20040859 Ver 1_Complete File_20040525

WA TF D Michael F. Easley, Governor
William G. Ross Jr., Secretary
0?
North Carolina Department of Environment and Natural Resources
? r
UJ r FEB ®,.Alan W. Klimek, P.E. Director
>_ .l 2n,06 Division of Water Quality
?? $RAP1Ch#
DWQ Project No.:
Applicant: NCDOT
Project Name: y-5
Date of Issuance of
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 he 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, an o a erials.
Signature: Date: r -
Agent's Ce " cation
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:
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:
R-'.DE %4
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/
DI-109S? County: J /?so?•-

W A
f
-1
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project No.; 64,09,`/ County:
Applicant: NCDOT
Project Name: S/? //, 3-b
Date of Issuance of 401 Water Quality Certification:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
i
- _LI-
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 t e 401 Water Quality Certification and Buffer Rules, the approved plans and
Agent's Certifrc ion
If this project was designed by a Certified Professional
I, , as a duly regist oq
Engineer, Landscape Architect, Surveyor, etc.) in the State of Nortl - :d to
observe (periodically, weekly, full time) the construction of the prof : that,
to the best of my abilities, due care and diligence was used in the ob h that
the construction was observed to be built within substantial compliai pine 401 Water
specifications, and of rti terials.
Signature: Date: O1?J ??
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. arid -lules, the
approved plans and specifications, and other supporting materials.
Signature: Date:
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), http://h2o.enr.state.nc.us/ncwetiands/
f W A i F Michael F. Easley, Governor
a ?QQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
601 Alan W. Klimek, P.E. Director
Coleen H. Sullins, Deputy Director
fl Division of Water Quality
Asheville Regional Office
June 21, 2004
Jackson County
DWQ Project No. 040859
NCSR 1130 (Pilot Knob 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:
VVETLANDS 1401 CpCUR
JUN 2 g 2004
WATER QUAL17-y SECTION
You have our approval, in accordance with the attached conditions and those listed below, to impact 93 linear feet of
five (5) unnamed tributaries of Raven Fork (93 feet of new pipe) in order to make improvements to NCSR 1130 in
Jackson County. The project must be constructed in accordance with the application dated May 10, 2004 (received
May 25, 2004), including the environmental commitments made in the application letters. Please note that Raven
Fork and its tributaries are classified as WS-III Waters. 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.
1. 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 Erosion
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
r
Mr. R. G. Watson, P.E.
June 21, 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. The NCWRC is requesting that in-stream work and land disturbance within the 25-foot wide buffer zone not be
conducted during the trout-spawning season of October 15 through April 15, if possible. The NCWRC is
concerned about the protection of trout resources downstream of the project.
5. Riparian vegetation must be reestablished within the construction limits of the project by the end of the
growing season following completion of construction. The NCWRC recommends and encourages DOT to use
erosion control matting instead of straw mulch in riparian areas. Temporary or permanent herbaceous
vegetation should be planted on all bare soil as soon as possible and within 15 days of ground disturbing
activities, to provide long-term erosion control.
6. NCDOT must submit a plan for written DWQ approval to address any head cutting or associated stream bank
or riparian area that becomes unstable, should it occur, resulting from this project. All repair designs must be
submitted to and receive written approval from NCDWQ before the repair work is performed.
7. 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.
8. 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.
9. 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.
10. 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.
11. 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.
12. 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.
13. 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.
14. 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 altering the stream's water
chemistry and causing a fish kill.
15. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to
surface waters is strictly prohibited.
r
Mr. R. G. Watson, P.E.
June 21, 2004
Page Three
16. 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.
17. Rock check dams at culvert outlets should be removed at project completion to avoid blocking movement of
aquatic life.
18. 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.
19. All work shall be performed during low flow conditions (below bankfull).
20. 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
cc: Wilmington District, US 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
a 4
?rs'`SWt°
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION TT
MICHAEL F. EASLEY
GOVERNOR
WETLANDS 1401 GROUP
MAY 2 5 2004
WATER QUALITY SECTION
LYNDO I IPPE
SECRETARY
May 10, 2004

Mr. Steven Lund, NCDOT Regulatory Project Manager
U.S. Army Corps of Engineers 0 4 0 5 5 9
151 Patton Avenue, Room 208
Asheville, NC 28801-2714
Subject: Nationwide 14 Permit Application
SR 1130 -Pilot Knob Road
Jackson County
State Project No. 14C.050041(DWQ Minor Permit Fee $200)
Dear Mr. Lund:
The North Carolina Department of Transportation (NCDOT) is proposing to widen, grade, and
pave SR 1130, Pilot Knob Road, in Jackson County. This proposal entails widening and paving
the existing gravel road to a standard 18-foot roadway. The proposed improvements of SR 1130
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 2004-05 paving season.
