Loading...
HomeMy WebLinkAbout20041442 Ver 1_Complete File_20040830o?OF W ATF9QG o -c 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 Alan W. Klimek. P.E. Director ?Y?eT 9y J Division of Water Quality ??? qao ?qT ?'GiJ May 2, 2005 04--1442 ?T01??gF ? f Alexander County Al APPROVAUMODIFICATION 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 an additional 33 linear feet (If) (for additional culvert length) of an unnamed tributary to Lower Little River* as described in permit modification application received by the Division of Water Quality (DWQ) on April 27, 2005. This modification is being issued in addition to the original water quality certification dated September 8, 2004 and does not supersede the original certification. The location of the project is State Road 1339 (Joe McDuffie Court), in Alexander County. After reviewing your application, we have determined that this project is covered by Water Quality General Certification Number 3404. This certification corresponds to Nationwide Permit 14 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. Placement of culverts and other structures in waters, streams and wetlands 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. The drawings included in the application depict the placement of riprap within the stream as inlet and outlet protection. Riprap may not be placed in the streambed and must not interfere with thalweg performance and aquatic life passage during low flow conditions. *No stream determination performed. No Carolina N_ Carolina North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Internet h2o.enr.state.na.us 512 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-2496 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer- 500/a Recycled/1 0% Post Consumer Paper Page 2 3. 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. 4. Temporary dewatering sites must be restored to pre-existing conditions unless more natural geomorphic conditions can be provided. 5. No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened. 6. 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. 7. All mechanizedequipment 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. 8. All work shall be performed during low or normal flow conditions. Y? 9. 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. 10. 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. 11. The North Carolina Department of Transportation (NCDOT) and its contractors and/or agents shall not excavate, fill or perform -mechanized land clearing at anytime 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. 12. 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. Page 3 k- 13. 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, /D '. Q-V for Alan W. Klimek, P.E. Attachments cc: Steve Lund, USACE Asheville Field Office Rob Ridings, DWQ Central Office Central Files File Copy .0-, STATE of NORTH CAROLINA qo UO P ???yQG r??0 DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT GovERNOR SECRETARY 2 I Mr. John Hennessy. 401/Transportation Permitting Unit 1650 Mail Service Center Raleigh, N.C. 27699-1650 April 21, 2005 SUBJECT: Secondary Road Paving/pipe Replacement Permit Modification on SR 1339(Joe McDuffie Court), Alexander County Dear Mr. Hennessy: The North Carolina Department of Transportation requests a permit modification to DWQ Project No. 0+42 for the secondary road paving/pipe replacement project on Joe McDuffie Court (SR 1339) in Alexander County. The original DWQ certification authorized the replacement of a 36- foot, 42" CMP with a 48-foot, 48" CMP, resulting in 12 feet of fill impacts. Due to the needed change in further, road realignment in the vicinity of adjacent property owner's earthen pond dam, it is proposed that the 36-foot, 42" CMP be replaced with a 60-foot, 48" CMP. The 60-foot pipe will be placed on a skew with the excavation for the pipe placement occurring in an upland area with the pipe outlet reconnecting with the stream at a point further downstream. The realignment will result in a total of stream loss of 45 feet. Therefore, NCDOT requests authorization for an additional 33 feet of fill impacts to the unnamed tributary to the Lower Little River, which is classified as Class C Waters by the Division of Water Quality. I have enclosed a PCN application for the modification, a sketch of planned activities, and a location map relative to the project. Project information for the 401 Automated Payment Procedure is as follows: 9 Work order