20001533 Ver 1_Complete File_20001211

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DWQ Project No.: CD DT 33 County: 1: 4?? Xw-) de r
Applicant:
Project Name: (02 arl x
Oti
Date of issuance of 401 Water Quality Certification: u7s/- -7
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or
the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, L •/r/P/ , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved Tans and specifications, and other supporting materials.
Signature:
Agent's Certification
I, , hereby state that, to the best of my abilities, 'due care
and diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and specifications, and other supporting materials.
Signature: Date:
if this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, weekly, full time) the construction of the project, for the Permitee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, anci other
supporting materials.
Signature Registration No. Date
x
1VCC7EN
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
O?O? WA
T ?RQG
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project No.: 15 33 County:
Applicant: CD D 7' - 'v A - he-i 4
Project Name: S C ! W1.1 ( x f
Date of Issuance of 401 Water Quality Certification:

O
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or
the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
hereby state that, to the best of my abilities, due care
and.diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved lans and s ecifica 'ons, and other supporting materials.
Signature: ??.?_ -Date: 30/0y
Agent's Certification
I, , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and specifications, and other supporting materials.
Signature: Date:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, weekly, full time) the construction of the project, for the Permitee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other
supporting materials.
Signature Registration No. Date
WETLANDS / 401 GROUP
FEB 0 4 2004
MATER QUALITY SECTION
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), hftp://h2o.enr.state.nc.us/ncwetlands/
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 7, 2002
Alexander County
DWQ Project No. 001533
SR 1621 (Carl Fox Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions: MODIFICATION.
Ms. Trish Simon, Division Environmental Officer
NCDOT Division 12
P.O. Box 47
Shelby, NC 28151
Dear Ms. Simon:
You have our approval, in accordance with the attached conditions and those listed below, to incur 15
linear feet of additional impacts to an unnamed tributary of Island Creek at Sta. 39+00 in order to upgrade
SR 1621 (Carl Fox Road) in Alexander County. The project should be constructed in accordance with
your application dated July 1, 2002 and additional information received on July 25, 2002. After
reviewing your application, we have decided that this fill is covered by General Water Quality
Certification No. 3375 corresponding to the U.S. Army Corps of Engineers Nationwide Permit Number
14. 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 with the accompanying §404 permit unless otherwise
specified in the Water Quality Certification.
This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you-must notify us in writing, and you may be required to
send us a new application. If the property is sold, the new owner must be given a copy of this
Certification and approval letter and is thereby responsible for complying with all conditions. If total
wetland fills for this project (now or in the future) exceed one acre, or if stream impacts exceed 150 linear
feet, compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For
this approval to be valid, you must follow the conditions listed.in the attached certification and any
additional conditions listed below.
1. All mechanized equipment operated near surface waters must be regularly inspected and maintained
to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic
materials.
2. The presence of equipment in the channels must be minimized. Under no circumstances shall rock,
sand or other materials be dredged from the wetted stream channel under authorization of this permit,
except in the immediate vicinity of the culverts.
3. Existing vegetated buffers shall not be mowed in order to utilize it for storm water sheet flow.
4. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
5. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If rip-rap is necessary, it must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water.
6. Upon completion of the project, the NCDOT or its authorized agent shall complete and
return the enclosed "Certificate of Completion" form to notify NCDWQ when all work
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/
included in the §401 Certification has been completed. This will fulfill the requirement of
Condition 16 in WQC 3375.
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 that conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. 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 Ms. Cynthia Van Der Wiele at 919.733.5715 or Mr.
