20010715 Ver 1_COMPLETE FILE_20010511

f' errcny 3 i ?a"?r i.•
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
May 18, 2001
DWQ# 01-0715
Rutherford County
Town of Forest City
Post Office Box 728
Forest City, NC 28043
APPROVAL of 401 Water Quality Certification
Dear Sirs:
You have our approval, in accordance with the attached conditions, to construct a water main across Long Branch in
Rutherford County, as described in revised application materials received by the Division of Water Quality on May 11, 2001.
After reviewing your application, we have decided that this work is covered by General Water Quality Certification Number
3288, which can be downloaded from our web site at http://h2o.enr.state.ne.us/ncwetlands. This Certification allows to use
Nationwide Permit Number 12 when the Corps of Engineers issues it. In addition, you should get any other federal, state or
local permits before you go ahead with your project including (but not limited to) Sediment and Erosion Control, Coastal
Stormwater, Non-Discharge and Water Supply Watershed regulations. Also this approval will expire when the
accompanying 404 permit expires unless otherwise specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application for a new certification. If the property is
sold, the new owner must be given a copy of the Certification and approval letter and is thereby responsible for complying
with all conditions. If total wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may
be required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the conditions listed in
the attached certification.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act
within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, P.O. Box 27447, Raleigh,
N.C. 27611-7447. This certification and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have
any questions, please telephone John Dorney at 919-733-9646.
Sincer y,
T Stevens
Attachment
cc: Corps of Engineers Asheville Regulatory Field Office
Asheville DWQ Regional Office
File Copy
Central Files
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
3d
TT
??,p,??y P t s
01 0 71
DWQ ID: CORPS ACTION ID
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #): 0
W
PRE-CONSTRUCTION NOTIFICATION APPLICATION t!)
FOR NATIONWIDE PERMITS THAT REQUIRE: T'
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND ONE (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN C-) Z7
(7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER m rm
QUALITY, ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, ° --a
RALEIGH, NC 27609. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: Town of Forest City
2. MAILING ADDRESS: P.O. Box 728
SUBDIVISION NAME
CITY: Forest City STATE: NC ZIP CODE: 28043
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER (HOME):
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
N/A
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Rutherford
(WORK): [phone]
-NEAREST TOWN: Forest City
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Long Branch, where the stream crosses underneath SR 2169
6. IMPACTED OR NEAREST STREAM/RIVER: Long Branch
RIVER BASIN: BROAD RIVER
7a. IS THIS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES ( ) NO( X ) IF YES, EXPLAIN:
7b. IS THIS PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO ( X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? N/A
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ( ) NO ( X ) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION): N/A
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( ) NO ( X ) IF YES, DESCRIBE ANTICIPATED WORK: N/A
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: NOT A TRACT
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION: 0
FLOODING: 0 OTHER: 0
DRAINAGE: 0
TOTAL ACRES TO BE IMPACTED: 0
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A
AVERAGE DEPTH BEFORE: N/A FT AFTER: N/A
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
FT
FT
OTHER: Temporary installation of a coffer dam to allow water line installation
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A
POND SURFACE AREA? N/A
WHAT IS THE EXPECTED
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 8 1 /2 BY 11 DRAWINGS ONLY)
Installation of 8-inch ductile iron water line, backhoe or track hoe will be used for trench
excavation
13. PURPOSE OF WORK: Municipal Water Line Installation
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
N/A
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAYBE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: By copy
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
By copy
17. DOES THE PROJECT INVOLVE THE EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( X) NO ( ) (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( X )
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO (N/A
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO
WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29,
AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET
OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PRODUCT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORM WATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Rural
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A
g. SIGNED AND DATED AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
I) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3 (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
MANAGEMENT PROGRAM.
\1 ?
zoo
O ER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).
t
r
.71 r
BURCH RUTCHINS RD.
0
PFiiMM®
WATM I.W

