20050494 Ver 1_Complete File_20050323

?+o.
Certificate of Comoletion
DWQ Project No.
Applicant:
O5-oW
cello r-
o4
?`V'??ryywq ? Zn0 u
n,sroR?Q?A S
l I ?Rs
County: de-ye&dcLt?C? `p'i'cy
Project Name: YZ 1 3 S r? 91 ?l2 (O\a=ut -e r k (N4 C-Vvu?? i-u)
Date of Issuance of 401 Water Quality Certification: M t'?c"c \ 3, 2C?u?j
Upon completion of all work approved within the 401 Water Quality Certification and 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, -M . L, Ads , 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
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: 11--a 7-0S-
_ *0144 zi"en??V- Certification
Agent's
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
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:
If this project was designed by a Certified Professional
Date:
I, , as a duly registered Professional
(i.e., Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been
authorized to observe (periodically, weekly, full time) the construction of the project, for the
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 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:

I? Ali
,,:, --
o? W A T FRQG
G
> -1
01? Y
Mr. Mike Holder, P.E.
NCDOT Division 12
P.O. Box 47
Shelby, NC 28151
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
MAR 2 9 fi6D5
QENR -NATkkauAltRY
kTLANmMb srt Tfgw r cH
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Holder:
Alan W. Klimek, P.E. Director
Division of Water Quality
March 23, 2005
DWQ# 05-0494
Cleveland County
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact 50 linear feet (If) of Beaverdam Creek (a perennial stream) with riprap to stabilize the stream bank and
provide protection to bridge bents during bridge replacement as described in your application received by the
Division of Water Quality (DWQ) on March 18, 2005. In addition, you have our approval to temporarily impact
50 linear feet of Beaverdam Creek for the purpose of installing temporary cofferdams during the bridge
replacement. The location of the project is State Road 1146 (Maple Springs Church Road) in Cleveland
County. After reviewing your application, we have determined that this project is covered by Water Quality
General Certification Number 3404. This certification corresponds to the Regional General Permit 198200031
issued by the U.S. Army Corps of Engineers (USACE). 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 will
expire with the associated 404 permit unless otherwise specified in the Water Quality Certification.
This approval is valid solely for the purpose and design that you described in your application (unless modified
below). 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 listed in the attached certification and those listed below:
1. Riprap must not interfere with thalweg performance and aquatic life passage during low flow conditions.
2. The presence of equipment in the channel must be minimized. Under no circumstances must rock, sand or
other materials be dredged from the wetted stream channel.
3. 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.
North Carolina Division of Water Quality 610 East Center Avenue, Suite 301
Internet h2o.enr.state.nc.us Mooresville, NC 28115
Phone[phone]
Fax [phone]
Nor`hCaro ina
Naturally
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Page 2
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.
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 hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to
surface waters is prohibited.
11. 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.
12. 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.
13. 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.
14. Continuing Compliance. NCDOT shall conduct its activities in a manner so as not to contravene any state
water quality standards [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).
Page 3
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 1508 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,
for Alan W. Klimek, P.E.
Attachments
cc: Steve Lund, USACE Asheville Field Office
Rob Ridings, DWQ Wetlands Unit
Central Files
File Copy

