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HomeMy WebLinkAbout20041325 Ver 1_Complete File_20040811F wH T? Z?, ?,. Q /Q William G. Ross Jr., Secretary ?O? QG North Carolina Department of Environment and Natural Resources G? Alan W. IaineK P.E. Director Division of Water Quality DWQ Project No.: 0 V- /_S d S County: Applicant: i Project Name: a Date of Issuance of 401 Water Quall v Certification: Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division of Water Quality, 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, n - t , hereby state that, to the best of my abilities, due care and diligence, was used in he ,observation of the construction such that the construction was observed to be built, *pd w intent of the 401 Water Quality Certification and Buffer Rules, the! a ns, and other supporting materials. Signature: Date: LOLL ?e7O d... Agentl4l', Certification 1, , 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 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:/lh2o.enr.state.nc.us/newetlands/ OF W A 7-E9 Nhchacl F. Easley, Governor a ?C \ OG \viiham li. Moss it.. Sccretury 7 North Carolina Depan ntenl of Environment and Natural Resource. p Alan W. Klimek. P.1 . Director Division ol'Watcr Quality, August 18, 2004 DWQ# 04-1325 Union County Mr. Benton Payne, P.E. NCDOT Division 10 WETLANDS 1401 GROUP 716 West Main Street Albemarle, NC 28001 AUG 2 4 1004 APPROVAL of 401 Water Quality Certification with Additional Conditions WATER QUALITY SECTION Dear Mr. Payne: You have our approval, in accordance with the attached conditions and those listed below, to permanently impact a total of 52 linear feet (If) (24 If at Station 11+87 and 28 If at Station 13+75) of unnamed tributaries* to Richardson Creek for the purpose of replacing existing culverts for the proposed upgrading of an unpaved road to a paved road as described in your application received by the Division of Water Quality (DWQ) on August 16, 2004. The location of the project is State Road 2147(Augustus Road), in Union 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 Nationwide Permit Number 14 issued by the U.S. Army Corps of Engineers (USACE). Please note that you should get any other federal, state or local permits before proceeding with your project, including those required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed regulations. This approval will expire with the associated 404 permit unless otherwise specified in the Water Quality Certification. This approval is valid solely for the purpose and design that you described in your application (unless modified below). Should your project change, you must notify the DWQ in writing and you may be required to submit a new application. If the property is sold, the new owner must be given a copy of this Certification and approval letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or in the future) exceed one acre, or if total impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h)(6) and (7). For this approval to remain valid, you must adhere to the conditions listed below and in the attached certification. Placement of culverts and other structures in waters, streams and wetlands must be below the elevation of the streambed by one (1) foot for all culverts with a diameter greater than 48 inches, and 20 percent of the culvert diameter for culverts having a diameter less than 48 inches, to allow for low flow passage of water and aquatic life, as well as prevent headcutting of the streams. Design and placement of culverts and other structures including temporary erosion control measures shall be installed in such a manner that the original stream profiles are not altered (i.e., the depth of the channel must not be reduced by a widening of the streambed). Existing stream dimensions (including pattern and profile) are to be maintained above and below locations of each culvert. The applicant may be required to provide evidence that the equilibrium has been maintained, if requested in writing by the DWQ. 2. Heavy equipment must be operated from the banks rather than in the stream channel, when possible, in order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream. *No stream determination performed. No hCarolina Naturally North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1 6 1 7 Phonc (919) 733-7015 Customer Service Internet h2o.enr.state.nc.us 512 N. Sal ishury St. Raleigh. NC 27604 FAX (919) 733-2496 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper w ,"1% Page 2 3. Temporary dewatering sites must be restored to pre-existing conditions unless more natural geomorphic conditions can be provided. 