Samar Bou-Ghazale or Mr. Mike Parker of the Mooresville Regional Office at 704.663.1699.
Sincerely,
4-9t6
Alan W. Klimek, P.E.
Attachment
Pc: Wilmington District Corps of Engineers
John Hendrix, USACE Asheville Field Office
NCDWQ Mooresville Regional Office
Central Files
File Copy
Office Use Only: Form Version October 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. FILE ug"OPY
L Processing
1. Check all of the approval(s) requested for this proje* M ED
® Section 404 Permit E' °- , < <;? s=
? Section 10 Permit,
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NW Permit #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 (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder NCDOT
Mailing Address: P.O. Box 47
Shelby NC 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: NCDOT
Mailing Address: P.O. Box 47
Shelf NC 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: [e-mail]
Page 5 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 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: Permit modification of DM Project #00-1533 for the additional pipe fill
on the nine replacement at Station 39+00 on SR 1621 Cazl Fox Road. Alexander County
2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.7852
3. Property Identification Number (Tax PIN): NCDOT Right of way
4. Location
County: Alexander Nearest Town: Stony Point
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): Take Hwy. 90 East from
Taylorsville,?turn right onto SR 1610 and proceed approximately 3.0 miles to intersection of
SR 1610 and SR 1605 Turn right onto SR 1605 and proceed approximately 2.5 miles to SR
1621 Turn right onto SR 1621 and proceed to the12ipe replacement at Station 39+00.
5. Site coordinates, if available (UTM or Lat/Long):
(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. Describe the existing land use or condition of the site at the time of this application:
Unpaved secondary road
7. Property size (acres): 1/i acre NCDOT right of why
8. Nearest body of water (stream/river/sound/ocean/lake): Third Creek
9. 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/.)
Page 6 of 12
10. Describe the purpose of the proposed work: To replace deteriorating pipe and to realign the
road in this area to eliminate a dangerous curve to provide safe passage for the travelling
public.
11. List the type of equipment to be used to construct the project: A trackhoe will be used
for excavation and placement of riprap.
12. Describe the land use in the vicinity of this project: The surrounding area is wooded and
pastureland.
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.
This is a permit modification request for 15 feet of additional impacts at Station 39+00 on SR
1621 The previous permit issued was for 60 feet of impacts at Station 39+00. The USACE
Action ID Number, which authorized this, was Action ID 200130268 and the DWQ Project
Number is 00-1533 Along with the 60 feet authorized for the pipe replacement on an unnamed
tributary, to Island Creep 50 feet of impacts was authorized for a bridge replacement on Island
Creek on SR 1621 The construction of the road is currently in progress. The bridge
replacement has been completed and the pipe was originally installed on 4/02. It was discovered
during the construction of the new alignment in the area of the pipe location that additional
footage was needed , for proper slope and construction of the road.
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 VH 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
Page 7 of 12
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1 _ Wetland Imnacts
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100 year Floodplain**
es/no Distance to
Nearest Stream
inear feet
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, pOing, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplams 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 htto://www.ferna.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0
dream Tmnacts_ including all intermittent and perennial streams
Stream
Impact Average Width Perennial or
Site
Type of Impact* Length of Impact **
Stream Name**
Of Stream
Intermittent?
Number (linear feet) Before Impact (please specify)
(indicate
on ma
Unnamed
1 Additional pipe fill 15 feet tributary to 4 feet Perennial
Island Creek
• d 'd t im cts Im but are
cts include not limited to: culve rts and associated rip-rap,
,
List each mipact separately an i entrfy emporary pa pa
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
*• Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.uses.QOV. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tonozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 15 feet.
3. Open water impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. NO OPEN WATER HA PACTS
Open Water Impact
Site Number
Type of Impact* Area of

Impact Name of Waterbody Type of Waterbody
(lake, Pond, estuary, sound,
indicate on ma acres (if applicable) bay, ocean, etc.

