201210391 Ver 1_Application_20121115

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STATE O F NORTH C AR OLIN A 144 °FNS e o
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DEPARTMENT OF TRANSPORTATION 04:40R,FB
BEVERLY EAVES PERDUE EUGENE A CotrifyJR
GOVERNOR SECRETARY
November 13,2012
Ms Lon Beckwith
US Army Corps of Engineers Q 1 2. 1 0 3 9
151 Patton Avenue Room 208
Asheville,NC 28801-5006
Subject Nationwide Permit#14
SR 1321 Lump Town Road
State Project No 13C 057109 (DWQ Minor Permit Fee$240)
Madison County,NC
Dear Ms Beckwith
I have enclosed a straight-line diagram with erosion control plan, a PCN application for
NWP #14, an EEP mitigation acceptance letter, one Stream Quality Assessment
Worksheet, and a vicinity map relative to the proposed secondary road project on SR
1321 Lump Town Road Madison County,NC
We propose to replace/extend two(2)pipe culverts on unnamed tributaries(UT)to
Highshoals Branch Total culvert extension will be 60 linear feet with temporary
impervious dikes for dewatermg during installation UT 1 is an approximately 3 feet
wide stream with a depth of 2-4 inches It has a predominately sand and cobble substrate
with some scattered rock Permanent impacts to UT 1 will equal 25 feet The second UT
is a seep ongmatmg from under large boulders on the slope above the roadway The
water trickles down the slope and collects in a couple small depressions about 6 inches m
diameter Bed/bank features are absent or very weak,these features appear below the
roadway where the stream flows through a horse pasture and is collected in a horse
trough Stream width is approximately 1 foot and depth is about 2 inches The substrate
is composed of silt, sand, and scattered rock Permanent impacts will be 35 feet
Existing channel morphology will be maintained upstream and downstream of the
culverts The culverts will be placed below existing streambed elevation whenever
possible Riparian vegetation will be reestablished along disturbed areas associated with
the culvert extensions Stormwater will be diverted through grass-lined ditches or
vegetated buffers prior to entering streams
Division Thirteen Office Post Office Box 3279 Asheville NC 28802
Phone [phone] Office of the Division Engmeer Fax [phone]
www ncdot gov/doh/operations/divisionl3

Ms Lon Beckwith
Page—2 SR 1321, Madison County
November 13, 2012
No effect on federally listed species (threatened or endangered) or their habitats is
anticipated
As a part of the 401 Certification process, a copy of the application will be forwarded to
the NC State Histonc Preservation Office as required by Section 106 of the National
Historic Preservation Act of 1966 and GS 121-12(a)
By copy of this letter, we request Marla Chambers North Carolina Wildlife Resources
Commission Coordmator, to comment directly to the Corps concerning the permit
request
By copy of this letter, we are askmg Reid Whitehead, Roadside Environmental Field
Operations Techmcian,to comment on the above project The UTs to Highshoals Branch
are classified as C, ORW therefore,no trout buffer variance is needed
By copy of this letter I am forwarding four(4)copies of the application package to Bnan
Wrenn,NC Division of Water Quality, 401/Wetland Unit and an additional copy with to
Mike Parker,NC DWQ Asheville Regional Office for review and comment We are
including the Stormwater Management Permit Application Forms for the roadway project
and an associated waste area Please charge the application fee of$240 00 to WBS
element# 13C 057109 Please forward comments directly to the Corps with copy to
Division 13 Environmental Officer
Your earliest consideration for this request would be greatly appreciated If you have any
questions or information needs,please contact me at(828)251-6171
Sincerely,
fdlet P
Roger D Bryan
Division 13 Environmental Officer
Enclosures
cc JJ Swam,Jr,PE
Chad Bandy,P E
Reid Whitehead,P E , CPESC
Marla Chambers
Mike Parker
Bnan Wrenn

