20042013 Ver 1_Complete File_20041217

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APPROVAL of 401 Water Quality Certification
Alan W. Klimek, P.E. Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
January 24, 2005
Ashe County
DWQ Project No. 04-2013 Correction
SR 1358 (Little Windfall Rd)
Mr. Mike Pettyjohn, P.E.
Division Engineer, Division 11
N C Department of Transportation
Post Office Box 250
North Wilkesboro, North Carolina 28659
Dear Mr. Pettyj ohn:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
ar?c??oe?p
SAN 2 7 2005
WETLANDS AND TOOrMW4ATER BWANCH
You have our approval, in accordance with the attached conditions and those listed below, to incur the
following impacts in order to pave, increase lane width, and improve traffic safety on SR 1358 (Little
Windfall Rd) in Ashe County.
• 460 linear feet of new piping impacts to Little Windfall Branch and nine (9) unnamed tributaries to
Little Windfall Branch (360 feet of new pipe and 100 feet of rip-rap);
• 455 feet of stream bank stabilization between Station Number 20+75 and 31+25 (previously
completed because of spring 2004 storm impacts).
The project shall be constructed in accordance with your application dated December 15, 2004 (received
December 17, 2004). This approval letter shall void the approval letter previously issued to NCDOT on
January 14, 2005. After reviewing your application, we have decided that this fill is covered by General
Water Quality Certification Numbers 3495 and 3404, corresponding to the U.S. Army Corps of Engineers
Nationwide Permit Numbers 13 and 14 respectively. In addition, you should acquire any other federal,
state or local permits before you proceed with your project including (but not limited to) Sediment and
Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval will expire
with the accompanying 404 permit, unless otherwise specified in the Water Quality Certification.
This approval is valid solely for the purpose and design described in your application (unless modified
below). Should your project change, you must notify the Division of Water Quality (Division) and
submit a new application. If the property is sold, the new owner must be given a copy of this approval
letter and certifications, and is thereby responsible for complying with all the 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 any additional conditions listed below.
1. Instream work and land disturbance within the 25-foot wide buffer zone are prohibited during the
brown and brook trout spawning season of October 15 through April 15 to protect the egg and fry
stages of trout from off-site sedimentation during construction.
*21
NCDERR
N. C. Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 [phone]
Customer Service: 1 800 623-7748
Mr. Mike Pettyjohn, P.E.
January 24, 2005
DWQ# 04-2013 Correction
Page 2
2. Little Windfall Branch and its tributaries are classified as Trout waters. NCDOT shall strictly
adhere to the Best Management Practices for the Protection of Surface Waters (NCDOT August
2003) and Sedimentation and Erosion Control Guidelines for Sensitive Watersheds [15A NCAC
4B .0124 (a)-(e)] throughout design and construction of the project.
3. Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface waters standards:
a.-,., The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment'and Erosion Control Planning and Design Manual.
b. ; 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 sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
c. 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.
d. The reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
4. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Preconstruction Notice Application. All construction
activities, including the design, installation, operation, and maintenance of sediment and erosion
control Best Management Practices, shall be performed so that no violations of state water quality
standards, statutes, or rules occur.
5. 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 six months of the date that
the Division of Land Resources has released the project.
6. Where practicable sediment and erosion control devices that can continue to receive road surface
runoff should remain in place (slight modifications acceptable) and be allowed to naturalize to
provide long term stormwater filtration.
7. Riparian vegetation must be reestablished within the construction limits of the project by the end of
the growing season following completion of construction.
8. Stormwater should be directed to vegetated buffer areas, grass lined ditches or other means
appropriate to the site for the purpose of pre-treating stormwater runoff, and must not be routed
directly into streams. Mowing of existing vegetated buffers is strongly discouraged, so that they may
be utilized for stormwater sheet flow.

