20061465 Ver 1_Application_20060911

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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DNISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR SECRETARY
September 1, 2006
Mr. John Hennessy O ~ 14
401/Transportation Permitting Unit `~' V
1650 Mail Service Center
Raleigh, NC 27699-1650
SUBJECT: Pipe RepairBxtension, SR 2321 (E. Broad Street), Iredell County
"~ Dear Mr. Hennessy:
The North Carolina Department of Transportation proposes to repair and extend a 136-foot, 36"
culvert. The existing culvert is a 120-foot, 3-foot x 3-foot concrete box culvert that had 8-foot
;;'; ,, sections of corrugated metal pipe attached to both concrete culvert ends. The eight-foot section at
< ~-~ the outlet has broken off and collapsed into the streambed. The broken section will be removed
and a concrete collar will be constructed to add a 15-foot section of corrugated metal pipe. This
will allow for reconstruction of an adequate slope. Riprap will be utilized at the new pipe outlet
for structure stabilization and construction of riprap ditches that will extend from the two storm
~~ drainage pipes down the streambanks. The project will result in a total 17 feet of new impact from
the pipe extension and riprap stabilization. The stream is a low flow stream and it is anticipated
~:~, ,;~' that stream flow can be dammed during construction without the utilization of bypass pumping.
All disturbed areas will be seeded and mulched upon project completion. The scope of work will
result in 17 feet of permanent impacts to an unnamed tributary to Fourth Creek, which is
classified as a WS-N watershed by the Division of Water Quality.
SR 2321 (E. Broad Street) would be considered an urban arterial; however, it is not located within
'/2 mile of any critical watershed area; therefore, hazardous spill basins are not required. Enclosed
is the NCDOT hazardous spill basin checklist. This office has conducted a GIS and field survey
for the project and is recommending a fmding of "no effect" for T&E species and historical
structures.
I have enclosed apre-construction notification for a NW# 14, sketches of planned activities, and
location maps relative to the project.
Project information for the 401 Automated Payment Procedure is as follows:
• Work order number: 150465-55120005-12.204921-4682
• TIP #: NA
• Project Category: $200.00 Fee

SR 2321, E. Broad Street
Page 2
September 1, 2006
If you have any questions or concerns, please feel free to contact me at [phone]. Thank
you for your time and consideration to this matter
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY: ~,~ `
Trish Simon
Division 12 Environmental Supervisor
Enclosures
Cc: Polly Lespinasse, DWQ, Mooresville Regional Office
Ron Linville, Wildlife Resources Commission (Courtesy Copy)

Offiee Use Only: Form Version May 2002
USACE Action ID No. DWQ No. 2 ~ ~ ~ ~ 4 6 5
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. 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
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), check here: ^
II. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby North Carolina 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
2. Agent 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: Trish Simon
Company Affiliation: N.C. D~artment of Transportation
Mailing Address: P.O. Box 47
Shelby North Carolina 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimon(c~dot.state.nc.us
Page 1 of 8

III. Project Information
Attach a 'vi`cinity ~ map clearly showing -the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided. _
1. Name of project: Pipe repair/extension on SR 2321, E. Broad Street (Statesville
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12.204921
3. Property Identification Number (Tax PIN): NA
4. Location
County: Iredell Nearest Town: Statesville
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): East Broad Street Exit (exist 50)
from I-77 in Statesville,_proceed west to project site.
5. Site coordinates, if available (UTM or Lat/Long): 035°47'30"N/080°52' 15"W
(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): 0.10 acres (NCDOT right of wavy.
7. Nearest body of water (streamlriver/sound/ocean/lake): UT to Fourth Creek, Class C
Waters from source to South Yadkin River).
8. River Basin: Yadkin
(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/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application:Existin~ Conditions -pine crossing on heavily traveled paved
road in the City of Statesville. General Land Use- business, residential.
Page 2 of 8

