20070109 Ver 1_Application_20070119

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STATE of NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR SECRETARY
January 16, 2006
Mr. Steve Lund O ~ ® 1
US Army Corp of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, N. C. 28801-5006
SUBJECT: Emergency pipe repair (End Section Replacement) on SR 1105 (Cooksville
Road), Catawba County
Dear Mr. Lund:
The North Carolina Department of Transportation proposes to replace a 12-foot failing pipe end
section on a 62-foot, 72" pipe on SR 1105 (Cooksville Road) in Catawba County. The road
shoulder above the pipe is beginning to collapse and there is concern for public safety; therefore,
this project is considered an emergency project and construction will commence immediately.
The existing pipe, which is perched, will set the grade of the pipe end replacement; therefore, the
repaired pipe will also be perched. A 10-ft rock ladder will be constructed at the pipe outlet to
facilitate some aquatic passage. Due to the existing site conditions, NCDOT requests a waiver
from the Regional Condition 2(b)(e) permit depth specification, for the construction of this
project.
Temporary cofferdams and bypass pumping will be used for stream management during
construction. Upon project completion, the area impacted by the temporary cofferdams will be
returned to pre-project conditions and seeded and stabilized. The total scope of the work will
result in 10 feet of permanent impacts from rock ladder construction to an unnamed tributary to
Jacob Fork River, which is classified as a WS-III watershed by the Division of Water Quality.
The project is not located within '/z mile of any critical watershed area nor is SR 1105 a rural or
urban arterial; therefore, hazardous spill basins are not required. Enclosed is the hazardous spill
basin checklist.
This office has conducted a GIS and field survey for the project for historical sites and
threatened/endangered species sites. 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. The
federally listed species for Catawba County (USFWS listed dated March 8, 2006) include the
dwarf-flowered heartleaf (Hexastylis nan~ora).

SR 1105, Cooksville Road
Page 2
January 16, 2007
Natural Heritage Program records document the nearest dwarf-flowered heartleaf location
approximately 2.4 miles northeast 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 springheads. There is no habitat within the proposed project area and no species
were observed. NCDOT is recommending a finding of "no effect" for T&E species and historical
structures.
I have enclosed apre-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: 150463-55120005-12B.201811-3855
• TIP #: NA
• Project Category: $200.00 Fee
If you have any questions or concerns, please feel free to contact me at [phone]. Thank
you for your time and consideration to this matter
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division

Trish Simon
Division 12 Environmental Supervisor
Enclosures
Cc: John Hennessy, DWQ, 401/Transportation Permitting Unit
Polly Lespinasse, DWQ, Mooresville Regional Office
Ron Linville, Wildlife Resources Commission (Courtesy Copy)

Office Use Only: Form Version March OS
USACE Action ID No. DWQ No. ®O 7 ~ 1 0 9
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW # 14 (~C#3404)
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 Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Information
Owner/Applicant Information
Name: Mike Holder, N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby, North Carolina 28151
Telephone Number: 704-480-9020 Fax Number: 704-480-5401
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Trish Simon
Company Affiliation: N.C. Department of Transportation
Mailing Address: P.O. Box 47
Shelby, North Carolina 28151
Telephone Number: 704-480-9044 Fax Number: 704-480-5401
E-mail Address: tsimon(cr~,dot.state.nc.us
Page 1 of 8

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: Emergency Pipe Repair (End Section Replacement) and Rock Ladder
construction to relieve perched Qpe condition, Cooksville Road (SR 1105)
2. T.I.P. Project Number or State Project Number (NCDOT Only): 12B.201811
3. Property Identification Number (Tax PIN): NA
4. Location
County: Catawba Nearest Town: Hickory
Subdivision name (include phase/lot number): NA
Directions to site (include road numbers/names, landmarks, etc.): From Hickory, south on
Hwy 127 turn right onto Hwy 10• turn right onto Cookesville Road (SR 1105) and proceed
0.15 miles to site.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35°34'45"°N 81°27'13"°W
6. Property size (acres): < 0.10 acres
7. Name of nearest receiving body of water: Unnamed tributary to Jacob Fork River, WS-III
Watershed (from Camp Creek in Burke County to 0.6 mile upstream of mouth).
8. River Basin: Catawba
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Existing Conditions-ape on paved secondary road. General
Land Use- wooded, residential.
Page 2 of 8

10. Describe the overall project in detail, including the type of equipment to be used. ReQair of a
72", 62-foot ape. A 12-ft end section at the pipe outlet has failed and is causing the road
shoulder to collapse. The 12-ft end section will be replaced and Class II riprap will be placed
at the outlet for structure stabilization. The existing_pipe is perched and the slope of the
existing pipe will set the grade of the replacement section; therefore, the repaired pipe will
remain perched. A 10 foot rock ladder will be constructed at the outlet of the repaired pipe to
facilitate some aquatic passageTypical heav~quipment (trackhoe, backhoe, etc. will be
used for the construction of this project.
11. Explain the purpose of the proposed work: The purpose of the proposed work is to repair a
broken Qpe section and repair the road shoulder for the safety of the travelling_public.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.NA
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated at this site.
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. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Minor impacts from ripran
embankment stabilization and rock ladder construction.
Page 3 of 8

2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
se aratel list im acts due to both structure and floodin .
Wetland Impact Type of Wetland Located within Distance to Area of

Site Number
Type of Impact
(e.g., forested, marsh, 100-year
Floodplain Nearest
Stream Impact
(acres)
(indicate on map) herbaceous, bog, etc.) es/no linear feet