Mr. Mike Pettyjohn, P.E.
January 24, 2005
DWQ# 04-2013 Correction
Page 3
9. Where practicable, culverts that are less than 48-inch in diameter should be buried to a depth equal to
or greater than 20% of their size to allow for aquatic life passage. Culverts that are 48-inch in
diameter or larger should be buried at least 12 inches below the stream bottom to allow natural stream
bottom material to become established in the culvert following installation and to provide aquatic life
passage during periods of low flow. These measurements must be based on natural thalweg depths.
This may require increasing the size of the. culvert to meet flow conveyance requirements. If any of
the existing pipes are perched, they shall be removed and replaced, and re-installed correctly, unless
demonstrated that this is topographically unfeasible. All waters must flow through without freefalling
or damming on either end of the culverts during low flow conditions, to maintain aquatic life and/or
fish passage.
10. Due to extreme slopes at stations 27+37, 31+90, 69+65, and 69+76, these pipe will not be buried as
indicated above. Riprap shall be placed in a manner to provide a base flow channel for aquatic life
migration to the extent practicable.
11. The dimension, pattern and profile of the stream above and below the crossing should not be modified
by widening the stream channel or reducing the depth of the stream.
12. Disturbed floodplains and streams should be restored to natural geomorphic conditions.
13. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted
when practical. If rip-rap is necessary, it must be limited to the stream bank below the high water
mark, and vegetation must be used for stabilization above high water. Any rip-rap used must not
interfere with aquatic life passage during low flow conditions.
14. If concrete is used, work must be accomplished so the wet concrete does not contact the stream water.
This will lessen the change of altering the stream's water chemistry and causing a fish kill.
15. Heavy equipment must be operated from the banks rather than in the stream channel in order to
minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
16. 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.
17. The presence of equipment in the channels must be minimized. Under no circumstances must rock,
sand or other materials be dredged from the wetted stream channel under authorization of this permit,
except in the immediate vicinity of the culverts.
18. Temporary dewatering sites must be restored to preexisting conditions unless more natural
geomorphic conditions can be provided.
19. All work shall be performed during low flow conditions.
20. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certification of
Completion Form" to notify DWQ when all work included in the 401 Certification has been
completed. The responsible party shall complete the attached form and return it to the 401/Wetlands
Unit of the Division of Water Quality upon completion of 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, which 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.
Mr. Mike Pettyjohn, P.E.
January 24, 2005
DWQ# 04-2013 Correction
Page 4
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 contact Sue Homewood at 336-771-4600 extension 252 or
[e-mail].
Sincerely,
/ Alan W. Klimek, P.E.
Attachment 'J
cc: Wilmington District Corps of Engineers
John Thomas, USACE Raleigh Field Office
Heath Slaughter, Division Environmental Officer, NCDOT Division 11
Wetlands/401 Unit
Winston Salem Regional Office
Central Files
s
A
Mr. Mike Pettyjohn, P.E.
January 24, 2005
DWQ# 04-2013 Correction
Page 5
DWQ Project No.:
County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable 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, , 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
be 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:
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
be 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:
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer 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 be 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