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'. ��T R�QUq(//y Form Version 1 3 Dec 10 2008
4/4TeRBR"„,cH
Pre®Corastrtctoon Noto'ffocatoon (PCN) Form
A Applicant Information
1 Processing
la Type(s)of approval sought from the X Section 404 Permit ❑Section 10 Permit
Corps
lb Specify Nationwide Permit(NWP)number 14 or General Permit(GP)number
1 c Has the NWP or GP number been venfied by the Corps? X Yes ❑ No
1d Type(s)of approval sought from the DWQ(check all that apply)
X 401 Water Quality Certification—Regular ❑ Non-404 Junsdictional General Permit
❑401 Water Quality Certification—Express ❑ Ripanan Buffer Authonzation
1 e Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit
because wntten approval is not required? Certification
❑Yes XNo ❑Yes XNo
If Is payment into a mitigation bank or in lieu fee program proposed for mitigation X 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 X No
below
1 h Is the project located within a NC DCM Area of Environmental Concern(AEC)? ❑Yes X No
2 Project Information
2a Name of project SR 1321 Lump Town Road
2b County Madison
2c Nearest municipality/town Marshall
2d Subdivision name N/A
2e NCDOT only T I P or state 13C 057109
protect no
3 Owner Information
3a Name(s)on Recorded Deed North Carolina Department of Transportation
3b Deed Book and Page No N/A
3c Responsible Party(for LLC if N/A
applicable)
3d Street address N/A
3e City state zip N/A
3f Telephone no N/A
3g Fax no N/A
3h Email address N/A
Page 1 of 11
PCN Form—Version 1 3 December 10 2008 Version

4 Applicant Information Of different from owner)
4a Applicant is North Carolina Department of Transportation
4b Name J J Swain Jr P E Division Engineer
4c Business name N C Department of Transportation
Of applicable)
4d Street address 55 Orange Street P 0 Box 3279
4e City state zip Asheville NC 28802
4f Telephone no 828 251-6171
4g Fax no 828 251-6394
4h Email address vallen(a.ncdot gov
5 Agent/Consultant Information Of applicable)
5a Name N/A
5b Business name N/A
Of applicable)
5c Street address N/A
5d City state zip N/A
5e Telephone no N/A
5f Fax no N/A
5g Email address N/A
Page 2 of 11

B Project Information and Prior Project History
1 Property Identification
1 a Property identification no (tax PIN or parcel ID) N/A
1 b Site coordinates(in decimal degrees) Latitude 35 90045 N Longitude 82 74595 W
1c Property size 4 86 acres
2 Surface Waters
2a Name of nearest body of water(stream nver etc)to
proposed project UTs to Highshoals Branch
2b Water Quality Classification of nearest receiving water C ORW
2c River basin French Broad
3 Project Description
3a Descnbe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Existing gravel secondary road
3b List the total estimated acreage of all existing wetlands on the property
00
3c List the total estimated linear feet of all existing streams(intermittent and perennial)on the property
550 feet for UT 1 (Site 1) 50 feet for UT 2 45 feet for UTs 3 4 and 5 and 60 feet for UT 6(Site 2)
3d Explain the purpose of the proposed project
Increase the typical section and pave the secondary road
3e Descnbe the overall project in detail including the type of equipment to be used
Grade drain base and pave the roadway Extend two pipes on a junsdictional stream and a headwater extending from a
seep Equipment used will include excavators trucks and graders
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property/
C]Yes X No ❑ Unknown
project(including all pnor phases)in the past9
Comments field confirmed by NCDOT
4b If the Corps made the junsdictional determination what type ❑ Preliminary 0 Final
of determination was made?
4c If yes who delineated the jurisdictional areas? Agency/Consultant Company
Name(if known) N/A Other N/A
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 X No 0 Unknown
this project(including all pnor phases)in the past9
5b If yes explain in detail according to help file instructions
6 Future Project Plans
6a Is this a phased project? ❑Yes X No
6b If yes explain
Page 3 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 X Streams tnbutanes ❑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
0 N ❑DWQ
W2 ❑ POT
❑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)
UT 1 to X PER X Corps
S1 X P❑T Pipe Culvert Highshoals 3 25
Branch
El INT X DWQ
UT 1 to
Si ❑ P X T Dewatenng Highshoals X PER X Corps 3 35
Branch ❑ INT X DWQ
UT 2 to X PER ❑Corps
S2 X P ❑T Pipe Culvert Highshoals 1 35
Branch ❑ INT ❑ DWQ
UT 2 to
S2❑ P X T Dewatenng Highshoals X PER ❑Corps 1 45
Branch ❑ INT ❑ DWQ
S3 ❑ P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P❑T ❑ PER ❑Corps
❑ INT ❑ DWQ
3h Total stream and tributary impacts 80
Page 4 of 11
PCN Form—Version 1 3 December 10 2008 Version

