20110159 Ver 1_Application_20110214

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STATE OF NORTH CAROLINA
DEPARTmENr OF TRANSPORTATION
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BEVERLY PURDUE P. O. Box 25201, Raleigh, NC 27611-5202 EUGENE CONTI, JR
GovERNoR PHoNE:[phone] SECRETARY
February 7, 2011
Mr. Monte Matthews
U. S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105 Q
Wake Forest, NC 27587
Subject: Nationwide Permit #14
SR 1360 (Lump Road)
Wilkes County, North Carolina
Project Number: 11C.097132 (DWQ Permit Fee: $240)
Dear Mr. Matthews:
The NC Department of Transportation is scheduled to grade, drain, base and pave SR 1360,
Lump Road in Wilkes County. Total project length is approximately 2.49 miles. However, there
will be a gapped section from 54+09 - 62+00 due to unavailability of right-of-way and another
gapped section from 87+15 - 131+58 due to conflicts with the Blue Ridge Parkway. As a result,
total construction length will be 1.5 miles. The improved roadway will be widened from 18 feet
to 20 feet with impervious surface area increasing by 0.36 acres. This project will require the
replacement of three wet pipes as shown below. Please note that all three of these wet pipes carry
springs coming from the cut side without well defined channels.
Stream Impacts:
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83+98 60'x 18" 60'x 18" 10 40 50
84+65 42'x 18" 50'x 18" 10 40 58
85+51 40'x 18" 50'x 18" 10 40 60

Permanent Fill/Riprap Impacts = 48 feet Total project Impacts = 168 feet
Please note that all wet pipe slopes exceed 10% and need not be buried. These pipes will remain
perched after replacement due to excessive slope.
P. O. Box 250, N. WiLKESBORo,NC 28659
PHONE [phone] Fax [phone]
Mr. Monte Matthews
SR 1360 (Lump Road, Wilkes)
Page 2
The replacement of the above noted wet pipes will require temporary dewatering. An impervious
sandbag dike will be constructed upstream of the existing culverts to create a small pool. Clean
water will temporarily be pumped around the construction areas and will be discharged
downstream. Any dirty water located inside of the construction areas will be pumped into a silt
bag if necessary. Once the new pipes are in place, the impervious dikes will be removed and
preconstruction streambed elevations will be restored.
The wet pipes in question carry different unnamed tributaries to the North Prong Lewis Fork
(Class: C, Trout). This project was reviewed for the presence of threatened and endangered
species on February 3, 2011. This 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.
The project impacts are not significant in nature and should not remove or degrade existing water
quality uses. Pipe sizes used will be the minimum necessary to create a safe roadway. By
utilizing the erosion control measures outlined in the attachments to this application, downstream
water quality standards will be protected. All appropriate BMPs will be used during construction.
Attached is a Preconstruction Notification Form, plan sheets with proposed erosion control
measures, 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.
By copy of this letter, I am forwarding five (5) copies of this application package to Brian Wrenn,
NCDENR, Division of Water Quality, 401/Wetlands Unit, for his review. It is requested that any
comments related to the 401 certification be forwarded directly to me with a copy sent to the US
Army Corps of Engineers.
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
Mr. Monte Matthews
SR 1360 (Lump Road, Wilkes)
Page 3
cc: Monte Matthews, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
Brian Wrenn, Division of Water Quality (5 copies)
Amy Euliss, Division of Water Quality
Mike Pettyjohn, PE, Division Engineer
Doug Tetzlaff, District Engineer
Brian Hamby, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Scott Pipes, Roadside Environmental Field Operations Technician
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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
1a. Type(s) of approval sought from the
Corps: ® Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
Id. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ®No
if. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If s0. attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ®No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project:. SR 1360, Lump Road
2b. County: Wilkes
2c. Nearest municipality I town: Walsh
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no: 11 C.097132
3. Owner Infortnation
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.: 336-903-9202
3g. Fax no.: 336-667-4549
3h. Email address: [e-mail]
Page 1 of 10
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID):

