19930250 Ver 1_Complete File_20100726

State of North Carolina
Department of Environment,
Health and Natural Resources 4 • •
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, , Secretary
E H N F1
A. Preston Howard, Jr., P.E., Director
Mr. D.K. Bennett
Asst. District Engineer
N.C. Department of Transportation
Post Office Box 250
North Wilkesboro, N.C. 28679
Dear Mr. Bennett:
June 10, 1993
Subject: Proposed fill in Wetlands or Waters
Road improvement, SR 1150
Ashe County
DEM Project # 93402
Upon review of your request for 401 Water Quality Certification to place fill material in
0.01 acres of wetlands or waters which are tributary to Beaver Creek for road improvement
located at SR 1150 in Ashe County, as described in your submittal dated 10 May 1993, we
have determined that the proposed fill can be covered by General Water Quality Certification
No. 2732 issued January 21, 1992. A copy of the General Certification is attached. This
Certification may be used in qualifying for coverage under Corps of Engineers' Nationwide
Permit No. 14.
If you have any questions, please contact John Dorney at 919-733-1786.
Sincerely,
93402.ltr
Attachment
A. Preston Howard, Jr. P.E.
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
Winston-Salem DEM Regional Office
Central Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
. 1 .

STATE OF NORTH CAROLINA
DEPARTMENT OF TP.,ANSPORTATION
JAMES B. HUNT. IR. DIVISION OF HIGHWAYS
GOVERNOR
P. 0. Box 250
North Wilkesboro, N. C. 28679
May 10, 1993
Mr. Doug Miller
Land Quality Regional Engineer
Department of Environment, Health, and
8025 North Point Boulevard
Winston-Salem, North Carolina 27106
Re: Project along SR 1150.(Cresent Dr.)
in Ashe County.
Dear Mr. Miller:
WETLANDS GROUP I;
WATER UALITY SECTION
SAM HUNT
SECRETARY
Please review the attached plans for grade, drain, base, and
pave of SR 1150 (Oresent Dr.) in Ashe county. This work may
impact the waters of unnamed tributaries to Beaver Creek, a
DEHNR Class C trout water.
These plans have been reviewed and approved by our Division
Roadside Environmental Engineer, with copies to the area
Roadside Environmental Engineer. Plans have been sent to the
North Carolina Wildlife Resources Commission and the U. S.
Army Corps. of Engineers for their review and approval.
(Copies of letters attached).
Said road now exists inside the 25 ft. buffer zone of unnamed
stream. The new center line has been surveyed, and moved away
from the creek an much as reasonably possible to avoid and
minimize impact to the stream. To protect the existing slope
and minimize future erosion, we propose to utilize class II
Rip Rap at a thickness of 18 in. with fabric liner along the
creek banks for slope protection.

We ask that you review these plane, offer
which might aid us in accomplishing this
to the streams, and grant us the written
proceed with this project.
Thank you in advance for your assistance.
any suggestions
work without damage
permission to
Sincerely:
W, X. 6W "--'?iS
D. K. Bennett
Asst. District Engineer
DKB
cc: W. E. Hoke PE
D. J. Tetzlaff
D. K. Miller

STATE Or NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT. JR DIVISION OF- HIGHWAYS
GOVERNOR
P. 0. Box 250
North Wilkesboro, NC 28659
Mar. 24, 1993
SAM HUNT
SECRETARY
Subject: Permit No. 14 for stream crossings under S. R. 1150
of an unfiamed stream, tributary to Beaver Ck. A Class C
Trout stream.
Mr. John Thomas
U. S. Army Corps of Engineers
6512 Falls of the Neuse Road Suite 105
Raleigh, NC 27587
Dear John:
The Department of Transportation is scheduled to grade, drain, base,
and pave primarily Along the existing roadway of SR 1150 (Cresent
Drive )ltd.), in Ashe County during the 1993-1994 fiscal year.
Due to the proximity of said stream, We are requesting 404 Nationwide
permit. There is 1 existing cross line drainage structure that will
need replacing, or upgrading, in which we are requesting a 404
Nationwide permit no. 14.
Attached is a straight line sketch with proposed erosion control,
stream, stream embankment, pipe crossings, and marked county map.
By copy of this letter I am asking Mr. Joe Mickey, Jr., of the North
Carolina Wildlife Resources Commissiob District Fisheries Biologist
to comment directly to you concerning the 404 Nationwide Permit
request.
Also by copy of this letter. I am requesting authorization to proceed
under Section 401 of the Clean Water Act from the Division of
Environmental Management.

