20120179 Ver 1_Application_20120216

UIT-A
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE EUGENE A CONTI JR
GOVERNOR SECRETARY
February 13 2012
Ms Liz Hair zp
US Army Corp of Engineers FEB 16 2012
Asheville Regulatory Field Office
151 Patton Avenue Room 208 P� I 5�� � �U LITY
Asheville N C 28801 5006 INCH
2 U1 7 19%
SUBJECT Pipe Outlet Stabilization/Rock Ladder Construction 177 SB mile marker 36 4
Iredell County
Dear Mr Hair
The North Carolina Department of Transportation requests authorization to construction outlet
stabilization downstream of an existing 72 CMP on 177 South Bound at mile marker 36 4 in
Iredell County NCDOT proposes to armor an existing scourhole for a distance of —50 feet to
prevent further erosion and scour around the pipe outlet NCDOT also proposes to construct a
rock ladder at the outlet to connect the pipe invert elevation to the streambed elevation A
temporary cofferdam pumping system will be used to divert the stream around the construction
site as needed Area affected by temporary cofferdam system will be restored to pre project
conditions
The scope of the work involves an unnamed tributary to Byers Creek which is classified as Class
WS IV Waters by the Division of Water Quality
National Heritage Program records document the nearest Dwarf flowered heartleaf location
approximately 6 8 miles southwest of the proposed project area The heartleaf is usually found
on dry to moist ravine slopes (usually north facing and of the oak hickory pine forest type) and in
boggy areas near sprmgheads National Heritage Program records document the nearest bog
turtle location approximately 6 8 miles southeast of the proposed project area Bog turtles are
usually found in bogs marshes and wet pastures There is no suitable habitat within the
proposed project area and no species were observed NCDOT is recommending a finding of no
effect for ME species
The office is also recommending a finding of no effect for historical structures No sites listed
on the National Register of Historic Places are located in the vicinity of the project nor did there
appear to be any eligible structures NCDOT is recommending a finding of no effect for
historic sites
The project area is located within '/z mile of any critical watershed area and 177 is a rural and
urban arterial however the project consists solely of installation of rock for stabilization
Hazardous spill basins are not required Enclosed is the hazardous spill basin checklist
Post Office Box 47 Shelby, North Carolina 28151 0047

177 Southbound MM 36 4
Page 2
February 13 2012
I have enclosed a pre construction notification for a NW #14 sketches of planned activities and
location maps relative to the project
Project information for the 401 Automated Payment Procedure is as follows
• Work order number 150465 55120005 12B 104911 3302
• TIP# NA
• Project Category $240 00 Fee
If you have any questions or concerns please feel free to contact me at [phone] Thank
you for your time and consideration on this matter
Respectfully yours
M L Holder P E
Division Engineer
Twelfth Division
BY
Trish Simon
Division 12 Environmental Supervisor
Enclosures
cc
Brian Wrenn Division of Water Quality 401 /Transportation Permitting Unit
Polly Lespmasse Division of Water Quality Mooresville Regional Office