Total Wetland Impact (acres) 0
3. List the total acreage (estimated) of all existing wetlands on the property: 0
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, 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. To calculate acrea e, multi 1 len X width, then divide b 43,560.
Stream Impact
Stream
Perennial or Average Stream Impact Area of
Number
Name Type of Impact
Intermittent? Width Before Length Impact
indicate on ma Im act linear feet acres
UT to South Class II Riprap on
Fork embankment for
1 structure stabilization Perennial 5 feet 10 feet .001
Catawba & rock ladder for
River a uatic assa e
Temporary
1 CofferdamsBypass 30 feet .002
P1P~g
* 10 feet .001
Total Stream Im act b len hand acrea e
p (y ~ g) Permanent
~
Permanent impacts contained within area of temporary impacts permanent
30 feet .002
temporary temporary
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number (if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
indicate on ma ocean, etc. (acres

Total Open Water Impact (acres) 0
Page 4 of 8

6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Im act (acres): 0.001
Wetland Impact (acres): 0
O en Water Im act acres : 0
Total Im act to Waters of the U.S. (acres) 0.001
Total Stream Irri act (linear feet): 10 feet
7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
NA
8. Pond Creation NO POND IMPACTS
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
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.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The broken end section and
road shoulder must be repaired for the safety of the travelline public. Minimal riprap utilized at
repaired outlet for structure stabilization and rock ladder will be constructed to facilitate some
aquatic passage.
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.
Page 5 of 8

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, 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 NCEEP 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/strmg~ide.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.
MITIGATION NOT ANTICIPATED
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
3.
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount ofNon-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ^
Page 6 of 8

2. 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
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact Multiplier Required
(s uare feet Miti ation
1 3 (2 for Catawba)
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (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. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
No increase in impervious surface is proposed.
Page 7 of 8

XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
No wastewater is generated from the project.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this anafter-the-fact permit application? Yes ^ No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
The ape repair and riprap stabilization will not result in additional development of the
surrounding area. The ape and shoulder repair must be for the safety of the travelling_public.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
NA
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8

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Name: BANOAK Location: 035° 34' 45.19" N 081 ° 27' 13.76" W
Date: 1/16/2007 Caption: Emergency Pipe Repair (end section replacement), SR 1105
Scale: 1 inch equals 1000 feet (Cooksville Rd), UT to Jacob Fork, WS-1111, Catawba Basin
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LEGEND
® SPECIAL FLOOD HAZARD AREAS INUNDATED
BY 100-YEAR FLOOD
' ZONE A No base flood elevations determined.
ZONE AE Base flood elevations determined.
ZONE AH Flood depths of 1 to 3 feet (usually areas of
ponding); base flood elevations determined.
ZONE AO Flood depths of 1 to 3 feet (usually sheet flow
on sloping terrain); average depths deter-
mined. For areas of alluvial fan Flooding;
velodties also determined.
ZONE A99 To be protected from 100-year flood by
Federal flood protection system under con-
struction; no base flood elevations deter-
mined.
ZONE V Coastal flood with velocity hazard (wave
action); no base flood elevations determined.
ZONE VE Coastal flood with velocity hazard (wave
action); base flood elevations determined.
- FLOODWAY AREAS IN ZONE AE
OTHER FLOOD AREAS
ZONE X Areas of 500-year flood; areas of 100-year
flood with average depths of less than 1 foot or
with drainage areas less than 1 square mile;
and areas protected by levees from 100-year
flood.
OTHER AREAS
Z ON E X Areas determined to beoutside500-year Bood-
plain.
ZONED Areas in which flood hazards are undeter-
mined.
UNDEVELOPED COASTAL BARRIERSt
\ \\
Identified Identified Otherwise
1983 1990 or later Protected Areas
tGoastal barrier areas are normally located within or adjacent to special flood
hazard areas.
Floodplain Boundary
Floodway Boundary
Zone D Boundary
NS PANE
ZONE X
FORK
7104
ZONE X
Boundary Dividing Special Flood Hazard
Zones, and Boundary Dividing Areas of Dif-
ferent Coastal Base Flood Fevations Within
Special Flood Hazard Zones.
513 Base Flood Elevation Line; Elevation in Feet•
p p Cross Section Une
(EL 987) Base Flood Elevation in Feet Where Uniform
Within Zone•
RM 7X Elevation Reference Mark
~M 1.5 River Mile
'Referenced to the National Geodetic Vertical Datum of 1929
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 1 ~ County: (~:atawha Project ID:
River Basin: Catawba Bridge No: Pipe Repair (Replacement of
end section)
Route: SR 1105, Cooksville Road Stream: UT to Jacob Fork River, WS-
III Watershed
Water Quality Criteria:
Yes No
Stream Crossing Blue Line On USGS r r
ORW r r
WSI r r
WS II,III OR IV, Crossing Within O.Smi of W.S. Critical Area r r
Roadway Criteria:
Route Designation- Yes No
Arterial Urban ~ r
Arterial Rural r r
Additional Site Information:
Yes No
Is a Hazardous Spill Basin Required? r ~
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).

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Name: BANOAK Location: 035° 34' 45.19" N 081 ° 27' 13.76" W
Date: 1/16/2007 Caption: Emergency Pipe Repair (end section replacement), SR 1105
Scale: 1 inch equals 1000 feet (Cooksville Rd), UT to Jacob Fork, WS-1111, Catawba Basin
(C) 1998, Maptech, Inc.