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HomeMy WebLinkAbout20031096 Ver 1_COMPLETE FILE_20030902`O0F W A r?9oG Ch > =1 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality September 9, 2003 Wilkes County DWQ Project #: 03-1096 APPROVAL of 401 Water Quality Certification and AUTHORIZATION CERTIFICATE Ms. Debra Elliott Carolina West Wireless 1307 Curtis Bridge Road Wilkesboro, NC Subject Property: Rendesvous Tower Site Dear Ms. Elliott: You have our approval, in accordance with the attached conditions, to impact 25 feet of wetlands or waters for the purpose of construction of road improvement as you described in your application dated August 28, 2003. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number 3404, which may be viewed on our website at http://h2o.enr.state.nc.us/ncwetlands. This certification allows you to use Nationwide Permit Number 14 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. This approval will expire when the accompanying 404 or CAMA 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 except as modified below. If you change your project, you must notify us and you may be required to send us a new application. If the property is sold, the new owner must be given a copy of this 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) (6) and (7). This approval shall expire when the corresponding Nationwide Permit expires or as otherwise provided in the General Certification. For this approval to be valid, you must follow the conditions listed in the attached certification and any additional conditions listed below. Conditions of Certification: Certification of Completion 1. Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifications, the applicant is required to return the attached certificate of completion to the 401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699- 1650. Deed of Notification 2. Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands, waters and protective buffers in order to assure compliance for future wetland, water and buffer impact. These mechanisms shall be put in place prior to impacting any wetlands, waters and/or buffers approved for impact under this Certification Approval and Authorization Certificate. A sample deed notification can be downloaded from the 401/Wetlands Unit web site at http://h2o.enr.state.nc.us/ncwetlands. NCDW N. C. 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) (919) 733-1786 (phone), 919-733-6893 (fax), (http:/th2o.enr.state.nc.us/ncwetlands Page 2 Watershed II High Quality Water Conditions 3. For construction work in the vicinity of or draining towards Old Taylor Branch and its UT s, the Applicant shall implement Design Standards for Sensitive Watersheds (15A NCAC 4B .0124). 4. The Applicant shall abide by the requirements for WS-II and High Quality Waters [15A NCAC 2B .0214 and 15A NCAC 2B .02241. 5. Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing season following completion of construction. 6. The dimension, pattern, and profile of the stream and floodplain above and below each culvert shall not be modified by widening the stream channel or reducing the depth of the stream. The structures shall be designed and installed to allow for fish and other wildlife movement as well as prevent headcutting of the streams. DWQ understands that there are topographic constraints to pipe burial on this project. 7. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when practical. If rip-rap is necessary, it must be limited to the stream bank above the high water mark. Rip rap shall not be placed in the stream bottom. 8. The presence of equipment in the channels must be minimized. Under no circumstances must rock, sand or other materials be dredged from the wetted stream channel under authorization of this permit, except in the immediate vicinity of the culverts. Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream. 9. All mechanized equipment operated near surface waters must be regularly inspected and maintained to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials. 10. Upon completion of the project, the Applicant shall complete and return the enclosed Certificate of Completion form to notify NCDWQ when all work included in the §401 Certification has been completed. The responsible party shall complete the attached form and return it to the 401/Wetlands Unit of the NC Division of Water Quality upon completion of the project. The Applicant is strongly advised to send in photographs upstream and downstream of the structure to document correct installation. Violations of any condition herein set forth may result in revocation of this Certification and may result in criminal and/or civil penalties. This Certification shall become null and void unless the above conditions are made conditions of the Federal 404 and/or coastal Area Management Act Permit. 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 919-733-1786 or Daryl Lamb at our Winston-Salem Regional Office at 336- 771-4600. JRD/bs Attachments cc: Corps of Engineers Raleigh Field Office Winston-Salem DWQ Regional Office File copy Central Files MACTEC, 720 Gracern Road, Suite 132, Columbia, SC 29221 Sincerely, 0 North Carolina Wildlife Resources Commission .® Charles K. Fullwood, Lxecutive Director MEMORANDUM `A'R TO: John Thomas, Permit Coordinator 47 1401 OW Raleigh Office, U.S. Army Corps of Engineers SEP 1 0 2001 FROM: Ron Linville, Regional Coordinator QUTI???7L?+? ON VIIt11Y Habitat Conservation Program r,A DATE: September 4, 2003 SUBJECT: Review of an application by Carolina West Wireless, Rendezvous Tower Site, Quarry Branch, Wilkes County The applicant is requesting a letter of concurrence from the North Carolina Wildlife Resources Commission (NCWRC) to obtain a 404 permit from the U.S. Army Corps of Engineers. The NCWRC has reviewed information provided by the applicant, and field biologists on our staff are familiar with habitat values of the project area. These comments are provided in accordance with provisions of the Clean Water Act of 1977 (33 U.S.C. 466 et. seq.) and the Fish and Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661-667d). The permit request is to install a twenty-five (25) foot, thirty-two (32) inch culvert into Quarry Branch to improve the current access crossing. The application indicates the crossing as an eight (8) foot wide section of perennial stream. No threatened or endangered species are indicated for the area; however, brook trout are present in small streams in this area. Based on the information provided by the applicant and our information on the range of trout in the project area, we do not believe this project will cause significant effects to waters supporting trout. Therefore, we do not object to the project as proposed providing the following conditions are followed: Instream work and land disturbance within the 25-foot wide buffer zone are prohibited during the brown and brook trout spawning season of October 15 through April 15 to protect the egg and fry stages of trout from off-site sedimentation during construction. Rendezvous Tower, Quarry Branch 2 September 4, 2003 2. Culverts 48" or larger should be buried a foot into the streambed. Culverts less than 48 inches in diameter should be buried to a depth equal to or greater than 20% their size to allow for aquatic life passage. These measurements must be based on natural thalweg depths. 3. The historically disturbed or construction disturbed stream channel, including the thalweg, should be restored to natural geomorphic conditions upon project completion. These dimensions should based on nearby undisturbed stream conditions. 4. Any riprap used must not interfere with aquatic life passage during low flow conditions. 