number: 150459-55120005-12C.002017-3855 • 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 SR 1339, Joe McDuffie Court Page 2 April 21, 2005 Respectfully yours, M.L. Holder, P.E. Division Engineer Twelfth Division Trish Simon Division 12 Environmental Supervisor Enclosures Cc: 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. (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: MC# #3404 Modification 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 She1bX 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: 704-480-5401 E-mail Address: tsimon@dot.state.nc.us Page I of 8 III. Project Informati Attach a+vicinity ` ap 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 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: Secondary Road Paying/Pipe ireplacement. SR 1339. 2. T.I.P. Project Number or State Project Number (NCDOT Only): 12C.002017 3. Property Identification Number (Tax PIN): NA 4. Location County: Alexander Nearest Town: Taylorsville Subdivision name (include phase/lot number): NA Directions to site (include road numbers, landmarks, etc.): Take Hwv 16 north from Taylorsville. Turn left onto SR 1331, turn right onto SR 1339. 5. Site coordinates, if available (UTM or Lat/Long): 35'59'05"N/81'13'17"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): Pipe replacement = X0.1 acres (NCDOT right of way). 7. Nearest body of water (stream/river/sound/ocean/lake): UT to Lower Little River Class C Waters (from source to a point 0.5 mile upstream of Stirewalt CreekZ 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/mos/.) 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 -pipe on unpaved secondary road that is to be paved. General Land Use- AgriculturaL residential, some wooded areas Page 2 of 8 10. Describe the overall project in detail, including the type of equipment to be used: NCDOT proposes the upgrade an existing; unpaved road to current paved road standards using bulldozers.,_pans, backhoes, sheep foot rollers and pavers At Station 30+00 an existing 36- foot, 42" CMP will be replaced with 60-foot, 48" CMP. The new pipe will be placed on a skew: therefore, the excavation for the additional pipe length will be in an upland area. A total of 45 feet of linear stream length will be filled. DWO certification #-04- 1442 has authorized 12 feet of fill: therefore, this modification requests authorization for an additional 33 feet of stream impacts. Five feet of Class B riprap will be placed on the inlet and outlet embankment for structure protection. Installation of the pipe is to be done within an 8-hour period. therefore, no dewatering of the site will occur. 11. Explain the purpose of the proposed work: The purpose of the proposed work is pave the road and Mpgrade the existing alignment which will necessitate the lengthening and replacement of the pipe at Station 30+00. 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. Initial application submittal 8/26/04. DWQ certification #04-1442 issued 9/8/05 for 12 feet of impacts USACE Action ID Number 200431572 issued 10/13/04 with expiration date of 10/13/06. 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 VL 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 Page 3 of 8 hp deskiet .? ? mitigation, list and describe the impact in Section VIR below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: Permanent impacts from increase in pipe length and associated ripop for structure stabilization. Individually list wetland impacts below: NO WETLAND MACTS Wetland Impact Site Number (indicate on map) 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. hnpacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/dramage, 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.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 2 Individually list all intermittent and perennial 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 Fill 45 feet Ut to Lower Little 1 feet Intermittent River Riprap on bank for 5 feet upstream « « « 1 structure 5 feet downstream stabilization * 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.Mgpquest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: Permanent Impacts ,ill and rirap) = 55 feet 3. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U. S.) below: 0 Page 4 of 8 Open Water Impact Area of Name of Waterbod y Type of Waterbody Site Number Type of Impact* Impact ( 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. 4.. 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 ap lication. 