20030939 Ver 1_Complete File_20030729

Michael F. Easley, Governor
OF W A TF9 William G. Ross Jr., Secretary
?O? PG North Carolina Department of Environment and Natutal Resources
r? r Alan W. Klimek, P.E., Director
Division of Water Quality
p f Coleen H. Sullins, Deputy Director
Division of Water Quality
DWQ Project No.: d309-35 County: Gc.e-5 ?c.C..4 t1
Applicant: otJG T ?6 S i o x? 1 Z 5?? y
z. ?r ? ?c?-? ?G?
Project Name: MAC 96Z?Lyfc-f /Zkj/ ye /53<e (40
Date of Issuance of 401 Water Quality Certification: &C- C45T 4e, Z?
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification and 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
1, fl. L. Aid C/ , 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 anid sp cificati ns, and other supporting materials.
?'?• Date: d b
Signature:
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Date:
!f this project was designed by a Certified Professional
, 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 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.
Signature:
Registration No.
Date
N. C. 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)
[phone] (phone), 919-733-6893 (fax), (http!/h2o.enr.state.nc.uslncwetlands
WETLANDS 1401 GROUP
FEB 0 4 2004
No ANR
WATER QUALITY SECTION
c'Ot WAr?94
7
>
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
Coleen H. Sullins, Deputy Director
Division of Water Quality
August 6, 2003
Cleveland County
DWQ Project No. 030939
SR 1536 Golden Valley Road
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. M. L. Holder, P.E.
Division Engineer
N. C. Department of Transportation
Post Office Box 47
Shelby, North Carolina 28151-0047
Dear Mr. Holder:
You have our approval, in accordance with the attached conditions and those listed below, to impact an unnamed tributary
to No Business Creek (replacement of the existing 40' x 72" culvert with a 60' long 103" x 71" culvert, 10 linear feet of
new riprap and 10 linear feet of temporary impact for coffer dams) in order to make emergency repairs to a culvert on SR
1536 in Cleveland County. The project must be, constructed .in accordance with your application dated July 23, 2003
(received July 29, 2003), including the environmental commitments made in the application letter. After reviewing your
application, we have decided that this is coyejah bk general Water Quality Certification Nos. 3404 and 3366
corresponding to the U.S. Army Corps of Engineers Nationwide Permit Numbers 14 and 33. In addition, you: should
acquire any other federal, state or local permits before you proceed with your project including (but not limited to)
Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval will expire with
the accompanying 404 Permit unless otherwise specified in the Water Quality Certification.
This approval is only valid for the purpose and design that you described in your application except as modified below. If
you change your project, you must notify us, in writing, and send us a new application. If the property is sold, the new
owner must be given a copy of this. Certification and approval letter and is thereby responsible for complying with all
conditions. If total wetland fills for this project (now or in the future) exceed one acre or stream impacts exceed 150 linear
feet, compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h) (6) and (7). For this approval to
be valid, you must follow the conditions listed in the attached certification and any additional conditions listed below.
1. NCDOT shall abide by any conditions or moratoriums as determined by the NC Wildlife Resources Commission.
2. NCDOT shall implement Best Management Practices for the Protection of Surface Waters (NCDOT March
1997).
3. All culverts required for this project shall be installed in such a manner that the original stream profiles are not altered
(i.e. the depth of the channel must not be reduced by widening of the streambed). Existing stream dimensions
(including the pattern and profile) are to be maintained above and below locations of culvert extensions. The culvert
shall be designed to allow for fish and other wildlife movement as well as prevent headcutting of the streams.
4. The use of riprap for bank stabilization is to be minimized; rather, native vegetation is to be planted when practical. If
riprap is necessary, it must be limited to the stream bank above the high water mark. Riprap shall not be placed in the
stream bottom.
5. All mechanized equipment operated near surface waters must be regularly inspected and maintained to
prevent contamination of stream waters from fuels, lubricants, hydraulic fluids or other toxic materials.
N. C. Division of Water Quality, 401 Wetlands Certification Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1650 [phone]
6. Stormwater should be directed to vegetated buffer areas, grass lined ditches or retention basins and must
not be routed directly into streams. Mowing of existing vegetated buffers is strongly discouraged, so that
they may be utilized for stormwater sheet flow.
7. Riparian vegetation must be reestablished within the construction limits of the project by the end of the
growing season following completion of the project.
8. The presence of equipment in the channels must be minimised. Under no circumstances must rock, sand or
other materials be dredged from the wetted stream channel under authorization of this permit, except in the
immediate vicinity of the culverts.
9. Upon completion of the project, the NCDOT or its authorized agent shall complete and return the enclosed
"Certificate of Completion" form to notify NCDWQ when all work included in the §401 Certification has
been completed. The responsible party shall complete the attached form and return it to the 401/Wetlands
Unit of the NC Division of Water Quality upon completion of the project. Please include photographs of
the site.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act
within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition that conforms to Chapter
150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
N.C. 27699-6714. This certification. and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have
any questions, please telephone Ms. Cynthia Van Der Wiele at 919.733.5715 or Mr. Mike Parker of the Asheville Regional
Office at 828.251.6208.
Sincerely,
Alan W. Klimek, P.?,
Attachments
cc: Wilmington District Corps of Engineers
Steve Lund, USACE Asheville Field Office
Trish Simon, Division Environmental Officer
Mooresville Regional Office
Mike Parker, NCDWQ Asheville Regional Office
Central Files