1b. Site coordinates (in decimal degrees): Latitude: 36.27448 Longitude: - 81.38419
(DD.DDDDDD) (-DD.DDDDDD)
11c. Property size: 9 acres
2. Surface Waters .-
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: UTs to North Prong Lewis Fork
2b. Water Quality Classification of nearest receiving water: C; Trout
2c. River basin: Yadkin
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Unpaved road in a rural area.
3b. List the total estimated acreage of all existing wetlands on the property:
0 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
150 linear feet
3d. Explain the purpose of the proposed project:
Upgrade roadway.
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached cover letter.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments:
? Yes ®No ? Unknown
4b. If the Corps made the jurisdictional determination, what type

of determination was made?
Final
? Preliminary El
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Agency/Consultant Company:
Other
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ? yes ®No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes ®No
6b. If yes, explain.
Page 3 of 10
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed impacts Inventory

1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Type' of jurisdiction
Wetland impact
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
other) (acres)
DWQ - non-404
Permanent (P) or (if known) ,
Temporary
? Yes
? Corps
Wt ?P?T ?No ?DWQ
? Yes ? Corps
W2 ?P?T ?No ?DWQ
? Yes ? Corps
W3 ?P?T ?No ?DWQ
? Yes ? Corps
W4 ?P?T ?No ?DWQ
? Yes ? Corps
W5 ? P ? T ? No ? DWQ
? Yes ? Corps
W6 ?P?T ?No ?DWQ
2g. Total wetland impacts

2h. Comments:

3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then com
plete this
question for all stream sites impacted.
3a. 3b. 3c.
Stream impact Type of impact Stream name

name 3d.
Perennial 3e.. 3f.
Type of jurisdiction Average
t 3g.
Impact
length
number - (PER) or ream
(Corps - 404, 10 s
width (linear

;
Permanent (P) or intermittent
(INT)? DWQ - non-404,
other) (feet) feet)
Temporary (T)
Piping, Riprap & UT #1 to North ® PER ® Corps 1 50
S1 ® P ® T Dewatering Prong Lewis ? INT ® DWQ
Piping, Riprap & UT #2 to North ® PER ®Corps 1 58
S2 ®P ®T Dewatering Prong Lewis Fork ? INT ® DWQ
Piping, Riprap & UT #3 to North ? PER ® Corps 1 60
S321 P ®T Dewatering Prong Lewis Fork ® INT ®DWQ
? PER ? Corps
S4 ? P ? T ? INT ? DWQ
? PER ? Corps
S5 ? P ? T ? INT ? DWQ
? PER [I Corps
S6 ?P?T ?INT ?DWQ
31L Total stream and tributary impacts 168

3rC t 120 Iinear feet of the impacts are temnorarv
. ommen .
Page 4 of 10
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water
impact number - Name of waterbody
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts

4g. Comments:

5. Pond or Lake Construction
If and or lake construction ro osed, the n complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5L Total
5g. Comments: N/A
5h. Is a dam high hazard permit required?
? Yes ®No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):

5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts re uire mitigation, then you MUST fill out Section D of this form.
6a. ? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number -
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
Yes
?
B1 ?P?T E] No
No
?Yes
B2 ?P?T ? No
?Yes
B3 ?P?T ? No
61L Total buffer impacts
6i. Comments:
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
13. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The pipe lengths are the minimum needed to improve roadway.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All appropriate BMPs will be used during construction
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ®No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this

pro
project? ? Megaton bank

El Payment to in lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form - Version 1.3 December 10, 2008 Version
S. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires ? Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Z Reason for impact Total impact Multiplier Required mitigation
one (square feet) (square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible_riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 7 of 10
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan

1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan

2a. What is the overall percent imperviousness of this project? %
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. if this project DOES NOT require a Stormwater Management Plan, explain why: Secondary Road Project
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stonmwater Program
-? DWQ 401 Unit
3. Certified Local Government Stormwater Review

3a. In which local government's jurisdiction is this project?
? Phase II
? NSW
3b. Which of the following locally-implemented stormwater management programs ? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stonmwater Program Review
? Coastal counties
? HQW
4a . Which of the following state-implemented stormwater management programs apply ? ORW
(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
Sb . Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 8 of 10
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
Ia. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
I b. If you answered "yes" to the above, does the project require preparation of an
S
t
? Y
® No
ta
e
environmental document pursuant to the requirements of the National or es
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. 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
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fad permit application? ? Yes ® No
2c. If you answered "yes" fo 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 ? 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.
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?
El 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 observation
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
govemments 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?
8. 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
J. Heath Slaughter 2/7/11
Applicant/Agent's Printed Name Applicant/Agent's Si ure
(Agent's nature is valid only if an authoriz on letter from the applicant Date
is rovided.
Page 10 of 10
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