o r
e..swrv Z°
o
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TiPPETT
GOVERNOR SECRETARY
March 11, 2005
Mr. Steve Lund - NCDOT Projects 050494
US Army Corp of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, N. C. 28801-5006
SUBJECT: Bridge # 113 Replacement, SR 1146 (Maple Springs Church Road), Cleveland County
Dear Mr. Lund:
The North Carolina Department of Transportation requests authorization to replace Bridge #113, which
was washed out during the storm of 12/10/04. The original 110' long x 20' wide timber and steel bridge
will be replaced with a three span 145' long x 33' wide concrete bridge. Fifty feet of Class II riprap will
be utilized on the embankment under the bridge for scour protection. The scope of the work will
permanently impact 50 linear feet of streambank of the jurisdictional waters associated with Beaverdam
Creek, which is classified as Class C Waters by the Division of Water Quality.
The normal flow stream width was determined to be -40 based upon upstream and downstream cross-
sections. The stream has overwidened to -55 feet at the bridge site, most likely due to the concrete footer
located in the middle of the stream from the old bridge. The instream concrete footer will be removed
during new bridge construction, which should allow the stream to narrow to "normal" dimensions. The
bents for the new bridge will be located at the each end of the 60-foot middle bridge span, which is to be
centered over the existing stream channel; therefore, the new bents will be located beyond the "normal"
40-foot stream width.
Temporary cofferdams will be used during bent construction to isolate the streamflow from the active
work area. Upon project completion, the areas impacted by the temporary cofferdams will be restored to
pre-project conditions. The streambank under the bridge will be graded to natural contours and the area
outside of the riprap will be revegetated with native woody vegetation.
PAY N1 Er,JT
F`k[CElVED
Bridge # 113, SR 1146
Page 2
March 11, 2005
This office has conducted a GIS and field survey for this project and is recommending a finding of "no
effect" for T &E species and historical structures. The proposed project is not located within any
designated critical resources waters or NC-designated waters or wetlands. The project is not located
within '/z mile of the critical watershed area; therefore, hazardous spill basins are not required. Enclosed
is the hazardous spill basin checklist.
Enclosed is a pre-construction notification for GP #31, a sketch of planned activities, cross-section
profiles, photographs of the site, and location maps relative to the project. If you have any questions or
concerns, please feel free to contact me at [phone]. 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, 40 1 /Transporation Permitting Unit (7 copies)
Polly Lespinasse, DWQ, Mooresville Regional Office
Ron Linville, Wildlife Resources Commission (Courtesy Copy)
Office Use Only: Form Version May 2002
050494
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
L 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: GP#198200031 (GC3404)_
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: ?
IL 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: 704480-9020 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: 704480-9044 Fax Number: 704480-5401
E-mail Address: tsimonedot.state. nc.us
Page 1 of 8
M. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than l l 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: Bridge #113 (Replacement of bridge washed out 12/10/04), SR 1146,
Maole Springs Church Road.
2. T.I.P. Project Number or State Project Number (NCDOT Only): 1213.20234.1
3. Property Identification Number (Tax PIN): NA
4. Location
County: Cleveland Nearest Town: Boiling Springs
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): From Shelby, west on NC 150,
left on SR 1146 to bridge.
5. Site coordinates, if available (UTM or Lat/Long): 35°13'35"N/81°38'06"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): 0.40 (NCDOT right of way).
7. Nearest body of water (stream/river/sound/ocean/lake): Beaverdam Creek, Class C Waters
(from source to First Broad River).
8. River Basin: Broad
(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:Existing Conditions -original bridge washed out during sto
on 12/10/04 General Land Use- Wooded. Residential.
Page 2 of 8
10. Describe the overall project in detail, including the type of equipment to be used:
Replacement of a 110' long x 20' wide timber and steel bridge which was washed out in the
storm of 12/10/04 with a new 145' long x 33' wide three span concrete bridge. Existing
concrete footer in stream from old bridge will be removed. Fifty linear feet of Class II riprap
will be used at the east and west bridge bents for scour protection. Trackhoes and cranes will
be used for construction.
11. Explain the purpose of the proposed work: The purpose of the project is to replace the
washed out bridge.
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.
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.
No permit requests are anticipated at this site.
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. Provide a written description of the proposed impacts: 50 feet of Class II riprap will be used
along the streambanks at waters edge for scour protection.
Page 3 of 8
2. Individually list wetland impacts below: NO WETLAND MACTS
Wetland Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(estno) 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 http://www.fema.g .
*** 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:
Total area of wetland impact proposed: 0
3. Individuallv list all intermittent and perennial stream impacts below:
Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Before Intermittent?
(indicate on (linear feet) Impact (please specify)
ma
I Class II riprap on 50 feet Beaverdam Creek 40 Perennial
embankment
Temporary
I cofferdams for bent 50 feet "
#1 and #2
construction
* 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.usas.?ov. Several internet sites also allow direct download and printing of USGS maps (e.g.,
www.topozone.com, www.mapauest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Permanent Riprap Impacts
= 50 feet
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and anv other water of the U.S.) below: 0
Open Water Impact Area of Name of Waterbod
y Type of Waterbody
Site Number Type of Impact* Impact
applicable)
(if (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.
Page 4 of 8
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
Describe the method of construction (e.g., dam/embankment, excavation,
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.
The washed out bridge is being replaced with a three span bridge. Reference upstream/
downstream cross-sections indicate that the normal average stream width is 40 feet, The stream
channel at the bridge site has overwidened to a width of -55 feet, most likely due to the concrete
footer located in the middle of the stream. The concrete footer will be removed during new
bridge construction. The bents for the new bridge will be located at the each end of the 60-foot
middle bridge span which will be located at the edge of the existing stream channel. Once the
instream concrete footer is removed the stream channel should stabilize and narrow to its
"normal" width Class II riprap will be used around the on the embankment under the bridge
for scour protection.
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.
? wetlands
installation of
Page 5 of 8
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetiands/strmgide.htmi.
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.
Stream impacts will be mitigated for by regrading the stream bank under the bridge to natural
contours and revegetating the affected area outside of the fifty feet of ripap impacts with native
woody vegetation.
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
[phone] 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/wrp/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 [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 8
X. Proposed Impacts on Riparian and Watershed Butlers (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 )?
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
Miti
gation 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.
NA
XI. 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.
Minimal increase in impervious surface is proposed due to 13-foot increase in bridge width.
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.
No wastewater will be generated from the project.
Page 7 of 8
XIM 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 N
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).

