HomeMy WebLinkAbout20060578 Ver 1_Complete File_20060418
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Michael F. Easley, Governor
0 William G. Ross Jr., Secretary
r- North Carolina Department of Environment and Natural Resources
D `C Alan W. Klimek, P.E. Director
Division of Water Quality
April 18, 2006
DWQ# 06-0578
Lincoln County
Mr. Mike Holder, P.E.
NCDOT Division 12
P.O. Box 47
Shelby, NC 28151
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Holder:
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact a total of 28 linear feet (If) and to temporarily impact a total of 30 If of streams as listed in the table
below:
Location Stream Name Length of impact Length of inlet/outlet Total length of impacts
protection (permanent or temporary)
Site 1 15 Unnamed tributary to 5 linear feet of impact (pipe 10 linear feet 15 linear feet of permanent
Rhodes Mill Creek extension impact
Site 1 ' 1S Unnamed tributary to 15 linear feet of impact N/A 15 linear feet of temporary
Rhodes Mill Creek cofferdam impact
Site 2 2" Unnamed tributary to 3 linear feet of impact (pipe 10 linear feet 13 linear feet of permanent
Rhodes Mill Creek extension impact
Site 2 2" Unnamed tributary to 15 linear feet of impact N/A 15 linear feet of temporary
Rhodes Mill Creek cofferdam impact
All impacts will be to unnamed tributaries* of Rhodes Mill Creek for the purpose of replacing existing,
deteriorating culverts as described in your application received by the Division of Water Quality (DWQ) on April
6, 2006. The location of the project is State Road 1211 (Hog Hill Road) in Lincoln County. After reviewing
your application, we have determined that this project is covered by Water Quality General Certification
Number 3404. Please note that you should get any other federal, state or local permits before proceeding with
your project, including those required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and
Water Supply Watershed regulations.
This approval is valid solely for the purpose and design that you described in your application (unless modified
below) and will expire with the associated USACE 404 permit unless otherwise specified in the Water Quality
Certification. Should your project change, you must notify the DWQ in writing and you may be required to
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 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 in the attached certification and those listed below:
'No stream determination(s) performed.
Ne
o Carolina
Xturalllff
North Carolina Division of Water Quality 610 East Center Avenue, Suite 301
Internet: wNNxv.ncwaterquahtv.org Mooresville, NC 28115
Phone (704) 663-1699
FAX (704) 663-6040
An Equal Opportundy/Afiinnative Action Employer-50% Recycled/10% Post Consumer Paper
Page 2
Placement of the culvert at Site #1 must be below the elevation of the streambed by one (1) foot for all
culverts with a diameter greater than 48 inches, and 20 percent of the culvert diameter for culverts having a
diameter less than 48 inches, to allow for low flow passage of water and aquatic life, as well as prevent
headcutting of the streams. Design and placement of culverts and other structures including temporary
erosion control measures shall be installed in such a manner that the original stream profiles are not altered
(i.e., the depth of the channel must not be reduced by a widening of the streambed). Existing stream
dimensions (including pattern and profile) are to be maintained above and below locations of each culvert.
The applicant may be required to provide evidence that the equilibrium has been maintained, if requested in
writing by the DWQ.
2. Due to the existing conditions at Site #2, DWQ will not require the burial of the culvert at this location in an
effort to prevent further stream destabilization. Existing stream dimensions (including pattern and profile) are
to be maintained above and below locations of each culvert. The structures shall be designed and installed
to allow for fish and other wildlife movement as well as prevent headcutting of the stream. The applicant may
be required to provide evidence that the equilibrium has been maintained, if requested in writing by the DWQ.
3. Riprap must not interfere with thalweg performance and aquatic life passage during low flow conditions.
4. Heavy equipment must be operated from the banks rather than in the stream channel, when possible, in
order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
5. Temporary dewatering sites must be restored to pre-existing conditions unless more natural geomorphic
conditions can be provided.
6. No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened.
7. The dimension, pattern and profile of the stream above and below the crossing should not be modified.
Disturbed floodplains and streams should be restored to natural geomorphic conditions.
8. 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.
9. All work shall be performed during low or normal flow conditions.
10. Discharging hydroseeding mixtures and washing out hydroseeders and other equipment in or adjacent to
surface waters is strictly prohibited.
11. Erosion and sediment control practices must utilize Best Management Practices (BMP) and be in full
compliance with all specifications governing the proper design, installation, and operation and maintenance of
such BMP in order to protect surface water standards:
a. 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 pit sites, and waste pile (spoil) projects, including contractor-owned or
leased borrow pits associated with the project.
b. 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.
c. The reclamation measures and implementation of these measures must be in accordance with the
requirements of the Sedimentation Pollution Control Act.
