20040132 Ver 1_Complete File_20040202

? VV M I F micnaet r. tasiey, governor
0 RQG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
t?'-- Alan W. Klimek, P.E. Director
> Division of Water Quality
DWQ Project No.: 0 g v 13 3 County:
Applicant: C,07-
Project Name: S'2 183 l base
Date of Issuance of 401 Water Quality Certification:
a-P--f-1:L06c'-
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, 1650 Mail Service Center, Raleigh, NC,
27699-1650. 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, ML, pa c O a_ , 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 com Hance and intent of the 401 Water Quality Certification and Buffer
Rules the a ed 1• n ecifications and other supporting materials.
Signature: Date: 3,1,5-16Y
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:
If this project was designed by a Certified Professional
1, , 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 Permitee 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
WETLANDS 1401 GRO1J9
AUG 16 2004
WATER QUALITY SECTO

North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.ne.us/ncwetiands/
O? \NH%`CR Michael F. Easley, Governor
William G. Ross Jr., Secrelary
`ot.`rr? QG North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
Coleen H. Sullins, Deputy Director
p Division of Water Quality
February 24, 2004
Catawba County
DWQ Project No. 040133
SR 1830 (Moose Road)
APPROVAL of 401 Water Quality Certification with Additional Conditions
Mr. M. L. Ilolder, P.E.
Division Engineer
N C Department of Transportation
Post Office Box 47
Shelby, North Carolina 28151
Dear Mr. Holder:
WETLANDS / 401 GROUP
MAR 2 ?_004
WA °6 QUALITY SECTION
You have our approval, in accordance with the attached conditions and those listed below, to impact 24 linear feet of
an unnamed tributary to the Catawba River (24 linear feet of new pipe) in order to make improvements to NCSR
1830 (Moose Road) in Catawba County. The project must be constructed in accordance with the application dated
January 22, 2004 (received February 3, 2004), including the environmental commitments made in the application
letter. After reviewing your application, we have decided that this (ill is covered by General Water Quality
Certification No. 3404, corresponding to the U.S. Army Corps of Engineers Nationwide Permit Number 14. In
addition, you must 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 DWQ in tivriting and 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 the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of
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 he valid, you must follow the conditions
listed in the attached cert,ication and any additional conditions listed below.
1. Erosion and sediment control practices must be in ful° compliance with all specifications governing the proper
design, installation and operation and mai,itcnance 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. Any reclamation measures and implementation must comply with the reclamation in accordance with
the requirements orthe Sedimentation Pollution Control Act.
919 N. Main St., Mooresville, NC 28115 Telephone: [phone] Fax: [phone]
Mr. M. L. Holder, P.E.
February 24, 2004
Page "two
2. 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.
3. 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 Quality
has released the project.
4. The Catawba River and its tributaries are classified WS-IV, B, and CA at this location.
5. NCDOT shall comply with any conditions or moratoriums requested by the NC Wildlife Resources Commission.
6. Riparian vegetation must be reestablished within the construction limits of the project by the end of the growing
season following completion of construction.
7. 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.
8. 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 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. 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.
9. Removal of vegetation at the stream crossing and adjacent to streams should be minimized. Native trees and
shrubs (e.g. Rhododendron, dog hobble, willows, alders, sycamores, dogwoods, black walnut and red maple)
should be planted along the streambank to reestablish the riparian zone and to provide long-term erosion control
in the vicinity of the road crossing and along the streams within dedicated rights of way.
10. Riprap placed for bank stabilization should be limited to the streambank below the high water mark, and
vegetation should be used for stabilization above the high water elevation.
11. 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.
12. 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.
13. Excavation of the stream crossings and relocations should be conducted in the dry, if possible. Sandbags,
cofferdams, flexible pipe or other diversion structures should be used to minimize excavation in flowing water.
14. If concrete is used during culvert installation (e.g., headwalls), a dry work area should be maintained to prevent
direct contact between curing concrete and stream water. Water that inadvertently contacts uncured concrete
should not be discharged to surface waters due to the potential for fish kills.
15. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to surface
waters is strictly prohibited.
16. 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. Instream dredging has catastrophic effects on aquatic life and disturbance of the natural
form of the stream channel will likely cause downstream erosion problems, possible affecting other landowners.
17. Rock check dams at culvert outlets should be removed at project completion to avoid blocking movement of
aquatic life.
18. This certification does not authorize the discharge of waste rock and dirt into the stream or riparian zone except
for permitted areas associated with culvert conditions.
19. All work shall be performed during low flow conditions.
Mr. ?,-1. L. Iloldcr, P.E.
February 24, 2004
Page Three
20. Upon completion of the project, the NCDOT shall complete and return the enclosed "Certificate of Completion"
form to notify NCDWQ 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 NC Division of Water
Quality upon completion of the project. NCDOT is strongly advised to send in photographs upstream and
downstream of each structure to document correct installation.
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.
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 Ms. Cynthia Van Der Wiele at 919.733.5715 or Mr. Mike Parker of the
Asheville Regional Office at 828.251.6208.
Sincerely,
wx??z R. P-kl?
Alan W. Klimek, P.E.
Attachment
cc: Wilmington District Corps of Engineers
Trish Simon, Division 12, DEO
Steve Lund, USACE Asheville Field Office
Mooresville Regional Office
Wetlands/401 Unit
Mike Parker, NCDWQ Asheville Regional Office
WETLANDS / 401 GROUP