4. No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened. 5. 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. 6. 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. 7. All work shall be performed during low or normal flow conditions. 8. 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. 9. 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. 10. The North Carolina Department of Transportation (NCDOT) and its contractors and/or agents shall not excavate, fill or perform mechanized land clearing at any time in the construction or maintenance of this project within waters and/or wetlands, except as authorized by this Certification, or any modification to this Certification (e.g., no work shall occur outside of the footprint of the plans provided). In addition, there shall be no excavation from or waste disposal into jurisdictional wetlands or waters associated with this Certification without appropriate modification. If this occurs, compensatory mitigation may be required since it is a direct impact from road construction activities. 11. 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. 12. 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). ? w Page 3 Before codifying the certification, DWQ shall notify NCDOT and the USACE, 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 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a hearing. This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any questions, please telephone Polly Lespinasse in the Mooresville Regional Office at 704-663- 1699. Sincerely, Alan W. Klimek, P.E. Attachments cc: Steve Lund, USACE Asheville Field Office Rob Ridings, DWQ Central Office Central Files File Copy %Vz' ? A 04 1325 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MICHAEL F. EASLEY DIVISION OF HIGHWAYS W. LYNDO TIPPETT GOVERNOR SECRETARY August 9, 2004 WETLANDS 401 GROUP North Carolina Division of Water Quality AIJ(I I s ?U(I? 401 Wetlands Certification Unit Attn: Mr. John Dorney WATER QUALITY SECTION 2321 Crabtree Boulevard Raleigh, NC 27604-2260 Subject: Application for Secondary Road Improvements to SR 2147 (Augustus Road), Union County. State Work Order No. 100.090075 (DWQ Minor Permit Fee $200.00). Dear Mr. Lund: The North Carolina Department of Transportation (NCDOT) proposes to upgrade SR 2147 (Augustus Road), in Union County. SR 2147 is an unpaved roadway that will be upgraded to a paved roadway. The total project length is 0.35 mile. Transportation and highway laws of North Carolina (G.S. 136-44.6, 136-44.7, 136-44.7A, 136- 44.8 and 136-44.9) require the NCDOT to develop annual work programs for construction and maintenance of secondary roads. These general statutes specifically set forth requirements for annual construction and paving of existing unpaved roads. Paving of these roads is performed in priority order as established by the NCDOT for each unpaved road within a given county. This number is based on characteristics of each road, including number of homes, schools, churches, businesses, industries, recreational facilities, traffic counts, presence of school bus routes, and value as a thoroughfare. SR 2147 is scheduled for paving in the 2003-2004 Secondary Roads Construction Program. Protected Species The subject project has been reviewed for the presence of listed threatened and endangered species. It has been determined that the construction of this project will have no effect on any listed plant or animal species. 716 West Main Street, Albemarle, NC 28001 • (704) 982-0101 • Fax (704) 982-3146 '. w 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-Pee Dee River Basin (Hydrologic Unit # 03040105), affecting the drainage of unnamed tributaries to Richardson Creek. There will be approximately 52 linear feet of permanent impacts to the existing stream channels as a result of the proposed construction. Wetland Impacts There are no wetland impacts that will result from the construction of this project. Stream Impacts There are a total of two impacts to intermittent streams associated with the construction of this road. Table 1 includes information related to site number, stream name, existing pipe length (ft), existing pipe width (in), proposed replacement or extended pipe length (ft) and width (in). Table 1. Impacts to Streams from improvements to SR 2147 (Augustus Road) Site Existing Existing Proposed Proposed No. Stream Name Length Width Length Width feet inches feet inches Sta. 4 UT to Richardson Creek 36' 30" 60' 36" 11+68 Sta. UT to Richardson Creek 32' 15" 60' 18" 13+75 Note: "UT' refers to unnamed tributary. Avoidance/Minimization All wetlands or surface waters not affected by the project will be protected from unnecessary encroachment. No staging of construction equipment or storage of construction supplies will be allowed in or near wetlands or surface waters. The side slopes have been steepened to the extent possible and the proposed roadway adjusted to lessen the impacts to jurisdictional sites. 