20030825 Ver 1_Complete File_20030708

W A
Q 9 Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Uj r

O 'C Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project No.: Q ?lJ?4oZ s County:
Applicant: NCDOT
Project Name ,S^ /9/9 2Ge ?L
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401 /Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, Joel B. Setzer, P.E., hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and othe n rials.
Signature: ate:_
COO
Agent's Certificat n
1, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction such that the construction was observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature: Date:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, weekly, full time) the construction of the project, for the Permitee hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance and intent of the 401 Water
Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature Registration No. Date:

North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), hftp://h2o.enr.state.nc.us/ncwetlands/
?OF NN H I FRG>
William G. Ross Jr., Secretary
G North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
Coleen H. Sullins, Deputy Director
p ^r Division of Water Quality
August 8, 2003
Henderson County
DWQ Project No. 030825
SR 1919 (Macedonia Road Ext.)
APPROVAI. of 401 Water Quality Certification with Additional Conditions
Mr. R. G. Watson, P.E.
Division Engineer
N C Department of Transportation
253 Webster Road
Sylva, North Carolina 28779
Dear Mr. Gibbs:
s ?,y U

iM_y
6EOT'vON
You have our approval, in accordance with the attached conditions and those listed below, to impact 30 linear feet of
an unnamed tributary to Camp Creek in order to improve SR 1919 (Macedonia Road Ext.) in Henderson County.
The project must be constructed in accordance with your application dated July 2, 2003 (received July 8, 2003),
including the environmental commitments made in the application letter. After reviewing your application, we have
decided that this fill is covered by General Water Quality Certification No. 3404, 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).
Should your project change, you must notify the DWQ in tivriling 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 211 .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.
Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing
season following completion of construction.
Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means appropriate to the site
for the purpose of pre-treating stormwater runoff, 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.
The culverts shall be designed and installed to allow for fish and other wildlife movement as well as prevent
headcutting of the streams. If any of the existing pipes are perched, they shall be removed and replaced, and re-
installed correctly, unless demonstrated that this is topographically unfeasible.
NCDOT must submit a plan for written DWQ approval to address any headcutting that will occur as a result of
this project.
Ileavy 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.
All mechanized equipment operated near surlac.- waters roust be regularly inspected and maintained to prevent
contamination of stream waters lrom fuels, lubricants, hydraulic fluids, or other toxic materials.
59 Woodfin Place Asheville, N.C. 28801 Telephone: [phone] Fax: [phone] Customer Service: 1-877/623-6748
8. The presence of equipment in the channels must be minimized. 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. All work shall be performed during low flow conditions.
10. Upon completion of the project, the NCDOT 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. NCDOT is strongly advised to send in photographs upstream and
downstream of each structure to document correct installation.
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 150E 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,
d?,,,lan W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
E. A. Green, District Engineer
Mark Davis, Division 14, DEO
Ed Ingle, Roadside Environmental
Steve Lund, USACE Asheville Field Office
Wetlands/401 Unit
Mike Parker, NCDWQ Asheville Regional Office
Central Files