5. If concrete will be used, work must be accomplished so that wet concrete does not contact stream water. This will lessen the chance of altering the stream's water chemistry and causing a fish kill. 6. Stringent erosion control measures should be installed where soil is disturbed and maintained until project completion. 7. Disturbed streambanks should be revegetated with silky dogwood (Corpus amonum), silky willow (Salix sericea), tag alder (Alnus serrulata), black willow (Salix nigra), and sycamore (Platanus occidentalis) or other native herbaceous plants to provide long term bank stability and stream shading. Note that silky dogwood, silky willow and black willow can be planted as live stakes collected during the dormant growing season. Cuttings should be randomly planted on 4 foot centers from the waters edge to the top of the bank. Trees should be planted on 10-12 foot centers. Stream banks in these areas should also be seeded with an approved wetland seed mix or temporary crop of wheat or rye. 8. Due to the nearness of Rendezvous Mountain State Educational Forest, the applicant should contact Mr. Alec Hurt with the NC Division of Forest Resources at 336-667-5072 and local zoning officials to ensure that the proposed tower will not impact sensitive view corridors, nature trails, or cause other issues or concerns relative to public lands. 9. The applicant should also visit littp://www.towerkill.coin/ to determine if changes in tower design can reduce impacts to bird species that use or migrate through the area. Thank you for the opportunity to review and comment on this project. If you have any questions regarding these comments, please contact me at 336/769-9453. AAAbTEC ENGINEERING AND CONSULTING, INC. (`r 720 GRACERN ROAD, SUITE 132 COLUMBIA, SOUTH CAROLINA 29221 (803) 798-1200 TO: ice, t, °ATF` August 28, 2003 Project No'' 6672-3-0003-12 NC Wildlife Resources Commission AT:nmo"' Mr. Ron Linville k, l 1 Ves(cfn NedrnQdt Region Coordinator RF' NWP 14-Road Crossings Rendezvous Towet -Site 38551dlewZ,NIC Road Kerner, vil27284-9180 WE ARE SENDING YOU [x] Attached [] Under separate cover via the following items [] Shop drawings [] Prints [] Plans [] Samples [] Specifications [] Copy of letter [] Change Order COPIES DATE NO. DESCRIPTION 1 8/28/03 12 Permit Application: Rendezvous Site (1231) THESE ARE TRANSMITTED as checked below: [] For approval [] Approved as submitted [] Resubmit copies for approval [X] For your use [] Approved as noted [] Submit copies for distribution [] As requested [] Returned for corrections Q Return corrected prints [] For review and comment REMARKS: Please call with questions or if we can be of further assistance at 803-798-1200. Thanks. l NET/401@MF 1 oc" U-o Y J DISTRIBUTION: Mr.eatsr, USACE File ` XERQUALITY SECTION MACTEC ENGINEERING AND CONSULTIN, INC. iSincerely, Robert H. Bunch AMACTEC MACTEC ENGINEERING AND CONSULTING, INC 720 GRACERN ROAD, SUITE 132 COLUMBIA, SOUTH CAROLINA 29221 (803) 798-1200 DA1?'` August 28, 2003 I TO: NC Division of Water Quality 1401 Wetlands Unit COPY 1(50 Mail Scr vtcc Ccntcr FILE Raleigh, NC 27699-1650 ATPENIION: Mr. Danny Smith 0'3 109 Project NO.: 6672-3-0003-12 RE: NWP 14-Road Crossings Rendezvous Tower Site II WE ARE SENDING YOU [x] Attached [] Under separate cover via the following items [] Shop drawings [] Prints [] Plans [] Samples [] Specifications [] Copy of letter [] Change Order COPIES DATE NO. DESCRIPTION 7 8/28/03 12 Permit Application: Rendezvous Site (1231) 1 8/28/03 12 Application Fee THESE ARE TRANSMITTED as checked below: [] For approval [] Approved as submitted [] Resubmit copies for approval [X] For your use [] Approved as noted [] Submit copies for distribution [] As requested [] Returned for corrections [] Return corrected prints [] For review and comment REMARKS: Please call with questions or if we can be of further assistance at 803-798-1200. Thanks I r, S L. 11P' 1 ?, e I UF ET d DISTRIBUTION: Mr. Ron Linville, NCWRC Mr. Todd Tugwell, USACE File FP 41ATER QUALITY SECTION MACTEC ENGINEERING AND CONSULTING, INC. Sincerely, Robert R. Bunch FILE COPY 011 ?????UE Office Use Only: Form Version May 2002 USACE Action ID No. DWQ No, '•• -••, I'l-11-111 ,o „v, al,lnn.avw w u-, piujccl, Encase en(cr INO[ APPIMINe" oi- 'N/A".) 