20041362 Ver 1_Complete File_20040818

Certificate of Comr)letion
DWQ Project No.: Ll - I ?Z County: [Ik2c L ("UPS
Applicant: /VC- LD2i2cSE 'z:7?('?
Project Name: 2 6C5 Sdea.Jc'? C / `
Date of Issuance of 401 Water Quality Certification: - =
Upon completion of all work. approved within the 401 Water Quality Certification and Buffer Rules and
any subsequent modifications, the applicant is required to return this certificate to the 4011Weilands Unit,
North Carolina Division of Water Quality, 1621 Mad Service Center, Raleigh, NC, 27699-1621- This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project en-cdnee It is
not necessary to send certificates from all of these.
Applicant's Cerizficazion
I, hereby sate that to the best of my abilhi--s due c_= and
diligence was used in the oose.-vation of the construction such that the corsu-uc-tion vas obs.--vey to be
built within substantial conzpiiance and intent of the 4a1 Water Quality Ce: Lincazion and Buie: Ruin the
approved plans and specifications, and other supporting mate:ials_
S iznature: Date:
Agent's Cerzifxlazion
hereby state that., to the best of my abilities due and
diligence was used in the ae Lion of the oonstru uon such that the constr action v-as obs.-vea to be
built within substantial co=liance and intent of the 401 Water Quality C.-: dncation and Buse; Rules, :he
approved plans and specifications, and other supporting mate-ials.
Signature- Date: 911545
If this project was designed by a Certified Professional
I- as a duly registered Professional tLe,
Engineer, Landscape !architect, Surveyor, etc.) in the State of Noah Caro
lir Having been autuo_°d to
observe (periodically, weekly, full time) the construction of the proie --? for the Perttiittee h°reb<- snare, ihat
to the best of my abilities, due care and dfi.igence was used in the observation of the constru--aon suci that
the construction was observed to be bunt with -suubstantial compliance and intent of the 401 Rate. -aift--
Certification and Buffer Rules, the approved plans and specifications and oth= SuDDOrtmQ MZZ=
S iznature: Relation No _: Date:
x OF W AT F9
>_I--I
0 1;;i? -?
Michael F. Ensicy, Governor
William C, Ross Jr.. Secretary
North Carolina Department of Environment and Natural Resource
Alan W, laimek. P.E. Director
Division of Water Quality
Mr. Benton G. Payne, P.E.
NCDOT Division 10
716 West Main Street
Albemarle, NC 28001
WETLANDS/ 401 GROUP
AUG 3 0 2004
WATER QUALITY SECTION
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Payne:
August 27, 2004
DWQ# 04-1362
Mecklenburg County
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact 55 linear feet (If) of McKee Creek for the purpose of replacing an existing timber decked bridge with a
pre-stressed cored slab bridge as described in your application received by the Division of Water Quality
(DWQ) on August 18, 2004. The location of the project is State Road 2808 (Camp Stewart Road), in
Mecklenburg County. After reviewing your application, we have determined that this project is covered by
Water Quality General Certification Number 3404. This certification corresponds to the Regional General
Permit Number 198200031 issued by the U.S. Army Corps of Engineers (USAGE). Please note that you
should get any other federal, state or local permits before proceeding with your project, including those
required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed
regulations. This approval will expire with the associated 404 permit unless otherwise specified in the Water
Quality Certification.
This approval is valid solely for the purpose and design that you described in your application (unless modified
below). Should your project change, you must notify the DWQ in writing and you may be required to submit a
new application. If the property is sold, the new owner must be given a copy of this Certification and approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or in
the future) exceed one acre, or if total impacts to streams (now or in the future) exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h)(6) and (7). For this approval
to remain valid, you must adhere to the conditions listed in the attached certification.
1. The riprap used to stabilize the area around the bents and the stream banks under the bridge must not
interfere with thalweg performance and aquatic life passage during low flow conditions.
2. Disposal of old bridge material into surface waters is not allowed. Strict adherence to the USACE guidelines
for bridge demolition will be required.
3. 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.
