20010783 Ver 1_Complete File_20010524

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
1 •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
ROAD CROSSING CERTIFICATION GENERAL CERTIFICATION FOR PROJECTS
ELIGIBLE FOR CORPS OF ENGINEERS NATIONWIDE PERMIT NUMBER 14 (ROAD
CROSSINGS), REGIONAL GENERAL PERMIT 198200031 AND NEUSE/TAR-
PAMLICO/RANDLEMAN BUFFER RULES
This General Certification is issued in conformity with the requirements of Section 401, Public Laws 92-
500 and 95-217 of the United States and subject to the North Carolina Division of Water Quality (DWQ)
Regulations in 15A NCAC 2H, Section .0500 and 15A NCAC 2B .0200 for the discharge of fill material to
waters and wetland areas as described in 33 CFR 330 Appendix A (B) (14) of the Corps of Engineers
regulations (i.e., Nationwide Permit No. 14 and Regional General Permit 198200031) and for the Neuse,
Tar-Pamlico and Randleman Buffer Rules (15A NCAC 2B .0233,.0259 and .0250). The category of
activities shall include any fill activity for road crossing and is limited to fill less than one-third of an acre.
This Certification replaces Water Quality Certification Number 2177 issued on November 5, 1987, Water
Quality Certification Number 2666 issued on January 21, 1992, Water Quality Certification Number 2732
issued on May 1, 1992 and Water Quality Certification Number 3103 issued on February 11, 1997. This
WQC is rescinded when the Corps of Engineers re-authorizes Nationwide
Permit 14 or Regional General Permit 198200031 when deemed appropriate by the Director of the DWQ.
The State of North Carolina certifies that the specified category of activity will not violate applicable
portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217 if conducted in
accordance with the conditions hereinafter set forth.
Conditions of Certification:
1. Proposed fill or substantial modification of wetlands or waters (including streams) under this General
Certification requires application to and prior written concurrence from the Division of Water Quality;
2. In accordance with North Carolina General Statute Section 143-215.3D(e), any application for a 401
Water Quality Certification must include the appropriate fee. If a project also requires a CAMA Permit,
one payment to both agencies shall be submitted and will be the higher of the two fees;
3. In accordance with 15A NCAC 2H .0506 (h) compensatory mitigation may be required for impacts to
streams and/or wetlands. In addition, buffer mitigation may be required for any project with Buffer
Rules in effect at the time of application. A determination of buffer, wetland and stream mitigation
requirements shall be made for any Certification for this Nationwide Permit. The most current design
and monitoring protocols from DWQ shall be followed and written plans submitted for DWQ approval
as required in those protocols;
4. For any project involving a stream re-alignment, a stream relocation plan must be included with the 401
application for written DWQ approval. Relocated stream designs should include the same dimensions,
patterns and profiles as the existing channel, to the maximum extent practical. The new channel should
be constructed in the dry and water shall not be turned into the new channel until the banks are
stabilized. Vegetation used for bank stabilization shall be limited to native woody species, and should
include establishment of a 30 foot wide wooded and an adjacent 20 foot wide vegetated buffer on both
sides of the relocated channel to the maximum extent practical. A transitional phase incorporating coir
fiber and seedling establishment is allowable. Also, rip-rap may be allowed if it is necessary to maintain
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
ffl?,;Wj
AdMbM
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
the physical integrity of the stream, but the applicant must provide written justification and any
calculations used to determine the extent of rip-rap coverage requested. If suitable stream mitigation is
not practical on-site, then stream impact will need to be mitigated elsewhere;
Impacts to any stream length in the Neuse, Tar-Pamlico and Randleman River Basins requires written
concurrence from DWQ in accordance with 15A NCAC 213.0233, 15A NCAC 2B .0259 and .0250 and
15A NCAC 2H .0500. New development activities located in the protected 50-foot wide riparian areas
(whether jurisdictional wetlands or not) within the Neuse, Tar-Pamlico and Randleman River Basins
shall be limited to "uses" identified within and constructed in accordance with 15A NCAC 2B .0233,
15A NCAC 2B .0259 and .0250. All new development shall be located, designed, constructed, and
maintained to have minimal disturbance to protect water quality to the maximum extent practicable
through the use of best management practices. Activities listed as "exempt" from these rules do not need
to apply for written concurrence under this Certification;
Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed to allow low flow passage of water and aquatic life unless it can be shown to
DWQ that providing passage would be impractical. Design and placement of culverts and other
structures including temporary erosion control measures shall not be conducted in a manner that may
result in dis-equilibrium of wetlands or stream beds or banks, adjacent to or upstream and down stream
of the above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ. Additionally, when roadways, causeways or other fill
projects are constructed across FEMA-designated floodways or wetlands, openings such as culverts or
bridges must be provided to maintain the natural hydrology of the system as well as prevent constriction
of the floodway that may result in destabilization of streams or wetlands;
7. If this Certification is used to access building sites, all lots owned by the applicant must be buildable
without additional fill beyond that allowed under other General Certifications. Deed restrictions must be
placed on the remaining wetlands and streams on these lots to restrict future wetland and stream fill.
DWQ shall be sent copies of all deed restrictions applied to these lots;
8. That appropriate sediment and erosion control practices which equal or exceed those outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design Manual"
or the "North Carolina Surface Mining Manual" whichever is more appropriate (available from the
Division of Land Resources (DLR) in the DENR Regional or Central Offices) shall be in full
compliance with all specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to assure compliance with the appropriate
turbidity water quality standard;
9. All sediment and erosion control measures placed in wetlands or waters shall be removed and the natural
grade restored within two months after the Division of Land Resources has released the project;
10. Measures shall be taken to prevent live or fresh concrete from coming into contact with waters of the
state until the concrete has hardened;
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/] 0% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
4 00
0--ft 0--ft a*- - 71
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
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.
Sincerely,
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Raleigh Field Office
DWQ Raleigh Regional Office
File Copy
Central Files
c:\ncdot\SR 1606\wqc\0I0783wgc.doc
WTteven:s
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
1 0911;wj •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
June 15, 2001
Halifax County
DWQ Project No. 010783
APPROVAL OF 401 Water Quality Certification and ADDITIONAL CONDITIONS and Tar-
Pamlico River Buffer Rules
Mr. Jim Trogdon III, P.E., Division Engineer
NCDOT, Division 5
PO Box 3165
Wilson, North Carolina 27893
Dear Mr. Trogdon:
You have our approval, as described in your application dated May 21, 2001, and in accordance with the
attached conditions and those listed below, to place fill material at four sites for a total of 115 linear feet of
streams. The project's purpose is the widening and paving of SR 1606 from SR 1602 to SR 1615 in Halifax
County. The project should be constructed in accordance with your application dated May 21, 2001. After
reviewing your application, we have decided that this fill is covered by General Water Quality Certification
Number 3289. This certification corresponds to the Nationwide Permit Number 14 issued by the Corps of
Engineers. This approval is also valid for the Tar-Pamlico River Buffer Rules (15A NCAC 2B .0259). In
addition, you should acquire any other federal, state or local permits before you proceed with your project
including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed
regulations. This approval will expire when the accompanying 404 permit expires unless otherwise
specified in the General Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the DWQ and submit 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 the conditions. If total wetland fills for this project (now or in the future)
exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory
mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). ). This approval shall
expire with 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.
1. Stormwater shall be directed to sheetflow at nonerosive velocities through the protected stream buffers.
2. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ 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
Division of Water Quality upon completion of the project.
3. All authorized temporary impacts to the Tar-Pamlico Riparian buffers located outside the 115 feet of
culverted stream shall be restored to natural grade and revegetated with native tree species upon
completion of the project construction.
Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper
a9'd? IA7E
STATE of NORTH CAROLINA
U 8
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR
May 21, 2001
