20040486 Ver 1_Complete File_20040330

4
t
y
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Govemor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
t.
DWQ Project No.: ul- 0716b County:
Applicant: AlCOOr
_
Project Name: _rk /2/8 .auFel lFh
Date of Issuance of 401 Neater Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or the
project engineer. It-is not necessary to send certificates. from all of these.
Applicant's Certification
I, 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•
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was aced 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, AN. TJiWE*- , 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 Buffe Rules, the .approved plans and specifications, and other sup o "ng materials.
Signature ?_ Registration No. Date
;_A
NCDEM
Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650
Wetlands/401 Unit: [phone]
Fax: [phone]
` G William G. Ross Jr., Secretary
-7 North Carolina Department of Environment and Natural Resources
crJ
Alan W. Klimek, P.E. Dire--or
Division of Water Quality
J Coleen H. Sullins, De;,c.Ky Director
Division of Water Quality
April 20, 2004
Watauga County
DG?WQ Project No. 04-0486
SR 1218 (Laurel Branch Rd)
APPROVAL of 401 Water Quality Certification
Mr. ?alike Pettm;oh^., PE
Division Engineer, Division 11
N C Department of Transportation
Post Office Box 250
North Wilkesboro, North Carolina 28659
Dear Mr. Pe t3 john:
You have our approval, in accordance with the attached conditions and those listed below, to impact 175
linear feet of seven (7) different unnamed tributaries to Laurel Branch (105 feet of new pipe and 70 feet
of rip-rap) and 0.020 acres of wetlands.in order to widen and improve traffic safety on SR 1218 (Laurel
Branch Rd.) in Watauga County. The project shall be constructed in accordance with your application
dated March 26, 2004 (received March 30, 2004).
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 should acquire any other federal, state or local permits before you proceed with your
project including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply
Watershed regulations. This approval will expire with the accompanying 404 permit, unless otherwise
specified in the Water Quality Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the Division of Water Quality (Division) and
submit a new application. If the property is sold, the new owner must be given a copy of this approval
letter and certifications, 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 remain valid, you must adhere to the conditions listed in the
attached certification and any additional conditions listed below.
1. L-:srream work and land disturbance within the 25-foot wide buffer zone are prohibited during the
brown and brook trout spawning season of October 15 through April 15 to protect the egg and fry
stages of trout from off-site sedimentation during construction.
2. 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.
N. C. Division of Water Quality 1650 Mail Service Center Raieioh, NC 27699-1660 [phone] ?r
Customer Service: 1 800 623-7748
Ot WATF Michael F. Easley, Governor
191 William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
co f Alan W. Klimek, P.E. Director
> Division of Water Quality
p -? Coleen H. Sullins, Deputy Director
Division of Water Quality
April 20, 2004
Watauga County
DWQ Project No. 04-0486
SR 1218 (Laurel Branch Rd)
APPROVAL of 401 Water Quality Certification
Mr. Mike Pettyjohn, P.E.
Division Engineer, Division 11
N C Department of Transportation
Post Office Box 250
North Wilkesboro, North Carolina 28659
Dear Mr. Pettyjohn:
RECEIVED
APR 28 2004
NC ECOSYSTEM
ENHANCEMENT PROGRAM
You have our approval, in accordance with the attached conditions and those listed below, to impact 175
linear feet of seven (7) different unnamed tributaries to Laurel Branch (105 feet of new pipe and 70 feet
of rip-rap) and 0.020 acres of wetlands in order to widen and improve traffic safety on SR 1218 (Laurel
Branch Rd.) in Watauga County. The project shall be constructed in accordance with your application
dated March 26, 2004 (received March 30, 2004).
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 should acquire any other federal, state or local permits before you proceed with your
project including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply
Watershed regulations. This approval will expire with the accompanying 404 permit, unless otherwise
specified in the Water Quality Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the Division of Water Quality (Division) and-
submit a new application. If the property is sold, the new owner must be given a copy of this approval
letter and certifications, 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 remain valid, you must adhere to the conditions listed in the
attached certification and any additional conditions listed below.