N. C. Division of Water Quality, 401 Wetlands Certification Unit 1650 Mail Service Center Raleigh, North Carolina 27699-1650 [phone]

WETL4NDS1401 GA
DUB
- JUL 2 9 2003
- AwTERQUAtI ?+c
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P.O. Box 25201, RALEIG$ N.C. 27611-5201 LYNDO TIPPETT
GOVERNOR
P.O. BOX 47, 1710 East Marion Street
Shelby, N. C. 28151-0047
July 23, 2003
SECRETARY
Mr. Steve Lund - NCDOT Projects
US Army Corp of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, N. C. 28801-5006
Dear Mr. Lund:
030939
The North Carolina Department of Transportation, Division of Highways, request the issuance of
a Section 404 Permit, Nationwide Permit #14, Maintenance and #33, Temporary Construction,
Access, and Dewatering for an emergency pipe replacement project. The pipe was washed out
during the flooding of 7/12/03.
COUNTY: Cleveland
LOCATION: SR 1536, west of Casar
STREAM: Unnamed tributary to No Business Creek, Class C Waters (from source
to First Broad River), Broad River Basin
PROJECT DESCRIPTION: The project consists of the replacement of a 40' long, 72" CMP
with a 60' long, 103" x 71" CMPA. The original pipe was washed out due to the flooding on
- 7/12/03. This project is considered an emergency project and construction is to commence
immediately. There will be a minor increase in pipe length to bring the roadway up to current
standard. Five feet of riprap will be used at the inlet and outlet for structure protection and
stabilization. Thalweg elevations upstream and downstream of the washout were taken on
7/21/03 and will be utilized in the pipe installation to ensure that the pipe will be buried one foot
below the existing streambed elevation. The proposed pipe gradient has been determined to be at
a 1.5% slope; therefore, stream destabilization (headcutting/downcutting) is not anticipated. The
new pipe will be positioned in such as way as not to impact a small stream that enters the
unnamed tributary to No Business Creek on the downstream side. An upstream temporary
cofferdam will be used to manage the watercourse during construction. Upon project completion,
the area impacted by the temporary cofferdams will be restored to pre-construction conditions. I
have enclosed a PCN application, a sketch of activities, and location maps relative to the project.

Mr. Steve Lund
Emergency Pipe Replacement, SR 1536
July 23, 2003 - Page 2
The proposed project is located in Class C waters and SR 1536 is not classified a rural or urban
arterial. Hazardous spill basins are not required. Enclosed is the NCDOT hazardous spill basin
checklist.
A review of the Natural Heritage information for the threatened species listed for Cleveland
County, the dwarf-flowered heartleaf (Hexastylis naniflora), revealed no known sites in the
vicinity of the project area. A survey for these species was conducted on July 16, 2003 in the
vicinity of the project. It was determined that this species was not located in the project area;
therefore, no impact on this species is anticipated. A review of the available information from the
National Register of Historic Places was also conducted. No historic sites will be affected by the
project.
Your earliest consideration for this request would be greatly appreciated. Should you have any
questions, please call me at 704-480-9020.
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
.,?
BY: lza/
Trish Simon
Division 12 Environmental Officer
Enclosures
cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Dan Holderman, P.E., Division Bridge Engineer
Mr. Mike Parker, DENR, DWQ, Asheville Regional Office
Mr. John Dorney, DENR, DWQ, 401, Wetlands Unit
Mr. Neil Trivette, Roadside Environmental Field Engineer
File
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No.? C,
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide Permit #14, #33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder NCDOT
Mailing Address: P.O. Box 47
ShelbL NC 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Trish Simon
Company Affiliation: NCDOT
Mailing Address: P.O. Box 47
Shelby, NC 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: [e-mail]
Page 1 of 8
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: Emergency Pipe Replacement on SR 1536, Cleveland County
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12B.202321
3. Property Identification Number (Tax PIN): NCDOT Right of way
4. Location
County: Cleveland Nearest Town: Casar
Subdivision name (include phasellot number): NA
Directions to site (include road numbers, landmarks, etc.): Hvi 10 west of Casar. Turn
right onto SR 1538, turn left onto SR 1536 and proceed to site.
5. Site coordinates, if available (UTM or Lat/Long): 35'31'10'N/81'39'56W
(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:
Pipe on an unpaved secondary road
7. Property size (acres): 0.10 acres NCDOT right of way
8. Nearest body of water (stream/river/sound/ocean/lake): UT to No Business Creek (from
source to First Broad River, Class C Waters
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 httl2://h2o.enr.state.nc.us/admin/m4ps/.)
Page 2 of 8
10. Describe the purpose of the proposed work: This emergency project consists of replacing a
pine washed out during the flooding of 7/12/03. The pipe, which was 72", 40-foot CMP, will
be replaced with a new 60-foot, 103"x 71" CMPA with inlet headwall and associated slope
wrap for structure stabilization.
11. List the type of equipment to be used to construct the project: A trackhoe will be used
for excavation and placement of ripran.
12. Describe the land use in the vicinity of this project: The surrounding area is mostly wooded
and pastureland.
I.V. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
NA
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
SR 1536 is an unpaved secondary road with several stream crossings. The road is #39 on the
paving priority list and it will be several years before the road is paved. It is probable that when
the road is paved, additional stream impacts will be incurred and an additional permit request
will be submitted.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 3 of 8
1. Wetland Im acts: NONE
Wetland Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
acres Located within
100 year Floodplain**
eslno Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* 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
orine at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream
Impact Site Length of Average Width Perennial or
Number Type of Impact* Impact Stream Name** of Stream Intermittent?
(indicate on (linear feet) Before Impact (please specify)
map)