We would like to begin construction as soon as possible. Please
reviow this material and if additional information is required please
contact this officio at 9i9-667-9117.
Your approval in this request is greatly appreciated.
Sincerely
D. K. Bennett
Asst. District Engineer
DKB
Enclosures
cc. W. E. Hoke P. E., Division Engineer
D. J. Tetzlaff District Engineer
County Maintenance Engineer
Doug Miller, P. E. Regional Engineer DEHNR
i?. N. Trivette, Area Roadside Environmental Engineer
Joe Mickey, Jr. District Fisheries Biologist, NCWRC
Eric Qalamb, Water Quality Certification Unit DEM
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fit All ddebd dbefore ttmpoearV
clegrifid dhdngrubbiho wili be
lnstdll
f21 As cohstrdctioh progtessee tempoerAtstandedeln anetimely
be
erosion t6htrol devlchs shall
Mahtaek.
All siltdtion and erosion cohtrol devices shall be
properly Mdihtalned until ho longer heeded.
do
Vtojoct ttotdslds i Lnvlrohmental Unit promptly for stage And
ths di
perhidneht heeding.
r51 Any }omovdl of siltgtloh devices will be based on the
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IftDSiON CONTROb
bBTAiLS AND
Std.# bescrlption svmbol
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245.05 Temporary bivetaion.:..... .t::,.:::......: -?-to - b
998.01 Temporary gilt tehce......:.
990.05 TeMpotary Slbpe brain with bakth Berm::..: -? -?
245:01 Slit basin typo A:•:••••••:::,:,:.......:, ,•
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992:04 Temporary I#ock gilt check Type-A......:.::
995:10 Temporary Kock gilt check Ty0e-b:.... 892.01 Temporary hock Sediment Dam Type-A..:
892.02 T6MpotAty Mock Sediment Dani
991.Oi hock Pipe Inlet protection Typo-A...::::.:
997.02 Mock Pipe fnlet Protection Type-B.:......:
1 :::.......::::
994.01 bock tilt Screen.::........
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896.03 Mock Inlet Protection Type-c.::.:...:.:..: C9
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EROSION AND SEDIMENTATION CONTROL PLAN EVALUATION FORM
Evaluator: VI .Al- Date: 3-.21-13
Project No.: A14 county: As Ae Div.:If
Location: SR )Jm Cfdj'A+ D,:,re- Read
1. is there a Erosion and Sedimentation Control
Plan for the project? YES NO
2. Are the design calculations shown? YES NO
3. Is the plan adequate to control Erosion
and Sedimentation on the project? ES NO
4. Is the project in a HQW zone? YES NO
5. Respond below where appropriate:
Site location or vicinity map . . . .
Erosion control schedule. . • . .
EC measures in drainage turnouts and
before ditch outfalls into streams.
Basin sizes . . . . . . . . .
Temporary slope drains. . . . . . . .
Temporary rock silt checks. . . .
Temporary silt fence. . . . . . . . .
Temporary diversions. . . . . . .
Catch basin/Drop inlet protection . .
Pipe inlet protection devices . . . .
Pipe outlet stabilization . . . .
Ditch liners - matting . . . . .
- roving. . . . .
- stone, class . .
Are Temporary Silt Fences used in proper locations? YE NO N/A
Are Temporary Rock Silt Checks spaced properly? (yg) NO N/A
Are Basin sizes adequate? YES NO N/A
Other Comments: 66ly{.50 /9sAf ild-1611 _/Ae-A j q le APofeaftied 5n4 A
fo
prote-&4 dinsoo ho le 4.
ropy;
RECEIVED
APR U 1 1993
® North Carolina Wildlife Resources
rt:?l i??NEER'? 0?'?tCE
?:%iNl.if[ 28bS7
.ion