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Note:
Temporary erosion control
devices not shown, but will
include temporary silt screen,
rock check dams and silt
basins, as needed.
Sheet 14 Of
Date 7.2 8 03
-
. I .
U_
Survey Date p'? -
Conducted ByGN. Dw.> Q-D DS
Drawn By
• 'S_?• 1? €? C?un?? Ash ? gin- •
a
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------_ SC?CF x,1_50' ... •
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ROAD NAME: LITTLE WINDFALL RD.
COUNTY: ASHE
12/2/04
PIPE STATION SIZE CLASS REMARKS TYPE
A 3+50 60'X 18" TYPE B REPLACE CSP
B 6+40 30'X 15" PLAIN ADD CSP
C 9+50 60'X 18" TYPE B ADD CSP
D 12+75 60'X 18" TYPE B REPLACE CSP
E 18+00 18" TYPE B DELETE CSP
F 18+70 60'X 18" TYPE B ADD CSP
G 23+81 50'X 24" TYPE B REPLACE CSP
H 27+37 45'X 24" TYPE B REPLACE CSP
I 27+90 30'X 15" PLAIN ADD CSP
J 31+90 45'X 18" TYPE B REPLACE CSP
K 33+82 60'X 48" TYPE B REPLACE CSP
L 4$+20 16 X 15" RV4Ui4BDr- CSP
M 41+75 45'X 24" TYPE B REPLACE CSP
O 43+47 45'X 18" TYPE B REPLACE CSP
P 45+00 30'X 15" PLAIN ADD CSP
Q 49+17 55'X 24" TYPE B REPLACE CSP
R 50+30 30'X 15" PLAIN ADD CSP
S 53+10 30'X 15" PLAIN ADD CSP
T 53+42 55'X 36" TYPE B REPLACE CSP
U 57+00 55'X 18" TYPE B ADD CSP
V 60+64 55'X 36" TYPE B REPLACE CSP
W 62+96 85'X 48" TYPE B REPLACE CSP
X 63+20 30'X 15" PLAIN ADD CSP
Y 64+60 30'X 15" PLAIN ADD CSP
Z 66+84 50'X 24" TYPE B REPLACE CSP
AA 69+76 110' X 48" TYPE B REPLACE CSP
BB 74+50 60'X 18" TYPE B REPLACE CSP
CC 67+65 20'X 15" TYPE B REPLACE CSP
DD 69+50 30'X 15" TYPE B REPLACE CSP
EF- 31f-Zo 50'3(19 TyfY B Re"t-E CSP
FF 644s '7("K1b ITpe P Atb CSP
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SEC T IOC 10 42,
RIP RAP MATEltj A LS
10"22-1 PLAIN RII' IZnI'.
Slone for 1))aln rip I'mv s11a)) consist of field stone or rougI1 vn)le;n quarry
?1
The Shone shell be sound, tough, deli se, I eslst ni'o the action of air
anu ,wafer, cnd suitable in all 0L11°j' I'?Si)OCis f0I' the J111I'DDSe lni?ndt''d_
Where brol?em concrete from demolished s1I uciures or ?mvement is avail-
able, A-i-nay be used in place of sion2 DI'Dyidled ihr? t s11ch l.1se meets with the
IiDDroYal of ilie. ng-ineer.-H-M' yer, i11e UlSe Of K-EM CDT)Crete which
cmiains -einf'orc.ing steel will not be p=rj-niiied_
The stone or brDkeen cDncreeie small be crI'aded ID f0]]D-w1?]o-
Yequire-m tints:
For Iass 3 Diu Rap_ EionesiJa1I v-y Zn ivzig L i1'Dirl 5t0 200 founds:
L bast 30-per cni: of ih?; ioial IVaig11i of .. 121 r1D r?D. Shall be in
indavlduLl nieces -?%eI?hillg a -2mma num of 60 poilncs h_ I?7o'L Inor=*
#ilan 1-0 perceni of 111e Loin] Toiglli of ihe rip i-a ri1a3T be in int3ividllal
:. DieT'?5 tiVeiglling less ih an 15 pounds each- -
Clcs 2 HIT) Rap- S!or_e JIlall VLI !il 41T_12 ! 7 250
Doz1i]ds. i1e, si GO i)ei-cen' of t' e i.o :a] ?,vei "lt o f i71er 3D I'aD shall be 111
JIILIVICIllal pieces -,Vei(-,llln=[-, a iMlinil-11In of 200 'PouI1ds ?acll_ OL?nore
?n=n 0 O-1- CelA of the tC .A weIc-,111t OI the rii) rap ml, Je in indlivi(Ill-?1
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HIGH QUALITY WATERS
1. Uncovered areas are limited at any given time to a maximum total area of
20 acres.
2. Erosion and sedimentation con-trol measures shall be desiped to provide
protection from the 23-year storm.
3. Large Type-A basins shall be designed and constructed with a settling
efficiency of at least 70% for the 40 micron soil particle size transported
by runoff from the 2 -year storm.
4. Newly constructed channels shall be constructed with side slopes no
steeper than 2:1, unless slopes are to be stabilized by methods other than
vegetation
5. A ground cover sufficient to restrain erosion must be provided for any
disturbed area.
Ditchliner Requirements 3/5/03
SR 1358 ASHE COUNTY
3+50 34+10 LT RIP RAP
34+10 51+40 RT. ROVING
51+60 53+42 RT. RIP RAP
53+42 60+69 RT. ROVING
63+20 69+77 LT RIP RAP
69+77 80+00 RT. RIP RAP '
EROSION CONTROL DETAILS AND
SPECIFICATIONS
STANDARD DESCRIPTION " VQ0L
462.01.(5e.Gt7.on).....Rip Rap Fill Slope Protection......
876.04 .................... ip Rap Lined Ditch...............................
, -
....
1060.08:(Sectign)...Matting For Erosion Control
................
1605.01 .................. Temporary Silt Fence
............................. ....
.................. Special Sediment Control fence.................. ..... ?p
162.2.01.................. Temporary Slope Drain ................. 1
1630.02 ...................Silt Basin Type B.................................. ...
1630.03 ...................Temporary Silt Ditch.............. TS D-