4. Temporary dewatering sites must be restored to pre-existing conditions unless more natural geomorphic
conditions can be provided.
5. No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened.
N Carolina
o `
Naturally.
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer - 50% Recydedl10% Post Consumer Paper
i-
Page 2
6. The structures required for this project shall be installed in such a manner that the original stream profiles are
not altered (i.e., the depth of the channel must not be reduced by a widening of the streambed). Existing
stream dimensions (including pattern and profile) are to be maintained above and below locations of each
pipe. The structure shall be designed and installed to allow for fish and other wildlife movement as well as
prevent headcutting of the streams.
7. The dimension, pattern and profile of the stream above and below the crossing should not be modified.
Disturbed floodplains and streams should be restored to natural geomorphic conditions.
8. All mechanized equipment operated near surface waters must be regularly inspected and maintained to
prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials.
9. All work shall be performed during low or normal flow conditions.
10. Erosion and sediment control practices must utilize Best Management Practices (BMP) and be in full
compliance with all specifications governing the proper design, installation, and operation and maintenance of
such BMP in order to protect surface water standards:
a. The design, installation, operation, and maintenance of the sediment and erosion control measures
must be such that they equal, or exceed, the requirements specified in the most recent version of
the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all
construction sites, borrow pit sites, and waste pile (spoil) projects, including contractor-owned or
leased borrow pits associated with the project.
b. For borrow pit sites, the erosion and sediment control measures must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina Surface
Mining Manual.
c. The reclamation measures and implementation of these measures must be in accordance with the
requirements of the Sedimentation Pollution Control Act.
11. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable,
they shall be removed and the natural grade restored within 30 days after the Division of Land Resources has
released the project.
12. The North CarolinaDepartment of Transportation (NCDOT) and its contractors and/or agents shall not
excavate, fill or perform mechanized land clearing at any time in the construction or maintenance of this
project within waters and/or wetlands, except as authorized by this Certification, or any modification to this
Certification (e.g., no work shall occur outside of the footprint of the plans provided). In addition, there shall
be no excavation from or waste disposal into jurisdictional wetlands or waters associated with this
Certification without appropriate modification. If this occurs, compensatory mitigation may be required since it
is a direct impact from road construction activities.
13. Upon completion of the project, the applicant shall complete and return the enclosed "Certificate of
Completion" form to notify DWQ when all work included in the 401 Certification has been completed. Please
include photographs upstream and downstream of the structure to document correct installation.
14. Continuing Compliance. NCDOT shall conduct its activities in a manner consistent with state water quality
standards [including any requirements for compliance with section 303(d) of the Clean Water Act] and any
other appropriate requirements of state and federal law. If DWQ determines that such standards or laws are
not being met (including the failure to sustain a designated or achieved use) or that state or federal law is
being violated, or that further conditions are necessary to assure compliance, DWQ may reevaluate and
modify this certification to include conditions appropriate to assure compliance with such standards and
requirements in accordance with 15 A NCAC 2H.0507(d). Before codifying the certification, DWQ shall notify
v
Page 3
NCDOT and the USAGE, provide public notice in accordance with 15A NCAC 21-1.0503, and provide
opportunity for public hearing in accordance with 15A NCAC 21-1.0504. Any new or revised conditions shall
be provided to NCDOT in writing, shall be provided to the USACE for reference in any permit issued pursuant
to Section 404 of the Clean Water Act, and shall also become conditions of the 404 Permit for the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must
act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition that
conforms to Chapter 1508 of the North Carolina General Statutes to the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless
you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone Polly Lespinasse in the Mooresville Regional Office of 704-663-
1699.
Sincerely,
Alan W. Klimek, P.E.
Attachments
cc: Steve Lund, USACE Asheville Field Office
Rob Ridings, DWQ Central Office
Central Files
File Copy
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS W. LYNDo TIPPETT
GOVERNOR SECRETARY
August 12, 2004
1
U. S. Army Corps of Engineers WETLANDS /401 GROUP
Asheville Regulatory Field Office
Attention: Mr. Steve Lund, MS, PWS 041362 AUG 1 8 2004
151 Patton Avenue, Room 208
Asheville, NC 28801-5006 WATER QUALITY SECTION
Subject: NC Moving Ahead Project No. MA10002B,` IiAy County. WBS Element No.