1. Instream work and land disturbance within the 25-foot wide buffer zone are prohibited during the
brown and brook trout spawning season of October 15 through April 15 to protect the egg and fry
stages of trout from off-site sedimentation during construction.
2. 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.
ON
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748
Mr. Mike Pettyjohn, P.E.
April 20, 2004
DWQ#04-0486
Page 2
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. The reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
3. 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.
4. 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 Resources has released 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.
67 Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means
appropriate to the site for the purpose of pre-treating stormwater runoff, and must not be routed
directly into streams. Mowing of existing vegetated buffers is strongly discouraged, so that they may
be utilized for stormwater sheet flow.
7. Where practicable, 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 in
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. These measurements must be based on natural thalweg depths.
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. All waters must flow through without freefalling
or damming on either end of the 'culverts during low flow conditions, to maintain aquatic life and/or
fish passage.
8. The dimension, pattern and profile of the stream above and below the crossing should not be modified
by widening the stream.charmel or reducing the depth of the stream.
9. Disturbed floodplains and streams should be restored to natural geomorphic conditions.
10. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If rip-rap is necessary, it must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water. Any rip-rap used must not
interfere with aquatic life passage during low flow conditions.
11. If concrete is used, work must be accomplished so the wet concrete does not contact the stream water.
This will lessen the change of altering the stream's water chemistry and causing a fish kill.
12. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
13. 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.

Mr. Mike Pettyjohn, P.E.
April 20, 2004
DWQ#04-0486
Page 3
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.
15. Temporary dewatering sites must be restored to preexisting conditions unless more natural
geomorphic conditions can be provided.
16. All work shall be performed during low flow conditions.
17. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ 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 Division of Water Quality upon completion of the project.
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. Ifyou have any questions, please contact Sue Homewood at 336-771-4600 extension 252 or
[e-mail].
Sincerely,
el
Alan W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of 'Engineers
John Thomas, USACE Raleigh Field Office
Steve Roberts, Division Environmental Specialist, NCDOT Division 11
Vetlat l; Unit
Winston Salem Regional Office
Central Files
Mr. Mike Pettyjohn, P.E.
April 20, 2004
DWQ#04-0486
Page 4
DWQ Project No.:
Applicant:
County:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return this certificate to the
401/Wetlands Unit, North Carolina Division of Water Quality,1621 Mail Service Center, Raleigh, NC,
27699-1621. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or
the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
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:
Agent's Certification
Date:
1, hereby state that, to the best of my abilities, due care 11 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:
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the project,for the Permittee hereby state that, to the best of my abilities, due care and diligence was used
in the observation of the construction such that the construction was observed to be built within
substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved
plans and specifications, and other supporting materials.
Signature
Registration No.
Date

. ®40486
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P. O. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT
GovERNoR PHONE: [phone] SECRETARY
March 26, 2004
Mr. John Thomas
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office e
6508 Falls of the Neuse Rd, Suite 120
Raleigh, NC 27615
/tl;u pi '? Subject: Nationwide Permits 14 J `j )
SR 1218 (Laurel Branch Rd) r'
Watauga County, North Carolina
Project Number: 11C.095065 (DWQ Permit Fee: $475.00)
Dear Mr. Thomas:
The purpose of this letter is to notify you of the fact that a 0.86 mile section of SR 1218 (Laurel Branch Rd) in
Watauga County is scheduled to be widened by the NC Department of Transportation (DOT) (see Site Vicinity
Map). The location of the roadway will not change substantially, but will be widened from approximately 16 feet
to 20 feet. Consequently, the impervious surface of the roadway will increase 0.417 acres. This project will
require the replacement of seven (7) culverts carrying seven (7) different tributaries to Laurel Branch (Class: C) as
outlined in Table 1. Additionally, 0.020 acres of Jurisdiction Wetland (JW) will be impacted as outlined in Table
2. Therefore, we are requesting that you respond to the attached Pre-construction Notification Form (PCN) and
confirm that the proposed activity is permitted under the Nationwide Permitting system.