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: VIEL 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 nine is being- lengthened to bring- the roadwav section up to current paved road standards. The roadway Lach which appears to have become an intermittent channel from the adjacent impoundment seepage will not be graded or disturbed during construction: however, upon project completion the roadway drainage will be redirected back into the ditchline. The roadwav is to be shifted awav from the impoundment and the wetland area that appears to have formed because of the impoundment Maae. VIII. Mitigation DWQ - In accordance with I5A 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 250 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. IX. 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/ncwetlands/stnngide.html. 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 offske), 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. IlVIPACTS < 150 FEET 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/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): 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 El 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 (Neuse), 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 uare feet Multiplier Required Mitigation 1 3 2 1.5 Total * Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or.0260. NA XL 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. Minor widening of the existing unpaved roadwav and minor shifts of roadwav alignment will increase the impervious acreage -0.5 acres. Page 7 of 8 XIL 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 XIIL 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 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). 1*3 iJ i_ Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 8 of 8 z . E 5 tea: ` ?. J •ar ?; V. tE5' ? \ . fr a NtLNU-( AWN ?• x x.40' j KNOB :i_.+ i .1 , °• °6:: ':a3 HICKORY KNOB„ ON, KNOB =~•?•?? I 3vs? a - 1 IE50 m '?eu j 11 e` Ao r})ro_a,r'?- ?;31 c I-^ay = ?- • E /?, \I I3?0.'? 131 r? ' ? • J !? l? r0 - - I alt :w r ?' rte, -r •. - ?hrar r.. •: -08 _,?.yyA,.r •a 131! `•'v .? w , i; 330 ?`? ,?. .. D ' [ °Ch? a. ?7 •y '' .3 iv•'?•'r,.?s i' far 4r I-:z lar ' .e ,6] . c% F a 16 IAYMW4W l ?? ? Qtr. - _ ? `` \ • ^ ?w `1 . r.•?•. _ ?? so, -rte. l SALOKNOS • ._ lit t' .Ff' _._V. 5: ',? ? ? _ !Ilse ' •~F+ ?,•? ..., ,??; •--?? . ??, ,?? . ? M262L, e, I??' 'I \o x;`^ •` ??=?`r?•''? _-??? .ti`p'?' ?' ?^• ? •? _ I`ti •?1 .e,. •? ` mil`. .`?• wY-..Ix:.,C..' ? ' %-- 'lee J f?y y r ' _ „tOOK01? .L'43 awom V) LAIC /'f`/' ', ,... ; l?j ? t . •. ` .t"7 • 311 S F ? } .? } {. sir,,..- ?+, •.. , a• f .Y?y NI; - r?:ri' °.S s dar.?" IN i.•I1 M) OR F .. s f ti ?,,,,} A ? P •{.. -"air r i4 ?,,. - r-.r ? ! " .r,,,,;t ' - -Y_;'yy,. '-.°?--,-...?.•?'?,•r,`.. L ?? ? ..,r?? ../':_..`,. '.'r' •.-.-.?. i :.,, , ? d 4`-7:„f ? p? o ?, ,,._.x"" ? /? c: 1 ti ?•"r•""r-.••.r"^y i y .. ?+?w ` ,??1 !'ij' ,fi-?,"?.+ f.s ^+.t'? [ -,?.y ?`' ;. ,?..f ,7 {? jam,,,;,.-;?. ?.,,,,Y„ art ' i? ?s-.-.?.. -?..r.n "'."a'. r'r.?. •,.,,?,,r?'^?,r^°s,' ???+„asi''71,t *u'.JJ }? t ''.•°•? • ,? (7+ 1 ?.?, ?^?j,r?,,.rJ° p?' 1 r 4'.,?•?,>? '."'r""' - `. w\?t• ti.J . , w : ?""''w-rr °+?.r• a {,?'? t { b ..F 1t'4"'? a +-+';{,? ,,+ «+`' ,f-..r•'? ?? y ;` ,• -;; s?+a? ,Pal : ? '°yw, ? ? ,F YfJ.?? f''..,5 ?.-a,? t ? 1 ?". ? , ,A7 y. ' `',w..+"' r j? ? ` ?*'" pr Y,,f t^ ? A 'r?•y,ti. ?.. ?_' ?•, ' ' ',•L1. F"•.i •-•?v te:''/; `+_.:_y^+•"fi r t I r . 1 y { ?r•?°'.i e. l.. ?•? „-M.,'"s ? w... ?-?? ?!?,`? vw. r,14"'?_ %W` f ?7 '? '•^^ 7._.." f4 s. ?``.°. ?f A t ,• ' ° 'y a 1 A L.? ,tl.. ' , .t 4 '} a ? ? r 3 , t .;1.,??"°-•° 1 -? '.w++r'^r='4v.a -^''i.+t ?p :. g .;ifs , J ; p ,? tYf f f)4 `ti ,,. S 3 y 'yJ ?, ,?. ,?,.?.,,,,2ti, -•ns : ,-ffT••.- "^..?,^r r ( _i?' t-'^". ?'S ? {'...^`, . ? ? • f ; ? r r j_ ? ,r F .``? «? E.? ??.. ?••^ ; a : ? ? )? ? '... '.:-.?? ^ ?'.`• a"`?"' ti ?f .y " r ?t1r4y ?? '?"'rJ3" i °<?} ?'?`' y ' i j'1 i7 .t "1`.°f . < 9` ,Tr ?/-? ?.•yn.rfr+''- ^. ,, ..a` ?; L ?w `?.,r•?+r Y'v'..... i wa •,. "'•? {F f Z: j rr. f.l., t '`°„?s-'•,.r i 4'-- ?' r f?,r' +?"`r,_' ?,,..p ^r.,., . '1 .. # 3 31 j'e 'r } End SR 1339 ,,: • : `-a.-? - s? ' ;ip Replacement tot ' r ? I F f • { K ('.•r '• ;? ' ? ' ? t? ? a? Y?' i) .u2 .' y ? L'4?; •? , ' 9 _ .--.. ?..•.......-,- R ^"` . ^ 't _ 1, ,,. r'" <r'?: ??, (I ^ 1. + ???•?+ ?k Oil I R #, ;r 'k, ?, j l . el 77% 4 C6 e i lr - 4Yti r•' i Begin SR 1339 M--""'..-?.nr??.......w? i. ?r? ? ..