03 08
COPY .
FILE
STATE OF NORTH CAROLINA L
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPET"1'
Gm RNOR SIXT rARY
July 2, 2003
Mr. John Hendrix, NCDOT Regulatory Project Manager '*TLODS1A01^
U.S. Army Corps of Engineers 'N GROUP
151 Patton Avenue, Room 203
Asheville, NC 28801-2714 'IA X11/ y
Subject: Nationwide 14 Permit Application ?QV4L1TySE??j/
SR 1919 - Macedonia Ext. v'I?N
Henderson County
State Project No. 14C.045068 (DWQ Minor Permit Fee $200)
Dear Mr. Hendrix:
The North Carolina Department of Transportation (NCDOT) is proposing to widen, grade, and
pave SR 1919, Macedonia Ext., in Henderson County. This proposal entails widening and
paving the existing gravel road to a standard 20-foot roadway. The proposed improvements of
SR 1919 have been identified as necessary maintenance and safety improvements. Funds have
been allocated for this project, and NCDOT would like to perform these activities sometime
during the 2003-paving season.
I an, sending a straight-line diagram with the proposed erosion control and construction limits
along this project. In addition, I am sending a typical section of the road, cross sections,
drawings for pipe culvert replacements, pictures of each site and a marked county map and
USGS quad map. We propose to install the new culvert slightly below the existing strcambed
elevations where bedrock is not encountered to minimize impacts to aquatic habitats and allow
the existing stream gradients to remain as unchanged as physically possible. The culvert at Site
is perched and all appropriate efforts will be made to correct this problem, however clue to
bedrock, the steepness of the till slope, or surrounding terrain this may not be possible. No
threatened or endangered species or cultural or historic properties are known to be present in or
near the project area; therefore, no significant impacts arc anticipated from project construction.
The best management practices will be used to minimize and control sedimentation and erosion
on this project. The construction foreman will review all erosion control measures daily to
ensure sedimentation and erosion is being effectively controlled. If the planned devices are not
functioning as intended, they will be immediately replaced with better devices. The rock silt
screens and other erosion control devices will be in place prior to pipe culvert construction and
will remain in place until the project is stabilized.
Impacts to Waters of the United States
In order to construct the project in accordance with our current secondary road standards, it will
be necessary to impact waters of the United States in the Broad River Basin. Specifically,
NCDOT is requesting to extend/replace one metal culvert in Camp Creek (DWQ Class C Tr.)
Listed below is a summary of the proposed impacts.
Site No.
Station Existing
Condition Proposed
Condition Net Impacts
Site 1 30' x 18" CMP 60' x 18" CMP 30' extension
15+50
15+00 - Trout Buffer
16+00 Variance will
be rcc ucsted
30 linear feet total
Permits Requested
NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed
with the construction project outlined above. By copy of this.lctter, i am asking Mr. Owen
Anderson, Mountain Region Coordinator, of the North Carolina Wildlife Resources Commission
(NCWRC) to comment directly to you concerning the 404 Nationwide Pennit request.
Also, by copy of this letter, I am requesting authorization under Section 401 of the Clean Water
Act from the North Carolina Department of Environnnent and Natural Resources (DENR),
Division of Water Quality (DWQ). In addition, i am asking Mr. Anderson and Mr. Ed Ingle,
(NCDOT) to comment directly to inc concerning this permit request.
If you have any questions or need additional information, please contact me at [phone].
lour early review and consideration will be greatly appreciated.
Sincere] ,
E.A. Green, P.E.
District Engineer
cc: Mr..lolm Dorncy, DWQ, DENR (seven copies)
Mr. O\vcn Anderson, Mountain Region Coordinator, NCWRC.
Mr. R.G. Watson, P.E., Division Engineer, NCDOT
Mr. Mark Davis, Division Environmental Officer, NCDOT
Mr. E. L. Ingle, Roadside Environmental Field Operations Engineer, NCDOT
Mr. Mike Parker, DWQ, DENR, Asheville
Mr. Steve Cannon, Henderson County Maintenance Engineer
Office Use Only' Fonn version Octobcr 2001
l
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. -
Processing
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: NW 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: El
11. Applicant Information
1. Owner/Applicant Information
Name: North Carolina Department of Trans
portation
Mailing Address: 4142 Haywood Rd
Horse Shoe NC 28742

Telephone Number: 828-891-7911 Fax Number: 828-891-5026
E-mail Address: NA
2. Agcnt Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Edward A. Green
Company Affiliation: District Engineer
Mailing Address: 4142 Haywood Rd
I-lorsc Shoe NC 28742

Telephone Number: 828-891-7911 Fax Number:
E-mail Address: cu,,rcenCa),dot state nc us 828-891-7911
Page 1 of 9
Ill. 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 neaps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on,sheets no larger than I1 by 17-inch forllnat;
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: Macedonia Ext. SR 1919
2. T.I.P. Project Number or State Project Number (NCDOT Only): 14C.045064
3. Property Identification Number (Tax PIN): sec attachments
4. Location
County: I-icndcrson Nearest Town: Hendersonville
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): Begin on US 176 traveling south
fi•olll Hendersonville. Turn onto Macedonia Rd SR 1919, at the intersection of SR 1432 and
SR 1919(beginnin 7 0!, f llllpaycd section) COIitilILIC in a easterly direction for a total distance of
5,280 feet to the end of project.
5. Site coordinates, if available (UTM or Lat/Long): 35 15.46 N / 42 24..21 W
(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 watcrbody.)
6. Describe the existing land use or condition of the site at the time of this application: Rural
7. Property size (acres): 5,280 * 21' = 55 acres (Length of project x (ROW-maintained
width))
S. Nearest body of water (strcarll/river/sound/ocean/lake): Canlp Creek Trib to Broad River,
BRDOI DWO C Tr
9. River Basin: Broad
Page 2 or9
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp://li2o.cnr.stitc.nc.us/admin/m /.)
10. Describe the purpose of the proposed work: Upgrade SR 1919 to minimum standards for a
NCDOT maintained road
11. List the type of equipment to be used to construct the project: Widen and pave SR 1919 using
hydraulic excavators back hoes bulldozers dump trucks motor graders and various hand
tools.
12. Describe the land use in the vicinity of this project: Rural residential
IV. Prior Project History
if jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action 1D 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 future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
N/A
V1. 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 (intennittent 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
Page 3 of 9
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section Viii below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts: N/A
Wetland Impact
Site Number
(indicate on ma)
Type of Innpact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
linear feet)
Type of Wetland***