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27609
Attention: Mr. Eric Alsmeyer
NCDOT Coordinator
SECRETARY
Subject: Secondary road improvements to SR 1606 from SR 1602 to SR 1615 in
Halifax County. State Project No. 6.302275.
( §le
J
The North Carolina Department of Transportation (NCDOT) proposes to upgrade
SR 1606 from SR 1602 to SR 1615 in Halifax County. SR 1606 is an unpaved roadway
that will be upgraded to a paved roadway. Total project length is 2.21 miles.
Transportation and highway laws of North Carolina (G.S. 136-44.6, 136-44.7, -70
136-44.7A, 136-44.8, and 136-44.9) require the NCDOT to develop annual work C- _c
programs for construction and maintenance of secondary roads. These general statutes = rri
specifically set forth requirements for annual construction and paving of existing unpaved o _i
roads. Paving of these roads is performed in priority order as established by the NCDOT
for each unpaved road within a given county. This number is based on characteristics of
each road, including number of homes, schools, churches, businesses, industries,
recreational facilities, traffic counts, presence of school bus routes, and value as a
thorouglifare. SR 1606 is scheduled for paving in the 2000-2001 Secondary Roads
Construction Program.
Impacts to Waters of the United States
Construction of the project will necessitate impacts to waters of the United States
in the Tar River Basin. The project crosses three unnamed intermittent tributaries to
Beaverdam Branch, and one unnamed tributary to Beaverdam Swamp, which are shown in
the following table. Total impacts to these streams from construction include an additional
115 square feet (0.0026 acres) fill in surface water and a total of 60 linear feet existing
channel impacted at each crossing.
Post Office Box 3165, Nilson, North Carolina 27895-3165
LOCATION EXISTING EXISTING PROPOSED PROPOSED
Station Width in. Len?tli ft. Width in. Length ft.
3+00 30 ' 37 42 60
43+25 24 38 36 60
54+00 36 30 42 60
64+80 24 30 36 60
No impacts to wetlands associated with roadside shoulder and ditch construction
are anticipated due to the subject project.
Waters of the U.S. Mitigation
Avoidance: All wetlands or surface waters not affected by the project will be
protected from unnecessary encroachment. No staging of construction equipment or
storage of construction supplies will be allowed in or near wetlands or surface waters.
Minimization: The side slopes have been steepened to the extent possible at
jurisdictional sites. Strict Enforcement of sedimentation and erosion control Best
Management Practices for the protection of wetlands and surface waters will be enforced
during project construction. Continued coordination will occur with maintenance forces
and the Environmental Officer during construction to minimize impacts to waters of the
U.S. at these sites.
Compensatory Mitigation: Construction of the project will result in no impacts
to waters of the U.S. Impacts have been minimized to the maximum extent possible
during the design process.
Riparian Buffer Impacts
The construction of the project involves a road crossing of a stream that is subject
to the Tar-Pamlico Riparian Buffer Rule. Construction impacts at each jurisdictional
crossing are less than 40 linear feet of riparian buffer. Based on the impacts to the riparian
buffer at this site, the crossing is exempt from the Rule. Efforts will be made to minimize
the impacts of any additional storm water by the installation of extra check dams, level
spreaders and vegetated swales wherever possible.
Dewatering
The NCDOT proposes to temporarily dewater the stream during the construction
of the project. This will involve the temporary placement of sandbags, sheet metal
cofferdams, or Class B or Class 2 rip rap covered with filter fabric in the stream channel
approximately 10 feet upstream of the proposed pipe inlet. To maintain water flow during
construction, water upstream of this impervious structure will be temporarily pumped out
and conveyed downstream of the construction activity where it will be allowed to filter
through vegetation before flowing into the stream. The stream will be dewatered for less
than five consecutive working days. This will result in minor temporary impacts to these
surface waters.
Temporary impacts to the stream from this activity will result in the dewatering of a total
of 280 square feet (0.0064 acres) of streambed and approximately 70 linear feet stream
channel for each proposed pipe replacement. The total area of temporary disturbance due
to excavation for pipe replacement will be 240 square feet (0.0055 acres). The sandbags
or riprap covered with filter fabric will be entirely removed after construction.
Regulatory Review
The subject project has been reviewed and concurrence obtained from the State Historic
Preservation Office that there is no effect to any National Register or Study-listed
properties within the subject projects Area of Potential Effects.
The subject project has been reviewed by the Environmental Officer and by the U.S. Fish