Table 1. Summarv of Channel Impacts
# Station
# Type of
Impact NW
# Existing
Pipe Proposed
Pipe Channel ID Rig
Rap
(ft) Temp.
Impact
to Ch.
ft/ac Piping
Impacts
(ft)
*1 27+85 Pie 14 20'x15" 30'x15" UT 1 - - 10
*2 27+85 Ri Ra 14 UT 1 10 - -
3 28+15 Pie 14 45'x18" 60'x24" UT 2 - - 15
4 28+15 Rip Rap 14 UT 2 10 - -
5 33+45 Pie 14 30'x18" 50'x24" UT 3 - - 20
6 33+45 Rip Rap 14 UT 3 10 - -
7 35+30 Pie 14 40'x18" 50'x24" UT 4 - - 10
8 35+30 Rip Rap 14 UT 4 10 - -
9 39+50 Pie 14 60'x18" 70'x24" UT 5 - - 10
10 39+50 Rip Rap 14 UT 5 10 - -
11 39+85 Pie 14 30'x36" 60'x48" UT 6 - - 30
12 39+85 Rip Rap 14 UT 6 10 - -
13 42+00 Pie 14 90'x36" 100'x48" UT 7 - - 10
14 42+00 Rip Rap 14
, UT 7 10 - -
.__
_
Total 70 0 105
* = Driveway Pipe
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAx [phone]
i 'VT
i
Mr. John Thomas
SR 1218, Laurel Branch Rd
Page 2
March 26, 2004
Table 2. Summary of Jurisdictional Wetland Impact
# Station
# Type of Impact NW
# Area of Impact
acres
15 35+00 Cut Slope/Drainage 14 0.020
Total 0.020
Due to very steep terrain, large drainage areas above the road, presence of wet ditches, previous piping impacts
within wetland areas, and previous fills within wetland areas, this project is relatively complicated. Considerable
attention has been given to each impact. First, DOT is normally obligated to replace all pipes in the right of way
and avoid eliminating any previously established access point. In this case, one pipe was placed in a wetland at
station 35+00. Reinstalling this pipe in the remaining wetland, which DOT will be impacting, would have been
complicated and would not have provided suitable access the steep adjacent property. Consequently, the property
owner has agreed to allow this pipe to be removed and not replaced. Note there are two construction plan sheets
for this section, one showing the wetland impact and one without. Second, after careful consideration, DOT has
determined that eliminating the two wet ditches by adding new pipes is not practical. The seep between 32+00 and
33+45 does not enter the ditch at a distinct point. To catch the water in a pipe and divert it to the creek would
require the pipe to be placed several feet down slope from the top of the seep. This would result in a new pipe in
very close proximity to a driveway pipe and an existing DOT pipe. Furthermore, it could result in a large amount
of storm-water being diverted toward a creek-side cabin. The property owner is opposed to this option. Adding a
new pipe between 35+70 and 39+50 is also not practical for similar reasons. The water is not entering the ditch at
a distinct point and to catch the water would require a pipe to be installed down slope from the top of the seep, in
close proximity to an existing pipe. Furthermore, a new pipe would redirect a large amount of storm-water toward
a house and the outlet would be on top of a steep slope, which would make controlling velocity/erosion very
difficult. Third, the orientation of the roadway vs. an UT at station 42+00 and the terrain, makes it very difficult to
realign the pipe to reduce channel impact. Consequently, a relatively long 100 ft. pipe impact is necessary at this
station.
i
This project area was surveyed for the presence of threatened and endangered species on March 4, 2004. No
federally protected species or critical habitat was identified.