* list each impact separately and identify temporary impacts. tnll)iacts InCnluc, Doll arc 1101 Illlulcu LO. Ii1CC11,1111/,CU
excavation, flooding, ditching/d rainagc, etc. For dams, separately list impacts due to both structure and flooding.
** 100-fear 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 hilp;_'\?'o
*** List a wclland (vile that best describes wetland to be impacted (e.g., freshwater/Saltwatct• marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
?. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma ?)
Type of Impact* Length of
Impact
(lineal' feet) --
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please secif )

1. Sta. 15,50 CMI'
Replacement
30'
Camp Creek
1'
Perennial

* List each impact Separately and identity temporary impacts. Impacts include, but are not 111111 WO to: culverts and aSSOC atcc tip-rap,
dams (Separately list impacts due to both structure and flooding), (relocation (include linear feet before and after, and net loss/gain),
stabilisation activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. It' stream relocation is
proposed, plans and profiles Showing the linear footprint for both the original and relocated streams must be included.
t* Strain names can be round on USGS topographic maps. If a stream has no name, list as UT (unnanned tributary) to the nearest
downstream named scram into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
w????_u s, l y. Several internet sites also allow direct download and printing or USGS maps (e.g., w1vw,t<?p iilnnc.C om,
ww m;ip1 CCnl, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 30'
Page 4 of 9
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.: N/A
Open Water Impact
Site Number
(indicate on ma ?
Type ofImpact* Area of
Impact
(acres)
of Watcrbody
Name
(ifapplicable) Type of Watcrbody
(` lake' pond, estuary' bound,
bay, ocean, etc.)

It List each impact seharatciy anu wcmny iumpulmy p.... --1.,,?.,,
I1tioxli%1_ drainage, hulkheads, ctc.
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.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VIL 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.
NCDOT is proposing to install the minimum amount of metal culverts required to obtain a
standard secondary road typical Pipes will be installed below the stream bed to prevent perching
and allow for aquatic passage.
Proper erosion control measures will be installed and maintained throughout the life of the
)ro'ect.
Vlll. Mitigation
Page 5 of 9
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.
USAGE - 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 sire 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 USAGE 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%'h?o_c_nr.titate_nc.us!ncwctland??strn?idlr,html.
Provide a brief' description of the proposed mitigation plan. The description should provide
'IS lllucll information as possible, including, but not limited to: site location (attach directions
and/or map, if offsitc), 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., decd restrictions, conservation casement, ctc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
T\tin
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Pro"ram (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 rcquircments. 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 wcbsitc at littp:/7h2o.cnr.state.tic.us/wrl>_indcr_him. 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): 0'
Page 6 of 9
Amount of buffer mitigation requested (square fect):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 [phone] to review current thresholds for environmental documentation.
Yes ? No ?
if yes, has the document review been finalized by the State Clearinghouse? if so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
rcquircd state and local buffers associated with the project. The applicant must also provide
)UMIIICatlon for these impacts to 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
(Neusc), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Bui?fer Requirements), or other (please identify N/A )?
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
* zouc I extends out 30 feet perpcndiculnr front near hank of channel; Guns 2 cxtenos an
additional 20 feet from the edge of 7.onc 1.
Page 7 of 9
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Butter 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. Storinwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss storrrnvatcr controls proposed in order to protect surface waters and wetlands
downstream from the property.
The existing compacted gavel roadway acts as an impervious surface. Paving of the roadway
Should eliminate sedimentation from tines associated with gravel surface treatment. The
roadway surface will be approximately 40% of the right-of-way area Stonnwater will be
ned buffcns prior to entering streams. (See erosion
diverted through settling basins or grass-II
control plan).
X11. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wasM,N'ater genl'rated from the proposed pl-oject, or available capacity of the subject facility.
X111. Violations (DWQ Only)
is this site in violation of DWQ Wetland Rules (i 5A NCAC 2H .0500) or any Buffer Rules?
Yes ? No M
Is this an after-the-fact permit application?
Ycs ? 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).
XT/A
Page 8 of 9
7 3 -o
Applicant/Ag nt's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9 or9
(Rev. 3-74)
' MADE SY .... ...._.. DATE PROJECT
CHECKED BY ..... DATE .............. .....................
SHEET NO. -_--------------
CALCULATIONS FOR .............................................•---.._....._..._..-_....
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NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
SECONDARY ROAD SURVEY
SUBJECT S F 19 MACE DOr11A FxTc "S%C)W
?' \919
LOCATION I ECs1P, A'C T\\e \1JTEPSE,GZ ?,t711 OI .3 C)
CoNTtrJU.E ?rJ A EP?7r?L"\1 f:Jt( t_CTt?tJ \_.?(. ?. `T"Cr! {', '_
WORK TYPEGRADE, DRA N/k?)C,?AVE, EK0510r1 CONTROL, AuD FENCE REST
WORK ORDER ('L)52.i'7!o (TEM 14p4jRIORITY L
COUNTY_HENDERSDN RIGHT OF WAY 50?
DATE ?Q ` 14 -Q i SCALE JDD'
NOTES