37470 (DWQ Minor Permit Fee $200.00).
Dear Mr. Lund:
The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge No. 061
on SR 2808 (Camp Stewart Road) over McKee Creek in Mecklenburg County as part of the
North Carolina Moving Ahead program. The existing timber decked bridge measures 40 feet 6
inches long by 19 feet 2 inches wide. The proposed replacement structure will be a pre-stressed
cored slab bridge that measures 100 feet long' by 39 feet wide.
Protected Species
The subject project has been reviewed for the presence of federally protected species (aquatic
survey completed by John Alderman on September 25, 2003) and described in a Minimum
Criteria Checklist. It has been determined that the construction of this project will have no effect
on any listed plant or animal species.
Impacts to Waters of the United States
This project cannot be completed without impacts to waters of the United States. The project lies
in the Yadkin River Basin (Hydrologic Unit # 03040105), affecting the drainage of McKee Creek.
There will be approximately 55 linear feet of permanent impacts to the existing stream channel as "
a result of the proposed construction. The impacts will be limited to bank stabilization activities
in the area where the existing bridge headwalls are to be removed. i
Avoidance/Minimization
All surface waters not affected by the project will be protected from unnecessary encroachment.
Staging of construction equipment or storage of construction supplies will not be allowed in or
near surface waters.
716 West Main Street, Albemarle, NC 28001 a [phone] • Fax [phone]
Sedimentation and erosion control Best Management Practices for the protection of wetlands and
surface waters will be enforced during project construction. Continued coordination will occur
between maintenance forces and the Division Environmental Officer during construction in an
effort to minimize impacts to jurisdictional sites.
Compensatory Mitigation
At this time, the NCDOT does not anticipate the need for compensatory mitigation based upon
the limited impacts associated with the construction of this project.
Summary
The purpose of this letter is to request authorization to construct the proposed project under
Section 404 Regional General Permit 198200031. Application is also made to the North Carolina
Division of Water Quality (NCDWQ) for the Section 401 Water Quality Certificate (WQC) No.
GC3404 that is required in order to construct this project.
If you have, any questions or need any additional information concerning this project, please fee
free to contact Mr. Larry Thompson, Division Environmental Officer, at [phone].
Since ely,
GU?'1 ?? Gt-? ? ,r-
Benton G. Payne, P. E.
Division Engineer
BGP/LBT
cc: Mr. John Dorney, NCDWQ
Ms. Polly Lespinasse, NCDWQ
Ms. Marella Buncick, USFWS
Ms. Marla Chambers,'NCWRC
Mr. Garland Haywood, BME
Mr. Larry Thompson, DEO
Area Field Operations Unit
Bridge Maintenance
2
MA 10002B
s Mecklenburg County
Office Use Only: ()41362 Form Version April 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:
® Section 404 Permit
? Section 10 Permit
401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: RGP 198200031
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: ?
H. Applicant Information
1. Owner/Applicant Information
Name: N. C. Department of Transportation
Mailing Address: IO`h Highway Division
716 West Main Street
Albemarle NC 28001
Telephone Number: [phone] Fax Number: [phone]
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: Benton G. Payne. P. E.
Company Affiliation: Division Engineer
Mailing Address: N. C. Department of Transportation
716 West Main Street
Albemarle NC 28001
Telephone Number: [phone] Fax Number: (704) 982-3.146
E-mail Address: [e-mail]
Page I of 9
MA 10002B
s Mecklenburg County
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: 8R 2808 (Camp Stewart Road - Bridge No. 061
2. T.I.P. Project Number (NCDOT Only): MA10002B (NC Moving Ahead)
3. Property Identification Number (Tax PIN): N/A
4. Location
County: Mecklenburg_ County Nearest Town: Charlotte
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Charlotte, travel east on
NC 24-27 approximately 52 miles turning left onto SR 2805-(W. T. Harris Boulevard).
