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HomeMy WebLinkAbout20081424 Ver 1_Application_20081016o o ?Ob ?jl v o- 44t44n-4. se0 D 08 STATE of NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F EASLEY GovERNOR October 8, 2008 Mr David Baker, NCDOT Regulatory Project Manager U S Army Corps of Engineers 151 Patton Avenue, Room 208 Asheville, NC 28801-2714 Subject SR 1303 - Garnett Road Corrected Application Jackson County, State Project No 14C 050058 Dear Mr Baker LYNDO TIPPETT SECRETARY (D -3 1 H -Z-9 The North Carolina Department of Transportation (NCDOT) recently submitted application materials for SR 1303, Garnett Road, in Jackson County After submission it was brought to our attention that there were several discrepancies between the cover letter and PCN impact tables Please find enclosed a corrected cover letter and PCN application The other materials previously submttted reflect the project correctly and should be retained for review and files I apologize for any inconvenience these errors may have caused If you have any questions or need additional information concerning these materials, please contact me at (828) 586-2141 Your cooperation is greatly appreciated Sincerely, Owe Anderson Environmental Specialist 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 } Y} 4)y +`t STA1f 4 STATE of NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F EASLEY GOVERNOR October 8, 2008 Mr David Baker, NCDOT Regulatory Project Manager U S Army Corps of Engineers 151 Patton Avenue Room 208 Asheville, NC 28801-2714 LYNDO TIPPETT SECRETARY Subject Nationwide 14 SR 1303 - Garnett Road (Corrected) Jackson County State Project No. 14C.050058 (DWQ Minor Permit Fee $240) Dear Mr Baker The North Carolina Department of Transportation (NCDOT) is proposing to widen, grade and pave SR 1303 Garnett Road in Jackson County from the intersection of SR 1300, Pumpkmtown Road, for a distance of 4 045 feet to the end of the project This proposal entails widening and paving the existin g gravel road to a standard 18-foot roadway The proposed improvements of SR 1303 have been identified as necessary maintenance and safety improvements Funds have been allocated for this project and NCDOT would like to perform these activities sometime during the 2008-09 paving season I am sending a straight-line diagram with the proposed erosion control and construction limits along this project In addition, I am sending a typical section of the road cross sections, drawings for pipe culvert replacements as well as a marked county map and USGS quad map We propose to install the new culverts slightly below the existing streambed elevations where bedrock is not encountered to minimize impacts to aquatic habitats and allow the existma stream gradients to remain as unchanged as physically possible The North Carolina Natural Heritage Database was checked for records of threatened and endangered species There are no records of threatened or endangered species for Long Branch Additionally there are no records for Savannah Creek from the confluence with Long Branch to the confluence with the Tuckasegee River There are records for the Appalachian elk-toe (Alasmidonta raveneliana) a federally endangered species, in the Tuckasegee River near the confluence of Savannah Creek These records are approximately 11 miles from the project The unnamed tributaries are small and are not of sufficient size to support mussels Long Branch is M r y, .,ry 6eL$W?q STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F EASLEY GovERNOR October 8, 2008 Mr David Baker, NCDOT Regulatory Project Manager U S Army Corps of Engineers 151 Patton Avenue Room 208 Asheville NC 28801-2714 LYNDO TIPPE rT SECRETARY Subject Nationwide 14 SR 1303 - Garnett Road (Corrected) Jackson County State Project No. 14C.050058 (DWQ NImor 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, Pumpkmtown 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 necessarymaintenance 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 no records of threatened or endangered species for Long Branch Additionally there are no records for Savannah Creek from the confluence with Long Branch to 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 mmmmal 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 unnamed tributaries flow into Long Branch within 300 feet of the project Long Branch 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 Stabihzed 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 7+60 Free Flowing Channel v Temporary Dike/Flow Diversion 85 ft 3 8+48 35 x 48 CMP 55' x 48" CMP 20 extension 3,8+48 Free Flowing Channel Temporary Dike/Flow Diversion 80 ft e i '? 4 8+50 to Roadside Seep Relocated Roadside Seep 100 ft 9+50 4, 8+50 to Free Flowing Channel Temporary Dike/Flow Diversion 125 ft 9+50 5, 11+50 to Eroding Streambank Stabilized Streambank 38 ft 11+88 5, 11+50 to Free Flowing Channel Temporary Dike/Flow Diversion 63 ft 11+88 6, 14+15 to Eroding Streambank Stabilized Streambank 3S ft 14+50 6 14+15 to Free Flowing Channel Temporary Dike/Flow Diversion 60 ft 14+50 7 14+75 to Eroding Streambank Stabilized Streambank 25 ft 15+00 7, 14+75 to Free Flowing Channel Temporary Dike/Flow Diversion 50 ft 15+00 8, 15+30 30'x 18" CMP 37' x 24" CMP 7'extension 8, 15+30 Free Flowing Channel Temporary Dike/Flow Diversion 62 ft 9 15+43 to Eroding Streambank Stabilized Streambank 7 ft 15+50 9 15+43 to Free Flowing Channel Temporary Dike/Flow Diversion 32 ft 15+50 10, 17+70 to Eroding Streambank Stabilized Streambank 30 ft 18+00 10 17+70 to Free Flowing Channel Temporary Dike/Flow Diversion 55 ft 18+00 11,21+62 32'x 15" CMP 45' x 18" CMP 13 extension 11 21+62 Free Flowing Channel Temporary Dike/Flow Diversion 70 ft 12,24+39 30'x 18" CMP 48' x 24" CMP 18 extension 12,24+39 Free Flowing Channel Temporary Dike/Flow Diversion 73 ft 12A 24+39 30'x 12" CMP 25 x 18" CMP -5 extension 12A, 24+39 Free Flowing Channel Temporary Dike/Flow Diversion 50 ft 13, 24+50 to Roadside Seep Relocated Roadside Seep 270 ft 27+20 13, 24+50 to Free Flowing Channel Temporary Dike/Flow Diversion 295 ft 27+20 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 102 ft ?s Total Impact Channel Relocation 370 linear feet Total Impact Bank Stabilization 310 linear feet Total Temporary Impact 1.342 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 of 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 (828) 488-2131 Your early review and consideration will be greatly appreciated Sincerely, Jonathan L Woodard, 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 USACE Action ID No. DWQ No. (If any particular item is not applicable to this project, please enter ivot Appucaoie or iv i-k 1. 