I am sending a straight-line diagram with the proposed erosion control and construction limits
along this project. In addition, I am sendingell a ical section of the asa marked county map and USGS quad map.
drawings for pipe culvert replacements as w
We propose to install the new culverts slightly below the existing streambed 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. No threatened or endangered species
are known to be present in or near the project area; therefore, this project will have no effect on
threatened or endangered species. 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 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 Little Tennessee River Basin.
Specifically, NCDOT is requesting to extend/replace five metal culverts in UT to Raven Fork
(DWQ Class WS-III ). Listed below is a summary of the proposed impacts.
Site No. Existing Proposed Net Impacts
Station Condition - Condition
Site 1 30'x 18" CMP 50' x 18" CMP 20' extension
40+74
Site 2 30' x 18" CMP 50' x 18" CMP 20' extension
58+30
Site 3 30' x 18" CMP 55' x 18" CMP 25' extension
63+69
Site 4 32' x 15" CMP 55'x 18" CMP 23' extension
70+48
Site 5 40' x 36" CMP 45' x 36" CMP 5' extension
85+12
7J ,Lu:_ea_, _ .? ..?.,?
1GGL LVLCLA
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 letter, I am asking Mr. David
McHenry, Mountain Region Coordinator, of the North Carolina Wildlife Resources Commission
(NCWRC) to comment directly to you concerning the 404 Nationwide Permit 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 Environment and Natural Resources (DENR),
Division of Water Quality (DWQ). In addition, Mr. Ed Ingle, (NCDOT) to comment directly to
me concerning this permit requests.
If you have any questions or need additional information, please contact me at (828) 488-213 L
Your early review and consideration will be greatly appreciated.
incer ,
nathan L. Woodard, P.E.
istrict Engineer
cc: Mr. John Dorney, DWQ, DENR, Raleigh (seven copies)
Mr. Mike Parker, DWQ, DENR, Asheville
Mr. David McHenry, Mountain Region Coordinator, NCWRC
Mr. R.G. Watson, RE., Division Engineer, NCDOT
Mr. Mark Davis, Division Environmental Officer, NCDOT
Mr. E. L. Ingle, Roadside Environmental Field Operations Engineer, NCDOT
Office Use Only:
USACE Action ID No.
Form version occober 2001
040859
DWQ No.
If any particular item is not applicable to this project, please enter ,Not Applicable" or "NIA" rather than
leaving the space blank.
I. 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: ?
H. Applicant Information
Owner/Applicant Information
Name: North Carolina De artment of Trans ortation
Mailing Address: P.O. Drawer 250
Cit NC 28713
Bryson
Attn : J. L. Woodar PE District En ineer
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: Woodard 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: N/A
Company Affiliation: N/A
Mailing Address: N/A
Telephone Number: N/A Fax Number: N/A
E-mail Address: N/A
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 sheets adinistrative and
larger than isti bubty 1 7inch format
USACE requires information to be submitted on refers full-size construction
however, DWQ may accept paperwork of any size. DWQ p
drawings rather than a sequential sheet version
is of
illegible, full-size the applicant will be informed that
reduced to a small scale such that the final the project has been placed on hold until decipherable maps are provided.
1. Name of project: Widen grade drain and?ave SR 1130 Pilot Knob in Jackson County
2. T.I.P. Project Number or State Project Number (NCDOT Only): 140.050041
3. Property Identification Number (Tax PIN): n/a
4. Location
County: Jackson Nearest Town: Cashiers
Subdivision name (include phase/lot number): n/a
Directions to site (include road numbers, landmarks, etc.): From Sylva take NC 107 to SR
1129. Turn left onto SR 1129. Then turn left onto SR 1130. This is the r 'ect.
5. Site coordinates, if available (UTM or Lat/Long): see attached
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential
7. Property size (acres): 5.50 acres
8. Nearest body of water (stream/river/sound/ocean/lake): UT to Raven Fork WS III
9. River Basin: Little Tennessee
(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/maps/.)
