20070923 Ver 1_Application_20070524

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STATE of NORTH CAROLINA
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nF.PARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY
GOVERNOR
May 17, 2007
Mr. David Baker, NCDOT Project Manager
U.S. Army Corps of Engineers
LY~~O TIPPETT
SECRETARY
151 Patton Avenue, Room 208 r'~ ~ ®eJ ~ 3
Asheville, NC 28801-2714 ~J
Subject: Nationwide 14 and Nationwide 33 Permit Application
SR 1330 -Medford Hannah Rd
Haywood County
State Project No.14C.044072 (DWQ Minor Permit Fee S200)
Dear Mr. Baker:
The North Carolina Department of Transportation (NCDOT) is proposing to widen, grade, and
pave SR 1330, Medford Hannah Rd, in Haywood County from SR 1331 for a distance of 0.34
miles. This proposal entails widening and paving the existing gavel road to a standard 18-foot
roadway. The proposed improvements of SR 1330 have been identified as necessary
maintenance and safety improvements. Bridge Number 323 over Cove Creek (C; Tr), will be
replaced concurrently with the road widening and paving project.
The existing bridge is a single span steel beam and timber abutment structure with an overall
length of 20'. It was determined that in the interest of public safety, that the bridge be replaced
due to insufficient width and deterioration due to age. The proposed replacement will be a steel
beam and timber abutment structure widened to 26' and lengthened to 30'. The bridge is being
lengthened due to past flooding problems and the extra length will move the structure away from
the water to dry land. The mudsills will be removed and replaced with concrete footers, and
concrete wing walls will be added to support the high banks. Construction will be phased to
allow traffic to flow on half of the existing bridge while the other half is built, then traffic will be
moved onto the ne~v half to complete construction. Sandbag cofferdams will be used to ensure a
clean, dry area, and to minimize impacts to aquatic habitats and allow the existing stream
gradients to remain as unchanged as physically possible.
Funds have been allocated for this project, and NCDOT would like to perform these activities
sometime during the 2007-OS paving season.

I am sending astraight-line diagram with the proposed erosion control and construction limits
along this project. In addition, I am sending a typical section of the road, cross sections,
drawings for pipe culvert replacements as well as a marked county map and USGS topographic
map. We propose to install the new culverts slightly below the existing streambed elevations
where bedrock is not encountered to minimize impacts to aquatic habitats and allow the existing
stream gradients to remain as unchanged as physically possible.
The North Carolina Natural Heritage Database was checked for records of federally threatened
and endangered species. There are no records listed for the Messer Branch watershed.
Additionally, there are no records for the adjacent watersheds, Cove Creek and an unnamed
tributary to Cove Creek. The impacts from culvert replacement/extensions will be relatively
minor. The impacts from the bridge replacement will be temporary. The streams are small and
are not of sufficient size to support mussels. For these reasons, we believe there will be "no
effect" on threatened or endangered species.
Impacts to historic or cultural resources are not anticipated. If the State Historic Preservation
Office (SHPO) and the Office of State Archaeology determines that further investigations are
required, NCDOT will conduct the appropriate site investigations and obtain compliance from
SHPO prior to project construction.
The best management practices will be used to minimize and control sedimentation and erosion
on this project. The construction foreman ~.vill review all erosion control measures daily to
ensure sedimentation and erosion is being effectively controlled. If the planned devices are not
functioning as intended, they will be immediately replaced with better devices. The rock silt
screens and other erosion control devices will be in place prior to pipe culvert construction and
will remain in place until the project is stabilized.
Impacts to Waters of the United States
Messer Branch and Cove Creek are shown as perennial streams on the USGS topographic map.
The channels are composed of cobble, gravel and sand. The channels lack vegetation. Messer
Branch and Cove Creek are of sufficient size to support fish, including trout. The unnamed
tributaries are not shown on the topographic map but appear to have perennial flow. The defined
channels are composed primarily of sand and silt. The channels lack vegetation. For these
reasons, we believe these streams are under the jurisdiction of the U.S. Arm}~ Corps of
Engineers. In order to construct the project in accordance with our current secondary road
standards, it will be necessary to impact ~ti~aters of the United States in the French Broad River
Basin. Specifically, NCDOT is requesting to replace one bridge over Cove Creek (D«'Q Class
C, Tr), three metal culverts in unnamed tributaries to h~Iesser Branch (D`'~'Q Class C. Tr) and one
metal culvert in Messer Branch (DWQ Class C, Tr). Listed below is a summary of the proposed
impacts.