+':""' _ ? ti e, ,.,ti?'';I Iy? t'r ,r ? f„?? /w .?+.?•*+-?.?y?. /'`s"".? ??'. M,,?'.`+ ? yt.. ?j,'RIw ?' •,? tt aI ?y?, ? r? L`y? ??? .^.w Name: TAYLORSVILLE Location: 035° 59'04.99" N 081° IT 17.20" W Date: 826/2004 Caption: SR 1339 Secondary Road Paving/Pipe Replacement, UT to Lower Scale: 1 inch equals 1000 feet Little River, Class C Waters, Catawba River Basin (C) 1998, Aug-06-2004 11:11am From-NC DOT ALEXANDER COUNTY +828 632 0854 T-199 P-003/006 F-849 Joy 0L) G? 5? 133 l2G. 002-0 7 mow, Qv? ?/ nr-,cry-f- / x-00 zqTSo ? EX iS-??, 42 " Gnu P 30tso 3lioo 31+50 Guns, ph, ' J Vl n? 1L?s. ? J Pro®-5c?"CF?1, Cab' L 1z:p Z The new pipe will be placed on a skew and will reconnect with the stream in the area of the wood debris in background. W A T ?9QG > O "C 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 WETLANDS /401 GRQUR SEP 14 2004 WATER QUALITy SECTION Alan W. Klimek, P.E. Director Division of Water Quality September 8, 2004 DWQ# 04-1442 Alexander County 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 22 linear feet (If) (12 If of culvert extension and 10 If of riprap inlet and outlet protection) of an unnamed tributary to Lower Little River* for the purpose of replacing an existing culvert for the proposed upgrading of an unpaved road to a paved road as described in your application received by the Division of Water Quality (DWQ) on August 30, 2004. The location of the project is State Road 1339 (Joe McDuffie Court), in Alexander County. After reviewing your application, we have determined that this project is covered by Water Quality General Certification Number 3404. This certification corresponds to Nationwide Permit 14 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. Placement of culverts and other structures in waters, streams and wetlands 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. The drawings included in the application depict the placement of riprap within the stream as inlet and outlet protection. Riprap may not be placed in the streambed and must not interfere with thalweg performance and aquatic life passage during low flow conditions. No stream determination performed. N`s o Carolina Ntura!!ry North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Internet: h2o.enr.state.naus 512 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-2496 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer- 50% Recyded/10% Post Consumer Paper Page 2 3. Heavy equipment must be operated from the banks Tather than in the stream channel, when possible, in order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream. 4. Temporary dewatering sites must be restored to pre-existing conditions unless more natural geomorphic conditions can be provided. 5. No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened. 6. 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. 7. 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. 8. All work shall be performed during low or normal flow conditions. 9. 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. 10. 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. 11. 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. 12. 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. 13. Continuing Compliance. NCDOT shall conduct its activities in a manner consistent with 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 Page 3 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, Alan W. Klimek, P.E. Attachments cc: Steve Lund, USACE Asheville Field Office Rob Ridings, DWQ Central Office Central Files File Copy ,,, WETLANDS 1401 GROUP % AUG 3 0 2004 WATER QUALITY SECTION STATE of NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT GOVERNOR SECRETARY August 26, 2004 041442 Mr. John Hennessy 401/Tmnsportation Permitting Unit 1650 Mail Service Center Raleigh, N.C. 27699-1650 SUBJECT: Secondary Road Pavmg1hpe replacement on SR 1339(Joe McDuffie Court), Alexander County Dear Mr. Hennessy: The North Carolina Department of Transportation requests authorization to replace an existing cross pipe in conjunction with the paving project of SR 1339 (Joe McDuffie Court) in Alexander. At Station 30+00, NCDOT proposes to replace the existing pipe 36-foot, 42" CMP with a 48-foot, 48" CMP. Five feet of Class B nprap will be used at the inlet and outlet for structure protection The existing pipe must be replaced and lengthened to bring the road up to paved road standards. The scope of the work will permanently impact an additional 12 linear