512 N. Salisbury Street, Raleigh, North Carolina 27604-1188, 919-733-3391
Charles R. Fullwood, Executive Director
March 30, 1993
Mr. Reri Jolly, Office Manager
U.S. Army Corps of Engineers
Raleigh Field Office, Regulatory Branch
6512 Falls of the Neuse Road
Raleigh, North Carolina 27615-6846
SUBJECT: A review of an application by NCDOT to replace a pipe
along SR 1150 in an unnamed tributary to Beaver Creek,
Ashe County
Dear Mr. Jolly.
The North Carolina Department of Transportation (NCDVT) 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. I have reviewed the subject
permit application an I am 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. 661-6674).
The NCDOT is proposing to replace 1 cross line drainage
structure along SR 1150, Ashe County. This project will impact a
small unnamed tributary to Beaver Creek which is Designated
Public Mountain Trout Water.
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 signi.f.i.cant effects to trout
craters. Therefore, we do not object to the project as proposed.
Thank you for the opportunity to review and comment on this
project. If I can be of further assistance, please contact me at.
919 366-2982.
Since` ) signed by
Toe MiA9.0 "" :1'i'.
District 7 Fisheries Biologist
cc: Ms. Stephanie Goudreau, Mt. Region Habitat Biologist
Mr. D. K. Bennett, Asst. District Engineer, NCDOT
.BSI yC? S 1 ..
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
1N REPLY REFER TO
Regulatory Branch
May 3, 1993
Action ID. 199302029 and Nationwide Permit No. 3 (Maintenance)
North Carolina Department
of Transportation t5 ?J L; i(?i
Division of Highways = Q
ATTN: Mr. D. K. Bennett s' 1 tn
Asst. District Engineer
Post Office Box 250
W

S GROUP
North Wilkesboro, North Carolina 28659 W
WATERQ AL
ITY SECTION
l1AL
Dear Mr. Bennett:
Reference is made to your letter of March 24, 1993, regarding your plans
to discharge dredged/fill material into the waters/wetlands of an unnamed
tributary of Beaver Creek, associated with the replacement an existing pipe
culvert with the paving upgrade of S.R. 1150 (Cresent Drive Road), West
Jefferson, Ashe County, North Carolina. Reference is also made to Mr. Joe
Mickey's letter of March 30, 1993, in which the North Carolina Wildlife
Resources Commission expressed no objections to the planned road improvements
provided that:
a. No heavy equipment is operated in the live streams in order to
minimize sedimentation and prevent introduction of other pollutants.
b. Erosion control measures should be implemented where soil is disturbed
and maintained until project completion.
For the purposes of the U.S. Army Corps of Engineers' Regulatory Program,
Title 33, Code of Federal Regulations (CFR), Part 330.6, published in the
Federal Register on November 22, 1991, lists nationwide permits.
Authorization, pursuant to Section 10 of the Rivers and Harbors Act of 1899
and Section 404 of the Clean Water Act, was provided for the repair,
rehabilitation, or replacement of any previously authorized, currently
serviceable structure or fill; or of any currently serviceable structure or
fill constructed prior to the requirement for authorization, provided that the
structure or fill is not to be put to uses differing from those uses specified
or contemplated for it in the original permit or the most recently authorized
modification.
Special conditions of this permit state that before discharging dredged or
fill material into waters of the United States occurring within the 25
mountain counties of North Carolina that contain trout waters, the applicant
will obtain a letter of approval from the North Carolina Wildlife Resource
Commission. Review of the information you have provided, and the comments
submitted by the North Carolina Wildlife Resources Commission, reveals that