• List each impact separately and identify temporary impacts. Impacts include, but are not lumted to: fill, excavation, dredgmg,
flooding, drainage, bulkheads, etc.
Page 9 of 12
4. Pond Creation NO POND CREATION
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
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.
The realignment of the road at the pine was necessary to eliminate a dangerous hairin curve to
provide safe passage for the travelling public.
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/stringide.html.
Page 9 of 12
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.
R-APACTS < 150 FEET• MITIGATION NOT ANTICIPATED
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 hi tp://h2o enr state nc us/wro/ind xx.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 of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ 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
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
Page 10 of 12
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.
XL
XII.
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
mitigation is required
multipliers
and acreage of impact to each zone of the riparian buffers. If buffer
calculate the required amount of mitigation by applying the buffer
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; zone z 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.
NA
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.
Stormwater controls in place during road construction.
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
XUL Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
Page 11 of 12

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).
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
DD /'? 33 /We p

STATE of NORTH CAROLINA
?9- e 1 n}?
(/` C1l?? ..1
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
PO BOX 47, SHELBY, NC 28151
FILE COPY July 1, 2002
Mr. John Hendrix
US Army Corps of Engineers
151 Patton Avenue, Room 143
Asheville, NC 28801-5006
Subject: Permit Modification Request Due to Additional Road Fill for Action ID
200130268 (DWQ Project # 00-1533)
SR 1621, Carl Fox Road
Alexander County, NC
Dear Mr. Hendrix:
Enclosed is a permit modification request for the PCN application submitted on 12/7/00
for additional fill impacts on SR 1621, Carl Fox Road in Alexander County, NC.
The project consisted of the grading and paving of SR 1621 with a bridge replacement at
Station 54+00 and pipe replacement at Station 39+00. Due to changes in road alignment
and road grade to construct a safer roadway for the travelling public, minimal additional
fill is required at the Station 39+00. Sixty feet of the originally permitted 72" CMP was
installed on 4/02, an additional 15 feet of 72" CMP is needed on the downstream side to
complete the construction of the roadway at Station 39+00. It is anticipated that the
additional pipe can be attached to the existing 72" CMP and be installed 6" below
existing streambed elevation.
A copy of the original permit application package submitted for this project is enclosed.
If you need additional information, please contact me at 704-480-9020.
Mr. John Hendrix
Page 2- Permit Modification, SR 1621
July 1, 2002
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY- j jt? -Sl?
Trish Simon
Division 12 Environmental Officer
Enclosures
Cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Dan Holderman, P.E., Division Bridge Engineer
Mr. John Cook, P.E., Alexander County Maintenance Engineer
Mr. John Dorney, DENR/DWQ/401/Wetlands Unit
Mr. Ron Linville, Wildlife Resources Commission
File
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STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT JR. P.O. BOX 25201, RALEIGH, N.C. 27611-5201 DAVID McCOY
GOVERNOR
P.O. BOX 47, 1710 East Marion Street
Shelby, N. C. 28151-0047
December 7, 2000
Mr. Steve Lund, Project Manager - NCDOT Projects
US Army Corp of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 143
Asheville, N. C. 28891-5006
Dear Mr. Lund:
SECRETARY
The North Carolina Department of Transportation Bridge Maintenance Unit, proposes the
following project for your issuance of a Section 404 Permit. We believe this project can be
accomplished under NWP 414, Linear Transportation Crossings.
COUNTY: Alexander
LOCATION: SR 1621
STREAMS: Island Creek & Unnamed tributary to Island Creek
PROJECT DESCRIPTION: Sta. 54+00- Bridge 9262: Replace existing 50' long x 20' wide
timber and steel bridge with a 50' long triple line of 142"x91" CMPA. Sta. 39+00: Replace
existing 42" CMP (40' long) with a 60' long line of 72" CMP. Class "C" waters involved. No
wetlands or HQW involved. Less than 1/2 acre will be affected at each site. The installment of the
CMPA on Island Creek and the CMP on the unnamed tributary to Island Creek will impact a total
of 70 linear feet of streams.
By copy of this letter, we are also requesting a concurrence letter from the Wildlife Resources
Commission, US Fish & Wildlife Service, and the State Historic Preservation Office.
By copy of this letter, I am forwarding seven (7) copies of the application package to John Dorney,
NCDENR, Division of Water Quality, 401/Wetland Unit for review. A $200.00 check is enclosed
for application processing.
I have conducted a survey for the bog turtle (Clemmys muhlellbergii) and its habitat in the project
area on November 21, 2000. I have also contacted Marella Buncick with the U. S. Fish and Wildlife
Service concerning bog turtle locations in Alexander County. She has concurred there are no
known bog turtle habitat areas in the project area vicinity. No significant effect on this species or
its habitat is anticipated.
A site location map and a sketch of planned activities are attached. A stringent erosion and
sedimentation control program will be implemented during the project construction, and every
effort will be made to complete the work in a timely manner.
Your earliest consideration for this request would be greatly appreciated. Our personnel are
available to assist with your evaluation of this project, if necessary. Should you have any questions,
please call me at 704480-5400.
Sincerely,