ft of jurisdictional waters associated with an unnamed tributary to the Lower Little River, which is classified as Class C Waters by the Division of Water Quality. At the end of SR 1339, a large impoundment is located adjacent to the roadway. From -Station 25+25 to Station 26+75, what appears to be seepage from the impoundment dam enters the roadside ditch. The roadway alignment at this location will be shifted left away from the impoundment. The roadside ditch will not be filled or reshaped during the road paving project; however, upon project completion, roadway drainage will be redirected back into the ditchIme. The proposed pipe will be buried '9.5 inches below existing streambed elevation based upon the measured thalweg elevation Stream destabilization does not appear to be an issue based upon the calculated slopes of the existing stream and the proposed pipe. The stream is a low flow stream (pond overflow); therefore, the pipe will be replaced within an 8-hour period without dewatering the site. This letter serves as an application from the Department of Transportation for the certification of the proposed activities under the Division of Water Quality's WQC#3404 for permanent fill impacts associated with the linear transportation crossings. I have enclosed a PCN application, sketches of planned activities, and a location maps relative to the project. The proposed project is located in Class C waters and is not located within ''V2 mile of any critical watershed area. Hazardous spill basins are not required Enclosed is the NCDOT hazardous spill basin checklist. Project information for the 401 Automated Payment Procedure is as follows: • Work order number: 150459-55120005-12C.002017-3855 • TIP #: NA • Project Category: $200.00 Fee ' ,3 SR 1339 Page 2 August 26, 2004 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: Polly Lespinasse, DWQ, Mooresville Regional Office Ron Linville, Wildlife Resources Commission (Courtesy Copy) Office Use Only: Form Version May 2002 041444 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: WOC# #3404 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: 704-480-5401 E-mail Address: tsimon@dot.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 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: Secondary, Road Paving/Pipe replacement SR 1339. 2. T.I.P. Project Number or State Project Number (NCDOT Only): 12C.002017 3. Property Identification Number (Tax PIN): NA 4. Location County: Alexander Nearest Town: Taylorsville Subdivision name (include phase/lot number): NA Directions to site (include road numbers, landmarks, etc.): Take Hwy 16 north from Taylorsville. Turn left onto SR 1331}turn right onto SR 1339. 5. Site coordinates, if available (UTM or Lat/Long): 35059'05"N/81013'17"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): Pipe replacement = <0.1 acres (NCDOT right of way). 7. Nearest body of water (stream/river/sound/ocean/lake): UT to Lower Little River, Class C Waters (from source to a point 0.5 mile upstream of Stirewalt 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/mapsV.) 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 -pipe on unpaved secondary road that is to be paved. General Land Use- Agricultural, residential, some wooded areas Page 2 of 8 10. Describe the overall project in detail, including the type of equipment to be used: NCDOT proposes the upgrade an existing unpaved road to current paved road standards using bulldozers, pans, backhoes, sheep foot rollers, and pavers. At Station 30+00, an existing 36- foot. 42" CW will be replaced with 48-foot, 48" CMP. Five feet of Class B riprap will be placed on the inlet and outlet embankment for structure protection. Installation of the pipe is to be done within an 8-hour period; therefore, no dewatering of the site will occur. 11. Explain the purpose of the proposed work: The purpose of the proposed work is pave the road and upgrade the existing alignment which will necessitate the lengthening and replacement of the pipe at Station 30+00. 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. 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. 