and Wildlife Service (USFWS) representative for the presence of listed threatened and
endangered species. The subject project has been determined to have no effect on any
listed threatened or endangered plant or animal species.
Permit Issues
The purpose of this letter is to provide notification under Section 404 Nationwide
Permit (NWP) 14, Linear Transportation Crossings. Notification for the use of this NWP
to the USACE is provided for this project, as a courtesy to the USACE. Also, notification
to the North Carolina Division of Water Quality (NCDWQ) for Section 401 Water Quality
Certificate (WQC) No. 3289 is required for this project. NCDOT will comply with all
conditions associated with this NWP and WQC.
Additionally, the purpose of this letter is to request authorization under a Section
404 NWP 33 to dewater the stream crossings during project construction. The 401 WQC
No. 3114 (which corresponds to NWP 33) does not require written concurrence from the
NCDWQ as NCDOT intends to comply with conditions for the WQC.
Summary
NCDOT proposes to upgrade and pave SR 1606 in Halifax County. Temporary
impacts to the stream from dewatering activity will involve 280 square feet (0.0064 acres)
of streambed and 70 linear feet of stream channel at each crossing. Impacts associated
with the pipe replacement at this project include 115 square feet (0.0026 acres) of
additional fill in surface water and 115 linear feet existing channel impacted. No wetland
impacts are anticipated as a result of the subject project. The project is located in the Tar
River Basin. Impacts at the stream crossing are less than 40 linear feet in the buffer and
are therefore exempt from the Riparian Buffer Rule. The NCDOTT asks that the
dewatering of the stream be authorized under a Section 404 NWP 33. The NCDOT will
adhere to all applicable Section 404 NWPs and Section 401 WQCs conditions. If you
have any questions or need additional information, please contact Ms. Robin MLittle at
[phone].
Si cerely,
J0es H. Trog on, III, P.E.
Division Engineer
cc: Mr. David Franklin, USACE,Wilmington
Mr. John Dorney, NCDWQ, Raleigh '
Mr. David Cox, NCWRC, Creedmoor -
Mr. Garland Pardue, USFWS, Raleigh
Ms. Renee Gledhill-Earley, SHPO, Raleigh
Mr. Bryant Bunn, P.E., NCDOT Division Maintenance Engineer
Mr. Don Goins, P.E., Chief Engineer, Operations
Office Use Only: d Y Fonii Version April 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14, 33
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 (see section VIII - Mitigation), check here: E]
II. Applicant Information
Owner/Applicant Information
Name: Mr. James H. Trogdon III P.E. Division Engineer
Mailing Address: North Carolina Department of Transportation /Division 4
P.O. Box 3165
Wilson, NC 27895-3165
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: jtro,don a, dot. state.nc.us
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: Ms. Robin M. Little
Company Affiliation: Division Environmental Officer
Mailing Address: North Carolina Department of Transportation/Division 4
P.O. Box 3165
Wilson, NC 27895-3165
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: rmlittle a, dot.state.ne.us
Page 3 of 12
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 detailedsite 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: SR 1606, State Project No. 6.302275
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): NA
4. Location
County: Halifax Nearest Town: Darlington
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): 195 North to Exit 160, west on
NC 561, 1.2 miles to rightontoSR 1602, 1.2 miles to right onto SR 1606.
5. Site coordinates, if available (UTM orLat/Long): UTM 18 255158E 4018585N
(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 distinctwaterbody.)
6. Describe the existing land use or condition of the site at the time of this application: Rural,
agricultural
7. Property size (acres): NA
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Beaverdam Branch (DWQ
ID # 28-68-1-3 C NSW UT to Beaverdam Swamp (DWQ ID# 28-79-27 WS-IV, NS)LV)
9. River Basin: Tar River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available athttp://h2o.enr.stat.e.nc.us/admin/maw/.)
10. Describe the purpose of the proposed work: Grading drainage base waving and erosion
control to bring existing ravel road in compliance with standard safety design specifications,
replace 4 culverts.
Page 4 of 12
11. List the type of equipment to be used to construct the project:
Heavy constriction equipment ( back hoe, track hoe excavator, dump truck)
12. Describe the land use in the vicinity of this project: Rural residential/agricultural mix.
IV. Prior Project History
V.
VI.
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.
Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: NA
Proposed Impacts to `Voters 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 5 of 12
1. Wetland Impacts
Wctlvid Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
0 no