10. Describe the overall project in detail, including the type of equipment to be used: NCDOT
proposes to repair and extend a 136-foot 36" culvert. The existing culvert is a 120 foot, a-
foot x 3-foot concrete box culvert which had 8-foot sections of corrugated metal pipe
attached to both concrete culvert ends. The eight-foot section at the outlet has broken off and
collapsed into the streambed. The broken section will be removed and a concrete collar will
be constructed to add a 15-foot section of ape. This will allow for reconstruction of an
adequate slope Riprap will be utilized at the new ape outlet for structure stabilization and
construction of riprap ditches which will extend from the two stormwater pipes to the stream.
The project will result in a total 17 feet of new impact from pipe extension and riprap
stabilization. Installation is to be accomplished with the use of trackhoe.
11. Explain the purpose of the proposed work: The purpose of the proposed work is to replace
a repair and extend a failing end-section of pipe.
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.
NA
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.
None Anticipated
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
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.
Page 3 of 8

1. Provide a written description of the proposed impacts: There will be minor pipe fill and
minor riprap impacts for structure stabilization and stormwater pipe ener~y dissipation .
2. Individually list wetland impacts below: NO WETLAND IMPACTS
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-yeaz Floodplain**
es/no) Distance to
Nearest Stream
(linear feet
Type of Wetland***

* List each impact sepazately and identify temporary impacts. Impacts include, but aze not limited to: mechanized
clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both
structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance
Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service
Center at 1-800-358-9616, or online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver
pond, Cazolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: 0
Total area of wetland impact proposed: 0
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact Average Width Perennial or
Site Number Type of Length of Impact Stream Name** of Stream Intermittent?
(indicate on Impact* (lineaz feet)
Before Impact
(please specify)
map)
1 Pipe increase 7 feet UT to Fourth Creek 2-3 ft Intermittent

1 Riprap
10 feet «
stabilization
1 Temporary 10 ft "
Cofferdam
* List each impact separately and identify 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), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation,
ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the lineaz 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
neazest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616,
or online at www.usgs.~ov. Several Internet sites also allow direct download and printing of USGS maps (e.g.,
www.topozone.com, www.ma~quest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Permanent Impacts = 17
feet, Temporarypacts = 10 feet.
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below: 0
Open Water Impact

Site Number
indicate on ma)

Type of Impact* Area of

Impact
acres)
Name of Waterbody
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
ba ,ocean, etc.

• List each impact separately and identify temporary impacts. Impacts include, but aze not limited to: fill, excavation,
dredging, flooding, drainage, bulkheads, etc.
Page 4 of 8

5. Pond Creation: NO POND IMPACTS
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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
There will be a only a minor increase in wipe length to allow for adequate slope reconstruction.
Riprap will be utilized at the pipe outlet for energ~pation due to the location of two
stormwater Wines entering the stream at the proposed pipe outlet.
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 USACE 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.html.
Page 5 of 8

1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
MITIGATION NOT ANTICIPATED
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
[phone] 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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount ofNon-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds 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 [phone] 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 ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate .and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Page 6 of 8

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
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ^ No ® If you answered "yes", provide the following information:
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
s uare feet) Multiplier Required
Miti ation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
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.
NA
XI. 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.
No additional impervious surface isproposed.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
NA
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this anafter-the-fact permit application?
Yes ^ No
Page 7 of 8

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).
NA
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8

Copyright (C) 1998, Maptech, Inc.

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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1 ~ County: Tre~1P11 Project ID:
River Basin: Yadkin Bridge No: Pipe repair/extension
Route: SR 2321, E. Broad Street Stream: UT to Fourth Creek, Class C
Waters
Water Quality Criteria:
Yes No
Stream Crossing Blue Line On USGS r r
ORW r ~
WSI r r
WS II,III OR IV, Crossing Within O.Smi of W.S. Critical Area r
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban t- r
Arterial Rural r r
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? r r
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).