20040962 Ver 1_Complete File_20040611

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DWQ Project No.
Applicant: NCDC
Project Name: _,
Date of Issuance
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D?091 2 County: ?1a? tso?.y
401AWater Quality Certification: I- oVA - o
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 otJa r s pport ' materials.
Signature: Date: 1 - 3- Os
Agent's Certif ation
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:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
M11
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/ncwetiands/
OF W A rF9
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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Coleen H. Sullins, Deputy Director
Division of Water Quality
Asheville Regional Office
July 26, 2004
Jackson County
DWQ Project No. 040962
SR 1145 (Bridge No. 18)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. R. G. Watson, P.E.
Division Engineer
N C Department of Transportation
23 Webster Road
Sylva, North Carolina 28779
Dear Mr. Watson:
WETLANDS 1409 GROUP
AUG 0 4 2004
CATER QUALITY SP-CTION
You have our approval, in accordance with the attached conditions and those listed below, to impact approximately
25 linear feet of Pine Creek (replacement of approximately 25 linear feet of timber mudsills and approximately 70
linear feet of temporary impacts for coffer dams and temporary dewatering), in order to replace Bridge No. 18 on
NCSR 1145 in Jackson County. The project must be constructed in accordance with the application dated May 18,
2004 (received June 11, 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 Nos.
3404 and 3366, corresponding to the U.S. Army Corps of Engineers Regional General Permit Number 31. 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, NC 28778 Telephone: [phone] Fax: [phone]
Mr. R. G. Watson, P.E.
July 26, 2004
Page Two
2. No wastes, 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. In-stream construction work and land disturbance within the 25-foot wide buffer zone are prohibited during the
trout-spawning season of October 15 through April 15 to avoid potential adverse effects of sedimentation on
sensitive egg and fry stages of trout.
5. The NC Wildlife Resources Commission recommends and encourages DOT to use erosion control matting in
conjunction with appropriate seeding on disturbed soils in steep slope and riparian areas. Matting should be
secured in place with stables, stakes, or, wherever possible, live stakes of native trees. NCDOT shall comply
with any other conditions or moratoriums requested by the NC Wildlife Resources Commission.
6. Any stream area that may be over widened during bridge construction should be restored to the existing
width/depth ratio, typical of the upstream and downstream stream reaches.
7. The post-construction removal of any temporary bridge structures will need to return the project site to its pre-
construction contours and elevations. Revegetation of the impacted areas with appropriate native species shall
also be necessary.
8. 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.
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 bridge construction (e.g., headwalls, piers), 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.
15. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface
waters is strictly prohibited.
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 bridge supports or areas that require restoration of proper stream width. Instream dredging has
catastrophic effects on aquatic life, and disturbance of the natural form of the stream channel will likely cause
downstream erosion problems, possibly affecting other landowners.
17. All work shall be performed during low flow conditions (below bankfull).
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.
h
l
Mr. R. G. Watson, P.E.
July 26, 2004
Page Three
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,
Alan W. Klimek, P.E.
Attachment
cc: Wilmington District, US Army Corps of Engineers
Mark Davis, Division 14, DEO
Angie Pennock, USACE Asheville Field Office
Ed Ingle, Roadside Environmental
Wetlands/401 Unit
Mike Parker, NCDWQ Asheville Regional Office
.wSWFo
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
May 18, 2004
Mr. Steve Lund, NCDOT Regulatory Project Manager
LYNDO TIPPETT
SECRETARY
WETLANDS/ 401 GROUP
U.S. Army Corps of Engineers JUN 1 1 2004
151 Patton Avenue, Room 208
Asheville, NC 28801-2714 WATER QUALITY SECTION
Subject: GP 31 Permit Application
Bridge Number 18 on SR 1145 over Pine Creek
Jackson County
Dear Mr. Lund,
The North Carolina Department of Transportation (NCDOT) is proposing to replace Bridge
Number 18 on SR 1145 over Pine Creek (WS III; Tr), in Jackson County. The existing bridge is a
26' single span structure with timber abutments and steel I-beams. It was determined that in the
interest of public safety the bridges be replaced due to insufficient width and deterioration due to
age. The new bridge will span the creek using steel I-beams on timber abutments at a length of
26'. The footings will be constructed of 12" x 12" timber mudsills. All work will be performed in
a dry environment. Sandbag cofferdams will be used if necessary to ensure a clean, dry area, and
to minimize impacts to aquatic habitats and allow the existing stream gradients to remain as
unchanged as physically possible.
The North Carolina Natural Heritage Database was checked for records of threatened and r
endangered species. There are no records in the database for threatened or endangered species
from the Pine Creek watershed. Additionally, there are no records within the adjacent Mill Creek
Watershed. The location of. Pine Creek above Thorpe Reservior, the small size of the stream (10
feet wide) and elevation (350.0 feet) are not conducive for freshwater mussels. This project
consists of replacing a spanning structure on existing location and the work will be completed in
the dry °For these reasons, this project will have "no effect" on threatened. or endangered
species . ;
Impacts to histonc or cultural resources are not anticipated. If the State Historic Preservation
Office (SHPO) and the Office of State: Vchaeology determines that further investigations are_
WOftierBA ge amnenance,178 Henry Bird Rd, Whittier, NC 28789Telephone[phone]Fax(828A97-6544
TU- ? 11
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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.
Impacts to Waters of the United States
In order to construct the project in accordance with our current Bridge Maintenance standards, it
will be necessary to impact waters of the United States in the Little Tennessee River Basin.
Specifically, NCDOT is requesting to widen Jackson County Bridge No. 18. Listed below is a
summary of the proposed impacts.
Site No. Existing Proposed Net Impacts
Station Condition Condition
Site 1 0'
Bridge 26' Single 26' Single Span
18 Span Bridge Bridge
Total =0'
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 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 to proceed under Section 401 of the
Clean Water Act from Division of Water Quality. In addition, I am asking the NCWRC 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 [phone].
Your early review and consideration will be greatly appreciated.
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, DENR - Division of Water Quality
Mr. John Dorney, Water Quality Certification Unit, DWQ
Office Use Only' Form Version April 2001
USACE Action ID No. DWQ No l 4 n 9 V
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: GP 31
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: ?
II. Applicant Information
1. Owner/Applicant Information
Name: NC Department of Transportation c/o J.D. Metcalfe. PE
Mailing Address: 178 Henry Bird Rd. Whittier. NC 28789
Telephone Number: 1-828-497-7953 ' Fax Number: 1-828-497-6095
E-mail Address: imetcalfeadot.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: NA
Company Affiliation: NA
Mailing Address: = NA -