o�oF W4 a rE9QG
O Y
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification PC Form
A Applicant Information
1
Processing
1 a
Type(s) of approval sought from the
Corps
®Section 404 Permit F-1 Section 10 Permit
1 b
Specify Nationwide Permit (NWP) number 14 or General Permit (GP) number
1c
Has the N WP or GP number been verified by the Corps?
❑ Yes
® No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
❑ Yes
® No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes
® No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
177 South Bound Mile Marker 36 4
2b
County
Iredell
2c Nearest municipality / town
Mooresville
2d
Subdivision name
NA
2e
NCDOT only T I P or state
project no
3
Owner Information
3a
Name(s) on Recorded Deed
NC DOT Right of Way
3b
Deed Book and Page No
3c
Responsible Party (for LLC i f
applicable)
3d
Street address
3e
City state zip
3f
Telephone no
3g
Fax no
3h
Email address
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other specify
4b
Name
Mike Holder
4c Busines s name
(if applicable)
N C Department of Transportation Division 12
4d
Street address
1710 East Marion Street
4e
City state zip
Shelby NC 28151
4f
Telephone no
7044 80 9020
4g
Fax no
704 480 5401
4h
Email address
mholder @ncdot gov
5
Agent/Consultant Information (if applicable)
5a
Name
Trish Simon
5b
Business name
(if applicable)
N C Department of Transportation Division 12
5c Street address
1710 East Marion Street
5d
City state zip
Shelby NC 28151
5e
Telephone no
704 480 9044
5f
Fax no
704 480 5401
5g
Email address
tsiimon @ncdot gov
Page 2 of 11
PCN Form — Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
NA
lb Site coordinates (in decimal degrees)
Latitude 35 5998 Longitude 80 857419
(DD DDDDDD) (DD DDDDDD)
1 c Property size
< 10 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Ut to Byers Creek
proposed project
2b Water Quality Classification of nearest receiving water
WS IV
2c River basin
Catawba
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Existing 72 CMP on 177 SB at Mooresville /Hwy 150 offramp Pipe is perched and —50 foot long scourhole has formed
Surrounding landuse is mostly urban area
3b List the total estimated acreage of all existing wetlands on the property
0
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
100 feet
3d Explain the purpose of the proposed project
The purpose of the proposed work is to armor the scour below the 72 CMP to protect the area from further erosion and
scour and to construct a rock ladder to reconnect the pipe outlet invert elevation and streambed elevation
3e Describe the overall project in detail including the type of equipment to be used
The North Carolina Department of Transportation requests authorization to construction outlet stabilization downstream of
an existing 72 CMP on 177 South Bound at mile marker 36 4 in Iredell County NCDOT proposes to armor an existing
scourhole for a distance of —50 feet to prevent further erosion and scour around the pipe outlet NCDOT also proposes to
construct a rock ladder at the outlet to connect the pipe invert elevation to the streambed elevation All Best Management
Practices will be utilized during the course of the project The Project will be constructed using typical heavy equipment
(trackhoe backhoe etc )
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past9
❑ Yes ® No ❑ Unknown
Comments Jurisdictional stream determination made by
Division 12 DEO
4b If the Corps made the jurisdictional determination what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known)
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail according to help file instructions
Page 3 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes explain
Page 4 of 11
PCN Form — Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑ Wetlands ® Streams tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ —non 404 other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
2h Comments
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non 404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
Scourhole
S1 ®P ❑ T
Armoring /rock
ladder
Ut to Byers Creek
® PER
❑ INT
❑ Corps
® DWQ
4
50
construction
S2 ❑ P ®T
Cofferdam bypass
Ut to Byers Creek
® PER
El Corps
4
20
pumping
[:11 NT
® DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
*50
31 Comments Permanent Impacts
Page 5 of 11
PCN Form — Version 1 3 December 10 2008 Version

4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
02 []PEI T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
I
I
I
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
Project is in which protected basin?
6b 6c 6d
Buffer impact
number— Reason
Permanent (P) or for
Temoorary (T) impact
■la■m
B2 ❑P ❑T
63 ❑P ❑T
61 Comments
❑ Neuse ❑ Tar Pamlico ❑ Other
❑ Catawba ❑ Randleman
6e I 6f I 6g
Buffer
Stream name mitigation
required?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
6h Total buffer impacts
Zone 1 impact Zone 2 impact
(square feet) (square feet)
Page 6 of 11
PCN Form —Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Minimization of impacts by installing appropriate erosion control measures
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ® No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes which mitigat ion option will be used for this
project?
❑ Mitigation bank
❑ Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4 Complete if Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
Page 7 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 8 of 11
PCN Form — Version 1 3 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
la
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
lb
If yes then is a diffuse flow plan included? If no explain why
❑ Yes ❑ No
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
0%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why Complies
with NCDOT s individual
NPDES permit NCS000250
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project?
NA
❑ Phase II
❑ NSW
3b
Which of the following locally implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a
Which of the following state implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes El No
attached?
5
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1 3 December 10 2008 Version