FEB 0 3 2004
WATER QUALITY SECTION
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GovERNoR
PO BOX 47, SHELBY, NC 28151
January 22, 2004
Mr. Steve Lund
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
Subject: Nationwide Permit #14
SR 1830, Moose Road
Catawba County, NC
Dear Mr. Lund:
LYNDO TIPPETT
SECRETARY
040133
The North Carolina Department of Transportation, Division of Highways, proposes the
following project for your issuance of a Section 404 Permit, NWP # 14, Road Crossing.
Moose Road (SR 1830) is currently an unpaved 18-foot wide gravel road. The Division
of Highways plans to pave the road to a width of 20 feet from SR 1004 to dead end for a
length of 0.80 miles. The project consists of the grading and paving the roadway to
current paved road standards with a pipe replacement in a jurisdictional channel at
Station 34+15. The approximate acreage of the secondary road paving project is 5.6 acres
of NC DOT right of way, with the pipe installation covering -1/10 acre.
The 68-foot, 24" reinforced concrete pipe at Station 34+15 must be extended 12 feet on
each end for a total of 24 feet of fill to accommodate the minimum pavement, shoulder,
and fill slopes. Additionally, as shown in the enclosed photographs, there is a private
access road adjacent to the existing roadway embankment. This unpaved road is the only
access point for the property owner to access his agricultural field located adjacent to the
stream channel on the downstream side. The property owner's access must be
maintained; therefore, the pipe must be extended adequately to maintain the private road
as well.
Mr. Steve Lund
Page 2- SR1830, Catawba County
January 22, 2004
The existing pipe is buried 20% on the inlet end, but due to scour, the outlet is no longer
buried. Based upon thalweg elevations taken upstream and downstream of the existing
pipe, it has been determined that pipe burial may be attainable with the addition of the
pipe length at the outlet. The pipe slope has been calculated to be ---0.4%; therefore,
stream destabilization is not anticipated. Existing channel dimensions will be
maintained. The stream is a low flow channel therefore, it is anticipated that the flow can
be dammed and the pipe extended during an eight-hour period.
Based upon the criteria outlined in the "Guidelines for the Location and Design of
Hazardous Spill Basin", referenced in DOT's Best Management Practices for the
Protection of Surface Waters, the applicable locations for hazardous spill basins are
when the stream crossing is within '/z mile of the critical watershed area and when the
road is functionally classified as a rural or urban arterial. The stream crossing is located
with a Class WS-IV watershed within the critical watershed area; however, the road is a
dead end road and is not classified a rural or urban arterial. Hazardous spill basins are
not required. Enclosed is a NCDOT hazardous spill basin checklist for the proposed
project.
A review of the Natural Heritage information for the threatened species listed for
Catawba County, the dwarf-flowered heartleaf (Hexastylis naniflora), did not reveal any
known sites in the vicinity of the proposed project. A survey for the heartleaf species
was conducted in the project area on September 24, 2003. None were observed. No
effect on this species is anticipated. A review of the available information from the
National Register of Historic Places was also conducted. It is anticipated that no historic
sites will be affected by the proposed project.
I have enclosed a straight line diagram with erosion control plan, a PCN application for
NWP #14, a sketch of planned activities, and location maps relative to the secondary road
paving project/pipe replacement project on SR 1830, Moose Road. Your earliest
consideration for this request would be greatly appreciated. Should you have any
questions, please call me at 704-480-9044.
Mr. Steve Lund
Page 3- SRI 830, Catawba County
January 22, 2004
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
ar
Trish Simon
Division 12 Environmental Supervisor
Enclosures
cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Tim Anderson, Acting Catawba County Maintenance Engineer
Mr. Jason Willis, Roadside Environmental Field Operations
Mr. Mike Parker, DENR, DWQ, Asheville Regional Office
Mr. John Dorney, DENR, DWQ, 401/Wetlands Unit
Mr. Ron Linville, N.C. Wildlife Resources Commission
Mr. Brian Cole, U.S. Fish & Wildlife Service
File
Off ice Use Only: Form Version October 2001
040133
USACE Action M No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
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: Nationwide 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: 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: tsimonQdot state nc us
Page 5 of 12
IQ. 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: Moose Road (SR 1830) sewn road paying project - Pipe replacement
on existing road alignment at Station 34+15
2. T.I.P. Project Number or State Project Number (NCDOT Only):_ 12C.018032
3. Property Identification Number (Tax PIN): N.C. DOT Right of Way
4. Location
County: Catawba Nearest Town: Catawba
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): From Hwy 10 East. Tum right
onto SR 1004 to SR 1830.
5. Site coordinates, if available (UTM or Lat/Long): 35°42' 12N/81°02'07W
(Note - ff 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: The
i r laces an existing nine on an unpaved secondary road that is to be paved
7. Property size (acres): Total secondary road paving project = 5.6 acres (NCDOT right of
way) The pipe replacement pEgjest is - 1/10 acre
8. Nearest body of water (stream/river/sound/ocean/lake): Unnamed tributary to Lake
Norman (from We's Creek _to_Cowan's Ford Daml Class WS-IV&B CA Waters.
9. River Basin: Catawba
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o enr.state.nc.us/admin/maps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: The project consists of the upgrade of an
existing unpaved road to current paved road standards for the safety of the travelling _public
NCDOT will upgrade the road on existing alignment with minor widening to meet safety
standards At Station 34+00 an existing 68-foot 24" reinforced concrete pipe will be extended
to 92 feet (12 feet will be added to both ends of the existing nine)
11. List the type of equipment to be used to construct the project: Work will be done using
Iypical heavy construction: bulldozers pans, backhoes rollers and pavers
12. Describe the land use in the vicinity of this project: The surrounding area is mostly wooded
residential,
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:
There are no other streams on SR 1830• therefore no future permit requests are anticipated for
this prgject.
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.
Page 7 of 12
I. Wetland impacts: NO WETLAND BRACTS
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100 year Floodplam**
(yes/no) Distance to
Nearest Stream
(linear feet
Type of Wetland***

