20071150 Ver 1_Application_20070702

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STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS W. LYNDO TIPPETT
GOVERNOR June 27, 2007 SECRETARY
North Carolina Division of Water Quality
401 Wetlands Certification Unit
2321 Crabtree Boulevard O ~ ~ ~ ~~ 0
Raleigh, NC 27604-2260
Subject: Secondary Road Improvements to SR 1920 (Zion Church Road), Union County.
WBS Element Number lOC.090060 (DWQ Minor Permit Fee $200.00).
Dear Sir or Madam:
The North Carolina Department of Transportation (NCDOT) proposes to upgrade SR 1920 (Zion
Church Road -Section D) in Union County from an unpaved roadway to a paved roadway. The
total project length is 1.50 miles.
Transportation and highway laws of North Carolina (G.S. 136-44.6, 136-44.7, 136-44.7A, 136-
44.8 and 136-44.9) require the NCDOT to develop annual work programs for construction and
maintenance of secondary roads. These general statutes specifically set forth requirements for
annual construction and paving of existing unpaved roads. Paving of these roads is performed in
priority order as established by the NCDOT for each unpaved road within a given county. This
number is based on characteristics of each road, including number of homes, schools, churches,
businesses, industries, recreational facilities, traffic counts, presence of school bus routes, and
value as a thoroughfare. Section D of Zion Church Road is scheduled for paving in the 2007-
2008 Secondary Roads Construction Program.
Protected Species
The subject project has been reviewed for the presence of listed threatened and endangered
species. It has been determined that the construction of this project will have no effect on any
listed plant or animal species.
Impacts to Waters of the United States
This project cannot be completed without impacts to waters of the United States. This project is
located within the Yadkin River Basin (Hydrologic Unit # 03040105) and stream impacts to
unnamed tributaries to Little Brown Creek will be incurred as a result of this project being
constructed.
716 West Main Street, Albemarle, NC 28001 [phone] • Fax [phone]
ati
,• t:

Avoidance/Minimization
A perennial stream runs parallel to Zion Church Road from Sta. 23+48 to Sta. 28+96. The
roadway will be shifted to the north in order to eliminate impacts to this stream. NCDOT's best
management practices for the protection of wetlands and surface waters will be applied during all
phases of project construction.
Summary
The purpose of this letter is to request authorization to construct the proposed project under a
Section 401 Water Quality Certification (WQC) No. 3627. If you have any questions or need any
additional information concerning this project, please fee free to contact Mr. Larry Thompson,
Division Environmental Supervisor, at [phone].
Sinc ly,
s~~-~,,~
Barry S oose, P. E.
Division Engineer
BSM/LBT
CC: Polly Lespinasse, NCDWQ
Marella Buncick, USFWS
Marla Chambers, NCWRC
David Gillette, CME
Larry Thompson, DES
Area Field Operations Unit
File

SR 1920 (Zion Church Road)
Union County
Office Use Only: Form version March Os
USACE Action ID No. DWQ No.
(1t 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: Nationwide 14
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
1. Owner/Applicant Information
Name: N.C. Department of Transportation
Mailing Address: 10th Hi way Division
716 West Main Street
Albemarle N.C. 28001
Telephone Number: [phone] Fax Number: (,704) 982-3146
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:_ Barry Moose
Company Affiliation: N.C. Department of Transportation
Mailing Address: 10th Hi hway Division
716 West Main Street
Albemarle N.C. 28001
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: bmoose(a~dot.state.nc.us
Page 1 of 9

SR 1920 (Zion Church Road)
Union County
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 maybe 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 prof ect: SR 1920 (Zion ChurchRoad -Section D)
2. T.I.P. Project Number or State Project Number (NCDOT Only): lOC.090060
3. Property Identification Number (Tax PIl~:
4. Location
County: Union Nearest Town: Monroe
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): From Monroe travel
south on US 601 to the South Carolina state line turn left onto SR 1921 (State Line Road
SR 1920 is approximately 3.2 miles from this intersection and the project begins on the north
side of the SR 1921 and SR 1921 intersection.
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): 34° 49' 51.02" N 80° 21' 52.22" W
5. Property size (acres): NA
6. Name of nearest receiving body of water: Brown Creek
7. River Basin: Yadkin (Hydrologic Unit 03040105)
(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/.)
8. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Zion Church Road is an unpaved secondary road located in
Union County. It is sparsely developed with a few sin leg family residences but the majority
of the surrounding acreage is being used extensively for agricultural purposes.
Page 2 of 9