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 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14 -- Road Crossings 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 Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), 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), chec4 IL Applicant Information ?' IUll:t 1. Owner/Applicant Information SF'P Name: Ms. Debra Elliott AVATER01,LI?LITY SECTION Mailing Address: Carolina West Wireless 1307 Curtis Bridge Road Wilkesboro, NC Telephone Number: 336-973-5000 Fax Number: 336-838-7550 E-mail Address:_ debrae((ecarolinawest.com 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: James A. Smith Company Affiliation: MACTEC Engineering and Consulting, Inc. Mailing Address: 720 Gracern Road Suite 132 Columbia, SC 29210 Telephone Number: 803-798-1200 Fax Number: 803-750-1303 E-mail Address:_ iim.smith(a mactec.corn Page 5 of 13 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. if possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 1 1 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 fill-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: Rendezvous Tower Site (6672-03-0003-12) 2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A 3. Property Identification Number (Tax PIN): Parcel 3920-78-1662 4. Location County: Wilkes Nearest Town: Wilkesboro Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): From Wilkesboro take Highway 421 west for approximately 3.0 miles to Highway 16 North Follow Highway 16 for approximately 6 miles. Take a left on Shin lg c Gap Road (SR 1346) Take Your first right onto a driveway which leads to a locked gate Please contact Debra Elliott fin- access The access road continues north/northwest along an existingpath The road crossing is approximately 3,800 feet northwest from the gate The site is located approximately 4,200 feet northwest from the gate. The entire access road is along an existing logging road 5. Site coordinates, if available (UTM or Lat/Long): Site- N36°13'37"/W81°16'22" (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): 331.7 acres (project site: 100' by 100') (access: 20' by 4,200 feet) 7. Nearest body of water (strcamh-ive?-/sotmd/ocean/lake): Reddies River 8. River Basin: Catawba River (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/.) Page 6 of 13 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: The parcel of land is located on an east-facia slope consisting of undeveloped woodlands northwest of Shingle Gap Road in Wilkes County North Carolina. The area of interest (road crossing) is located approximately 3,800 feet northwest of the gate off of Shingle Gap Road. Currently the road crosses the stream with no culvert (please see attached photographs). Portions of the property are for agricultural use and others remain undeveloped woodlands. 10. Describe the overall project in detail, including the type of equipment to be used: The project involves improvements to an existing unpaved farm road and construction of new sections of the access easement (20 feet wide) including crossing an approximate 8-foot wide section of perennial stream with the installation of a culvert. The culvert will be approximately 32 inches in diameter and will extend 3 feet on either side of the road. Construction equipment will include a front-end loader/backhoe. 