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20090822 Ver 1_Application_20090730
STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION BEVERLY EAVES PERDUE GOVERNOR U. S. Army Corps of Engineers 151 Patton Avenue, Room 108 Asheville, NC 28801-5006 ATTN: Mr. Steve Lund t_ - NCDOT Coordinator- Subject: Application for Section 404 Nationwide Permits 33 for the proposed replacement of Bridge No. 49 over Crowder's Creek on SR 1103 (Crowder's Creek Road) in Gaston County, Federal Aid Project No. BRSTP-1103(15); Division 12; WBS 33741.1.1; TIP No. B-4517 Dear Sir: The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge No. 49 over Crowder's Creek on SR 1103. There will be 65 feet of temporary surface water impacts. Please see enclosed copies of the Pre-Construction Notification (PCN), permit drawings, design plans and Stormwater Management Plan for the above-referenced project. The Categorical Exclusion (CE) was completed in January 2009 and distributed shortly thereafter. Additional copies are available upon request. This project calls for a letting date of May 18, 2010 and a review date of March 30, 2010. July 27, 2009 09®822 EUGENE A. CONTI, JR. SECRETARY 12@1 JUL 3 lanA aS ATS ATER BRANCH MAILING ADDRESS: NC DEPARTMENT OF TRANSPORTATION PROJECT DEVELOPMENT AND ENVIRONMENTAL ANALYSIS 1598 MAIL SERVICE CENTER RALEIGH NC 27699-1598 TELEPHONE: 919-431-2000 FAX: 919-431-2002 WEBSITEI WWW.NCDOT.ORG LOCATION: 4701 ATLANTIC AVENUE SURE 116 RALEIGH NC 27604 A copy of this permit application will be posted on the NCDOT Website at: h http://www.ncdot.org/doh/preconstruct/pe/. If you have any questions or need additional information, please call Jennifer Harrod at (919) 431-6672. Sincerely, ?Gregory J. Thorpe, Ph.D. Environmental Management Director, PDEA w/attachment Mr. Brian Wrenn, NCDWQ (2 copies) Ms. Marla Chambers, NCWRC Ms. Marella Buncick, USFWS _ - w/o attachment (see permit website for attachments) Dr. David Chang, P.E., Hydraulics Mr. Mark Staley, Roadside Environmental Mr. Victor Barbour, P.E., Project Services Unit Mr. Greg Perfetti, P.E., Structure Design Mr. M.L. Holder, P.E., Division Engineer Ms. Trish Simon, DEO Mr. Jay Bennett, P.E., Roadway Design Mr. Majed Alghandour, P. E., Programming and TIP Mr. Art McMillan, P.E., Highway Design Mr. Scott McLendon, USACE, Wilmington Mr. Hank Schwab, PDEA Project Planning Engineer O?pF W ATF,? 0 1 1 h y D Y I' Office Use Only: Corps action ID no. DWQ project no. Form Version 1.3 Dec 10 2008 Pre-Construction Notification (PCN) Form A. Applicant Information 1. Processing la. Type(s) of approval sought from the Corps: ®Section 404 Permit E] Section 10 Permit 1 b. Specify Nationwide Permit (NW P) number: 33 or General Permit (GP) number: 1c. Has the NW P or GP number been verified by the Corps? ? Yes ® No 1d. Type(s) of approval sought from the DWQ (check all that apply): ® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit ? 401 Water Quality Certification - Express ? Riparian Buffer Authorization -1e. -Is this-notification solely for the record-. because written approval is not required? For th"e record only for DWQ 401- Certification: ® Yes ? No -For the record only for Corps Permit: ? Yes ®No 1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu fee program. ? Yes ® No 1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h below. ? Yes ® No 1 In. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No 2. Project Information 2a. Name of project: Replacment of Bridge No. 49 over Crowder's Creek on SR 1103 (Crowder's Creek Rd.) 2b. County: Gaston 2c. Nearest municipality / town: Gastonia 2d. Subdivision name: not applicable 2e. NCDOT only, T.I.P. or state project no: 8-4517 3. Owner Information 3a. Name(s) on Recorded Deed: North Carolina Department of Transportation 3b. Deed Book and Page No. not applicable 3c. Responsible Party (for LLC if applicable): not applicable 3d. Street address: 1598 Mail Service Center 3e. City, state, zip: Raleigh, NC 27699-1598 - 3f. Telephone no.: (919) 431=6672 3g. Fax no.: (919) 431-2002 -3h-Email address: jwharrod@ncdot.gov 4. Applicant Information (if different from owner 4a. Applicant is: ? Other, specify: 4b. Name: ? Agent not applicable 4c. Business name 4d. Street address: 4e. City, state, zip: 4f. Telephone no. 4g. Fax no.: 4h. Email address: 5. AgentlConsultant Information (if applicable) 5a. Name: not applicable 5b. Business name 5c. Street address: 5d. City, 5f. Fax no.: 5g. Email 2 r B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): not applicable 1b. Site coordinates (in decimal degrees): Latitude: 35. 