20040629 Ver 1_Complete File_20040423

INATF Michael F. Easley, Governor
-.`ODD RQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
OD r Alan W. Klimek, P.E. Director
> Coleen H. Sullins, Deputy Director
p Division of Water Quality
May 19, 2004
Cherokee County
DWQ Project No. 040629
SR 1143 (Donely Road)
APPROVAL 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. Watson:
401 GROUP
i (.QALIT y SEQ.
You have our approval, in accordance with the attached conditions and those listed below, to impact 22 linear feet of
an unnamed tributary to Rocky Ford Creek (22 linear feet of new pipe) in order to make improvements to NCSR
1143 (Donley Road) in Cherokee County. The project must be constructed in accordance with the application dated
March 30, 2004 (received April 23, 2004), 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 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 if
total impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as
described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, you must follow the conditions
listed in the attached certification and any additional conditions listed below.
Erosion and sediment control practices must be in full compliance with all specifications governing the proper
design, installation and operation and maintenance of such Best Management Practices in order to protect surface
waters standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated, and
maintained in accordance with the most recent version of the North Carolina Sediment and Erasion
Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures must
be such that they equal, or exceed, the requirements specified in the most recent version of the North
Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all construction
sites, borrow sites, and waste pile (spoil) projects, including contractor-owned or leased borrow pits
associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed, operated,
and maintained in accordance with the most recent version of the North Carolina Surface Mining
Manual.
d. Any reclamation measures and implementation must comply with the reclamation in accordance with
the requirements of the Sedimentation Pollution Control Act.
2090 U. S. Highway 70, Swannanoa, N.C. 28778 Telephone: [phone] Fax: [phone] Customer Service: 1-877/623-6748
Mr. R. G. Watson, P.E.
May 19, 2004
Page Two
2. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint
of the impacts depicted in the Preconstruction Notice Application. All construction activities, including the
design, installation, operation, and maintenance of sediment and erosion control Best Management Practices,
shall be performed so that no violations of state water quality standards, statutes, or rules occur.
3. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable, they
shall be removed and the natural grade restored within six months of the date that the Division of Land Quality
has released the project.
4. Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing
season following completion of construction. The WRC recommends and encourages DOT to use erosion
control matting instead of straw mulch around stream crossings and in riparian areas. NCWRC is also requesting
that temporary or permanent herbaceous vegetation be planted on all bare soil as soon as possible and within 15
days of ground disturbing activities to provide long-term erosion control.
5. 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 diffuse flow.
6. Culverts that are less than 48-inch in diameter should be buried to a depth equal to or greater than 20% of their
size to allow for aquatic life passage. Culverts that are 48-inch diameter or larger should be buried at least 12
inches below the stream bottom to allow natural stream bottom material to become established in the culvert
following installation and to provide aquatic life passage during periods of low flow. This may require
increasing the size of the culvert to meet flow conveyance requirements. 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.
7. Removal of vegetation at the stream crossing and adjacent to streams should be minimized. Native trees and
shrubs (e.g. Rhododendron, dog hobble, willows, alders, sycamores, dogwoods, black walnut and red maple)
should be planted along the streambank to reestablish the riparian zone and to provide long-term erosion control
in the vicinity of the road crossing and along the streams within dedicated rights of way.
8. Riprap placed for bank stabilization should be limited to the streambank below the high water mark, and
vegetation should be used for stabilization above the high water elevation.
9. Heavy equipment must be operated from the banks rather than in the stream channel in order to minimize
sedimentation and to reduce the likelihood of introducing other pollutants into the stream.
10. 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.
11. Excavation of the stream crossings and relocations should be conducted in the dry, if possible. Sandbags,
cofferdams, flexible pipe or other diversion structures should be used to minimize excavation in flowing water.
12. If concrete is used during culvert installation (e.g., headwalls), a dry work area should be maintained to prevent
direct contact between curing concrete and stream water. Water that inadvertently contacts uncured concrete
should not be discharged to surface waters due to the potential for fish kills.
13. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface
waters is strictly prohibited.
14. 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. Instream dredging has catastrophic effects on aquatic life and disturbance of the natural
form of the stream channel will likely cause downstream erosion problems, possible affecting other landowners.
15. Rock check dams at culvert outlets should be removed at project completion to avoid blocking movement of
aquatic life.
16. This certification does not authorize the discharge of waste rock and dirt into the stream or riparian zone except
for permitted areas associated with culvert conditions.
17. All work shall be performed during low flow conditions (below bankfull).