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 (Corrected 10/8/08) 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 nutigation 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 En?,Ymeer Telephone Number (828) 488-2131 Fax Number (828) 488-3518 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 N/A Company Affiliation N/A Mailing Address N/A 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 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 Widen. grade, drain and pave SR 1303 Garnett Road in Jackson County 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 US 441 Intersection at Dillsboro take US 441 South for approximately 8 7 miles to SR 1300 Pumpkintown Road Go left on SR 1300 and travel approximately 2 6 nules to SR 1303, Garnett Road The project begins at the intersection and proceeds to the end of the gravel 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 mayor river basins The River Basin map is available at http //h2o enr state nc us/admen/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 protect includes cutting and filling earthwork where needed replacing old 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, sandbags pumps 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 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 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 project 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, 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 Plastic sheeting and sandbags will be placed in the stream channel above culvert to create an impervious dike Water will be Page 3 of 10 t diverted or pumped around culvert installation site Culverts will be installed and the temporary pervious 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 if space permits slopes 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 hne/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/drainage, etc For dams, separately list imtiacts due to both structure and flooding Wetland Impact Site Number (indicate on map) Type of Impact Type of Wetland (e g , forested, marsh herbaceous bog, etc ) Located within 100-year Floodplain (es/no) Distance to Nearest Stream (linear feet) Area of Impact (acres) N/A Total Wetland Impact (acres) 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 lirmted 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 To calculate acreage multiply length X width then divide by 43.560 Stream Impact Average Impact Area of Number Stream Name Type of Impact Perennial or Stream Width Length Impact (indicate on map) Intermittent Before Impact (linear (acres) feet) 1 @ 5+35 to 6+50 Long Branch Stream an p 4 115 N/A a n i @ 5+35 to 6+50 Long Branch Impervious Dike/ p 4 140 N/A Flow Diversion 2 @ 7+00 to 7+60 Long Branch Streambank p 4 60 N/A Stabilization 2 @ 7+00 to 7+60 Long Branch Impervious Dike/ p 4 85 N/A Flow Diversion 3@ Station 8+48 Long Branch Culvert Extension P 4 20 000184 3 @ Station 8+48 Long Branch Impervious Dike/ P 4 80 N/A Flow Diversion Page 4 of 10 4 @ Station 8+50 UT to Long Relocate Roadside P 1 100 0 00230 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 Lona 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 Diversion 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 0 00620 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 Long Impervious Dike/ P 1 102 N/A 31+46 Branch Flow Diversion Page 5 of 10 - R' M 41, - a ? t ) MC Total Impact for Channel Relocation 370 00085 Total Stream Impact for Streambank Stabilization 310 N/A Total Temporary Impacts for Flow Diversion & Impervious Dikes 1342 N/A 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 hrruted to fill excavation, dredging, flooding, drainage, bulkheads, etc Open Water Impact Site Number (indicate on ma) Name of Waterbody (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) 5 List the cumulative impact to all Waters of the U S resulting from the project Stream Impact (acres) 001121 Wetland Impact (acres) 0 Open Water Impact (acres) 0 Total Impact to Waters of the U S (acres) 001121 Total Stream Impact (linear feet) Permanent 738 6 Isolated Waters Do any isolated waters exist on the property9 ? 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 N/A 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 Page 6 of 10 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 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 rmtigation 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 enr 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 (919) 715-0476 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 hqp //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-riparian wetland mitigation requested (acres) N/A Amount of Coastal wetland mitigation requested (acres) N/A IX. Environmental Documentation (required by DWQ) 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 (919) 733-5083 to review current thresholds for environmental documentation Yes ? No 3 If yes, has the document review been finalized by the State Cleannghouse9 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 )? 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 (square feet) Multiplier Required Mitigation 1 3 (2 for Catawba) 2 15 Total * Zone 1 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 throuy-h settlma basins or brass lined buffers prior to entenna 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 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 application9 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 quality9 Yes ? No Page 9 of 10 I , 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 rrules) 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 scouring 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 if additional impervious surfaces 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 hrmts 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) N/A Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided ) Site Coordinates Site # Deg rees N Deg rees W 1 035 25308 083 27249 2 03.5 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