List each impact separately and identity temporary impacts. Impacts include, but are 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 arc identified through the Federal Enncrgency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through tie FEMA Map Service Center at 1-800-358-9616, or
online at htthh://www.fema.Rov:
*** List a wetland type Unat best describes wetland to be impacted (e.g., fresh«ater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: NA
Total area of wetland impact proposed: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(pleasespecify)
1 SUh 3+00 142" RCP 23 UT to Bcaverdam Br. 3 Intermittent
2 Stn 43+25 136" RCP 22 UT to Bcaverdam Br. 2 Intermittent
3 Stn 54+00 142" RCP 30 UT to Beaverdmn Br. 3 Intermittent
4 Stn 64+80 136" RCP 30 UT to Beaverdmn Sw. 2 Intermittent
" List each impact separately and identify temporary impacts. Impacts include, but arc not lnnited to: culverts and associatcalip-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 linear footprint for both the original and relocated streams must be included.
Steam names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
dovvnstreanh named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
vvAvw.us2-,-gnv. Several internet sites also allow direct download and printing of USGS maps (e.g., vvlyvv.tol)oz.one.com
wtivw mapguest.cnhn etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 115
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
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,
(` p r}', sound,
bay. ocean, etc.)

* List each impact separately and identify tenhporwy impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
Page 6 of 12
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.
All wetlands or surface waters not affected by the project will be protected from unnecessary
encroachment. No stain, of constriction equipment will be allowed in or near wetlands or
waters of the U.S. Strict enforcement of sedimentation and erosion control Best Management
Practices for the protection of wetlands and surface waters will be enforced during project
constriction.
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
stream s.
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
Page 7 of 12
lacking a required mitigation plan or NCWRP concurrence sliall 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
htlp_//h2o_enr.state.nc its/ncwetlands%strinE?ide.litniL
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.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at blip:ht?2c?.cncstate.nc.uslwrpr,?deY.t?t,n. 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 of Non-riparian wetland mitigation requested (acres
Amount of Coastal wetland mitigation requested (acres):
LX. Environmental Documentation (D` Q Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
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
Page 8 of 12
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 (DWQ Only)
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
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 informtion:
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 0 3 0
2 0 1.5 0
Total 0 0
Lone 1 e%lends out 30 tect perpendicular Irom near bank of chamiel; Zone 2 extends an
additional 20 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.
XI. Stormwater (DWQ Only)
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.
Page 9 of 12
Existing gravel road surface area will not be widened within riparian buffer Temporary
dewaterina and all appropriate best management practices for sediment and erosion control will
be implemented during pipe replacement.
XH. Sewage Disposal (DWQ Only)
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 (DWQ Only)
Is this site in violationof DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
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).
Apecant/Agent's Sioature Ddte '
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitclicll Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Page 10 of 12
w..+ o u>z 1131 ;?: ? e Irn
f R•' r
go
•O 1 0 162) 7 15)1
'Ile 'o
301
1 1611 •\ ? `y. \ .
1210 1 •'\ /•
N
I.1) ? . YOl. O ; .,, 1151 "(
48
I'M Mdrw? 2. \ \ ©:0. Mr.7.s
Iml 1610 G.w6 1616 RIe \ (o®
.. /a..... ,\ ?•^ ? /l•?..\ 161 ^.; ?..\ I /
t Sol
.1 ?^ •y 1 .? •?'?'^? ,\ 1619 I ? ''-?'
\ gz V
1200 w.
_? ; . .. \ . / Gar•..v 1612 \ _ r..+.
•\ 1
I?1 On1w° '? 1 t 161
? 1HJ7 / ?\ - 1615 •'\ i + 100/ , t -
1 1 ? - 1[1 ?.
160 / - ?? \
/ raw •°16» -
701
1 •\ 1001 • ??
'? ./•• IZIQ a ?.T
1 .•, ; '\ 1700 1 1 ? M1 NJ ?'\?-?? i ?A1+•.16J1 of fax
o3 -\ ?rwrm \ IT.
1
Db-
1 12, .. 1219 •1210 '•\ 1 .
I '\ 0 1221 ?.? \• ?,p?
1 r 1 'J
•6r.- \ Ad_ N ^ \ ?t
?•• ?• r
! % IMpW 11
1 . ..1 \ r1 E60n W.
1 - Ct,
1$10 ` .7 t M1• ! I2n ?o
1 3? me 1 1
1;hs ?
I 1 I
1211 1 Mi
a? \ ''\ •.\ 1. J9 ? JW
/ bl
Z / \y e 1 !L y .\ V,
121.
'r 121. 1 , ? .,•• -. • ^-. .?' •_
1217 a
lulv..!d? . N / 1 / Et1fILiD • - j 1
•/ "\•• \ 8 •\ .? '•\.1 / FOP. 7A72 •\ •?
•1•.`C IM5 i - 1 1001 110 1
° \? \•
1@
1 -?--? 1110•
yid. 0.Y •, •\••? \ '\7 IOOJ
/ 1
t 1341 M1 1 / r•
\ ? 1
h\' /1319 ,••? .• ? 12?,N? •? ?9
12V IC9
- Jam. d d ?' •\! .V • ? / • •\
(" .?i Ira ? a / ?'?• \ i 8 '/.l\??• ?' \.? N
f 1 '4' 1 ? l? I ?. i ? 1
P
USDA/NRCS VICINITY _MAP_
COUNTY A1,?7p - --SHEET # ?_ . 1 I?7/'/??I-l y -0? _ r
SCALE ]_ ? ep _ 7 ,/ z0 le,a/L ? s (Nyn?) (Due) `•.?.„ ;.••,
15,
t r ; C '
orr,',
{ ?r
tit.. f
b 'T 77 p it
} IF rev@r}??. f'F, \ 1 '.s
i` ,??'? r?' i?i; \ •""' i - 'B twerdam !;Z7
i/i?i?? ] -- - - -• ?.. .?.....? ?, "..
aem Ili !y/'llrr {,. '
JV,
N `a•.ent-4i
USGS QUAD MAP q T
SCALE 1'=- ZOGb' of 70 `calms
n ? ? Yom. ??1
S2 - ?? Oho ``s ' ame) (Date)

