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HomeMy WebLinkAbout20020497 Ver 1_Complete File_20020401N NA 7 F Michael F. Easley, Governor O William G. Ross Jr., Secretary ?O? QG North Carolina Department of Environment and Natural Resources co Gregory J. Thorpe, Ph.D. Acting Director p .c Division of Water Quality April 2, 2002 Surry County DWQ Project No. 020497 Bridge No. 242 on SR 1312 APPROVAL of 401 Water Quality Certification with Additional Conditions Mr. Heath Slaughter, Division Environmental Officer NCDOT Division 11 P.O. Box 250 North Wilkesboro, NC 28659 Dear Mr. Slaughter: You have our approval, in accordance with the attached conditions and those listed below, to impact 90 linear feet of Wood Branch in order to replace Bridge No. 242 on SR 1312 in Surry County. The project must be constructed in accordance with your application dated March 25, 2,002 (received April 1, 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 must 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 valid solely for the purpose and design described in your application (unless modified below). If this project changes, you must notify the DWQ in writing and submit a new application. If the property is sold, the new owner must be given a copy of this Certification and approval letter, and is thereby responsible for complying with all the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, you must follow the conditions listed in the attached certification and any additional conditions listed below. 1. NCDOT is encouraged to use existing on-site vegetation and materials for streambank stabilization and to minimize the use of rip rap. 2. The structure shall be designed and constructed so that it can be installed one foot below streambed grade to enable waters to transport sediment and ensure passage of all aquatic life. The dimension, pattern, and profile of the stream and floodplain above and below the structure shall not be modified by widening the stream channel or reducing the depth of the stream. Disturbed floodplain benching should be restored to natural geomorphic conditions in front of the concrete headwall and upstream and downstream of the second, stormwater flow pipe. 3. All work shall be performed during low flow conditions. 4. Disturbance of the stream channel must be limited to only what is necessary to perform the culvert installation. Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream 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), httpJ/h2o.enr.state.nc.us/ncwetiands/ Upon completion of the project, the NCDOT shall complete and return the enclosed "Cer-ificate of Completion" fore to notify NCDWQ when all work included in the §401 - Certification has been complete:. The responsible party shall complete the attached form a,,"& eturn it to the 401/Wet 1M;1d:s Unit of the NC Division of Water Quality upon completion of the project. 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, 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 Ms. Jennifer Frye of the Winston-Salem Regional Office at 336.771.4600. Sincerely, V Gregory J. Thorpe, Ph.D. Acting Director Attachment cc: Wilmington District Corps of Engineers Jean Manuele, USACE Raleigh Field Office -- NCDWQ Winston-Salem Regional Office Central Files File Copy FILE COPY TO: Jean Manuele, USACOE Raleigh Regulatory Field Office FROM: Ron Linville, Regional Coordinator Habitat Conservation Program DATE: April 3, 2002 SUBJECT: North Carolina Department of Transportation (NCDOT), NCSR1312, Bridge #242, Wood Branch, Surry County These comments are provided in accordance with the provisions of the Fish and Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661-667d) and the North Carolina Environmental Policy Act (G.S. 113A-1 through 113A-10; NCAC 25). The NCDOT proposes to replace an existing pipe structure. NCDOT proposes to replace the existing bridge with a double 50' x 73" CSPA with a concrete headwall. Miscellaneous riprap impacts are indicated to be 40 linear feet. Total impacts will be 90 feet. Temporary dewatering and pumping will be necessary during construction. The second pipe will carry stormwater only. Removal of the existing bridge should not be allowed to impact waters. Based on our review of the submittal, we will not object to the project provided the following conditions are implemented: Culverts 48" or larger should be buried approximately l' into the streambed. The base flow barrel should be placed in the existing thalweg location. The second barrel should be reconnected to floodplain bench elevation. We prefer that the stormwater barrel be placed on the top of existing floodplain bench to avoid creating any noxious conditions or mosquito habitat inside