Mr. R. G. Watson, P.E.
May 19, 2004
Page Three
18. 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 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 Mr. Mike Parker of the Asheville Regional Office at 828.296.4500.
Sincerely,
Attachment
?r--Alan W. Klimek, P.E.
cc: Wilmington District, U S Army Corps of Engineers
Mark Davis, Division 14, DEO
Ed Ingle, Roadside Environmental
Steve Lund, USACE Asheville Field Office
Wetlands/401 Unit
Mike Parker, NCDWQ Asheville Regional Office
e+?s?
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
March 30, 2004
Mr. Steve Lund, NCDOT Regulatory Project Manager
U.S. Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801-2714
Attention: Mr. Steve Lund 040629
NCDOT Coordinator
LYNDO TIPPETT
SECRETARY
W ET LANDS 1401 GROUP
APR ? ?' 2004
WATER QUALITys
ECTIpN
Subject: Proposed Secondary Road Construction
SR 1143, Donley Road, Cherokee County.
State Project No. 14C.020031 (DWQ Minor Permit Fee $200)
Dear Mr. Lund:
The North Carolina Department of Transportation (NCDOT) is proposing to widen, grade
and pave SR 1143, Donley Road, in Cherokee County. This proposal entails widening
and paving the existing gravel road to a standard 18' roadway. The proposed
improvements of SR 1143 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 2004 summer paving season.
I am 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
section, drawing for pipe culvert replacement as well as a marked county map and USGS
quad map. We propose to install the new culvert slightly below the existing streambed
elevations where bedrock is not encountered to minimize impacts to wildlife habitats and
allow the existing stream gradients to remain as unchanged as is physically possible. No
threatened or endangered species are known to be present in or near the project area;
therefore, no significant impacts are anticipated from project construction. If the State
Historic Preservation Office (SHPO) and the Office of State Archaeology determines that
further investigations are required, NCDOT will conduct the appropriate site
investigations and obtain compliance from SHPO prior to 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 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 complete the above-mentioned improvements along SR 1143 in Cherokee
County, it will be necessary to impact waters of the United States in the Hiawassee River
Basin. Specifically, NCDOT is requesting to extend/replace 1 metal culvert in an
unnamed tributary to Rocky Ford Creek (Class C). Listed below is a summary of the
proposed impact.
Station Existing Proposed Net Impacts Stream Cl;
Condtion Condition Name
Site #I 36'x 36" CMP 58' x 48" CMP 22' extension UT- Rocky
30+00 Ford Creek
Permits Requested
NCDOT is hereby requesting authorization under NWP 14 and Section 404 of the Clean
Water Act to proceed with the construction project outlined above. By copy of this letter,
I am asking Mr.David McHenry, North Carolina Wildlife Resources Commission
(NCWRC) Western Mountain Region Coordinator, to comment directly to you
concerning the 404 Nationwide Permit Request.
Also, by copy of this letter, I am requesting authorization to proceed under Section 401 of
the Clean Water Act from the North Carolina Department of Environment and Natural
Resources (DENR), Division of Water Quality (DWQ). In addition, I am asking Mr.
McHenry, and Mr. Ed Ingle, (NCDOT) to comment directly to me concerning this permit
request.
If you have any questions or need additional information, please contact me at (828) 321-
4105. Your early review and consideration will be greatly appreciated.
Sincerely,
,?0ZX1?
Michael A. Jones
County Maintenance Engineer
Copy: Mr. Carson Fisher, PE, Regional Engineer DEHNR
Mr. R.G. Watson, PE, Division Engineer, NCDOT
Mr. John Dorney, DWQ, DEHNR
Mr. David McHenry, Western Mountain Coordinator, NCWRC
Mr. B.C. Burch, PE, District Engineer, NCDOT
Mr. Wendell Chastain, Transportation Supervisor II, NCDOT
Mr. Mark Davis, Division Environmental Officer, NCDOT
Mr. Mike Parker NCDOT Coordinator, DWQ, DEHNR
Mr. E. L. Ingle, Roadside Environmental Field Operations Engineer, NCDOT