* List each impact separately and identify temporary impacts. impacts include, but are not knitted to: mechanized wearing, gmamg, rut,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplams are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(MK, or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 14800-358-9616, or
online at h=://www.fem&izov.
*•* 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: 0
Total area of wetland impact proposed: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Type of Impact* Length of Stream Name** Average Width of Perennial or
Site Number Impact Stream Before Impact Intermittent?
(indicate on (linear feet) (please specify)
ma
Additional fill in
stream (pipe 24 feet Unnamed tributary 2.5 ft. Perennial
1 extension to Lake Norman
" List each impact separately and identify temporary impacts. impacts mctude, out are not urmted to: curverts and associaaxi np-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 14800-359-9616, or onlim at
www.usits.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.tot)ozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Placement of fill in
stream = 24 feet.
3. Open Water impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
nther Water of the I I S : NO OPEN WATER EMPACTS
Open Water Impact
Site Number
indicate on ma ' - -- - -- - - - -
Type of Impact* Area of
Impact
acres Name of Waterbody

(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

* List each impact separately and identify temporary impacts. Impacts mclude, out are not nnnted to: ttu, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation: NO 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
Page 8 of 12
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): NA
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): NA
Size of watershed draining to pond: NA Expected pond surface area: NA
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 existing alinment of the road will be maintained; therefore minimal grading will be done to
bring the ma p to current safety standards Due to the profile of the roadway the centerline
elevation cannot be lowered: therefore the Wpe must be extended to allow for the minimum
paveme shoal . and fill slopes There is an agricultural field adjacent to the stream channel
on the downstream end, with an unpaved access road leading down to the field from the main
rroad. This is the only access Vint for the propgrly owner therefore, the pipe extension also
maintains pEQMM access.
VIM 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.htmi.
Page 9 of 12
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.
RAPACTS < 150 FEET. THEREFORE. MITIGATION NOT ANTICIPATED.
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 btip://h2o.enr.state.nc.gst/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 (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
Page 10 of 12
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.
XL
XII.
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
mitigation is required calculate the required amount of mitigation by applying
multipliers
Zone* Impact
(sWam fed) Multiplier Required
Mid on
1 3
2 1.5
Total
If buffer
the buffer
• Zone 1 extends out 30 feet perpendicular from near bank of channel; Gone 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.
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.
SR 1830 is a 0,8 mile -18-foot unpaved road that will be paved to a 20-foot width. A minimal
increase -?0 20 acres) in impervious surface is proposed Appropriate erosion and sedimentation
control measures will be in place during construction
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.
NA
XIIL 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
Page 11 of 12
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).
NA