the pipe. 2. The dimension, pattern, and profile of the stream above and below the lower cell should not be modified by widening the stream channel or reducing the depth of the stream. Previously disturbed floodplains and streams should be restored to natural geomorphic conditions whenever practicable. NCSR1312, Wood Branch 2 April 3, 2002 2. If concrete will be used, work must be accomplished so that wet concrete does not contact stream water. This will lessen the chance of altering the stream's water chemistry and causing a fish kill. 3 Heavy equipment should be operated from the bank rather than in the stream channel in`drder to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream. 4. Stringent erosion control measures should be installed where soil is disturbed and maintained until project completion. 5. Temporary or permanent herbaceous vegetation should be planted on all bare soil within 10 days of ground disturbing activities to provide long-term erosion control. We encourage NCDOT to utilize onsite vegetation and materials for streambank stabilization when practicable. Thank you for the opportunity to review and comment on this project during the early planning stages. If you have any questions regarding these comments, please contact me at 336/769-9453. Cc: Cynthia Van Der Wiele, DWQ Heath Slaughter, DOT t esso FILE COPY ?.? 02049 7 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY P. O. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT GOVERNOR PHONE: 919-733-2520 SECRETARY March 25, 2002 Mrs. Jean Manuele U. S. Army Corps of Engineers Raleigh Regulatory Field Office 6508 Falls of Neuse Road, Suite 120 Raleigh, NC 27615 Subject: Nationwide Permit #14 & #33 Bridge #242 on SR 1312 Surry County, North Carolina Project Number: 5.7452009 Dear Mrs. Manuele: (DWQ Permit Fee $200) APR 2002 WU €1TER & l The NC Department of Transportation is scheduled to replace Bridge #242 on SR 1312 in Surry County with (2) 50'x 73"x 55" CSPAs with a concrete headwall. Pipe #2 will carry stormwater only. No detour is proposed. Please note that due to the presence of bedrock at this location, blasting will be required to place the pipes below existing streambed elevations. Miscellaneous rip-rap impacts will total 40 linear feet or less. New stream impacts = 90 In. feet. The replacement of the deteriorating bridge with the proposed pipes will require temporary dewatering. An impervious sandbag dike will be constructed approximately 20 feet upstream of the existing bridge to create a small pool. Clean water will temporarily be pumped around the construction area and will be discharged into a buffer area located approximately 90 feet downstream of the sandbag dice. Any dirty water located inside the construction area will be pumped into a silt bag. The dewatered area will total approximately 540 square feet or 0.012 acres. Once the new structure is in place, the impervious dike will be removed and preconstruction streambed elevations will be restored. Construction of this project will necessitate impacts to waters of the United States in the Yadkin River Basin. Bridge #242 crosses Wood Branch (Class: Q. The Division 11 Environmental Officer reviewed this project for the presence of threatened and endangered species on March 14, 2002. The subject project has been determined to have no effect on any federally listed P. O. Box 250, N. WELKESBORO, NC 28659 PHONE (336) 667-9111 FAX (336) 667-4549 +?rs t? ????lr Mrs. Jean Manuele Bridge #242 on SR 1312, Surry Page 2 March 25, 2002 endangered plant or animal species. Historic compliance work will be scheduled and concurrence with the State Historic Preservation Office will be obtained if required. The modifications proposed in this application should not remove or degrade existing water quality uses. By utilizing the erosion control measures outlined in the attachments to this application, downstream water quality standards will be protected. Attached is a Preconstruction Notification Form, plan sheets with proposed erosion control measures, a marked county map, a marked topography map and photographs. By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with the North Carolina Wildlife Resources Commission comment directly to you concerning the 404 Nationwide Permit application with a copy sent to me. By copy of this letter, I am forwarding seven (7) copies of this application package to Cynthia Van Der Wiele, NCDENR, Division of Water Quality, 401/Wetland Unit, for her review. It is requested that any comments related to the 401 certification be forwarded directly to me with a copy sent to the US Army Corps of Engineers. We would like to begin construction as soon as possible. If further information is required, please let me know. Your early review and consideration will be appreciated. Sincerely, ;ex/? ---4 Heath Slaughter Division Environmental Officer Enclosures cc: Jean Manuele, US Army Corps of Engineers (1 additional copy) Ron Linville, Western Piedmont Region Coordinator, NCWRC Cynthia Van Der Wiele, Division of Water Quality (7 copies) R. C. McCann, PE, Division Engineer Heath Slaughter, Division Environmental Officer Neil Trivette, Roadside Environmental Field Operations Engineer Dennis Bennett, Bridge Maintenance Engineer Office Use Only: 0 2 0 4 9 7 Form Version April 2001 USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. I. 