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PIPE SCHEDULE
PROJECT SR Ic) I°) COUNTY-HENDERSON PAGE ?OF_
r/1ACED6NIA EAr.
STATION EXISTING_ PROPOSED REMARKS
DIAMETER LENGTH SKEW DIAMETER LENGTH SKEW
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32 too l8 yD 9040 cmP
35tIo ?e" 30 90° cmP
11D *70 /S' 30' 90° cmp

POLE DATA
PROJECT SP, 919 mAe?noN?R EX% COUNTY)6FMDFRSbN SHEET OF-
2-OWNER OF POLE LINE u YF- PC) \A J

STATION
POLE DIST. FROM CENTER
PRESENT ROAD DIST. FROM CENTER
PROJECT DIST. CENTER PROJECT
AFTER MOVING
REMARKS
NUMBER LT. RT. LT. RT. LT. P.T.
2 -too - 30 38 PoW R Po LC- ( r-GuY)
y.L 50 - a 2-0 PO wER POLE (1-6v
-7 y io - zo 2-0 PowER Po LC- 1-6u Y)
9tloo - 25 Z-7 POWER Po L6 (1-GUY)
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20*ID - 13 iz owE-R Po LE CI-&L
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25+20 - 15 I ,DLU R Po LE C 1-G-u
2 1-00 - lb 5 LOWER POLE CI•Gu
30 +oa
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PowER PALE (l - GLj
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POLE DATA
PROJECT SR 19 19 MACEDo?-JIA Ex1r COUNTY)3ENDERSON SHEET- 2-
OWNER OF POLE LINE ELL S QdT

STATION
POLE DIST. FROM CENTER
PRESENT ROAD DIST. FROM CENTER
PROJECT DIST. CENTER PROJECT
AFTER MOVING
REMARKS
NUMBER LT, RT. LT. RT. LT. RT.
7 -- ID 6-8YR-1 20 20 P140AIE PED
3y*410 - I PNaNo PED
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SR: SR 1919 Macedonia Ext
County: Henderson Area = Length "'(0.5 R/W width - 0.5 Pavement width)
Date: 3/20/03
Prepared By: C.E. Bandy
R/W : 50
Paved Width: 20
Water Quality: C Tr
HWQ, Trout, ESA other
Storage space Storage space
Sta to Sta Left / Right Length Area (ft^2) Area (ac) needed (ft^3) needed (ft^3)
0+00-2+50 Left 250 3750 0.086088 154.9586777 77.47933884
2+50-5+00 Left 250 3750 0.0$6088 154.9586777 ' 77.47933884
5+00-8+00 Left 300 4500 0.103306 185.9504132 ' 92.97520661
8+00- 10+80 Left 280 4200 0.096419 173.553719 ' 86.7768595
10+80 - 13+50 Left 270 4050 0.092975 167.3553719 ' 83.67768595
13+50 - 15+50 Left 200 3000 0.068871 123.9669421 ' 61.98347107
15+50 - 18+50 Left 300 4500 0.103306 185.9504132 ' 92.97520661
18+50 - 21+50 Left 300 4500 0.103306 185.9504132 ' 92.97520661
21+50 - 22+40 Left 90 1350 0.030992 55.78512397 27.89256198
22+40 - 25+50 Left 310 4650 0.106749 192.1487603 96.07438017
25+50 - 28+50 Left 300 4500 0.103306 185.9504132 ' 92.97520661
28+50 - 32+00 Left 350 5250 0.120523 216.9421488 ' 108.4710744
32+00 - 35+10 Left 310 4650 0.106749 192.1487603 96.07438017
35+10 - 38+00 Left 290 4350 0.099862 179.7520661/ 89.87603306
38+00 - 40+75 Left 275 4125 0.094697 170.4545455 85.22727273
40+75 - 44+00 Left 325 4875 0.111915 201.446281 100.7231405
44+00 - 47+00 Left 300 4500 0.103306 185.9504132/ 92.97520661
47+00 - 50+00 Left 300 4500 0.103306 185.9504132 i 92.97520661
50+00 - 52+80 Left 280 4200 0.096419 173.553719 86.7768595
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