/-,?Z - 0
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

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Date: 1!82004 Caption: Pipe Replacement(Paving Project SR 1830, (Moose Road) an U7
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EROSION AND SEDI1?EnTATIO :
PLAN
SR 1830 CATAWBA COUNTY
DATE December 1, 2003
W.O.# 12C.018032
MOOSE RD.
DIVISION OF I UGHWAYS
DEPARTMENT OF TRANSPORTATION
STATE OF NORTH CAROLINA
EROSION AND SEDIMENTATION CONTROL PLAN
W.O. 12C.018032 SR- 1830
ROAD NAME MOOSE RD.
COUNTY CATAWBA
FROM CL. OF SR 1004 TO END OF MAINT.
WIDTH STAKED 60, RMt WtD-TH 60'
PROPOSED IMPROVEMENT
GRADE, BASE, S PAVE
DATE 1211103
SR 1830 Moose Rd.
W.O 0120.018032 v
.101 ACRE
121 CF 1131 X 5W X 2'D
4' WEIR --?
.085 ACRE
102 CF 11'L X 5'W X 2'D
4' WEIR
.076 ACRE
91 CF 10'L X 5'W X 2'D -?
.076 ACRE
91 CF 10-L X 5'W X 2'D -?
.101 ACRE
121 CF 113-L X SW X 2'D
4' WEIR
8+00
v
.101 ACRE
13'L X 5'W X 2'D 121 CF
?--- 4' WEIR
.085 ACRE
?_ 11'L X SW X 2'D 102 CF
4' WEIR
076 ACRE
10'L X 5'W X 2'D 91 CF
076 ACRE
?- 10'L X 5'W X 2'D 91 CF
.101 ACRE
13%XSWX2'D 121 CF
~- 4' WEIR
IS" RQ
0+00 IE
4- SR 1004 --Op-
SR 1830 Moose Rd.
W.O # 12C.018032 16+00
v
.092 ACRE .092 ACRE
110CF 11'LXS'WX2'D
4' WEIR
- 0 © Q
15+00 4 11'LX5'WX2'D 110CF
4' WEIR

.092 ACRE
.108 ACRE
110CF IIVLX5`WXrD --? © 4 13'LX5'WX2'D 129CF
4' WEIR 4' WEIR
14+00

.092 ACRE
110 CF 11'L X_S'W X 2'D -?
12+ 00

11+001 --'--'10
.085 ACRE
102 CF 11'L X SWX 2'D -? -110
10 +00 057 ACRE
A 9'LX4'WX2'D
4' WEIR 69 CF
BREAK BREAK

v 8+00 W
SR 1830 Moose Rd.
W.O # 12C.018032
.092 ACRE T
?
-1
110 CF 11'LX5'VUX7
A
.092 ACRE _?
110CF 11'LX5'WX2'D
.092 ACRE
11%X5'VUX 2'D 110 CF
?_ .092 ACRE
11'L X 5'VII X 2'D 110 CF
A
.092 ACRE
11'L X 5'W X 2'D 110 CF
.092 ACRE
110 CF 11'L X 5'VN X 2'D

v
v
076 ACRE
4 - 10-L X 5'W X 2'D
91 CF
SR 1830 Moose Rd.
W.0 # 12C.018032
BREAK
.076 ACRE
91 CF 10'L X 5'W X 2'D
4' WEIR

.076 ACRE
91 CF 10'L X 5'W X 2'D -
?
4' WEIR
.076 ACRE
91 CF 10'LX5'WX2'D 1 ? 0
.076 ACRE
91 CF 10-LX5'WX2'D -?
.057 ACRE
69 CF 9'LX4'WX2'D
4' WEIR
??

.092 ACRE ??
110 CF 11%XS'WX2'D
4' WEIR
32+00
BREAK
.076 ACRE
© 101 X 5'W X 2'D 91 CF
4' WEIR
D
.076 ACRE
?- 10'L X 5'W X 2'D 91 CF
4' WEIR
076 ACRE
?- 10-L X 5'W X 2'D 91 CF
076 ACRE
4-- 10-L X 5'VV X 2'D 91 CF
.057 ACRE
9'L X 4'W X 2'D 69 CF
?- 4' WEIR
?---- .092 ACRE
11'LX5'WX2'D 110CF
4' WEIR

SR 1830 Moose Rd.
W.O # 12C.018032
v
.064 ACRE
77 CF 8-LXSW X2'D -?
v
.084 ACRE
77 CF 8'L X 5'W X 2'D
v
.064 ACRE --?
77 CF 8'L X SW X 2'7D]
v
.064 ACRE
77 CF 8-LXSWX2'D -?
.085 ACRE v
102 CF Ill-L X 5W X 2-D
4' WEIR
-?
.092 ACRE _?
110CF 11'LX5'WX2'D
4' WEIR

.057 ACRE
69 CF 9'L X 4'W X 2'D -?
v
064 ACRE
~- 8'L X 5'W X 2'D 77 CF
v
064 ACRE
~- 8-L X 5'W X 2'D 77 CF
v
4 .064 ACRE
8'LX5'WX2'D 77 CF
v
064 ACRE
?- 8'L X 5'W X 2'D 77 CF
v .085 ACRE
11'L X 5'W X 2'D 102 CF
~- 4' WEIR
4-- Stream Flow
f--- .092 ACRE
11'LX5'WX2'D 110CF
4' WEIR

057 ACRE
-- 9'L X 4'VV X 2'D 69 CF
SR 1830 Moose Rd.
W.O # 120.018032
SYMBOLS
END OF MAINTENANCE
40+65
v
40+00
v TEMP. STONE DITCH CHECK
ROCK SILT BASIN TYPE B
TEMP. SEDIMENT TRAP
PIPE INLET PROTECTION
CROSSOVER PIPE
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1 I County: C'atawha Project ID:
River Basin: Catawba Bridge No: Pipe Rep./Secondary Road Paving
Route: SR 18303 Moose Road Stream: Unnamed tributary to Lake
Norman
Water Qualily Criteria:
Yes No
Stream Crossing Blue Line On USGS F F
ORW r
WSI I
WS 11,111 OR IV, Crossing Within 0.5mi of W.S. Critical Area P r
Ro4dway Criteria:
Route Designation-
Arterial Urban
Arterial Rural
Additional Site Information:
Is a Hazardous Spill Basin Required?
Yes No
r W
r pr
Yes No
F Ir
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
u? e
WETLANDS/ 401 CROUP
FEB 0 3 2004
WATER QUALITY SECTION
STATE of NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
PO BOX 47, SHELBY, NC 28151
January 22, 2004
Mr. Steve Lund
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
Subject: Nationwide Permit #14
SR 1830, Moose Road
Catawba County, NC
Dear Mr. Lund:
LYNDO TIPPETT
SECRETARY
®40133
The North Carolina Department of Transportation, Division of Highways, proposes the
following project for your issuance of a Section 404 Permit, NWP # 14, Road Crossing.
Moose Road (SR 1830) is currently an unpaved 18-foot wide gavel road. The Division
of Highways plans to pave the road to a width of 20 feet from SR 1004 to dead end for a
length of 0.80 miles. The project consists of the grading and paving the roadway to
current paved road standards with a pipe replacement in a jurisdictional channel at
Station 34+15. The approximate acreage of the secondary road paving project is 5.6 acres
of NC DOT right of way, with the pipe installation covering -1/10 acre.
The 68-foot, 24" reinforced concrete pipe at Station 34+15 must be extended 12 feet on
each end for a total of 24 feet of fill to accommodate the minimum pavement, shoulder,
and fill slopes. Additionally, as shown in the enclosed photographs, there is a private
access road adjacent to the existing roadway embankment. This unpaved road is the only
access point for the property owner to access his agricultural field located adjacent to the
stream channel on the downstream side. The property owner's access must be
maintained; therefore, the pipe must be extended adequately to maintain the private road
as well.
Mr. Steve Lund
Page 2- SR1830, Catawba County
January 22, 2004
The existing pipe is buried 20% on the inlet end, but due to scour, the outlet is no longer
buried. Based upon thalweg elevations taken upstream and downstream of the existing
pipe, it has been determined that pipe burial may be attainable with the addition of the
pipe length at the outlet. The pipe slope has been calculated to be -0.4%; therefore,
stream destabilization is not anticipated. Existing channel dimensions will be
maintained. The stream is a low flow channel therefore, it is anticipated that the flow can
be dammed and the pipe extended during an eight-hour period.
Based upon the criteria outlined in the "Guidelines for the Location and Design of
Hazardous Spill Basin", referenced in DOT's Best Management Practices for the
Protection of Surface Waters, the applicable locations for hazardous spill basins are
when the stream crossing is within '/z mile of the critical watershed area and when the
road is functionally classified as a rural or urban arterial. The stream crossing is located
with a Class WS-IV watershed within the critical watershed area; however, the road is a
dead end road and is not classified a rural or urban arterial. Hazardous spill basins are
not required. Enclosed is a NCDOT hazardous spill basin checklist for the proposed
project.
A review of the Natural Heritage information for the threatened species listed for
Catawba County, the dwarf-flowered heartleaf (Hexastylis naniflora), did not reveal any
known sites in the vicinity of the proposed project. A survey for the heartleaf species
was conducted in the project area on September 24, 2003. None were observed. No
effect on this species is anticipated. A review of the available information from the
National Register of Historic Places was also conducted. It is anticipated that no historic
sites will be affected by the proposed project.
I have enclosed a straight line diagram with erosion control plan, a PCN application for
NWP #14, a sketch of planned activities, and location maps relative to the secondary road
paving project/pipe replacement project on SR 1830, Moose Road. Your earliest
consideration for this request would be greatly appreciated. Should you have any
questions, please call me at 704480-9044.
Mr. Steve Lund
Page 3- SRI 830, Catawba County
January 22, 2004
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
ar
Trish Simon
Division 12 Environmental Supervisor
Enclosures
cc: Mr. Michael L. Holder, P.E., Division Engineer
Mr. Tim Anderson, Acting Catawba County Maintenance Engineer
Mr. Jason Willis, Roadside Environmental Field Operations
Mr. Mike Parker, DENR, DWQ, Asheville Regional Office
Mr. John Dorney, DENR, DWQ, 401/Wetlands Unit
Mr. Ron Linville, N.C. Wildlife Resources Commission
Mr. Brian Cole, U.S. Fish & Wildlife Service
File
Office Use Only: 0 4 41 33 Form Version October 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
N Section 404 Permit
? Section 10 Permit
N 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 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: ?
IL Applicant Information
1. Owner/Applicant Information
Name: Mike Holder. N Department of Transportation
Mailing Address: P O Box 47
Shelby, North Carolina 28151
Telephone Number: 704480-9020
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. fartment 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(aMot state nc us
Fax Number: 704-480-5401
Page 5 of 12
11L 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: Moose Road (SR 1830) second ry road paying pEpiect - Pipe replacement
on existing road alianment_at Station 34+15,
2. T.I.P. Project Number or State Project Number (NCDOT Only):_ 12C.018032
3. Property Identification Number (Tax PIN): N.C. DOT Right of Way
4. Location
County: Catawba Nearest Town: Catawba
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers, landmarks, etc.): From Hwv 10 East. Turn right
onto SR 1004 to SR 1830.
5. Site coordinates, if available (UTM or Lat/Long): 35°42' 12N/81 °02'07W
(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: The
pipe replaces an existiM pipe on an unpaved secondary road that is to be paved
7. Property size (acres): Total secondary road paying project = 5.6 acres (NCDOT right of
way)) The pipe replacement project is - 1/10 acre
8. Nearest body of water (stream/nver/sound/ocean/lake): Unnamed tri ute to Lake
Norman (from L lle's Creek to Cowan's Ford Dowl Class WS-IV&B CA Waters
9. River Basin: Catawba
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: The project consists of the upmde of an
existing unpaved road to wayrit paved road standar ds for the safM of the travelling public
NCDOT will upgrade the road on existing alignm ent with minor widening to meet safety
standards At Station 34+00 an existing 68-fo ot 24" reinforced concrete pipe will be e xtended
to 92 feet 112 feet will be added to both ends of the ex isting vine)
11. List the type of equipment to be used to construct the project: Work will be done using
Wical heavy construction: bulldozers, pans, backhoes rollers, and pavers.
12. Describe the land use in the vicinity of this project: The surrounding area is mostly wooded
residential,
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:
There are no other streams on SR 1830• therefore no future permit requests are anticipated for
this project.
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.
Page 7 of 12
1. Wetland Impacts: NO WETLAND IMPACTS
Wetland Impact
Site Number
indicate on ma
Type of impact* Area of
Impact
acres Located within
100 year Floodplam**
(yestno) Distance to
Nearest Stream
(linear feet
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanizes clearing, grading, all,
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
(FIRK, or FEMA-approved local floodphun maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at hU://www.fem&gov.
**• List a wetland type that best describes wetland to be impacted (e.g., freshwater/sariwater marsh, forested wetland, beaver pond,
Carolina say, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0
Total area of wetland impact proposed: 0
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact Type of Impact* Length of Stream Name** Average Width of Perennial or
Site Number Impact Stream Before Impact Intermittent?
(indicate on (linear feet) (please specify)
ma
Additional fill in
stream (pipe 24 feet Unnamed tributary 2.5 & Perennial
1 extension to Lake Norman
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: curvens ana associates np-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net losstgain),
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 (umramed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usas.sov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.tppoz.one.com,
www.mapguest.wm, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: Placement of fill in
stream = 24 feet.
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.: NO OPEN WATER IMPACTS
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Watetbody
fie' pond, estuary, sound,
bay, ocean, etc.

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: uti, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation: NO 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
Page 8 of 12
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): NA
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): NA
Size of watershed draining to pond: NA Expected pond surface area: NA
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 existing alignment of the road will be maintained; therefore minimal grading will be done to
bring the road up to current safety standards Due to the profile of the roadway, the centerline
elevation cannot be lowered therefore the pipe must be extended to allow for the minimum
pavemep, shoulder and fill slopes There is an agricultural field adjacent to the stream channel
on the downstream end with an Waved access road leading down to the field from the main
road This is the gnly access point for the pro gr owner; therefore the pine extension also
maintains propM access.
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.htmi.
Page 9 of 12
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.
IMPACTS < 150 FEET, THEREFORE, MITIGATION NOT ANTICIPATED.
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 http://h2o.enr.state.nc.WwrpAndex.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 (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
Page 10 of 12
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
J
?. Multiplier Recluired
Impact
Zone* ,_
2
Total
1.5
• Zone I extends out 30 feet petpendicular from near bank of channel; Zone 2 extends an
additiona120 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 (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.
SR 1830 is a 0.8 mile 18 foot unpaved road that will be paved to a 20-foot width A minimal
increase (-0.20 acres) in impervious surface is proposed Appropriate erosion and sedimentation
control measures will be in place 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.
NA
XUL 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
Page 11 of 12
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).
NA

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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EROSION AND SEDI?Erir-rATIaN,-
Cow1PLAN,
SR 1830 CATAWBA COUNTY
DATE December 1, 2003
W.O.# 120.018032
MOOSE RD.
DIVISION OF HIGHWAYS
DEPARTMENT OF TRANSPORTATION
STATE OF NORTH CAROLINA
EROSION AND SEDIMENTATION CONTROL PLAN
W.O. 12C.018032 SR- 1830
ROAD NAME MOOSE RD.
COUNTY CATAWBA
FROM CL. OF SR 1004 TO END OF MAINT.
WIDTH STAKED 601 RAN-WIDTH 60'
PROPOSEDIMPROVEMENT
GRADE, BASE, S PAVE
DATE 12/1/03
SR 1830 Moose Rd.
W.O # 120.018032 v 8+00
.101 ACRE
121 CF 113-L X SW X 2'D
4' WEIR -?
,w 7+00
.085 ACRE _?
102 CF 11'LXS'WX2'D
4' WEIR
6+00
.076 ACRE
91 CF 10-L X 6'W X Z'D -?
.076 ACRE
91 CF 10-L X SW X 27D -?
A
.101 ACRE
121 CF 113-L X SW X 2'D
4' WEIR -'?
v
.101 ACRE
13% X SW X 2'D 121 CF
4 4' WEIR
.085 ACRE
~- 11'L X SW X 2'D 102 CF
4'%
EIR
A
4+00
076 ACRE
10-L X SW X 2'D 91 CF
076 ACRE
?'- 10'L X SW X 2'D 91 CF
?111
BREAK
BREAK
v
- 10+001
_
4-- SR 1004 --?
v
.101 ACRE
13% X SW X 2'D 121 CF
?- 4' WEIR
s
SR 1830 Moose Rd.
W.O # 12C.018032
v
.092 ACRE
'
'
'
110CF 11
WX2
D
LX5
4' WEIR
--'?

