Road The protect y
section
5 Site coordinates, if available (UTM or Lat/Long) Attached
(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 Property size (acres) 5 53 acres
7 Name of nearest receiving body of water Long Creek (C)
8 River Basin Little Tennessee
(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 Residential woodlands
Page 2 of 10
10 Describe the overall project in detail, including the type of equipment to be used This
project includes cuttm and filling eart hwork where needed replacing drainage structures
that are inadequate making the road safer by changing the road profile and paving
Equipment to be used will be Track Hoes Back Hoes Dump Trucks Bulldozers Manual
Labor, spumps and diversion pipes Large shot rock and coir fiber matting will be
used for streambank stabilization
11 Explain the purpose of the proposed work To pave widen the shoulders and improve the
alignment of SR 1303 to meet current NCDOT standards
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
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 permits have been applied for previously
V. Future Project Plans
anticipated work,
Are any future permit requests anticipated for
thisl project9 if
from the so,
application
and provide justification for the exclusion of
No additional permits 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 protect Each impact must be
listed separately in the tables below (e g, culvert installation should be listed separately from
nprap 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,
not ampacts are proposed to these systems
should be shown on a delineation map,
Wetland and stream evaluation and delineation forms should be included as appropriate
for
Photographs maybe included at the apph cube the impact iscretion If this
in Section impact lIf addrt oval
wetland or stream mitigation, list and des attach a separate sheet
space is needed for listing or description, please
1 Provide a written description of the proposed impacts Plastic 'sheeting and sandbags will be
^ dike Water will be
Page 3 of 10
diverted or -Pumped around culvert installation site Culverts will be installed and the
temporary impervious dike will be removed after culvert installation Streambanks will be
stabilized with large stacked shot rock to protect the near vertical banks from sloping Where
and ifs ace Permits sloping of the bank rock will be limited to the lower 1/3 of the bank and
the upper sections of the bank will be stabilized with coir fiber matting and vegetation Wet
roadside seeps will be relocated by creating a new ditch line/channel along the road The
ditch will be stabilized by installing small cross vanes as needed to prevent erosion of the
channel/ditch
2 Individually list wetland impacts Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drain age, etc For dams,
separat ely list impacts due to both structure and flooding
Located within Distance to Area of
Wetland Impact
Site Number
- Type of Impact T e of Wetland
?
(e g , forested, marsh, 100-year
Floodplam Nearest
Stream Impact
(acres)
(indicate on map) herbaceous, bog, etc) (yes/no) (linear feet)
N/A
Total Wetland Impact (acres) I I
3 List the total acreage (estimated) of all existing wetlands on the property N/A
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, np-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
1 e multi 1 length X width then divide by 43,560
must be included To calc u ate acreag , y I
A
act
Im

Stream Impact
Number
(indicate on map)

Stream Name

Type of Impact
:Intermittent? erennial or verage
Stream Width
Before Impact p
Length
(linear
feet) Area of
Impact
(acres)

1 @ 5+35 to 6+50
Long Branch Streambank
Stabilization P q 115 N/A

1 @ 5+35 to 6+50
Long Branch Impervious Dike/
Flow Diversion P 4 140 N/A

2 @ 7+00 to 7+60
Long Branch Streambank
Stabilization P 4 C0 N/A

2 @ 7+00 to 7+60
Long Branch Impervious Dike/
Flow Diversion p 4 85 N/A
3@ Station 8+48 Long Branch Culvert Extension P 4 20 000184

Station 8+48
F3@

Long Branch Impervious Dike/

Flow Diversion
P
4
gp
N/A
Page 4 of 10
4 @ Station 8+50 UT to Long Relocate Roadside P 1 100 000230
to 9+50 Branch Seep
4 @ Station 8+50 UT to Long Impervious Dike/ P 1 125 N/A
to 9+50 Branch Flow Diversion
5 @ 11+50 to Long Branch Streambank P 4 38 N/A
11+88 Stabilization
5 @ 11+50 to Long Branch Impervious Dike/ P 4 63 N/A
11+88 Flow Diversion
6 @ 14+15 to Long Branch Streambank P 4 35 N/A
14+50 Stabilization
6 @ 14+15 to Long Branch Impervious Dike/ P 4 60 N/A
14+50 Flow Diversion
7 @ 14+75 to Long Branch Streambank P 4 25 N/A
15+00 Stabilization
7 @ 14+75 to Long Branch Impervious Dike/ P 4 50 N/A
15+00 Flow Diversion
8 @ Station 15+30 UT to Long Culvert Extension P 1 7 000016
Branch
8 @ Station 15+30 UT to Long Impervious Dike/ P 1 62 N/A
Branch Flow Diversion
9 @ 15+43 to Long Branch Streambank P 4 7 N/A
15+50 Stabilization
9 @ 15+43 to Long Branch Impervious Dike/ P 4 32 N/A
15+50 Flow Diversion
10 @ 17+70 to Long Branch Streambank P 4 30 N/A
18+00 Stabilization
10 @ 17+70 to Long Branch Impervious Dike/ P 4 55 N/A
18+00 Flow Divers ton
11 @ Station UT to Long Culvert Extension P 1 13 000030
21+62 Branch
11 @ Station UT to Long Impervious Dike/ P 1 70 N/A
21+62 Branch Flow Diversion
12 @ Station UT to Long Culvert Extension P 1 18 000041
24+39 Branch
12 @ Station UT to Long Impervious Dike/ P 1 73 N/A
24+39 Branch Flow Diversion
12A @ Station UT to Long Culvert Extension P 1 -5 -0 00011
24+39 Branch
12A @ Station UT to Long Impervious Dike/ P 1 50 N/A
24+39 Branch Flow Diversion
13 @ Station UT to Long Relocate Roadside P 1 270 000620
24+50 to 27+20 Branch Seep
13 @ Station UT to Long Impervious Dike/ P 1 295 N/A
24+50 to 27+20 Branch Flow Diversion
14 @ Station UT to Long Culvert Extension P 1 5 000011
31+46 Branch
14 @ Station UT to Long Impervious Dike/ P 1 103 N/A
31+46 Branch Flow Diversion
Page 5 of 10