10. Describe the purpose of the proposed work:
Page 2 of 8
To Qave widen the shoulders and improve the alignment of SR 1139 to meet current
NCDOT standaz is This includes cutting and filling earthwork where neede =lacing old
drainage structures that aze inadequate and makin the road safer by changing the road
pry
11. List the type of equipment to be used to construct the project:
Track Hoes Back Hoes Dum Trucks Bulldozers Manual Labor etc.
12. Describe the land use in the vicinity of this project:
Residential woodlands
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.
No additional permits have been a lied for in the ast.
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:
No additional ermits are antici ated.
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 3 of 8
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
Area of Located within
Wed and Impact Distance to
Type
Site Number Type of Impact* Impact 100-year Floodplain** Nearest ear feet) Stream a of Wetland***
'indicate on map) (acres) es/no)
List each impact separately and identify temporary impacts. Impacts include, but are not limited to. mechanized clearing, grading, fill,
' atel list impacts due to both structure and flooding.
excavation, flooding, ditching/drainage, etc. For dams, separ Y Management Agency's Flood Insurance Rate Maps
** 100-Year floodplains are identified through the Federal
s are Emergency gh the Service Center at 1-800-358-9616, or
(FIRM), or FEMA-approved local floodplain maps. Map FEMA Map
onlineathttg//ww,,v.fema.gov. impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
*•* List a wetland type that best describes wetland to be Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0
Total area of wetland impact proposed: 0
2. Stream Impacts, including all intermittent and perennial streams
Average
Stream Impact Length of Width Perennial or
of Stream
Site Number Type of Impact* Impact " Stream Name** Before Impact pl tease spec
indicate on ma) Perennial
1@ Station 40+74 Culvert Extension 20 UT to Raven Fork 1
UT to Raven Fork 2 Perennial
i@ Station 58+30 Culvert Extension 20 Perennial
3 @ Station 63+69 Culvert Extension 25 UT to Raven Fork 1.5
UT to Raven Fork 1 Perennial
4 @ Station 70+48 Culvert Extension 23 Perennial
5 @ Station 85+12 Culvert Extension 5 tJT to Raven Fork 2 :??
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 relosst ai is
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If. stream proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. the nearest
*" Stream names can be found on USGS topographic reaps. If a stream has no name, list as UT (unnamed tributary) to
downstream named stream into which it flows. USGS maps are available through USGS t80358 9616, or online at
wwtiv.usss.Qov. Several internet sites also allow direct download and printing USGS maps (e.g., •yMy mapQuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 93
Page 4 of 9
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
e of Waterbody
T
Open Water Impact
Site Number
(indicate on map) Type of Impact* Area of
Impact
acres Name of Waterbody
(if applicable) yp
Oake, pond, estuary, sound,
bay, ocean, etc.)

__,..?,. t... .. ..,.* t;. ..;+.A t- fi11 -vravntinn dredging-
* List each impact separately and identity temporary unpacis. unpcww
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): n/a
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): n/a
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.
Impacts cannot be avoided Culverts must be extended in order to gain the necessary width
to improve SR 1130 to current NCDOT standards All oioe extensions will be placed below the
existin stream bed adient so natural substrate can be re-established.
VIII. Mitigation
DWQ - In. accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 8
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
htt ://h2o.enr.state.nc.us/ncwetiands/strma.ide.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.
N/A
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 htti)?//h2o.enr.state.nc.uS/NN.M/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet): n/a
Amount of buffer mitigation requested (square feet): n/a
Amount of Riparian wetland mitigation requested (acres): n/a
Amount of Non-riparian wetland mitigation requested (acres): n/a
Amount of Coastal wetland mitigation requested (acres): n/a
IX. Environmental Documentation (DWQ Only)
Page 6 of 8
Does the project involve an expenditure of public funds or the use of public (federaVstate/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(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 Multiplier euquireodn
( uare feet)
1 3
2 1.5
Total

Zone 1 extends out 30 feet perpendicular from near ban& oL k,«umel, Z,,.- < ^«•,
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 7 of 8
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B.0242 or.0260.