The NCDOT Historical Architecture Section has reviewed this project and determined that there are no
NR/SL/DOE properties along this roadway that will be impacted by the proposed project.
The attached construction plan illustrates that the proposed environmental impacts have been minimized to the
maximum practical extent allowed by roadway safety standards. By implementing the NC-DOT Best Management
Practices (BMP's) during construction, the potential impacts associated with adverse weather will also be
minimized. Furthermore, the completed project will certainly reduce sedimentation currently caused by gravel
road run-off and ditch maintenance.
Seven (7) copies of this letter and PCN have been forwarded to Cynthia Van Der Wiele of the NC DENR, Division
of Water Quality for her review, and one (1) copy has been forwarded to Ron Linville of the NC Wildlife Resource
Commission. It is requested that their responses be mailed to our offices concurrently.
If you have any questions about the project, I can be reached at [phone], or ([e-mail]).
Sincerely,
be kobert?s.
1e Division Environmental Specialist
Mr. John Thomas
SR 1218, Laurel Branch Rd
Page 3
March 26, 2004
Cc:
John Thomas, US Army Corps of Engineers (2 Copies)
Cynthia Van Der Wiele, Division of Water Quality (Raleigh) (7 copies)
Mike Parker, Division of Water Quality (Asheville) (Courier)
Mike Pettyjohn, PE, Division Engineer
Kipp Turner, PE, District Engineer
Kevin Whittington, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Ron Linville, Wildlife Resources Commission
Office Use Only: Form Version April 2001 040486 USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
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: 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
1. Owner/Applicant Information 1
Name: North Carolina Department of Transportation
Mailing Address: P. O. Box 250, North Wilkesboro, NC 2865a
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
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:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
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
Pagel of 9
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: SR 1218, Laurel Branch Rd
2. T.I.P. Project Number or State Project Number (NCDOT Only): 11C.095065
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Watauga Nearest Town: Forest Grove
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): See attached Site Vicinity M.
5. Site coordinates, if available (UTM or Lat/Long):
Start: 36 2994993 °N 81.7982010 0 W
End: 36 2985013 °N. 81.7911985 °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.)
6. Describe the existing land use or condition of the site at the time of this application:
Residential/Agriculture
7. Property size (acres): Approximately 5.212 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Laurel Branch
9. River Basin: Watauga
(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: Grade drain, base and pave
11. List the type of equipment to be used to construct the project: Trackhoe/backhoe, dump
trucks and motor grader.
12. Describe the land use in the vicinity of this project: Residential/Farm
Page 2 of 8
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.
N/A
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:
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
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
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
linear feet
Type of Wetland***
35+00 Slope Cut/Drain 0.020 No 50 Ephemeral

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at htto://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
Page 3 of 9
List the total acreage (estimated) of existing wetlands on the property: NA
Total area of wetland impact proposed: NA
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear
feet
Stream Name** Average
Width of
Stream Before
Impact Perennial or
Intermittent?
(please specify)
Station: 27+85 Pipe Replacement 10 UT#1 to Laurel Brach 6 Perennial
Station: 27+85 Rip Rap 10 UT#1 to Laurel Branch 6 Perennial
Station: 28+15 Pipe Re placement 15 UT#2 to Laurel Branch 6 Perennial
Station: 28+15 Rip Rap 10 UT#2 to Laurel Branch 6 Perennial
Station: 33+45 Pipe Replacement 20 UT#3 to Laurel Branch 6 Perennial
Station: 33+45 Rip Rap 10 UT#3 to Laurel Branch 6 Perennial
Station: 35+30 Pipe Replacement 10 UT#4 to Laurel Branch 1 Perennial
Station: 35+30 Rip Rap 10 UT#4 to Laurel Branch 1 Perennial
Station:39+50 Pi a Re lacement 10 UT#5 to Laurel Branch 6 Perennial
Station:39+50 Rip Rap 10 UT#5 to Laurel Branch 6 Perennial
Station:39+85 Pipe Replacement 30 UT#6 to Laurel Branch 3 Perennial
Station:39+85 Rip Rap 10 UT#6 to Laurel Branch 3 Perennial
Station:42+00 Pipe Replacement 10 UT#7 to Laurel Branch 3 Perennial
Station:42+00 Rip Rap 10 UT#7 to Laurel Branch 3 Perennial
Refer to the cover letter for a more detailed outline of the proposed impacts.