1 Increase in new pipe length 20 feet Business to Coo 6 feet Perennial
Placement of riprap on 5 feet (inlet)
1 streambank for structure 5 feet (outlet)
protection Total = 10
feet
1 Temporary coffer dam (only 10 feet
on upstream side)
• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the 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.eov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.MMuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Total Permanent impacts
from streambank riprap and increase in pipe length = 30 feet, Total temporary impacts = 10
feet.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. NO OPEN WATER IMPACTS
Open Water Impact Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact* Impact
(if applicable) (lake, pond, estuary, sound,
(indicate on ma) (acres) bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Page 4 of 8
4. Pond Creation NO POND CREATION
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Pine washed out due to flooding on 7/12/03. The washed out pipe is being replaced with slightly
larger/longer _r pine to provide standard roadway section. There will be a minor increase in
permanent impacts. The new pipe will be positioned in such a way as not to impact the small
a
stream that enters the UT to No Business Creek on the downstream side. Additionally,
downstream cofferdam is not being utilized so as not to temporarily impact the small stream. An
upstream cofferdam will be used and the stream will be pumped around the work site during nine
installation to minimize sediment impacts during construction. It is anticipated that due to the
topog ralaphy in the area that stream backflow into the work site will not be an issue.
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.
Page 5 of 8
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.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
IMPACTS < 150 FEET: MITIGATION NOT ANTICIPATED
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at bn://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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
Page 6 of 8
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following 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 from near bank of channel; Gone 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.
NA
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss storrnwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No additional impervious surface is proposed in this project.
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.
Page 7 of 8
XM. 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 El 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).
This is considered an emergency project by NCDOT and the pipe replacement is to commence
immediately.
6D

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
NCDOT NEWTON BRIDGE 8828 466 5525
} T5
°5 Ida V-71
"G•?P? , i
r
I
I +I
?l
(?o' Loamy ? ? 1
p e-0 r.70 SG) CL S's r
lZ r rr2,+,e ?.?..'
S6C.- zc o

p ®L1c?? I I i ?
4we-44il- i-L?

fjo1-R ;
7a e694 t PIPE W45#,%?
CQT' 1a1 5mtz& "7 v6 ?/Z/011
07/23 103 13:37 NO.172 02/03
ti
?o
Z7
"
zs? "-v s2
,T.5 (z 1 S"34,
90 ?- -
33'
,ver ?r?rv???cFf / v??116
'1 • ??Ioc9? ?
Is-4 -
1?. /Z3, ZoZ3 Z,f 5,yr i aF Z
IUGfl'i'
x`11. 12' 3PJ1)4,5
5/Z. I S3 ?n "PI J7tr' I??A¢.G?rs-r?.t i
NCDOT NEWTON BRIDGE
J

s_
V
P_
o?
N
'o V
?l I
M
r
8828 466 5525

S k;
IR
?0.
to
to

Q

ra

u

q

,y
M

? N
n

Z

w

n ?
07/23 '03 13:37 NO.172 03/03
Ilk
o a
N
st!
,n
If,

{ [pi J F
ipe R
V

i ? ? ? y t ? f _ ti?rstl ? ?'• ? \
r "•* t? ?,? .fir ?` ' • ?-..` )f + a? ?` i /-?-`
i 4??, r ,'?'? r j r t ? Sir ?J'?• ? ? • f?
{
? f
41>
i
k ra 6-'
O
New `4in@ ' .