Trish Simon
Division 12 Environmental Officer
Enclosures
cc: Mr. Michael L. Holder, P.E. Division Engineer
Mr. Dan Holderman, P.E. , Division Bridge Engineer
Mr. Richard Silverman, Historic Architecture
Mr. Ron Linville, WRC
Mr. Brian Cole, USF & WS
Ms. Renee Gledhill-Earley, SHPO
Mr. John Dorney, NCDENR-DWQ
File
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 14
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY,
ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC
27607. PLEASE PRINT OR TYPE.
1. OWN'ER'S NAME: N.C. Detxtrtment of Transportation
'_. MAILING ADDRESS: P.O. Box 47
SUBDIVISION NA.'v1E
CITY: Shelby STATE: NC ZIP CODE: 28161
PROJECT LOCATION ADDRESS. INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
SR 1621. Bridge # 262 and pipe at Station 39+00
3. TELEPHONE NUMBER: (HOME) (WORK) (704) 480-64(X)
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL. ADDRESS.
PHONE NUMBER:
LOCATION OF WORK (PROVIDE A MAP. PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Alexander - NEAREST TOWN: Stony Point
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS. LANDMARKS. ETC.) Take H«v. 90 East
from Taylorsyille turn right onto SR 1610 and proceed approximately 3.0 miles to intersection of SR 1610
and SR 1606 Turn right onto SR 1606 and proceed approximately 2.6 miles to SR 1621. Turn right onto
SR 1621 and proceed 1 miles to Bridge #262 The pipe replacement at Station 39+00 is approximately
1600 feet before Bridge 4262.
6. IMPACTED OR NEAREST STREAM/RIVER: Third Creek RIVER BASIN: Yadkin
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER. (SA),
HIGH QUALITY WATERS (HQW). OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES NO ® IF YES. EXPLAIN:
(b) IS THE PROTECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? NO X
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES). WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ? NO X IF YES. PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO X IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: 1/2 acre at each site- NCDOT
Right of Way
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0.0
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED: 0_0
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED.
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
CULVERT ADDITIONSIPIPE EXTENSIONS 70 FT
STREAM RELOCATION - LENGTH BEFORE: FT AFTER: _ FT
WIDTH BEFORE (based on normal high water contours): FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(b) (2) STREk%I CHANNEL ItIPACTS WILL RESLZT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X
CHAIv'NEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
1 1. IF CONSTRUCTION OF A POND IS PROPOSED. WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED'? (ATTACH PLANS. 81/2 BY 11 DRAWINGS ONLY)
Replace bridge and pipe using trackhoe for excavating and riprap work
13. PURPOSE OF PROPOSED WORK: To replace deteriorated and structurally deficient bridge and to realign
the road to eliminate dangerous curves and to provide safe passage for the traveling public.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
N/A
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: 11/20/00.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICE (SHPO)
REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY
BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 12/7/00.
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND? YES X NO ? (IF NO, GO TO 16)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ? NO X
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO
WETLANDS: N/A
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES. AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38).
ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE. REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER. IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM,
/ /tt?? f 2/?/rte a
OWNER'S/AGENTS SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).

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STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GovERNOR SECRETARY
PO BOX 47, SHELBY, NC 28151
July 1, 2002 f r r ;
Mr. John Hendrix
US Army Corps of Engineers f,F k
151 Patton Avenue, Room 143"
Asheville, NC 28801-5006
Subject: Permit Modification Request Due to Additional Road Fill for Action ID
200130268 (DWQ Project # 00-1533)
SR 1621, Carl Fox Road
Alexander County, NC
Dear Mr. Hendrix:
Enclosed is a permit modification request for the PCN application submitted on 12/7/00
for additional fill impacts on SR 1621, Carl Fox Road in Alexander County, NC.
The project consisted of the grading and paving of SR 1621 with a bridge replacement at
Station 54+00 and pipe replacement at Station 39+00. Due to changes in road alignment
and road grade to construct a safer roadway for the travelling public, minimal additional
fill is required at the Station 39+00. Sixty feet of the originally permitted 72" CMP was
installed on 4/02, an additional 15 feet of 72" CMP is needed on the downstream side to
complete the construction of the roadway at Station 39+00. It is anticipated that the
additional pipe can be attached to the existing 72" CMP and be installed 6" below
existing streambed elevation.
A copy of the original permit application package submitted for this project is enclosed.
If you need additional information, please contact me at 704-480-9020.
Mr. John Hendrix
Page 2- Permit Modification, SR 1621
July 1, 2002
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
Trish Simon
Division 12 Environmental Officer
Enclosures
Cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Dan Holderman, P.E., Division Bridge Engineer
Mr. John Cook, P.E., Alexander County Maintenance Engineer
Mr. John Dorney, DENR/DWQ/401/Wetlands Unit
Mr. Ron Linville, Wildlife Resources Commission
File
0 D 15- 33 ,4le
G I im
56
f f Yi? ? l! ? ! ?5 t
5 ._
?T
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
MEMO TO: John Dorney, DENR/DWQ/401/Wetlands Unit
FROM: Trish Simon, Division 12 Environmental Officer fi5
LYNDO TIPPETT
SECRETARY
DATE: July 1, 2002
SUBJECT: Permit Modification Request for DWQ Project # 00-1533/401 Automated
Payment
Enclosed are seven copies of a permit modification request for DWQ Project # 00-1533
for a bridge project/secondary road project in Alexander County for your review and comments.
Project information for the 401 Automated Payment Procedure
• Work order number: 4312B-549-5.7852-475-SR1621-78999
• TIP #:
• Project Category:
is
Not Applicable
$200.00 Fee
PAYMENT
RECEIVED
Post Office Box 47 Shelby, North Carolina 28151-0047

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 that conforms to Chapter 150B of the North
Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and
binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act. If you have any questions, please telephone John Dorney at 919-733-9646.
Sincerely,
tf !)rt ?-L7
T. Stevens
Attachment
Pc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Asheville DWQ Regional Office
Central Files

- 4
R
State of North Carolina
Department of Environment Y XA'A
and Natural Resources 4 0
Division of Water Quality
James B. Hunt, Jr., Governor NCDENR
Bill Holman, Secretary Kerr T. Stevens, Director
December 15, 2000
Alexander County
DWQ Project No. 00-1533
Replacement of Bridge 262 over Island Creek on SR 1621
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Ms. Trish Simon, Environmental Officer
NCDOT Division 12
P.O. Box 47, 1710 East Marion Street
Shelby, NC, 28151-0047
Dear Ms Simon:
You have our approval, in accordance with the attached conditions and those listed below, to incur
70 linear feet of impacts to Island Creek for the purpose of constructing Bridge 262 on SR 1621 in
Alexander County. The project should be constructed in accordance with your application dated 7
December 2000 (received 11 December 2000). 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. 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 with the accompanying 404 permit, unless
otherwise specified in the Water Quality Certification. The following additional conditions will be
required:
1. The culvert shall be installed in such a manner that the original stream profile_ is not altered (i.e.
the depth of the channel should not be reduced by a widening of the stream bed).
2. All work shall be performed during low flow conditions.
3. Care must be utilized such that live (wet) concrete does not enter the stream channel.
4. The presence of equipment in the channels must be minimized.
5. Rip-rap shall not be placed above the bank-full elevation.
6. Mowing of existing vegetated buffers is strongly discouraged, so that they may be utilized for
storm water sheet flow.
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 if 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). For this approval to remain valid, you must adhere to the conditions listed
in the attached certification.
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