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 a 2. Nationwide, Regional or General Permit Number(s) Requested: NW #14 & NW #33 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ? 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section VIII - Mitigation), check here: ? H. Applicant Information 1. Owner/Applicant Information Name: North Carolina Department of Transportation Mailing Address: P. O. Box 250, North Wilkesboro, NC 28659 Telephone Number: (336) 903-9236 Fax Number: (336) 903-9239 E-mail Address: hslau ter@,dot.statemc.us 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Heath Slaughter. Division Environmental Officer Company Affiliation: North Carolina Department of Transportation Mailing Address: P. O. Box 250, North Wilkesboro NC 28659 Telephone Number: (336) 903-9236 Fax Number: (336) 903-9239 E-mail Address: hslau hg ter&dot.state.nc.us Page 3 of 12 M. 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: Bridge #242 on SR 1312 2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.7452009 3. Property Identification Number (Tax PIN): N/A 4. Location County: Surma Nearest Town: Elkin Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): From Elkin, travel north on US 21 Turn right onto SR 1312. 5. Site coordinates, if available (UTM or Lat/Long): UTM: 17 511449E 4022263N (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: Residential/Farm 7. Property size (acres): Approximately 0.03 acres. 8. Nearest body of water (stream/river/sound/ocean/lake): Wood Branch (Class: C ) 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/m".) ??a 4 ^f, 2 10. Describe the purpose of the proposed work: Upgrade existing, stream crossing. 11. List the type of equipment to be used to construct the project: Trackhoe/backhoe and dump trucks. 12. Describe the land use in the vicinity of this project: Residential/Farm 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. N/A V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: 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 5 of 12 1. 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 * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching(drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains 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 htt)://www.femagov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) f List the total acreage (estimated) of existing wetlands on the property: 0 acres Total area of wetland impact proposed: 0 acres 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Length of Average Width of Perennial or Site Number Type of Impact* Impact Stream Name** Stream Before Intermittent? (indicate on map) (linear feet) Impact (please specify) Replacing bridge Bridge #242 with (2) 50'x 50 feet Wood Branch 6 feet Perennial 73"x 55" CSPAs Miscellaneous Bridge #242 rip-rap placement for 40 feet or less Wood Branch 6 feet Perennial stabilization Temporary 90 linear Bridge #242 Dewatering feet or 540 Wood Branch 6 feet Perennial square feet * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net losstgain), 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.usgs.gov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapguest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 901n. ft. of new permanent impacts. Page 6 of 12 3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ean, etc. N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 4. 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.): 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 existing bridge must be replaced due to its condition. By utilizing the erosion control measures as shown in the attached drawings, adverse impacts to streams in the area 'will be minimized All appropriate BMPs will be used during construction. VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of, aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at http://h2o.enr.state.nc.us/ncwetlands/strmgide.html. 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. N/A va.,A r , 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 hgp://h2o.enr.state.nc.us/wro/index.htrn. 