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list irhpacts 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 pjofiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usas.¢ov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.tonozone.com,
www.magquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 1751n. ft..
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.
NA

* 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
Page 4 of 9
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.):
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.
The existing r_oadway must be widened to achieve an acceptable section width, thus increasing
public safety. The existing pipes must be replaced for the same reason. By utilizing
the erosion control measures as shown in the attached drawings adverse impacts to streams in
the area will be minimized The replacement pipe lengths will be the minimum needed to safely
construct the widened roadway
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
Page 5 of 9
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
ip://h2o.enr.state.nc.us/ncwetlands/stringide.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 http•//h2o.enr.state.nc.us/wm/mdex.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)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
Page 6 of 9
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
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
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.
Impervious surface area will increase by 0.417 acres. All appropriate _ best management
practices for sediment and erosion control will be implemented during construction.
XII. Sewage Disposal (DWQ Only)
Page 7 of 9
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.
N/A
XM. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes El 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).
-af-a
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Union
Watauga
Yancey
Wilson
Yadkin
Page 8 of 9
WETLAND DATA FORM
(1987 COE Wetlands Delineation Manual)
Project/Site: SR 1218, Laural Branch Rd Date: 3-4-04
Applicant/Owner: NC DOT County: Watauga
Investigator: Steve Roberts State: NC
Yes No
Do normal circumstances exist on the site? ? ® Community ID: Pasture
Is the site significantly disturbed? ® ?
(A typical situation)? Transit ID: 35+00
Is the area a potential problem area? ? ® Plot ID: JW-1
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum
1.Rubus canadensis Shrub.
2.Lindera benzoin Shrub
3.Aster sp. Herb
4.Carex sp.. Herb
5.Juncus effusus Herb
6.Scirpus sp. Herb
7.Polystichum acrostichoi. Herb
8.
Indicator Dominant Plant Species
9.
FACW- 10.
11.
12.
FACW+ 13.
14.
FACU- 15.
16.
Stratum Indicator
Percent of dominant species that are OBL, FACW or FAC (excluding FAC-): 66 %
Remarks:
Due to the time of year and disturbance, positive identificatino of some herbacious species was not possilbe.
i
t
HYDROLOGY
? Recorded Data (describe in remarks)
? Stream, Lake or Tide Gauge
? Aerial Photographs
? Other
® No Recorded Data Available
Field Observations:
Depth of Surface Water: NA (in.)
Depth to Free Water in Pit: 0 (in.)
Depth to Saturated Soil: 0 (in.)
Wetland Hydrology Indicators:
Primary Indicators:
® Inundated
® Saturated in Upper 12 Inches
? Water Marks
? Drift Lines
? Sediment Deposits
® Drainage Patterns in Wetlands
Seconda ry Indicators: (2 or more required)
® Oxidized Root Channels in
Upper 12 Inches
? Water-Stained Leaves
? Local Soil Survey Data
® FAC Neutral Test
? Other (explain in remarks)
Remarks:
C
W Ldata.frm
SOILS
Map Unit Name
(Series and Phase): Cullasaja very cobbly loam
Taxonomy (Subgroup): mesic Typic Haplumbrepts
Drainage Class: Well drained
Field Observations
Confirm Mapped Type?