Continue on SR 2805, approximately 3.0 miles turning right onto SR 2808 (Camp Stewart
Road) Bridge No 061 is approximately 1.68 miles ahead.
5. Site coordinates, if available (UTM or Lat/Long): 35° 14' 24.45" N / 80° 38' 59.14" N
(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 project area has been heavily developed by residential developments and a golf course
located to the southeast. Interstate485 crosses SR 2808 immediately west of the project
area.
7. Property size (acres): N/A
8. Nearest body of water (stream/river/sound/ocean/lake): McKee Creek
Page 2 of 9
MA 10002B
Mecklenburg County
9. River Basin: Yadkin (Hydrologic Unit 03040105)
(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/map .)
10. Describe the purpose of the proposed work: Replacing existing xisting single span bridge (40'-6"
L x 19'-2" W) with a three span structure (100' L x 39' )n pre-stressed concrete cored slab
bridge
11. List the type of equipment to be used to construct the project: Heave construction equipment
(_Trackhoe dump truck boom truck etc.).
IV.
12. Describe the land use in the vicinity of this project: Primarily residential with a golf club
located southeast of the project area
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.
N/A
V. 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
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
Page 3 of 9
MA 10002B
Mecklenburg County
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
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no) Distance to
Nearest Stream
feet
Type of Wetland***

• List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized cleanng, 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:Hwww.fema.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 Site
Number
(indicate on
ma

Type of Impact*
Length of
Impact
(linear feet)

Stream Name**
Average Width of
Stream Before
Impact
Perennial or
Intermittent?
(please specify)
S l Bank/Bent Stabilization 55 Feet McKee Creek Varies 12.5 Feet Perennial

* 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),
Page 4 of 9
MA 10002B
Mecklenburg County
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usas.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.Igpozone.com,
www.mMuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 55 Feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
List each `impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond.,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbo
(if applicable) dy Type of Waterbody
lake, pond, estuary, sound,
bay, ocean, etc.

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.
Surface waters that are not impacted by this project will be protected from unnecessary
encroachment Staging of construction equipment will not be allowed near jurisdictional areas.
. I r.t. - - 1-.--- ----1 ------? _-_._1 D...4-Ld.-------- 4 D....n4:--, r- 4t,o
protection of wetlands and surface waters will be eniorcea aurmg`ag pnases of nrvleut
construction.
Page 5 of 9
91
MA 10002B
Mecklenburg County
Mitisation
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/ncwetiands/strrngide.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.
No mitigation is proposed for this project.
Page 6 of 9
MA 10002B
Mecklenburg County
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 hM://h2o.enr.state.nc.ustv;M/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);
VIII. 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
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 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:
Page 7 of 9
MA 10002B
Mecklenburg County
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.
X.
XI.
* Zone I 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.
NIA
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.
All appropriate Best Management Practices for sediment and erosion control will be
implemented during pipe replacement activities. While the replacement bridge deck is almost 20
feet wider than the existing bridge deck the impervious area for the roadway will remain
unchanged
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.
N/A
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
Page 8 of 9
MA 10002B
Mecklenburg County
XII. Violations (DWQ"Only)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIIL 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 ate
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
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Name: MINT HILL Location: 035' 14'23.87" N 080' 39' 00.16" W
Date: 8/12/2004 Caption: MA10002B - Mecklenburg County
Scaler 1 inch equals 1333 feet Bridge Replacement on SR 2808 over McKee Creek
Copyright (C) 1998, Maptech, Inc

SR 2808 (Camp Stewart Road)
Mecklenburg County
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Legend
Q permit site

Prepared by:
North Cardloa
Department of Transportation
I_ & Ti- pram
F.aNronnrmal Unit. DIAstan 10
Dale: Auii. 12, 2001
TWs map Is IntmdM far Inln oal DOT - only.
For an other use% no warraolYS of any sort.
Inrhding ac2vrac7, Durso, or namchantablllly
-parry this product.