•
t
4 ? 1!

Name: BENN KNOB Location: 035° 31' 04.6" N 081'39'48.1" W
Date: 7/21/2003 Caption: Emergency Pipe Replacement, SR 1536, Cleveland, LIT to No
Scale: 1 inch equals 1000 feet Business Creek, Class C Waters, Broad River Basin
NCDOT NEWTON BRIDGE 8828 466 5525 07/17 '03 15:36 NO.158 02/02
32 33 34
J1Y V isu
I" IP' ]?

33
1 P42
Nw "0"',
a+ H- MNh.
I uv ck
J

mot.
S t75
177 f'
16
U.
68
C AR
1
o0P 3e6
M4
P-
20,4
Ut.
ems..; cam.
c, 60 r
be[?44E t-??NJ?rC.r?A?c
81 C 5'0 C.,4av1) Gaz.,?r
208 5e- /53U /?iPe ??5c?
7-71
z
A D
°
O cn v TI R7 H
x Z 0 0 0= O o 0 0 0 000
o z z T z m O z z z z zzz or?
o I I m m ?c m ;Q Q m m m m m m m O D
?' a D m v X D X T m w O 2 m D 1r
n r r D rT-
$ _ ?w n m vplvm t? T aa D vcfD D do 'ondoo °03.0 0 o me O
s /mom
''x Z m < $ ° - ? °c $ o_ $ rn N d.3 H o ?.gN 0 ;c n °? ° n
rD° ° o TO L J
ro ^, ?• 0 N rn A ° a 0 n a a m -' = d = A a a 3 r o ?° o_ ?. „ r' 0
?' O< d ?' No 0 0 a co (> > D mocu?? D D o o > • 0 0 0 o O= m
? ^.? Qoi ?? w -. A o ?N
N a ? rAC ? o_ o m o d ap ? 0 Q 0 n ? 'gN ? I D Z m 00
o a .m ° o ° c a N S ?' o cn F-F. f. n c a o ^o ° D
ID < r `? 2 . o oa a n '2 a a In 7c
J T O rl "' (D H co 7 r O '^ S vi O 7 d O O U
?. 0 3 ° ° o n m? W d o° 2S m c R R, 3, 3 w w o 7c
a o ° > > 0 0Dc cN 0 3 ?U o mq q A O?Ow D
?+ ?? n 7c a C C '? N T v A d n• A G d A H
j c N it m_ a ?• dm o+ n: p el T 3, d r^c y°,' ? tD ,c?, p 3. m
J'? `O ? ? mQ ? m v, '? A° o m a i n o 00 N a ° c A 3 Z
(In 3
c o °° °o ° A c° of a f° o o? o? Z
w s F
?0 > >' ?> Ta 3 aQO c H 1 3,3 0
s e~, o w£o > > > D ° 2. 1 ao 0
a °0_ o
ii
• ? G ,1
I!o ° • \ x./11
No
it
m o /?! N
?l D co
/ m O

0
z
D
Z
m
r
O
0
Lnn

wK

V
,
f

y m a7

11

1 I
Il /
f lil \\ `\

1
II
/ \

Washed out road/pipe
Washed out road/pipe
Upstream of washout
NCDOT NEWTON BRIDGE 8828 466 5525 07117 '03 15:35 NO.157 10/10
NCDOT
HAZARDOUS. SPU.L BASIN CHECKLIST
Division- 14 County: Project ID: a6.2oZ321
River Basin: &ZQs4. 1Zt v Bridge No: j>i p,5 .
uuAjAv 4s4 s 7?2 c v r i2?-j 70
Route: -5Z /53CQ Stream: "o &3u s «4F55 cn-6c-c-v-
Water Quality Criteria: ,,
Yes No
Stream Crossing Blue Line On USGS i?' r
oRw - r?
wsi T-- r-;,**'
WS 11 JR OR DT, Crossing Within 0.5mi. of W. S. Critical ,Area r r?
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban r` r?
Arterial Rural. r'"
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? r
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
WETLODS1401 GR
sk] OUfa
JUL 2 9 2003
QUALITYSECTIOX
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
03®939
MEMO TO: John Dorney, DENR/DWQ/401/Wetlands Unit
FROM: Trish Simon, Division 12 Environmental Officer 5
DATE: July 23, 2003
SUBJECT: Pre-Construction Notification/401 Automated Payment
Enclosed are seven copies of a pre-construction notification for an emergency NCDOT
project in Cleveland County for your review.
Project information for the 401 Automated Payment Procedure
• Work order number: 150464-55120005-12B.202321-3855
• TIP #: NA
• Project Category: $200.00 Fee
is
Post Office Box 47 Shelby, North Carolina 28151-0047