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 a Section 401 Water Quality Certificate (WQC) No. GC3404. 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 (704) 982-0101. Sincerely, ?? / ? 7th cs Benton G. Payne, P. E. Division Engineer BGP/LBT cc: Ms. Polly Lespinasse, NCDWQ Ms. Marella Buncick, USFWS Ms. Marla Chambers, NCWRC Mr. David Gillette, CME Mr. Larry Thompson, DEO Area Field Operations Unit Office Use Only: USACE Action ID No. DWQ No. 13 2 , Form Version April 2001 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 Owner/Applicant Information Name: N C Department of Transportation Mailing Address: 716 West Main Street Albemarle NC 28001 Telephone Number: (704) 982-0101 Fax Number: (704) 982-3146 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: 716 W. Main Street Albemarle NC 28001 Telephone Number: (704) 982-0101 Fax Number: (704) 982-3146 E-mail Address: bpayne dot state nc us Page I of 9 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 1.1 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: SR 2147 (Augustus Road) 2. T.I.P. Project Number (NCDOT Only): N/A 3. Property Identification Number (Tax PIN): N 4. Location County: Union County Nearest Town: Monroe (Union County) Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): From Monroe, travel south on NC 200, turning left onto SR 2146 (Plyler Mill Road). SR 2147 (Augustus Road) is approximately 0 miles ahead on the right. 5. Site coordinates, if available (UTM or Lat/Long): 34° 55' 28.04" N / 80° 34'40.19" W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Describe the existing land use or condition of the site at the time of this application: RuraUAgricultural 7. Property size (acres): N/A 8. Nearest body of water (stream/river/sound/ocean/lake): Richardson Creek 9. River Basin: Yadkin-Pee Dee (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/maps/.) Page 2 of 9 10. Describe the purpose of the proposed work: Grade, drain, base, pave and erosion control to brinp- existing gravel road in compliance with standard safety design specifications Work will require replacing two culverts (see plan sheets). 11. List the type of equipment to be used to construct the project: Heavy construction equipment (backhoe, track hoe excavator, grader, boom truck dump trucks etc.). 12. Describe the land use in the vicinity of this project: Mixed Agricultural/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. 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 plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 3 of 9 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 linear feet Type of Wetland*** * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till, 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 kitty;;%v% Nv.tema.gov. ••• List a wetland type that best describes ,wetland to be impacted (e.g., freshwater/saltwater marsh, tbrested wetland, beaver pond. Carolina [lay. bog. etc.) List the total acreage (estimated) of existing wetlands on the property: N/A Total area of wetland impact proposed: N/A 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? leases cif y) Sta. # 11+87 36" x 60' RCP 24' UT to Richardson Creek Approx. 2' Intermittent Sta. # 13+75 18" x 60' RCP 28' UT to Richardson Creek Approx. I' Intermittent * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.uses.Qov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapguest.com, etc.). Page 4 of 9 Cumulative impacts (linear distance in feet) to all streams on site: 52 feet of permanent 3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres Name of Wat) (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging. flooding, drainage, bulkheads, etc. 4. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Wetlands or surface waters not affected by the moiect will be protected from unnecessarv encroachment. No staging of construction equipment will be allowed in or near wetlands or waters of the United States. Strict enforcement of sedimentation and erosion Best Management Practices for the protection of wetlands and surface waters will be enforced during all phases of project construction. Page 5 of 9 VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at http://h2o. enr. state. nc.us/ncwetlands/strmgide.html. 