1 9582N Longitude: - 81.2225 (DD.DDDDDD) (-DD.DDDDDD) 860 ft L x 110 ft W= 94,600 sq. ft 1c. Property size: (94,600) sq. ft. / (43,650) sq. ft = 2.17 acres 2. Surface Waters 2a. Name of nearest body of water (stream, river, etc.) to Crowder's Creek proposed project: 2b. Water Quality Classification of nearest receiving water: C 2c. River basin: Catawba 3. Project Description 3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this ---application: Bridge No. 49 will be replaced with a 190' long cored slab bridge on pile bents. The area is disturbed w/ residential roads and utility easements. 3b. List the total estimated acreage of all existing wetlands on the property: Wetland B) : (actually less than this since only a small portion of the wetland falls within the project study area) 63ftL x32ftW= 2,016sq.ft (2,016) sq. ft / (43,650) sq. ft = 0.05 acres 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 381 linear feet (perennial) 3d. Explain the purpose of the proposed project: To replace a structurally deficient bridge. 3e. Describe the overall project in detail, including the type of equipment to be used: The project involves replacing a 161-foot bridge with a 190-foot, 4-span bridge on the existing alignment with an off-site detour. Standard road building equipment, such as trucks, dozers, and cranes will be used. 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / ®yes ? No ? Unknown project (including all prior phases) in the.past? Comments: 4b. If the Corps made the jurisdictional determination, what type ? Preliminary ®Final of determination was made? 4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: EcoScience Corporation (Heather Jean Saunders) Name (if known): Steve Lund Other: 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. October 22, 2007 5. Project History 5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown this project (including all prior phases) in the past? 5b. If yes, explain in detail according to "help file" instructions. 6. Future Project Plans 6a. Is this a phased project? ? Yes ® No 6b. If yes, explain. C. Proposed Impacts Inventory 1. Impacts Summary la. Which sections were completed below for your project (check all that apply): ? Wetlands ® Streams - tributaries ? Buffers ? Open Waters ? Pond Construction 2. Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted. 2a. 2b. 2c. 2d. 2e. 2f. Wetland impact Type of jurisdiction number- Type of impact Type of wetland Forested (Corps -404, 10 Area of impact Permanent (P) or (if known) DWQ - non-404, other) (acres) Temporary T Site 1 ? P ? T ? Yes ? Corps ? No ? DWQ Site 2 ? P ? T ? Yes ? Corps ? No ? DWQ Site 3 ? P ? T ? Yes ? Corps _ ..No---- - - :DWQ---- Site 4 ? P ? T ? Yes ? Corps ? No ? DWQ Site 5 ? P ? T ? Yes ? Corps ? No ? DWQ Site 6 ? P ? T ? Yes ? Corps ? No ? DWQ .2g. Total wetland impacts X Permanent X Temporary 2h. Comments: 3. Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted. 3a. 31b. 3c. 3d. 3e. 3f. 3g. Stream impact Type of impact Stream name Perennial Type of Average Impact length number - (PER) or jurisdiction stream (linear feet) Permanent (P) or intermittent (Corps - 404, 10 width Temporary (T) (INT)? DWQ-non-404, (feet) other) Site 1 ? P ® T Causeway Crowder's Creek ® PER ? INT ® Corps ? DWQ 40 65 Site 2 ? P ? T ? PER ? Corps ? INT ? DWQ Site 3 ? P ? T ? PER ? Corps ? INT ? DWQ Site 4 ? P ? T ? PER ? Corps ? INT ? DWQ Site 5 ? P ? T ? PER ? Corps ? INT ? DWQ Site 6 ? P ? T ? PER ? Corps ? INT ? DWQ 31h. Total stream and tributary impacts 65 Temp 3i. Comments: 4. Open Water Impacts If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of the U.S. then individual) list all open water impacts below. 