1. Provide a written description of the proposed impacts: Permanent impacts from minimal increase in pine length and associated riprap for structure stabilization. Page 3 of 8 2. Individually list wetland impacts below: NO WETLAND HAPACTS 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 ear feet Type of Wetland*** * List each impact separately and identify temporary impacts. hnpacts 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 htlp://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 perennial stream impacts below: Stream Impact Site Number Type of Length of Impact Average Width Perennial or (indicate on Impact* (linear feet) Stream Name** of Stream Intermittent? map) Before Impact (please specify) 1 Increase in I2 feet Ut to Lower Little 1 feet Intermittent pipe length River Riprap on 1 bank for 5 feet upstream « structure stabilization I 5 feet downstream * 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.mamst.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: Permanent Impacts = 22 feet 4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.) below: 0 Open Water Impact Area of Name of Wate Type of Waterbody Site Number Type of Impact* Im Pact (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. 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 ? 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. The pine is being lengthened the minimum necessary to bring the roadway section up to current laved road standards. The roadway ditch, which appears to have become an intermittent channel from the adjacent impoundment seepage, will not be graded or disturbed during construction. The roadway is to be shifted away from the impoundment and the wetland area that appears to have formed because of the impoundment seepage. 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. 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/ncwetlands/stnngide.html. 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. RVIPACTS < 150 FEET; 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/vnp/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 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 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 213 .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 uaze feet Multiplier Required Mitigation 1 3 2 1.5 Total Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or. 0260. NA XL 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 amount of impervious surface is proposed. Minor widenin?of the existing unpaved roadway and minor shifts of roadway alignment will increase the impervious acreage -0.5 acres. XII. 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 Page 7 of 8 XEUL 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 X11V. 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). LWI ?1? Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 8 of 8 J J LLJ J Q U 1 t U E S t K 9_SSc__ . ? ^ / / •309 R: F wl ? ? M CKORY NNOB? t ?\ _ `___ ..zip 13 3C7 r % Ch. q i30= >•3 X34. ";?y. . VL3 r? I ror. xin 3? / 4 A: 4 rFj{/1End SR 1339 sr 4? r ` ?- -aip Replacement '? '1 fP • - f??• ; .i 'i +•1..?_) '` ?Ki Uttle iii7er.Lr. 127 127 ,- f -. _ • - ,'?Y, , ? - Begin SR 1339 - - % M1 /, w ? t t ti? 1 Name: TAYLORSVILLE Location: 035° 59'04.99" N 081° 13' 1720" W Date: 8/26/2004 Caption: SR 1339 Secondary Road Paving/Pipe Replacement, UT to Lower Scale: 1 inch equals 1000 feet Little River, Class C Waters, Catawba River Basin Copyright (C) 1998, Maptech, Inc 1 SL i r ? 1 N J (r f :J r_ U v, Aua-06-Z004 II:IIam From-NC DOT ALEXANDER COUNTY +SZ8 63Z 0854 Joe I`hGGorF?(G 6-T-- SR i539 A?,=v??NocR ?a???r-?( lzG. 002??? T-199 P.003/006 F-849 C LA55 3 FZ1J ;zr-, P. 3b ZJtoo zq-rso EXiS'fi.slr 42 Sots 3i+ov 3150 PQopos?? 4S" GNA-P - 4f3 LUNG S7A . 3D t OD Guess ? ??Q 2?? '5?F,-T 1r.1vCtZ--15 Ct,b " 85w-J br,ic BA5c7,> -,,Q "4AUWP-,,/ G:LEV Ti6,?3S. zo' c? 4 1 _ ?fl 40' O 00 ° N I p W V] M ? C ? II 7 [? N 00 r. C+ v1 Q? T L' En .L. C y N ._. ? O L °, °° wov N 00 n r C, N O? N C\ ? 0 00 D N 00 G? C O M M ri V' ? I I ? C C7 ? ? 41 c a C/I ? o Q R. m C1 z o0 a` I ' ? M a h ? NiM 73 CO a . ? / . V II. a c w J ? M c o ? °•M?o am ? c , C ? O I I 3 o =o b n a ? ?' W=V z EROSION AND SEDIMENTATION CONTROL FLAN DIVISION OF HIGHWAYS 1 . W.O. S. R. 1339 ROAD NAME : Joe Mcduffie Court COUNTY ALEXANDER FROM : S.R.1331 to dead end. WIDTH STAKED 60 ft. R/W WIDTH PROPOSED IMPROVEMENT Grade,Base and Pave. DATE 7!9/04 Sheet 1 1 Erosion Control Schedule S.R.1339 Joe MCDuffie Ct. 1. All adequate temporary erosion control measures will be installed before clearing and grubbing operations begin. 2. As construction progresses, temporary and permanent erosion control devices shall be installed in a timely manner, according to any requirements set out in G.S. 113A-57. 