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. 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 Page 6 of 9 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:/Ai2o enr.state.nc.us/wri)/indcx.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 (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Will the project impact protected riparian buffers identified within 15A NCAC 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. Page 7 of 9 Zone* Impact (square feet Multiplier Required Mitigation I 3 2 1.5 Total * Zone I extends out 30 I'Let perpendicular from near frank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or.0260. XI. Stormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. The existing eravel base road is greater than 20 feet in width. The proposed improvements will be 20 feet in width. There will not be an increase in impervious area as a result of this project being constructed. Temporary dewatering and all appropriate Best Management Practices for sediment and erosion control will be implemented during pipe replacement/extension activities on an as needed basis. 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. N/A Page 8 of 9 XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes ? No Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). Applicant/Agent's Signature Pate (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 9 of 9 l ?f 4p M` D g ` \wONt w 4 / (200 -01 ROUGHELAGE 0 i _ u ?. HUNTINGT(JN FARMS - -- --- I 1 I ?I I J n HEn -ri v ¦ r (;leiksvdlc AME 7inn Sa 01 V ,V/v ?- Ili 623 • 1A0 0 1 1 18 ?R24 u od ?' ', ? --- III ,..? ?.• ? . `'? ? 1,-- ?^` i ' 2 601) - JJ / L • (p5 ? ? Name: MONROE Location: 034° 55'27.83" N 080° 34'42.26" W Date: 7/30/2004 Caption: Union County Scale: 1 inch equals 1333 feet SR 2147 (Augustus Road) Copyright (C) 1998, Maptech, Inc. SR 2147 (Agustus Road) Union County Legend Q permit site Frepved q: North Carolina Depnrbnrol of Transportation Fadronmenlni Unit, Division 10 Dose: May 2a 2004 Ihir Map Is Intended for Internal DOT use only. For all other user, no warranties of my rvl, ncluding cnvncy, ntney or merchmlrthUfly ummpmy this product. 0 550 1,100 2,200 3,300 4,400 Ig P-4 y (? J U) n ii o } N U m W a_ (n u U Z J F- O W Y W Y W O (Y Q CL u a v i v 1- Z N U r z r O cn I I Uy I I o I I o #. I I I o I I I w n 04 I I I ? I I I I I I I I I I I I I I I I I co 3_ I I I ? _ . I I I I I I g3° :a° z; :' I I I a I ? I I Sao ?, ? ?? ¢?? ? I I I _ CL z rr?? ®I I ?I I I ti??0 I I V/J I I ?I I I ? I ? I I ? LLJ ? v, Z ?I I ®I I ?I I I ? ? ? ? I I I ? w sn ? ? E? I i I I O? ?? °w o4 ? I I ?? I I I I Z ti>?w wwd, Q ? I I I I ? `' ?ZOO ® ?I I I I 800 09-0+60 B ?I I I I ? ?I 19 I I 0 0 u 4 c? RA, ' I • ? F?-i ? i i at 3e ?R I I I I ? ? ? 1 1 1 1 1 1 I 1 1 1 1 1 1 l i '? ?? ? 1 1 1 1 1 1 I 5 ? I I '?'i I `I ? ? I I V t I I\ i .. ? I;® BIZ®® I mWON R- (gasma, 943 0(2' 15 F ly HE (Day oaz4.2wfR;'l Q w ? w C O F I ? U F r C '- ®m a m Q W a W } d w r r '- r a a Y u Y U m o ? x x z z _ W r m r ut a r ui U ui (7 uwi a z r w r m r .'J. U1 v ? ¢ ? W r r m r r to Y ? ?- ¢ ? W r Y c ? > ¢ ? 1J r ¢ ¢ a W r °' •-i z w `a Y U ¢ ? in Y U ¢ ¢a w u O ¢ p ? U C] U V fi U 111 ,? N ? Q' ? '° N N O• m N Q' CO N ? pp'0'0' ? m m ? m LO Q iri 0 0 co 0 0 ti N i ?N J C 0 N (0 N' 5t ?v 3. i, m 0 w W W d Z N W < f f f Z N ? L = S N m vW 0 Z W W a.N? ~ W v< ? O S Z G Q a LO 7' Q) lp co O M O ((D O 00 O U) IL U) CL ti ?r r- U) g L N 9v r- H Secondary Road Construction Cost Estimate 7/2/2004 SR: 2147 NAME: AUGUSTUS`RD LENGTH: 0.35 Miles DATE: 5/12/2003 LN11-1 L M n GRADE: RURAL: 0.35 Grading i1I Debris= iv1 = $31,27 70 hr. S 415 /hr. 10 hr. $ 222 /hr. BASE: (Width x Length x Depth x 149 Ib1ft^3) / 2000 [h/ton = 1744.77 tons Width = 19 ft Len-th = 1.548 ft Depth = 0.667 ft 1,745 tons x S10.00/ ton = $17,44 PA'v'E: (Width x Len?-th )/9ft^2/}d^2 = 3696.00 2.00/ svd Width = 13 tt Length = 1.848 ft = $7,39 E. C.: 0.35 Miles x S 3,000 /mi. _ $1,05 SEED: 1.848 linear feet x SL60/LFt.<l.tl mi. else S1.10/LFt. = 52,95 FENCE: hrs. x S92.00/hr. SIGNING . STRIPING: 0.35 Miles x 520001Mile = 570 DRAINAGE: STATION PERMIT i-?- YES 441sT 3-i 6:3 YES 46FT 10+25 PROPOSED SIZE LENGTH RATE 36 60 14 13 60 G 18 40 6 /ft /ft /ft /ft /ft /ft = $I,440 VARIANCE _ $3,127 JIISCELLANEOUS: BEGIN PLYLER NIILL ROAD TO DEAD END = $0 COi\1NIENTS: TO'T`AL ESTIMATED COST $657383 EXISTING SIZE LENGTH 24 36 13 32 18 - 32