SR 1920 (Zion Church Road)
Union County
9. Describe the overall project in detail, including the type of equipment to be used: This project
is the last section of SR 1920 (Zion Church Road) to be constructed. It runs from
approximately Chambers Cove Baptist Church which is (.298 mile) north of State Line Road
and ends .52 miles west of SR 1915 (Smith Town Road): The work area will be cleared, as
needed, to allow for the installation of appropriate erosion control measures, followed by
rg ailing, improving the roadway drainage, constructing a new gravel base, and paving. The
proposed work will be completed utilizing typical construction equipment such as track hoe,
dump trucks, Qrader, vibratory roller and paving equipment.
10. Explain the purpose of the proposed work: The purpose of the proposed work is to upgrade
SR 1920 Zion Church Road) from an unpaved to a paved road in order to improve it's safety
and service level.
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 USAGE 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. N/A
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.
There are no future permit requests anticipated for this project.
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 maybe included at the applicant's discretion. If this proposed impact is strictly for
Page 3 of 9

SR 1920 (Zion Church Road)
Union County
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: There will be 96 feet of permanent
stream impacts associated with this project due to pipe replacements.
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,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
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 included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
perennial or Average Impact Area of
Number Stream Name Type of Impact
Intermittent? Stream Width Length Impact

(indicate on ma)
Before Im ct
(linear feet) )
(acres
Replacing existing
Sta. 23+48 UT to Little 24' x 15" CHIP with perennial 36' 0016
Brown Creek 60' x 36" CMP 2 .
Replacing existing
UT to Little 36' x 36" CMP with perennial 24' 0011
Sta. 40+69 Brown Creek 60' x 36" CHIP 2 .
41+08
Sta UT'to Little Replacing existing perennial 12' 0008
. Brown Creek 48' x 36" RCP with 3 .
60' x 36" CMP
Page 4 of 9

SR 1920 (Zion Church Road)
Union County
Replacing existing
UT to Little
18 x 24 CMP with
Intermittent 2 ,
22
.001
Sta. 70+79 Brown Creek 40' x 48" CMP
Total Stream Im ct len and acrea a .0045
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
Site Number
(indicate on ma) Name of Waterbody
(~ applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)
N/A

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U. S. resulting from the project:
Stream Im act (acres): .0045
Wetland Im act (acres): N/A
O en Water Im act (acres): N/A
Total Impact to Waters of the U. S. (acres) .0045
Total Stream Impact (linear feet): 96
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.
8. 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.
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:
Page 5 of 9

SR 1920 (Zion Church Road)
Union County
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It maybe 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. A portion of this project has
been shifted to the north in an effort to avoid unnecessarypacts to a perennial stream that runs
parallel to the roadway from Sta. 23+48 to Sta. 28+96. The proposed impacts have been limited
as much as practical by keeping the shoulder slopes at a 2:1 ratio and only increasing the pipe
len on jurisdictional crossin sg enough to establish vegetation. The staffing of construction
equipment will not be allowed in or near jurisdictional waters on this project and the sediment
and erosion control best mans eg ment practices for the protection of wetlands and surface waters
will be enforced during all phases of prof ect construction.
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
http://h2o.enr.state.nc.us/ncwetlands/strm~ide.html.
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)
Page 6 of 9

SR 1920 (Zion Church Road)
Union County
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.
Any requests received for mitigation will be routed through the NC Ecosystem Enhancement
Program.
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:
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)
1. Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federaUstate) 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 9

SR 1920 (Zion Church Road)
Union County
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
s uare feet Multiplier Required
Miti ation
1 3 (2 for Catawba)
2 1.5
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.
The existine gavel base on this section of SR 1920 measures at least 20 feet in width and the
proposed paved roadway width is 20 feet in width. There will not be a net increase in
impervious area if this project is constructed.
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 anafter-the-fact permit application? Yes ^ No
Page 8 of 9

SR 1920 (Zion Church Road)
Union County
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:
This prof ect will have no direct affect on development
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/ent's Signature ~ Dane
(Agent's signature valid only if an authorization letter from the applicant is provided.)
Page 9 of 9

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Name:HORNSBORO
Date: 6/25/2007
Scale: 1 inch equals 1600 feet
Location: 034° 50' 19.75" N 080° 21' 33.48" W
Caption: SR 1920 (Zion Ch. Road)
Union County

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