Profile Description:
Depth Matrix Color Mottle Colors
(ins.) Horizon (Munsell Moist) (Munsell Moist)
0-10 Al l0Y/R 2/2
10-14 A2 l0Y/R 3/3
Mottle
Abundance/Contrast
Texture, Concretions,
Structure etc.
very cobbly sandy loam
very cobbly sandy loam
Hydric Soil Indicators:
? Histosol
? Histic Epipedon
? Sulfidic Odor
® Aquic Moisture Regime
® Reducing Conditions
® Gleyed or Low-Chroma Colors
Remarks:
C
? Concretions
? High Organic Content in Surface Layer in Sandy Soil
? Organic Streaking in Sandy Soils
® Listed on Local Hydric Soils List
® Listed on National Hydric Soils List
? Other (explain in remarks)
Wetland Determination Yes No
(circle yes or no)
Hydrophytic Vegetation Present? ® ?
Wetland Hydrology Present? ® ?
Hydric Soils Present? ® ?
Is This Sampling Point Within a Wetland? ® ?
Remarks:
W Ldata.frm
WETLAND DATA FORM
(1987 COE Wetlands Delineation Manual)
Project/Site: SR 1218, Laurel Branph Rd Date: 3-4-04
Applicant/Owner: NC DOT County: Watauga
Investigator: Steve Roberts State: NC
Yes No
Do normal circumstances exist on the site? ? ® Community ID: Pasture
Is the site significantly disturbed? ?
(A typical situation)? Transit ID: 35+00
Is the area a potential problem area? ? ® Plot ID: JW 1
(If needed, explain on reverse.)
VEGETATION
Dominant Plant Species Stratum
1.Andropogon vierginicus Herb
2.Festuca sp. Herb
3.Rubus sp. Herb
4.
5.
6.
7.
8.
Indicator Dominant Plant Species
FACU 9.
10.
11.
12.
13.
14.
15.
16.
Stratum Indicator
Percent of dominant species that are OBL, FACW or FAC (excluding FAC-): 0 %
Remarks.
HYDROLOGY
? Recorded Data (describe in remarks)
? Stream, Lake or Tide Gauge
? Aerial Photographs
? Other
® No Recorded Data Available
Field Observations:
Depth of Surface Water: >12 (in.)
Depth to Free Water in Pit: >12 (in.)
Depth to Saturated Soil: >12 (in.)
Wetland Hydrology Indicators:
Primary Indicators:
? Inundated
? Saturated in Upper 12 Inches
? Water Marks
? Drift Lines
? Sediment Deposits
? Drainage Patterns in Wetlands
Secoudg M Indicators: (2 or more required)
? Oxidized Root Channels in
Upper 12 Inches
? Water-Stained Leaves
? Local Soil Survey Data
? FAC Neutral Test
? Other (explain in remarks)
Remarks:
WL_data.frm
SOILS
Map Unit Name
(Series and Phase): Porters loam
Taxonomy (Subgroup): Umbric Dystrochrepts
Drainage Class: Well drained
Field Observations
Confirm Mapped Type?
Profile Description:
Depth
(ins.) Horizon
0-9 A
9+ Bw
Matrix Color
(Munsell Moist)
IOY/R 3/2
10Y/R 4/4
Mottle Colors Mottle
(Munsell Moist) Abundance/Contrast
Texture, Concretions,
Structure etc.
loam
sandy loam
Hydric Soil Indicators:
? Histosol
? Histic Epipedon
? Sulfidic Odor
? Aquic Moisture Regime
? Reducing Conditions
? Gleyed or Low-Chroma Colors
Remarks:
? Concretions
? High Organic Content in Surface Layer in Sandy Soil
? Organic Streaking in Sandy Soils
? Listed on Local Hydric Soils List
? Listed on National Hydric Soils List
? Other (explain in remarks)
C
Wetland Determination Yes No
(circle yes or no)
Hydrophytic Vegetation Present? ?
Wetland Hydrology Present? ?
Hydric Soils Present? ?
Is This Sampling Point Within a Wetland? ?
Remarks:
W Ldata.frm
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