?' -17 77!
• ???? M ti F; +? . ? ' r ?S?t ???w?._.r+r '? ?/ 4 ( ??_? 7737
3 ? Y3 s[.Ay
?

1 r, T'? -. t ?
t
f, ov

I r1
:. ? ???
l
3?p r?'• $', 3200 3764 ,? , ,,•,trl,-:?>, ;• -
65
{ B 3
j
3'10 9r
3658
a
(
r

%
320 A 5..
1]2oB y? , . r 3?
F
-
t
i
CI
O
700
}, . 1 365 p a -
?? 25E32 ;k E; °o ,rte
'' j# < { 11
}/
?{
/
y
?s,..?. f),t wry = o f[310 r .:«ai
4.17 „r ,.. YF3 x I
,••?" as",?
! 320
.`i. ???
'
?..
13
r+

41
14
365

3 559
n ` 9 365 ? ? "`
3(65

ti B }
3 (o IN,
.5 u
,?"?° T? ' 365 f3 • ? .. ? P •' ' ?, r ,,"' ,
°J 328 sk
365 -• o ° 1 ,??
32D f.
s

310 B 1,? • a ' '
wrl
t
?
?
? '
32ds
a y l
)lea " " s 3658
?J320g
37D5

USDA/NRCS SOIL SURVEY °
couNlY HALr?,4X SHEET # OF Dr V 4 OZ ST ! H?1 LT FAX ??
SCALE 1= !32 D' §`- 9 A Al-rtl-5 31/9/: o0 ?
s (NXTIC) (D,c,) ?`• '?'
of n•
E?