1
Page 3
12. 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 30 days after the Division of Land Resources has
released the project.
13. The North Carolina Department of Transportation (NCDOT) and its contractors and/or agents shall not
excavate, fill or perform mechanized land clearing at any time in the construction or maintenance of this
project within waters and/or wetlands, except as authorized by this Certification, or any modification to this
Certification (e.g., no work shall occur outside of the footprint of the plans provided). In addition, there shall
be no excavation from or waste disposal into jurisdictional wetlands or waters associated with this
Certification without appropriate modification. If this occurs, compensatory mitigation may be required since it
is a direct impact from road construction activities.
14. Upon completion of the project, the applicant shall complete and return the enclosed "Certificate of
Completion" form to notify DWQ when all work included in the 401 Certification has been completed. Please
include photographs upstream and downstream of the structure to document correct installation.
15. Continuing Compliance. NCDOT shall conduct its activities in a manner so as not to contravene any state
water quality standard [including any requirements for compliance with section 303(d) of the Clean Water Act]
and any other appropriate requirements of state and federal law. If DWQ determines that such standards or
laws are not being met (including the failure to sustain a designated or achieved use) or that state or federal
law is being violated, or that further conditions are necessary to assure compliance, DWQ may reevaluate
and modify this certification to include conditions appropriate to assure compliance with such standards and
requirements in accordance with 15 A NCAC 2H.0507(d). Before codifying the certification, DWQ shall notify
NCDOT and the USACE, provide public notice in accordance with 15A NCAC 2H.0503, and provide
opportunity for public hearing in accordance with 15A NCAC 2H.0504. Any new or revised conditions shall
be provided to NCDOT in writing, shall be provided to the USACE for reference in any permit issued pursuant
to Section 404 of the Clean Water Act, and shall also become conditions of the 404 Permit for 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 that
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 Polly Lespinasse in the Mooresville Regional Office at 704-663-
1699.
Sincerely,
Z>
for Alan W. Klimek, P.E.
Attachments
cc: Steve Lund, USACE Asheville Field Office
Sonia Gregory, DWQ Wetlands Unit
File Copy
6. U12@[20W9i
% ....o APR 0 6'2006
W-AtVDSAN STORMWATE BRANCH
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR SECRETARY
March 30, 2006
Mr. Steve Lund
US Army Corp of Engineers '06 0578
Asheville Regulatory Field Office 151 Patton Avenue, Room 208
Asheville, N. C. 28801-5006
SUBJECT: Pipe replacements on SR 1211 (Hog Hill Road), Lincoln County
Dear Mr. Lund:
The North Carolina Department of Transportation proposes to replace two deteriorating pipes on
SR 1211 (Hog Hill Road) in Lincoln County. At site #l, an existing 35-foot, 30" CN[P will be
replaced with a 40-foot, 73" z 55" CMPA with inlet headwall and 10 feet of associated riprap for
structure protection. At site #2, a 24", 37-foot CMP will be replaced with a 40 ft, 48" CMP with
inlet headwall and 10 feet of associated riprap for structure protection. The pipe at site #I will be
buried one foot below existing streambed elevation based upon the current thalweg profile. At
site #2, the stream channel upstream of the pipe is the overflow channel for a pond and stream
destabilization is currently observable in the upstream channel. Due to the existing site
conditions, the new pipe will be placed on streambed grade to prevent further destabilization.
NCDOT requests a waiver from the Regional Condition 2(b)(e) permit depth specification, for the
construction of this project. The total scope of the work will result in 28 feet of permanent
impacts and 30 feet of temporary impacts to two, separate unnamed tributaries to Rhodes Mill
Creek, which is classified as Class C waters by the Division of Water Quality. Temporary
cofferdams and bypass piping will be utilized for stream management during the pipe
replacement. Upon project completion, the area impacted by the temporary cofferdam will be
restored to pre-project conditions.
The project is not located within '/z mile of any critical watershed area nor is SR 1211 a rural or
urban arterial; therefore, hazardous spill basins are not required. Enclosed is the hazardous spill
basin checklist. This office has conducted a GIS and field survey for the project and is
recommending a finding of "no effect" for T&E species and historical structures.
I have enclosed a pre-construction notification for a NW#14, sketches of planned activities, and
location maps relative to the project.
SR 1211, Hog Hill Road
Page 2
March 30, 2006
Project information for the 401 Automated Payment Procedure is as follows:
• Work order number: 150457-55120005-12.205511-3855
• TIP #: NA
• Project Category: $200.00 Fee
If you have any questions or concerns, please feel free to contact me at (704) 480-9044. Thank
you for your time and consideration to this matter
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
Trish Simon
Division 12 Environmental Supervisor
Enclosures
Cc: John Hennessy, DWQ, 401 /Transportation Permitting Unit
Polly Lespinasse, DWQ, Mooresville Regional Office
Ron Linville, Wildlife Resources Commission (Courtesy Copy)
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No. 2 0 0 6 0 5 7 8
(If anv particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 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 (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Mike Holder N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby North Carolina 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
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: Trish Simon
Company Affiliation: N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby North Carolina 28151
Telephone Number: 704-480-9044 Fax Number: 704480-5401
E-mail Address: tsimon dot state nc us
Page 1 of 8
A .