N/A
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Stormwater will be diverted through settlin basins or Grass lined buffers prior to entering
streams. See erosion control lan .
XIL 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.
No wastewater will be enerated from the proposed reject.
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).
N/A
;>1i/1d
Applicant/ nt's Signature Date
(Agent's si na ure is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
Site Coordinates
Site #1
35D 11'42" N
83D 7' 14" W
Site #2
Site #3
Site #4
35D 12' 00" N
83D 7' 8" W
35D 12' 5" N
83D 7' 8" W
3 5D 12' 12" N
83D 7' 8" W
Site #5
35D 12' 20" N
83D 7' 14" W
SITE 1
STA. 40+74
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PILOT KNOB RD
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S.R. 1130
PILOT KNOB RD
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7)7 .I 1747 GO1 ? a+?. ' East Lapa7 131 I?a7 HORNEYHEAD
17144
Jack 1331 t 1 f•9 4P/G DOUBLE TOP II/1772 sue- S`
i 111,R s
1 ; Cilou rt" to t? z1?6+•? Mit+.
LM 131 / 7 211 Sd+Geek 113
•. 1 n 1752 .?
•y, s , Ll3 ° /q'? ./ 17ao v I IE.•?7v
475 L1L1. 4
1 1 131 A1311 1152 F'•3 1•< 11so BAR Q7ff / -
\ Tuckasagae gel Coda, Cl ff } MTN- / .
- J
,a _ 111! .3
'J 7 ~•1124 Zee t?
y t 139• ? Spasdvrell + •2 7' .
PANTHER KNOB •1 ' ? . 11.51 7 t? 1121
t. V uu a
BEY. 1,010 ? Rf? 9 ? 'P'P?"r?• A .-
;i ? Vt ¢ 1 1 f/1: a , IZ 13f iq -E` •?A
ix, LAK
$° 6 CEDAR MpS CEDAR CLIFF
I _ 1k ELEV. 2,427 LAKE
BEAR CREEK .
"- 174e X94 :e `? / LUL F O R E S T
:C Ie1e A pat J= 1122
r':) \ BELL CONEY MM
q
ELEV
?? ?yJ
BUCK KNOB CHERRY KNOB y y"1' 4,40 ELEV. 4,292 yo KNOB t
SHEEP KNOB .P`"` EF4. 1,600 .•
? ? i /
J.i7/ ?, Il7o
`\ ^ g". 4,78A
ti
1 ??n7: T•o Creek IT \
t3 3 P,,Tpki t.- 3U 31
_ MOSS KNOB Trout - ? ; 114
a
' ??192! ?'/ n \
..? 4 _ itee? 0
.J G "09 ?• \S LUZ 111r
139, I KNOB 9;dq• s
1 \ \n. 1154 • = 4
1 r,? 1'i uo ? Le to ii2o? ? s,rGca C<
I ti 117 01
•? /• \ Double SP1in9 MTL'CKASEGEE
OL :N FALLS R 7 L ?.s
s`. \?in •, wOLE 1159 'K?- 11 1 ills a •) .? !/?
- 1 KNOB
It •\!
t\ -? 1160
B'L.k?! 1 V ?U , 1.. )7322 0? .. EL-
1?1 Glwwillq ' u ? 112,
OLD ROCKY,2 1191 le o -THORPE aa L / n? i
MM 4? RESERVOIR' Vim; :? 1 1•e.
ELEV. 11 A I l ?o ?. ?? v yc?
•SNOWSIR / , 7,492 v a•/ \? ` (y
MM 1115 7 11.
s ? ? Cs• 7O a f ?? r?
11.83 l?e?' q LL43 , L!!1 nee ?. ? ??
1131 11!L U9 I?Q ti
a06 ? e ? 79Rk Ly 1.3 1
le
l 2s•ID' IpgbSk r.1k2•r MIA 1144 1 _
HOGBACK IATt•LJL 1171 Cly
W
EF/. 1,930 •° LV n.• Ilaf i 10,7
n_7
.0 •?
1lZI O LUCK CREEK .aMM 2..
cAP l/ B ow
11ee I ,
YELOw sATN,
143 T ,e 1 tao,-?, e
s. as / ?
Etv.
Copyright (C) 1998, Maptech, Inc.
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