_66?'
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
WL ? MQyfle
Gry
?or0ti
_,_&M ES CSC :.
,? . BORO ?
74 POP. 405
h LA1ZORE
PdP. 237--?
120
F Fi:
74 ?::;
74
``OFF `.:.. •: ? r
.10
A MAT H
FAS f•:::.. ir...
AS
kv, 2.1
OILING SP NGS .::'l
OP. 2,381 :
150
i JOLLY MTN.
41
O
0
r ABES
Q? MTN.
r ?
r7? 0 a
1 \
mammon
CSA
1

o,
y
J
&.A

A
.22
be
1
AJ G bOT
1 tl. 12- '8 el O41 C k0A,,j,_7C-vAz?CE
GLG?&LA-z j cou,JTt-7
5e, 1146
Q??A?c-?,-,?, Or 113
Z,D?
?ly? `fyp ....?.._.? - ... h Nay ?„n?...:, ? I.; _..•'r ?'• •,?;
Bridge #113
Replacement "il
1147 ?.?
%
? f
9 .
y
_ ..._. • 4y??„?? ? `?1? i, _ ,ti ??? ?` 1 ...-'....;' X4,41 ? `''? ?' .? ,?y?,?
gWlp
Soo 00
%
• ? ? . . f ?.•, ', ? r , 118
Name: BOILING SPRINGS SOUTH Location: 035° 13'35.14" N 081° 38' 06.0" W
Date: 2/25/2005 Caption: Bridge #113 Replacement, SR 114, Maple Springs Church Road,
Scale: 1 inch equals 1000 feet Beaverdam Creek, Class C Waters, Broad River Basin
Coovriaht (C) 1998. Maotech. Inc.
G
'L- -
150
p
ZONE X
Cleveland
Memorial Park n Su
80?
Brooch
1
ZONE A

nu,, Substation,
ZONE X
o
u

1/r
tQ
l? REAVERDAM
CREEK"
r 793
ZONE X
nay 5?ke,
It ' I?
\ ZONE A
u
n
n
\ re
•ti Rlint llill
'Ch \
.o
\ 1148
Dragstrip \ •\,_
71 r „
ZONE X
ZONE A