SR 2808 west
http://maps2.co.mecklenburg.nc.us/servlet/com.esri.esri map. Esrimap?ServiceName=RealE:... 6/28/2004

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Change to Landscape
2002
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http://terraserver.mi crosoft. com/pri nti mage. aspx?T=4& S=8& X= 10636&Y=77994&Z=17... 6/23/2004
0' '25 m 0' '25 yd
Image courtesy of the U.S. Geological Survey
O 2004 Microsoft Corporation. Terms of Use Privacy Statement
Mecklenburg County, NC
POLARIS
Parcel Ownership and GIS Summary
Date and Time: 612812004 2:13:11 PM
Parcel /D #: 1 1143190 GIS ID #: 11143190
Owner Name: ASSOCIATION INC BRADFIELD FARMS
HOMEOWNERS
Mailing Address: 7214 MAITLAND AVE
CHARLOTTE, NC 28215
Property Characteristics
Legal Desc.: NA
Land Area: 6.22AC
Fire District: 12-ROBINSON
Special District: FIRE SERVICE A
Account Type;_ HOMEOWNERS
Municipality: 0-MECKLENBURG COUNTY-
UNINCORPORATED
Property Use: VACANT
Deed Reference(s) and Sales Price
15085-528 (4/1/2003) $25,000.00
05909-797 (11/15/1988) $0.00
Situs Addresses Tied to This Parcel
4733 CAMP STEWART RD
Site Location Information
Zoning Boundaries: Contact Appropriate Planning
Department
ETJ Area: CHARLOTTE
Charlotte Historic Districts: NO
Census Tract #: 56.08
Parcel Falls Inside SWIM Buffer?: YES
FEMA Flood Information
FEMA Panel #: 3701580125B
FEMA Flood Zone: IN AND OUT
FEMA Panel Date: 03/02/93
Regulated Watershed Information
Watershed Name: McKEE
Watershed Class:
The information provided by this program is prepared for the inventory of real property
within Mecklenburg County and is compiled from recorded deeds, plats, tax maps,
surveys, and other public records and data. Users of this map data are hereby noted
that the aforementioned public primary information sources should be consulted for
verification of the information. Mecklenburg County and its mapping contractors assume
no legal responsibility for the information contained herein.
http://maps2.co.mecklenburg.nc us/website/realestate/ParcelDetailsReport.asp, 6/28/2004
Mecklenburg County, North Carolina
POLARIS
Parcel. Ownership and GIS Summary
Date and Time: 612812004 2:06:20 PM
Parcel ID #: 11121112 GIS ID #: 11121112 Building Photography
FOwner Name: LARKHAVEN INC PHOTO #1
Location: 4801 CAMP STEWART RD
iling Address: 4801 CAMP STEWART RD
CHARLOTTE, NC 28215
Property Characteristics
Legal Desc.: NA
Land Area: 140.291 AC
Fire District: 12-ROBINSON
Special District: FIRE SERVICE A
Account Type: NC CORP
Municipality: 0-MECKLENBURG COUNTY-
UNINCORPORATED
Property Use: OFFICE PHOTO #2
Deed Reference(s) and Sales Price Location: 4801 CAMP STEWART RD
02666-384 (1/1/1975) $0.00
Situs Addresses Tied to This Parcel
4801 CAMP STEWART
Site Location Information
Zoning Boundaries: Contact Appropriate Planning
Department or See Map.
ETJ Area: CHARLOTTE
Charlotte Historic Districts: NO
Census Tract #: 56.08
Parcel Falls Inside SWIM Buffer?: YES
FEMA Flood Information Information contained within this photo may be used as a visual aid
and to generally locate, identify, and inventory parcels in Mecklenburg
FEMA Panel #: 3701580125B County, North Carolina. There are inherent errors and limitations
associated with this type of electronic medium. Mecklenburg County
FEMA Flood Zone: IN AND OUT cannot warrant or guarantee the information contained herein including
but not limited to its accuracy or completeness.
FEMA Panel Date: 03/02/93
Regulated Watershed Information Powered by
Watershed Name: McKEE. x.