11. Explain the purpose of the proposed work: The improved road crossing and associated culvert installation will provide enhanced access to the northern portion of the property. It will serve as an access easement for a planned communications tower site. 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. 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. N/A 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. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent Pagc 7 of 13 and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: The culvert installation will require the placement of fill material in approximately 25 linear feet of perennial stream. 2. Individually list wetland impacts below: Wetland Impact Site Number (indicate on ma) 'T'ype of Impact* Area of Impact (acres) Located within 100-year Floodplain** (Cs/no) Distance to Nearest Stream (lincar feet) Type of Wetland*** N/A uuliaci aolnuaicly allU menUly WHII)Ural"y ImIpaCIS. Impacts IllCltldC, nut are not limited to: (mechanized clearing, grading, till, excavation, flooding, ditching/drainage, etc. For dan)s, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal En)ergency Management Agency's (FLMA) Flood Insurance Rate Maps (FIRM), or FFMA-approved local floodplain maps. Maps are available through the FLMA Map Service Center at 1-800-358-9616, or online at httn://www.fema.gov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USAGE only). List the total acreage (estimated) of all existing wetlands on the property: N/A Total area of wetland impact proposed: N/A 3. Individually list all intermittent and perennial stream impacts below: stream Impact Site Number (indicate on nut ) Type of Impact* Length of Impact (lincar feet) Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? (please specify) 1 Culvert 25 Quarry Branch 6 Perennial tributary to Reddics R. , IM cacti impact separately anu wennty temporary impacts. impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), Page 8 of 13 stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If'strcam relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.us s.t?ov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mat)gtiest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 25 linear feet 4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.) below: Open Water Impact Site Number (indicate on map) Type of Imp'ct* a' Arca of Impact (acres) Name p Waterbody (if applicable) 'hype of Waterbody (lake, pond, estuary, sound, bay, ocean, etc.) N/A L.ist caen impact separately anct wentity temporary unpacts. Impacts include, but are not hnnted to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 5. 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 Size of watershed draining to pond: N/A Expected pond surface area: N/A VIL Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide inforination 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. The tower site is to be located on the east-facing slope of a ridge Due to topographical constraints, property boundaries and the present layout of the existing road the proposed project will keep impacts to a minimum The proposed road crossing has been positioned upgradient (to Page 9 of 13 the west) as much as possible to reduce stream impacts. The road is not proposed to be re-routed to the west because of greater disturbance to the area due to the steep gradient that would be altered. Furthermore, the stream must be crossed in order to remain within the property boundaries. The road crossing is generally perpendicular to the stream thus keeping impacts to a minimum. 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 March 9, 2000, 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 USAGE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP 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.htm1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. N/A 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at Pagc 10 of 13 (919) 733-5208 to determine availability and to request written approval of mitigation prior to submittal of a PCN. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): N/A 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. X Environmental Documentation (required by DWQ) Does the project involve an expenditure of public (federal/state) finds or the use of public (federal/state) land? Yes ? No 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 ? 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 ? 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 tile DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neese), 15A NCAC 2B .0259 (Tar-Parnlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify p Yes ? No ® If you answered "yes", provide the following information: Page I 1 of 13 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 N/A 3 N/A 2 N/A 1.5 N/A Total N/A N/A Gone I extends out 30 tcet perpendicular from near bank of channel; zone 2 extends an additional 20 feet from the edge of zone I . If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or.0260. X1. Stormwater (required by DWQ) Describe impervious acreage (both 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. N/A XI1. 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 XII1. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules'? Yes ? No Is this an after-the-fact permit application'? Yes ? No ? Page 12 of 13 XIV. 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). Applic nt/Agent's Sign (Agenv? signat re is valid only i ;? Date authorization letter from the applicant is provided.) Page 13 of 13 SSR rsso \ , a. x 16 1P 16 ?. i v? X16 4 r h0 TOWER SITE Fo Deep Stream Crossing' ,s EXISTING ACCESS ROAD I 16 I 1997 DeLorme. Street Atlas USA ?y 66'72 -03-0003 - 12 1 I ' I i I ?''_ p.zSr,;ks \ ti • `Nz- ?.. J' [ `, g ??!/ l l f -? -/,r? ?` ?\ ..\`?' fJ ?? ?.:,.•,? 7 r? l :;r`tC`v,'I/? y r' ! % Seh"t1li+Jr? r '`? ??_ , ? ?.77w ?, ?, ?, ?.,?:` .; -.__^-?-i_:" ; ? ? '?"?„ !r ? •,? '--,?:.: f`?"';!d i bat 1 1VJ 1U? '?? ?• A ' f1f NT i O 11 11 k.. / C R 'E 1) Existing Road f ? `= ?,; qB `?:?• C t`-c"'? .` It I, J •.,1 ! ! ?' l l.'' ti: -+.?1?/ ), Ci?7r .;...-r?r--rt.n+°'? .??yi 'r.. ?,_.? SITE ?• V ` ,ft . ?1 l u! .(G%' \ %; L'• ?' tic '?"" ,; ,? . c \? I fl!' -? % b .`? 7 t ??';>, ?" ndezyo f t?r+ It ??? -? ,??„ ?, '?'?",=- 7 ' // ____ ??• ? ?• ' 133?1 i Crl .'81+f ''? Proposed Culvert f r i , f , 17_ Location } !' 1\ ??J y N 68' It I I?!. ? ?• i it > '• ?.? / 1 _ . `` 1 ? ./ Il t , \•. 5 .`, ?I , '1'00 _, ' ` '` W I+?.. ,`r r r I•ii',?t,,? I" !_ r i,_ , r -.o} Charity Ch _Cem ?. `. ?, ? 111 +?', ? J •l l \„ ()( I ' tea:..-1 ` j 11 . 1 J."427 97 1 ,•, ?. ? •l . ' 1.1 .. \) ? : ` r, t fit, l? i. a, -- r Name: PURLEAR Location: 036° 13'37.5" N 081° 16' 22.6" W Date: 8/6/2003 Scale: 1 inch equals 2000 feet ?ehAw"s kA+-. (` 12-03 -b?_ I z Inc. 5??:?_?`\`.. ?? rr•?l.?/I?I 1'115. \1?4C ??4-'i` ?yI v..t??.. \k? v, ?-?1 `._`'"? ??'?? illl -? ?:t? • ,??? -,Y rll?lt ?..-'1?1?i ?I.t':! ,??rt •. r? 1\? 1 _) \`!B ?' ?.v 1??? `? 1?\) ; %% ?<-. • `; \\._ ? ? ? ,?? ? . ?? .r, ? \ ? ? nqui•'? ?n Erik MI r _. ,'`` 5 ? ?'`.? {' ??' j ? 11? ??"), }t {\??1,_,ti?, 1,x\1 ,, •\ .r .,h ?a.ti? i V\` ` ?l' ( ( ?•L1 ?? r'{?,(r 1 i IN ?Wilbar ?I ' . o ?. ? ? s't li r f v? c r ? •? , \ ?! '/ ? ?? . i ?. ? j f'`.`,l l r' ti 1 rte! ?; ? ??i w, 1 ?f• '' ? ?r ,1i 4?' ). Existing Road ??? r "tl, ,, y ??? ? i? I ? ? I ???? ? ??? r -\ ? ?• ? ? li . "r..?+r . :..re+'? j? ?' ? l ? 1''_ i. L: Au SITE beep FOt:_ ?... . _1=Q}web. fti \JR ndezvou? MM ?"1-j-. tte'?- ?/ ` `1 -?.. ?• C?- 41 j$ Ir Proposed Culvert r t' t1 ` jr?, Location r \.\, .\t Y)!9 11 % •. ? Cif r ? , ` \ _ .I \"7 \,,'f \? `"_' 11 I I I;., i i \\ r j? ??_' ,? , ', yr• \. , iii ..-? 1 { ' ti r '? y' j J\ ?.f \ 1 V ! 111(r y r 1 ri; ! ;? cw y Ch - , , Cpl ? ?' ?? ?! , , ?.K, •; :;? ? ? ?' ??? ? - r jT1 ?; ? .'