.092 ACRE
110CF 11'LX5'WX2'D -?
4' WEIR
.092 ACRE
110 CF 11'L X5'W X 2'D `?
.085 ACRE
102 CF 11'1- X 5'YItX 2'D -10
16+00
v
.092 ACRE

© 4 11'L X 5'W X 2'D
4' WEIR 110 CF

108 ACRE
© ?--- 13-L X 5'W X 2'D 129 CF
4' WEIR
A
A
.057 ACRE
9'LX4'WX2'D 69 CF
4' WEIR
%0
W
SR 1830 Moose Rd.
W.O # 12C.018032
.092 ACRE
110CF 11'LX5'WX2'D

.092 ACRE
110 CF 11'L X 5'W X 2'D

.092 ACRE
110CF 11'LXS'WX2'D

v
?_ .092 ACRE
11%X5'WX2'D 110 CF
.092 ACRE
11'LXS'WX2'D 110CF
?_ .092 ACRE
11'LX5'WX27D 110CF
v
076 ACRE
~- 10-L X 5'W X 2'D 91 CF
SR 1830 Moose Rd.
W.O # 12C.018032
BREAK
LJ
.076 ACRE
'
'
'
91 CF WX2
D
10
LXS
4' WEIR

.076 ACRE
91 CF 10-L X 5'W X 2'D -
?
4' WEIR

32+00
BREAK
L31 +00 v

.076 ACRE
91 CF 10-L X 5'W X 2'D -?
28+00
.076 ACRE
91 CF 10-L X 5'W X 2'D -?
.076 ACRE
© 10'L X 5'W X 2'D 91 CF
4' WEIR
076 ACRE
?"- 10'L X 5'W X 2'D 91 CF
4' WEIR
076 ACRE
~- 10-L X 5'W X 27D 91 CF
076 ACRE
?-`- 10-L X 5'W X 2'D 91 CF
27+00
BREAK I BREAK
.057 ACRE
69 CF 9%X4'WX2'D
4' WEIR
-?

.092 ACRE
110 CF 11'LXSWX2'D
4' WEIR
.057 ACRE
9'L X 4'W X 2'D 69 CF
~- 4' WEIR
?---- .092 ACRE
11'LXS'WX2'D 110CF
4' WEIR
SR 1830 Moose Rd.
W.O # 12C.018032
40+00
v I ! I v
.064 ACRE 39+00 .064 ACRE
77 CF 8-L X 5'W X TD -? ? 8-L X 5'W X 2'D 77 CF
v I I I v
.084 ACRE * 064 ?? ?_ ACRE
77 CF 8'LX5'WX2'D SL X SW X2D 77 CF
v 1,/
.064 ACRE --? ?- .064 ACRE
77 CF 8-LX5'WX2'D 8-LXS'WX27D 77 CF
V 36+00 v ACRE '-j 77 CF 8-LXSWX2D -? ?? I I ?- 8-LXS'WX2D 77 CF

.085 ACRE v v .085 ACRE
102 CF 111-L X SW X 2D
4' WEIR
-? 11'LXS'WX2'D 102 CF
~- 4' WEIR

" RQ P -)N2 - Stream Flow
.092 ACRE -_? © ?--- .092 ACRE
110CF 11'LXS'WX2'D 11'LX5'WX2'D 110CF
4' WEIR 4' WEIR

.057 ACRE 057 ACRE -1
69 CF 9-LX4'WX2D -? I I ?- 9-LX4'WX2D 69 CF
SR 1830 Moose Rd.
W.O # 12C.018032
SYMBOLS
END OF MAINTENANCE
40+65
40+00
v TEMP. STONE DITCH CHECK
ROCK SILT BASIN TYPE B
© TEMP. SEDIMENT TRAP
PIPE INLET PROTECTION
CROSSOVER PIPE
NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: J? County: C'atawha Project ID:
River Basin: Catawba Bridge No: Pipe Rep./Secondary Road Paving
Route: SR 1830. Moose Road Stream: Unnamed tributary to i.ake
Norman
Water Quality Criteria:
Yes No
Stream Crossing Blue Line On USGS R F
ORW r Fl
WSI r R
WS II,III OR IV, Crossing Within 0.5mi of W.S. Critical Area 17 r
Roadway Criteria:
Route Designation-
Arterial Urban
Arterial Rural
Additional Site Information:
Is a Hazardous Spill Basin Required?
Yes No
r r?
r ?
Yes No
r I,
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).

STATE or. NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
0Ao133
WETLANDS/ 401 GROUP
MEMO TO: John Dorney, DENR/DWQ/401/Wetlands Unit FEB 0 ;8 ?_004
FROM: Trish Simon, Division 12 Environmental Supervisor 15
WATER (QUALITY SECTION
DATE: January 22, 2004
SUBJECT: Pre-Construction Notification/401 Automated Payment
Enclosed are seven copies of a pre-construction notification for a NCDOT project in
Catawba County for your review.
Project information for the 401 Automated Payment Procedure
• Work order number: 150460-55120005-12.C018032-3855
• TIP #: NA
• Project Category: $200.00 Fee
A i'P?jf - 'I
is
Post Office Box 47 Shelby, North Carolina 28151-0047