20090797 Ver 1_Application_20090909

0
BEVERLY PURDUE
GOVERNOR
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
P. O. Box 25201, Raleigh, NC 27611-5202
PHONE: [phone]
August 25, 2009
Mr. Monte Matthews
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
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EUGENE CONTI,
SECRETARY

Subject: Nationwide Permit 914
Non-inventory Pipe Replacement on SR 1836 (Mathis Road)
Surry County, North Carolina
Project Number: 11C.086021 (DWQ Permit Fee: $240)
Dear Mr. Matthews:
The North Carolina Department of Transportation is scheduled to replace an existing 33'x 36"
CMP with 2 lines of 70'x 48" CW. The western barrel will be isolated to carry stormwater only
through floodplain construction on the inlet and outlet ends. The existing pipe is deteriorated and
must be replaced. The additional overflow barrel will hopefully stop the occasional road flooding
(and associated sedimentation) at this location. No detour is proposed.
Miscellaneous rip-rap impacts will total 20 linear feet or less. New stream impacts = 57 In. feet.
The replacement of this pipe will require temporary dewatering. An impervious sandbag dike will
be constructed approximately 20 feet upstream of the existing structure to create a small pool.
Clean water will temporarily be pumped around the construction area and will be discharged
downstream. Any dirty water located inside of the construction area will be pumped into a silt
bag. Permitted temporary dewatered length will total approximately 40 linear feet beyond the
permanent impact area. Once the new structure is in place, the impervious dike will be removed
and preconstruction streambed elevations will be restored.
Construction of this project will require impacts to waters of the United States in the Yadkin
River Basin. This pipe carries an unnamed tributary to Chinquapin Creek (Class: WS-II, HQW).
This project was reviewed for the presence of threatened and endangered species on July 7, 2009.
The subject project will have no effect on any federally listed endangered plant or animal species.
Historic compliance work will be scheduled and concurrence with the State Historic Preservation
Office will be obtained if required.
P. O. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAX [phone]
Mr. Monte Matthews
Pipe Replacement on SR 1836, Surry
Page 2
August 25, 2009
Attached is a Preconstruction Notification Form, plan sheets, a marked county map, a marked
topography map and photographs.
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with
the North Carolina Wildlife Resources Commission comment directly to you concerning the 404
Nationwide Permit application with a copy sent to me.
We would like to begin construction as soon as possible. If further information is required, please
let me know. Your early review and consideration will be appreciated.
Sincerely, -
Heath Slaughter
Division Environmental Officer
Enclosures,
cc: Monte Matthews, US Army Corps of Engineers (I additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
Brian Wrenn, DWQ (5 copies)
Amy Euliss, DWQ
Troy Wilson, USFWS
Mike Pettyjohn, PE, Division Engineer
Heath Slaughter, Division Environmental Officer
Scott Pipes, Roadside Environmental Field Operations Technician
Brandon Whitaker, PE, District Engineer
Mark Williams, CME
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre=Construction Notification (PCN) Form
A. Applicant Information
1. Processing
la. Type(s) of approval sought from the
Corps: X Section 404 Permit ? Section 10 Permit
lb. Specify Nationwide Permit (NWP) number: * 0' or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes X No
l d, Type(s) of approval sought from the DWQ (check all that apply):
N 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
lei

NO Is this notcation solely for the record
because written approval is not required? For the record only for DWQ 401
Cert?cation:
Yes X 10 No For the record only for Corps Permit:

? Yes X No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes X No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes X No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes X No
2. Project Information
2a. Name of project: Pipe Replacement on SR 1836 (Mathis Road)
2b. County: Surry
2c. Nearest municipality ! town: Pilot Mountain
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no: 11C.086021
3. Owner Information
3a . Name(s) on Recorded Deed: NCDOT
3b . Deed Book and Page No.
3c . Responsible Party (for LLC if
applicable):
3d . Street address: 801 Statesville Road
3e . City, state, zip: North Wilkesboro, NC 28659
3f. Telephone no.: [phone]
3g . Fax no.: (336) 6674549
3h . Email address: hslaughter@ncdotgov
Page 1 of 10
PCN Form -Version 13 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes X No
within one of the NC Riparian Buffer Protection Rules?
I b. If yes, then is a diffuse flow plan included? If no, explain why. ? Yes ? No
Comments:
2. Stormwater Management Plan
E
%b
2a. What is the overall percent imperviousness of this project? 40
2b. Does this project require a Stormwater Management Plan? ? Yes X No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.ff project DOES require a Stortnwater Management Plan, then provide a brief, nartative description of the plan:
p Certfiied Local Government

will be responsible for the review of the Stormwater Management Plan?
Stormw
DWQ
?? DWQ 401 Unt ter Program
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
? Phase 11
F0_1 NSW
3b. Which of the following locally-implemented stormwater management programs ? USMP
apply (check all that apply): El Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
? HQW
Which of the following state-implemented stormwater management programs apply ? ORW
4a
.
(check all that apply): ? Session Law 2006-246
? Other.
4b. Has the approved Stormwater Management Plan with proof of approval been ? yes ? No
attached?
5. DWQ 401 Unit Stormwater Review
5a.. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 8 of 10
PCN Forth -Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federaUstate/local) funds orthe ® Yes El No
use of public (federaUstate) land?
1 b. If you answered "yes' to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered 'yes to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
d
d St
d
? Yes
®No
an
ar
s,
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetan
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ®No
2c. If you answered "yes' to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in T El Yes ®No
additional development, which could impact nearby downstream water quality?
3b. If you answered 'yes' to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
Improving existing stream crossing only
4. Sewage Disposal (DWQ Requirement)
4a. 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
Page 9 of 10
PCN Form -Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ®No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ® No
impacts?
?
Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted. ? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
GIS and Visual Inspection. Copy of application will be sent to the Asheville Office.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ® Yes ®No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
WRC will comment
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this'project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
SHPO
6. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? ncfloodmaps.com

J. Heath Slaughter
Applicant/Agent's Printed Name Applicant/Agent's Sign re
W Date
letter from the applicant
(Agent' nature is valid only if an authorize
is provided.)
Page 10 of 10
"'F" a, I _.._
Top: Upstream view of UT to Chinquapin Creek on Mathis Road, Surry.
Bottom: Downstream view.

CENTERLINE
PROJECT: IIC.086024
ROAD: SR 1836 "MATHIS ROAD
%' ;'?,?`,?, `• ---_. PROPOSED R/W
SURRY
COUNTY
-
:
TYPE: WET PIPE SURVEY PROPOSED EDGE OF PAVEMENT
-"`
PLAN SCALE: NO SCALE EXISTING EDGE OF ROADWAY
SHEET IN I NEW PIPE
•??••
07 '"
` 38
x
.
.
DATE: JULY 01.2009
`EXISTING PIPE --
STREAM NAME: UNNAMED TRIBUTARY \,' `':.\?? _ ? •.'-,
TO CHINQUAPIN CREEK'
RATING:
5' AVERAGE STREAM WIDTH " I

EXISTING PIPE SIZE: 36 X 32.7 CMP
NEW PIPE SIZE: 48" X 70'. CMP (BCCS)•MAIN• PIPE TO BE LAID ON A 41° SKEW
WITH 3.47 FALL
• INVERT IN = 975.90' INVERT OUT = 973.55'
982
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Temporary erosion control PROPOSED 3.4% SLOPE SURVEY DATE:06-30-09
devices are not shown, but CONDUCTED BY: BB.JR,JB,JW
will be installed as needed DRAWN BY: J. WOOD
sr1836_ls_permit.dgn 07/021200908:59:06 AM
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