Total Impact for Channel Relocation 370 00085
Total Stream Impact for Streambank Stabilization 310 N/A
Total Temporary Impacts for Flow Diversion & Impervious Dikes 1379 N/A
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 PYCavatinn dredoinu_ flnoding_ drainage. bulkheads, etc
Open Water Impact
Site Number
(indicate on map)
body
Name of Water
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,

ocean, etc) Area of
Impact

(acres)
N/A --

Total Open Water Impact (acres)
List the cumulative impact to all Waters of the U S resulting from the project
Stream Impact (acres) 001971
Wetland Impact (acres) 0
Open Water Impact (acres) 0
Total Impact to Waters of the U S (acres) 001971
Total Stream Impact (linear feet) Permanent 738
6 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
7 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
Current land use in the vicinity of the pond
Size of watershed draining to pond N/A Expected pond surface area N/A
VII. Impact Justification (Avoidance and Minimization)
Page 6 of 10
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 Culverts will be extended the
minimum length necessary to improve the road to meet current NCDOT standards All pipe
extensions will be placed below the existing stream bed so natural substrate can be re-
established The culvert installation sites will be de-watered to minimize impacts from
sedimentation
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 January 15, 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 em state nc us/ncwetlands/strmgide html
1 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
Page 7 of 10
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)
Amount of buffer mitigation requested (square feet) N/A
Amount of Riparian wetland mitigation requested (acres) N/A
Amount of Non-npanan wetland mitigation requested (acres) N/A
Amount of Coastal wetland mitigation requested (acres) N/A
IX. Environmental Documentation (required by DWQ)
1 Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) 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
(Neuse), 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 N/A )9 Yes ? No
Page 8 of 10
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 multipliers

Zone* Impact
Multiplier Required
(square feet) Mitigation
1 3 (2 for Catawba)
2 15
Total
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel, Zone 2 extends an
additional 20 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
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
Stormwater will be diverted through settling basins or grass lined buffers prior to entering
streams (See erosion control plan)
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
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) or any Buffer Rules9
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. 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
Page 9 of 10
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
This road is a short (0 7 miles) dead end rural road The road is being upgraded only to minimum
secondary standards A large development is being built at the end of this road However, this is
already being developed with the current narrow gravel road streambanks and channel scounng
is occurring along Long Creek a relatively high gradient stream It is not known if change in
runoff due to the development is contributing to the failing streambanks or as additional
impervious surfaces are added in this development will contribute to further degradation of
habitat and water quality -
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)
/A
Applicant/Agent(s Signature Date
s signature is valid only if an authorization letter from the applicant is provided )
Site Coordinates
Site # Degrees N Degrees W
1 035 25308 083 27249
2 035 25337 083 27194
3 035 25397 083 27173
4 035 25415 083 27161
5 035 25432 083 27123
6 035 25502 083 27094
7 035 25520 083 27090
8 035 25529 083 27104
9 035 25546 083 27100
10 035 25599 083 27069
11 035 25676 083 26961
12 & 12A 035 25749 083 26909
13 035 25785 083 26881
14 035 25917 083 26783
Page 10 of 10
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n FREMARKS" r•?
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Site 1
Bank Stabilization

Site 2
by
` _ -_= -rte
Bank Stabilization
Site 3
Inlet
Outlet
` =

Site 4
Wet Duch

Site 5
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Bank Stabilization
Site 6
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Bank Stabilization
Site 7
Bank Stabilization
Site 8
Inlet
Outlet
Site 9
Bank Stabilization
Site 10
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1

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Inlet
Outlet

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Wet Ditch
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Site 14
Inlet
Outlet
10