F Supplementary Information
1 Environmental Documentation (DWQ Requirement)
la Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes ❑ No
use of public (federal /state) land?
lb If you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c If you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
letter)
❑ Yes ❑ No
Comments
2 Violations (DWQ Requirement)
2a Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) Isolated
Wetland Rules (15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after the fact permit applications
❑ Yes ® No
2c If you answered yes to one or both of the above questions provide an explanation of the violation(s)
3 Cumulative Impacts (DWQ Requirement)
3a Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development which could impact nearby downstream water quality?
3b If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered no provide a short narrative description
The project is classified as a minimum critiena project which has low potential for cumulative /indirect impacts and will not
result in additional development which could impact water quality
4 Sewage Disposal (DWQ Requirement)
4a 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
Page 10 of 11
PCN Form —Version 1 3 December 10 2008 Version

5
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a
Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c
If yes ind icate the USFWS Field Office you have contacted
❑ Asheville
5d
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat'?
NC Natural Heritage Program database and on site survey
6
Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
❑ Yes ® No
6b
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
No salt marshes oyster reefs or seagrass beds in the vicinity of the project
7
Historic or Prehistoric Cultural Resources (Corps Requirement)
7a
Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b
What data sources did you use to determine whether your site would impact historic or archeological resources
The State Historic Preservation office resources and the National Register of Historic Places were reviewed for historic
sites in the vicinity of the project however the culvert extension project occurs within a previously impacted area
(NCDOT Right of Way)
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain?
❑ Yes ® No
8b
If yes explain how project meets FEMA requirements
8c
What source(s) did you use to make the floodplain determination? FEMA FIRM panal number 3710464800J
M� I L�
February 2012 0,V
Applicant/Agent s Printed Name
Date
Applicant/Agent s Signature
(Agents signature is valid only rf an authorization letter from the applicant
is provided
Page 11 of 11
PCN Form —Version 1 3 December 10 2008 Version

Armored Scourhole /Rock Ladder Construction
1 -77 Southbound, MM 36 4, Iredell County
Pipe Outlet & Upper point of Scourhole
Downstream point of Scourhole

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per
Pipe re air /stabilization
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Name MOORESVILLE Location 035 5998196 N 080 8574194 W
Date 2/13/2012 Caption Outlet Stabilization /Rock ladder 177 SB MM 36 4 UT to Byers
Scale 1 Inch equals 1000 feet Crk WS IV Watershed Catawba River Basin
Maptech Inc

N
Feet
W_ _ _E
0 4 600 9 000 18 (
s
i
u 1
r 1
C�i� � IREUELL - y r Armored Scour Mole _ 1
1
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Vicinity Map
STATE of NORTH CARouNA Figure 2
DEPARTKEw of TRANSPORTATION 177 South Bound Mile Marker Ilredell County

Unnamed Tributary to
Byers Creek
Scoured Area to be Armored with
Shot Rock or Class II Rip Rap
Notes
1) Pumping system to be used to
divert the stream around the
construction site as needed
2) Any contammted water within
the construction site is to be
pumped into a silt bag
x —
I -77 (South Bound)
Y
aL
N
I
ws
Scoured Area to be Armored with
Shot Rock or Class II Rip Rap
3) Upon completion of the project all
silt fences are to be placed as
needed Also seeding and mulching
of disturbed areas
4) Reference the Best Management
Practices for Construction and
Maintenance Activities be NCOOT
Chapter 4
46 +
t of Way Fence
72 CMP
Rock Ladder will be attempted
to be constructed
Div 12 NCDOT
Bridge Maintenance
Preventive Scour Measures
177 Near MM36 4
NNBIS 48 2004
Iredell County
Rev sed 1 12/11 drs

NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division 12 County Trede.11 Project ID_
River Basin Catawba Bridge No NA
Route I -77 South Bound
Water Quality Criteria
Stream Ut to Byers Creek
Stream Crossing Blue Line On USGS
ORW
WSI
WS II,III OR IV, Crossing Within 0 5mi of W S Critical Area
Roadway Criteria
Route Designation-
Additional Site Information
Yes No
Arterial Urban 1—v r
Arterial Rural R- r
Yes No
Is a Hazardous Spill Basin Required9 r rv-
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997)
Yes No
W, 1-
F r
F r
ry r
I