1630.04 ................... Stilling Basin......................
1630.05 .................. Temporary Diversion............................... ...
1632.01 ............... Rock Inlet Sediment Trap Type-A............... ... ....
1632.02 ................... Rock Inlet Sediment Trap Type-B................ ...
.
1632.03 ...................Rock Inlet Sediment Trap T e- ^•

1633.01................... TemPo Rock Silt Check Type- A A ............. .. Mg
1633.02 ................... Temporary Rock Silt Check Type-B............. ..
1634.01 ................... Temporary Rock Sediment Dam Type-A........ .. lid
1634.02 ....................Temporary Rock Sediment Dam Type-B........ .

1635.01
• • • • • • • • • ...........Rock Pipe Inlet Sediment Trap Type-A ............
1635.02 ...................Rock Pipe Inlet Sediment Trap Type-
B .......... '
.. S
1636.01.. ..................
Rock Silt Screen ........................
J
Small Stream or Branch ..........................
........
Pipe Outlet Energy Dissipater ...................

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P. 0. Box 25201, Raleigh, NC 27611-5202 LYNDO TIPPETT
GOVERNOR PHONE: [phone] SECRETARY
December 15, 2004
Mr. John Thomas
U. S. Army Corps of Engineers Raleigh Regulatory Field Office 042013
D
6508 Falls ofNeuse Road, Suite 120 DEC 1 7 2004
Raleigh, NC 27615
DENR -WATER QUALITY
Subject: Nationwide Permit #13 & #14 WETLANDS AND STORMWATER BRANCH
SR 1358 (Little Windfall Road)
Ashe County, North Carolina
Project Number: 110.005056 (DWQ Permit Fee: $475)
Dear Mr. Thomas:
The NC Department of Transportation is scheduled to grade, drain, base and pave SR 1358, Little
Windfall Road in Ashe County. Total project length is approximately 1.52 miles. The roadway
width will increase from 16' to 18' and be paved. Impervious surface area will increase by 0.37
acres. This project will require the replacement of ten (10) wet pipes, addition of one (1) wet
pipe and elimination of one (1) wet pipe as shown below:

station Number Existing Structure
Size Proposed Pipe
Size Riprap Impacts
feet Total Impacts at
this Station k
27+37** 30'x 18" 45' x 24" 10 25
31+90** 22'x 18" 45'x 18" 10 33
33+82* 30' x 36" 60' x 48" 20 50
39+20 18' x 18" 50'x 18" 0 32
49+17 25' x 18" 55' x 24" 10 40
53+42 28' x 30" 55' x 36" 10 37
60+64* 30' x 24" 55' x 36" 10 35
62+96* 40' x 36" 85' x 48" 10 55
66+84 30'x 18" Eliminate 0 - 30
69+65**
69+76* None
42' x 36" 75'x 18"
110' x 48" 10
10 85
78
77+60 30'x 24" 50' x 24" 0 20

Total Stream Im acts = 460 feet
P. 0. Box 250, N. WILKESBORO, NC 28659
PHONE [phone] FAX [phone]
Pry i ENT
ME C E e V E D
R
Y Mr. John Thomas
SR 1358, Little Windfall Road, Ashe
Page 2
December 15, 2004
* Due to damage associated with a powerful thunderstorm in the spring of 2004, these pipes were replaced
immediately following that event. These four pipes were inadvertently replaced with longer pipes without
permits. As a result, the pre-storm pipe lengths were used in the "Existing Structure Size" column to
capture an accurate stream impact total for this secondary road improvement project. The pipe at station
33+82 has already been replaced with a 60' pipe and therefore will likely not be replaced again due to the
age of the pipe. The pipes at stations 60+64, 62+96 and 69+76 have all been replaced with pipes that are
longer than the pre-storm lengths but not long enough to accommodate the proposed typical section width
of the improved roadway. Due to the recent pipe replacements at these three stations, the pipe length today
actually falls between the pre-storm size (Existing Structure Size column) and the Proposed Pipe Size
needed for the proposed typical. As a result, these three pipes will still need to be lengthened to the
proposed pipe size indicated in the table above.
** The pipes at stations 27+37, 31+90, 69+65 and 69+76 will remain perched due to slope.
The streambank stabilization listed in the table below has already been conducted as part of the clean up
effort immediately following the thunderstorm damage in the spring of 2004. Since these impacts were
inadvertently not permitted, they have been included in this secondary road improvement permit
application.
Station Number.' Impact a Total Impacts at this Station
20+75 -23+35 Stone streambank armoring 260 feet
23+90 -24+20 Stone streambank armoring 30 feet
30+00 Gabion baskets 95 feet
31+25 Stone streambank armoring 70 feet