40I?SSU?Dyd nl7(' It ?nnn
STATE OF NORTH CAROLINA 001533
DEPARTMENT OF TRANSPORTATION
JAMES B. HUNT JR. P.O. BOX 25201, RALEIGH, N.C. 27611-5201 DAVID McCOY
GOVERNOR SECRETARY
P.O. BOX 47, 1710 East Marion Street
Shelby, N. C. 28151-0047
December 7, 2000
Mr. Steve Lund, Project Manager NCDOT Projects
US Army Corp of Engineers PAYMENT
Asheville Regulatory Field Office
151 Patton Avenue, Room 143 RECEIVED
Asheville, N. C. 28891-5006
Dear Mr. Lund:
The North Carolina Department of Transportation Bridge Maintenance Unit, proposes the
following project for your issuance of a Section 404 Permit. We believe this project can be
accomplished under IWP #14, Linear Transportation Crossings.
COUNTY: Alexander
LOCATION: SR 1621
STREAMS: Island Creek & Unnamed tributary to Island Creek
PROJECT DESCRIPTION: Sta. 54+00- Bridge #262: Replace existing 50' long x 20' wide
timber and steel bridge with a 50' long triple line of 142"x91" CMPA. Sta. 39+00: Replace
existing 42" CMP (40' long) with a 60' long line of 72" CMP. Class "C" waters involved. No
wetlands or HQW involved. Less than 1/2 acre will be affected at each site. The installment of the
CMPA on Island Creek and the CMP on the unnamed tributary to Island Creek will impact a total
of 70 linear feet of streams.
By copy of this letter, we are also requesting a concurrence letter from the Wildlife Resources
Commission, US Fish & Wildlife Service, and the State Historic Preservation Office.
By copy of this letter, I am forwarding seven (7) copies of the application package to John Dorney,
NCDENR, Division of Water Quality, 401/Wetland Unit for review. A $200.00 check is enclosed
for application processing.
I have conducted a survey for the bog turtle (Clemmys muhlenbergii) and its habitat in the project
area on November 21, 2000. 1 have also contacted Marella Buncick with the U.S. Fish and Wildlife
Service concerning bog turtle locations in Alexander County. She has concurred there are no
known bog turtle habitat areas in the project area vicinity. No significant effect on this species or
its habitat is anticipated.
A site location map and a sketch of planned activities are attached. A stringent erosion and
sedimentation control program will be implemented during the project construction, and every
effort will be made to complete the work in a timely manner.
Your earliest consideration for this request would be greatly appreciated. Our personnel are
available to assist with your evaluation of this project, if necessary. Should you have any questions,
please call me at 704-480-5400.
Sincerely,