Telephone Number: NA Fax Number: NA ,
E-mail Address:.: NA A

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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: Jackson Bridge # 18 on SR 1145 over Pine Creek
2. T.I.P. Project Number (NCDOT Only): WBS Element: 14B.205011
3. Property Identification Number (Tax PIN): NA
4. Location
County: Jackson Nearest Town: Glenville. NC
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): From Cashiers. NC follow NC
107 North towards Sylva, NC for approx. 6 miles to SR 1157 on the left. Turn and follow for
approx. 3.1 miles and bear left onto SR 1145. Follow for approx. 1.1 miles to Bridge 18.
Site coordinates, if available (UTM or Lat/Long): 35° 1 P 09.4"N 83° 10' 40.5"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:
NC DOT Bridge Number 18.
6. Property size (acres): NA
7. Nearest body of water (stream/r i ver/so und/ocean/lake): Pine Creek (WS III; TO
2 - 9 - L3 -
Describe the purpose of the proposed work:
Replace the existing 26' single span timber and steel I-beam bridge. New bridge will be a
single span timber and steel I-beam structure approx. 26' in length. New abutment footings
will be constructed on timber mudsill foundations along with timber bulkheads and
win walls
9. List the type of equipment to be used to construct the project:
Backhoe boomtruck power tools hand tools etc.
10. Describe the land use in the vicinity of this project: Minor farming. Fishing.
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.
NA
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: NA
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 delmeation forms 'should be included as appropriate. Photographs may be
included at the apphcarit's discretion. If this proposed impact is', strictly for wetland or stream
w ;
Pages of 11
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usas.aov. Several internet sites also allow direct download and printing of USGS maps (e.g., %vvvw.topozone.com,
www.mgpguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 0'
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* 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.): NA
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): NA
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 mimmized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
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VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
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.
NA
Page 8 of I 1
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 hqp://h2o.enr.state.nc.us/M/index.fitm. 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): NA
Amount of buffer mitigation requested (square feet): NA
Amount of Riparian wetland mitigation requested (acres): NA
Amount of Non-riparian wetland mitigation requested (acres): NA
Amount of Coastal wetland mitigation requested (acres): NA
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
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 u;
applicant's discretion.
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w Page 9 of 11
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 NA )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 3U teet perpenaicular from near oanx or cnannei; Gone L exienas an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
NA
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from the
property.
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.
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 46fi6fated from the tiroiect.
XIIL Violations (DWQ Only) ?..
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500)'or any Buffer Rules?
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;TATE OF NORTH CAROLINA SR
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SUBJECT /? F'' ` I
PROJECT ?_w
ARTMENT OF TRANSPORTATION
//?G Sck0o COUNTY
DIVISION OF HIGHWAYS /'
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HIGHWAY BUILDING PREPARED BY O /'- DATE STATION
P. 0. BOX 25201
',LEIGH. NORTH CAROLINA 27611 CHECKED BY DATE STR NO SHEET_ OF_
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