3. All siltation and erosion control devices shall be properly maintained until no longer needed. 4. On projects performed by D.O.T. Maintenance Forces, request will promptly be made to the Division Roadside Environmental Unit for stage and permanent seeding. 5. Any removal of siltation devices will be based on the condition of established ground cover of that area the device is serving. EROSIONJ.,CONTROL SYMBOLS SILT BASIN TYPE -B TEMPORARY DIVERSION TD TEMPORARY ROCK SILT CHECK TYPE-B - TEMPORARY ROCK SEDIMENT DAM TYPE-B ROCK PIPE INLET PROTECTION ROCK LINED DITCH DIRECTION OF WATER FLOW BREAKPOINT ROCK INLET PROTECTION : TYPE -C EROSION CONTROL MATTING SILT FENCE Sheet 1 z . 1 i 9+00 j IF 1% 21' x 11' x 4' Graadd 4' weir e 7+00 i 60' I R/Wl' ! 5+00 I i i ' 1% Grad i 10+00 1% 160' Grade 1R/W I I 8+00 I i I?• 3+00 _i _. i i I 1+00 ! r. I i 60 ft R/W ; ea i? i i i 1 Sheet 1 1% Grade _._._.1._._1 , C2 L a I I i 6+00 'i I i I I . I 4+00 I 160' am I I 2+00 i I i I I 1 I 0+00 I I I i TD 19+00 i 10'xTx3' 4' Weir I \ i 17+00 i I 15+00 I 1% 9'xTx2' I rade 4' Weir I Pennell Lane 13+00 12'x6'x3' , 4' Weir 60' RNV I 11+00 I 1 I I I 20+00 I i Po< ' I I 60' IR/W 18+00 i i i i 16+00 --•-----•-. I . 1 i ?oc I 1% i Grade I I 14+00 1 I I I 12+00 I 1% I Grade i I I 10+00. Sheet 1 16'x8'x3' I 4' Weir j I 60'I RNVI 27+00 I I t 25+00 I I r I I i I 21+00 I I i ? I 4' weir I ? 28+00 I I I I I I j 6+00 I i I 24+00 I 160' IR/W I I t 22+00 I I I i I 0+00 Sheet 4 z . 40+00 I I ; I I 39+00 - - I R/W ' I ; ' i - ;- 38+00 I ' ' I ; 37+00 j I ; I I ' i I RM1 36+00 1 I ' I I ' 35+00 i ; I f 1 - ;- I 34+00 End . 1 . .P%12p? 33+00 I ' 6 1RNV I ; I I I ? ! - ; 32+00 I i I 1 31+00 8'x4'x3' ' ' 8'x4'x3' 60' 30+00 Sheet 5 Cat O O - IIIIII m IIIII .I O _? IIIII IIIII ? y _ O IIIII m Q II III m _ IIIII r 0 IIIII m =?I!?III-_ illll?? I -J r IIII IIIIII - 2 O m ? a _ T IIIII ? ? ? ? m ?t .. I m I A ? "' U c Z .r I I it I Q ? m m Z ! > m -? IIIII - ca 1 III MIN. II I I III 7 111? II IIIII ? l IIIIII O T _ II III _- o III II A I m = a r o 4 I m VIII m IIII IIIIII ? m III I I -- ENGLISH STANDARD DRAWING FOR SILT BASIN TYPE 'B' o ? m ? O _o r ? O 9 VAR. t tn^ t ftt(^ ?l?w t L'?t?jtL`w ?L L L7//(I nL t^Lt L(^ ,? t (t LL I^^(L (?? L ??L L n ( L'St t \w L L t ?l L i n t? Li ^LL t ?^ to (Ln 1 (1i11 L(? LLt t t ?? d ( \hn t t, to n(l ??`t t^^ L`^ll nLiie Cti tL i:?{ LL ( n ? Ln L1 ;n M1L L ^?; ?MCL1 '?tw"w L(? ?, ?l^ to CL i ^? '•t r^^w`nL?4 L ti(i(t?n Citt i Ct(" i ? Ct( t?' n (t (LCt (t t? I1 ./n`nt n(tn ?i(Ln(L' (t (t t, n ^? i l lL (; l t(L ?Ci(L? ri %iCi? l "CL! L(i(t( L(??^ , (L (L(L (F\11? ,(l 1 l t L `Ct"G (1(\ ^( V ILLS L( L(tn`L tni l "1( LL µL t 14, iln tnLn n\nLnt 1 I0^ MIN. (? (Ln( (^???^L Ln' (t("^(Lt ntLL (l? ? , , LL ^tn n L. L Int t nlt^ t `( n'(Lt? ^ (t L"n l L l? t^^y L .^Lt In n t ^L? L /fit: (t n l( . 1C` t1^ Ln ( . L 1Lt ! n?Le ? (t ;CLj t LLL, C\^^n\tn^? L t1w n t , ^ t ln^n L L^ LLC t .1( 1 L(^1 ,(^ tC `t t(^t(; n L?t`tittc iYt Ll ••? ` 1 L ` tt t t1I m m m 0 T r T O s VAR. O 0 T 0 n C12 r 0 m STATE OF NORTH CAROLINA DEFT. OF TRANSPORTATION DIVISION OF HIGHWAYS RALEIGH, N.C. i z , I ?C/ H r r i? cn r C7 ?? ' - m o ? ; N I cf) cn -? D ? ? ?II cn m n y I H ? o o * D o? q m C N ? m y u ENGLISH STANDARD DRAWING FOR TEMPORARY SILT DITCH STATE OF NORTH CAROLINA DEPT. OF TRANSPORTATION DIVISION OF HIGHWAYS RALEIGH, N.C. 1 .0 -4 9 m °ICc >m r' cs ?IQ C7 171 ? z I?I+ D CDC c C 'i il Q D i n 0 S car C ? 3 m -T r - o I ?I ?i m 1- 1 f m 1 m o o ? I -+ Z a ; Q m ' S mw m n -4 O rm c C a D r ••f v Z m t? t-1 N a m XA2 , I n < Cn T r-l m F y r O 3 O C Z a v n ENGLISH STANDARD DRAWING FOR TEMPORARY ROCK SILT CHECK TYPE 'B' v-4 om S• m a 0 m v m m m Z v3vav-{ :?cmc z b-DmDm Doom ?G U30v ca Cnmm- tam Cn-i Cn Cn ,•,n m C13 -+ z mm? ? nor =z cn . D > ? n c = T.. fn > =Z =;7 c? to - CA 0 m -4 Z w m , - m 0 z - ' O -1 m -! O -Q - p Z= M= =Dm->G -?? --? CA2 O Z . m-D=r zm m m O cn ? m Z D < = m -< 17DCnS m - = Dm ? CD n--4 o?C D C D vz?<,vv 8 D n m D C --? Z-i Z > - i c= O -i D > 0zvrz CD z?-,?-?m --1 W ? om = CA° zoo 0 --3 r D z z m z° D -r= l ) O O c r- 'I= STATE OF NORTH CAROLINA DEPT. OF TRANSPORTATION DIVISION OF HIGHWAYS RALEIGH, N.C. i A a D D 01 of i? C.? N ?r m M D m? D m oacoo?r m 2 0 r- S z C Z m>zm-lQ?C?Z?C? z-I>0-4-pus-fWM M m- -t x m M CA z a 0 Dm? 'M .. zm - cul>c)- cj> mm mm-<m McJ7 M r* c: LIT C13 •? mmxmomm m-tz?m i?z-qz-?? <CD mCD=Z-°z°z° -i 3 --4 D m '77 m C r- C] - UT CD _ z 0 C> z U v O cc DC -".m s--!m r- II00-?m0T? mCD Ocm0-.i nn CZO Mme'»?03 Zm moz=ww> D? D jorc°vcr C3-? - =mom -CDq -i2 c -imoa C70cm0Z-0Z m .t mlTcrn -izm Qr- -0 C-) t- c7mD c m 0= 0 z° p Z < G7 ? ? -II -i O cl) D D mmy r- r--< ?m Qmm 3m m 3cmm Q7?