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Home My WebLink About20120955 Ver 1_Application_20121015 i. � w c ElE@WWE OCT 1 5 2012 STATE OF NORTH CAROLINA DENR WATER QUALITY DEPARTMENT OF TRANSPORTATION WETLANDS AND STORMWATER BRANCH BEVERLY EAVES PERDUE EUGENE A CONTI JR GOVERNOR SECRETARY October 10 2012 Ms Liz Hair Asheville Regulatory Field Office US Army Corps of Engineers 1. 2 e 5 5 151 Patton Avenue Room 208 Asheville North Carolina 28801 5006 SUBJECT Pipe Replacement on SR 1571 (Pisgah Church Road) Iredell County Dear Ms Hair The North Carolina Department of Transportation requests authorization to replace a structurally deficient pipe on SR 1571 (Pisgah Church Road) in Iredell County NCDOT proposes to replace a 50-foot long, 60" CMP with a 70 foot long, 72" CMP The new pipe will be shifted approximately 15 feet west due to sharp meander bend located immediately upstream and downstream Approximately 35 feet of stream length will be lost due to the change in pipe location with a minimal amount of stream reconstruction necessary to reconnect the new pipe inlet and outlet to the stream Five feet of riprap will be used at the inlet and outlet for structure stabilization Temporary cofferdams/bypass pumping will be used to divert the stream around the construction site as needed Any areas affected by temporary cofferdam system will be restored to pre project conditions The total scope of the work will result in 45 feet of permanent impacts to an unnamed tributary to Snow Creek which is classified as a WS IV watershed by the Division of Water Quality The project area is not within '/2 mile of a critical watershed area nor is SR 1571 classified as a rural or urban arterial Hazardous spill basins are not required Enclosed is the hazardous spill basin checklist 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 This office has conducted a GIS and field survey for threatened and endangered species in the vicinity of the project which include the bog turtle (Clemmys muhlenbergn) and dwarf flowered heartleaf (Hexastylis nanaflora) Natural Heritage Program records document the nearest dwarf flowered heartleaf location—19 miles southwest of the proposed project area There is no potential habitat within the proposed project area and no heartleaf species were found No impact on this species is anticipated Natural Heritage Program records document the nearest bog turtle location approximately 6 5 miles northwest of the Post Office Box 47 Shelby,North Carolina 28151 0047 SR 1571 Pisgah Church Road Page 2 October 10 2012 project area Bog turtles are typically found m bogs marshes and wet pastures T/SA species are not subject to Section 7 consultation however, no habitat exists m the proposed project area and no impact on this species is anticipated I have enclosed a pre construction notification for a NW#14 sketches of planned activities and location maps relative to the project Project mformation for the 401 Automated Payment Procedure is as follows • Work order number 150465-55120005 12 204911 3300 • TIP# NA • Project Category $240 00 Fee If you have any questions or concerns please feel free to contact me at (704) 480-9044 Thank you for your time and consideration on this matter Respectfully yours M L Holder P E Division Engineer Twelfth Division BY 207 Trish Beam Division 12 Environmental Supervisor Enclosures cc Amy Chapman Division of Water Quality Transportation Permitting Unit Alan Johnson Division of Water Quality Mooresville Regional Office of-WA TF9 j} k e 0 Office Use Only e. ��I 7, Corps action ID no _ ®, o Y DWQ protect no Form Version 1 3 Dec 10 2008 Pre-Construction Notification (PCN) Form A Applicant Information 1 Processing 1 a Type(s) of approval sought from the Corps ® Section 404 Permit ❑ Section 10 Permit 1 b Specify Nationwide Permit(NWP) number 14 or General Permit(GP) number 1 c Has the N WP or GP number been verified by the Corps? ❑ Yes ® No 1d 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 1 e Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit because written approval is not required'? Certification ❑Yes ® No ❑ Yes ® No If Is payment into a mitigation bank or in lieu fee program proposed for mitigation ❑Yes ® No of impacts? If so attach the acceptance letter from mitigation bank or in lieu fee program 1 g Is the project located in any of NC s twenty coastal counties If yes answer 1 h ❑Yes ® No below lh Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑Yes ® No 2 Project Information 2a Name of project SR 1571 (Pisgah Church Road) 2b County Iredell 2c Nearest municipality/town Stony Point 2d Subdivision name 2e NCDOT only T I P or state 12B 204911 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 LI Agent ❑ Other specify 4b Name Mike Holder 4c Busines s name N C Department of Transportation Division 12 applicable) applicable) 4d Street address 1710 East Marion Street 4e City state zip Shelby NC 28151 4f Telephone no 704 480 9020 4g Fax no 704 480 5401 4h Email address mholder @ncdot gov 5 Agent/Consultant Information (if applicable) 5a Name Trish Beam 5b Business name N C Department of Transportation Division 12 (if applicable) 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 pdbeam @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 la Property identification no (tax PIN or parcel ID) NA 1 b Site coordinates (in decimal degrees) Latitude 35 9166 Longitude 81 0101 (DD DDDDDD) (DD DDDDDD) 1C Property size <0 10 acres 2 Surface Waters 2a Name of nearest body of water(stream river etc)to UT to Snow Creek proposed project 2b Water Quality Classification of nearest receiving water WS IV Watershed 2c River basin Yadkin 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 Structurally deficient 50 60 CMP on paved road Surrounding landuse is mostly forested 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 125 feet 3d Explain the purpose of the proposed project The purpose of the proposed work is to replace a defiecient roadway pipe for the safety of the travelling public 3e Describe the overall project in detail including the type of equipment to be used NCDOT proposes to replace a 50 foot long 60 CMP with a 70 foot long 72 CMP The new pipe will be shifted approximately 15 feet west due to sharp meander bend located immediately upstream and downstream Approximately 35 feet of stream length will be lost due to the change in pipe location with a minimal amount of stream reconstruction necessary to reconnect the new pipe inlet and outlet to the stream Five feet of nprap will be used at the inlet and outlet for structure stabilization 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 past? ❑Yes ® No ❑ Unknown Comments Jurisdictional stream determination made by Division 12 DEO 4b If the Corps made the jurisdictional determination what type ❑ Preliminary 111 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 12] No ❑ Unknown this project(including all prior phases) in the past? 5b If yes explain in detail according to help file instructions I I 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 i 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 II 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 [' POT ❑ Yes 0 Corps ❑ No ❑ DWQ I W2 [' POT 0 Yes 111 Corps ❑ No ❑ DWQ 1 ❑Yes ❑ Corps W3 [' POT 0 N ❑ DWQ W4 ❑ P ❑T ❑Yes ❑ Corps ❑ No ❑ DWQ El ❑T El Yes ❑ Corps W5 ❑ 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) S1 ® P ❑ T Fill Ut to Snow Creek • PER ® Corps 3 5 35 Corps,—, ® DWQ S2 ® P ❑T Riprap UT to Snow Creek El PER E1 Corps 3 5 10 Stabilization ❑ INT ® DWQ S3 ❑ P ®T Cofferdam bypass UT to Snow Creek PER ® Corps 3 5 10 pumping ❑ INT ® DWQ S4 ❑ P ❑ T ❑ PER 111 Corps ❑ INT ❑ DWQ I S5 ❑ P ❑T ❑ PER ❑ Corps ❑ INT ❑ DWQ S6 ❑ P ❑ T [' PER ❑ Corps i ❑ INT ❑ DWQ 3h Total stream and tributary impacts 45 3i Comments Permanent Impacts I Page 5of11 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 ❑ P ❑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 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 5i 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 ❑ Neuse ❑Tar Pamlico ❑ Other Project is in which protected basin? ❑ Catawba ❑ Randleman 6b 6c 6d 6e 6f 6g Buffer impact number— Reason Buffer Zone 1 impact Zone 2 impact Permanent(P) or for Stream name mitigation (square feet) (square feet) Temporary (T) impact required? B1 [' POT 111 ❑ No B2 ❑ P ❑T ❑ Yes ❑ No B3 [' POT CI ❑ No 6h Total buffer Impacts 6i Comments 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 Due to existing site conditions(meander bends at existing pipe inlet and outlet) the new pipe will be shifted-15 feet west to better align the new pipe and upstream/downstream channel 1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques 2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State 2a Does the project require Compensatory Mitigation for ❑ Yes ® No impacts to Waters of the U S or Waters of the State? 2b If yes mitigation is required by(check all that apply) ❑ DWQ ❑ Corps ❑ Mitigation bank 2c If yes which mitigat ion option will be used for this projects ❑ 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 1 1 Page 7 of 11 PCN Form-Version 1 3 December 10 2008 Version 1 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 ❑Yes ® No buffer mitigation? 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 6c 6d 6e Zone Reason for impact Total impact Multiplier Required mitigation (square feet) (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? 1 b 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 1 2d If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan I ❑ 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 3b Which of the following locally implemented stormwater management programs R NSW apply(check all that apply) USMP ❑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 1 4b Has the approved Stormwater Management Plan with proof of approval been attached? ❑Yes ❑ No 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) 1 a 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)9 2b Is this an after the fact permit application? ❑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 0 N 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 a minimum criteria 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 No wastewater generated from project 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 [S] No habitat? 5b Have you checked with the USFWS concerning Endangered Species Act ❑Yes ® No impacts? II ❑ Raleigh 5c If yes Intl 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 Cntical Habitat? NC Natural Heritage Program database 6 Essential Fish Habitat(Corps Requirement) 6a Will this project occur in or near an area designated as essential fish habitat? ❑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 located in vicinity of 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 pipe replacement 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? Cl 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 panel number 3710470800J L 1 %t e_ ✓ 114/6/4„.._ ��-��✓��. Applicant/Agents Printed Name Applicant/Agents Signature Date (Agents signature is valid only if an authorization letter from the applicant is provided) Page l l of 11 PCN Form—Version 1 3 December 10 2008 Version I Pipe Replacement SR 1571 , Pisgah Church Road Iredell County Rk-' �Cyy�� y� { M a ,.i. �1 #,'-'n','X a ;a t } . t�� t n :It'S ii rn'� `�' .4i .,,• i,s " dY .' r'+I`,.'�u` sw .� 't�' r�, ,, ,r �' 'si „ -0....J.0^.14,„- .. 