?' ?. - + ? ?\-_.-.- r?1•' ? i •? fi'r' .? t ?}\t '?`„ {..t .?\... )?.. 97 C ,l t ? i 1 i i 1 ?I m 1 ' r - 11 Il i ` •? 1,? 1'' fti'-'?1\?? i, ? Name: PURLEAR Location: 036' 13'37.5" N 081' 16'22.6" W Date: 8/6/2003 Scale: 1 inch equals 2000 feet Copyright (C) 1997, Maptech, Inc. JI'iGGI IIVUC/?: ? - i ;HEET 1: OVERALL SITEPLAN WITH LANDOWNER }? - t INFORMATION AND CL TOWER DATA r4. t? / tc ;HEET 2: ACCESS EASEMENT PART 7 OF 5 ;HEET 3: ACCESS EASEMENT PART 2 OF 5 O AND GENERAL NOTES ;HEET 4: ACCESS EASEMENT PART 3 OF 5- O 7. .S ' ;HEET 5: ACCESS EASEMENT PART 4 OF 5 ;HEET 6: ACCESS EASEMENT PART 5 OF 5 AND r I COMPOUND & LEASE AREA DETAIL 6~ " PROPOSED s f-- r ;HEET 7: LEGAL DESCRIPTIONS 1? 4 100' X 100, 3 LEASE AREA = i © ® R s _ O PROPOSED 20 O W ?. `•.t --- '?_. _:. ?? . ,% WIDE AND UTLITYS VICINITY MAP - (NOT TO SCALE) EASEMENT 0 O O 3920-78-1662 Y CL PROPOSED TOWER N/F BRUCE MGKINLEY k PEGGY S. CHURCH p DEED BOOK 536, PAGE 770 O O Or NAD '83 LONGITUDE: W 08116' 0 569" O O O O O O . g M NAD '27 LATTITUDE: N 36'13'48.046" NAD '27 LONGITUDE: W 081'16'21.240" J w Dr L © C S NORTH 988 (IN U.S. FEE) VERTICAL DATUM AVERAGE GROUND O ELEVATION AT CENTERLINE OF PROPOSED TOWER: 2062.0' ©°A PROPERTY OWNER TABLE PROPERTY OWNER TABLE GRAPHIC SCALE ,000 a 500 ,000 - 2000 CODE PARCEL NO. LANDOWNER DEED BOOK & PAGE CODE PARCEL NO. LANDOWNER DEED' BOOK & PAGE t A 3930-46-2714 ROBERT WADE CHURCH BOOK 836, PAGE 068 N 3920-57-2799 CLAYTON W. YATES BOOK 519, PAGE 269 B 3930-36-7669 ERNEST GLENN PERRY BOOK 864, PAGE 088 0 3920-38-7121 STATE OF NC BOOK 142, PAGE 453 C 3930-47-0295 DARRELL E. JENNINGS BOOK 866, PAGE 099 P 3921-31-0005 W.H. McELWEE BOOK 545, PAGE 942 D 3930-37-9187 DARRELL E. JENNINGS BOOK 835, PAGE 123 0 3921-62-8022 BETTY T. JOLLY BOOK 771, PAGE 463 I, JAMES M. GEUENTM. HERESY CEO-4RE THAT THIS MAP WAS LIMITED BOUNDARY AND E 3930-37-6638 ANTHONY W. ROTEN BOOK 866, PAGE 595 R 3921-71-0183 CHAS. A BAGGY BOOK 745, PAGE 167 DRAM LMM MY S1PEtW57a17 A SURVEY MADE UNDER MY SUPFRVIs . THAT THE Aos??IR?rEo ARE CLEARLY TOPOGRAPHIC SURVEY F 3930-27-9499 DGAR RANSOM MINTON BOOK 869, PAGE 087 S 3921-70-6905 CHAS. A BAGGY BOOK 745, PAGE 167 7raol1w7EO, AS oRAFn F°WP N ? 536, PAGE 7+0; THAT 1+1E p,ECUtA7En 6 FOR G 3930-27-8177 WILLIAM K. ROTEN BOOK 871, PAGE 212 T 3921-82-4519 CHAS. A. BAGGY BOOK 745, PAGE 167 GPEA7ER THAN +:+ AqT REPFESIIiTPREPARED CAROLINA WEST WIRELESS SITE: H 3930-27-3753 EDWARD SHEETS BOOK 866, PAGE 130 U 3937-01-3476 NENA DELL YATES MAP BOOK 5, PAGE 70 AN IN OFFIUAL ACCORDANCE AS T BEQ1 11iRm MY 1 3930-18-4372 WALTER P. LOVETTE BOOK 658, PAGE 039 V 3930-09-7796 BRUCE CHURCH BOOK 539, PAGE 681 ORIGINAL SIGMA RIdE, 37014 AA SEU 1"s RENDEZVOUS MOUNTAIN SID DAY OF SEP7E EEAL J 3930-07-5292 WALTER P. LOVETTE BOOK 513, PAGE 2453 W 3930-19-2239 WALTER P. LOVETTE BOOK 547, PAGE 713 = = SHINGLE GAP ROAD (SR 1347) K 3920-97-2368 BESSIE BUMGARNER BOOK 612, PAGE 614 X 3930-38-2833 WALTER P. LOVETTE L 2 WILKES COUNTY, NORTH CAROLINA BOOK 527, PAGE 337 3920-76-6124 MRF J 'MGARNER BOOK 268, PAGE 425 Y 3930-33-9215 WOODROW LOVETTE BOOK 582, PAGE 586 S DATE: SCALE: SHEET 3920-67-0746 :HURCH BOOK 532, PAGE 908 Z 3930-47-1909 JOHNNY WESTON BOOK 858, PAGE 075 -A tL SEP 03, 2002 1" = 1000' 1 OF 7 NORTH CAROIJNA A NtllABER L_0 JAMES M. GELLENTHIN, P.L.S. JAMES M. GELLENTHIN 416 EAST WOODALL ST., SMITHFIELD, N.C. 27577 PHONE: (919) 740-1381 (Z:72-03-00o3--r z oo? CarofinaWest LW I R E L E S S Agent Authorization I hereby authorize James A Smith, with MACTEC Engineering and Consulting, Inc., to act in my behalf as my agent in processing of this application and to furnish upon request supplemental information in support of this permit application. title: date: oo.3 Sorving Northwest North Carolina 1307 Curtis Bridge Rd. Post Office Box 959, Wilkesboro, NC 28697 (336) 973-5000 800-CEL-5007 9 Fax (336) 973-8878