-± DmO mc? -<-0 > -<mx -0D -0i= ? O- --4 -< mDm m -i cnm m=> ? m o cm. c m -? -? n _T -n -Z MC mOm ^m Tz Q o ,/ iI -< m Q !-t < 0 > o zcm m m CD m D < j m c) m m -4 n Q D Tma I mm -i fA ?o c.•i D x gym.„ 0 O -o i.? ?p v?'o 'oQ V M a l p ?N fo?"? to i s m ° o-l -n <A r °n CS m m O _3Z 'O'H , 0,3 ! Z m r W D c 3 D r Q 0 c a rm rn m mn 4 m -?G a?> cm o a? m n C D r CQ a 2 M rrrr ca M? rr =z M -i ENGLISH STANDARD DRAWING FOR TEMPORARY ROCK SEDIMENT DAM TYPE `S' ni 0 ca z°v 0M r. 4 ml 0 z m 0 m r im ca m n ;H 0 Z nA,?,?° Ivy v? o,?°? b '- bo? vo v? °d1c °o °o 00 0, cP'c> o°? v >e, ? i?- 1a UI DA al °l IVE I i? L.L i? 1 ` ! r` I? iz c c 3 D r c z m STATE OF NORTH CAROLINA DEPT._ OF TRANSPORTATION CD C m z Z O O ` m ? I O I? ?i Q m O 0-4 0 z ? O 'I'mo .I /i / i i I i ! I I 6.4 I , i I ?. I e.? p Z .?i 1 I 1 - I I I ? I m ; X iO UJ C C m 0 i N 1 r-? ,Z C C C C Q t<'! p m v C Z r ?a o m < to o ?n m o m ? ? ''' .. Q O C C C C --! -? -i -? O - ? . Z. ! - C 71 m z C ? - C C D O O r -= D -O In O C C7 ,;, C) ? r C o c m z -? o c.? r T M o z z c o -; ?-• --•t -; -a c) G m Q CA D .^ p O C C -; m= Fr -f --; Z Q Q Q Q m D m = D C: r - ?• `• `. ` y - G © CA -{ Z ?- O m ^ ^•+ m z -s -T _ M- m o t 3 m m m ,l, rn ? C O C -r ? „? O G7 r < Tt = m o c C1 ti ??• z C m = = D C L, '? -1 C _ J D Q I C i C? C D r a ?- m r G? m ! - ?- > ENGLISH STANDARD DRAWING FOR ROCK PIPE T N LE T SEDIMENT TRAP TYPE. 'Sr m n c i 0 O c.) [n °DO MO?-+ Z m °m -o_nz o >ow_n=mDCnwoo*0m z Drn ? oc3a(mm" ..,rnvs.+ m<-tD = zr° m cn°°m"- _4_ zz? m?m rt' m?z__4 m>m .a ?= -fm m*m Ir-r,=rn=" N= ?mmo*o n TD? cn?Z73-7D m =m?mmcco nz -n m O D --1 ?-+ x ?-. r - cnmz Mw Z +?+ m C N -<T C D? - m 1 I 0 r?-+ ? m + + i , D m I M D ILLJ1 ° nms m i cn - Z z oz° --- -a o + =ym m , z m ------ -------- > m -114 c A C m z 0-0 1m ? i Cad N Q Q ! ' f f O O + m 1m ?-r m m m r m m m D m m n ENGLISH STANDARD DRAWING FOR TEMPORARY SILT FENCE v. D D Z C o >? m cJ --a z D Z D I ?-? N C n? r m7 z to 0m m z n D m m m ¦ a? u O • D Hx O-4 ?m =7m m 7 T STATE OF NORTH CAROLINA F : - -OF TRANSPORTATION ISION OF HIGHWAYS RALEIGH, N.C. NCDOT HAZARDOUS SPILL BASIN CHECKLIST Division: 17, County: Alexander Project ID: 12C.002017 River Basin: Catawba Bridge No: Pipe Replacement Route: SR 1339, Joe McDuffie Court Class C Stream: UT to Lower Little River, Water Quality Criteria: Yes No Stream Crossing Blue Line On USGS F7 r ORW r F WSI r F WS 11,111 OR IV, Crossing Within 0.5mi of W.S. Critical Area L_ F Roadway Criteria: Route Designation- V„- AT,. Arterial Urban F P' Arterial Rural F Pr, Additional Site Information: Is a Hazardous Spilt Basin Required? Yes No F Fr Criteria Based Upon NCDOT "Best Management Practices for the Protection of Surface Waters" (March, 1997). Certificate of Completion o? A? 9?G 0? 'POST TFR O?S DWQ Project No. County: N IWLA P r ov,, F'?e Applicant: t? CD O-r Project Name: SR J' y -? Date of Issuance of 401 Water Quality Certification: M oT ? ?-U U 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, ffl L. f- J Ar _, 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. OIX, VO ---r - Date: Signature: Agent's Certification I, , hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date: If this project was designed by a Certified Professional I, , 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: Certificate of Completion 2 County: DWQ Project No. n? __LL A Applicant: Project Name: C.0 Date of Issuance of 401 Water Quality Certification: - 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, ,:,.ant's authorized NC, 27699-1621. This form may be returned to DWQ by the applicant, the aF agent, or the project engineer. It is not necessary to send certificates from all Applicant's Certification I, f -mod , hereby state that, to the best of my abil diligence was used in the observation of the construction 401 Water such that the Quality n built within substantial compliance and intent of Ce, Rules, the approved plans and specifications, and other supporting materials. Date: Signature: Agent's Certification I, hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date: If this project was designed by a Certified Professional I , 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 fans compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved p and specifications, and other supporting materials. Registration No.: Date: Signature: