20020196 Ver 1_Complete File_20020208

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DWQ Project No.: DaU/' !& County: / i /K
Applicant: NCDOT
Project Name S 1,151 - 571,4W-, Date of Issuance of 401 Water Quality Obirtification: 1-.2 -
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, Joel B. Setzer. P.E., 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, pp materials.
Signature: V??A- Date: I ??/QS
Agent's Certi ation
1, , 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
1, , 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:
M1
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), hftp://h2o.enr.state.nc.us/ncwetlands/
WA
O T F9 Michael F. Easley
0?' QG Governor
Cp William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
0 Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
February 28, 2002
DWQ# 02-0196
Polk County
E.A. Green
North Carolina Department of Transportation
4142 Haywood Road
Horse Shoe, NC, 28742
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Green:
You have our approval, in accordance with the attached conditions, to place fill in 40 linear feet of streams in order to construct the
SR 1351 (Shytle Road) paving and improvement project in Polk County, as described in your application received by the Division of Water
Quality on February 8, 2002. After reviewing your application, we have determined that this fill is covered by General Water Quality
Certification Number 3289, which can be downloaded from our web site at http://h2o.enr.state.nc.us/ncwetlands . This Certification allows
you to use Nationwide Permit Number 14 when it is issued by the U.S. Army Corps of Engineers. In addition, you should get any other
federal, state or local permits before you go ahead with your project including (but not limited to) Sediment and Erosion Control, Non-
Discharge and Water Supply Watershed regulations. Also this approval will expire when the accompanying 404 permit expires unless
otherwise specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application. If you change your project, you must
notify us in writing and you may be required to send us a new application for a new certification. If the property is sold, the new owner
must be given a copy of the Certification and approval letter and is thereby responsible for complying with all conditions. If total wetland
fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506
(h). For this approval to be valid, you must follow the conditions listed in the attached certification and the additional conditions listed
below:
1. All culverts shall be designed and installed to allow for passage of aquatic life;
2. Stormwater shall be directed to buffer areas or retention basins and not routed directly to streams;
3. The existing culvert at Station 24+50 is perched approximately 18 inches above the stream. This culvert shall be removed and re-
installed to allow for passage of aquatic life.
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 :he review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any
questions, please telephone Mike Parker in our Asheville Regional Office at 828-251-6208 or Cynthia Van der Wiele in Raleigh at 919-
733-5715.
Cc rely,
TyrPe, Ph.D.
.1
Attachments
cc: Corps of Engineers ?sheville Regulatory Field Office
Asheville DWQ Regicnal Office
Central Files
File Copy
020196
North Caraina Division of Water Quality, 401 Wetlands Certification Unit,
1 , 0 Masi Service C_nter, =aleigh, NC 27099-1650 (Mailing Address)
2321 Cra:-ree BlsC. Paleicr,. NC 27604-2260 (Location)
MEMORANDUM
TO: John Dorney Regional Contact: Michael R. Parker
Non-Discharge Branch WQ Supervisor: Forrest Westall
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name NCDOT - SR 1351
Project Number 02 0196
Recvd From DOT
Received Date 2/8/02 Recvd By Region
Project Type
County POLK
County2
Region Asheville
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req. ME
F_ F_ F7 ON F
... . ......
Mitigation Wetland
MitigationType Type Acres Feet

Is Wetland Rating Sheet Attached? Q Y .O N Did you request more info? Q Y QQ N
Have Project Changes/Conditions Been Discussed With Applicant? Q Y O N
Is Mitigation required? p Y 0 N Recommendation: Q Issue 0 Issue/fond O Deny
Provided by Region: Latitude (ddmmss) 351156 Longitude (ddmmss) 820035
Comments:
DOT proposes to extend two culverts for a total of 40 feet to two unnamed tributaries to Buck Creek
which is classified as class C waters.
Recommend issuance of 401 Certifiaction with standard conditions for NW 14. Certification should
include conditions that all culverts be installed so as to allow for ap ssaae° of aquatic life and where
practicable, stormwater should be directed to buffer areas or retention basins and should not be
routed directly into streams. Also, the existing culvert at the larger stream is perched approximately
18 inches above the existing _stream, This culverts should be removed and installed correctly,
cc: Regional Office
Central Office Page Number 1

cc. c
VI

To: ?RRO Steve Mitchell Project Name
?FRO Ken Averitte DWO Project Number
?WaRO Deborah Sawyer County
?WiRO Joanne Steenhuis
?W RO Jennifer Frye
AR (0 Mike Parker
?MRO Pete Colwell
C V
' ' x e /Q_ 7
From:
, a C/ Telephone (919) 733-

The file attached is being forwarded to you for your evaluation. Please call if you need
assistance. =
1 Triage Check List
Date: -1/ 13 / 0
? Stream length impacted
Ll!tream determination
? Wetland determination and distance to blue-line surface waters on USGW topo maps
linimization/avoidance issues
r
? Buffer. Rules (Neuse, Tar-Pamilco, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
916heck drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concerns
Comments ?? r '(` ?e.rcawcCl+1CCx o / /„y`Q,7..'?yJ000///

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Michael F. Easley
GOVERNOR
January 18, 2002
Mr. John Hendricks
U. S. Army Corps of Engineers
151 Patton Avenue
Room 143
Asheville, NC 28801
SUBJECT: Proposed Secondary Road Construction
SR 1351, Shytle Road
Polk County
State Project No. 6.982237 (DWQ Minor Permit Fee $200)
Dear Mr. Hendricks,
Lyndo Tippett
Secretary
020196
Attached are erosion control plans, an application form for a Nationwide Permit, and a county
map section locating SR 1351, Shytle Road, in Polk County. SR 1351 is a gravel road that we
propose to clear, grub, grade, replace/extend pipes, and pave for a distance of 0.64 miles.
Grading will be moderate to heavy.
We are requesting permission to replace and extend pipes in live streams as noted on plans and
the attached pipe schedule. Pipes will be replaced using our standard method of pipe installation
described in the erosion control plans. NCDOT " Best Management Practices for Protection of
Surface Waters" and proper phasing of erosion control items will be used to minimize and
control sedimentation and erosion.
Also by copy of this letter, authorization to proceed under section 401 of the Clean Water Act is
being requested from Mr. John Dorney, Division of Water Quality.
By copy of this letter, we are asking Mr. Owen Anderson, N. C. Wildlife Resources Commission,
to comment to the Corps of Engineers concerning the Nationwide Permit request. Upon review
of the Corps of Engineers we are requesting that Mr. Anderson forward a copy to us (NCDOT)
as well.
n
Division 14, District 1 <-'
Phone: [phone] Haywood Road, Florse Shoe, NC 28742 Fax: [phone]
John Hendricks
Page 2
January 18, 2002
By copy of this letter, we are also asking Mr. Ed Ingle, Area Roadside Environmental Engineer
(NCDOT), to comment directly to us on the above project.
Your earliest consideration for this request would be appreciated. If any further information is
needed, please contact me or Mr. S. L. Cannon, Assistant District Engineer, at [phone].
Si rely u
E. A. G een, P. E.
District Engineer
EAG/SLC
attachment
cc: Mr. Richard Phillips, P. E., NCDENR
Mr. John Domey, DWQ
Mr. Owen Anderson, Western Mountain Region Coordinator, NCWRC
Mr. E. L. Ingle, Area Roadside Environmental Engineer, NCDOT
Mr. Mark Davis, Division Environmental Officer, NCDOT
Mr. C.E. Dumas, P. E., County Maintenance Engineer, NCDOT
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No. O C-019 6
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
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:
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: ?
II. Applicant Information
Owner/Applicant Information
Name: North Carolina Department of Transportation
Mailing Address: 4142 Haywood Rd
Horse Shoe NC 28742
Telephone Number: [phone]
E-mail Address: NA
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: Edward A. Green P.E.
Company Affiliation: District Engineer
Mailing Address: 4142 Haywood Rd
Horse Shoe NC 28742
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: e reen dot state nc us
Fax Number: [phone]
Page 5of12
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 constriction
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: Shytle Rd (SR 1351)
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): see attachments
4. Location
County: Polk Nearest Town: McGinnis Crossroads
Subdivision name (include phase/lot number): N/A
Directions to site (include road members, landmarks, etc.): Begin at the intersection of SR
1350 and SR 1351 then continue in a westerly direction for a total distance of 3,370 feet to
the end of the project at the intersection of SR 1351 and SR 1004
5. Site coordinates, if available (UTM or Lat/Long): 35N 11' 56"/ 82W 00' 35"
(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: Rural
Road
7. Property size (acres): 3,370' * 50' = 3.87 acres
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Buck Creek
9. River Basin: Broad
(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/mqp--/.)
Page 6 of 12
10. Describe the purpose of the proposed work: Upgrade SR 1351 to minimum standards for
a NCDOT maintained road.
11. List the type of equipment to be used to construct the project: Widen and pave SR 1351
using hydraulic excavators back hoes bulldozers dump trucks motor graders and various
hand tools.
12. Describe the land use in the vicinity of this project: Rural residential
IV. Prior Project History
if jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
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 7 of 12
Wetland Impacts
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
linear feet)
Type of Wetland***
N/A

A; C. i i
* List each impact separately and identify temporary impacts. impacts tneiuae, out are not umneu w: mecuauizeu clear , 16,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.eov.
*** 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: N/A
Total area of wetland impact proposed: N/A
1. 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?
leasespecify)
1 CMP extension 20' UT to Buck Creek 2' Perennial
2 CMP extension 20' UT to Buck Creek 1 Intermittent

. ,:.Y•._a . ..1.. A rin_rnn
* List each impact separately and identify temporary impacts. impacts mciuae, uui aie ?,vi u11uicu .- -• •°r,
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.usts.aov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tooozone.com,
www.tnayqucst.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 40'
Page 8 of 12
2. 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, sound,
bay, ocean, etc.)
N/A

* List each impact separately ana iaenury temporary impacts. Impacts ImMuc, uui aio iwi IM ..??. ., vb"'b•
flooding, drainage, bulkheads, etc.
3. Pond Creation
if construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
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 constriction
techniques to be followed during construction to reduce impacts.
See attachments
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.
Page 9 of 12
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/stnngide.htm].
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 http://h2o.enr.state.nc.lis/wry/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Page 10 of 12
Amount of Coastal wetland mitigation requested (acres): N/A
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
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
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular trom near bank of channel; Gone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
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.
See erosion control plans
XII. 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.
N/A
XIII. 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
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
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
SECONDARY ROAD SURVEY
SUBJECT S'- 1-5- 01 c-D)
LOCATION 3??"11N PT T??E 1N-CE???`? 01= 52- 135o r?ND SfL 1351
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YORK TYPE CSR-?,DG ? DIN ? i????l ? , F?? C ? ??%oS? oN Ccr1 rpC>t?, fYfl D
WORK ORDER LD ,°jq02D-iq C7 P)
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The right of way is measured _
center line of said proposed roa
comer of the
of the //,i?'Tr El'1 r
The right of wav is measured
1-7 ft. on the etC,x17- side of the
A from a point 5 ft. W r? s % of the
t,)EI-c- to apoint 5 ft. 6,1;?ST
corner of said i'?E!G ?.r '!-
ft. on the side of the
center line of said proposed road from a point 5 ft.
corner of the
of the
to a point 5 ft.
corner of said
The right of way is measured ft. on the
center line of said proposed road from a point 5 ft.
corner of the
to a point 5 ft
side of the
of the
of the corner of said
if if Y,: Yi YI r iC ?f Yl fl
The right of way is measured ft. on the side of the
center line of said proposed road from a point 5 ft. of the
corner of the to a point 5 ft.
of the corner of said
The right of wav is measured ft. on the side of the
center line of said proposed road from a point 5 ft. of the
corner of the _ to a point 5 ft.
of the
of the corner of said
PIPE SCHEDULE
PROJECT COUNTY' PAGEI OF
STATION EXISTING PROPOSED REMARKS
DIAMETER LENGTH SKEW DIAMETER LENGTH SKEW/
?2'?nl 1 11 ---If ) / ??,?c ? IA p

-2A 50,

POLE DATA
PROJECT COUNTY
OWNER SHEET OF
POLE DISTANCE FROM CENTERLINE
STATION NUMBER EXISTING PROJECT AFTER
MOVING
REMARKS
LT. RT. LT. RT. LT. RT.
eo.
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POLE DATA
PROJECT )p 1-6t5j am) ) COUNTY L
OWNER SHEET 'L OF
POLE DISTANCE FROM CENTERLINE
STATION NUMBER EXISTING PROJECT AFTER
MOVING
REMARKS
LT. RT. LT. RT. LT. RT.
I q S -t 4-n 2ao5-C715 I 1 S r-; oNL R L
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POLK COUNTY
PROPOSED IMPROVEMENT
FOR PAVING
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ERUNIU-N CUNIRUL
DE"FAILS AND *
SPECIFICATIONS
td, .F)P'sc ion m
68, 02 i Pipe Outlet Dissipater ........................... 000
o
X030,0 3 I Temporary Silt Ditch 0000
7SD
??3o.os Temporary Diversion
......................... TD ---
100s:0/ Temporary Silt Fence _______-
/622.01 Temporary Slope Drain with Earth Berm .......... -------
1 Silt Basin Type A
30. oz Silt Basin Type B
- .........................................
E> ---
o Temporary Rock Silt Check Type-A
/i 33, oz Temporary Rock Silt Check Type-B - ------------
11,34,01 Temporary Rock Sediment Dam Type-A
l 6 34-, o2 Temporary Rock Sediment Dam Type-B -
35.0 ? . Rock Pipe Inlet Protection 011 co
.
Rock Silt Screen ........................:..:.......... o, ---
------------
50, o?- Stilling Basin
- - ..........
----
Rock" Inlet Protection:
2.0/ Type A -------- --- A 0 - - oR '. A
l?>Z.oz Type B ......_...
/132.03 Type C ............................... CU : OR
C?
968,04 Rip Rap Class "D" ............. 00 c0 0

gGr3.03
Ditch Liner Class "A" ............ 00000.
X Y. x
-
YxX
Note: Tye D Silt Basins will fr used in ccnjunctim with b TErrporary PFfA- Silt UY is -
TM)n_ 13 Unless athe1tirise specificd.
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STATE OF [I - gi
NORTH CAROLINA
DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS
11ALUGH. N.C.
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ENGLISH STANDARD DRAWING FOR N
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TS D
A temporary silt ditch shall be used in place of silt fence in many situations.
Temporary silt ditches shall be used at the toe of fill slopes to divert runoff into
sediment basins, temporary rock sediment dams, temporary rock silt checks and/or
other sedimentation control measures. T_e_mpora silt ditches are approximately I
ft. deep, 2:1 side slopes with an oplipnal earth berm.
ARE-AS OF USE:
• Toe of fill slopes where fill exceeds 3 ft in vertical height.
• Along streams to intercept flow and/or divert to a controlled outlet.
VI-2 March, 1993
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STATE OF 11-y
NORTH CAROLINA
DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS
RALEIGH, N.C.
ENGLISH STANDARD DRAWING FOR
TEMPORARY SILT DITCH 0°.
0
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TEMPORARY Sim, FENCE':
A temporary silt fence is commonly used at the toe of a fill section to prevent off-
site sedimentation. It is made of permeable filter fabric buried at the bottom,
stretched and supported by steel posts. The silt fence reduces the water flow while
retaining the sediment. They may also be used to divert water flow to protected
outlets. Silt fences need to be checked after each significant rainfall to ensure there
effectiveness. They must be maintained on a regular basis. Silt fences shall not be
installed across streams, ditches, or waterways.
AREAS OF USE:
• At toe of fill sections where sediment runoff can be stored and contained
inside the project limits.
DESIGN CRI"ITERIA:
Materi al With Wire Without Wire
Fabric Type 3 Class A Type 3 Class B
Steel posts length 5 ft 5 ft.
Post spacing 10 ft. 6 ft. maximum
VI-6 March, 1993
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A silt basin type-B is a temporary basin bLult to collect sediment flowing through a
drainagc way. The silt basin is built at the base of the ditch with its length being at
least 2 times the width of the basin. The type-B silt basin is generally built in
conjunction with temporaryrock silt checks and other devices that control or slow
,town water flow. This device must be monitored closely and cleaned out on a
regular basis until grass is established along the ditch line and sedimentation is uo
longer a problem.
AREAS OF USE.-
fn conjunction with temporary rock'silt checks and other devices used in
drainage ditches.
DESIGN CRITERIA:
u See Silt Basin Sizes Typical.
23 March, 1992
I_ rr\ j'
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Silt Basin - 1
(S.B. 7)

2A
2

Silt Basin - 2
(S.B. 14)
Silt Basin - 3
(S.B. 21)
T
Length of Disturbed Area = 100'
Length of Disturbed Area = 200'
Length of Disturbed Area = 300'
Length of Disturbed Area = 400'
Qnsin Sizes Lased on 600 cubic feet of storage per acre. Basins to be cleaned
out after every storm event and when basins are half full.
Silt Basin - 4
(S.B. 28)
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NORTH CAROLINA
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DIVISION Of- HIGHWAYS)
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ENGLISH STMIDARD DRAVIIHG FOR
-- o
13
ROCK PIPE INLET SEDIMENT TRAP TYPE 'A' ?n
c?
ROCK SILT SCREEN:

A rock silt screen is a low-level dam structure to be used in streams below culvert
sites. Rock silt screens shall be used to trap sediment transported by running water
and shall be placed in the stream below the construction site within the right-of-
way or easement boundary. The rock silt screen utilizes class B stone lined with ##5
or #57 stone to produce a ripple-effect in the stream to settle the larger sediment
particles transported in the stream from the construction site. The trapped sediment
shall be cleaned out before the device is removed from the stream.
AREAS OF USE:
• In live streams below construction sites where construction occurs in or
adjacent to the stream.
• In live streams below a culvert construction site.
• Where it can be cleaned before it is removed from stream.
DESIGN CRITERM:
• Structural stone - class B stone
• Sediment control stone - # 5 or # 57 stone
Dam height - 1.5 ft. minimum and 3 ft. maximum ( shall not be higher than
I ft. above normal flow of stream)
V1-2.1 Kirch, 1993
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STATE OF I_?)El
NORTH CAROLINA
DFPT. Of= TRANSPOIITATION
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NORTH CAROLINA
DEPT. OF TRANSPORTATION DRAINAGE DITCHES WITH CLASS 'A' RIP RAP °
DIVISION OF HIGHWAYS w
RALEIGH, N.C.
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NORTH CAROLINA DRAINAGE DITCHES WITH CLASS 'B' RIP PAP o °
DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS co
RALEIGH, N.C.
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1•'.l') 'iwd ':c.mi Isl aI 11c'lcl s1Ul1C i!I' I' ?HLi.i Ilnbe n gt1;lI'I'\' sl(m;, IN smnc Shall
r, ?lkmllt to the Won of alr and 11'awn an,i sultaC•ic in ai oillcr
mwoos l!lt' tided. ,.\ wr h'PUP, is
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>ri si0!l slla l i11cC[ [l1_ a!)r1i?1'1i to lie 1 I1 IIl:.I'. A` itiC no spCCi[!' r' C1
:i';11i1:?Il Is r:Ulr':Cl. M.,
VOKOUS siz.s of th'store hall bc; eclually di.?ti;butcd -,\';t1hi-i Chic r?gair: size I'ail`C, i h' si"z.,:
inCiividual stone p:irtlclc \\ Il.l be CLctL'1Ti1?I ?Ch by ni, asui-LntI its long, dimension.
.alone or bro*?,en concrac for Rip Rap shall meci the requirements of Table 11042-i t1w class
and Aw dMutloll.
TABLE 1642-1
ACCi_PTANCE CRITERIA FOR RIP R_ P1
AND STONE FOR EROSION CONTROL
Rl? QL 1RLL S i V`',i. SILLS - I_1C111 l
C _1 SS `--- \ fT\"T\ f??.I ?.IIDR_ -:'.C-E MAXIM-11-Al
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?l 5.0°0 of tne material fuir?i:?h:::l can, 1 )e .s.. t I
_•.o m,or: rha than trite MirlhMli-n JiZ'-. ?j) c1f1:C1 nor no
more than 1U.ti''o of the miz,11al can exceed the matimum siz:, specffied.
PIPE I;ti'STALLA HON
All pipe installed on the project will be installed using the standard method of pipe
installation - Method "A", Standard No. 300.01 of the NCDOT - "Roadway Standard
Drawings".
All pipes shall be laid in accordance with Section 300 of the North Carolina Department of
Transportation "Standard Specifications for Roads and Structures", July, 1995. Pipes mill
be installed in the dry wherever possible.
Pipes laid in streams large enough to support trout will be installed six (6) inches below the
stream bed to allow the bottom of the pipe to silt over so that trout movement X711 be over
a natural stream bed.
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Typical Section
Showing Proposed Work, & Erosion Control
No grading to
be done on creek-'
side of existing
roadway.
Proposed
Slope
Buffer
Zone
k---d
F.xistirlb
Slope

Stream
Grade, Base, and Pave Proposed
Widening
(Cut Side)
Berm shall be constructed on shoulder and will be maintained throughout
construction. The roadway is to be sloped to the cut side where possible. If not
possible, water will be released thru down slope pipe or stone lined ditches.