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 Amount of Coastal wetland mitigation requested (acres): N/A f 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, can the SEPA coordinator at (919) 733-5083 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 (Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ® If you answered "yes", provide the following information: Pre 9 n? 1.'1 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. Required Zone* s uarImpact e feet Multiplier Mitigation 1 3 2 1.5 Total Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or.0260. N/A X1. 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. All appro,..priate best management practices for sediment and erosion control will be implemented during construction XH. Sewage Disposal (DWQ Only) Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. N/A X11L 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 10 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). '312's-16 Z- -Applicant/Agent's Signature Date (Agent's signature is valid o y if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell US Army Corps of Engineers Avery Clay Jackson Polk 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones US Army Corps Of Engineers Bertie Dare Lenoir Post Office Box 1000 Camden Gates Martin Washington, NC 27889-1000 Carteret* Green Pamlico Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Harnett Pender Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Pitt Tyrrell Washington Wayne Union Watauga Yancey Wilson Yadkin *Croatan National Forest Only Pane i 1 of 12 P176 P86 1611 • TO SPARTA Ie •S 299 flSHER PEAK - • .y' 14 T' ' ! •t a PAS MTN. 13% t - >t^ •: z3- ELEV. 1.609 4 243-. 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TppoZone - The Web's Topographic map ragC i UL 1. one .Target is UTM 17 511449E 4022263N - ELKIN NORTH quad (Quad Infol miles i -F I http://www.topozone.com/print.asp?z=?.'°-?n???ti?ct 0 500 1000 1500 2000 meters t CULVERT CONSTRUCTION SEQUENCE LPLACE PROPER EROSION CONTROL DEVICES (SILT BASINS, TEMP. DIVERSION, SILT FENCE ECT.) 2. REMOVE EXISTING STRUCTURE lCONSTRUCT IMPERVIOUS DIKE UP STREAM TO CREATE SMALL POOL (DO NOT DIG A HOLE) SO WATER CAN BE PUMPED AROUND CONSTRUCTION AREA DOWN STREAM. (THIS WILL BE CLEAN WATER) ANY UNCLEAN WATER FROM INSIDE CONSTRUCTION AREA WILL BE PUMPED INTO A SILT BAG. 4.CONSTRUCT BOTH LINES OF PIPE 5.REMOVE IMPERVIOUS DIKE 6.COMPLETE ROADWAY (THIS INCLUDES SEEDING AND MULCHING) "o?? N O I? I? O ? QO ? ?O O c? A?2: 2 Q , co o I I ' z w , , (A W W C) O m U X Z ??n N_ X Ln W N LL ~ O Q Z W Q - (l > (n f- W W J J C7 Z Z N J a 0 Z a ?n Lri N M M rr, V) O v M V) O F1I-, W w A 1-14 a w U Q l.L V) rr W I- \ a 8.0'-';/ i O W m Q W cr F- l/) U Z O Q U_ LL N N Q J U W H a W rr u F- N 0 w 0 ZQ w ?V) ? U O U O w Ln rr x LL = O Ln Ln ? w X LL Loi J Z N M_ M N J J O a ? Q W S W I- W N L U z O U W W _ w W > O J J # LL LL O Ln N N O ti co) N U?W O ZO ? HA W A W U Q LL W CO LLJ a a W / of H Q W - Q CL Of -j 7' V) , W Q ~ W ?o am 0 Q z . 01 ULL Z U rol) O J W m - W co Q ? J Q W w 0- 0- N ? x h N N 00 Z A O It j .- 020497 r` 4, Top: Bridge #242 on SR 1312, Surry County. Bottom: Downstream view taken from Bridge #242 on SR 1312, Surry County. TopoZone - The Web's Topographic Map alb cwm Target is UTM 17 511449E 4022263N - ELKIN NORTH quad Page 1 of 2 020497 [Quad Info http://www.topozone.com/print.asp?z=17&n=4022263&e=511449&s=25 3/13/02 0 500 1000 1500 2000 meters - -1 miles f o oIs 1.0 DWQ Project No-: 7-4040 V?7 County: S?.ea?l Applicant: e DoT ??/K• ?E,v?ETT' Project Name: 9Ar c J'ZYZ 5,60 /3I Z Date of Issuance of 401 Water Quality Certification: -,lf -Z - oZ Umwrle eowvle,4 01 CA 16 Certificate of Completion 9^g" Z 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, 1621 Mail Service Center, Raleigh, NC, 27699-1621. 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, ? K 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: ?'??"mss 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: Engineer's Certification Partial r/ Final GAaJ ?''vc`1°i? Pa I, !7. K. tial w??l , as a duly registered ??eer in the State zew- of North Carolina, having been authorized to observe (period ically,.weekly, full time) the construction of the project,for the Permittee 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. W 1 Registration No. Signature ZS77 Date 9- lY^ D 5- Y, 4 NI r L L V y--- 6 o ©A:) H L: AT z eµ?O? ?+.. 0 ??... 20497 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY P. O. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT GovERNOR PxoNE: 919-733-2520 SECRETARY March 25, 2002 Mrs. Jean Manuele U. S. Army Corps of Engineers Raleigh Regulatory Field Office 6508 Falls of Neuse Road, Suite 120 Raleigh, NC 27615 Subject: Nationwide Permit #14 & #33 Bridge #242 on SR 1312 Surry County, North Carolina Project Number: 5.7452009 (DWQ Permit Fee $200) Dear Mrs. Manuele: APR F 2002 - Oki e The NC Department of Transportation is scheduled to replace Bridge #242 on SR 1312 in Surry County with (2) 50'x 73"x 55" CSPAs with a concrete headwall. Pipe #2 will carry stormwater only. No detour is proposed., Please note that due to the presence of bedrock at this location, blasting will be required to place the pipes below existing streambed elevations. Miscellaneous rip-rap impacts will total 40 linear feet or less. New stream impacts = 901n. feet. The replacement of the deteriorating bridge with the proposed pipes will require temporary dewatering. An impervious sandbag dike will be constructed approximately 20 feet upstream of the existing bridge to create a small pool. Clean water will temporarily be pumped around the construction area and will be discharged into a buffer area located approximately 90 feet downstream of the sandbag dike. Any dirty water located inside the construction area will be pumped into a silt bag. The dewatered area will total approximately 540 square feet or 0.012 acres. Once the new structure is in place, the impervious dike will be removed and preconstruction streambed elevations will be restored. Construction of this project will necessitate impacts to waters of the United States in the Yadkin River Basin. Bridge #242 crosses Wood Branch (Class: Q. The Division 11 Environmental Officer reviewed this project for the presence of threatened and endangered species on March 14, 2002. The subject project has been determined to have no effect on any federally listed P. O. Box 250, N. WumBoxo, NC 28659 , . r PHONE (336) 667=9111 FAx (336) 667-4549 U'i Mrs. Jean Manuele Bridge #242 on SR 1312, Surry Page 2 March 25, 2002 endangered plant or animal species. Historic compliance work will be scheduled and concurrence with the State Historic Preservation Office will be obtained if required. The modifications proposed in this application should not remove or degrade existing water quality uses. By utilizing the erosion control measures outlined in the attachments to this application, downstream water quality standards will be protected. Attached is a Preconstruction Notification Form, plan sheets with proposed erosion control measures, a marked county map, a marked topography map and photographs. By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with the North Carolina Wildlife Resources Commission comment directly to you concerning the 404 Nationwide Permit application with a copy sent to me. By copy of this letter, I am forwarding seven (7) copies of this application package to Cynthia Van Der Wiele, NCDENR, Division of Water Quality, 401/Wetland Unit, for her review. It is requested that any comments related to the 401 certification be forwarded directly to me with a copy sent to the US Army Corps of Engineers. We would lice to begin construction as soon as possible. If further information is required, please let me know. Your early review and consideration will be appreciated. Sincerely, *d- Heath Slaughter Division Environmental Officer Enclosures cc: Jean Manuele, US Army Corps of Engineers (1 additional copy) Ron Linville, Western Piedmont Region Coordinator, NCWRC Cynthia Van Der Wiele, Division of Water Quality (7 copies) R. C. McCann, PE, Division Engineer Heath Slaughter, Division Environmental Officer Neil Trivette, Roadside Environmental Field Operations Engineer Dennis Bennett, Bridge Maintenance Engineer Office Use Only: 020497Form version April 2001 USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. 1. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Section 10 Permit ® 401 Water Quality Certification ? Riparian or Watershed Buffer Rules •f 2. Nationwide, Regional or General Permit Number(s) Requested: NW #14 & NW #33 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: ? 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section VIII - Mitigation), check here: ? H. Applicant Information 1. Owner/Applicant Information Name: North Carolina Department of Transportation Mailing Address: P. O. Box 250, North Wilkesboro, NC 28659 Telephone Number: (336) 903-9236 Fax Number: 336) 903-9239 E-mail Address: hslau terndot.state.nc.us 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Heath Slauahter. Division Environmental Officer Company Affiliation: North Carolina Department of Transportation Mailing Address: P. O. Box 250, North Wilkesboro NC 28659 Telephone Number: (336) 903-9236 Fax Number: (336) 903-9239 E-mail Address: hslaughter@,dot.state.nc.us Page 3 of 12 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a 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: Bridge #242 on SR 1312 2. T.I.P. Project Number or State Project Number (NCDOT Only): 5.7452009 3. Property Identification Number (Tax PIN): N/A 4. Location County: Surrx Nearest Town: Elkin Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): From Elkin, travel north on US 21. Turn right onto SR 1312. 