Total streambank impact 455 feet
Construction of this project will require impacts to waters of the United States in the New River
Basin. Wet pipes located at stations 33+82, 62+96, and 69+76 carry Little Windfall Branch
(Class: C;Tr:+). The remaining wet pipes carry different unnamed tributaries of Little Windfall
Branch. This project was reviewed for the presence of threatened and endangered species on
November 20, 2004. This project will have no effect on any federally listed endangered plant or
animal species. The State Historic Preservation Office has reviewed this project and did not
request any survey work.
The proposed project should not remove or degrade existing water quality uses. Pipe sizes used
will be the minimum necessary to create a safe roadway. All pipes with a slope greater than 6%
will remain perched and an energy dissipator pad will be installed at the pipe outlet. By utilizing
the erosion control measures outlined in the attachments to this application, downstream water
quality standards will be protected. All appropriate BMPs will be used during construction.
Attached is a Preconstruction Notification Form, plan sheets with proposed erosion control
measures, a marked county map, a marked topography map and photographs.
Mr. John Thomas
SR 1358, Little Windfall Road, Ashe
Page 3
December 15, 2004
By copy of this letter, it is requested that Mr. Ron Linville, Mountain Region Coordinator, with
the North Carolina Wildlife Resources Commission comment directly to you concerning the 404
Nationwide Permit application with a copy sent to me. Please note that a trout buffer variance
will be requested for ground disturbance within the 25-foot buffer zone of Little Windfall Branch
and UT's in the following areas: 19+25 - 25+25(Rt.), 28+75 - 34+00 (Rt.), 49+00 - 50+00 (Rt.),
and 56+00 - 80+00 (Lt.).
By copy of this letter, I am forwarding seven (7) copies of this application package to John
Hennessy, NCDENR, Division of Water Quality, 401/Wetlands Unit, for his review. It is
requested that any comments related to the 401 certification be forwarded directly to me with a
copy sent to the US Army Corps of Engineers.
We would like to begin construction as soon as possible. If further information is required, please
let me know. Your early review and consideration will be appreciated.
Sincerely,
Staci Hining
Division Environmental Specialist
Enclosures
cc: John Thomas, US Army Corps of Engineers (1 additional copy)
Ron Linville, Western Piedmont Region Coordinator, NCWRC
John Hennessy, Division of Water Quality (7 copies)
Sue Homewood, Division of Water Quality
Matt Gant, PE, Land Quality Section
Mike Pettyjohn, PE, Division Engineer
Doug Tetzlaff, District Engineer
Doug Eller, County Maintenance Engineer
Heath Slaughter, Division Environmental Officer
Neil Trivette, Roadside Environmental Field Operations Engineer
Office Use Only: Form Version April 2001
USACE Action ID No. DWQ No7 ®1
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
L Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NW #13 & #14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: North Carolina Department of Transportation
Mailing Address: P. O. Box 250, North Wilkesboro. NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: sshinina(a,dot.state.nc.us
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:_ Staci Hinina, Division Environmental Specialist
Company Affiliation: North Carolina Department of Transportation
Mailing Address: P. O. Box 250, North Wilkesboro NC 28659
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: sshininana.dot.state.nc.us
Page 3 of 12
IIl[. 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: SR 1358, Little Windfall Road
2. T.I.P. Project Number (NCDOT Only): 11C.005056
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Ashe Nearest Town: Nella
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): See attached SR map
5. Site coordinates, if available (UTM or Lat/Long): 33+82 DD: 36.55930N 81.5512° W
62+96 DD: 36.5617° N 81.5595° 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. Describe the existing land use or condition of the site at the time of this application:
Forest/Residential/Farm
7. Property size (acres): Approximately 9.21 acres
8. Nearest body of water (stream/river/sound/ocean/lake): Little Windfall Branch and UT's
(Class: C:Tr•+).
9. River Basin: New
(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/.)
10. Describe the purpose of the proposed work: Grade, drain, base and pave SR 1358
Page 4 of 12
11. List the type of equipment to be used to construct the project: Trackhoe/backhoe motor
grader and dump trucks.
IV.
V.
VI.
12. Describe the land use in the vicinity of this project: Forest/Residential/Farm
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.
Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: N/A
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. Wetland Impacts
Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100-year Floodplain** Nearest Stream
indicate on mapL- acres es/no linear feet
N/A
Page 5 of 12
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 ht1p:/hvNvN%,.1ema.aov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Length of Average
Perennial or
Site Number Type of Impact* Impact Stream Name** Width of Intermittent?
(indicate on map) (linear feet) Stream Before (please s
ecif
)
Im act p
y
Station No. Stone streambank

20+75-23+35
armoring 260 Little Windfall Branch 4 feet
Perennial
Station No. Stone streambank