NcOADE ROAD
8•
74

1C I)! \-1 F"C?OSED
8• 6E?PN? v- vF
u
ry?? u
N
uyQ-
LOCATION MAP
SCALE: 1" = 1200'
APPLICANT:
TOWN OF FOREST CITY
P.O. BOX 728
FOREST CITY, NORTH CAROLINA 28043
PROPOSED CONSTRUCTION:
INSTALLATION OF 12-INCH
DUCTILE IRON WATER LINE
UNDERNEATH STREAM
LOCATION:
APPROXIMATELY 320 FEET SOUTH FROM THE CENTER OF
U.S. HWY 74 AND OAKLAND ROAD (SR 2169).
COUNTY: STATE:
RUTHERFORD NORTH CAROLINA
SCALE: 1"= 1200' DATE: APRIL, 2001 SHEET 1 OF 5
PROJECT:
OAKLAND ROAD WATER LINE EXTENSION
TOWN OF FOREST CITY
ADJACENT PROPERTY OWNERS:
1. NCDOT
55 BROAD STREET
ASHEVIJA NC
PEL [phone]
FAX [phone]
A S S O C I A T E S
ENGINEERING* PLANNING* FINANCE
r
PLAN
sme 1 60'
PROPOSED
STREAM CROSSING
SEE DETAIL
PROPOSED
ROCK CHECK DAM
SEE DETAIL ?
PROPOSED 6 -GAS MARKER
D.I. WATER UNE Z
MATH V-0" MIN. COVER x o Z o?
a D-
W
o ° SR ZOO 0 ° p ROpp
EXISTI . RIP RAP
/1?"iA 1 TO
16
'Co
0 0 0
M
e ° ° k PROPOSED
% SILT FENCE
SEE DETAIL
m
o
2 a rJ'a.
M r- 8 OPGATE OSED VALVE do
YN ?. 80X. 6" BLOWOFF
(8"x6" TEE, 6" GATE
VALVE do BOX. 20 LF
D.I.P.. 6" FLAP
VALVE)
APPLICANT:
TOWN OF FOREST CITY
P.O. BOX 728
FOREST CITY, NORTH CAROLINA 28043
PROJECT:
OAKLAND ROAD WATER LINE EXTENSION
TOWN OF FOREST CITY
ADJACENT PROPERTY OWNERS:
1. NCDOT
PROPOSED CONSTRUCTION:
INSTALLATION OF 12-INCH
DUCTILE IRON WATER LINE
UNDERNEATH STREAM
LOCATION:
APPROXIMATELY 320 FEET SOUTH FROM THE CENTER OF
U.S. HWY 74 AND OAKLAND ROAD (SR 2169).
55 BROAD STREW
ASHEMIJE NC
PH. [phone]
PAX (BZS) 252-7518 E5 McGill
A S S O C I A T E S
ENGINEERING- PLANNING- FINANCE
COUNTY: STATE:
RUTHERFORD NORTH CAROLINA
SCALE: 1"=60' DATE: MARCH, 2001 SHEET 2 OF 5
r
EXISTING GROIUND
8" D. I. WA R LINE
NA 3' MIN. COVER
CRO NG
- V t. 38+00
DET
a
c?
PROFILE
SCALE: HORIZ 1 5O'
VERT. 1'- 5'
m
STA.
35+00 38+00
APPLICANT:
TOWN OF FOREST CITY
P.O. BOX 728
FOREST CITY, NORTH CAROLINA 28043
PROPOSED CONSTRUCTION:
INSTALLATION OF 12-INCH
DUCTILE IRON WATER LINE
UNDERNEATH STREAM

LOCATION:
APPROXIMATELY 320 FEET SOUTH FROM THE CENTER OF
U.S. HWY 74 AND OAKLAND ROAD (SR 2169).

COUNTY: STATE:
RUTHERFORD NORTH CAROLINA
SCALE: AS SHOWN DATE: APRIL, 2001 SHEET 3 OF 5

a0 - ma
c~n aa.. ao JI QD >
37+00 35+00
PROJECT:
OAKLAND ROAD WATER LINE EXTENSION
TOWN OF FOREST CITY
ADJACENT PROPERTY OWNERS:
1. NCDOT
55 BROAD STRBBT
ASHEVMM NC
PH. [phone]
PAX(928)252-2519 McGill
A S S O C I A T E
F.NCENF.ER1NG• PLANNING• FINANC,
11
WATER FLOW

WATER
(FIELD
SANDBAGS
AT ANY
`TOP OF STREAM BANK)
PLAN
CUSS B
PRECAST RIPRAP-
CONCRETE
BARRIER
PLASTIC LINER
OR
S-0' MIN.1 LS?EDEAM
B
PIPE -I_
SECTION AA
COFFER DAM DETAIL
NOTES
1. COFFER DAM WlL BE BUILT SO THAT APPROXIMATELY ONE-HALF (1/2)
OF THE STREAM CHANNEL IS OPEN AT ALL TIMES.
2 MATERIAL FROM THE STREAM BED SHALL NOT BE USED FOR COFFER DAM
1 NO EARTHEN MATERIAL SHALL BE USED FOR COFFER DAM OR PLACED
IN STREAM FOR ANY REASON.
APPLICANT:
TOEN OF FOREST CITY
P.O. BOX 728
FOREST CITY, NORTH CAROLINA 28043
PROPOSED CONSTRUCTION:
INSTALLATION OF 12-INCH
DUCTILE IRON WATERLINE
UNDERNEATH STREAM
LOCATION:
APPROXIMATELY 320 FEET SOUTH FROM THE CENTER OF
U.S. HWY 74 AND OAKLAND ROAD (SR 2169).
COUNTY: STATE:
RUTHERFORD NORTH CAROLINA
SCALE: NO SCALE DATE: APRIL, 2001 SHEET 5 OF 5
SANDBAGS
-ON FACE
V RI Y)
M STREAM BED SHALL BE DISTURBED THE MINIMUM REOUIRED FOR
CONSTRUCTION OF PIPE UNE AND WALL BE RESTORED TO ORIGINAL
CONTOURS WHEN WORK IS COMPLETE
S. ALTERNATIVE COFFER DATA MATERIAL IS ACCEPTABLE BUT SHALL
BE APPROVED BY THE ENGINEER
'I
PROJECT:
OAKLAND ROAD WATER LINE EXTENSION
TOWN OF FOREST CITY
ADJACENT PROPERTY OWNERS:
1. NCDOT
SS BROAD SYRBEP
ASHEWfLLE, NC
PH. [phone]
FAX [phone] !a McGill
A S S O C I A T E S
ENGINEERING- PLANNING • FINANCE

McGill
A S S O C I A T E S
May 1, 2001
Mr. David Baker
US Army Corps of Engineers
Regulatory Field Office
151 Patton Avenue, Room 143
Asheville, North Carolina 28801
PAYMENT
RECEIVED
010715 °
w
RE: Nationwide Permit co
Oakland Road Water Line Extension CD
Town of Forest City r
Rutherford County, North Carolina
Dear Mr. Baker:
On behalf of the Town of Forest City, please find enclosed two (2) copies of a Nationwide
Permit Application Form and two (2) copies of 8 1/2" x 11" drawings for one (1) stream
crossing proposed in the subject project. In general, the project consists of approximately
5,900 lineal feet of 8-inch, 1,280 lineal feet of 6-inch, and 1,130 lineal feet of 2-inch water
lines in the southern portion of Forest City.
We look forward to your timely review and approval of this application. If you have any
questions or require further information please do not hesitate to call.
Sincerely,
McGILL ASSOCIATES, P.A.
0"-- 544
DAN M. TOWNSEND, E.I.T.
Enclosures
cc: Scott Hoyle
John Dorney, Water Quality Planning (w/7 copies)
E n g i n e e r i n g • P l a n n i n g • F i n a n c e
McGill Associates. P.A. • P.O. Box 2259, Asheville, NC 28802 • 55 Broad Street, Asheville, NC 28801
828-252-0575 • FAX [phone]
David Baker
May 1, 2001
Page 2
Brian Cole, USFWS (w/1 copy)
Renee Gledhill-Early, SHPO (w/1 copy)
Mark Davis, NC Wildlife Resources Commission (w/1 copy)
0 1 505\permits_ext\db 1 may 1. doc
0
010715
DWQ ID: CORPS ACTION ID
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT # 1ara?'I Js Gr t 0p
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND ONE (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE
FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN
(7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER
QUALITY, ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD,
RALEIGH. NC 27609. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: Town of Forest City
2. MAILING ADDRESS: P.O. Box 728
SUBDIVISION NAME
CITY: Forest City STATE: NC ZIP CODE: 28043
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME OF DIFFERENT FROM
MAILING ADDRESS ABOVE):
3. TELEPHONE NUMBER (HOME): (WORK): [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
N/A
LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
-OUNTY: Rutherford -NEAREST TOWN: Forest City m
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Long Branch, where the stream crosses underneath SR 2169
6. IMPACTED OR NEAREST STREAM/RIVER: Long Branch
RIVER BASIN: BROAD RIVER
7a. IS THIS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-1 OR WS-II)? YES ( ) NO( X ) IF YES, EXPLAIN:
7b. IS THIS PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO ( X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? N/A
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ( ) NO ( X ) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION): N/A
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES ( ) NO ( X ) IF YES, DESCRIBE ANTICIPATED WORK: N/A
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: NOT A TRACT
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0 EXCAVATION: 0
FLOODING: 0 OTHER: 0
01
DRAINAGE: 0 TOTAL ACRES TO BE IMPACTED: 0
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N/A
FT AFTER: N/A
WIDTH BEFORE (based on nonnal high water contours): N/A
AVERAGE DEPTH BEFORE: N/A FT
AFTER: N/A
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: X CONSTRUCTION OF A DAM/FLOODING:
OTHER: Temnorarv installation of a coffer dam to allow water line installation
FT
FT
FT
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A WHAT IS THE EXPECTED
POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 8 1 /2 BY 11 DRAWINGS ONLY)
Installation of 8-inch ductile iron water line, backhoe or track hoe will be used for trench
excavation
13. PURPOSE OF WORK: Municipal Water Line Installation
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MWI IIZE WETLAND IMPACTS)
N/A
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR
CRITICAL HABITAT IN THE PERMIT AREA THAT MAYBE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED: By copy
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED
By copy
17. DOES THE PROJECT INVOLVE THE EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND? YES ( X) NO ( ) OF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( X )
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO (N/A
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO
WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29,
AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE I INCH EQUALS 50 FEET
OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED
BY PRODUCT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA
SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORM WATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Rural
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? N/A
g. SIGNED AND DATED AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
I ) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
V THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
ROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
TIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL
ANAGEMENT PROGRAM.
\t A
O ER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).

0
0
BURGH HUTCHINS RD. McDADE ROAD
PROPO®®
WATM I.W
010715
8•
FOX RUN
74

8r
F4
LOCATION MAP
APPLICANT:
TOWN OF FOREST CITY
P.O. BOX 728
FOREST CITY, NORTH CAROLINA 28043
PROPOSED CONSTRUCTION:
INSTALLATION OF 12-INCH
DUCTILE IRON WATER LINE
UNDERNEATH STREAM
LOCATION:
APPROXIMATELY 320 FEET SOUTH FROM THE CENTER OF
U.S. HWY 74 AND OAKLAND ROAD (SR 2169).
COUNTY: STATE:
RUTHERFORD NORTH CAROLINA
SCALE: 1"= 1200' DATE: APRIL, 2001 SHEET 1 OF 5
N
W
u
Nry
uy? /
SCALE: 1" = 1200'
PROJECT:
OAKLAND ROAD WATER LINE EXTENSION
TOWN OF FOREST CITY
ADJACENT PROPERTY OWNERS:
1. NCDOT
55 BROAD STREErr
ASHEVU-M NC
F 252-2518 s
FAX [phone] McG'i
0 A S S O C I A T E S
ENGINEERING- PLANNING* FINANCE
PROPOSED
STREAM CR
SEE DETAIL

0
PROPOSED
ROCK CHECK DAM
SEE DETAIL
PROPOSED
8" D.I. WATER LINE
MATH X-0" MIN. CI
?ac

?
7i-oPT ?g9
' 01
0
r,
e
t ?
t
EXISTING RIP RAP
DITCH.
NMI
E)U M Cm TO
=DffM
0

l z ?
r?
r
0.
I
O
0
0
P
In
N
r
tn,
APPLICANT:
TOWN OF FOREST CITY
P.O. BOX 728
FOREST CITY, NORTH CAROLINA 28043
PROPOSED CONSTRUCTION:
INSTALLATION OF 12-INCH
DUCTILE IRON WATER LINE
UNDERNEATH STREAM
LOCATION:
APPROXIMATELY 320 FEET SOUTH FROM THE CENTER OF
U.S. HWY 74 AND OAKLAND ROAD (SR 2169).
COUNTY: STATE:
RUTHERFORD NORTH CAROLINA
SCALE: 1"=60' DATE: MARCH, 2001 SHEET 2 OF 5
0
t
.D
M
PLAN
SCALE: 1 60'
6
z
co
0
O
J
O%
PROPOSED
SILT FENCE
SEE DETAIL
-GAS MARKER
p?