3Z"
3 65A
I LrE
v
L
nll
. r/
o
A
II&
•; ? "° - ? ?.,. 365•
T?f 36? `» V e rr 3658
LAI
????, a 3 ?Q 'f M ,, ?? ?f-t i H Ft•?*' ` e\ ,, ?"r! ?,r B ; ? rF},
328
A
'10 6
5558. 1
„t. <;.. A ?r ,• 320 {` F ?,? , ?? ? ,?? 3 ?
3653
365 p g.> .
411 A?
365 36519 3W
365A
r
Ar%l
y
j,j
4118 Ae,
411
365 x136 ?"",
559B 17
35
v c+ .a r, F''r
USDA/NRCS SOIL SURVEY pr v Y OrsT I HNZrF'Ax,.°
couN Y HAT FAA SHEET # F_ d?
SCALE 1= /32 D' 8 A /LISLL5 311,7110
s (Name) (Dace) I „
yr r

iN R ??: 32oB .' Y . ?• ?HSD `'?D'.sA? l l l

?2oI3
a"

3y00
44
/ . -ai
F

,..47 A
? ,
3204 3To8 K .1
.??,tiid 0117R
oB 4
??
s P 1601A f •
a
415 111 L 4i
3709
?, RI 1 411 •Y.
te
t y% ?.yL+. r 1 Y
41I a.
USDA/NRCS SOIL SURVEY
COUNTY M4.rF,4x SHEET N E 7
SCALE 1If, 1320e
°4.
01 v 4 D?sr , NpcrF?r-'
(N-e) Pat

5X2X2 RIPARIAN
PROP W 1519/503
BUFFER ZONE 6X2X2
----- - -
SR 1606 0, II

---------------------- F - '
- ------ 130' CONC PIPE
--- -- - - --- - -

PRO P R/VN
OED 5X4.5XI.0 I.0 TONS
I
PERMIT OF ENTRY
REO'D FOR CLEANOUT
FRANCES L.THORNE
668/24
2
3
JAMES EARL SMITH
\ 1519/503
4
NCDOT SITE PLANS
SCALE: 1
r ,5

ri = I,CbL.yV
VERTIE MAE -LIAMSO
1471/ji7
' 4X2X2
PROP 5x2x2
R/W RIPARIAN BUFFER ZONE
-------------

-
7606 1606 --- Q
o. - --------- 41;
•---------= -- - 1.
---- _--------- 24' CONC PIPE
II Q
PROP RrW ® >-
OED 4X4.OX1.0 0.6 TONS JANET H. HUMPHP"
974/103
PERMIT OF ENTRY
REO'D FOR CLEANOUT

4:. 43 44

<_J I I i. __? nir ri
NCDOT SITE PLANS
SCALE: I- c_ ' r-

7X2X2 RIPARIAN BUFF N 84° 46' 30.0"E
ER ZONE 6X2X2
PROP RW

Remove 36' CMP i SR 1606 N o,
ep oce 1
----------------------- ------------ ---------------- --------------
-- "'-
---
-
PROP M
OED 6X5.OX1.O /-3 TONS
JANET H.HUMPHREY
974/103
PERMIT OF ENTRY
REO'D FOR CLEANOUT

---

E
PUC
?
I
I

I.
33 54 55 56
NCDOT SITE PLANS'
SCALE II= '-?-L. '
15' CON PIP
_ 7X2X2 RIPARIAN BUFFER ZONE
15' CONC PIPE L
4
III
--"`- -

PIPE -
CONC I 24?
1 OED 4X4.OX1.O 0.6 TONS
C?
Pl Sta 65 f97.42
0
i 0 = 20' 44' 05.0" l RT 1
?
PER,U/T OF ENTRY D = 5 C 6
cA REO D FOR CLEANOUT L = 414.E -j'17.
T 209.44'
R = 1,144.80,

---------------- --------

--------------------------------

ROVER C. ADK'
1569/302

64 65 66 7
NCDOT SITE PLANS
SCALE: 1=
.?JI" ! ,. Mf?L-(
(-I <j

u .OI1M ??
?e?,1