IIL Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
7
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 MRCS 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: Two pine replacements, SR 1211, Hog Hill Rd.
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12.205511
3. Property Identification Number (Tax PIN): NA
4. Location
County: Lincoln Nearest Town: Lincolnton
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): From Lincolnton, turn right onto
SR 1008, turn left onto SR 1113, turn right onto SR 1215, left onto SR 1197 and right on SR
1211 to project sites.
5. Site coordinates, if available (UTM or Lat/Long): Site 1- 35°33'34"N/81°22'07"W: Site 2-
35033'21"N/81021'53"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. Property size (acres): 0.10 acres (NCDOT right of waY)/project site.
7. Nearest body of water (stream/river/sound/ocean/lake): UT to Rhodes Mill Creek, Class C
Waters (from source to Pott Creek).
8. River Basin: Catawba
(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/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application:ExistingLConditions -pine crossings on paved secondary road.
General Land Use- wooded and residential.
Page 2 of 8
10. Describe the overall project in detail, including the type of equipment to be used: NCDOT
proposes to replace two deteriorating nines - At site #1 a 30" 35-foot CMP will be replaced
with a 40 ft 73" x 55" CMPA with inlet headwall and associated dprap at inlet and outlet for
structure protection At site #2 a 24" 37-foot CUT will be replaced with a 40 ft, 48" CMP
with inlet headwall and associated ri ap at inlet and outlet for structure protection. Due to
the existing site conditions the proposed pipe at site #2 will be placed on existing streambed
grade at both the inlet and outlet Installation is to be accomplished with the use of trackhoe
and front-end-loader.
11. Explain the purpose of the proposed work: The purpose of the proposed work is to replace
two deteriorating, pipes to provide adequate road shoulder for the safety of the travelling
public.
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 future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
None Anticipated
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.
Page 3 of 8
1. Provide a written description of the proposed impacts: There will be minor impacts from pim
fill and riprap for structure stabilization.
2. Individuallv list wetland impacts below: NO 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***
* 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 httL://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.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: 0
Total area of wetland impact proposed: 0
3. Individually list all intermittent and erennial stream impacts below:
Stream Impact
Average Width
Perennial or
Site Number Type of Length of Impact Stream Name** of Stream Intermittent?
(indicate on Impact* (linear feet) Before Impact (please specify)
map)
1 Pipe length 5 feet 1 st unnamed tributary 2 ft
to Rhodes Mill Creek Intermittent
Riprap loft
1 around inlet (5 ft inlet, 5 ft K 44 64
and outlet outlet)
I Temporary 15 ft "
Cofferdams
2nd unnamed tributary
2 Pipe length 3 feet
to Rhodes Mill Creek 2 ft
Intermittent
Riprap loft
2 around inlet (5 ft inlet, 5 ft " " "
and outlet outlet)
2 Temporary 15 ft 46
"
Cofferdams
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and
associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before
and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation,
ditching/straightening, etc. If stream relocation is proposed, plans and profiles 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.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g.,
www.topozone.com, www.mapquest.com, etc.).
Page 4 of 8
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Oni-nn anti anv other water of the U.S.) below: 0
Open Water Impact A , Area of
Waterbody
Name
of Type of Waterbody
Site Number Type of Impact* Impact (if
applicable) (lake, pond, estuary' sound,
indicate on ma (acres) 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.
5. Pond Creation: NO POND IMPACTS
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.):
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.
There is minimal increase in pipe lengths to provide adequate road shoulder width. Due to the
soft soils and current headcutting observed, the pipe at site #2 will be placed on existing
streambed grade at the inlet and outlet. The minimum amount of jMp necessary to protect the
structure will be used.
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
Page 5 of 8
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
hiip://h2o.enr.state.nc.us/ncwetlands/strrngide.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.
MITIGATION NOT ANTICIPATED.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
(919) 733-5208 to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/v rp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) 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 (919) 733-5083 to review current thresholds for environmental documentation.
Yes ? No
Page 6 of 8
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 (required by DWQ)
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 V
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.
XI.
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
Stormwater (required by DWQ)
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.
No additional impervious surface.
Page 7 of 8
XH. Sewage Disposal (required by DWQ)
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.
NA
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
X 11V. 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).
NA
4?(D,5 3-30-06
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 8
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