PROPOSED
8" GATE VALVE do -
80X, 6" BLOWF
(8"x6" TEE, 6" GATE
VALVE & BOX. 20 LF
6" D.I.P.. 6" FLAP
VALVE)
PROJECT:
OAKLAND ROAD WATER LINE EXTENSION
TOWN OF FOREST CITY
ADJACENT PROPERTY OWNERS:
1. NCDOT
55 BROAD 8TRWr '10 Air
ASHEVMJJR. NC
PH. [phone]
PAX [phone] m L I
A S S O C I A T E S
ENGINEERING- PLANNING- FINANCE
ED
EXISTING GR ND STR PROPOS
EAM CRO NG

STA. 36 50 - ST A
EE DETAIL . 38+00
,

PR
8" OSED
D. I. WATE
R LINE
WI 3' MIN. COVER
L LL-
a
0

o _
gym`" LL.

PROFILE
, P% v7 w

o x ,
a .91

a
SCALE: HONZ 1"= W
VERT. 1"w 5' a co x
a o0 *1 :2, ?
io
35+00 36+00 37+00 36+00
APPLICANT:
TOWN OF FOREST CITY
P.O. BOX 728 PROJECT:
OAKLAND ROAD WATER LINE EXTENSION
TOWN OF FOREST CITY
FOREST CITY, NORTH CAROLINA 28043 ADJACENT PROPERTY OWNERS:
1. NCDOT
PROPOSED CONSTRUCTION:
INSTALLATION OF 12-INCH
DUCTILE IRON WATER LINE
UNDERNEATH STREAM

LOCATION:
APPROXIMATELY 320 FEET SOUTH FROM THE CENTER OF
U.S. HWY 74 AND OAKLAND ROAD SR 2169.
55 BROADSTREB'f
ASHSVILLB. NC
F 989 2052-0575
PAX AX (929) 252-Mis
M c Gi" I I
COUNTY:
RUTHERFORD STATE:
NORTH CAROLINA A S S O C I A T E;
SCALE: AS SHOWN DATE: APRIL, 2001 SHEET 3 OF 5 ENGINEERING -PLANNING •FINANCI
10

WATER FLOW
CREDO

t
`TOP OF STRI
PLAN
PRECAST
CONCRETE
NOTES
1. COFFER DAM WILL BE BUILT SO THAT APPROXIMATELY ONE-HALF (1/2)
OF THE STREAM CHANNEL IS OPEN AT ALL. TIMES
2. MATERIAL FROM THE STREAM BED SHALL NOT BE USED FOR COFFER DAM
S NO EARTHEN MATERIAL SNAIL BE USED FOR COFFER DAM OR PLACED
IN STREAM FOR ANY REASON.
APPLICANT:
TOEN OF FOREST CITY
P.O. BOX 728
FOREST CITY, NORTH CAROLINA 28043
PROPOSED CONSTRUCTION:
INSTALLATION OF 12-INCH
DUCTILE IRON WATERLINE
UNDERNEATH STREAM
LOCATION:
APPROXIMATELY 320 FEET SOUTH FROM THE CENTER OF
U.S. HWY 74 AND OAKLAND ROAD (SR 2169).
SANTAOS
ON FACE
B
4. STREAM BED SHALL BE DISTURBED THE MINIMUM REQUIRED FOR
CONSTRUCTION OF PIPE LINE AND MLL BE RESTORED TO ORIGINAL
CONTOURS WHEN WORK IS COMPLETE
5. ALTERNATIVE COFFER DAM MATERIAL IS ACCEPTABLE BUT SHALL
EIE APPROVED BY THE ENGINEER
PROJECT:
OAKLAND ROAD WATER LINE EXTENSION
TOWN OF FOREST CITY
ADJACENT PROPERTY OWNERS:
1. NCDOT
55 BROAD STREET
ASHEVILLE, NC
PA. [phone]
FAX [phone] eMcGl*ll
A S S O C I A T E S
ENGINEERING • PLANNING* FINANCE
COUNTY: STATE:
RUTHERFORD NORTH CAROLINA
SCALE: NO SCALE DATE: APRIL, 2001 SHEET 5 OF 5