-2-
your proposed work of the replacement of an existing culvert for the purpose
of upgrading to meet current safety standards, is authorized by nationwide
permit provided it is accomplished in strict accordance with the enclosed
conditions and the recommendations set forth by the Wildlife Resources
Commission. This nationwide permit does not relieve you of the responsibility
to obtain any required State or local approval.
This verification will be valid for 2 years from the date of this letter
unless the nationwide authorization is modified, reissued, or revoked. Also,
this verification will remain valid for the 2 years if, during that period,
the nationwide permit authorization is reissued without modification or the
activity complies with any subsequent modification of the nationwide permit
authorization. If during the 2 years, the nationwide permit authorization
expires or is suspended or revoked, or is modified, such that the activity
would no longer comply with the terms and conditions of the nationwide permit,
activities which have commenced (i.e., are under construction) or are under
contract to commence in reliance upon the nationwide permit will remain
authorized provided the activity is completed within 12 months of the date of
the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify,
suspend, or revoke the authorization.
Thank you for your time and cooperation. If you have any questions,
please contact Mr. John Thomas, Raleigh Regulatory Field office, telephone
[phone].
Sincerely,
G. Wayne Wright
Chief, Regulatory
Enclosure
s _
It.,
-3-
Copies Furnished woJEnclosure:
Dr. Charles Bruton
North Carolina Department of
Transportation
Planning and Research Branch
Post Office Box 25201
Raleigh, North Carolina 27611
Mr. Doug Miller
Land Quality Section
North Carolina Department of
Environment, Health and
Natural Resources
8025 North Point Boulevard
Suite 100
Winston-Salem, North Carolina 27106
Mr. John Parker
North Carolina Department of Environment,
Health, and Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
/r. John Dorney
Water Quality Section
Division of Environmental Management
Nortz Carolina Department of Environment,
Health, and Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Regional Office Manager
North Carolina Department of Environment,
Health, and Natural Resources
8025 North Point Boulevard
Suite 100
Winston-Salem, North Carolina 27106
Mr. Dennis Stewart
Habitat Conservation
North Carolina Wildlife Resources
Commission
512 North Salisbury Street
Raleigh, North Carolina 27611
Mr. Joe Mickey, Jr.
Division of Boating & Inland Fisheries
Route 2 Box 278
State Road, North Carolina 28676
. _ 9-,2)250
JAMES B. HUNT. IR.
GOVERNOR
1
STATE OF NORTH CAROLINA L
DEPARTMENT OF TRANSPORTATION
U 1? r--1.
MAR 2 91993
DIVISION OF HIGHWAYS
P. 0. Box 250
North Wilkesboro, NC
Mar. 24, 1993
SAM HUNT
SECRETARY
Subject: Permit No. 14 for stream crossings under S. R. 1150
of an unnamed stream, tributary to Beaver Ck. A Class C
Trout stream.
Mr. John Thomas
U. S. Army Corps of Engineers
6512 Falls of the Neuse Road Suite 105
Raleigh, NC 27587
Dear John:
The Department of Transportation is scheduled to grade, drain, base,
and pave primarily along the existing roadway of SR 1150 (Cresent
Drive Rd.), in Ashe County during the 1993-1994 fiscal year.
Due to the proximity of said stream, we are requesting 404 Nationwide
permit. There is 1 existing cross line drainage structure that will
need replacing, or upgrading, in which we are requesting a 404
Nationwide permit no. 14.
Attached is a straight line sketch with proposed erosion control,
stream, stream embankment, pipe crossings, and marked county map.
By copy of this letter I am asking Mr. Joe Mickey, Jr., of the North
Carolina Wildlife Resources Commission District Fisheries Biologist
to comment directly to you concerning the 404 Nationwide Permit
request.
Also by copy of this letter, I am requesting authorization to proceed
under Section 401 of the Clean Water Act from the Division of
Environmental Management.

APR ! 4 1993

4
?,Ty ?tSWFO
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
April 19, 1993
James B. Hunt, Jr., Governor A. Preston Howard, Jr., P.E.
Jonathan B. Howes, Secretary Director
Mr. D.K. Bennett
Assistant District Engineer
N.C. Dept. of Transportation
P.O. Box 250
North Wilkesboro, N.C 28659
Dear Mr. Bennett:
Subject: Proposed fill in Wetlands or Waters
Stream crossing, 1150 repairing
Ashe County
Project # 93250
Upon review of your request for 401 Water Quality
Certification to place fill material in 0.01 acres of wetlands or
waters which are tributary to Cole Branch for culvert replacement
and road repairing located at SR 1150 in.Ashe County, we have
determined that the proposed fill can be covered by General Water
Quality Certification No. 2732 issued January 21, 1992. A copy of
the General Certification is attached. This Certification may be
used in qualifying for coverage under Corps of Engineers'
Nationwide Permit No. 14.
If you have any questions, please contact John Dorney at
919-733-1786
Sincerely,
ars How d, Jr. P.E.
93250.1tr
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field'Office
Winston-Salem DEM Regional Office
: n- D o r n e y
Central Files
Regional Offices
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663-1699 919/571-4700 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