'EC`.. Vr 2. ,4 t Y '4` , ��i','•t2'"lss 1. 7^ �"t ^'f4f .' 4;r. ._I S 1C��+z.J .r i ".R,. 1a ..r., 1 �1 4;:::".,."•,•":1.. a 1>74, ..�.Yr� ..‘...-..,„\-- r, ' ~ . 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Hatched Area(Old Streambed) _i ��C�S i CL p S to be backfilled ___ Rd Y\e'pa� ��`� Strenm adjustment 30 of Stream loss / 01\ v1� V'0\ �� to the proposed CMP ��0 Typical Shot Rock or Class II a�(`L RipRap for all four corners SW those/6-1T os� of the Culvert and Headwall Stream adjustment ' /Q • N c to the proposed CMP ' (0 D 0 m ,______y/ �� 0 ♦i 0 o o. co o 70 0 0 Q. t 01 1)Pumping system to be used to divert the stream around the construction site as needed 2)Any contaminated water within the construction site is to be pumped into a silt bag 3)Silt fence is to be placed around stockpile and project as it allows 4)Upon completion of the project all silt fences are to be placed as needed Also seeding and mulching of disturbed areas 5)Divert runoff into storage basins or into TRSC A s before leaving the project Place 12th Div NCDOT contanimated devices at the end of silt fence Bridge Maintenance 6)Place TRSC A s or Special Sediment Control Fence in the low points with weep holes in silt fence as needed Pipe Replacement 7)Reference the Best Management Practices Pisgah Church Road SR 1571 for Construction and Maintenances Activities Iredell County NC by the NCDOT Chapter 4 R d 6/12 s _je ) 15 j I -- _,�-.. \ / .- ., -- _ r° 1"�`----�A�� Y } ["-.. I _.+- _'mi l-`_' te_+„ t } I ___C-D,,) ))) i "71'ir'ai ) . ' - 'N\ N-, ---- - ----_,- ) .)/=� r- ,,� "y 15/9) -, _� _ �. =- am - -_ L I ti+l °�'� + y f- r y t �+ P Q �.F } f } } t P fi �b tIc { I + \-\\::: ___ / �► - - N-7 11:) r ti � � '` 1 r. 1 J i 1\41 'fir ..- - " .. i/.. —1-1___,,--":5�-1,:=-1•5:::s'.4-;\ l' Wef:....,'"7-16.,,6-,\\k.,1.9. i m h f t� f � I t�t��r' I r - , ?), ii f ) , Pipe Replacement i � � .-� �' 172 ' IN‘I t \ _ __ f 4 „,- i 0 1 c's\ \,„ [ ); \ r ' 1/rte ti 's ''' ,.. - f l �- '_— ' _�- _r✓y _ r '� ` �r 154)1 .t _, J^ N 6 y II 4 ;\ }. / \ ItE1' �:r y� ` �F ti ' ■ Q~ ti � � � ti � ff �‘,„/ t — Ii 0 f I f J 'r �• e- P ll i, J� t� �� + ti, /r l al — i f •�� W 1 I t ft 1 .-. "w 7 �- S� ` -' F �� _%,..._,7_.—......7_____ _,--e 11 1 i c-c__,_,/,' I., v_ le \ , t 0 F.'.t- — -,:• ,,...Ns. .... i-'-'-'Air\V tir • -- ` `' it • ` E ti ' 1 i �f 1515 r-° 1.,'Jr. /'rte - I/ iirj-/'\ i I'R \, ,,s I t t/- k \ 1LI ) r P �'id 1 { - I ; ti ��_� r r I I s i — jij /\N 1.0) f --7 __ S,,,, j r 1 its �+ 4t � I k,...-.----- ,.;" \I ik ?f TN If J h f --1 -i 1 , , 1 ,,„_—_—__Th. _ . — -1__., ,,..___ , Cern_ � , - I ` y # Fli 7 W \',' \S,. 1 ( 1 r t i . ' —,-. Name HIDDENITE Location 035 9166277 N 081 0101097 W Date 10/9/2012 Caption Pipe Replacement SR 1571 Pisgah Church Road UT to Snow Scale 1 inch equals 1000 feet Creek WS IV Waters Yadkin River Basin Copynght(C)1998 Maptech Inc Vicinity Map Pisgah Church Road, SR 1571 Iredell County /Pr Ar 11FIPP,L , , .ob^s°n Farm 001 0. r m aa o rest Pipe Replacement il Hill Fa -• tiff Ri q- Hop e`s A i i , Fox Bottoms S9ah Rigb Chic, Echo Glen aiy o lo / T Y as a.) J E'- ilt ) ( G\'O i Wilderness / — "ORTH e N �Pr go r ry 0 0 25 0 5 1 Miles o I l l l I l l l I 9 T 4 ��T OF TR p�54O NCDOT HAZARDOUS SPILL BASIN CHECKLIST Division 17 County Ireclell Project ID 12B 204911 River Basin Yadkin Bridge No NA Route SR 1571, Pisgah Church Road Stream UT to Snow Creek Water Quality Criteria Yes No Stream Crossing Blue Line On USGS lc 1- ORW r WSI WS II,III OR IV, Crossing Within 0 5mi of W S Critical Area r Roadway Criteria Route Designation- Yes No Arterial Urban r Arterial Rural r Additional Site Information Yes No Is a Hazardous Spill Basin Required E Criteria Based Upon NCDOT "Best Management Practices for the Protection of Surface Waters" (March, 1997)