Trish Simon
Division 12 Environmental Officer
Enclosures
cc: Mr. Michael L. Holder, P.E. Division Engineer
Mr. Dan Holderman, P.E. , Division Bridge Engineer
Mr. Richard Silverman, Historic Architecture
Mr. Ron Linville, WRC
Mr. Brian Cole, USF & WS
Ms. Renee Gledhill-Earley, SBPO
Mr. John Dorney, NCDENR-DWQ
File
'pp465?
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 14
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY,
ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC
27607. PLEASE PRINT OR TYPE.
1. OWNER'S NAME: N.C. Department of Transportation
2. MAILING ADDRESS: P.O. Box 47
SUBDIVISION NAME
CITY: Shelbv STATE: NC ZIP CODE: 28151
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
SR 1621. Bridge # 262 and pipe at Station 39+00
3. TELEPHONE NUMBER: (HOME) (WORK) [phone]
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER:
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP
OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Alexander - NEAREST TOWN: Stonv Point
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) Take Hwy. 90 East
from Tavlorsville. turn right onto SR 1610_and proceed approximately 3.0 miles to intersection of SR 1610
and SR 1605 Turn right onto SR 1605 and proceed approximately 2.5 miles to SR 1621. Turn right onto
SR 1621 and proceed 2.1 miles to Bridge #262 The pipe replacement at Station 39+00 is approximately
1500 feet before Bridge #262.
6. IMPACTED OR NEAREST STREAM/RIVER: Third Creek RIVER BASIN: Yadkin
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES NO ® IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES 0 NO X
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES ? NO X IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND
ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ? NO X IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: 1/2 acre at each site- NCDOT
Right of Wav
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
0.0
10. (a) NUMBER OF ACRES OF WETLANDS RvIPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: OTHER :
DRAINAGE : TOTAL ACRES TO BE IMPACTED: 0.0
(b) (1) STREAM CHANNEL TO BE IN[PACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
CULVERT ADDITIONS/PIPE EXTENSIONS 70 FT
STREAM RELOCATION - LENGTH BEFORE: FT AFTER:- FT
WIDTH BEFORE (based on normal high water contours): FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(b) (2) STREAM CHANNEL IlvIPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X
CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND? N/A WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS: 81/2 BY 11 DRAWINGS ONLY)
Replace bridge and pipe using trackhoe for excavating and riprap work
gn
13. PURPOSE OF PROPOSED WORK: To replace deteriorated and structurally deficient bridge and to reali
the road to eliminate dangerous curves and to provide safe passage for the traveling public.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
N/A
15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY
LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL
HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: 11/20/00.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICE (SHPO)
REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY
BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 12/7/00.
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND? YES X NO E] (IF NO, GO TO 16)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ? NO X
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ?
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO
WETLANDS: N/A
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38).
ALL STREAM (INTERM[ITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON
THE MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET
OF THEIR EQUIVALENT.
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
-- (c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS-..--__.-__
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY?
(f) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM,
OWNER'S/AGENT'S SIGNATURE DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED).

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FILE COPY
MEMORANDUM
TO: John Hendrix, Permit Coordinator
Asheville Office, U.S. Army Corps of Engineers
FROM: Ron Linville, Regional Coordinator
Habitat Conservation Program
DATE: June 5, 2002
SUBJECT: Review of an application by North Carolina Department of Transportation
(NCDOT), SR1621, Carl Fox Road Permit Modification, Alexander County
NCDOT is requesting a letter of concurrence from the North Carolina Wildlife Resources
Commission (NCWRC) to obtain a 404 permit from the U.S. Army Corps of Engineers. The
NCWRC has reviewed information provided by the applicant, and field biologists on our staff are
familiar with habitat values of the project area. These comments are provided in accordance with
provisions of the Clean Water Act of 1977 (33 U.S.C. 466 et. seq.) and the Fish and Wildlife
Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661-667d).
The modification requested is due to changes in road alignment. Additional impacts are
requested for and additional fifteen (15) linear feet of 72" culvert at station 39+00. NCDOT
indicates that the extension can be installed 6" below existing streambed elevation.
Providing that the existing new pipe has been properly installed 12" below streambed grade, we
will not object to the extension. We recommend that the extension be placed 12" below
streambed grade. In the event that this is not practicable, NCDOT may consider instream grade
control structures, culvert baffles, or improved floodplain benching to enhance base flow depths
as aquatic passage issues increase with increased culvert lengths and reduced installation depths.
Thank you for the opportunity to review and comment on this project. If you have any questions
regarding these comments, please contact me at 336/769-9453.
Cc: Cynthia Van Der Wiele, DWQ
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