MEMORANDUM PRINT NAMES:
Reviewer: ?hre"1[?usse Il
TO: John Dorney WQ Supv.: 5;7,
Planning Branch DATE: _
SUBJECT: WETLAND STAFF REPORT AND RECOMAENDATIONS
***EACH ITEM MUST BE ANSWERED (USE N/A FOR NOT APPLICABLE) ***
PERMIT YR: 93 PERMIT NO: 0000250 COUNTY: ASHE
APPLICANT NAME: NC DOT - PAVE SR 1150
PROJECT-TYPE: CULVERTS PERMIT-TYPE: NW14
COE_#: DOT-#:
RCD_FROM _CDA: DOT DATE _FRNI_CDA: 03/2,9/93
REG_OFF I CE : WSRO RIVER-AND-SUB-BASIN-#: k* -W
'?LiVCr' ?jAbi r1
C ake? $r A.`c1-,
STREAM_CLASS : W S-;.'C'r STR_INDEX_NO : 10- t - S- 1
WL_IMPACT?: Y,0
WL_REQUESTED : Q- O 1 w_r"
WL_SCORE(#): 0144
HYDRO CNECT?: ON
MITIGATION_TYPE: 0IN
WL TYPE : S fe-PA r-s
WL_ACR_EST?: ON
WATER IMPACTED BY FILL?: ON
MITIGATION?: Y40
MITIGATION-SIZE: WIA
IS WETLAND RATING SHEET ATTACHED?: Y1
RECOMMENDATION (Circle One): ISSUE ISSUE/COND DENY
COMMENTS : -X?% s is to eX v s -" L% ro ptd - PA- %% -,sc1•r-d uL1ed

IOU ('601A ced .
ESQ O t'ecotr?r?e ?S ptO?DrD?A I b ? `?t? fC.gU?.e.S-E' . N4
cc: Regional Office D
Central Files
APR 1 21993
i
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456 \1 270 000 FEET! 457 `458`
27'30" 459 460 1 (GLENDAL
and published by the Geological Survey 475!
:nd USC&GS SCALE
togrammetriC methods from aerial photographs MNI
checked 1968 " 000 2000 3
GN ? 3 T-3__ - - _.. __
n, 1927 North American datum =3-
ssed on North Carolina coordinate system _ 44 MILS 0_°16' CONTOUR TNT
sal Transverse Mercator grid ticks, zone 17, s Mils
DATl1M IS ME
es indicate selected fence and field lines where
3ii:iai photographs. This information is unchecked UTM GRdv AND 1968 MAGNETIC NORTH
DECLINATION AT CENTER OF SHEET
THIS MAP COMPLIES WITH NATIOD
}?- FOR SALE BY U. S. GEOLOGICAL S
Se ?',Fer Son Q?q? A `01 DFP Df scF21nIN , TOPO(;RAPHW MAPS
q,1®
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STATE OF NORTH CAROLINA L--.
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT. JR- DIVISION OF HIGHWAYS
GOVERNOR
P. 0. Box 250
North Wilkesboro, NC 28659
Mar. 24, 1993
SAM HUNT
SECRETARY
Subject: Permit No. 14 for stream crossings under S. R. 1150
of an unnamed stream, tributary to Beaver Ck. A Class C
Trout stream.
Mr. John Thomas
U. S. Army Corps of Engineers
6512 Falls of the Neuse Road Suite 105
Raleigh, NC 27587
Dear John:
The Department of Transportation is scheduled to grade, drain, base,
and pave primarily along the existing roadway of SR 1150 (Cresent
Drive Rd.), in Ashe County during the 1993-1994 fiscal year.
Due to the proximity of said stream, we are requesting 404 Nationwide
permit. There is 1 existing cross line drainage structure that will
need replacing, or upgrading, in which we are requesting a 404
Nationwide permit no. 14.
Attached is a straight line sketch with proposed erosion control,
stream, stream embankment, pipe crossings, and marked county map.
By copy of this letter I am asking Mr. Joe Mickey, Jr., of the North
Carolina Wildlife Resources Commission District Fisheries Biologist
to comment directly to you concerning the 404 Nationwide Permit
request.
Also by copy of this letter, I am requesting authorization to proceed
under Section 401 of the Clean Water Act from the Division of
Environmental Management.
4