Mecklenburg
Watershed Class' ` County
GIs
r
?• rn•axwfrhirTr?/bnuulinr Sj.V?+ncr
Lhinformation provided by this program is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded
, plats, tax maps, surveys, and other public records and data. Users of this map data are hereby notified that the aforementioned public
ry information sources should be consulted for verification of the information. Mecklenburg County and its mapping contractors assume no
for the information contained herein.
http://maps2.co.mecklenburg.nc.us/website/reatestate/ParcelDetailsPhotoReport.asp 6/28/2004
Mecklenburg County, NC
POLARIS
Parcel Ownership and GIS Summary
Date and Time: 6/28)2004 2:10:46 PM
Parcel ID #: 11109699 GIS ID #. 11109699
Owner Name: DEPT OF TRANSPORTATION
Mailing Address: 716 W MAIN ST
ALBEMARLE, NC 28001-4626
Property Characteristics
Legal Desc.: NA
Land Area: 3.33AC
Fire District: 12-ROBINSON
Special District: FIRE SERVICE A
Account Type: EXEMPT
Municipality: 0-MECKLENBURG COUNTY-
UNINCORPORATED
Property Use: VACANT
Deed Reference(s) and Sales Price
06340-494 (8/31/1990) $0.00
Situs Addresses Tied to This Parcel
CAMP STEWART RD
Site Location Information
Zoning Boundaries: Contact Appropriate Planning
Department
ETJ Area: CHARLOTTE
Charlotte Historic Districts: NO
Census Tract #: 56.08
Parcel Falls Inside SWIM Buffer?: YES
FEMA Flood Information
FEMA Panel #: 37015801256
FEMA Flood Zone: IN AND OUT
FEMA Panel Date: 03/02/93
Regulated Watershed Information
Watershed Name: McKEE
Watershed Class:
The information provided by this program is prepared for the inventory of real property
within Mecklenburg County and is compiled from recorded deeds, plats, tax maps,
surveys, and other public records and data. Users of this map data are hereby notified
that the aforementioned public primary information sources should be consulted for
verification of the information. Mecklenburg County and its mapping contractors assume
no legal responsibility for the information contained herein.
http://maps2.co.mecklenburg.nc.us/website/realestate/ParcelDetaiIsReport.asp 6/28/2004

Mecklenburg County, NC
POLARIS
Parcel Ownership and GIS Summary
Date and Time: 612812004 12:14:17 PM
Parcel ID #:11143191 GIS ID #: 11143191
Owner Name: DEPT OF TRANSPORTATION
Mailing Address: 716 W MAIN ST
ALBEMARLE, NC 28001-4626
Property Characteristics
Legal Desc.:
Land Area: 1.22AC
Fire District: 12-ROBINSON
Special District: FIRE SERVICE A
Account Type: EXEMPT
Municipality: 0-MECKLENBURG COUNTY-
UNINCORPORATED
Property Use: VACANT
Deed Reference(s) and Sales Price
06892-507 (5/29/1992) $0.00
Situs Addresses Tied to This Parcel
CAMP STEWART RD
Site Location Information
Zoning Boundaries: Contact Appropriate Planning
Department
ETJ Area: CHARLOTTE
Charlotte Historic Districts: NO
Census Tract #: 56.08
Parcel Falls Inside SWIM Buffer?: YES
FEMA Flood Information
FEMA Panel #: 3701580125B
FEMA Flood Zone: IN
FEMA Panel Dater 03/02/93
Regulated Watershed Information
Watershed Name: McKEE
Watershed Class:
The information provided by this program is prepared for the inventory of real property
within Mecklenburg County and is compiled from recorded deeds, plats, tax maps,
surveys, and other public records and data. Users of this map data are hereby notified
that the aforementioned public primary information sources should be consulted for
verification of the information. Mecklenburg County and its mapping contractors assume
no legal responsibility for the information contained herein.
http://maps2.co.mecklenburg,nc.us/website/realestate/ParcelDetaiIsReport.asp 6/28/2004
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