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Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401 General Water Quality
Certifications, and Riparian Buffer and Watershed Buffer Rules
SR 1143, Donley Road, Cherokee County
?.Ot NO1 TH 4*
A Z
NCDOT Division 14, District III
Prepared by: Michael Jones
County Maintenance Engineer
Cherokee & Graham Counties
Page I
Office Use Only:
USACE Action ID No.
DWQ No.
Form Version October 2001
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: NWP 14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ? N/A
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ? N/A
II. Applicant Information
1. Owner/Applicant Information
Name: North Carolina Department of Transportation (NCDOT)
Mailing Address: PO Box 1551
Andrews NC 28901
Telephone Number: 828.321.4105 Fax Number: 828.321.3228
E-mail Address: mjones @ dot. 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: Michael A. Jones
Company Affiliation: County Maintenance Engineer
Mailing Address: (same as above)
Telephone Number:
E-mail Address:
Fax Number:
Page 2
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: Donley Road, S R I 143
2. T.I.P. Project Number or State Project Number (NCDOT Only): 14C.020031
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Cherokee Nearest Town: Murphy
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Murphy take US 74/64
west approximately 6.7 miles. Take right onto NC 294 and proceed approximately 6.1 miles
to SR. 1 150 on the left. Travel appx. 3.6 miles to SR 1 147 on left. Proceed on SR 1 147 for
appx. 1.7 miles, left on SR 1141 for 1.2 miles. SR 1143 will be on the Hght.
5. Site coordinates, if available (UTM or Lat/Long):035 04' 53.44" N 084 17' 37.36" 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 waterbody.)
5. Describe the existing land use or condition of the site at the time of this application: pasture
forest, light residential
6. Property size (acres)
7. Nearest body of water (stream/river/sound/ocean/lake): Rocky Ford Creek - Class C
8. River Basin: Hiwassee
(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/map-a//..)
Page 3
9. Describe the purpose of the proposed work: Construct road to current NCDOT secondary
road standards
10. List the type of equipment to be used to construct the project: trackhoe, backhoe, dozer
loader, grader, dump trucks
11. Describe the land use in the vicinity of this project: forest, light residential, pasture
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 4
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 No 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
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 FF.MA Map Service Center at 1-800-358-9616, or
online at
••' 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:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
indicate on ma (linear feet) Before Impact (please seci
Site #1 culvert 22 feet UT to Rocky Ford 2 feet P
Creck
* List each impact separately and identify temporary impacts. Impacts include, but arc 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 (untamed 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.usas.coc. Several internet sites also allow direct download and printing of USGS maps (e.g., w w.topozone.cont,
Nvw. .mapquest.cotn, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 22 linear feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S. No open water impacts
Page 5
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name Waterbody
)
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
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.
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.):
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.
Erosion and siltation control measures and BMP's will be used durinu construction to avoid
environmental impacts.
VIII. Mitigation N/A
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
Page 6
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.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://li2o.enr.state.nc.us/wrp/index.litin. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information: N/A
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)
Page 7
Does the project involve an expenditure of public funds or the use of public (federaUstate/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Meuse), 15A NCAC 213 .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 Mi tuation
1 3
2 1.5
Total
' Zone 1 extends out 3U teet perpendicular Nom near banK of cnannel; Gone l extenos 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
Page 8
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 213.0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
The existing compacted gravel roadway acts as an impervious surface. Paving of the roadway
should eliminate sedimentation from fines associated with gravel surface treatment. The
roadway surface will be approximately 40% of the right-of-way area. Stormwater will be
diverted through settling basins or grass lined buffers prior to entering streams. (See erosion
control plan).
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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No ?
Is this an after-the-fact permit application?
Yes ? No ?
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
4/01/04
Applicant/Agent's'Signature I/ Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9
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CO LT-PITY- cxE ?roxEE
ROAD NAME: DONLEY ROAD
WORK ORDER NO. 6.912116
FROM FROM STA.0+00 ON CENTERLINE OF SR-1141
TO' END 0 PROJECT AT STA.96+75 ON CPNTPRI INE OF Slt-1 147
ADDITION: Yxx
IMPROVEMENT. YES xx NO
TO BE PAVED: YES FNO
GUY WIRES 4
POWER POLES TO MOVE: 7 YES xx NO
CABLE BOXES 1-4 GUY WIRES 0
TELEPHONE POLES TO MOVE: 0 YES xxO?
RIGHT OF WAY WIDTH: 50
SCALE: 1 " = 50'
ROAD NO. SR-1 143
DATE: 13/20/01
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or flatter ?.
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-----------i-------I-- . J
p1pEs
PROJECT NO. SR-1143 FLOW ROAD NAME: DONLEY RD.
STATION SIZE LT. RT. REMARKS
0+25 18" REPLACE W 24" C.M.P.
4+00 NO EXIST. ADD 18" C.M.P.
7+00 NO EXIST. Ann 1 apt r .4 n
1 NO FXTST, ADD " C.M.P.
15+00 NO EXIST. ADD 18" C.M.P.
20+50 NO EXIST. ADD 18" C.M.P.
n ADD " .P.
30+00 36-- pp- REPLACE/W 4811 C. 11. P.
38+15 1811 REPLACE/W NEW 1811 C. H. P.
41 +-30- NO FXT ST.
ADD 18" C.M.P.
46+00 No EXIST. ADD 24" C.H.P.
51+00
No EXIST.
ADD 18" C.r1.P.
57+00 NO EXIST. pp, ADD 24" C.H.P.
60+00 NO EXIST. ADD 18" C.H.P.
65+90 18" REPLACE/W 24" C.H.P.
72+90 2411 REPLACE/W 36" C.M.P.
NO EXIST. ADD 24" C.N.P.
85+96 18" REPLACE/W 24" C.M.P.
89+50 1
REPLACE/W 181C. M. P.
94+85 15" REPLACE/W 18" C.M.P.

