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STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNOR
DIVISION OF HIGHWAYS
March 23, 2005
Respeeffully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
'Trish Simon
Division 12 Environmental Supervisor
Mr. John Hennessy
Division of Water Quality
40 I/Transportation Permitting Unit
1650 Mail Service Center
Raleigh, N. C. 27699-1650
SUBJECT: Pipe replacement, SR 1880 (Mt. Vernon Church Road), Iredell County
Dear Mr. Hennessy:
060567
The North Carolina Department of Transportation proposes to replace a deteriorating pipe on SR 1880 (Mt. Vernon
Church Road) in Iredell County . An existing 73 foot long, 72" CMP will be replaced with a 70-foot long, 84"
CMP with inlet concrete headwall. Five feet of riprap will be utilized at the pipe inlet and outlet for stabilization.
The existing pipe is perched approximately 4 feet and a large scour hole (20 foot length x -12 foot width) has
formed at the outlet of the pipe. The scour hole will be left to provide velocity dissipation. The streambed elevation
downstream of the scourhole will be used as the control point on which to base the one-foot pipe burial. The grade
of the proposed pipe will be adjusted to eliminate the perched pipe condition.
Temporary cofferdams and bypass pumping will be used for stream management during construction. The scope of
the work will result in a 3-foot decrease of pipe fill and 10 feet of streambank riprap impacts to the unnamed
tributary to Olin Creek, which is classified as Class C waters by the Division of Water Quality.
The proposed project is not located within '/2 mile of any critical watershed area, nor is SR / 9&y a rural or urban
arterial. Hazardous spill basins are not required. Enclosed is the NCDOT hazardous spill basin checklist.
I have enclosed a courtesy copy PCN application, sketches of planned activities, and a location maps relative to the
project. If you have any questions or concerns, please feel free to contact me at [phone]. Thank you for
your time and consideration to this matter.
Enclosures
LYNDO TIPPETT
SECRETARY
Cc: Polly Lespinasse, DWQ, Mooresville Regional Office (Courtesy Copy)
Ron Linville, Wildlife Resources Commission (Courtesy Copy)
'a
Office Use Only: O C c Ford Version May
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/
m?
L Processing ?y
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:WQC# 3376 NW 3).
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: ?
II. 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: [e-mail]
Page 1 of 9
III. 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 1880 (Mt. Vernon Church Road) Pipe replacement
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12B.204911
3. Property Identification Number (Tax PIN): NA
4. Location
County: Iredell Nearest Town: Union Grove
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): NC 901 from Union Grove, south
on SR 1892 for -5 miles; left on ST 1880, 0.5 miles to pipe.
5. Site coordinates, if available (UTM or Lat/Long): 35°58'02" N/81°52'58"W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 0.20 acre (NCDOT right of way)_.
7. Nearest body of water (stream/river/sound/ocean/lake): Unnamed tributary to Olin Creek
Class C Waters (from source to Patterson).
8. River Basin: Yadkin River
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project at
the time of this application:Existing Conditions -pipe on paved secondary road. General Land
Use- residential yards, some wooded.
Page 2 of 9
10. Describe the overall project in detail, including the type of equipment to be used: The project
consist of the replacement of a failing 73-foot long; 72" CW with a 70-foot long 84" CMP
with inlet concrete headwall. Five feet of 6 rap will be utilized at the pipe inlet and outlet for
structure stabilization. A trackhoe will be used for excavating and riprap placement.
11. Explain the purpose of the proposed work: The purpose of the proposed work is to replace
a deteriorating and undersized pipe.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
NA.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests at this site are 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
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 associated
nprap for structure stabilization.
2. Individually list wetland impacts below: NO WETLAND RMPACTS
Wetland Impact Type of Area of Located within Distance to
Site Number Impact* Impact 100-year Fl lain** Nearest Stream Type of Wetland***
Page 3 of 9
(indicate on (acres) (yes/no) (linear feet)
ma
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized
clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both
structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance
Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service
Center at 1-800-358-9616, or online at http://www.fema.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:
Total area of wetland impact proposed: 0
3. Individually list all intermittent and verennial stream impacts below:
Stream Impact Length of Perennial or
Site Number Type of Impact* Impact Stream. Name** Average Width of Intermittent?
(indicate on (linear feet) Stream Before (please specify)
ma) Impact
Riprap for structure 5 ft-inlet
1 stabilization) 5 ft-outlet UT to Olin Creek 5 feet Perennial
Temporary
1 Cofferdams 10 feet "
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,
ditch ing/straightening, etc. H 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.MMuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Ri" Impacts = 10 feet.
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and anv other water of the U. S.) below: 0
Open Water Impact Area of Name of Waterbody Type of Waterbody
Site Number Type of Impact* Impact
(if applicable) (lake, pond, estuary, sound,
(indicate on ma) (acres) bay, ocean, etc.)

• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation,
dredging, flooding, drainage, bulkheads, etc.
5. Pond Creation: NO POND IMPACTS
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Page 4 of 9
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 proposed pipe will be 3 feet shorter than the existing pipe. Minimal riprap will be used for
stabilization. The existing pipe is perched approximately 4 feet and a large scour hole (-12 ft.x
-20 ft) has formed at the outlet. The streambed elevation downstream of the scour hole will be
used as the control point for the one -foot pipe burial. The grade of the proposed pipe will be
adjusted to eliminate the perched pipe condition and the scour hole will be left in place for
velocity dissipation.
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/strmizide.html.
Page 5 of 9
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 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.
IMPACTS < 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
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us,//index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
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.
Page 6 of 9
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* impea t
et) Multiplier 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.
There will be no increase in impervious acreage. Aunronriate erosion and sedimentation control
measures will be in place during the pipe replacement.
XH. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
NA
XHL Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
Page 7 of 9
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).
44,pd, 'S 3-23-09-
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 9
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41 •&t OF
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: /Z County: Project ID: 196.20gQi I
River Basin: Bridge No: pip-=
Route: 5' e /89,o
Stream: u?? c?.? tits . --1v o c-1,0 c -I" .
Water Quality Criteria: ?c,?I ss "G " r?e? res
Yes No
Stream Crossing Blue Line On USGS r? r
ORW r r?
WSI r r
WS 11,111 OR IV, Crossing Within 0.5mi of W. S. Critical Area r r?
Roadway Criteria:
Route Designation-
Yes No
Arterial Urban F P,`
Arterial Rural r rw%
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required?
r r
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).