23+90-24+20
armoring 30 Little Windfall Branch 4 feet
Perennial
Station No. 27+37 Pipe replacement 15 UT #1 Little Windfall
2 feet
Perennial
Branch
Station No. 30+00 Gabion baskets 95 Little Windfall Branch 4 feet Perennial
Station No. 31+25 Stone streambank
i 70 Little Windfall Branch 4 feet Perennial
armor
ng
Station No. 31+90 Pipe replacement 23 UT #2 Little Windfall 1 foot Intermittent
Branch
Station No. 33+82 Pipe replacement 30 Little Windfall Branch 3 feet Perennial
Station No. 39+20 Pipe replacement 32 UT #3 Little Windfall I foot Perennial
Branch
Station No. 49+17 Pipe replacement 30 UT #4 Little Windfall
1 foot
Perennial
Branch
Station No. 53+42 Pipe replacement 27 UT #5 Little Windfall 1 foot Perennial
Branch
Station No. 60+64 Pipe replacement 25 UT #6 Little Windfall
2 feet
Perennial
Branch
Station No. 62+96 Pipe replacement 45 Little Windfall Branch 2 feet Perennial
Station No. 66+84 Eliminate -30 UT #7 Little Windfall I foot Spring
Branch
Station No. 69+65 Pipe addition 75 UT #8 Little Windfall
1 foot
Spring
Branch
Station No. 69+76 Pipe replacement 68 Little Windfall Branch 2 feet Perennial
Station No. 77+60 Pipe replacement 20 UT #9 Little Windfall
1 foot
Perennial
Branch
Page 6 of 12
Miscellaneous
See attached rip-rap placement
for stabilization at
100 feet Little Windfall Branch Perennial,
cover letter
culvert inlets and
and UT's 1-4 feet intermittent, and
outlets Spring

- • ••••F- ? PMatc,y auu iuenury 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
XIMAV.usss.-,ov. Several Internet sites also allow direct download and printing of USGS maps (e.g., w\ w.topozone coin,
w\vw.mangucst.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 915 In. ft. of new permanent impacts
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
Type of Impact* Area of
Impact
Name of Waterbody Type of Waterbody

indicate on ma
(if applicable) (lake, pond, estuary, sound,
acres bay, ocean, etc.
* L' t h
Is eac impact separately and Identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
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.): N/A
rroposed 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.
By utilizing the erosion control measures as shown in the attached drawings adverse impacts to
Page 7 of 12
streams in the area will be minimized. Since this is an existing roadway, the stream impacts
cannot be avoided. However, the replacement pipe leng-ths will be the minimum needed to
safely construct the paved roadway. All appropriate BMPs will be used during construction
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.
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/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at IotaAi2o.enr.state. nc us/lv index htin. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Page 8 of 12
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
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 ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
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 213 .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

s uare
feet
Multiplier

Required
Mitigation
1 3
2 1.5
Total
Page 9 of 12
* Zone l 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.
XI. Stormwater (DWQ Only)
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.
Impervious surface area will increase by 0.37 acres All appropriate best management practices
for sediment and erosion control will be implemented during construction
XII. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
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).

Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
d
Date
from the applicant is provided.)
Page 10 of 12

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I ) Stream channelized by private property owner, presumably for pond construction
2) Bank stabilization from 20+75 - 23+35 (Rt.)
3) Gabion Baskets at station 30+00 (Rt.)
4) Bank armoring at station 31+25 (Rt.)
5) Pipe outlet at station 31+25
6) Pipe outlet at station 60+64

EROSION CONTROL SCHEDULE
(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 matter, according to any special permit
requi.-- rents and or requirements set out in G. S. 113A-S7.
MANDATORY STANDARDS FOR LAND-DISTURBING ACTIVCTY
Pursuantto G.S.113A-57 (3) provisions for a ground cover
sufficientto restrain erasion must be accomplished within 15
working days -or30 calendar days following completion of
construction or development, whichever period is shorter, except
as provided in 13A NGAC 4B _0024 (e).
DESIGN STANDARDS IN SENSITIVE WATERSHEDS
Parsuantto G. S.1d3A-37:(3) provisions fora ground cover
sufficient to restrain erosion must be providedforany porti on -of a
land-disturbing activity in a NQW zone within 1 S working days or 30
caiendart3aysfollowing completion of consfz-uction -or
rieveiopment, whichever period is shorter-
(3) All siltation and erosion control devices shall be properiy maintained until no
lonoer needed.
(4) On projects performed by D.O.T_ Maintenance Forces, request will promptly
be madeto the Division Roadside Environmental Unitfor stage and
permanent seeding.
(S) Any removal of siltation devices will be based on the condition of established
ground cover of that area the device is serving.