4.50
3.50
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7.50
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EXIST. 18" CMP TO BE
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BEGIN PROJECT STA. 0+00 ON CENTERLINE OF SR-1143
(1)
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(1)
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EXIST. '36" CMP TO BE
REPLACED WITH 14EW 48
CMP. STA.30+00
(1)
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39.so _ I_
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35 + 00 1
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139.50
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18.50
(1)
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EXIST. 18" CMP TO BE
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4 crtP. STA.38+15
137.50
I37.c0
36.50
]6.00
5.50
35 + 00
(1)
BETTY RATIIVON
9290 13th ST NW
PEMBROKE PINES FL 33024
(2)
Pl, STA.42+50
BLAINE DONLEY
710 DONLEY RD.
MURPHY, NC 28906
(1)
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144.50
144.00
47.50
47.00
12150
7.00
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141.00
40.50
ADD 18" CPiP. STA.41+30
Q
40 + 00 - I - 40 + 00
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BOP STA: 0+00
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Name: ISABELLA
Location: 035° 04'53.44" N 084° IT 37.36" W
Date: 4 Caption: Donley Road, SR 1143
Scale: 1 inch nch equals 1429 feet Cherokee County
(C) 1993, Mlaptech, inc.
COUNTY: CHUMEE GPS: 35
SR. NO. 1143
RD. NAME: DONLEY ROAD 84
PIPE STA•. 30+(0
SITE No. #1
C/L
fi A

CHECK DAMS
AS REQ.

SILT BASIN © \
TYPE B
BRANCH 12')3'X2' 1
RIP RAP ?} 1
HEAD V ALL
1
SILT FENCE
ROCK BEM
SILT BASIN 4
TYPE B !
12'x3'x2' ,
CHECK DNlS
AS REQ. 0 (kl

0 17 1

Q 78 _N_

9311 W.

??
CHECK DArIs
AS REQ.

SILT BASIN
TYPE B
12'x3'x2'

RIP RAP
END WALL

SILT FENCE
ROCK BERIS
SILT BASIN
TYPE B
12'x3'x2'
CHECK D*lS
AS REQ.
I 1 1 1 1 1 1 1 1 1
i
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