Yancey
Creek
1218
1144 \
• 741
II \\.'Cem
LEGEND
SPECIAL FLOOD HAZARD AREAS INUNDATED
BY 100 YEAR FLOOD
ZONE A No base flood elevations determined.
ZONE AE Base flood elevations determined.
ZONE AH Flood depths of 1 to 3 feet (usually areas of
pending); base flood elevations determined.
ZONE AO Flood depths of 1 to 3 feet (usually sheet flow
on sloping terrain); average depths determined.
For areas of alluvial fan flooding, velocities also
determined.
ZONE A99 To be protected from 100-year flood by Federal
flood protection system under construction; no
base elevations determined.
ZONE V Coastal flood with velocity hazard (wave action);
no base flood elevations determined.
ZONE VE Coastal flood with velocity hazard (wave action);
base flood elevations determined.
- FLOODWAY AREAS IN ZONE AE
OTHER FLOOD AREAS
ZONE X Areas of 500-year flood; areas of 100-year flood
with average depths of less than 1 foot or with
drainage areas less than 1 square mile; and areas
protected by levees from 100-year flood.
OTHER AREAS
ZONE X Areas determined to be outside 500-year flood
plain.
ZONE D Areas in which flood hazards are undetermined.
UNDEVELOPED COASTAL BARRIERS
Flood Boundary
Floodway Boundary
Zone D Boundary
Boundary Dividing Special Flood Hazard
Zones, and Boundary Dividing Areas of
Different Coastal Base Flood Elevations Within
Special Flood Hazard Zone.
'"""""567•^^^^'" Base Flood Elevation Line; Elevation in Feet'
A A? Cross Section Line
IEL 19) Base Flood Elevation in Feet Where Uniform
Within Zone"
RM5x Elevation Reference Mark
M3.0, Mile Mark
'Referenced to the National Geodetic Vertical Datum of 1929
NOTES
This map is for use in administering the National Flood Insurance Program; it
does not necessarily identify all planimetric features outside Special Flood Hazard
Area or all areas sublecl to flooding, particularly from local drainage sources
of small size.
Areas of Special Flood Hazard (100-year flood) include zones, A, AE, Al-A30,
AH, AO, A99, V, VE and V1--V30.
Cenain areas not in Special Flood Hazard Areas may he protected by flood control
slruclures.
Boundaries of the floodways were computed at cross sections and interpolated
between cross sections. The floodways were based on hydraulic considerations
with regard to requirements of the Federal Fmergency Management Agency.
Floodway widths in some areas may be too narrow to show to scale. Refer to
Floodway Data Table where floodway width is shown at 1120 inch.
Coastal base flood elevations apply only landward of the shoreline.
This map mrorporales approximate boundaries of coastal narriers established
under the Coastal Barrier Resources Act (111. 97-148).
Corporate limits shown are torrent as of the date of this map. The user should
contact appropriate e onumunily officials to determine if corporate limits have
changed subsequent to the iuuame of this map.
For ad)mmng panels, see separately printed Map Index.

r?,?vG At • "Avz k-
04-I L l ?? R+?-
L-L . /ub
E?tsn g????E w,I-,ttC-) az-r
'? p?3o?l??'°o,,l' f ?QO(?6G--? ', ? ??`„f?C? f?4h, I??.OJ?OS??P2?1'SS LZ'
/?fo 1 ?ifZl LIE' l7?'Ogi$' ? / , $ .
t54 //4-7
75
a r
y a
fuO+er 4a (Dt ren,?V? L? .f
14
\ +1

,?2ol?osE ?? ? 2.+?' CL , /dG , a f
em
ud
W?
w1
c?-4SS Ir 211012,4P
??4iA
?"a? -P1201?SC'? CLA;S PL
o/
T Co 1=1 L&
PCa.T, /Z8- 207-34, /
IC-M'a: / 1 0/
uc,bor
CI.GvEc.AUJ? Gnu ?
10 114,0
lLE1Pl,A?Err-rte 41' i ell) 4 //3
9? 205
r?
PQoPdS?? S?c.T Fe
4- c az,vEr2
pz_rTL.?ti E o?
nrZa posE-? 3 2) ?tiE `
I A-' roc c. C44t% d
?? P2An
/vr9?C2Vlvu6o CoFrEG !??h, , du11-1104,
- ??rr- c.a?s nz<.?c-naJ

o?