We would like to begin construction as soon as possible. Please
review this material and if additional information is required please
contact this office at 919-667-9117.
Your approval in this request is greatly appreciated.
`Sincerely, w
D. K. Bennett
Asst. District Engineer
DKB
Enclosures
cc. W. E. Hoke P. E., Division Engineer
D. J. Tetzlaff District Engineer
County Maintenance Engineer
Doug Miller, P. E. Regional Engineer DEHNR
W. N. Trivette, Area Roadside Environmental Engineer
Joe Mickey, Jr. District Fisheries Biologist, NCWRC
Eric Galamb, Water Quality Certification Unit DEM
t
• DER IDs ACTION IDs
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT i)t
JOINT APPLICATION FORM tOR
fic*filowibt ttkkfTt "At MQUIRE NoTItiCATioN TO CORPS OF ENGINEERS
kATfONwibt tt1W2TS ISAT MQUIRE kECTION 461 CERTIFICATION CONCURRENCE
ItittOlMlbt t9:kkt*9 TbAT k9QUIR9 l# WIVIDUAL $ECTIbR 401 CERTIFICATION
WILMINCTON DISTRICT t"GIItEkR
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. NOX 1890
WILMINGTON, NC 29401-006.
ATTNt &SAW-CO-E
Telephone (919) 25i-Atli
WATER QUALITY PLANNING
bIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT Or ENVIRONMENT, HEALTH,
AND NATURAL RESOURCES
P.O. kOx 29535
RALEIGH, NC 27626-0535
ATTNt MR. JOHN DORNEY
Telephone [phone]
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT TO THE CORPS OF
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
ENVIRONMENTAL khRAGtktH±- PLEASE PRINT.
i. OWNERs NAME'. N C pEPA?TMEtSt OF TRAtlst by %Tlo-s
2. OWNERS ADORESS3 Pb Bo?C Z50, f40pTN I.J,1k&5Z?. o)z a
3. OWNERS PHONE NUMBER (HOME) : ( WORK) : g 19 ?0 &7 - 9// 1
4. If APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,, ADDRESS,
PHONE NUMBER t D, K, B NN6 77-
P0, 8vx z so -
G?/, /KFS6 oa o, ?t! L 2 YG 99
A)010%
5. LOCATION Ot P1.ANNEb YORK (ATTACH MAP). COUNTY:
NEAREST TOWN OR CITY! 2 5 Otis
$PECItIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.)! 6 J/ 60
J? 33 rrJi . F/za? 52 /?49 To SAD ENS- -
6. NAME OF CLOSEST STREAH/RIVER: aA1A "'AW 57-2619/yl 7 2 /8 7'a ?SE ??/r? C/S7. RIVER BASINt Aj/Ew
8. IN THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED A ?-TROUTP SA, HOW, ORW,
Ws t, OR Ws III YLS tIr- No ( )
9. HAVE ANY SECTIOA 404 PERHITS BEEN PREVIOUSLY REQUESTED FOR USE Ott THIS
PROPERTY? ,YE§ ( ) #0
IF YES, ExPLAIN.
10. 99TIMATEb TOTAL NUMBER OF ACRES OF :MATERS OF THE U.S., INCLUDING
WETLANDS, LOCATED ON PROJECT SITE: D Dl 4G4 5F
???? 3/30/92

-2-
ii. ttUMBER OF ACMES OF OATERS OF THE U.S.s iNCLUbING WETLANDS, IMPACTED by
THE PROPOSED PROJECT!
??LLEb!
b?tAINEo i
?LdODEo:
EXcAvATEDi
TOTAL IMPACTEDi , D/ Acee Ppe- F-.-p/A«,,nsNT'
i2. bESCRIPTION Of PROPOSED WORk (ATfiAbH ?LANSii AAArox 40 'pr OF
9&",j 4-drip& T Ae. o/az?d .
ij. vokobsfi of PRoPOSED -WoRki . y5tg,/Z:? 7;; e 4 -,i /
id. STATE REASONS WHY THE APPLICANT bELIEVES THAT THIS ACTIVITY MUST BE
oARRIEn b0t IN WfiTLANbfi, ALSO] MOTE MFA§uRES TAkEN TO HINIMItE WETLAND
i1?sNr.,tit. ::l" ,,.l- A/ii1/ T Ao LG 7-0 /??Stl/t
15. YOU ARE REQUIREb TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE
(09tvs) AND/bR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEbERALLY LISTEb OR -PROPOSED FOR LISTING ENDANGERED OR THREATENED
fiPECtES OR CRITICAL MAbiTAT IN THE PERMIT AREA THAT MAY RE AFFECTED BY THE
PROPOSEb PROJECT. HAVE You boNE So? YES NO
fk9OON9Efi FROM fft§ USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
it. YOU Mt ltEQUtREb +o LONTAcT THE STATE HISTORIC PRESERVATION OFFICER
(gNPdj MGARbING fiME PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY bE AFFECTEb BY THE PROPOSED PROJECTt
HAVE YOU bONE SO? YES t NO
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
i7. AbblftoNAL ikfd MA+ION RE0011 kD fit DEMi
A. WkTLANb bELiNEATiON HAP SHOWIRG ALL WETLANDS, STREAMS; AND LAKES ON
?? PROPERTY: '
b. IF AVAILABLE{ REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED by
PROJECT.
C. it bELtftkAttdA §A§ ftA#ORMEb by A CONSULTANT, INCLUDE ALL DATA SHEETS
REL*VANT TO THE PLACEMENT OF THE bfiLINEATION LINE.
b. It A STOOMAfiER HANAGEMENr PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
boPit
E. WHAT is LANb USE OF SURROUNDING PROPERTY?
?ES/??i? 7iA L
i APPLiCASL y *tAT IS PROPOSE) METHOD OF SEWAGE DISPOSAL?
M-14
`j z 3
R'S SIGNATURE DATE
CRJa:S.ww ' T> R..
EROSION CONTROL SCHEDULE
(1) All adequate temporary erosion control measures will be
installed before clearing and grubbing operations begin.
(2) As construction progresses temporary and permanent
erosion control devices shall be installed in a timely
iRan e r .
(3) All siltation and erosion control devices shall be
properly maintained until no longer needed.
(4) As project progresses, request will promptly be made to
the Division Roadside Environmental Unit for stage and
permanent seeding.
(5) cAny ondition aofoestablished ground devices cowill be ver of that based t
area the
device is serving.