Site No. Existing Condition Proposed Condition Net Impacts
Station
Site 1 20' long x 20' wide 30'long x 26'wide spanning 0
3+00 spanning structure w/ structure stream ~v/ temporary
free flowin stream sandba coffer dams
Site lA Open Free Flowing Temporary Sandbag Coffer 60 ft'-
3+00 Stream Dams for Flow Diversion
Site 1B Open Free Flowing Temporary Sandbag Coffer 60 ft'
3+00 Stream- Dams for Flow Diversion
Site 2 20' x 18" CMP 35' x 18" CMP 15' extension
12+00
Site 2A Open Channel Temporary Dike w/ Sandbags 15 ft'`
12+00
Site 2A Free Flowing Flow Diversion 60'
12+00 Channel
Site 3 35' x 48" CMP 65' x 64" x 43" Arch CMP 30' extension
13+44
Site 3A Open Channel Temporary Dike w/ Sandbags 30 ft'
13+44
Site 3A Free Flowing Flow Diversion 90'
13+44 Channel
Site 4 33' x 18" CMP 35' x 18" CMP 2' extension
13+80
Site 4A Open Channel Temporary Dike w/ Sandbags 15 ft'
13+80
Site 4A Free Flowing Flow Diversion 60'
13+80 Channel
Site 5 35' x 15" CMP 30' x 18" CMP -5'
14+65
Site SA Open Channel Temporary Dike w/ Sandbags I S ft'
14+65
Site SA Free Flowing Temporary De-watered 60'
14+65 Channel Channel
Total Permanent Impact (linear feet) 4?
Total Temporary Impacts for Dikes and Flow Diversion (linear feet) 270
Permits Requested
NCDOT is hereby requesting authorization under Section 404 of the Clean Water Act to proceed
with the construction project outlined above. By copy of this letter, I am asking h1r. David
McHenry, Mountain Region Coordinator, of the North Carolina Wildlife Resources Commission
(NCWRC) to comment directly to you concerning the 404 Nationwide Permit request.

Also, by copy of this letter, I am requesting authorization under Section 401 of the Clean Water
Act from the North Carolina Department of Environment and Natural Resources (DENR),
Division of Water Quality (DWQ). In addition, I am requesting Mr. McHenry and Mr. Ed Ingle,
Roadside Environmental Field Operations Engineer (NCDOT), to comment directly to me
concerning this permit request.
If you have any questions or need additional information, please contact me at [phone].
Your early review and consideration will be greatly appreciated.
Sincerely,
`~
onathan L. Woodard, P.E.
District Engineer
cc: Mr. John Hennessy, DWQ, DENR, Raleigh (four copies)
Mr. Mike Parker, DWQ, DENR, Asheville
Mr. David McHenry, Mountain Region Coordinator, NCWRC
Mr. J. B. Setzer, P.E., Division Engineer, NCDOT
Mr. Mark Davis, Division Environmental Officer, NCDOT
Mr. B. T. Williams, P.E., County Maintenance Engineer, NCDOT
Mr. E. L. Ingle, Roadside Environmental Field Operations Engineer, NCDOT
Mr. C. D. Lee, Bridge Superintendent, NCDOT

Office Use Only:
USACE Action ID No.
(If any partici
I. Processing
DWQ No.
item is not applicable to this project, please enter "Not
Form Version March OS
or "N/A".)
1. Check all of the approval(s) requested for this prReCarian or Watershed Buffer Rules
® Section 404 Permit ^ p
^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 & NW 33
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:
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: North Carolina De artment of Trans ortation
Mailing Address: 345 Toot Hollow Road
B son Cit NC 28713
Attn : J. L. Woodard PE District En ineer
Telephone Number:~8281488-2131 Fax Number: X828) 488-3518
E-mail Address: 'woodard dot.state.nc.us
2. AgentlConsultant 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: 1`" h --
Company Affiliation: N/A
Mailing Address: N/A
Telephone Number: N/A
E-mail Address: NIA
Fax Number: N/A
Page 1 of 10

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: Widen grade drain and pave SR 1330 Medford Hannah Rd in Haywood
Coun
2. T.I.P. Project Number or State Project Number (NCDOT Only): 140.044072
3. Property Identification Number (Tax PIN): N/A
4. Location

Nearest Town: Ma~Qie Valley -
County: H_ a ,wood
Subdivision name (include phase/lot number): n/a
Directions to site (include road numbers, landmarks, etc.): From `1aa~ie Valley take US
276 North towazds I 40. Follow US3 76Follow SR 1330 to the end ofRavemSent oBear left
1395 to SR 1330. Turn lcft on SR 13
on SR 1330. This is the ro'ect..
g): Attached on last pane.
5. Site coordinates, if available (UTNI or LatlLon
(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. Property size (acres): 1.85 acres
7. Name of nearest receiving body of water: Cove Creek C Tr
8. River Basin: French Broad
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at htt ://h2o.enr.state.nc.us/admin/mans!.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Residential woodlands
Page 2 of 10

10. Describe the overall project in detail, including the type of equipment to be used: This
ro'ect includes cuttin and fillin earthwork where needed re lacin old drains a structures
that are inadequate, makin the road safer by chan~in~ the road profile and pavinn~?. The
brid a over Cove Creek will be re laced and u aded. E ui ment to be used will be Track
Hoes Back Hoes Dump Trucks Bulldozers Manual Labor sandbags pumps and diversion
i es and hand tools.
11. Explain the purpose of the proposed work: To nave widen the shoulders and improve the
alignment of SR 1330 to meet current NCDOT standards.
~. 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.
No ermits have been a lied for reviously
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 additional ermits are antici ated
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.
Page 3 of 10

Provide a written description of the proposed impacts: Plastic sheeting and sandbags will be
laced in the stream channel above calve to create an im ervious dike and for coffer dams
to de water bride work areas Water will be diverted or pumped around culvert installation
site. Culverts will be installed and the tem ora tm ervtous dike wtll be removed after
culvert installation.
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 arat el list im acts due to both structure and flooding.
Located within Distance to Area of
Wetland Impact T e of Wetland
~ 100-year Nearest Impact
Site Number Type of Impact (e.g., forested, marsh, Floodplain Stream (acres)
(indicate on map) herbaceous, bog, etc.) (•es/no) linear feet)
N/A
Total Wetland Impact (acres) I I
3. List the total acreage (estimated) of all existing wetlands on the property: N/A
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 i ' -' '',_ _..,,...,...,, .,,...o.,,,o ,,,,,tt;,,t~, tenoth X wihth_ then divide by 43,560.
Stream Impact
Number
(indicate on map)
1 @ Station 3+00
lA @ Station 3+00
1B @ Station 3+-00
2 @ Station 12+00
2A « Station 12+00
2A @ Station 12+00
3 @ Station 13+44
3A @ Station 13+44
nG1uuCU. 1 v Vai~ uiaw a.,..,u--.,, ......~ . -- - - -- -
Average Stream
Impact
~~ of
Perennial or Width Before Length Impact
Stream Name Type of Impact Intermittent? Impact ~~ (acres)
feet)
Cove Creek Spanning Bndge P 5 0 0
Temporary, Sandbag P 2 (Coffer Dam) 30 0.00138
Cove Creek Coffer Dam
Temporary Sandbag P 2 (Coffer Dam) 30 0.00138
Cove Creek Coffer Dam
IJT to Messer Culver[ E~lension P 1 15 0.00034
Branch
iJT' to Messer Impervious Dike P 3 (Dike) 5 10.00034
Branch
IJT to Messer Flow Diversion P 1 55 N!A
Branch
Messer Branch Culvert Extension P 4 30 0.00275
Messer Branch Impervious Dike P 6 (Dike) ~ 0.00069
Page 4 of 10