??52 114'1
a
crn.rs r
?? o
64e, 1475-a
!-IBS 6 .z

cox-STr2c.--r _
0
coosru.m.f
R,v??cvA-`l
C-m 3?}r?rr.vn
3
a2
'SGol?Lc ?2.fr?
i ?+P,2gn
Pao Poi c 1-5 0)tl 6)
1 1
u) ttt

Fae ?,tP -+1-a ? 7
' r?MoJC?
N 1
i 3 b-jyv; ?`j )
'Al
0
0
co?srn.?*?r
-P?795C ?SiOiJ ?.<tilT'lL, 'r.lldTGN
V
P?u?, ?Z 3, Za Z3d-• 1
'5044.45 ; 1 Js 3,o'
S? 114
Do
5 CL) ?.?u[G 4
'JKTZrrL?,C?) ?'1r1.Lr??
?j? 04? 11
V
E2LfGT Su/?CYL?'?T'?uG7ZJlZE'
io
'1 ?S Tz?r??'?cr,! ,4>ZE115 `

UAI tA.
1Z644)?un?-f i ns
-P H-AS 6 IT
??5lb?J Gc?.?'ri2,vL ?lr...??..,?.
P". i4-3. zoz34- /
oc DoT"
se 114b
? 64 --t c,41-6 r 1 ". u-3
UP4 4r-?-)cea r o;:,
tS?L l13

w
.N ca
m
CII
.C
.0
?.? 4-
0 a)
O U
E E
Co
o ca
T- Lo
r r ?
? r
v 4-
C O`
'C O o.
m U cu
d' N v
r a)
N .0
r
O co
N
U
C
V
4-
cD
ti
v
ti
N
O
ti
O
co
co
co
co
N
co
O
(D
O
LO
co
LO
1'
Lo
N
w
O
LO
O
co
v
N
V'
v O
110
:r
M co
co CO
Nt
Cf)
N
C9
O
M
co
N
co
N
if'
N
N
N
O
N
ao
co
d'
r
N
r
O
r
O
(D
N
O
co LO ?t c7 N O rn co [,- co Ul) V* Ch
O W O O O O O CC) co co co co O OD
UOIJOnal3
pppp Elevation
N co T COT v OOD 0 O -L N W A
O
N
A
Of
OD
J
J
N
J
J
O
OD
N
NO
N
A
U1 N
00
O w
? o
(N?
A
w
O
0
A
N
A
Oa
A
co
CT
O
O
N
CT
O"
O
?D
?AA
•I
0
,O
VI
C? a
a N U2
O J
T !? W
CL X
O V
CD ? n
C
m ?
0
Q
M.
ao a
rr
?D
co
Q?pp QQpp Elevation
co A 8 OOD O N A.
N
O
cn
J
O
N
O
N
N
w
O
w
CA
;+.
O
vn
y o
o C„
? w
O)
O
OD
VA
v
O
v
O
OD
O
co
Vn
c0
O
<D
O
J
O
O
J
O
J
J
O
OOD O N
I
?l
T
I
I
i
I
I
I
I
m
7
n
O
d y
N
A
O
v
CD a
I
r2 w
(D CA
C ?
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: ?Z County: rc??c:? ? Project ID: iz 3 . zoz3 4.1
River Basin: 6COA,) e,Ve-, Bridge No: //3
Route: -S Stream: .8,-1y6;-e ?, A-,-? c,eei?5 K-
Water Quality Criteria: GG,4-,- c
Yes No
Stream Crossing Blue Line On USGS r? r
ORW r rv
WSI r r?
WS 11,111 OR IV, Crossing Within 0.5mi of W.S. Critical Area r r?
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban r r?
Arterial Rural r r?
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required?
r r;,'
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
STATE or NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
050494
MEMO TO: John Hennessy, DENR/DWQ/401/Transportation Permitting Unit
FROM: Trish Simon, Division 12 Environmental Supervisor j f
DATE: March 11, 2005
SUBJECT: Pre-Construction Notification/401 Automated Payment
Enclosed are seven copies of a pre-construction notification for a NCDOT project in Cleveland
County for your review.
Project information for the 401 Automated Payment Procedure
• Work order number: 150464-55120005-12B.20234.4685-023113
• TIP #: NA
• Project Category: $200.00 Fee
is
Post Office Box 47 Shelby, North Carolina 28151-0047