5. Site coordinates, if available (UTM or Lat/Long): UTM: 17 511449E 4022263N (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: Residential/Farm 7. Property size (acres): Approximately 0.03 acres. 8. Nearest body of water (stream/river/sound/ocean/lake): Wood Branch (Class: Q ) 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/m".) a.,bo A of ;? 10. Describe the purpose of the proposed work: Upgrade existing stream crossing. 11. List the type of equipment to be used to construct the project: Trackhoe/backhoe and dump trucks. 12. Describe the land use in the vicinity of this project: Residential/Farm 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. N/A V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: 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 isstrictly 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 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 * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains 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 b-U://www.femagov. *** 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 acres Total area of wetland impact proposed: 0 acres 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Length of Average Width of Perennial or Site Number Type of Impact* Impact Stream Name** Stream Before Intermittent? (indicate on map) (linear feet) Impact (please specify) Replacing bridge Bridge #242 with (2) 50'x 50 feet Wood Branch 6 feet Perennial 73"x 55" CSPAs Miscellaneous Bridge #242 pla emeanpt for 401eses or Wood Branch 6 feet Perennial stabilization Temporary 90 linear Bridge #242 Dewatering feet or 540 Wood Branch 6 feet Perennial square feet * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and alter, 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.usQs.QOV. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mmmuest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 90 In. ft. of new permanent impacts. Page 6^f '2 3. Open Water impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,. flooding, drainage, bulkheads, etc. 4. 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.): 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 existing bridge must be replaced due to its condition. By utilizing; the erosion control measures as shown in the attached drawings, adverse impacts to streams in the area 'will be minimized All appropriate BMPs will be used during construction. Pa?° 7 of 12 VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of, aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at http://h2o.enr. state.nc.us/ncwetlands/strmgide.html. 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. N/A P-ap .. -8of1.2 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 htm://h2o.enr.state.nc.us/wm/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 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 (919) 733-5083 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 (Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify V 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* et) s umarpe t Multiplier M ti Required 1 3 2 1.5 Total * Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or.0260. N/A 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. All appropriate best management practices for sediment and erosion control will be implemented during, construction. 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 211.0500) or any Buffer Rules? Yes ? No Is this an after-the-fact permit application? Yes ? No Page 10 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). 3 zs"o z Applicant/Agent's Signature Date (Agent's signature is valid o y if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell US Army Corps of Engineers Avery Clay Jackson Polk 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 2714854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones US Army Corps Of Engineers Bertie Dare Lenoir Post Office Box 1000 Camden Gates Martin Washington, NC 27889-1000 Carteret* Green Pamlico Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Harnett Pender Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Pitt Tyrrell Washington Wayne Union Watauga Yancey Wilson Yadkin *Croatan National Forest Only Page 11 of 12 P176 flub ? • 1 11 ' -••• ` TO SPAKIA 18 'S 299 14 S FISHER PEAK 1 1 ' . 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