EROSION CONTROL
DETAILS AND
SPECIFICATIONS
Std.0 Description
----- -----------
Symbol
F 0:
245.03 Temporary Silt bitch ...................... Tsb
---? ?O -?'
245.05 Temporary Diversion ........ ..........
893.01 Temporary Silt Fence ...................... -All -1
890.05 Temporary Slope Drain with Earth Berm..... -? -?
245.01 Silt Basin Type A ......................... '-'
:..........
245.02 Silt Basin Type B ..............
r, _LG1111LL
892.04 Temporary Rock Silt Check Type-A..........
895.10 Temporary Rock Silt Check Type-B.......... >
892.01 Temporary Rock Sediment Dam Type-A........
892.02 Temporary Rock Sediment Dam Type-B........
897.01 Rock Pipe Inlet Protection Type-A.........
897.02 Rock Pipe Inlet Protection Type-B.........
894.01 Rock Silt Screen .... ........ ..............
245.04 Stilling Basin ........... ........... 101
896.01 Rock Inlet Protection Type-A .............. 0r- A
896.02 Rock Inlet Protection Type-B .............. LED OR_ 6)
896.03 Rock Inlet Protection Type-C .............. `a 0Q.
851 Rip Rap Lined Ditch .......................
851 Fiberglass Roving Lined Ditch ............. uvwwvvv'-868.02 Rip Rap Fill Slope Protection.....:.......
Small Stream or Branch... ........:........
Pipe Outlet Energy Disipator .............. O
0
EROS 1 ON coN TRO L PLAN
S R?s0 . C,e?s?,u - AC/ve
CQ.(JN T Y 1VA1,6
?_ OC/i L_ ??? C2EzSEN1"' DQ• . _p?
WUl71C_?U.17 UER lV O - --
DRAWN bY:
1 0
DISTRICT ENGINEER :
_?. ? 3 3 9,3
ROADSIDE ENVIRONMENTAL
ENGINEER: a
. W
Q ,r?rQ. 3- 9-93
d
Z
1
N
W
NOTE:
All SILT 13AS1NS TYPE B
SHALL 13E 6'x 3'x X
UNLESS OTHERWISE
NOTED.
NOTE: j
'PIPE LocATIONS MAY
VARY DUB TO GRADE
CHANGES IN ROADWAY
'
SCALE 1= 100
-wt
5511 C c l / Ur G
Io+oo ,?
(?laca zo is"cSP
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at
e
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GLOSS LINE
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EoP

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155+00 at
J- L

bV.ZX2
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s(; ALt 1'= 100'

me -?
D2 -?
® SX2K2
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;Eilsrlut, rope
............
ucw PIDE
L??rtctt LINE
d'
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3o FT)

IJo'1r'.
TEMpo2t?R?J ?RnSlo?J Coo TTOck
bEVICPS tjc-,r SI%ovAt11 -Burr
lu OUJS TEMpoRARy
S?L-t rEucE, Rock cNsck lbAms
Aad SILT 13m.14s, At tAo-tj d
34-00 q+-00
SdaVE.y.bNjlE - 3- ?3