4a. 4b. 4c. 4d. 4e. Open water Name of impact number- waterbody Type of impact Waterbody type Area of impact (acres) Permanent (P) or (if applicable) Temporary T 01 ?P?T 02 ?P?T 03 ?P?T 04 ?P?T 4f. Total open water impacts X Permanent X Temporary 4g. Comments: 5. Pond.or Lake Construction If and or lake construction proposed, then complete the chart below. 5a. 5b. 5_c.___ 5d.. Se:---------- Wetland Impacts (acres) Stream Impacts (feet) Upland Pond ID Proposed use or (acres) number purpose of pond Excavat Flooded Filled ed Flooded Filled Excavated Flooded P1 P2 5f. Total 5g. Comments: 5h. Is a dam high hazard permit required? ? Yes ? Na If yes, permit ID no: 5i. Expected pond surface area (acres): 5j. Size of pond watershed (acres): 5k. Method of construction: 6. Buffer Impacts (forDWQ) If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts below. If an impacts require miti gation, then you MUST fill out Section D of this form. 6a. ? Neuse ?Tar-Pamlico ? Other: Project is in which protected basin? ? Catawba ? Randleman 61b. 6c. 6d. 6e. 6f. 69. Buffer impact number - Reason for impact Buffer Zone 1 impact Zone 2 impact Permanent (P) or Stream name mitigation (square feet) (square feet) Temporary (T) B1 ?P?T ?Yes ? No B2 ?P?T ?Yes ? No 63 ?P?T ?Yes ? No 6h. Total buffer impacts -6i-Comments: D. Impact Justification and Mitigation 1. Avoidance and Minimization I a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. The proposed bridge is 29 feet longer than the existing bridge; the proposed bridge will be at approximately the same grade as the existing structure; an off site detour will be used, fencing is being utilized to prevent impacts to the UT coming into Crowder's creek from the west. 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State? ? Yes ® No If no, explain: NCDOT does not propose mitigation due to Crowder's Creek is not an ORW, HOW or WS watershed. The 65 linear of temporary impacts are minimal impacts and not considered a "loss of waters". -2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps 2c. If yes, which mitigation option will be used for this project? ? Mitigation bank El Payment to in-lieu fee program ? Permittee Responsible Mitigation 3. Complete if Using a Mitigation Bank 3a. Name of Mitigation Bank: not applicable 3b. Credits Purchased (attach receipt and letter) Type Quantity 3c. Comments: 4. Complete if Making a Payment to In-lieu Fee Program 4a. Approval letter from in-lieu fee program is attached. ? Yes 4b. Stream mitigation requested: linear feet 4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold 4d. Buffer mitigation requested (DWQ only): square feet 4e. Riparian wetland mitigation requested: acres 4f. Non-riparian wetland mitigation requested: acres 4g. Coastal (tidal) wetland mitigation requested: acres 4h. Comments: 5. Complete if Using a Permittee Responsible Mitigation Plan 5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan. 6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ 6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? ? Yes ® No 6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the amount of mitigation required. Zone 6c. Reason for impact 6d. Total impact (square feet) Multiplier 6e. Required mitigation (square feet) Zone 1 3 (2 for Catawba) Zone 2 1.5 6f. Total buffer mitigation required: 6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank, permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund). 6h. Comments: E. Stormwater Management and Diffuse Flow Plan (required.by DWQ) 1. Diffuse Flow Plan la. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No within one of the NC Riparian Buffer Protection Rules? 1b. If yes, then is a diffuse flow plan included? If no, explain why. ? Yes ? No Comments: if yes, see attached permit drawings. 2. Stormwater'Mana ementPlan 2a. What is the overall percent imperviousness of this project? N/A 2b. Does this project require a Stormwater Management Plan? ® Yes ? No 2c. If this project DOES NOT require a Stormwater Management Plan, explain why: 2d. If this project DOES require a Stormwater Management Plan, then provide a brief, na rrative description of the plan: See attached permit drawings. ? Certified Local Government 2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program ? DWQ 401 Unit 3. Certified Local Government Stormwater Review 3a. In which local government's jurisdiction is this project? not applicable ? Phase II 3b. Which of the following locally-implemented stormwater management programs ? NSW ? USMP apply (check all that apply): ? Water Supply Watershed ? Other: 3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No attached? 4. DWQ Stormwater Program Review ? Coastal counties 4a. Which of the following state-implemented stormwater management programs apply ? HOW (check all that apply): ? ORW ? Session Law 2006-246 ? Other: 4b. Has the approved Stormwater Management Plan with proof of approval been attached? ? Yes ? No 5. DWQ 401 Unit Stormwater Review 5a. Does the Stormwater Management Plan meet the appropriate requirements? ® Yes ? No 5b. Have all of the 401 Unit submittal requirements been met? ® Yes ? No 4 11, 10 F. Supplementary Information 1. Environmental Documentation (DWQ' Requirement) la . Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No use of public (federal/state) land? 1b. If you answered 'yes' to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State ® Yes ? No (North Carolina) Environmental Policy Act (NEPA/SEPA)? 1c. If you answered 'yes' to the above, has the document review been finalized by the State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.) ® Yes ? No Comments: 2. Violations (DWQ' Requirement) 2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No or Riparian Buffer Rules (15A NCAC_2B .0200)?__ 2b. Is this an after-the-fact permit application? ? Yes ® No 2c. ff you answered 'yes' to one or both of the above questions, provide an explanation of the violation(s): .3. Cumulative Impacts (DWQ Requirement) 3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes additional development, which could impact nearby downstream water quality? ® No 3b. If you answered 'yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWQ policy. If you answered "no," provide a short narrative description. 4. Sewage Disposal (DWQ Requirement) 4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discha rge) of wastewater generated from the proposed project, or available capacity of the subject facility. not applicable 11 5. Endangered Species and Designated Critical Habitat (Corps Requirement) 5a. Will this project occur in or near an area with federally protected species or ? Yes No ® habitat? 5b. Have you checked with the USFW S concerning Endangered Species Act ®Yes ? No impacts? ? Raleigh Sc. If yes, indicate the USFW S Field Office you have contacted. ® Asheville 5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? http://www.fws.gov/nc-es/es/countyfr.html ; Field investigations within the project study area were conducted by NCDOT staff resulting in biological conclusions of No Effect (No Habitat Present) for the Bog turtle and No Effect (Habitat Present) for Schweinitz's Sunflower for Gaston County. 6. Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated.as_essential -fish habitat?_. . ? Yes ® No - 6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat? NMFS County Index 7. Historic or Prehistoric Cultural Resources (Corps Requirement) 7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation ? Yes ®No status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)? 71b. What data sources did you use to determine whether your site would impact historic or archeological resources? NEPA Documentation 8. Flood Zone Designation (Corps Requirement) 8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No 8b. If yes, explain how project meets.FEMA requirements: 8c. What source(s) did you use to make the floodplain determination? FEMA Maps Dr. Gregory J. Thome, Ph D T Z 7 ?l ' Applicant/Agent s Printed Name Appl anUAg nt's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) 12 U.S. ARMY CORPS OF ENGINEERS WILMINGTON DISTRICT Action Id. SAW-2006-32951-318 County: Gaston U.S.G.S. Quad: Gastonia South NOTIFICATION OF JURISDICTIONAL Property Owner/Agent: Gregory J. Thorpe, Director D Address: Project Development and Environmental Analysis Branch 1548 Mail Service Center, Raleigh, NC 27699-1548 0 North Carolina Department of Transportation Property description: 0 2007 LOFFICEOF u v L4 Telephone No.: 919-733-3141 AL ENVIRO NMENT Size (acres) 1approx. Nearest Town Gastonia Nearest Waterway Crowder's Creek River Basin Catawba USGS HUC 03050101 Coordinates N35.1953 W81.2231 Location description Bridge No. 49 on SR 1103 south of Gastonia, TIP B-4517 Indicate Which of the Following Apply: Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered fmal,-a__ ----- -- - -jurisdictional determHation must be verified by the Corps. This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331). There are Navigable Waters of the United States within the above described property subject to the permit requirements of Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification. X There are wetlands and surface waters on the above described property subject to the permit requirements of Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification. We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps. The wetland on your property have been delineated and the delineation has been verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to exceed five years. X The wetlands and surface waters have been delineated and surveyed and are accurately depicted on the GPS plat provided by EcoScience Corporation and dated 13 March 2006. Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification. There are no waters of the U.S., to include wetlands, present on the above described property which are subject to the permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification. The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act (CAMA). You should contact the Division of Coastal Management in Washington, NC, at (252) 946-6481 to determine their requirements. Page 1 of 2 Action ID: SAW-2006-32951-318 Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may I constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this determination and/or the Corps regulatory program, please contact Steven Lund at 828-271-7980. Basis For Determination: Crowder's Creek is a Traditionally Navigable Water that exhibits a distinct ordinary high water mark and flows directly to the Catawba River at Lake Wylie which is a navigable water. Delineated wetlands are adjacent and subject to the regular and unimpeded exchange of water flow with Crowder's Creek, are dominated by hydrophytic vegetation and exhibit wetland hydrology and hydric soil. Remarks: Consultant's report dated 13 March, 2006 identifies 2 wetlands (#1 and #2), Crowder's Creek and 2 unnamed tributaries in the project area consisting of an approximate 1200-foot long by 400-foot wide corridor centered on the existing bridge site. Corps Regulatory Official: Steven W. Lund, Project Manager, Asheville Regulatory Field Office Date: October 22, 2007 Expiration Date: October 22, 2012 Corps Regulatory Official (Initial): FOR OFFICE USE ONLY: --- - ---^• - A plat or sketch of the property arid -the wetland data form must be attached to the file copy -of.this . form. -• A copy of the "Notification Of Administrative Appeal Options And Process And Request For Appeal" form must be transmitted with the property owner/agent copy of this form. • If the property contains isolated wetlands/waters, please indicate in "Remarks" section and attach the "Isolated Determination Information Sheet" to the file copy of this form. Copy Furnished: Ms. Heather Jean Saunders, EcoScience Corporation, 1101 Haynes Street, Suite 101, Raleigh, NC 27604 Page 2 of 2 'The term "adjacent" means bordering, contiguous, or neighboring. Wetlands separated from other waters of the U.S. by man-made dikes or barriers, natural n river berms, beach dunes, and the like are also adjacent. 'gR '. "'* e 6 YL ;y i 5 i,y0-_ .. ,, _ <iir t N®1i x CAIONI®F. ADNIINISfTRA?'1?IVEAP.PE"?OP?'I?IONS ? „ r1ND ?ROCES AND ? ?. L QUEST ©R rPP E let M { sr" r' . , °:r„? ? Applicant: NC Dept. of Transportation File Number: 2006-32951-318 Date: 22 Oct 2007 Attached is: See Section below INITIAL PROFFERED PERMIT (Standard Permit or Letter of A permission) PROFFERED PERMIT (Standard Permit or Letter of permission) B PERMIT DENIAL C X APPROVED JURISDICTIONAL DETERMINATION D PRELIMINARY JURISDICTIONAL DETERMINATION E SECTIONT aTheafollowmg tdentLfies your rights and options regari mgia dm plstratrve appeal of the above r p . , Y ?n ?:?_ decision Ad2lrtronal information"'may be>found at http '!/xwww usace:army millinet/f indtiohs/ew/cecwo/ree'or ; 1 . . . . ;C-or,6§1A,gd1atioh§,at ?3i CrR{P.arE 331 ;;.a _ . ,, tr c A: INITIAL PROFFERED PERMIT: You may. accept or object to the permit. • ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit. • OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your objections must be received by the district engineer within 60 days of . the date of this notice, or you will forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in Section B below. B: PROFFERED PERMIT: You may accept or appeal the permit • ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit. • APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of this notice. C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of this notice. D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new information. ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD. • APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of this notice. E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the preliminary JD. The Preliminary JD is not.appealable. If you wish, you may request an approved JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the Corps to reevaluate the JD. 'T . ?S t-t? iiE i ?.t .qUq zk ?, =A q l,m' tau"`4a a F y i',v Pb.Y^i' (" ?« t:ir?v e . SECTION .II"? REQiJEST±F OR=APPEAE,or 0139ECTI0NS.T@ AN;INITIALAPROFFEREDgPERIvIIT . . , REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or objections are addressed in the administrative record.) ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may provide additional information to clarify the location of information that is already in the administrative record. WOINPOPGON,TACT FORiQUESTIONS ORJNF ORMATJON If you have questions regarding this decision " If you only have questions regarding the appeal process you and/or the appeal process you may contact: may also contact: Mr. Steven W. Lund, Regulatory Project Manager Mr. Michael F. Bell, Administrative Appeal Review Officer CESAW-RG-A CESAD-ET-CO-R Asheville Regulatory Field Office U.S. Army Corps of Engineers, South Atlantic Division 151 Patton Avenue, Room 208 60 Forsyth Street, Room 9M15 Asheville, North Carolina 28801-5006 Atlanta, Georgia 30303-8801 RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site investigations Date: Telephone number: Signature of appellant or agent. DIVISION ENGINEER: Commander U.S. Army Engineer Division, South Atlantic 60 Forsyth Street, Room 9M15 Atlanta, Georgia 30303-3490 Peffm wary Sheet & Jtt> 2009 JUN 2 9 p I - ", OFF1CEOf NA?NMENT OWNERS NAME ADDRESS (D Lindley. William B. 702 W. Second Ave. Gastonia, NC 28052 O Boyd. C.F. Heirs 15077 W. Belmont Dr. Casa Grande, AZ 85294 O3 Stove, Jr_ Jasper Carl 148 Jasper's Troll Gastonia, NC 28052 PROPERTY OWNER NAME AVID ADDRESS B-4517 %CDOT DIVISION OF HIGHWAYS GASTON COUNTY PROJECT: 33741JJ (B-4.517) BRIDGE NO.49 ON SR 1103 (CROIVDERS CREEK RD) OVER CROWDERS CREEK Shrmt 2 of 1n ?'?itf?;[ ?Jrr?vnri?, ?l s pgeg2 ? i r r g e CJ e U a U a q o a ? zo a Z pq O ? O N R u H Q CJ U I A ?Ch r? v V I y ?o O N ? SU Q CO U? N (1 UTHERN RR rv of rv rvl / _ (?• «I l ? I N ? 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