3i Comments 60 feet of permanent and 80 feet of temporary impacts at same locations
4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tnbutanes 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— Of 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 OPOT
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
Page 5 of 11

6 Buffer Impacts(for DWQ)
If project will impact a protected npanan 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 ❑P❑T ❑Yes
❑ No
B2 ❑ P❑T ❑Yes
❑ No
B3 ❑ P❑T ❑Yes
❑ No
6h Total buffer impacts
6i Comments
Page 6 of 11

D Impact Justification and Mitigation
9 Avoidance and Minimization
la Specifically descnbe measures taken to avoid or minimize the proposed impacts in designing project
Minimum pipe length used to obtain needed typical section and shoulder width for safety Pipe locations adjusted to
avoid impacts
1 b Specifically descnbe measures taken to avoid or minimize the proposed impacts through construction techniques
N/A
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for X 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 X Corps
❑ Mitigation bank
2c If yes which mitigation option will be used for this X Payment to in lieu fee program
project?
❑ 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 ben Fee Program
4a Approval letter from in lieu fee program is attached X Yes
4b Stream mitigation requested 60 linear feet
4c If using stream mitigation stream temperature ❑warm X cool Ocold
4d Buffer mitigation requested(DWQ only) square feet
4e Ripanan wetland mitigation requested acres
4f Non npanan 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 descnption of the proposed mitigation plan
Page 7of11
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 npanan buffer that requires ❑Yes X No
buffer mitigation?
6b If yes then identify the square feet of impact to each zone of the npanan 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 pnvate mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
I1
Page 8 of 11

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 npanan buffers identified ❑Yes X No
within one of the NC Ripanan Buffer Protection Rules?
lb If yes then is a diffuse flow plan included?If no explain why
❑Yes 0 N
Comments
2 Stormwater Management Plan
2a What is the overall percent imperviousness of this project? N/A
2b Does this project require a Stormwater Management Plan? X Yes ❑ No
2c If this project DOES NOT require a Stormwater Management Plan explain why NC DOT Project
2d If this project DOES require a Stormwater Management Plan then provide a bnef narrative description of the plan
The project will use BMP s to the Maximum Extent Practicable(MEP)in compliance with NCDOT s NPDES Permit No
000250 Post Construction Stormwater Program
❑Certified Local Government
2e Who will be responsible for the review of the Stormwater Management Plan? X DWQ Stormwater Program
❑ DWQ 401 Unit
3 Certified Local Government Stormwater Review
3a In which local governments junsdiction is this project? N/A
❑ Phase II
3b Which of the following locally implemented stormwater management programs ❑ NSW
apply(check all that apply) ❑ USMP
❑Water Supply Watershed
❑Other N/A
3c Has the approved Stormwater Management Plan with proof of approval been ❑Yes ❑ No
attached?
4 DWQ Stormwater Program Review
❑ Coastal counties
❑ HOW
4a Which of the following state-implemented stormwater management programs apply ❑ ORW
(check all that apply) ❑ Session Law 2006 246
❑ Other N/A
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 appropnate 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
'I 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?
1 b 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)?
lc If you answered yes to the above has the document review been finalized by the
State Cleanng 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 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 descnption
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
N/A
Page 10 of 11
PCN Form—Version 1 3 December 10 2008 Version

5 Endangered Species and Designated Cntical 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 indicate 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?
endangered/threatened species county list field survey
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?
Current Maps/Database
7 Histonc 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?
Current Maps/Database
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?Current FEMA Maps
Roger Bryan
Y _, 11 t�4a g 2.0 lZ
Applicant/Agent s Punted Name Pi"
nt s Signature Date
(Agents signature is valid only if an authonzation letter from the applicant
is provided)
Page 11 of 11

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