3A @ Station 13+44 Messer Branch Flow Diversion P 4 85 N/A

4 @ Station 13+80 ~Branch~ Culvert Extension P 1 2 0.00005

4A @ Station 13+80 Bran hs~ Imperv,ous Dike P 3 (Dike) 5 0.00034

4A @ Station 13+80 UT to Messer
Branch ~o~, Diversion P 1 55 N/A

5 @ Station 14+65 iTr to Messer
Branch Culvert Extension P 1 -5 -0.00011

SA @ Station 14+65 iJT to Messer
Branch Im rvious Dike
~ P 3 (Dike) 5 0.00034

SA @ Station 14+65 UT to Messer
Branch ~oN, Diversion P 1 55 N/A
Total Permanent Stream Impact (by length and acreage) 42 0.00303
Total Temporary Impacts for De-watering & Impervious Dikes and Coffer Dams Respecti~•ely 290 0.00448
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. _
5. List tl
_..~ ~,. ,,,, ~xT.,*or~ ~~+hP TT .C rP~„ltino from the nroiect:
1G VU111uia~iv~ .~~~ u.v~ ~~ ~ - ---- -
Stream Im act acres):
0.00303
Wetland Im act acres): 0
O en Water Impact (acres):
Total Im act to Waters of the U.S. acres) 0
0.00303
Total Stream Im act (linear feet): Permanent 42
Total De-watering Impact (linear feet) Temporary 290
6. 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.
7. 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.
Page 5 of 10

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.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond:
Size of watershed draining to pond: N/A Expected pond surface area: N/A
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. Culverts will be extended the
minimum length necessary to improve to meet current NCDOT standards. All pipe extensions
will be laced below the existin stream bed so natural substrate can be re-established. The
culvert installation sites will be de-watered to minimize im acts from sedimentation.
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 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
htt ://h2o.enr.state.nc.us/nc~~~etlands/strm~ide.html.
Page 6 of 10

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.
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~//h~o 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:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount ofNon-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federal/state) land? Yes ® No ^
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.
Page 7 of 10

1. Will the project impact protected riparian buffers identified within 15A NCAC ZB .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC OZB .0243 (Catawba) 1 SA NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify N/A )? 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 multi Tiers
Impact Required
Zone* s uare feet M~trPlier hyti tion
l 3 (2 for Catawba)
2 1.5
Total

* Zone 1 extends out 30 feet perpendiculaz 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. N/A
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.
Stormwater will be diverted through settling basins or grass lined buffers prior to entering
streams. See erosion control Tan .
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.
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 an after-the-fact permit application? Yes ^ No
Page 8 of 10

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 road is being, uyQraded only to minimum secondary standards and is almost fully developed
at this~oint thus it is not likely that development patterns would change si~ntficantly.
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).
Applicant/Agent s Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 10

STTE COORDINATES
Site 1
N 35.6058°
W 83.0459°
Site 2
N 35.6036°
`V 83.0465°
Site 3
N 35.6034°
`V 83.0465°
Site 4
N 35.6032°
`V 83.0465°
Site 5
N 35.6031°
`V 83.0466°
Page 10 of 10

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SR 1330
MEDFORD-HANNAH RD.

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EXT. OUTLET
END 12'
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T. INLET
END 1' HAYWOOD CO.
SR 1330
MEDFORD-HANNAH RD.

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